| CPC A61K 31/5377 (2013.01) [A61K 31/4184 (2013.01); A61K 31/519 (2013.01); A61K 31/5386 (2013.01); A61K 31/69 (2013.01); A61K 38/05 (2013.01); A61K 45/06 (2013.01)] | 17 Claims |
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1. A pharmaceutical composition comprising a combination of a compound of formula (I):
![]() or a pharmaceutically acceptable salt thereof, wherein:
W is selected from the group consisting of O, N—H, N—(C1-C10 alkyl) and S;
each X is independently CH or N;
R1 is a 5 to 7-membered saturated or unsaturated heterocycle containing at least 1 heteroatom selected from N and O;
R2 is LY;
each L is selected from the group consisting of a direct bond, C1-C10 alkylene, C2-C10 alkenylene, and C2-C10 alkynylene;
Y is a fused, bridged or spirocyclic non-aromatic 5-12 membered heterocycle containing up to 4 heteroatoms selected from N or O;
wherein any aforementioned heterocycle may be optionally substituted with up to three substituents selected from the group consisting of C1-C6 alkyl, hydroxy, C1-C3 hydroxyalkyl, C1-C3 alkoxy, C1-C3 haloalkoxy, amino, C1-C3 mono alkylamino, C1-C3 bis alkylamino, C1-C3 acylamino, C1-C3 aminoalkyl, mono (C1-C3 alkyl) amino C1-C3 alkyl, bis (C1-C3 alkyl) amino C1-C3 alkyl, C1-C3-acylamino, C1-C3 alkyl sulfonylamino, acyl, halo, nitro, cyano, trifluoromethyl, carboxy, C1-C3 alkoxycarbonyl, aminocarbonyl, mono C1-C3 alkyl aminocarbonyl, bis C1-C3 alkyl aminocarbonyl, —SO3H, C1-C3 alkylsulfonyl, aminosulfonyl, mono C1-C3 alkyl aminosulfonyl, and bis C1-C3-alkyl aminosulfonyl; and
each R3 is independently selected from the group consisting of H, C1-C10 alkyl, halogen, fluoro C1-C10 alkyl, O—C1-C10 alkyl, NH—C1-C10 alkyl, S—C1-C10 alkyl, O-fluoro C1-C10 alkyl, NH-acyl, NH—C(O)—NH—C1-C10 alkyl, C(O)—NH—C1-C10 alkyl, aryl, and heteroaryl; and
at least one second agent selected from the group consisting of signal transduction pathway inhibitors, tumour immunotherapeutics, agents inhibiting the BCL2 family of proteins, agents inhibiting Mcl-1, proteasome inhibitors, aromatase inhibitors, conventional cytotoxic agents or a miscellaneous agent selected from abiraterone, ARN-509 and MYC inhibitors; wherein;
the signal transduction pathway inhibitor is a spleen tyrosine kinase (SYK) inhibitor, a BMX non-receptor tyrosine kinase inhibitor, an anaplastic lymphoma kinase (ALK) inhibitors, small molecule inhibitors of or a biological agent targeting tyrosine kinases, vascular endothelial growth factor (VEGF) inhibitors, small molecule inhibitors of the ribosomal protein S6 kinase, p-70S6K, inhibitors of mammalian target of rapamycin (mTOR), RAF kinase inhibitors, mitogen-activated protein kinase (MEK) inhibitors, BCR-ABL inhibitors, extracellular signal-regulated kinase (ERK) inhibitors, JAK-STAT signalling inhibitors or NF-KB-inducing kinase (NIK) inhibitors;
the tumour immunotherapeutic is an HDAC inhibitor, an indoleamine-2,3-dioxygenase (IDO) inhibitor, an immunomodulator or a CTLA-4-targeted agent;
the agent inhibiting the BCL2 family of proteins is ABT-737, ABT-263, Obatoclax, Venetoclax, Sabutoclax, AT101, HA14-1 or BAM 7; and
the conventional cytotoxic agent is cisplatin, carboplatin, mitoxantrone, vincristine, vinblastine, daunorubicin, doxorubicin, chlorambucil, melphalan, paclitaxel, methotrexate, tomudex, etoposide, camptothecins, irinotecan or a DNA methylation inhibitor.
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