Identification of LKB1 mutation as a predictive biomarker for sensitivity to TOR kinase inhibitors

التفاصيل البيبلوغرافية
العنوان: Identification of LKB1 mutation as a predictive biomarker for sensitivity to TOR kinase inhibitors
Patent Number: 9,555,033
تاريخ النشر: January 31, 2017
Appl. No: 13/020031
Application Filed: February 03, 2011
مستخلص: Provided herein are methods for treating and/or preventing a cancer or a tumor syndrome in a patient, comprising administering an effective amount of a TOR kinase inhibitor to a patient having cancer or a tumor syndrome, characterized by a LKB1 and/or AMPK gene or protein loss or mutation.
Inventors: Chopra, Rajesh (Summit, NJ, US); Ning, Yuhong (San Diego, CA, US); Sankar, Sabita (Portland, OR, US); Xu, Shuichan (San Diego, CA, US); Xu, Weiming (San Diego, CA, US)
Assignees: Signal Pharmaceuticals, LLC (San Diego, CA, US)
Claim: 1. A method for treating non-small cell lung carcinoma, comprising administering an effective amount of a TOR kinase inhibitor to a patient having non-small cell lung carcinoma characterized by a LKB1 gene loss, LKB1 protein loss, LKB1 gene mutation, or LKB1 protein mutation, relative to wild type, wherein the TOR kinase inhibitor is a compound of Formula (Ie): [chemical expression included] or a pharmaceutically acceptable salt, stereoisomer, or tautomer, thereof, wherein: L is a direct bond; R 1 is substituted or unsubstituted pyridine; and R 2 is substituted or unsubstituted cyclohexyl, wherein substituted groups can be substituted with one or more alkoxy or hydroxyalkyl groups.
Claim: 2. A method for treating non-small cell lung carcinoma, comprising screening a patient's carcinoma for the presence of a LKB1 gene loss, LKB1 protein loss, LKB1 gene mutation, or LKB1 protein mutation, relative to wild type, and administering an effective amount of a TOR kinase inhibitor to the patient having non-small cell lung carcinoma characterized by a LKB1 gene loss, LKB1 protein loss, LKB1 gene mutation, or LKB1 protein mutation, wherein the TOR kinase inhibitor is a compound of Formula (Ie): [chemical expression included] or a pharmaceutically acceptable salt, stereoisomer, or tautomer, thereof, wherein: L is a direct bond; R 1 is substituted or unsubstituted pyridine; and R 2 is substituted or unsubstituted cyclohexyl, wherein substituted groups can be substituted with one or more alkoxy or hydroxyalkyl groups.
Claim: 3. A method for treating non-small cell lung carcinoma, comprising administering an effective amount of a TOR kinase inhibitor and an effective amount of one or more agents that modulate AMP levels, glucose uptake, metabolism or a stress response to a patient having non-small cell lung carcinoma, wherein the TOR kinase inhibitor is a compound of Formula (Ie): [chemical expression included] or a pharmaceutically acceptable salt, stereoisomer, or tautomer, thereof, wherein: L is a direct bond; R 1 is substituted or unsubstituted pyridine; and R 2 is substituted or unsubstituted cyclohexyl, wherein substituted groups can be substituted with one or more alkoxy or hydroxyalkyl groups.
Claim: 4. A method for treating non-small cell lung carcinoma, comprising administering an effective amount of a TOR kinase inhibitor to a patient having non-small cell lung carcinoma characterized by an AMPK gene loss, AMPK protein loss, AMPK gene mutation, or AMPK protein mutation, relative to wild type, wherein the TOR kinase inhibitor is a compound of Formula (Ie): [chemical expression included] or a pharmaceutically acceptable salt, stereoisomer, or tautomer, thereof, wherein: L is a direct bond; R 1 is substituted or unsubstituted pyridine; and R 2 is substituted or unsubstituted cyclohexyl, wherein substituted groups can be substituted with one or more alkoxy or hydroxyalkyl groups.
Claim: 5. A method for treating non-small cell lung carcinoma, comprising screening a patient's carcinoma for the presence of an AMPK gene loss, AMPK protein loss, AMPK gene mutation, or AMPK protein mutation, relative to wild type, and administering an effective amount of a TOR kinase inhibitor to the patient having non-small cell lung carcinoma characterized by an AMPK gene loss, AMPK protein loss, AMPK gene mutation, or AMPK protein mutation, wherein the TOR kinase inhibitor is a compound of Formula (Ie): [chemical expression included] or a pharmaceutically acceptable salt, stereoisomer, or tautomer, thereof, wherein: L is a direct bond; R 1 is substituted or unsubstituted pyridine; and R 2 is substituted or unsubstituted cyclohexyl, wherein substituted groups can be substituted with one or more or hydroxyalkyl groups.
Claim: 6. A method for treating non-small cell lung carcinoma, comprising administering an effective amount of a TOR kinase inhibitor to a patient having non-small cell lung carcinoma characterized by a reduced level of pAMPK protein, AMPK activity, or both, relative to wild type, wherein the TOR kinase inhibitor is a compound of Formula (Ie): [chemical expression included] or a pharmaceutically acceptable salt, stereoisomer, or tautomer, thereof, wherein: L is a direct bond; R 1 is substituted or unsubstituted pyridine; and R 2 is substituted or unsubstituted cyclohexyl, wherein substituted groups can be substituted with one or more or hydroxyalkyl groups.
Claim: 7. A method for treating non-small cell lung carcinoma, comprising screening a patient's carcinoma for the presence of a reduced level of pAMPK protein, AMPK activity, or both, relative to wild type, and administering an effective amount of a TOR kinase inhibitor to the patient having non-small cell lung carcinoma characterized by a reduced level of pAMPK protein, AMPK activity, or both, wherein the TOR kinase inhibitor is a compound of Formula (Ie): [chemical expression included] or a pharmaceutically acceptable salt, stereoisomer, or tautomer, thereof, wherein: L is a direct bond; R 1 is substituted or unsubstituted pyridine; and R 2 is substituted or unsubstituted cyclohexyl, wherein substituted groups can be substituted with one or more alkoxy or hydroxyalkyl groups.
Claim: 8. The method of claim 1 , wherein R 1 is substituted pyridine.
Claim: 9. The method of claim 2 , wherein R 1 is substituted pyridine.
Claim: 10. The method of claim 3 , wherein R 1 is substituted pyridine.
Claim: 11. The method of claim 4 , wherein R 1 is substituted pyridine.
Claim: 12. The method of claim 5 , wherein R 1 is substituted pyridine.
Claim: 13. The method of claim 6 , wherein R 1 is substituted pyridine.
Claim: 14. The method of claim 7 , wherein R 1 is substituted pyridine.
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Assistant Examiner: Lee, William
Primary Examiner: Klinkel, Kortney L
Attorney, Agent or Firm: Jones Day
رقم الانضمام: edspgr.09555033
قاعدة البيانات: USPTO Patent Grants