throbber
Other New Drugs
`Other New Drugs
`
`New Natural Products Under Development
`New Natural Products Under Development
`at the National Cancer Institute
`at the National Cancer Institute
`
`J. Douros and M. Suffness
`J. Douros and M. Suffness
`
`Natural Products Branch, Developmental Therapeutics Program, Division of Cancer
`Natural Products Branch, Developmental Therapeutics Program, Division of Cancer
`Treatment, National Cancer Institute, USA - Bethesda, MD
`Treatment, National Cancer Institute, USA - Bethesda, MD
`
`Summary
`Summary
`
`Twenty-six new agents of natural products ongm which are under preclinical
`Twenty-six new agents of natural products ongm which are under preclinical
`development as potential antitumor agents at the National Cancer Institute are
`development as potential antitumor agents at the National Cancer Institute are
`discussed with reference to their sources, structures, antitumor activity, current status,
`discussed with reference to their sources, structures, antitumor activity, current status,
`and future potential as clinically effective drugs.
`and future potential as clinically effective drugs.
`
`Introduction
`Introduction
`
`Since 1956 the Cancer Chemotherapy National Service Center, now incorporated into
`Since 1956 the Cancer Chemotherapy National Service Center, now incorporated into
`the Developmental Therapeutics Program (DTP), Division of Cancer Treatment, has
`the Developmental Therapeutics Program (DTP), Division of Cancer Treatment, has
`had a comprehensive drug development program that includes the screening of
`had a comprehensive drug development program that includes the screening of
`compounds obtained from natural products [7]. Since the inception of the program,
`compounds obtained from natural products [7]. Since the inception of the program,
`approximately 178,802 microbial cultures have been isolated and fermented and
`approximately 178,802 microbial cultures have been isolated and fermented and
`103,272 plants extracted. The fermentation broths and plant extracts have been tested
`103,272 plants extracted. The fermentation broths and plant extracts have been tested
`for their cell cytotoxicity and in vivo activity against various animal tumors using
`for their cell cytotoxicity and in vivo activity against various animal tumors using
`standard protocols [10]. During the last 3 years the fermentation broths in many cases
`standard protocols [10]. During the last 3 years the fermentation broths in many cases
`have first been tested in various in vitro pre screens (e.g., enzyme inhibition, tubulin
`have first been tested in various in vitro pre screens (e.g., enzyme inhibition, tubulin
`binding, phage induction, antimicrobial and antiyeast screens) [6]. Approximately 7
`binding, phage induction, antimicrobial and antiyeast screens) [6]. Approximately 7
`years ago a concentrated effort to evaluate animal products (primarily marine) was
`years ago a concentrated effort to evaluate animal products (primarily marine) was
`initiated and to date 13,751 extracts have been screened and 0.7% showed confirmed
`initiated and to date 13,751 extracts have been screened and 0.7% showed confirmed
`in vivo activity.
`in vivo activity.
`Many compounds have been isolated from the above-mentioned programs and in
`Many compounds have been isolated from the above-mentioned programs and in
`addition many natural products are obtained from the NCI worldwide surveillance
`addition many natural products are obtained from the NCI worldwide surveillance
`program which includes agreements with industrial companies, research institutes,
`program which includes agreements with industrial companies, research institutes,
`universities, and scientists. Some of the more interesting compounds in preclinical
`universities, and scientists. Some of the more interesting compounds in preclinical
`drug development that will be discussed are listed in Table 1. Many of the compounds
`drug development that will be discussed are listed in Table 1. Many of the compounds
`discussed are analogs of earlier compounds which have been prepared in an effort to
`discussed are analogs of earlier compounds which have been prepared in an effort to
`discover second generation drugs which retain the activity of the parent molecule and
`discover second generation drugs which retain the activity of the parent molecule and
`have less toxicity.
`have less toxicity.
`
`S. K. Carter et al. (eds.), New Drugs in Cancer Chemotherapy
`© Springer-Verlag Berlin Heidelberg 1981
`
`NPC02232816
`
`NOVARTIS EXHIBIT 2156
`Par v Novartis, IPR 2016-00084
`Page 1 of 23
`
`

`
`154
`
`J. Douros and M. Suffness
`
`Table 1. Natural products undergoing preclin(cid:173)
`ical drug development at NCI
`
`Compound
`
`NCI No.
`
`107660
`244392
`296940
`276382
`294979
`279496
`208734
`269148
`265450
`526417
`122023
`237020
`234714
`285223
`226080
`298223
`216128
`283439
`141633
`163063
`125973
`269757
`269760
`266492
`157995
`266491
`
`Actinomycin pip 1/3
`Azetomycin 1
`Actinomycin S3
`Pepleomycin
`Bleomycin BAPP
`Tallysomycin A
`Aclacinomycin A
`7-0-methyl nogarol
`Nogamycin
`Echinomycin
`Valinomycin
`Largomycin
`Aphidicolin
`N eothram ycin
`Rapamycin
`CC-1065
`Borrelidin
`Eriofertopin
`Homoharringtonine
`Tripdiolide
`Taxol
`Baccharin
`Isobaccharin
`Phyllanthoside
`Fagaronine
`Psorospermin
`
`Methodology
`
`Natural products, when purified (> 90%), are assigned NSC numbers which are
`identification codes used by NCI for all compounds studied. NCI prefers materials to
`be at least 98% pure before assigning NCS numbers; however, because proteins,
`peptides, polysaccharides, and some other antibiotics do not lend themselves to easy
`purification or are extremely costly to purify to a state of > 90% purity, they are
`assigned NSC numbers also. The various protocols for screening these drugs have been
`established by the Drug Evaluation Branch, NCI [10]. Normally the P388 leukemia
`assay in mice is the first in vivo test in which a natural product compound is evaluated.
`However, rational selection can result in using another in vivo tumor as the first screen
`if there is information on organ distribution, lipophilicity, selective tissue effects, or
`other antitumor data that indicate that other testing is preferable.
`In most cases a material is tested initially against the P388 leukemia (PS) to determine
`toxicity data even though this may not be the test tumor of greatest interest. If
`reproducible activity is demonstrated in PS as evidenced by an increase in life span
`(ILS) of 20% or greater and if the compound has a novel structure, it is tested against a
`panel of tumors (Table 2). Close analogs of known compounds are tested under special
`
`NPC02232817
`
`NOVARTIS EXHIBIT 2156
`Par v Novartis, IPR 2016-00084
`Page 2 of 23
`
`

`
`New Natural Products Under Development at the National Cancer Institute
`
`155
`
`Table 2. Division of Cancer Treatment (OCT) panel of antiserum screens
`
`Tumor
`
`Parameter
`
`Activity
`criteria
`
`Route Tissue and level
`inocula- of inoculation
`tion
`
`Mouse colon 38 (CB)
`Mouse Breast (CD)
`Human colon xenograft
`Mouse breast xenograft
`Mouse lung xenograft
`Mouse B16
`melanosarcoma (B 16)
`Mouse Lewis lung
`carcinoma (LL)
`Mouse L1210 leukemia
`(LE)
`
`Tumor inhibition
`Tumor inhibition
`Tumor inhibition
`Tumor inhibition
`Tumor inhibition
`Survival
`
`TIC::::; 42%
`TIC::::; 42%
`TIC ::::; 42%
`TIC ::::; 42%
`TIC ::::; 42%
`TIC 2': 125%
`
`IP
`SC
`SC
`SC
`SC
`IP
`
`Brei
`Brei
`Fragment
`Fragment
`Fragment
`Brei
`
`1: 100
`5 x 106
`14mg
`14mg
`14mg
`1: 10
`
`Survival
`
`Survival
`
`TIC 2': 140%
`
`IP
`
`TIC 2': 125%
`
`IP
`
`Cells
`
`Cells
`
`105
`
`105
`
`protocols in comparison with the parent compound. Rational bypass can be used to
`expedite testing in tumor panel systems or to screen against tumors that are not part of
`the tumor panel, including, for example, brain tumors for compounds that are known
`to cross the blood brain barrier or hormone dependent tumors for compounds with
`endocrine activity.
`If the compound has sufficient activity and is a novel structure or an analog deemed of
`interest to NCI, it will now be reviewed by the Decision Network (DN) Committee
`and, if approved, is scheduled for formulation studies. When a clinical formulation is
`obtained, the agent is tested for schedule dependency and oral route activity. The DN
`group then determines if the compound should progress into toxicology studies.
`While toxicology studies are being done, the pharmacology group determines
`pharmacokinetics and tissue distribution of this drug. The DN Committee reviews the
`toxicology results and determines if the drug is suitable for Phase I clinical trials. After
`Phase I trials are completed, the DN group again reviews the results and determines if
`the drug should be a candidate for Phase II clinical trials against the panel of human
`tumors selected by NCI:
`1. Breast
`2. Colon
`3. Lung
`4. Melanoma
`5. Acute leukemia
`6. Lymphoma, Hodgkin's disease
`
`Natural products, whether derived from microbes, plants, or animals, are all evaluated
`in the same way. Thorough discussions of the methodologies used in development of
`fermentation-derived compounds and plant-derived compounds are found in the paper
`by Douros [6] and Suffness and Douros [26].
`
`Results
`
`The following drugs derived from natural sources are now in some phase of preclinical
`drug development at NCI:
`
`NPC02232818
`
`NOVARTIS EXHIBIT 2156
`Par v Novartis, IPR 2016-00084
`Page 3 of 23
`
`

`
`156
`
`J. Douros and M. Suffness
`
`Fig. 1. Structure of
`actinomycin pip 1{J (NSC
`107660)
`
`Actinomycin pip lf3 (NSC-107660) (Fig. 1) is a peptide antibiotic with a phenoxazine
`chromophore that is produced by Streptomyces parvulus. This antibiotic differs from
`actinomycin D in that the proline residue in the beta peptide chain is replaced with
`pipecolic acid. The production of actinomycin pip 1f3 and actinomycins in general by
`precursor feeding has been extensively studied by Katz and co-workers [8, 12].
`There is interest in evaluation of a new actinomycin in clinical trial if the compound
`gives indication of a broader or different spectrum of activity, less toxicity, or a better
`chemotherapeutic index than actinomycin D. More than 100 actinomycins have been
`evaluated in NCI's program and three seem to have activities of interest. Actinomycin
`pip 1f3 is being compared with actinomycin D in gastrointestinal toxicity tests and in the
`NCI tumor panel. Actinomycin pip 1f3 has shown good activity in murine tumors
`against colon 38 (C8) giving 91% inhibition, mammary carcinoma (CD) 99%
`inhibition, colon 26 (C6) 84% increased life span (ILS), B16 melanoma 66% ILS,
`L1210 leukemia (LE) 59% ILS, P388 leukemia (PS) 105% ILS. These activities are
`quite similar to those of actinomycin D. The critical data will be whether
`gastrointestinal toxicity is considerably less than that of actinomycin D and whether
`some xenograft activity is found with this analog. If actinomycin pip 1f3 is superior to
`actinomycin D in these tests it will be presented to DN. A comparison of the various
`actinomycin activities can be found in Table 3.
`
`Azetomycin I (NSC-244392) (Fig. 2) is an analog of actinomycin D and is also obtained
`by precursor fermentation [8]. This antibiotic differs from actinomycin D in that one of
`the prolines is replaced with azetidine. This compound has shown good activity against
`P388 giving 166% ILS, 51 % ILS against LE, 52% against B16, 100% inhibition of CD,
`57% ILS against C6 (Table 3). This drug has also shown activity against an
`actinomycin D-resistant leukemia. One additional actinomycin is being tested,
`actinomycin S3 (NSC-296940) [9]. The spectrum of antitumor activity in the few tests
`evaluated is inferior to that of actinomycin D (Table 3). The comparison of
`actinomycin D, azetomycin I, and actinomycin pip 1f3 antitumor data shows that thus
`far none has an advantage over the other and thus the comparative toxicity data
`becomes the crucial factor on whether one of the analogs is developed towards clinical
`trials.
`
`NPC02232819
`
`NOVARTIS EXHIBIT 2156
`Par v Novartis, IPR 2016-00084
`Page 4 of 23
`
`

`
`New Natural Products Under Development at the National Cancer Institute
`
`157
`
`Table 3. Typical activities of actinomycin derivatives in murine tumor systemsa
`
`Tumor
`
`Actinomycin
`D
`NSC-3053
`
`Actinomycin
`pip 1{3
`NSC-107660
`
`Azetomycin
`I
`NSC-244392
`
`Actinomysin
`S3
`NSC-296940
`
`% TIC O.D.b % TIC O.D.b % TIC O.D.b
`
`% TIC O.D.b
`
`PS31 P388 lymphocytic leukemia 279
`LE21 L1210 lymphoid leukemia
`158
`B132 B16 melanocarcinoma
`200
`C631 Colon 26
`153
`C872 Colon 38
`22
`CD72 CD8F1 mammary tumor
`0
`
`100
`60
`25
`500
`300
`300
`
`205
`159
`166
`184
`9
`1
`
`400
`750
`1100
`2880
`4500
`3000
`
`266
`151
`152
`157
`27
`0
`
`50
`300
`75
`750
`1200
`600
`
`72
`[115]e
`186
`d
`[110]e
`36
`
`10
`20
`10
`d
`20
`5
`
`a Data are typical for each system and testing is not in direct comparison
`b O.D., optimal dose in micrograms/kg/inj
`e [ ], activity criteria not met in this system
`d - , not tested
`
`Fig. 2. Structure of
`azetomycin 1 (NSC 244392)
`
`Pepleomycin (NSC-276382). Many bleomycins have been tested by NCI and in Japan.
`In the last 18 months the Japanese have renewed Ncr's interest in the bleomycins by
`presenting to NCI their data on several bleomycin analogs including pepleomycin and
`bleomycin BAPP (Figs. 3 and 4). Pepleomycin (Fig. 3), developed in Japan, differs
`from bleomycin in the terminal amine group. According to the Japanese data this drug
`shows less pulmonary toxicity in human clinical trials than does bleomycin, which
`would make this a second generation drug (less toxicity but equal activity) [22]. This
`drug is awaiting completion of pulmonary toxicity tests and tumor panel evaluation at
`NCI in direct comparison with bleomycin, and if results are favorable will be presented
`to DN late in 1979. Table 4 shows the data obtained with the various bleomycins that
`are presently of interest to NCr.
`
`Bleomycin BAPP (NSC-294979) (Fig. 4) is another fermentation-derived analog of
`bleomycin that shows less pulmonary toxicity than bleomycin in the mouse test [22].
`
`NPC02232820
`
`NOVARTIS EXHIBIT 2156
`Par v Novartis, IPR 2016-00084
`Page 5 of 23
`
`

`
`158
`
`o
`
`OH
`
`o
`
`~~J{NH'
`J
`NH,J:/yO 0 HO~~~NH N-ylSJ
`CH3 ~~' ~CH3~ 9~CH3US)
`Hofd NJ
`I
`
`J. Douros and M. Suffness
`
`H:~~~
`NH-ICH'''-~ v
`
`H
`
`H
`
`N
`
`H
`
`OH ~OH
`OH A
`
`OH
`
`o
`
`o
`
`NH2
`
`Fig. 3. Structure of pepleomycin (NSC 276382)
`
`0
`°S:~JyNH'
`N=1'NH{C","NH{CH"'NHlCH'''CH'
`N~ N 0 CH,! 0
`NH~~O OH)::C:(U-)'S
`
`H
`
`H
`
`I
`
`N
`
`o
`
`OH
`
`OH
`
`o
`
`OH A
`
`o
`
`NH2
`
`Fig. 4. Structure of bleomycin BAPP (NSC 294979)
`
`BAPP is being tested in comparison with bleomycin in the entire tumor panel. The
`antitumor data for bleomycin BAPP is presented in Table 4.
`
`Tallysomycin (NSC-279496) (Fig. 5) is a bleomycin analog similar to phleomycin that is
`being developed by Bristol Laboratories [13, 15]. The drug is being compared with
`bleomycin, bleomycin BAPP, and pepleomycin at NCr. The NCr Bleomycin Analog
`Committee will make recommendations to NCr scientists on the above analogs of
`bleomycin when testing is completed. Bristol Laboratories have several other
`derivatives of tallysomycin that are at present being evaluated against selected NCr
`murine tumor systems.
`
`NPC02232821
`
`NOVARTIS EXHIBIT 2156
`Par v Novartis, IPR 2016-00084
`Page 6 of 23
`
`

`
`New Natural Products Under Development at the National Cancer Institute
`
`159
`
`Table 4. Typical activities of bleomycin derivatives in murine tumor systemsa
`
`Tumor
`
`Bleomycin
`NSC-125066
`
`Pepleomycin
`NSC-276382
`
`Bleomy-
`cin BAPP
`NSC-294979
`
`Tallysomycin
`A
`NSC-279496
`
`% TIC O.D.b % TIC O.D.b % TIC
`
`O.D.b
`
`% TIC O.D.b
`
`PS31 P388 lymphocytic leukemia
`LE21 L1210 lymphoid leukemia
`B132 B16 melanocarcinoma
`C631 Colon 26
`C872 Colon 38
`CD72 CD8F1 mammary tumor
`LL39 Lewis lung carcinoma
`
`146
`[119]"
`185
`[119]C
`11
`9
`159
`
`12
`2.5
`8
`15
`64
`32
`32
`
`127
`[123]C
`184
`[121]C
`29
`16
`[138]C
`
`2
`1
`1
`8
`32
`16
`8
`
`132
`[114]C
`158
`161
`[48]C
`16
`d
`
`10
`10
`5
`20
`30
`64
`d
`
`[119]C
`[104]C
`_d
`
`d
`12
`10
`_d
`
`8
`4
`d
`_d
`32
`32
`d
`
`a Data is typical for each system and testing is not in direct comparison
`b Optimal dose in mg/kglin j
`c [ ], activity criteria not met in this system
`d -, not tested
`
`O=~-OMe
`
`HO
`
`Me
`
`0
`
`NMe2
`
`Fig. 6. Structure of
`ac1acinomycin A (NSC 208734)
`
`kO~
`·CJ~
`Uo
`
`Me
`
`OH
`
`0=
`
`NPC02232822
`
`NOVARTIS EXHIBIT 2156
`Par v Novartis, IPR 2016-00084
`Page 7 of 23
`
`

`
`160
`
`J. Douros and M. Suffness
`
`Table 5. Antitumor activity of ac1acinomycin A NSC-208734
`
`Tumor systems
`
`PS
`LE
`B16
`C6
`C8
`CD
`LL
`PA
`C2G5
`C9G5
`C9H2
`LKG5
`LKH2
`MBG5
`MBH2
`
`P388 lymphocytic leukemia
`L1210 lymphoid leukemia
`B16 melanocarcinoma
`Colon 26
`Colon 38
`CD8F1 mammary
`Lewis lung carcinoma
`Adriamycin resistant PS
`CX-l Colon renal capsule
`CX-5 Colon renal capsule
`CX-5 Colon xenograft
`LX-l Lung renal capsule
`LX-l Lung xenograft
`MX-l Breast renal capsule
`MX-l Breast xenograft
`
`Activities
`
`% TIC'
`
`Opt. dose
`mg/kg/inj.
`
`236
`141
`148
`(123)
`40
`1
`(125)
`138
`9
`(76)
`(49)
`42
`(62)
`20
`(53)
`
`8
`25
`3
`12
`6
`15
`3
`15
`1
`2
`9.38
`2
`9.38
`2
`9.38
`
`• TIC values in parentheses do not meet minimum criteria for activity
`
`OH
`
`Me
`I
`Me-N
`
`HO
`
`o
`
`HO
`
`OH
`
`O-Me
`
`Me
`
`OH
`
`Fig. 7. Structure of
`7-0-methylnogarol (7-0men) (NSC
`269148)
`
`Table 6. Antitumor activity of 7-0-methylnogarol NSC-269148
`
`Tumor systems
`
`PS
`LE
`B16
`C6
`C8
`CD
`LL
`PA
`
`P388 lymphocytic leukemia
`L1210 lymphoid leukemia
`B16 melanocarcinoma
`Colon 26
`Colon 38
`CD8F1 mammary
`Lewis lung carcinoma
`Adriamycin resistant P388
`
`a TIC values in parentheses do not meet activity criteria
`
`Activities
`
`% TIC'
`
`240
`240
`209
`206
`21
`1
`187
`(116)
`
`Opt. dose
`mg/kg/inj.
`
`12.5
`12.5
`12.5
`25
`25
`25
`12.5
`30
`
`NPC02232823
`
`NOVARTIS EXHIBIT 2156
`Par v Novartis, IPR 2016-00084
`Page 8 of 23
`
`

`
`New Natural Products Under Development at the National Cancer Institute
`
`161
`
`Aclacinomycin A (NSC-208734) (Fig. 6) is a cinerubin-like anthracycline was isolated
`by Dr. Umezawa's research group at the Institute of Microbial Chemistry in Japan and
`has been developed by the Sanraku Ocean Company [23]. This compound is scheduled
`for clinical trials in the United States in 1979. The drug was chosen for clinical trials by
`NCI because it showed less alopecia and cardiotoxicity when evaluated in Phase I and
`Phase II clinical trials in Japan [25]. Phase III clinical studies in Japan have confirmed
`that this drug causes less cardiac toxicity than adriamycin and NCI's cardiac toxicity
`test in rabbits likewise indicated a lower cardiac toxicity. NCI feels that this is a second
`generation anthracycline that will provide clinical advantages over adriamycin due to
`less human cardiac toxicity and less alopecia. Aclacinomycin is highly active in NCI
`murine tumor tests (Table 5).
`.
`
`7-0-Methyl nogarol (NSC-269148) (Fig. 7) was obtained from the Upjohn microbial
`chemical biotransformation program [28]. This nogalomycin derivative showed broad
`activity against murine tumors (Table 6). Another nogalomycin analog from the
`Upjohn program is nogamycin (NSC-265450) (Fig. 8). This compound has shown
`superior activity to 7-0-methyl nogarol against B16 (Table 7).
`
`Echinomycin (NSC-526417) (Fig. 9) and valinomycin (NSC-122023) (Fig. 10) are two
`cyclic peptides presently of interest to NCI [21]. Echinomycin showed very selective
`
`CH3
`
`5N
`
`CH3
`
`HO
`
`OH
`
`HO
`
`CH3
`OH
`
`0
`OH
`0
`CH3~O~
`
`Fig. 8. Structure of nogamycin (Nogalomycin
`C) (NSC 265450)
`
`Table 7. Antitumor activity of nogamycin (nogalomycin C) NSC-265450
`
`tv
`
`CH30 OCH3
`
`Tumor systems
`
`PS
`LE
`B16
`C6
`C8
`CD
`LL
`PA
`
`P388 lymphocytic leukemia
`L1210 lymphoid leukemia
`B16 melanocarcinoma
`Colon 26
`Colon 38
`CD8F 1 mammary
`Lewis lung carcinoma
`Adriamycin resistant P388
`
`a TIC values in parentheses do not meet activity criteria
`
`Activities
`
`% T/ca
`
`193
`127
`357
`(102)
`(53)
`(57)
`(119)
`120
`
`Opt. dose
`mg/kglinj.
`
`5
`1.25
`5
`5
`0.62
`10
`0.63
`10
`
`NPC02232824
`
`NOVARTIS EXHIBIT 2156
`Par v Novartis, IPR 2016-00084
`Page 9 of 23
`
`

`
`162
`
`J. Douros and M. Suffness
`
`yH3 ~ yH3
`
`b:~CH3
`IH ~ yH3 I
`
`8
`
`3
`
`-eND
`
`-..;;:
`
`CXN )
`
`I
`
`:,...
`A
`~ NO'""
`
`~
`~
`C-NH-CH-C-N-C-C-N-CH-C-O
`I
`(OJI
`(LJ
`/ (LJ
`(LJ
`C-NH-CH
`CH
`CH2
`H C-S' 's
`I
`I
`(OJCH-NH-C ~
`CH 2
`CH
`8
`I
`I
`I
`(LJ
`(LJ
`(LJI
`2
`O-C-CH-N-C-C-N-C-CH-NH-C
`I
`~
`A
`II InN //
`II
`I
`"
`I
`I
`o
`rH- CH3
`0
`CH3 0
`H CH3 0
`CH3
`CH3
`Fig. 9. Structure of echinomycin (NSC 526417)
`
`Table 8. Antitumor activity of echinomycin (quinomycin A) NSC-526417
`
`Tumor systems
`
`PS
`LE
`B16
`C6
`C8
`CD
`LL
`LKG5
`MBH2
`C2G5
`C2H2
`C9G5
`C9H2
`LKH2
`MBGS
`
`P388 lymphocytic leukemia
`L1210 lymphoid leukemia
`B16 melanocarcinoma
`Colon 26
`Colon 38
`CD8F1 mammary
`Lewis lung carcinoma
`Lung renal capsule
`Breast xenograft
`Colon renal capsule
`Colon xenograft
`CX-5 colon renal capsule
`CX-5 Colon xenograft
`LX-1 lung xenograft
`Breast renal capsule
`
`Activities
`
`% T/ca
`
`2050.06
`126
`189
`(104)
`(123)
`(67)
`(111)
`(52)
`(54)
`21
`(78)
`(55)
`(56)
`(85)
`(55)
`
`Opt. dose
`mg/kg/inj.
`
`0.03
`0.12
`0.06
`0.015
`0.0075
`0.015
`0.12
`0.03
`0.24
`0.03
`0.012
`0.1
`0.1
`0.24
`
`a TIC values in parentheses do not meet activity criteria
`
`activity, being highly active against B16 and P388 and showing activity against the
`colon renal capsule xenograft (Table 8). Valinomycin shows superior activity against
`the murine tumors to echinomycin. Murine antitumor data for valinomycin is
`presented in Table 9.
`
`Largomycin (NSC-237020), a protein originally isolated in Japan [29, 30, 31], was
`obtained through the NCI literature surveillance program and is highly active against
`murine tumors (Table 10). Largomycin is one of the few natural products showing
`activity against the Lewis lung carcinoma. In addition, activity was observed against C6
`and C8. Production methods for this drug are being developed at the Frederick Cancer
`Research Center (FCRC).
`
`Aphidicolin (NSC-234714) (Fig. 11), which was obtained from Imperial Chemical
`Industries (lCI), passed DN2 because of its excellent C6 activity (ILS 129%) [2, 3, 5].
`
`NPC02232825
`
`NOVARTIS EXHIBIT 2156
`Par v Novartis, IPR 2016-00084
`Page 10 of 23
`
`

`
`New Natural Products Under Development at the National Cancer Institute
`
`163
`
`CH3
`
`'" /
`
`CH3 CH3
`
`CH3
`
`"" /
`
`CH 0
`CH 0
`C~ 0 H
`I
`II
`I
`I
`I
`I
`II
`I
`~
`~
`N-CH-C-O-CH--C-N-CH-C-O-CH-C
`I
`(0)
`(L)
`(L)
`(0)
`NH
`I
`H3C-CH--CH (0)
`I
`I
`CH3
`C=O
`I
`o
`I
`H3C-CH (L)
`I
`C=O
`I
`NH
`CH3
`'"
`I
`CH3
`CH3
`HC-CH IL)
`""/ /
`I
`CH3
`C=O
`CH
`I H
`6
`0 ""C{ H 0 CH3
`CH3
`0
`I
`II
`II
`I
`'"
`/
`I
`I
`I II
`HC-CH-O-C-CH-N-C-CH-O-C-CH-N-C--CH-CH
`II
`/
`(0)
`(L)
`(L)
`(0)
`(0)
`""
`CH3
`0
`CH3
`Fig. 10. Structure of valinomycin (NSC 122023)
`
`C=O
`
`CH3
`
`CH3
`
`CH3
`
`Table 9. Antitumor activity of valinomycin NSC-122023
`
`Tumor systems
`
`PS
`LE
`B16
`C6
`C8
`CD
`LL
`C2G5
`C9H2
`C9GS
`LKH2
`LKGS
`MBH2
`MBGS
`
`P388 lymphocytic leukemia
`L1210 lymphoid leukemia
`B16 melanocarcinoma
`Colon 26
`Colon 38
`CD8F 1 mammary
`Lewis lung carcinoma
`CX-l colon renal capsule
`CX-S colon xenograft
`CX-S colon renal capsule
`LX-l lung xenograft
`LX-l lung renal capsule
`MX-l breast xenograft
`MX-l breast renal capsule
`
`Activities
`
`% T/ca
`
`Opt. dose
`mg/kg/inj.
`
`183
`131
`183
`200
`2S
`(49)
`14S
`(47)
`(64)
`(S4)
`(88)
`(99)
`(97)
`(S2)
`
`10
`S
`S
`3
`20
`1
`6
`40
`3
`5
`12
`5
`24
`20
`
`a TIC values in parentheses do not meet activity criteria
`
`This diterpene has been superior to the seven analogs tested against C6 and is
`scheduled for formulation studies. Aphidicolin also showed activity against the lung
`renal capsule xenograft, B16, and P388 (Table 11). Aphidicolin was originally selected
`for screening because of its antiviral activity.
`
`NPC02232826
`
`NOVARTIS EXHIBIT 2156
`Par v Novartis, IPR 2016-00084
`Page 11 of 23
`
`

`
`164
`
`J. Douros and M. Suffness
`
`Table 10. Antitumor activity of largomycin NSC-237020
`
`Tumor systems
`
`PS
`LE
`B16
`C6
`C8
`CD
`LL
`
`P388 lymphocytic leukemia
`L1210 lymphoid leukemia
`B16 melanocarcinoma
`Colon 26
`Colon 38
`CD8Fj mammary
`Lewis lung carcinoma
`
`" TIC values in parentheses do not meet activity criteria
`
`Activities
`
`% T/ca
`
`225
`(112)
`200
`184
`32
`18
`151
`
`Opt. dose
`mg/kg/inj.
`
`4.4
`1
`8
`4
`16
`8
`2
`
`H
`r---t---CH 2-OH
`.-----I--H
`
`H
`
`Fig. 11. Structure of aphidicolin (NSC 234714)
`
`Table 11. Antitumor activity of aphidicolin NSC-234714
`
`Tumor systems
`
`PS
`LE
`B16
`C6
`C8
`CD
`LL
`MBH2
`LKG5
`LKH2
`C2G2
`C2H2
`C9G5
`C9H2
`
`P388 lymphocytic leukemia
`L1210 lymphoid leukemia
`B16 melanocarcinoma
`Colon 26
`Colon 38
`CD8F j mammary
`Lewis lung carcinoma
`Breast xenograft
`Lung renal capsule
`LX-1 lung xenograft
`CX-1 colon renal capsule
`CX-1 colon xenograft
`CX-5 colon renal capsule
`CX-5 colon xenograft
`
`a TIC values in parentheses do not meet activity criteria
`
`Activities
`
`% TIC"
`
`Opt. dose
`mg/kg/inj.
`
`155
`(122)
`176
`229
`(65)
`(44)
`(126)
`(83)
`26
`(86)
`(73)
`(95)
`(45)
`(78)
`
`75
`100
`150
`200
`100
`400
`100
`400
`100
`200
`50
`400
`200
`200
`
`NPC02232827
`
`NOVARTIS EXHIBIT 2156
`Par v Novartis, IPR 2016-00084
`Page 12 of 23
`
`

`
`New Natural Products Under Development at the National Cancer Institute
`
`165
`
`Neothramycin (NSC-285223) (Fig. 12) is an anthramycin-like compound obtained
`from Japan. Our results are similar to those of the Meiji Seika Company and at the
`present time NCI is evaluating this compound against rat tumors. The Japanese
`indicated that neothramycin was superior to most drugs against rat tumors but that it is
`only marginally active against mouse tumors. This drug has shown minimal activity
`against P388 and L12lO leukemias in mice and has shown no activity in any other
`murine tumor systems (Table 12).
`
`Rapamycin (NSC-226080) (Fig. 13) was obtained from Ayerst Laboratories where it
`was originally developed as an anti-Candida drug. This triene fermentation product
`has shown marked activity against ependymoblastoma, mammary, colon 38, and colon
`26 tumors (Table 13). This drug is undergoing formulation studies and hopefully will
`be available for toxicologic evaluations in late 1979. It passed DN in April, 1979 and is
`
`Fig. 12. Structure of
`neothramycin (NSC 285223)
`
`HO N~ HO~N~
`~I N
`~I N
`CH3 - 4
`o
`
`H OH
`
`0
`
`HO
`
`H
`
`-;?'
`
`-;?'
`
`•
`
`CH3-0
`
`Table 12. Antitumor activity of neothramycin NSC-285223
`
`Tumor systems
`
`PS
`LE
`B16
`C6
`C8
`CD
`LL
`EM
`
`P388 lymphocytic leukemia
`L1210 lymphoid leukemia
`B16 melanocarcinoma
`Colon 26
`Colon 38
`CD8Fj mammary
`Lewis lung carcinoma
`Ependymoblastoma
`
`a TIC values in parentheses do not meet activity criteria
`
`Activities
`
`% T/ca
`
`150
`126
`(119)
`(102)
`(62)
`(79)
`(121)
`(95)
`
`Opt. dose
`mg/kg/inj.
`
`4
`4
`4
`0.6
`1.1
`4
`1
`2
`
`OH
`
`O-CH3
`
`Fig. 13. Structure of rapamycin (NSC 226080)
`
`NPC02232828
`
`NOVARTIS EXHIBIT 2156
`Par v Novartis, IPR 2016-00084
`Page 13 of 23
`
`

`
`166
`
`J. Douros and M. Suffness
`
`Table 13. Antitumor activity of rapamycin NSC-226080
`
`Tumor systems
`
`PS
`LE
`B16
`C6
`C8
`CD
`LL
`EM
`
`P388 lymphocytic leukemia
`L1210 lymphoid leukemia
`B16 melanocarcinoma
`Colon 26
`Colon 38
`CD8F1 mammary
`Lewis lung carcinoma
`Ependymoblastoma
`
`a TIC values in parentheses do not meet activity criteria
`
`OH
`
`Activities
`
`% T/ca
`
`142
`(120)
`146
`159, 205
`26, 19
`29,4
`(107)
`243, 211
`
`Opt. dose
`mg/kg/inj.
`
`25
`400
`12.5
`12.5, 6.25
`25, 25
`12.5, 12.5
`400
`200, 50
`
`Me
`
`HO
`
`Fig. 14. Structure of borreledin (NSC 216128)
`
`at present being tested in the entire tumor panel (Table 17). NCI is trying to obtain a
`clinical formulation for this highly insoluble material. The drug was identified as being
`of potential interest from our worldwide surveillance program.
`
`Borrelidin (NSC-216128) (Fig. 14) was obtained from Bristol Laboratories fermen(cid:173)
`tations [1, 14]. This compound has shown activity against Lewis lung, CD mammary,
`B16, and P388 (Table 14). At present this macrocylic lactone is being evaluated in the
`tumor panel.
`
`CC-1065 (NSC-298223) is an Upjohn fermentation product which is undergoing
`structure elucidation studies [11]. Sufficient structural information has been obtained
`to insure that this is a novel antitumor agent. This highly toxic material is quite
`effective against murine tumors (Table 15). The drug has been found active against PS,
`LE, B16, C6, C8, and CD and minimally active against an adriamycin-resistant
`leukemia. It is currently being evaluated in NCI xenograft tumors.
`The following drugs of preclinical interest are higher plant products:
`
`Eriofertopin (NSC-283439) (Fig. 15), a sesquiterpene lactone, has been isolated from
`EriophyUum confertiflorum which is found in California [18]. This compound has
`shown activity against both murine leukemias and B16 (Table 16). At present it is
`scheduled for tumor panel testing.
`
`NPC02232829
`
`NOVARTIS EXHIBIT 2156
`Par v Novartis, IPR 2016-00084
`Page 14 of 23
`
`

`
`New Natural Products Under Development at the National Cancer Institute
`
`167
`
`Table 14. Antitumor activity of borrelidin NSC-216128
`
`Tumor systems
`
`PS
`LE
`B16
`C6
`C8
`CD
`LL
`
`P388 lymphocytic leukemia
`L1210 lymphoid leukemia
`B16 melanocarcinoma
`Colon 26
`Colon 38
`CD8F1 mammary
`Lewis lung carcinoma
`
`Activities
`
`% T/ca
`
`169
`(109)
`159
`(111)
`(69)
`14
`154
`
`a TIC values in parentheses do not meet activity criteria
`
`Table 15. Antitumor activity of CC-1065 (U-56314) NSC-298223
`
`Tumor systems
`
`PS
`LE
`B16
`C6
`C8
`CD
`LL
`PA
`
`P388 lymphocytic leukemia
`L1210 lymphoid leukemia
`B16 melanocarcinoma
`Colon 26
`Colon 38
`CD8F1 mammary
`Lewis lung carcinoma
`Adriamycin restistant P388
`
`a TIC values in parentheses do not meet activity criteria
`
`Activities
`
`% T/ca
`
`190
`148
`181
`150
`37
`38
`(104)
`120
`
`Opt. dose
`mglkg/inj.
`
`0.5
`3
`1
`3
`2
`16
`1.56
`
`Opt. dose
`mglkg/inj.
`
`0.01
`0.3
`0.01
`0.05
`0.1
`0.03
`0.04
`0.1
`
`HO ... ......
`
`o CH2
`II
`II
`
`CH2
`
`I
`I
`I
`I
`O-----t::-....
`
`Fig. 15. Structure of eriofertopin (NSC 283439)
`
`Homoharringtonine (NSC-141633) (Fig. 16) is a cephalotaxine ester isolated from
`Cephalotaxus harringtonia vaL drupacea [24]. This evergreen is a native of the China
`mainland and procurement of this plant has been difficult. At present several grams of
`homoharringtonine have been obtained from the People's Republic of China. This
`compound shows good activity against murine leukemia and is highly active against C8
`and CD tumors (Table 17). Some Lewis lung and colon capsule activity has been
`
`NPC02232830
`
`NOVARTIS EXHIBIT 2156
`Par v Novartis, IPR 2016-00084
`Page 15 of 23
`
`

`
`168
`
`J. Douros and M. Suffness
`
`Table 16 Anticancer activity of eriofertopin NSC-283439
`
`Tumor systems
`
`PS
`LE
`B16
`C8
`
`P388 lymphocytic leukemia
`L1210 lymphoid leukemia
`B16 melanocarcinoma
`Colon 38
`
`• TIC values in parentheses do not meet activity criteria
`
`Activities
`
`% T/ca
`
`167
`129
`126
`(105)
`
`Opt. dose
`mglkglinj.
`
`20
`20
`20
`2.5
`
`CH3
`I
`CH3-C-(CH 2)3
`I
`:
`HO
`:
`: 0
`: II
`CH30-C-CH2-C-C-O.,
`,
`II
`- r - - - - ; (
`o
`OH
`
`<
`
`OCH3
`
`Fig. 16. Structure of homo harring to nine (NSC 141633)
`
`Table 17. Antitumor activity of homoharringtonine NSC-141633
`
`Tumor systems
`
`PS
`LE
`B16
`C6
`C8
`CD
`LL
`EM
`PA
`PV
`16
`CY
`CZ
`C2G5
`C9G5
`LKG5
`MB65
`
`P388 lymphocytic leukemia
`L1210 lymphoid leukemia
`B16 melanocarcinoma
`Colon 26
`Colon 38
`CD8F1 mammary
`Lewis lung carcinoma
`Ependymoblastoma
`Adriamycin resistant P388
`Vincristine resistant P388
`Mammary adenocarcinoma C3H
`Colon 36
`Colon 51
`CX-1 colon renal capsule
`CX-5 colon renal capsule
`LX-5 lung renal capsule
`Mx-1 breast renal capsule
`
`• TIC values in parentheses do not meet activity criteria
`
`Activities
`
`% TIC'
`
`Opt. dose
`mg/kg/inj.
`
`327
`150
`137
`(113)
`8
`7
`142
`(103)
`(103)
`(100)
`185
`181
`(106)
`38
`(44)
`(74)
`(103)
`
`1
`2
`2
`1
`4
`4
`0.5
`0.25
`1.2
`0.72
`1.9
`3
`1.2
`0.5
`2
`1
`1
`
`NPC02232831
`
`NOVARTIS EXHIBIT 2156
`Par v Novartis, IPR 2016-00084
`Page 16 of 23
`
`

`
`New Natural Products Under Development at the National Cancer Institute
`
`169
`
`observed. The drug has been reported to be active against various leukemias in clinical
`trials conducted in China [4]. Formulation studies are now underway at NCI.
`
`Tripdiolide (NSC-163063) (Fig. 17) is a diterpene triepoxide which was isolated from
`Tripterygium wilfordii in 1972 [16]. The selection of tripdiolide as a candidate for
`preclinical development was made on the basis of its activity in the L1210 leukemia
`system. Tripdiolide is also active against the B16 melanoma and the P388 leukemia
`(Table 18). A

This document is available on Docket Alarm but you must sign up to view it.


Or .

Accessing this document will incur an additional charge of $.

After purchase, you can access this document again without charge.

Accept $ Charge
throbber

Still Working On It

This document is taking longer than usual to download. This can happen if we need to contact the court directly to obtain the document and their servers are running slowly.

Give it another minute or two to complete, and then try the refresh button.

throbber

A few More Minutes ... Still Working

It can take up to 5 minutes for us to download a document if the court servers are running slowly.

Thank you for your continued patience.

This document could not be displayed.

We could not find this document within its docket. Please go back to the docket page and check the link. If that does not work, go back to the docket and refresh it to pull the newest information.

Your account does not support viewing this document.

You need a Paid Account to view this document. Click here to change your account type.

Your account does not support viewing this document.

Set your membership status to view this document.

With a Docket Alarm membership, you'll get a whole lot more, including:

  • Up-to-date information for this case.
  • Email alerts whenever there is an update.
  • Full text search for other cases.
  • Get email alerts whenever a new case matches your search.

Become a Member

One Moment Please

The filing “” is large (MB) and is being downloaded.

Please refresh this page in a few minutes to see if the filing has been downloaded. The filing will also be emailed to you when the download completes.

Your document is on its way!

If you do not receive the document in five minutes, contact support at support@docketalarm.com.

Sealed Document

We are unable to display this document, it may be under a court ordered seal.

If you have proper credentials to access the file, you may proceed directly to the court's system using your government issued username and password.


Access Government Site

We are redirecting you
to a mobile optimized page.





Document Unreadable or Corrupt

Refresh this Document
Go to the Docket

We are unable to display this document.

Refresh this Document
Go to the Docket