[go: up one dir, main page]

WO1996040170A2 - Metal-containing compounds and their use for inhibiting the immune response - Google Patents

Metal-containing compounds and their use for inhibiting the immune response Download PDF

Info

Publication number
WO1996040170A2
WO1996040170A2 PCT/US1996/005942 US9605942W WO9640170A2 WO 1996040170 A2 WO1996040170 A2 WO 1996040170A2 US 9605942 W US9605942 W US 9605942W WO 9640170 A2 WO9640170 A2 WO 9640170A2
Authority
WO
WIPO (PCT)
Prior art keywords
containing ligands
group
compound
bis
ligands
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US1996/005942
Other languages
French (fr)
Other versions
WO1996040170A3 (en
Inventor
Cecilia M. Bastos
Timothy D. Ocain
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Procept Inc
Original Assignee
Procept Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Procept Inc filed Critical Procept Inc
Publication of WO1996040170A2 publication Critical patent/WO1996040170A2/en
Publication of WO1996040170A3 publication Critical patent/WO1996040170A3/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • A61K33/24Heavy metals; Compounds thereof
    • A61K33/32Manganese; Compounds thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • A61K33/24Heavy metals; Compounds thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • A61K33/24Heavy metals; Compounds thereof
    • A61K33/243Platinum; Compounds thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • A61K33/24Heavy metals; Compounds thereof
    • A61K33/34Copper; Compounds thereof

Definitions

  • Immunosuppressive agents are also indicated in the treatment of autoimmune diseases such as rheumatoid arthritis or type I diabetes mellitus.
  • autoimmune diseases such as rheumatoid arthritis or type I diabetes mellitus.
  • psoriasis This disease is characterized by erythematous patches of skin accompanied by discomfort and itching. Hyperplasia of the epidermis involving proliferation of keratinocytes is also a hallmark feature of psoriasis.
  • An inflammatory component is suggested by: (i) the finding of lymphocytic infiltration of epidermis, and (ii) the fact that immunosuppressive agents such as cyclosporin and corticosteroids have beneficial effect on the disease.
  • This invention relates to the use of compounds as immunosuppressive agents to prevent or significantly reduce graft rejection in organ and bone marrow transplantation.
  • the compounds can also be used as an immunosuppressant drug for T lymphocyte mediated autoimmune diseases, such as diabetes, rheumatoid arthritis, multiple sclerosis, lupus erythematosus and steroid resistant asthma.
  • T lymphocyte immunosuppressive properties may also be useful in inhibiting the proliferation of cardiac smooth muscle cells. Based upon this, it is expected that the compounds can be used for the treatment of hyperproliferative vascular disorders, such as restenosis and atherosclerosis.
  • the invention also provides a method for coadministra- tion of the compounds described herein with agents designed for gene therapy. It is believed that the use of the compounds of this invention may suppress the immune system and reduce/minimize an immune response against the gene delivery vehicle, so that therapeutic levels of transgene expression can be achieved in an animal or human.
  • This invention is based upon the discovery that certain compounds can inhibit antigen specific T lymphocyte proliferation, in vitro .
  • the data suggest that these compounds have potential use as immunosuppressants to reduce undesirable immune responses in humans.
  • the compounds of this invention can be used to facilitate organ transplantation, and to treat human autoimmune disorders where the specific activation of T cells is responsible for, or contributes to the pathology and progression of the diseases, such as diabetes, rheumatoid arthritis, multiple sclerosis, lupus erythematosus and steroid resistant asthma.
  • This invention pertains to compounds that have immunosuppressive properties of the general formula: [ML 1 B h T t P p ]Z and physiologically acceptable salts thereof;
  • M is selected from the group consisting of iridium (Ir), palladium (Pd), chromium (Cr), iron (Fe), technitium (Tc), rhenium (Re), cobalt (Co), osmium (Os), manganese (Mn), copper (Cu), nickel (Ni), platinum (Pt) and rhodium (Rh), having an oxidation state of 2, 3 or 4 depending upon the nature of M;
  • b 0, 1 or 2;
  • t is 0 or 1;
  • p is 0 or 1;
  • p is 0 or 1;
  • each L is independently a monodentate Iigand selected from the group consisting of nitrogen containing ligands, phosphorus containing ligands, sulfur containing ligands, oxygen containing ligands, carbon containing ligands and halide (e.g., F, Cl, Br, I);
  • each B is independently a bidentate Iigand selected from the group consisting of nitrogen containing ligands (e.g., aliphatic amines, heterocyclic aromatic amines), sulfur containing ligands, carbon containing ligands, oxygen containing ligands and phosphorus containing ligands;
  • nitrogen containing ligands e.g., aliphatic amines, heterocyclic aromatic amines
  • sulfur containing ligands e.g., carbon containing ligands, oxygen containing ligands and phosphorus containing ligands
  • each T is independently a tridentate Iigand selected from the group consisting of nitrogen containing ligands, sulfur containing ligands, carbon containing ligands, oxygen containing ligands and phosphorus containing ligands;
  • each P is independently a polydentate Iigand selected from the group consisting of nitrogen containing ligands, oxygen containing ligands, carbon containing ligands, sulfur containing ligands and phosphorus containing ligands;
  • Z is at least one counterion of appropriate charge to render the overall charge of the complex neutral, e.g., a counterion selected from the group consisting of F-, Cl-, Br-, I-, NO 3 -, NH 4 + , NR 4 + , PF 6 -, BPh 4 -, SO 4 -2 , S 8 -2 , S 2 O 7 -2 , BF 4 -, H + , CF 3 SO 3 -, Na + , K + , Li + , ClO 4 - and RImH + , where Im is imidazole; and organic and inorganic salts such as acetate, lactate, citrate, tartarate, succinate, maleate, malonate, gluconate, hydroch- loride, hydrobromide, phosphorate, nitrate, sulfate, trifluoromethansulfonate and methanesulfonate; wherein R is a linear or
  • the metal center When the metal center has four coordinating atoms then it may contain four equivalent ligands (referred as mono- dentate) or a mixture of ligands.
  • the mixture of ligands may contain different monodentate ligands, or a mixture of bidentate/ monodentate in a 1:2 ratio, or a mixture of bidentate ligands, or a mixture of tridentate/monodentate in a 1:1 ratio or a tetradentate Iigand.
  • the metal center may contain six equivalent ligands (referred as monodentate) or a mixture of different ligands.
  • the mixture of ligands may contain monodentate ligands, or a mixture of bidentate/ monodentate Iigand in a 1:4 or 2:2 ratio, or a mixture of tridentate/monodentate in a 1:3 ratio, or a mixture of tridentate/bidentate/monodentate in a 1:1:1 ratio, or a mixture of polydentate/monodentate in a 1:1 or 1:2 depending on the nature of the polydentate Iigand, or a mixture of a polydentate/bidentate in a 1:1 ratio, or three bidentate ligands or two tridentate ligands.
  • a monodentate Iigand is defined as a chemical moiety or group which has one potential coordinating atom. More than one potential coordinating atom is termed a polydentate Iigand where the number of potential coordinating atoms is indicated by the terms bidentate, tridentate, etc.
  • Ligands that are protonated are well within the scope of the invention.
  • Compounds of this invention can contain a metal center of different oxidation states, e.g., 2, 3 or 4.
  • the complex can inherently be neutral, i.e., it will not require counterion(s) to neutralize the overall charge of the complex.
  • the compounds can contain counterion (s) of appropriate charge to render the overall charge of the complex neutral and optionally to enhance solubility of the complex in a physiologically environment.
  • the number of counterions e.g., 1 to 5 counterions that are the same or different from each other) will be that which is required to neutralize the overall charge of the complex.
  • Counterions which result in physiologically acceptable salts of the complexes, including protonated salts thereof, are within the scope of this invention and include but are not limited to salts derived from inorganic cations such as sodium (Na + ), potassium (K + ), lithium (Li + ), and the like; organic bases such as mono-, di- and trialkyl amines of 1-8 carbon atoms, per alkyl group and mono-, di- and trihydroxyalkyl amines of 1-8 carbon atoms peralkyl group, and the like; and organic and inorgan- ic acids such as acetate, lactate, citrate, tartarate, succinate, maleate, malonate, gluconate, hydrochloride, hydrobromide, phosphorate, nitrate, sulfate, trifluoro- methansulfonate, methanesulfonate, and similarly known acceptable acids.
  • inorganic cations such as sodium (Na + ), potassium (K + ), lithium (
  • Suitable monodentate ligands (L) comprising aliphatic and aromatic amines include but are not limited to imidazole (Im), pyridine (py), ammonia, triazole, pyrazole, quinoline, pyrazine, pyridazine, pyrimidine, quinoxaline, quinazoline, piperidine, phosphine, phosphite, thiolate, sulfoxide, nitrogen, water, halide, alkoxide, phenolate and carboxylic acids. Derivatives of these ligands can also be incorporated into the complex in various combinations with the non-substituted ligands.
  • a derivative is a Iigand in which one or more of the hydrogen atoms has been substituted with a moiety, such as C1-C8 alkyl, C3-C8 cyclic alkyl, C2- C6 alkenyl, aryl or substituted aryl, hydroxyl, carboxylate, C1-C8 linear, branched or cyclic amine, nitro, ester, carbonyl, phenyl, carboxyl, benzyl, thio and combinations of these.
  • a preferred Iigand is methylimidazole.
  • Suitable bidentate ligands (B) will include, but are not limited to, aliphatic amines (e.g., ethylenediamine (en), propylenediamine, 1, 2-cyclohexanediamine and the corresponding alkylated amines thereof); heterocyclic aromatic amines (e.g., 2,2'-bipyridine (bipy), 1,10-phenanthroline); pyridine based ligands (e.g., 2-aminopicoline); pyrazole based ligands (e.g., potassium-bis-pyrazolyl borate, bis- pyrazolyl methane); carboxylates; and bis-phosphines (e.g., 1,2-bis (dimethylphosphino) methane).
  • aliphatic amines e.g., ethylenediamine (en), propylenediamine, 1, 2-cyclohexanediamine and the corresponding alkylated amines thereof
  • tridentate ligands examples include but are not limited to aliphatic amines (diethylenetriamine, dipro- pylenetriamine, 1,4,7-triazacyclononane, 1,4,7-triazacyclo- decane), aromatic amines [2,2' ,6",2"-terpyridine, bis-(2- pyridylmethyl) amine, bis-(2-imidazolylmethyl) amine, potassium tris-pyrazolyl borate, tris-pyrazolyl methane], oxygen based ligands (iminodiacetic acid, nitrilotriacetic acid, triethanol amine, bis- (3-methylphenoxy) amine), and sulfur based ligands (1,4,7-trithiacyclononane, 1,4,7- trithiacyclodecane, 2-(arylazophenyl) thioether).
  • aliphatic amines diethylenetriamine, dipro- pylenetriamine, 1,4,7-triaza
  • polydentate ligands include but are not limited to nitrogen containing ligands [e.g., 1,4,7,10- tetrazacyclododecane; 1,4,8,11-tetraazacyclotetradecane; tris- (2-pyridylmethyl) amine; tris-(2-imidazolylmethyl) amine]; sulfur containing ligands (l,4,8,11-tetrathiacyclo- tetradecane, 1,4,7,10-tetrathiacyclotridecane);andphosphorus containing ligands [ ⁇ , ⁇ '-bis-(bis-(2-diphenylphosphino- ethyl) amino) ethane and ⁇ , ⁇ '-bis-(bis-(2-diphenylphosphino)- m-xylene].
  • nitrogen containing ligands e.g., 1,4,7,10- tetrazacyclododecane; 1,4,8,11-t
  • Compounds of this invention can be administered orally, parenterally (e.g. intramuscularly, intravenously, subcuta- neously), topically, nasally or via slow releasing micro- carriers in dosage formulations (e.g., therapeutically effective amount) containing a physiologically acceptable vehicle and optional adjuvants and preservatives.
  • Suitable physiologically acceptable vehicles include saline, sterile water, creams, ointments, solutions, gels, pastes, emulsions, lotions, oils, solid carriers and aerosols.
  • the immunosuppressant compounds can be applied topically as a cream or ointment to locally deliver immunosuppressive concentrations of the drug without significant systemic exposure.
  • Topical application may be the ideal way to deliver the compound for psoriasis and perhaps other inflammatory skin diseases such as contact dermatitis and pemphigus vulgaris.
  • the specific dosage level of active ingredient will depend upon a number of factors, including biological activity of the compound, age, body weight, sex, general health, severity of the particular disease to be treated and the degree of immune suppression desired, as well as appropriate pharmacokinetic properties. It should be understood that the compounds described herein can be administered to mammals other than humans for immunosup- pression of mammalian autoimmune diseases.
  • the immunosuppressant compounds can be administered in combination with other drugs to boost the immunosuppressive effect.
  • Compounds that can be coadministered include steroids (e.g. methyl prednisolone acetate), NSAIDS and other known immunosuppressants such as azathioprine, 15- deoxyspergualin, cyclosporin, mizoribine, mycophenolate mofetil, brequinar sodium, leflunomide, FK-506, rapamcyin and related molecules. Dosages of these drugs will also vary depending upon the condition and individual to be treated.
  • the assay used to measure T cell growth inhibition was a human peripheral blood lymphocyte (PBL) proliferation assay using standard procedures known in the art. PBL's were chosen due to their known ability to proliferate in the presence of antigens derived from herpes simplex virus (HSV) , Rubella or tetanus toxoid (TT). PBL growth inhibition was measured in terms of the compound's ability to interfere with antigen induced lymphocyte proliferation.
  • HSV herpes simplex virus
  • TT tetanus toxoid
  • the compounds of this invention can be used to produce antibodies (e.g., polyclonal and monoclonal) against the complexes. Methods for making antibodies are well known.
  • the antibodies can be used as a diagnostic tool for monitoring the amount of the immunosuppressant compound in patient blood levels. The ability to closely monitor the amount of immunosuppressant provides a suitable means for controlling drug delivery to patients in both preclinical and clinical settings.
  • T lymphocyte immunosuppressive properties may also be useful in inhibiting the proliferation of cardiac smooth muscle cells. Based upon this, it is expected that the compounds can be used for the treatment of hyperproliferative vascular disorders, such as restenosis and atherosclerosis.
  • the invention also provides a method for coadministra- tion of the compounds described herein with agents designed for gene therapy. It is believed that the use of the compounds of this invention may suppress the immune system and reduce/minimize an immune response against the gene delivery vehicle, so that therapeutic levels of transgene expression can be achieved in an animal or human. Any type of gene therapy delivery vehicle can be coadministered, such as those well known in the art. Concurrent adminstration of the gene therapy delivery vehicle and the compounds of this invention, either as a single unit dose or taken individual- ly, is preferred.
  • lymphocytes were prepared by first separating them from the blood samples of several donors by Ficoll gradient separation as described by standard procedure known in the art. The isolated lymphocytes were then grown in RPMI 1640 medium containing 5% human AB serum, glutamine (2mM) , penicillin/streptomycin, 100 U/ml/100 ⁇ g/ml sodium pyruvate (ImM) and HEPES buffer (lOmM).
  • PBL's were incubated at a density of 10 s per 200 ⁇ l of medium per well of a 96-well plate.
  • Tetanus toxoid (TT; Connaught Labs, Willow Dale, ON) was used as a stimulating antigen at a concentration of 5 LF/ml.
  • test wells containing PBL's were exposed to antigen, along with various dilutions of the solutions containing the compound, as shown in the Table.
  • TT antigen/compounds exposed PBL's were pulsed with 1 ⁇ Ci/well of 3 H-thymidine on day 5 using a standard procedure known in the art.
  • the cells were then harvested 16 hours later onto a glass fiber filter using a TOMTEC cell harvester.
  • Thymidine incorporation was measured by liquid scintillation counting using a Beta plate counter (Pharmacia, Inc., Piscataway, N.J.).

Landscapes

  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Inorganic Chemistry (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)

Abstract

Use of compounds as immunosuppressive agents to prevent or significantly reduce graft rejection in organ and bone marrow transplantation is described. The compounds described herein can also be used as immunosuppressant drugs for T-lymphocyte mediated autoimmune diseases, such as diabetes, and may be useful in alleviating psoriasis and contact dermatitis. The compounds can also be used therapeutically in the treatment of hyperproliferative vascular disease and to reduce/suppress the immune response in a mammal undergoing gene therapy.

Description

METAL-CONTAINING COMPOUNDS AND THEIR USE FOR INHIBITING THE IMMUNE RESPONSE
Related Applications
This is a Continuation-in-Part of U.S. Patent Application Serial Nos. 08/472,952 and 08/479,341, both filed June 7, 1995, the entire teachings of which are incorporated herein by reference.
Background of the Invention
Replacement of defective or severely injured tissues and organs has been a medical objective as long as medicine has been practiced. Grafts from an individual to himself almost invariably succeed, and are especially important in the treatment of burn patients. Likewise, grafts between two genetically identical individuals almost invariably succeed. However, grafts between two genetically dissimilar individuals would not succeed without immunosuppressive drug therapies. The major reason for their failure is a T cell mediated immune response to cell-surface antigens that distinguish donor from host.
Immunosuppressive agents are also indicated in the treatment of autoimmune diseases such as rheumatoid arthritis or type I diabetes mellitus. One particular condition worth mentioning here is psoriasis. This disease is characterized by erythematous patches of skin accompanied by discomfort and itching. Hyperplasia of the epidermis involving proliferation of keratinocytes is also a hallmark feature of psoriasis. An inflammatory component is suggested by: (i) the finding of lymphocytic infiltration of epidermis, and (ii) the fact that immunosuppressive agents such as cyclosporin and corticosteroids have beneficial effect on the disease.
A number of drugs are currently being used or investigated for their immunosuppressive properties. Among these drugs, the most commonly used immunosuppressant is cyclo- sporin A. However, usage of cyclosporin has numerous side effects such as nephrotoxicity, hepatotoxicity and other central nervous system disorders. Thus, there is presently a need to investigate new immunosuppressive agents that are less toxic but equally as effective as those currently available.
Summary of the Invention
This invention relates to the use of compounds as immunosuppressive agents to prevent or significantly reduce graft rejection in organ and bone marrow transplantation. The compounds can also be used as an immunosuppressant drug for T lymphocyte mediated autoimmune diseases, such as diabetes, rheumatoid arthritis, multiple sclerosis, lupus erythematosus and steroid resistant asthma.
In another aspect, other diseases with suspected inflammatory components, such as psoriasis, contact dermatitis and hyperplasia of the epidermis, can be treated with the compounds of this invention to alleviate symptoms associated with these disease states.
It is known that compounds having T lymphocyte immunosuppressive properties may also be useful in inhibiting the proliferation of cardiac smooth muscle cells. Based upon this, it is expected that the compounds can be used for the treatment of hyperproliferative vascular disorders, such as restenosis and atherosclerosis.
The invention also provides a method for coadministra- tion of the compounds described herein with agents designed for gene therapy. It is believed that the use of the compounds of this invention may suppress the immune system and reduce/minimize an immune response against the gene delivery vehicle, so that therapeutic levels of transgene expression can be achieved in an animal or human. Detailed Description of the Invention
This invention is based upon the discovery that certain compounds can inhibit antigen specific T lymphocyte proliferation, in vitro . The data suggest that these compounds have potential use as immunosuppressants to reduce undesirable immune responses in humans. The compounds of this invention can be used to facilitate organ transplantation, and to treat human autoimmune disorders where the specific activation of T cells is responsible for, or contributes to the pathology and progression of the diseases, such as diabetes, rheumatoid arthritis, multiple sclerosis, lupus erythematosus and steroid resistant asthma.
This invention pertains to compounds that have immunosuppressive properties of the general formula: [ML1BhTtPp]Z and physiologically acceptable salts thereof;
wherein M is selected from the group consisting of iridium (Ir), palladium (Pd), chromium (Cr), iron (Fe), technitium (Tc), rhenium (Re), cobalt (Co), osmium (Os), manganese (Mn), copper (Cu), nickel (Ni), platinum (Pt) and rhodium (Rh), having an oxidation state of 2, 3 or 4 depending upon the nature of M;
wherein the number of coordinating atoms is 4 or 6 depending on the oxidation state and the nature of M;
wherein when the number of coordinating atoms is 4 then 1 is 0, 1, 2, 3 or 4;
b is 0, 1 or 2;
t is 0 or 1;
p is 0 or 1;
wherein when the number of coordinating atoms is 6 then 1 is 0, 1, 2, 3, 4, 5 or 6;
b is 0, 1, 2 or 3; t is 0, 1 or 2;
p is 0 or 1;
wherein each L is independently a monodentate Iigand selected from the group consisting of nitrogen containing ligands, phosphorus containing ligands, sulfur containing ligands, oxygen containing ligands, carbon containing ligands and halide (e.g., F, Cl, Br, I);
wherein each B is independently a bidentate Iigand selected from the group consisting of nitrogen containing ligands (e.g., aliphatic amines, heterocyclic aromatic amines), sulfur containing ligands, carbon containing ligands, oxygen containing ligands and phosphorus containing ligands;
wherein each T is independently a tridentate Iigand selected from the group consisting of nitrogen containing ligands, sulfur containing ligands, carbon containing ligands, oxygen containing ligands and phosphorus containing ligands;
wherein each P is independently a polydentate Iigand selected from the group consisting of nitrogen containing ligands, oxygen containing ligands, carbon containing ligands, sulfur containing ligands and phosphorus containing ligands;
wherein when the complex is charged, then Z is at least one counterion of appropriate charge to render the overall charge of the complex neutral, e.g., a counterion selected from the group consisting of F-, Cl-, Br-, I-, NO3-, NH4 +, NR4 + , PF6-, BPh4-, SO4 -2, S8 -2 , S2O7 -2 , BF4-, H+, CF3SO3-, Na+, K+, Li+, ClO4- and RImH+, where Im is imidazole; and organic and inorganic salts such as acetate, lactate, citrate, tartarate, succinate, maleate, malonate, gluconate, hydroch- loride, hydrobromide, phosphorate, nitrate, sulfate, trifluoromethansulfonate and methanesulfonate; wherein R is a linear or branched alkyl (e.g., 1 to 8 carbon atoms) or aryl.
When the metal center has four coordinating atoms then it may contain four equivalent ligands (referred as mono- dentate) or a mixture of ligands. The mixture of ligands may contain different monodentate ligands, or a mixture of bidentate/ monodentate in a 1:2 ratio, or a mixture of bidentate ligands, or a mixture of tridentate/monodentate in a 1:1 ratio or a tetradentate Iigand.
When the metal center contains six coordinating atoms then it may contain six equivalent ligands (referred as monodentate) or a mixture of different ligands. The mixture of ligands may contain monodentate ligands, or a mixture of bidentate/ monodentate Iigand in a 1:4 or 2:2 ratio, or a mixture of tridentate/monodentate in a 1:3 ratio, or a mixture of tridentate/bidentate/monodentate in a 1:1:1 ratio, or a mixture of polydentate/monodentate in a 1:1 or 1:2 depending on the nature of the polydentate Iigand, or a mixture of a polydentate/bidentate in a 1:1 ratio, or three bidentate ligands or two tridentate ligands. For the purposes of this application, the terms "monodentate", "bidentate", "tridentate" and "polydentate" will have their generally accepted meaning in the art. That is, a monodentate Iigand is defined as a chemical moiety or group which has one potential coordinating atom. More than one potential coordinating atom is termed a polydentate Iigand where the number of potential coordinating atoms is indicated by the terms bidentate, tridentate, etc. Ligands that are protonated are well within the scope of the invention.
Compounds of this invention can contain a metal center of different oxidation states, e.g., 2, 3 or 4. Depending upon the ligands, the complex can inherently be neutral, i.e., it will not require counterion(s) to neutralize the overall charge of the complex. Alternatively, the compounds can contain counterion (s) of appropriate charge to render the overall charge of the complex neutral and optionally to enhance solubility of the complex in a physiologically environment. The number of counterions (e.g., 1 to 5 counterions that are the same or different from each other) will be that which is required to neutralize the overall charge of the complex. Counterions which result in physiologically acceptable salts of the complexes, including protonated salts thereof, are within the scope of this invention and include but are not limited to salts derived from inorganic cations such as sodium (Na+), potassium (K+), lithium (Li+), and the like; organic bases such as mono-, di- and trialkyl amines of 1-8 carbon atoms, per alkyl group and mono-, di- and trihydroxyalkyl amines of 1-8 carbon atoms peralkyl group, and the like; and organic and inorgan- ic acids such as acetate, lactate, citrate, tartarate, succinate, maleate, malonate, gluconate, hydrochloride, hydrobromide, phosphorate, nitrate, sulfate, trifluoro- methansulfonate, methanesulfonate, and similarly known acceptable acids. Some specific examples are listed above under the definition of Z.
Examples of suitable monodentate ligands (L) comprising aliphatic and aromatic amines include but are not limited to imidazole (Im), pyridine (py), ammonia, triazole, pyrazole, quinoline, pyrazine, pyridazine, pyrimidine, quinoxaline, quinazoline, piperidine, phosphine, phosphite, thiolate, sulfoxide, nitrogen, water, halide, alkoxide, phenolate and carboxylic acids. Derivatives of these ligands can also be incorporated into the complex in various combinations with the non-substituted ligands. A derivative is a Iigand in which one or more of the hydrogen atoms has been substituted with a moiety, such as C1-C8 alkyl, C3-C8 cyclic alkyl, C2- C6 alkenyl, aryl or substituted aryl, hydroxyl, carboxylate, C1-C8 linear, branched or cyclic amine, nitro, ester, carbonyl, phenyl, carboxyl, benzyl, thio and combinations of these. A preferred Iigand is methylimidazole.
In another embodiment, compounds having polydentate ligands, in combination with other polydentate ligands and/or monodentate ligands, can be used in the invention. Suitable bidentate ligands (B) will include, but are not limited to, aliphatic amines (e.g., ethylenediamine (en), propylenediamine, 1, 2-cyclohexanediamine and the corresponding alkylated amines thereof); heterocyclic aromatic amines (e.g., 2,2'-bipyridine (bipy), 1,10-phenanthroline); pyridine based ligands (e.g., 2-aminopicoline); pyrazole based ligands (e.g., potassium-bis-pyrazolyl borate, bis- pyrazolyl methane); carboxylates; and bis-phosphines (e.g., 1,2-bis (dimethylphosphino) methane).
Examples of tridentate ligands (T) include but are not limited to aliphatic amines (diethylenetriamine, dipro- pylenetriamine, 1,4,7-triazacyclononane, 1,4,7-triazacyclo- decane), aromatic amines [2,2' ,6",2"-terpyridine, bis-(2- pyridylmethyl) amine, bis-(2-imidazolylmethyl) amine, potassium tris-pyrazolyl borate, tris-pyrazolyl methane], oxygen based ligands (iminodiacetic acid, nitrilotriacetic acid, triethanol amine, bis- (3-methylphenoxy) amine), and sulfur based ligands (1,4,7-trithiacyclononane, 1,4,7- trithiacyclodecane, 2-(arylazophenyl) thioether).
Examples of polydentate ligands (P) include but are not limited to nitrogen containing ligands [e.g., 1,4,7,10- tetrazacyclododecane; 1,4,8,11-tetraazacyclotetradecane; tris- (2-pyridylmethyl) amine; tris-(2-imidazolylmethyl) amine]; sulfur containing ligands (l,4,8,11-tetrathiacyclo- tetradecane, 1,4,7,10-tetrathiacyclotridecane);andphosphorus containing ligands [α,α'-bis-(bis-(2-diphenylphosphino- ethyl) amino) ethane and α,α'-bis-(bis-(2-diphenylphosphino)- m-xylene].
General procedures for making compounds which are useful in this invention are well known in the art and have been described for example in the following references: Inorg. Synth. 20:470 (1981); Inorg. Chem. 27:2848 (1988) ; Inorg. Chem. 28:3001 (1989); Inorg. Chem. 27:4587 (1988); Inorg. Chem. 24:269 (1986); Inorg. Chem. 28:1405 (1989); Inorg. Chem. 26:2667 (1987); Inorg. Chem. 27:1086 (1988); Polyhedron 5:1347 (1987); Inorg. Chem. 23:1851 (1984); Inorq. Chem. Acta 210:151 (1993); Inorg. Chem. 30:2514 (1991); Inorg. Chem. 9:1197 (1990); Inorg. Synth. 14:263 (1986); Inorg. Synth. 6:138 (1960); and Z. Anorg. Allg. Chem. 490:205 (1982).
It has now been discovered that compounds of this invention possess immunosuppressive activity as confirmed through a drug screen. Specific T cell proliferation was measured in response to antigen exposure in the presence or absence of the compounds. It was found that the compounds inhibited T cell proliferation by 50% (IC50) at a concentration of about 1 to 50 μg/mL.
Compounds of this invention can be administered orally, parenterally (e.g. intramuscularly, intravenously, subcuta- neously), topically, nasally or via slow releasing micro- carriers in dosage formulations (e.g., therapeutically effective amount) containing a physiologically acceptable vehicle and optional adjuvants and preservatives. Suitable physiologically acceptable vehicles include saline, sterile water, creams, ointments, solutions, gels, pastes, emulsions, lotions, oils, solid carriers and aerosols.
The immunosuppressant compounds can be applied topically as a cream or ointment to locally deliver immunosuppressive concentrations of the drug without significant systemic exposure. Topical application may be the ideal way to deliver the compound for psoriasis and perhaps other inflammatory skin diseases such as contact dermatitis and pemphigus vulgaris. The specific dosage level of active ingredient will depend upon a number of factors, including biological activity of the compound, age, body weight, sex, general health, severity of the particular disease to be treated and the degree of immune suppression desired, as well as appropriate pharmacokinetic properties. It should be understood that the compounds described herein can be administered to mammals other than humans for immunosup- pression of mammalian autoimmune diseases.
The immunosuppressant compounds can be administered in combination with other drugs to boost the immunosuppressive effect. Compounds that can be coadministered include steroids (e.g. methyl prednisolone acetate), NSAIDS and other known immunosuppressants such as azathioprine, 15- deoxyspergualin, cyclosporin, mizoribine, mycophenolate mofetil, brequinar sodium, leflunomide, FK-506, rapamcyin and related molecules. Dosages of these drugs will also vary depending upon the condition and individual to be treated.
The assay used to measure T cell growth inhibition was a human peripheral blood lymphocyte (PBL) proliferation assay using standard procedures known in the art. PBL's were chosen due to their known ability to proliferate in the presence of antigens derived from herpes simplex virus (HSV) , Rubella or tetanus toxoid (TT). PBL growth inhibition was measured in terms of the compound's ability to interfere with antigen induced lymphocyte proliferation.
The compounds of this invention can be used to produce antibodies (e.g., polyclonal and monoclonal) against the complexes. Methods for making antibodies are well known. The antibodies can be used as a diagnostic tool for monitoring the amount of the immunosuppressant compound in patient blood levels. The ability to closely monitor the amount of immunosuppressant provides a suitable means for controlling drug delivery to patients in both preclinical and clinical settings.
It is known that compounds having T lymphocyte immunosuppressive properties may also be useful in inhibiting the proliferation of cardiac smooth muscle cells. Based upon this, it is expected that the compounds can be used for the treatment of hyperproliferative vascular disorders, such as restenosis and atherosclerosis.
The invention also provides a method for coadministra- tion of the compounds described herein with agents designed for gene therapy. It is believed that the use of the compounds of this invention may suppress the immune system and reduce/minimize an immune response against the gene delivery vehicle, so that therapeutic levels of transgene expression can be achieved in an animal or human. Any type of gene therapy delivery vehicle can be coadministered, such as those well known in the art. Concurrent adminstration of the gene therapy delivery vehicle and the compounds of this invention, either as a single unit dose or taken individual- ly, is preferred.
The invention will be further illustrated by the following non-limiting Exemplification:
Exemplification
PBL Antigen Specific Proliferation Assay The lymphocytes were prepared by first separating them from the blood samples of several donors by Ficoll gradient separation as described by standard procedure known in the art. The isolated lymphocytes were then grown in RPMI 1640 medium containing 5% human AB serum, glutamine (2mM) , penicillin/streptomycin, 100 U/ml/100 μg/ml sodium pyruvate (ImM) and HEPES buffer (lOmM).
For assay purposes, PBL's were incubated at a density of 10s per 200μl of medium per well of a 96-well plate. Tetanus toxoid (TT; Connaught Labs, Willow Dale, ON) was used as a stimulating antigen at a concentration of 5 LF/ml.
The test wells containing PBL's, were exposed to antigen, along with various dilutions of the solutions containing the compound, as shown in the Table.
Subsequently, TT antigen/compounds exposed PBL's were pulsed with 1 μCi/well of 3H-thymidine on day 5 using a standard procedure known in the art. The cells were then harvested 16 hours later onto a glass fiber filter using a TOMTEC cell harvester. Thymidine incorporation was measured by liquid scintillation counting using a Beta plate counter (Pharmacia, Inc., Piscataway, N.J.).
The results of the assay are shown in the Table.
Figure imgf000013_0001
Figure imgf000014_0001
Equivalents
Those skilled in the art will recognize, or be able to ascertain, using no more than routine experimentation many equivalents to the specific embodiments of the invention described herein. Such equivalents are intended to be encompassed by the following claims:

Claims

CLAIMS We claim:
1. A compound for (i) preventing or substantially reducing a T-lymphocyte mediated immune response of a mammal (e.g., an autoimmune disease), (ii) treating hyperproliferative vascular disorers or (iii) reducing or suppressing an immune response of a mammal undergoing gene therapy, said compound having the general formula:
[ML1BhTtPp]Z and physiologically acceptable salts thereof; wherein M is selected from the group consisting of iridium, palladium, chromium, iron, technitium, rhenium, cobalt, osmium, manganese, copper, platinum, nickel and rhodium, having an oxidation state of 2, 3 or 4 depending on the nature of M;
wherein the number of coordinating atoms is 4 or 6 depending on the oxidation state and the nature of M; wherein when the number of coordinating atoms is 4 then
1 is 0, 1, 2, 3 or 4;
b is 0, 1 or 2;
t is 0 or 1;
p is 0 or 1;
wherein when the number of coordinating atoms is 6 then
1 is 0, 1, 2 , 3 , 4 , 5 or 6;
b is 0, 1, 2 or 3;
t is 0, 1 or 2;
p is 0 or 1; wherein each L is independently a monodentate
Iigand selected from the group consisting of nitrogen containing ligands, phosphorus containing ligands, sulfur containing ligands, carbon containing ligands, oxygen containing ligands and halide;
wherein each B is independently a bidentate Iigand selected from the group consisting of aliphatic amines, heterocyclic aromatic amines, carbon containing ligands, sulfur containing ligands, oxygen containing ligands and phosphorus containing ligands;
wherein each T is independently a tridentate Iigand selected from the group consisting of nitrogen containing ligands, sulfur containing ligands, carbon containing ligands, oxygen containing ligands and phosphorus containing ligands;
wherein each P is independently a polydentate
Iigand selected from the group consisting of nitrogen containing ligands, oxygen containing ligands, carbon containing ligands, sulfur containing ligands and phosphorus containing ligands; and
wherein when the complex is charged, then Z is at least one counterion of appropriate charge to render the overall charge of the complex neutral.
2. A composition comprising a physiologically acceptable vehicle and an immunosuppressive amount or an antipro- liferative amount of a compound having the general formula:
[ML1BbTtPp]Z and physiologically acceptable salts thereof; wherein M is selected from the group consisting of iridium, palladium, chromium, iron, technetium, platinum, rhenium, cobalt, osmium, manganese, copper, nickel and rhodium, having an oxidation state of 2, 3 or 4 depending on the nature of M;
wherein the number of coordinating atoms is 4 or 6 depending on the oxidation state and the nature of M; wherein when the number of coordinating atoms is 4 then
1 is 0, 1, 2, 3 or 4;
b is 0, 1 or 2;
t is 0 or 1;
p is 0 or 1;
wherein when the number of coordinating atoms is 6 then
1 is 0, 1, 2, 3, 4, 5 or 6;
b is 0, 1, 2 or 3;
t is 0, 1 or 2;
p is 0 or 1;
wherein each L is independently a monodentate Iigand selected from the group consisting of nitrogen containing ligands, phosphorus containing ligands, sulfur containing ligands, carbon containing ligands, oxygen containing ligands and halide;
wherein each B is independently a bidentate Iigand selected from the group consisting of aliphatic amines, heterocyclic aromatic amines, sulfur containing ligands, carbon containing ligands, oxygen containing ligands and phosphorus containing ligands;
wherein each T is independently a tridentate ligand selected from the group consisting of nitrogen containing ligands, sulfur containing ligands, carbon containing ligands, oxygen containing ligands and phosphorus containing ligands;
wherein each P is independently a polydentate
Iigand selected from the group consisting of nitrogen containing ligands, oxygen containing ligands, carbon containing ligands, sulfur containing ligands and phosphorus containing ligands; and
wherein when the complex is charged, then Z is at least one counterion of appropriate charge to render the overall charge of the complex neutral.
3. Use of a compound or composition according to Claims 1 or 2 for the manufacture of a medicament for (i) treating or substantially reducing a T-lymphocyte mediated immune response of a mammal (e.g., an autoim- mune response), (ii) treating hyperproliferative vascular disorders or (iii) reducing or suppressing an immune response of a mammal undergoing gene therapy.
4. The compound, composition or use according to Claim to any one of Claims 1 to 3 wherein L is selected from the group consisting of imidazole, pyridine, ammonia, triazole, pyrazole, quinoline, pyrazine, pyridazine, pyrimidine, quinoxaline, quinazoline, piperidine and their derivatives obtained by substituting for one or more hydrogen atoms with one or more of the following moieties C1-C8 alkyl, C2-C6 alkenyl, hydroxyl, nitro, amino, carboxyl, ester, aliphatic and aromatic amines, phosphine, phosphite, thiolate, sulfoxide, alkoxide, phenolate, carboxylic acids, C3-C8 cyclic alkyl, aryl or substituted aryl, carboxylate, C1-C8 linear, branched or cyclic amine, carbonyl, thio, phenyl, benzyl, imidazole and combinations thereof.
5. The compound, composition or use according to Claim 4 wherein B is selected from the group consisting of ethylenediamine, propylenediamine, 1,2-cyclohexanedi- amine and the corresponding alkylated amines thereof; 2,2'-bipyridine, 1,10-phenanthroline; 2-aminopicoline; potassium-bis-pyrazolyl borate, bis-pyrazolyl methane; 1,2-bis(dimethylphosphino)methane; carboxylates; and bis-phosphines.
6. The compound, composition or use according to Claim 5 wherein T is an aliphatic amine or aromatic amine. 7. The compound, composition or use according to Claim 6 wherein T is selected from the group consisting of diethylenetriamine, dipropylenetriamine, 1,4,7-triaza- cyclononane, 1,4,7-triazacyclodecane, 2,2',6",2"- terpyridine, bis-(2-pyridylmethyl) amine, bis-(2-imi- dazolylmethyl) amine, potassium tris-pyrazolyl borate, tris-pyrazolyl methane, iminodiacetic acid, nitrilotri- acetic acid, triethanol amine, bis- (3-methyl- phenoxy) amine, 1,4,7-trithiacyclononane, 1,4,
7-trithia- cyclodecane and 2-(arylazophenyl)thioether.
8. The compound, composition or use according to Claim 7 wherein P is selected from the group consisting of 1,4,7,10-tetrazacyclododecane,1,4,8,11-tetraazacyclo- tetradecane, tris-(2-pyridylmethyl) amine, tris-(2- imidazolylmethyl) amine, 1,4,8,11-tetrathiacyclotetra- decane, 1,4,7,10-tetrathiacyclotridecane, α,α'-bis- (bis-(2-diphenylphosphinoethyl) amino) ethane and α,α'- bis-(bis-(2-diphenylphosphino)-m-xylene.
9. The compound, composition or use according to Claim 8 wherein Z is a counterion selected from the group consisting of F- , Cl-, Br-, I-, NO,-, NH4 +, NR4 +, PF6-, BPh4-, SO4 -2, S8 -2, S2O7 -2, CF3SO3 ", BF4 ", H+, Na+, K+, ClO4-, acetate, lactate, citrate, tartarate, succinate, maleate, malonate, gluconate, hydrochloride, hydrobro- mide, phosphorate, nitrate, sulfate, trifluoromethan- sulfonate, methanesulfonate, and RImH+, where Im is imidazole; and wherein R is a linear or branched alkyl of 1 to 8 carbon atoms or aryl.
10. The composition or use of the composition according to any one of Claims 2 to 9 further comprising a steroid and/or an immunosuppressant selected from the group consisting of cyclosporin, rapamycin, FK-506, azathio- prine, mizoribine, mycophenolate mofetil, brequinar sodium, leflunomide and 15-deoxyspergualin.
11. The compound, composition or use according to any one of Claims 1 to 3 wherein the complex is selected from the group consisting of:
[Co(NH3)6]Cl3;
[Co(NH3)5Cl]Cl2;
[Os(NH3)5(H2O)]Cl3;
[Os(NH3)5(N2)]Cl2;
(NH4)2OsCl6;
[Co(NH3)s(py)]Cl3;
(NH4)2PtCl6;
cis-Pt(NH3)2Cl2;
[Pt(NH3)4]Cl2;
[Os(Bipy)3]Cl3;
[Co(1-MeIm)6](OTf)2;
[Co(en)3]Cl3;
[Pd(NH3)4]Cl2;
[Rh(NH3)5Cl]Cl2;
[Ir(NH3)5Cl]Cl2;
(NH4)3RhCl6;
(NH4)3IrCl6;
[Rh(NH3)6](OTf)3;
[Rh(NH3)5(py)] (OTf)3; and wherein Bipy is 2,2'-bipyridine, Melm is methyl- imidazole, en is ethylenediamine, py is pyridine and OTf is triflate.
12. The compound, composition or use according to any one of Claims 1 to 11 wherein the autoimmune disease is selected from the group consisting of graft rejection, insulin dependent diabetes mellitus, rheumatoid arthritis, psoriasis, hyperplasia of the epidermis, contact dermatitis and symptoms associated therewith, steroid resistant asthma, multiple sclerosis and lupus erythe- matosus.
13. A method for (i) preventing or substantially reducing a T-lymphocyte mediated immune response of a mammal (e.g., an autoimmune disease), (ii) treating hyperpro- liferative vascular disorers or (iii) reducing or suppressing an immune response of a mammal undergoing gene therapy comprising administering to a mammal a therapeutic amount of the compound or composition according to any one of Claims 1, 2, 4 to 12.
PCT/US1996/005942 1995-06-07 1996-04-29 Metal-containing compounds and their use for inhibiting the immune response Ceased WO1996040170A2 (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US47934195A 1995-06-07 1995-06-07
US47295295A 1995-06-07 1995-06-07
US08/472,952 1995-06-07
US08/479,341 1995-06-07

Publications (2)

Publication Number Publication Date
WO1996040170A2 true WO1996040170A2 (en) 1996-12-19
WO1996040170A3 WO1996040170A3 (en) 1997-02-13

Family

ID=27043972

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1996/005942 Ceased WO1996040170A2 (en) 1995-06-07 1996-04-29 Metal-containing compounds and their use for inhibiting the immune response

Country Status (1)

Country Link
WO (1) WO1996040170A2 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998042338A1 (en) * 1997-03-21 1998-10-01 Hoechst Aktiengesellschaft Extension of the expression of transgenic proteins by immunomodulation
EP1391221A1 (en) * 2002-08-23 2004-02-25 Deutsches Krebsforschungszentrum Stiftung des öffentlichen Rechts A pharmaceutical preparation containing palladium complex compounds and the uses thereof for treating cancer and autoimmune disease

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE4000154A1 (en) * 1990-01-04 1991-07-11 Symbiotec Gmbh CHEMOTHERAPEUTIC AGENT, IN PARTICULAR FOR TREATING CANCER DISEASES
US5512687A (en) * 1994-10-28 1996-04-30 Procept, Inc. Compounds for inhibiting immune response

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998042338A1 (en) * 1997-03-21 1998-10-01 Hoechst Aktiengesellschaft Extension of the expression of transgenic proteins by immunomodulation
EP1391221A1 (en) * 2002-08-23 2004-02-25 Deutsches Krebsforschungszentrum Stiftung des öffentlichen Rechts A pharmaceutical preparation containing palladium complex compounds and the uses thereof for treating cancer and autoimmune disease
WO2004018043A1 (en) * 2002-08-23 2004-03-04 Deutsches Krebsforschungszentrum Stiftung des öffentlichen Rechts A pharmaceutical preparation containing palladium complex compounds and the uses thereof for treating cancer and autoimmune disease

Also Published As

Publication number Publication date
WO1996040170A3 (en) 1997-02-13

Similar Documents

Publication Publication Date Title
Dombrowski et al. Metallocenes in biochemistry, microbiology & medicine
JP6659764B2 (en) Platinum compounds, compositions, and uses thereof
USRE41209E1 (en) Platinum complexes
US5739169A (en) Aromatic compounds for inhibiting immune response
Khan et al. Atopic hypersensitivity to cis-dichlorodiammineplatinum (II) and other platinum complexes
Kumana et al. Systemic availability of arsenic from oral arsenic-trioxide used to treat patients with hematological malignancies
EP2173337B1 (en) Phosphaplatins and their use in the treatment of cancers resistant to cisplantin and carboplatin
DE69317535T2 (en) Rapamycin-loaded and shaped blood elements for immunosuppression
RS55714B1 (en) PHOSPHAPLATINS AND THEIR APPLICATION FOR CANCER TREATMENT
US8809562B2 (en) Use of metallocene compounds for cancer treatment
US5708022A (en) Method for inhibiting immune response
JPS595599B2 (en) Platinum organic complex, method for producing the same, and therapeutic agent for malignant tumor comprising the complex
Hartmann et al. Inorganic anticancer agents: Their chemistry and antitumor properties
WO1995007698A1 (en) Trans platinum(iv) complexes
WO1996013510A1 (en) Ruthenium complexes and their use as immunosuppressive agents
JP2004510778A (en) Platinum complexes as antitumor agents
US6413953B1 (en) Pt(IV) antitumor agent
Lorber et al. Applications and implications of gold therapy
US5512687A (en) Compounds for inhibiting immune response
WO1996040170A2 (en) Metal-containing compounds and their use for inhibiting the immune response
JP2005536487A (en) Ruthenium anticancer complex
CA1283904C (en) Liposoluble platinum (ii) complex and preparation thereof
JPH02108693A (en) Platinum (4) diamine complex
CN102482306A (en) Low molecular weight pharmacological activity modulators
Nothenberg et al. Biological activity and crystallographic study of a rhodium propionate-metronidazole adduct

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A2

Designated state(s): CA JP

AL Designated countries for regional patents

Kind code of ref document: A2

Designated state(s): AT BE CH DE DK ES FI FR GB GR IE IT LU MC NL PT SE

AK Designated states

Kind code of ref document: A3

Designated state(s): CA JP

AL Designated countries for regional patents

Kind code of ref document: A3

Designated state(s): AT BE CH DE DK ES FI FR GB GR IE IT LU MC NL PT SE

121 Ep: the epo has been informed by wipo that ep was designated in this application
122 Ep: pct application non-entry in european phase
NENP Non-entry into the national phase

Ref country code: CA