Title of Invention

A TOCOPHEROL MODIFIED COMPOUND

Abstract Tocopherol - modified therapeutic drug compounds; emulsion, microemulsion, and micelle formulations that include the compounds; methods for making the compounds and formulations.
Full Text A TOCOPHEROL MODIFIED COMPOUND
FIELD OF THE INVENTION
The present invention relates to new therapeutic drugs; compositions that include
the new therapeutic drugs; and methods for administering and using the new therapeutic
drugs and compositions.
BACKGROUND OF THE INVENTION
The ability to administer biologically effective drugs that are poorly soluble in
biocompatible solvents to mammals has been a major hurdle in the realm of
pharmaceutical and medicinal chemistry. In particular, difficulties arise when an active
drug is either insoluble in water or unstable in other biocompatible solvents.
One way to solubilize medicinal agents is to chemically modify them or conjugate
them to another molecule to alter the solubility profile in a particular solvent. Conjugates
of active drugs, often referred to as prodrugs, include chemical derivatives of
biologically-active parent compounds that are converted into the parent compounds in
vivo. The release of the active parent drug from the prodrug conjugate may occur as the
result of processes such as hydrolysis or enzymatic cleavage. The rate of release is
influenced by several factors, including the type of chemical bond joining the active
parent drug to the conjugate moiety.
Incorporating a water-soluble moiety (e.g., polyethylene glycol, polyglutamate, or
polymer) to increase solubility and circulation life of a drug has been investigated by
others. The use of fatty acids to conjugate to active drugs for purposes of tumor targeting
has also been investigated as a means of improving therapeutic index.
Many potent drugs, such as camptothecin and its analogues
(e.g., 10-hydroxycamptothecin and 7-ethyl-10-hydroxycamptothecin), taxanes
(e.g., paclitaxel, docetaxel), candesartan, amphotericin B, azathioprine, cyclosporine,
entacapone, danazol, eletriptan, and bosentan, to name a few, are poorly soluble or have
poor cell permeability. Solubility problems of potential therapeutic agents are common
and often cause delays in drug development. Several technologies have been developed
to facilitate the delivery of poorly soluble and insoluble compounds to patients.
Examples of technologies specifically designed to solve solubility problems include
complexing agents, nanoparticles, microemulsions, solubility enhancing formulations,
prodrugs, and novel polymer systems.

Paclitaxel (see structure below), a natural product found in the inner bark of the
Pacific Yew tree, is an example of an important chemotherapeutic agent with wide
spectrum of activity against solid tumors, primarily breast, ovarian, colon and non-small
cell lung cancer.

Paclitaxel exerts its antitumor activity by binding to tubulin and stabilizing
microtubules and thus blocking cell mitosis. However, paclitaxel, like many other potent
biologically active molecules, has very limited aqueous solubility.
Camptothecin (CPT) (see structure below) is another example of a poorly soluble
and difficult to formulate anti-cancer drug.

CPT is a quinoline-based alkaloid found in the bark of the Chinese camptotheca
tree and the Asian nothapodytes tree. CPT includes four planar rings (ABCD) and one
boat conformational ring (E). CPT has been found to have a broad spectrum of antitumor
activity, especially in human solid tumors. However, the lactone (ring E) of
camptothecin and its derivatives is quite labile in alkaline condition and physiological
pH. The opening of this ring to form an acid salt or carboxylate species results in
significant loss of anticancer activities. Efforts have been made since the early 1960s,

when CPT was discovered by Wall and Ward, to improve upon the anti-cancer activities
of camptothecin and its analogues, and to reduce unwanted toxicities. No successful
formulation of camptothecin has been developed to date because of its poor solubility in
both water and organic solvents. However, water-soluble analogues of camptothecin,
irinotecan hydrochloride (CAMPTOSAR) and topotecan hydrochloride (HYCAMPTIN),
have been developed and are the only camptothecin analogs currently approved by the
Food and Drug Administration.
Recently, a vitamin E (a-tocopherol)-based emulsion formulation technology for
paclitaxel drug delivery has been developed. In the formulation, paclitaxel is solubilized
in α-tocopherol and formulated as an oil-in-water emulsion. However, while paclitaxel
is soluble in a-tocopherol, the solubility of other active moieties (including camptothecin
and other taxanes) in a-tocopherol is limited. Therefore, there continues to be a need for
new methods, which are both safe and efficacious, of solubilizing and delivering poorly
soluble active drug molecules.
SUMMARY OF THE INVENTION
In one aspect, the present invention provides therapeutic drug compounds that
have been modified to increase their lipophilicity. The compounds of the invention
include a one or more therapeutic drug moieties and one or more lipophilic moieties. The
therapeutic drug moiety is covalently coupled to the lipophilic moiety either directly or
by a linker moiety. Methods for making the modified therapeutic drugs are also
provided.
In another aspect of the invention, compositions that include the compounds of
the invention are provided. In one embodiment, the composition includes a compound of
the invention, optionally one or more other therapeutic agents, and a lipophilic medium.
Methods for making the compositions are also provided.
In a further aspect, the invention provides emulsion and micelle formulations that
include a compound of the invention. The emulsion formulation include an oil phase and
an aqueous phase. The oil phase includes a compound of the invention and a lipophilic
medium. The emulsion may be an oil-in-water emulsion or a water-in-oil emulsion. The
micelle formulation includes a compound of the invention and an aqueous phase.
Methods for making the emulsion and micelle formulations are also provided.

In other aspects, methods for administering the compounds of the invention to a
subject in need thereof, and methods for treating a condition treatable by administration
of a compound of the invention are also provided.
BRIEF DESCRIPTION OF THE DRAWINGS
The foregoing aspects and many of the attendant advantages of this invention will
become more readily appreciated as the same become better understood by reference to
the following detailed description, when taken in conjunction with the accompanying
drawings, wherein:
FIGURE 1 schematically illustrates reaction of d-α-tocopherol and a therapeutic
drug containing a carboxyl group to provide a tocopherol-modified therapeutic drug
compound;
FIGURE 2 schematically illustrates tocopherol functionalization with a carbonyl
chloride group (-C(=O)Cl) and a phosphoric chloride group (-P(=O)OR1Cl), and reaction
of the resulting acid chloride and an appropriately functionalized therapeutic drug
compound to provide a tocopherol-modified therapeutic drug compound;
FIGURE 3 schematically illustrates tocopherol functionalization with a
dicarboxylic anhydride (succinic anhydride), and reaction of the resulting carboxylic acid
and an appropriately functionalized therapeutic drug compound to provide a
tocopherol-modified therapeutic drug compound;
FIGURE 4 schematically illustrates the preparation of tocopherol succinate
camptothecin;
FIGURE 5 schematically illustrates the preparations of tocopherol succinate
10-hydroxycamptothecin and tocopherol succinate 7-ethyl-10-hydroxycamptothecin;
FIGURE 6 schematically illustrates the preparation of 10,20-di(tocopherol
succinate) 7-ethyl-10-hydroxycamptothecin;
FIGURE 7 schematically illustrates the preparation of tocopherol succinate
camptothecin containing a poly(ethylene oxide) group;
FIGURE 8 schematically illustrates the preparation of tocopherol succinate
paclitaxel;
FIGURE 9 schematically illustrates the preparation of tocopherol succinate
docetaxel;
FIGURE 10 schematically illustrates the preparation of tocopherol terephthlate
camptothecin;

FIGURE 11 schematically illustrates the preparation of tocopherol
cyclohexane-l,2-dicarboxylate 7-ethyl-10-hydroxycamptothecin;
FIGURE 12 is a graph comparing the in vitro stability of the lactone form of
camptothecin and of two representative tocopherol-modified therapeutic drug compounds
of the invention (SN2300, tocopherol succinate camptothecin; and SN2310, tocopherol
succinate 7-ethyl-10-hydroxycamptothecin);
FIGURE 13 is a graph comparing GI50 values reported by NCI for camptothecin,
irinotecan hydrochloride (irinotecan), and topotecan hydrochloride (topotecan) with GI50
values obtained for two representative tocopherol-modified therapeutic drug compounds
of the invention (SN2300 and SN2310) for cell lines: H460, HCT-116, HT29, and
OVCAR-3;
FIGURES 14A and 14B are graphs of concentration-time values after intravenous
injection of 13.8 mg/kg of two representative tocopherol-modified therapeutic drug
compounds of the invention (FIGURE 14A, SN2300; and FIGURE 14B, SN2310); and
FIGURES 15A and 15B are graphs illustrating tumor growth (mm3) over time in
xenographs treated with saline, irinotecan, and two representative tocopherol-modified
therapeutic drug compounds of the invention (SN2300 and SN2310) in two different
tumor models (FIGURE 15A, NCI-H460; and FIGURE 15B, HT-29).
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT
In one aspect, the present invention provides therapeutic drug compounds that
have been modified to increase their lipophilicity. The compounds of the invention are
modified therapeutic drugs. The compounds of the invention include a therapeutic drug
moiety and a lipophilic moiety.
In some embodiments, the compounds of the invention include more than one
therapeutic drug moiety. In some embodiments, the compounds of the invention include
more than one lipophilic moiety. In other embodiments, the compounds of the invention
include more than one therapeutic drug moiety and more than one lipophilic moiety.
In some embodiments, the therapeutic drug moiety is covalently coupled to the
lipophilic moiety through a linker moiety. In other embodiments, the therapeutic drug
moiety is directly covalently coupled to the lipophilic moiety without a linker moiety.
In one embodiment, the lipophilic moiety is a tocopherol moiety, and the
compound is a tocopherol-modified therapeutic drug compound. The
tocopherol-modified therapeutic drug compound (or "tocopherolated" therapeutic drug

compound) has one or more tocopherol moieties covalently coupled to a therapeutic drug
moiety or a tocopherol moiety covalently coupled to one or more therapeutic drug
moieties. As noted above, the tocopherol moiety is covalently coupled to the therapeutic
drug moiety either directly or through a linker moiety.
In one embodiment, the tocopherol-modified therapeutic drug compounds of the
invention can be represented by the general formula (1):

wherein T is a tocopherol moiety (i.e., a representative lipophilic moiety); L is a linker
moiety; n is 0, 1, 2, or 3; m is 0, 1, 2, or 3; n + m is 1, 2, or 3; and D is a therapeutic drug
moiety. In this embodiment, the compound includes n T-L moieties
(i.e., tocopherol-linker moieties) and m tocopherol moieties, with the proviso that n + m
is 1, 2, or 3. Each T-L moiety includes a tocopherol moiety covalently coupled to a linker
moiety. Each of the n T-L moieties is covalently coupled to the therapeutic drug moiety
through the T-L moiety's linker moiety. In this embodiment, each of the m tocopherol
moieties is directly covalently coupled to the therapeutic drug moiety without a linker
moiety.
Representative compounds having formula (1) include those in which n is 0 and m
is 1, 2, or 3. These compounds have the general formula:

In this embodiment, one, two, or three tocopherol moieties are directly covalently
coupled to the therapeutic drug moiety.
Representative compounds having formula (1) include those in which m is 0 and
n is 1, 2, or 3. These compounds have the general formula:

In this embodiment, one, two, or three T-L moieties are covalently coupled to the
therapeutic drug moiety through the T-L moiety's linker moiety.

Representative compounds having formula (1) include those in which m is 1 or 2,
and n is 1 or 2. These compounds have the general formulae:

In these embodiments, the compounds of the invention have tocopherol moieties that are
directly covalently coupled to the therapeutic drug moiety without a linker and tocopherol
moieties that are covalently coupled to the therapeutic drug moiety through a linker
(i.e., the T-L moieties).
The compounds of the invention described above include one therapeutic drug
moiety and one or more lipophilic moieties (e.g., tocopherol moieties). In other
embodiments, the compounds of the invention include more than one therapeutic drug
moiety. In one embodiment, the compounds include two therapeutic drug moieties. In
another embodiment, the compounds include three therapeutic drug moieties. For
compounds that include more than one therapeutic drug moiety, the therapeutic drug
moieties a can be the same or different.
For compounds that include more than one therapeutic drug moiety, the
therapeutic drug moieties can be incorporated into the compound in any suitable way. In
some embodiments, the therapeutic drug moieties can be directly covalently coupled
(e.g., the compound includes a -D-D- or -D-D moiety). In other embodiments, the
therapeutic drug moieties are separated in the compound by a linker moiety (e.g., the
compound includes a -D-L-D- or -D-L-D moiety), a lipophilic moiety (e.g., the
compound includes a -D-T-D- or -D-T-D moiety), or a lipophilic-linker moiety (e.g., the
compound includes a -D-T-L-D-, -D-T-L-D, or -D-L-T-D moiety; or a -D-L-T-L-D- or
-D-L-T-L-D moiety).
Representative compounds including two or three therapeutic drug moieties have
the general formula:


wherein p is 2 or 3. In this embodiment, the two or three therapeutic drug moieties are
Covalently coupled to the linker moiety. In this instance, the linker includes multiple sites
for the attachment of the therapeutic drug compound (or modified therapeutic drug
compound). As is clear from formula (7), the linker moiety is also covalently coupled to
the lipophilic moiety (e.g., tocopherol moiety). As noted above, compounds of the
invention including more than one therapeutic drug moiety can have formulae other than
shown above in formula (7). For example, such a compound can include more than one
(e.g., two or three) lipophilic (e.g., tocopherol) moieties.
The compounds of the invention include one or more lipophilic moieties and one
or more therapeutic drug moieties that are either directly covalently linked or covalently
linked through linker moieties.
As used herein, the term "lipophilic moiety" refers to a chemical moiety having
lipophilic or hydrophobic characteristics and that increases the solubility of a therapeutic
drug compound in a lipophilic solvent or environment when covalently coupled to the
therapeutic drug compound to provide a compound of the invention. A description of
representative lipophilic moieties useful in making the compounds of the invention is
provided below.
As used herein, the term "therapeutic drug moiety" refers to a chemical moiety
derived from a therapeutic drug compound. A description of representative therapeutic
drug compounds useful in making the compounds of the invention is provided below.
As used herein, the term "linker moiety" refers to an atom or a group of atoms that
covalently link, for example, a lipophilic moiety to a therapeutic drug moiety.
A description of representative linkers useful in making the compounds of the invention
is provided below.
Lipophilic Modification of Therapeutic Drug Compounds. A therapeutic drug
compound may have one or more suitable functional groups, or may be modified to
include one or more suitable functional groups for covalent coupling to a lipophilic
moiety. Suitable functional groups include, for example, the following groups: hydroxyl
group (-OH), amino group (primary amino group, -NH2, or secondary amino group,
-NHR1, where R1 is independently selected from H, C1-6 n-alkyl, C3-12 branched alkyl,
substituted or unsubstituted C3-6 cycloalkyl, substituted or unsubstituted aryl, or aralkyl),
thiol group (-SH), carboxyl group (-COOH), aldehyde group (-CHO), isocynato group

(-N=C=0), sulfonic acid group (-SO3H), sulfuric acid group (-OSO3H), phosphoric acid
group (-OPO3H), phosphonic acid group (-PO3H2), allylic halide group, benzylic halide
group, substituted benzylic halide group, and oxiranyl group (-CH(O)CH2).
A therapeutic drug compound may be directly coupled to a lipophilic moiety
(e.g., a tocopherol moiety) through an ester group (-C(=O)O-), carbamate group
(-OC(=O)NH-), sulfonate group (-SO3-), sulfate group (-OSO3-), phosphate group
(-OPO3R1-, where R1 is independently selected from H, C1-6 n-alkyl, C3-12 branched alkyl,
substituted or unsubstituted C3-6 cycloalkyl, substituted or unsubstituted aryl, or aralkyl),
phosphonate group (-PO3R1-, where R1 is independently selected from H, C1-6 n-alkyl,
C3-12 branched alkyl, substituted or unsubstituted C3-6 cycloalkyl, substituted or
unsubstituted aryl, or aralkyl), or ether group (-O-).
A tocopherol compound, a representative lipophilic compound suitable for
making the compounds of the invention, includes a hydroxyl group (-OH). After
modification, a tocopherol compound may be covalently coupled to a linker compound
that includes one or more reactive functional groups. Suitable reactive functional groups
include the following groups: hydroxyl group (-OH), amino group (primary amino
group, -NH2, or secondary amino group, -NHR1, where R1 is independently selected from
H, C1-6 n-alkyl, C3-12 branched alkyl, substituted or unsubstituted C3-6 cycloalkyl,
substituted or unsubstituted aryl, or aralkyl), thiol group (-SH), carboxyl group
(-C(=O)OH), aldehyde group (-CHO), isocynato group (-N=C=O), sulfonic acid group
(-SO3H), sulfuric acid group (-OSO3H), phosphoric acid group (-OPO3H), phosphonic
acid group (-PO3H2), allylic halide group, benzylic halide group, substituted benzylic
halide group, and oxiranyl group (-CH(O)CH2).
Linker Moieties. As noted above, in some embodiments, the compounds of the
invention include a lipophilic moiety (e.g., tocopherol moiety) covalently coupled to a
therapeutic drug moiety by a linker moiety. In addition to the embodiments described
above, the tocopherol-modified therapeutic drug compounds of the invention can be
represented by the general formula (8):

where T is a tocopherol moiety (i.e., a representative lipophilic moiety), D is a therapeutic
drug moiety, and A-R-A' is a linker moiety. It will be appreciated that for formulae

(1) and (3)-(7) above, each of which includes linker moiety L, the linker moiety L in
those compounds can be linker moiety A-R-A'.
In formula 8, groups A and A' are independently selected from O, S, SO, SO2,
NR1, carboxylate group (-C(=O)O-), amide group (-C(=O)NR1-), anhydride group
(-C(=O)OC(=O)-), carbamate group (-OC(=O)NH-), carbonyldioxy group (-OC(O)O-),
ureylene group (-NR1C(=O)NR2-), phosphate group (-OP(=O)(OR1)O-), phosphamide
group (-OP(=O)(NR1)O-), phosphonate group (-OP(OR1)O-), phosphonamide
group(-OP(=O)NR1), sulfate group (-OSO2O-)5 sulfamide group (-SO2NR1-), sulfonate
group (-SO3-), sulfonamide group (-SO2NR1-), and the dicarbonyl group,
-C(=O)R3C(=O)-, where R3 is absent or a divalent alkyl (e.g., -(CH2)n-, n = 1-12),
substituted alkyl, branched alkyl, cycloalkyl, substituted cycloalkyl, aryl, substituted aryl.
For the above groups, R is a divalent group selected from the following groups: alkyl;
substituted alkyl, branched alkyl; cycloalkyl; substituted cycloalkyl; heteroalkyl;
substituted heteroalkyl; aryl; substituted aryl; aralkyl; substituted aralkyl; amino acid;
peptide; polypeptide; protein; mono-, di- or polysaccharide; oligomer of ethylene glycol,
poly(ethylene glycol); poly(alkylene oxide) polymers, such as poly(ethylene oxide) and
poly(propylene oxide); and poly(ethylene oxide)-poly(propylene oxide) copolymer. For
the above groups, R1 and R2 are independently selected from Na+, K+, H, C1-6 n-alkyl,
C3-12 branched alkyl, substituted or unsubstituted C3-6 cycloalkyl, substituted or
unsubstituted aryl, and substituted or unsubstituted aralkyl.
As used herein, the term "aryl" refers to monocyclic and polycyclic aromatic
compounds having from 6 to 14 carbon or hetero atoms, and includes carbocyclic aryl
groups and heterocyclic aryl groups. Representative aryl groups include phenyl,
naphthyl, pyridinyl, pyrimidinyl, thiazolyl, indolyl, imidazolyl, furanyl, and the like. The
term "aralkyl" refers to an alkyl group that is substituted with an aryl group.
The following compounds (compounds 9 to 32) are representative examples of
compounds having formula 8.
A linker moiety (L) and therapeutic drug moiety (D) may. be covalently coupled
through an ester group. In one embodiment, the therapeutic drug moiety includes a
hydroxyl group that is coupled with a carboxyl group of the linker moiety. The linker
moiety may be coupled to a tocopherol moiety through an ether group (compound 9),
ester group (compound 10), amine group (compound 11), or amide group (compound 12).


In another embodiment, the therapeutic drug moiety (D) includes a carboxyl
group that is coupled with a hydroxyl group of the linker moiety (L). The linker moiety
may be coupled to a tocopherol moiety through an ether group (compound 13), ester
group (compound 14), amine group (compound 15), or amide group (compound 16).

In the above compounds, divalent group R is selected from alkyl; substituted
alkyl; branched alkyl; cycloalkyl; substituted cycloalkyl; heteroalkyl; substituted
heteroalkyl; aryl; substituted aryl; aralkyl; substituted aralkyl; amino acid; peptide;
polypeptide; protein; mono-, di- or polysaccharide; oligomer of ethylene glycol,
poly(ethylene glycol); poly(alkylene oxide) polymers, such as poly(ethylene oxide) and
poly(propylene oxide); and poly(ethylene oxide)-poly(propylene oxide) copolymer. In
the above compounds, R1 is selected from H, C1-6 n-alkyl, C3-12 branched alkyl,

substituted or unsubstituted C3-6 cycloalkyl, substituted or unsubstituted aryl, and
substituted or unsubstituted aralkyl.
While the preferred embodiment of the invention has been illustrated and
described, it will be appreciated that various changes can be made therein without
departing from the spirit and scope of the invention. A linker moiety (L) and therapeutic
drug moiety (D) may be covalently coupled through an amide group. In one
embodiment, the therapeutic drug moiety includes an amine group that is coupled a
carboxyl group of the linker moiety. The linker moiety may be coupled to a tocopherol
moiety through an ether group (compound 17), ester group (compound 18), amine group
(compound 19), or amide group (compound 20).

In the above compounds, divalent group R is selected from alkyl; substituted
alkyl; branched alkyl; cycloalkyl; substituted cycloalkyl; heteroalkyl; substituted
heteroalkyl; aryl; substituted aryl; aralkyl; substituted aralkyl; amino acid; peptide;
polypeptide; protein; mono-, di- or polysaccharide; oligomer of ethylene glycol,
poly(ethylene glycol); poly(alkylene oxide) polymers, such as poly(ethylene oxide) and
poly(propylene oxide); and poly(ethylene oxide)-poly(propylene oxide) copolymer. In
the above compounds, R1 and R2 are independently selected from H, C1-6 n-alkyl, C3-12
branched alkyl, substituted or unsubstituted C3-6 cycloalkyl, substituted or unsubstituted
aryl, and substituted or unsubstituted aralkyl.
A linker moiety (L) and a therapeutic drug moiety (D) may be covalently coupled
through an ether group (compound 21) or amine group (compound 22). In one
embodiment, the therapeutic drug moiety includes a hydroxy group, and in another

embodiment, the therapeutic drug moiety includes an amine group. The linker moiety
may be coupled to a tocopherol moiety through an ether group.

In the above compounds, R1 is selected from H, C1-6 n-alkyl, C3-12 branched alkyl,
substituted or unsubstituted C3-6 cycloalkyl, substituted or unsubstituted aryl, or aralkyl.
A tocopherol moiety (T) and a therapeutic drug moiety (D) may be covalently
coupled through a carbonyldioxy group (-OC(=O)O-) (compound 23). In this case, the
linker moiety is the carbonyldioxy group and the therapeutic drug moiety includes a
hydroxyl group.
A tocopherol moiety (T) and a therapeutic drug moiety (D) may be covalently
coupled through an anhydride group (-C(=O)OC(=O)-)- In one embodiment, the
therapeutic drug moiety includes a carboxyl group that is coupled with a carboxyl group
of the linker moiety. The linker moiety may be coupled to a tocopherol moiety through
an ether group (compound 24), ester group (compound 25), amine group (compound 26),
or amide group (compound 27).


In the above compounds, divalent group R is selected from alkyl; substituted
alkyl; branched alkyl; cycloalkyl; substituted cycloalkyl; heteroalkyl; substituted
heteroalkyl; aryl; substituted aryl; aralkyl; substituted aralkyl; amino acid; peptide;
polypeptide; protein; mono-, di- or polysaccharide; oligomer of ethylene glycol,
poly (ethylene glycol); poly(alkylene oxide) polymers, such as poly (ethylene oxide) and
poly(propylene oxide); and poly(ethylene oxide)-poly(propylene oxide) copolymer. In
the above compounds, R1 is selected from H, C1-6 n-alkyl, C3-12 branched alkyl,
substituted or unsubstituted C3-6 cycloalkyl, substituted or unsubstituted aryl, and
substituted or unsubstituted aralkyl.
A tocopherol moiety (T) and therapeutic drug moiety (D) may be covalently
coupled through a phosphate, phosphoramide, or thiophosphate group (compound 28).

In the above compounds, X is O, NR2, or S; X1 is O, NR3, or S; and R1 is selected
from Na+, K+, H, C1-6 n-alkyl, C3-12 branched alkyl, substituted or unsubstituted
C3-6 cycloalkyl, substituted or unsubstituted aryl, or aralkyl; and R2 and R3 are
independently selected from C1-6 n-alkyl, C3-12 branched alkyl, substituted or
unsubstituted C3-6 cycloalkyl, substituted or unsubstituted aryl, or aralkyl.
A tocopherol moiety (T) and a therapeutic drug moiety (D) may be covalently
coupled through a sulfate, thiosulfate, or sulfonamide group (compound 29).

In the above compounds, X is O, NR1, or S; and R1 is selected from H,
C1-6 n-alkyl, C3-12 branched alkyl, substituted or unsubstituted C3-6 cycloalkyl, substituted
or unsubstituted aryl, or aralkyl.

A tocopherol moiety (T) and therapeutic drug moiety (D) may be covalently
coupled through a ureylene group (-NHC(=O)NH-) (compound 30).

In the above compounds, R1 and R2 are independently selected from
H, C1-6 n-alkyl, C3-12 branched alkyl, substituted or unsubstituted C3-6 cycloalkyl,
substituted or unsubstituted aryl, or aralkyl.
A tocopherol moiety (T) and a therapeutic drug moiety (D) may be covalently
coupled through a carbamate group (-NR1C(=O)O- or -OC(=O)NR2-, compounds 31 and
32, respectively).

In the above compounds, R1 and R2 are independently selected from
H, C1-6 n-alkyl, C3-12 branched alkyl, substituted or unsubstituted C3-6 cycloalkyl,
substituted or unsubstituted aryl, or aralkyl.
Lipophilic Moiety. The compounds of the invention include one or more
lipophilic moieties. The lipophilic moiety or moieties increases the solubility of the
compound in a lipophilic solvent or environment. In one embodiment, the lipophilic
moiety is a tocopherol moiety.
As used herein, the term "tocopherol moiety" refers to a chemical moiety that is
derived from a family of natural or synthetic compounds, also known by their generic
names, tocol or vitamin E. In addition to tocopherol compounds, tocotrienol compounds
are included in this family. These compounds include a chroman head having a phenolic

alcohol (C-6) and a phytyl tail (C-2). These compounds have the following general
formula:

Tocopherols constitute a series of related benzopyranols (or methyl tocols) in
which the C-2 phytyl (sixteen carbon) side chain is saturated. Representative tocopherols
include a-tocopherol, (d-form, dl-form, l-form), β-tocopherol (d-form, dl-form, I-form),
γ-tocopherol (d-form, dl-form, 1-form), and 8-tocopherol (d-from, dl-form, 1-form).
Among tocopherols, a-tocopherol is the most abundant. Tocotrienols are similar in
structure to tocopherols except that the trienols have three double bonds in the C-2 phytyl
side chain.
Tocopherol and tocotrienol compounds useful in making the compounds of the
invention include those shown below.


As used herein, the term "tocopherol" refers to any member of the tocopherol family
noted above.
Therapeutic Drug Moiety. The compounds of the invention include one or more
therapeutic drug moieties. Virtually any therapeutic drug compound having a suitable
functional group, or that can be modified to include a suitable functional group, can be
covalently coupled to a lipophilic compound to provide a compound of the invention.
Representative functional groups include, for example, hydroxyl groups (-OH), amino
groups (primary amino groups, -NH2, and secondary amino groups, -NHR), thiol groups
(-SH), carboxyl groups (-COOH), aldehyde groups (-CHO), isocynato groups (-N=C=O),
sulfonic acid groups (-SO3H), sulfuric acid groups (-OSO3H), phosphoric acid groups
(-OPO3H), phosphonate groups (-PO3OR1R2, and R1 and R2 are independently selected
from H, C1-6 n-alkyl, C3-12 branched alkyl, substituted or unsubstituted C3-6 cycloalkyl,
substituted or unsubstituted aryl, or aralkyl.), allylic halide group, benzylic halide group,
substituted benzylic halide group, and oxiranyl group (-CH(O)CH2).
Therapeutic drug compounds useful in making the compounds of the invention
need not be substantially water insoluble, although tocopherol modification according to
the present invention is especially well suited for formulating and delivering such
water-insoluble compounds.
In one embodiment, the therapeutic drug moiety is derived from a therapeutic
compound that is substantially insoluble in water. In another embodiment, the
therapeutic drug moiety is derived from a therapeutic compound that is substantially
insoluble in organic solvents. In another embodiment, the therapeutic drug moiety is
derived from a therapeutic compound that is substantially insoluble in water and
substantially insoluble in organic solvents. In one embodiment, the therapeutic drug
compound has a solubility in water at room temperature less than about 1000 µg/mL. In
one embodiment, the therapeutic drug compound has a solubility in water at room
temperature less than about 500 µg/mL. In one embodiment, the therapeutic drug
compound has a solubility in water at room temperature less than about 100 µg/mL. In
one embodiment, the therapeutic drug compound has a solubility in water at room
temperature less than about 25 µg/mL.
Representative therapeutic compound drugs useful in making the compounds of
the invention include anticancer compounds (e.g., paclitaxel and its derivatives including
docetaxel, camptothecin and its derivatives including 7-ethyl-10-hydroxycamptothecin

(SN38) and 10-hydioxycamptothecin, and doxorubicin and its derivatives), antifungal
compounds (e.g., flucanazole), antibacterial compounds (e.g., penicillin G, penicillin V),
anti-hypertensive compounds (e.g., hydralazine, candesartan, and carve&iol),
anti-inflammatory compounds (e.g., isoxicam), antidiabetic compounds (e.g., metformin),
antiviral compounds (e.g., lamivudine), antidepressant compounds (e.g., fluoxetine),
antihistaminic compounds (e.g., hydroxyzine), anti-arrhythmic compounds
(e.g., procainamide hydrochloride), anti-hyperlipoproteinemic compounds
(e.g., probucol), and compounds for reproductive health (e.g., danazol), and treating
Parkinson's disease (e.g., lazabemide), and immunosuppressive (e.g., azathioprine and
cyclosporine) and respiratory (e.g., bosentan) diseases and conditions. Other
therapeutically useful biological materials that can be modified according to the
invention, include biologically active proteins, enzymes, and peptides.
In one embodiment, the therapeutic drug moiety is derived from an anticancer
compound. Representative anticancer therapeutic compounds include taxanes. Taxanes
include any anti-mitotic taxane, taxane derivative or analog. As used herein, the term
"taxane" refers to taxanes, taxines, and taxoids, as well as derivatives or analogs thereof.
Paclitaxel and its derivatives and analogs are members of the taxane family.
Paclitaxel derivatives include, for example benzoate derivatives of paclitaxel such as
2-debenzoyl-2-aroyl and C-2-acetoxy-C-4-benzoate paclitaxel, 7-deoxytaxol,
C-4 aziridine paclitaxel, as well as various paclitaxel conjugates with natural and
synthetic polymers, particularly with fatty acids, phospholipids, and glycerides and
l,2-diacyloxypropane-3 -amine. Other paclitaxel derivatives include docetaxel; spicatin;
taxane-2,13-dione, 5β,9β,10β-trihydroxy-, cyclic 9,10-acetal with acetone, acetate;
taxane-2,13-dione, 5β,9β,10β-trihydroxy-, cyclic 9,10-acetal with acetone;
taxane-2β,5β,9β,10β-tetrol, cyclic 9,10-acetal with acetone; taxane; cephalomannine-7-
xyloside; 7-epi-10-deacetylcephalomarinine; 10-deacetylcephalomannine;
cephalomannine; taxol B; 13-(2',3'-dihydroxy-3'phenylpropionyl)baccatin III; yunnanxol;
7-(4-azidobenzoyl)baccatin III; N-debenzoyltaxol A; O-acetylbaccatin IV;
7-(triethylsilyl)baccatin III; 7,10-di-O-[(2,2,2,-trichloroethoxy)carbonyl]baccatin III;
baccatin III 13-O-acetate; baccatin diacetate; baccatin; baccatin VII; baccatin VI; baccatin
IV; 7-epi-baccatin III; baccatin V; baccatin I; baccatin III; baccatin A;
10-deactyl-7-epitaxol; epitaxol; 10-deacetyltaxol C; 7-xylosyl-10-deacetyltaxol;

10-deacetyltaxol-7-xyloside; 7-epi-10-deacetyltaxol; 10-deactyltaxol; or
10-deactyltaxol B.
Other anticancer compounds useful in making the compounds of the invention
include camptothecin and its derivatives including 7-ethyl-10-hydroxycamptothecin
(SN38) and 10-hydroxycamptothecin, and doxorubicin and its derivatives.
In certain embodiments, the therapeutic drug moiety is derived from paclitaxel,
docetaxel, camptothecin, or their derivatives.
For compounds of the invention having formula (2) with m = 1, formula (3) with
n = 1, and formula 8, certain compounds are excluded and are not within the scope of the
invention. When the linker moiety is 2-hydroxypropylene (-CH2CH(OH)CH2-), the
therapeutic drug moiety is not an a-amino acid (e.g., glycine, alanine, proline, cysteine,
aminobutyric acid, aspartic acid, glutamic acid), an ω-amino acid (e.g., β-alanine,
Y-aminobutyric acid, s-aminocaproic acid, 2-aminoethanesulfonic acid (taurine)), or a
peptide containing a cysteine residue bonding through its N-terminus or thiol group
(e.g.,-glutathione). When the linker moiety is a succinate, the therapeutic drug moiety is
not an S-linked amino or amino acid compound coupled to one of the aliphatic succinate
carbons. When the linker moiety is succinate, the therapeutic drug moiety is not ferulic
acid or an ester thereof.
In another aspect, methods for making the compounds of the invention are
provided. There are many ways to covalently couple a lipophilic compound (e.g., a
tocopherol compound) to a therapeutic drug compound to form a compound of the
invention. In one embodiment, a representative tocopherol, d-α-tocopherol, includes a
hydroxyl group that may be directly coupled with a carboxyl group of a therapeutic drug
to form a tocopherol-modified therapeutic drug compound. The preparation of a
representative tocopherol-modified therapeutic compound of the invention from a
carboxylic acid-containing therapeutic drug compound is illustrated in FIGURE 1.
In another embodiment, a tocopherol may be functionalized at the hydroxyl group
with a reagent to attach an active group such as phosphoric chloride (-P(O)OR1Cl),
phosphonic chloride (-P(O)R1Cl), sulfonic chloride (-SO2Cl), or carbonyl chloride
(-COCl). The resulting acid chloride can then be reacted with an appropriately
functionalized therapeutic drug compound to provide a tocopherol-modified therapeutic
drug compound.

In FIGURE 2, X is O, S, or NH; and R1 is independently selected from H,
C1-6n-alkyl, C3-12 branched alkyl, substituted or unsubstituted C3-6 cycloalkyl, substituted
6r unsubstituted aryl, and substituted or unsubstituted aralkyl.
In another embodiment, a tocopherol may be functionalized at the hydroxyl group
with a dicarboxylic acid, ester, or anhydride reagent. Suitable reagents include succinic
acid anhydride, 1,2-cyclohexanedicarboxylic anhydride, 2,3-dimethylsuccinic anhydride,
3,3-tetramethylene glutaric anhydride, glutaric anhydride, maleic acid anhydride, phthalic
acid anhydride, terephthalic acid, or isophthalic acid to attach a carboxyl group (-COOH).
The resulting carboxyl group may then be directly reacted with an appropriately
functionalized therapeutic drug or the carboxyl group may be converted to a more
reactive carbonyl chloride group (-COCl), and then the carbonyl chloride group may be
coupled with the functional group of the therapeutic drug to form a tocopherol-modified
therapeutic drug compound as illustrated in FIGURE 3. In FIGURE 3, X is O, S, NH, or
C(=O)O.
In another embodiment, a linker can be coupled to the hydroxyl group of a
tocopherol and then a therapeutic drug can be coupled to an accessible functional group
on the linker. The functional group may be, for example, but not limited to, a carboxyl
group (-COOH), a poly(ethylene oxide) group (-(CH2CH2O)n-H), an aldehyde group
(-CHO), an isocyanato group (-N=C=O), a phosphoric acid group (-OPO3H2), or
phosphoric chloride group (-OPO2R1Cl, where R1 is a substituted or unsubstituted alkyl
or cycloalkyl, a substituted or unsubstituted aryl, or an aralkyl), a phosphonic chloride
group (-PO2R1Cl, where R1 is a substituted or unsubstituted alkyl or cycloalkyl, a
substituted or unsubstituted aryl, or an aralkyl), a sulfuric acid group (-OSO3H2), a
chlorosulfuric group (-SO3Cl), or an oxiranyl group (-CH(O)CH2).
The syntheses of representative tocopherol-modified therapeutic drug compounds
of the invention are illustrated in FIGURES 4-11 and described in Examples 1-13.
FIGURE 4 illustrates the preparation of a tocopherol succinate camptothecin
compound. Tocopherol succinic acid (vitamin E succinic acid) has a free carboxyl group
that can couple with a hydroxyl group, amino group, thiol group, or carbonyl chloride
group to provide a tocopherol-modified therapeutic drug having a succinate group as a
linker. In FIGURE 4, the carboxyl group of tocopherol acid succinate is coupled with the
hydroxyl group of camptothecin. The preparation of tocopherol succinate camptothecin
is described in Example 1.

FIGURE 5 illustrates the preparation of tocopherol succinate
10-hydroxycamptothecin and tocopherol succinate 7-ethyl-10-hychoxycamptothecin
(SN38). Tocopherol succinic acid is converted to the corresponding acid chloride, and
then reacted with 10-hydroxycamptothecin or 7-ethyl-10-hydroxycamptothecin (SN38).
The preparations of tocopherol succinate 10-hydroxycamptothecin and tocopherol
succinate 7-ethyl-10-hydroxycamptothecin are described in Examples 2 and 3,
respectively.
FIGURE 6 illustrates the preparation of 10,20-di(tocopherol succinate) SN38,
which contains one therapeutic drug (SN38) moiety, two tocopherol moieties, and two
linker moieties (succinyl groups). The preparation of 10, 20-di(tocopherol succinate)
SN38 is described in Example 4.
Suitable linker moieties can include an oligomer or polymer such as a peptide,
polypeptide, protein, mono-, di- or polysaccharide, oligomer of ethylene glycol,
poly(ethylene glycol), poly(alkylene oxide) such as poly(ethylene oxide) and
poly(propylene oxide), or poly(ethylene oxide)-poly(propylene oxide) copolymer.
FIGURE 7 illustrates the preparation of a tocopherol-modified camptothecin containing a
linker moiety that includes a poly(ethylene oxide) group. The preparation of the
tocopherol succinate camptothecin having a linker moiety that includes a poly(ethylene
oxide) group is described in Example 5.
FIGURE 8 illustrates the preparation of tocopherol succinate paclitaxel. In the
preparation, tocopherol succinic acid is converted to the corresponding acid chloride and
then reacted with paclitaxel. The preparation of tocopherol succinate paclitaxel is
described in Example 6. FIGURE 9 illustrates the preparation of tocopherol succinate
docetaxel. The preparation of tocopherol succinate docetaxel is described in Example 7.
FIGURE 10 illustrates the preparation of tocopherol terephthalate camptothecin.
In the preparation, tocopherol is first conjugated with terephthalate to form tocopherol
terephthalate (Example 9) and is then coupled with camptothecin to form tocopherol
terephthalate camptothecin. The preparation of tocopherol terephthalate camptothecin is
described in Example 10.
FIGURE 11 illustrates the preparation of tocopherol
cyclohexane-l,2-dicarboxylate SN38. The preparation of tocopherol
cyclohexane-l,2-dicarboxylate SN38 is described in Example 11.

The preparations of tocopherol succinate doxorubicin and tocopherol succinate
hydroxyzine are described in Examples 12 and 13, respectively.
In another aspect, the present invention provides compositions that include the
compounds of the invention. The compositions include one or more compounds of the
invention, optionally one or more additional therapeutic agents, and a lipophilic medium.
In one embodiment, a tocopherol-modified therapeutic drug compound is dissolved in the
lipophilic medium. Because of the lipophilic moiety, the compound has improved
lipophilicity compared to the unmodified therapeutic drug compound. The lipophilic
medium (or carrier) of the composition can be any one of a variety of lipophilic mediums
including, for example, oils. In one embodiment, the lipophilic medium includes a
tocopherol (e.g., a-tocopherol). Representative oils useful as the lipophilic medium
include the following:
Fatty acids and esters thereof, including carboxylic acids of various chain lengths,
mostly straight chain, but which could be branched, examples of which include capric,
caprylic, caproic, lauric, myristic, stearic, oleic, linoleic, behenic, and as well as saturated
or unsaturated fatty acids and esters;
Fatty acids esterified with glycerin to form mono-, di-, or triglycerides, which can
be synthetic or derived from natural sources, including, but not limited to, for example,
glycerides such as soybean oil, cottonseed oil, rapeseed oil, fish oil, castor oil, Capmul
MCM, Captex 300, Miglyol 812, glyceryl monooleate, triacetin, acetylated
monoglyceride, tristearin, glyceryl behenate, and diacetyl tartaric acid esters of
monoglycerides;
Glycerides conjugated to other moieties, such as polyethylene glycol (for
example, Labrasol, Labrafac, Cremophor EL);
Phospholipids, either natural or S3'nthetic, such as dimyristyl phosphatidylcholine,
egg lecithin, and pegylated phospholipids;
Other fatty esters including fatty alcohols (myristyl myristate, isopropyl
palmitate), or sugars (sorbitan monooleate, SPAN 80, Tween 80, sucrose laurate);
Fatty alcohols such as stearyl alcohol, lauryl alcohol, benzyl alcohol, or esters or
ethers thereof, such as benzyl benzoate;
Fat-soluble vitamins and derivatives, for example, vitamin E (including all of the
tocopherols and tocotrienols, and tocopherol and tocotrienol derivatives, such as vitamin
E succinate, vitamin E acetate, and vitamin E succinate polyethylene glycol (TPGS)).

Organic co-solvents can also be used in the compositions, optionally in
combination with water, including for example, ethanol, polyethylene glycol, propylene
glycol, glycerol, N-methyl pyrrolidone, and dimethyl sulfoxide.
The solubilities of two representative tocopherol-modified camptothecin
compounds of the invention in several mediums are compared to camptothecin in
Example 14.
In a further aspect, the invention provides emulsion, microemulsion, and micelle
formulations that include a compound of the invention. Methods for making the
emulsion, microemulsion, and micelle formulations are also provided.
As used herein, the term "emulsion" refers to a colloidal dispersion of two
immiscible liquids, such as an oil and water, in the form of droplets, whose diameter, in
general, are between 0.1 and 3.0 microns and which is typically optically opaque, unless
the dispersed and continuous phases are refractive index matched. Such systems possess
a finite stability, generally defined by the application or relevant reference system, which
may be enhanced by the addition of amphiphilic molecules or viscosity enhancers.
The term "microemulsion" refers to a thermodynamically stable isotropically clear
dispersion of two immiscible liquids, such as an oil and water, stabilized by an interfacial
film of surfactant molecules. The microemulsion has a mean droplet diameter of less
than 200 run, in general between 10-50 nm. In the absence of water, mixtures of oil(s)
and non-ionic surfactant(s) form clear and isotropic solutions that are known as
self-emulsifying drug delivery systems (SEDDS) and can be used to improve lipophilic
drug dissolution and oral absorption.
The emulsion and microemulsion formulations include an oil phase and an
aqueous phase. The emulsion or microemulsion can be an oil-in-water emulsion or a
water-in-oil emulsion. The oil phase includes one or more compounds of the invention
and a lipophilic medium, as described above. In one embodiment, the compound is
present in the formulation in an amount from about 0.005 to about 3.0 weight percent
based on the total weight of the formulation. In one embodiment, the compound is
present in the formulation in an amount from about 0.01 to about 2.5 weight percent
based on the total weight of the formulation. In one embodiment, the -compound is
present in the formulation in an amount from about 0.1 to about 1.5 weight percent based
on the total weight of the formulation. In one embodiment, the lipophilic medium is
present in the formulation in an amount from about 2 to about 20 weight percent based on

the total weight of the formulation. In one embodiment, the lipophilic medium is present
in the formulation in an amount from about 4 to about 12 weight percent based on the
total weight of the formulation. In one embodiment, the lipophilic medium is present in
the formulation in an amount from about 6 to about 10 weight percent based on the total
weight of the formulation.
In one embodiment of the emulsion or microemulsion, the compound is a
tocopherol-modified therapeutic drug compound, the lipophilic medium includes a
tocopherol, and the aqueous medium is water.
In addition to the compounds of the invention, the emulsion or microemulsion
formulations can include other components commonly used in emulsions an
microemulsions, and particularly used in pharmaceutical emulsions and microemulsions.
These components include surfactants and co-solvents, among others. Representative
surfactants include nonionic surfactants such as surface active tocopherol derivatives and
surface active polymers.
Suitable surface active tocopherol derivatives include tocopherol polyethylene
glycol derivatives, such as vitamin E succinate polyethylene glycol (e.g., d-α-tocopherol
polyethylene glycol 1000 succinate, TPGS), which is a vitamin E derivative in which a
polyethylene glycol is attached by a succinic acid ester at the ring hydroxyl of vitamin E.
As used herein, "vitamin E succinate polyethylene glycol" includes vitamin E succinate
polyethylene glycol and derivatives of vitamin E polyethylene glycol having various ester
and ether links. TPGS is a non-ionic surfactant (HLB = 16-18). TPGS is reported to
inhibit P-glycoprotein, a protein that contributes to the development of multi-drug
resistance. Embodiments of the formulations of the invention that include TPGS
therefore include a P-glycoprotein inhibitor. Surface active tocopherol derivatives (e.g.,
TPGS) can be present in the formulations of the invention in an amount from about 1 to
about 10 weight percent, about 2 to about 6 weight percent, or about 5 weight percent,
based on the total weight of the formulation.
Suitable nonionic surfactants include block copolymers of ethylene oxide and
propylene oxide known as POLOXAMERS or PLUROINICS. These synthetic block
copolymers of having the general structure: H(OCH2CH2)a(OC3H6CH2)b
(OCH2CH2)aOH. The following variants based on the values of a and b are
commercially available from BASF Performance Chemicals (Parsippany, New Jersey)
under the trade name PLURONIC and consist of the group of surfactants designated by

the CTFA name of POLOXAMER 108, 188, 217, 237, 238, 288, 338, 407, 101, 105, 122,
123, 124, 181, 182, 183, 184, 212, 231, 282, 331, 401, 402, 185, 215, 234, 235, 284, 333,
334, 335, and 403. For the most commonly used POLOXAMERS 124, 188, 237, 338,
and 407 the values of a and b are 12/20, 79/28, 64/37, 141/44 and 101/56, respectively.
In one embodiment, the nonionic surfactant is present in the formulation in an amount
from about 0.5 to about 5 weight percent based on the total weight of the formulation.
Co-solvents useful in the formulations include ethanol, polyethylene glycol,
propylene glycol, glycerol, N-methylpyrrolidone, dimethylamide, and dimethylsulfoxide,
among others. Polyethylene glycol (PEG) is a hydrophilic, polymerized form of ethylene
glycol, consisting of repeating units having the chemical structure: (-CH2CH2O-). The
general formula for polyethylene glycol is H(OCH2CH2)nOH. The molecular weight
ranges from 200 to 10,000. Such various forms are described by their molecular weights,
for example, PEG-200, PEG-300, PEG-400, and the like.
Paclitaxel emulsions and their components are described in U.S. Patent
No. 6,458,173 and U.S. Patent No 6,660,286, each expressly incorporated herein by
reference in its entirety.
Representative emulsions including tocopherol-modified therapeutic drug
compounds (e.g., tocopherol succinate docetaxel, tocopherol succinate paclitaxel,
tocopherol succinate camptothecin, tocopherol succinate
7-emyl-10-hydroxycamptothecin, and tocopherol succinate 10-hydroxycamptothecin) are
described in Example 15. In vitro cytotoxicities of representative tocopherol-modified
therapeutic drug compounds (e.g., tocopherol succinate 7-ethyl-10-hydroxy camptothecin
and tocopherol succinate camptothecin) are described in Example 16.
In a further aspect, the invention provides micelle formulations that include a
compound of the invention and an aqueous phase. Micelles are organized aggregates of
one or more surfactants in solution. In one embodiment, the compound is present in the
formulation in an amount from about 0.005 to about 3.0 weight percent based on the total
weight of the formulation. In one embodiment, the compound is present in the
formulation in an amount from about 0.01 to about 2.5 weight percent based on the total
weight of the formulation. In one embodiment, the compound is present in the
formulation in an amount from about 0.1 to about 1.0 weight percent based on the total
weight of the formulation. Suitable surfactants include those noted above, and in the
amounts noted above. In one embodiment of the micelle formulation, the compound is a

tocopherol-modified therapeutic drug compound and the surfactant is tocopherol
polyethylene glycol succinate (TPGS). Representative micelle formulations including
tocopherol-modified therapeutic drug compounds are described in Example 15.
The micelle formulation can also include additional components such as co-
solvents including those noted above. In one embodiment, the micelle formulation
includes a polyethylene glycol and a lower alkyl alcohol (e.g., ethanol). In one
embodiment, the co-solvents are present in an amount from about 2 to about 20 weight
percent based on the total weight of the formulation. The micelle, emulsion, and
microemulsion formulations include an aqueous phase. In one embodiment, the aqueous
phase includes deionized water. In another embodiment, the aqueous phase includes
saline. In another embodiment, the aqueous phase is saline buffered with an organic acid
(e.g., succinate, citrate).
The invention also provides the use of the compounds of the invention in the
manufacture of a medicament. For example, for compounds of the invention that include
a therapeutic drug moiety derived from a therapeutic drug compound effective in treating
cell proliferative disease, the invention provides the use of such compounds in the
manufacture of a medicament for the treatment of cell proliferative disease.
In other aspects, methods for administering a compound of the invention to a
subject in need thereof, and methods for treating a condition treatable by administration
of a therapeutically effective amount of a compound of the invention are also provided.
These methods include the administration of the compounds, compositions, emulsion
formulations, microemulsion formulations, and micelle formulations described herein.
In one embodiment, the invention provides a method for treating a condition that
is treatable by the parent, unmodified therapeutic drug compound (e.g., a cell proliferative
disease such as cancer). In the method, a therapeutically effective amount of a compound
of the invention is administered to a subject in need thereof.
In one embodiment, the invention provides a method for treating a cell
proliferative disease by administering a compound of the invention having a therapeutic
drug moiety derived from a therapeutic drug effective in treating cell proliferative
disease. Representative cell proliferative diseases treatable by the compounds of the

invention include hematologic cancers, such as leukemia, lymphoma, and myeloma; and
nonhematologic cancers, such as solid tumor carcinomas (e.g., breast, ovarian, pancreatic,
colon, colorectal, non-small cell lung, and bladder), sarcomas, and gliomas.
Therapeutically effective amounts of the compounds will generally range up to
the maximally tolerated dosage, but the concentrations are not critical and may vary
widely. The precise amounts employed by the attending physician will vary, of course,
depending on the compound, route of administration, physical condition of the patient
and other factors. The daily dosage may be administered as a single dosage or may be
divided into multiple doses for administration.
The amount of the compound actually administered will be a therapeutically
effective amount, which term is used herein to denote the amount needed to produce a
substantial beneficial effect. Effective doses may be extrapolated from dose-response
curves derived from in vitro or animal model test systems. The animal model is also
typically used to determine a desirable dosage range and route of administration. Such
information can then be used to determine useful doses and routes for administration in
humans or other mammals. The determination of an effective dose is well within the
capability of those skilled in the art. Thus, the amount actually administered will be
dependent upon the individual to which treatment is to be applied, and will preferably be
an optimized amount such that the desired effect is achieved without significant
side-effects.
Therapeutic efficacy and possible toxicity of the compounds of the invention can
be determined by standard pharmaceutical procedures, in cell cultures or experimental
animals (e.g., ED50, the dose therapeutically effective in 50% of the population; and
LD50, the dose lethal to 50% of the population). The dose ratio between therapeutic and
toxic effects is the therapeutic index, and it can be expressed as the ratio LD50 to ED50.
Modified therapeutic drug compounds that exhibit large therapeutic indices are
particularly suitable in the practice of the methods of the invention. The data obtained
from cell culture assays and animal studies may be used in formulating a range of dosage
for use in humans or other mammals. The dosage of such compounds lies preferably
within a range of circulating concentrations that include the ED50 with little or no
toxicity. The dosage typically varies within this range depending upon the dosage form
employed, sensitivity of the patient, and the route of administration. Thus, optimal

amounts will vary with the method of administration, and will generally be in accordance
with the amounts of conventional medicaments administered in the same or a similar
form.
The compounds of the invention can be administered alone, or in combination
with one or more additional therapeutic agents. For example, in the treatment of cancer,
the compounds can be administered in combination with therapeutic agents including, but
not limited to, androgen inhibitors, such as flutamide and luprolide; antiestrogens, such as
tamoxifen; antimetabolites and cytotoxic agents, such as daunorubicin, fluorouracil,
floxuridine, interferon alpha, methotrexate, plicamycin, mecaptopurine, thioguanine,
adriamycin, carmustine, lomustine, cytarabine, cyclophosphamide, doxorubicin,
estramustine, altretamine, hydroxyurea, ifosfamide, procarbazine, mutamycin, busulfan,
mitoxantrone, carboplatin, cisplatin, streptozocin, bleomycin, dactinomycin, and
idamycin; hormones, such as medroxyprogesterone, estramustine, ethinyl estradiol,
estradiol, leuprolide, megestrol, octreotide, diethylstilbestrol, chlorotrianisene, etoposide,
podophyllotoxin, and goserelin; nitrogen mustard derivatives, such as melphalan,
chlorambucil, methloretharnine, and thiotepa, steroids, such as betamethasone; and other
antineoplastic agents, such as live Mycobacterium bovis, dicarbazine, asparaginase,
leucovorin, mitotane, vincristine, vinblastine, and taxotere. Appropriate amounts in each
case will vary with the particular agent, and will be either readily known to those skilled
in the art or readily determinable by routine experimentation.
Adrninistration of the compounds of the invention is accomplished by any
effective route, for example, parenteral, topical, or oral routes. Methods of administration
include inhalational, buccal, intramedullary, intravenous, intranasal, intrarectal,
intraocular, intraabdominal, intraarterial, intraarticular, intracapsular, intracervical,
intracranial, intraductal, intradural, intralesional, intramuscular, intralumbar, intramural,
intraocular, intraoperative, intraparietal, intraperitoneal, intrapleural, intrapulmonary,
intraspinal, intrathoracic, intratracheal, intratympanic, intrauterine, intravascular, and
intraventricular administration, and other conventional means. The compounds of the
invention having anti-tumor activity can be injected directly into a tumor, into the vicinity
of a tumor, or into a blood vessel that supplies blood to the tumor.
The emulsion, microemulsion, and micelle formulations of the invention can be
nebulized using suitable aerosol propellants that are known in the art for pulmonary
delivery of the compounds.

The compounds of the invention may be formulated into a composition that
additionally comprises suitable pharmaceutically acceptable carriers, including excipients
and other compounds that facilitate administration of the compound to a subject. Further
details on techniques for formulation and administration may be found in the latest
edition of "Remington's Pharmaceutical Sciences" (Maack Publishing Co., Easton, PA).
Compositions for oral administration may be formulated using pharmaceutically
acceptable carriers well known in the art, in dosages suitable for oral administration.
Such carriers enable the compositions containing the compounds of the invention to be
formulated as tablets, pills, dragees, capsules, liquids, gels, syrups, slurries, suspensions,
suitable for ingestion by a subject. Compositions for oral use may be formulated, for
example, in combination with a solid excipient, optionally grinding the resulting mixture,
and processing the mixture of granules, after adding suitable additional compounds, if
desired, to obtain tablets or dragee cores. Suitable excipients include carbohydrate or
protein fillers. These include, but are not limited to, sugars, including lactose, sucrose,
mannitol, or sorbitol, starch from corn, wheat, rice, potato, or other plants; cellulose such
as methyl cellulose, hydroxypropylmethyl-cellulose, or sodium carboxymethylcellulose;
and gums including arabic and tragacanth; as well as proteins, such as gelatin and
collagen. If desired, disintegrating or solubilizing agents may be added, such as the
crosslinked polyvinyl pyrrolidone, agar, alginic acid, or a salt thereof, such as sodium
alginate.
Dragee cores are provided with suitable coatings such as concentrated sugar
solutions, which may also contain gum arabic, talc, polyvinylpyrrolidone, carbopol gel,
polyethylene glycol, and/or titanium dioxide, lacquer solutions, and suitable organic
solvents or solvent mixtures. Dyestuffs or pigments may be added to the tablets or dragee
coatings for product identification or to characterize the quantity of active compound
(i.e., dosage).
Compounds for oral administration may be formulated, for example, as push-fit
capsules made of gelatin, as well as soft, sealed capsules made of gelatin and a coating
such as glycerol or sorbitol. Push-fit capsules may contain the compounds mixed with
filler or binders such as lactose or starches, lubricants such as talc or magnesium stearate.
and, optionally, stabilizers. In soft capsules, the covalent conjugates may be dissolved or
suspended in suitable liquids, such as fatty oils, liquid paraffin, or liquid polyethylene
glycol with or without stabilizers.

For topical or nasal administration, penetrants appropriate to the particular barrier
to be permeated are typically used in the formulation. Examples of these are
2-pyrrolidone, N-methyl-2-pyrrolidone, dimethylacetamide, dimethyl-formamide,
propylene glycol, methyl or isopropyl alcohol, dimethyl sulfoxide, and azone. Additional
agents may further be included to make the formulation cosmetically acceptable.
Examples of these are fats, waxes, oils, dyes, fragrances, preservatives, stabilizers, and
surface-active agents. Keratolytic agents such as those known in the art may also be
included. Examples are salicylic acid and sulfur. For topical administration, the
composition may be in the form of a transdermal ointment or patch for systemic delivery
of the compound and may be prepared in a conventional manner (see, e.g., Barry,
Dermatological Formulations (Drugs and the Pharmaceutical Sciences -- Dekker); Harry's
Cosmeticology (Leonard Hill Books).
For rectal administration, the compositions may be administered in the form of
suppositories or retention enemas. Such compositions may be prepared by mixing the
compounds with a suitable non-irritating excipient that is solid at ordinary temperatures
but liquid at the rectal temperature and will therefore melt in the rectum to release the
drug. Suitable excipients include, but are not limited to, cocoa butter and polyethylene
glycols.
The amounts of each of these various types of additives will be readily apparent to
those skilled in the art, optimal amounts being the same as in other, known formulations
designed for the same type of administration.
Compositions containing the compounds of the invention may be manufactured in
a manner similar to that known in the art (e.g., by means of conventional mixing,
dissolving, granulating, dragee-making, levigating, emulsifying, encapsulating,
entrapping or lyophilizing processes). The compositions may also be modified to provide
appropriate release characteristics, sustained release, or targeted release, by conventional
means (e.g., coating). As noted above, in one embodiment, the compounds are
formulated as an emulsion.
Compositions containing the compounds may be provided as a salt and can be
formed with many acids, including but not limited to hydrochloric, sulfuric, acetic, lactic,
tartaric, malic, and succinic. Salts tend to be more soluble in aqueous or other protonic
solvents than are the corresponding free base forms.

After compositions formulated to contain a compound and an acceptable carrier
have been prepared, they can be placed in an appropriate container and labeled for use.
Thus, in another aspect, the invention provides kits.
Tocopherol-modified therapeutic drug compounds of the invention are suitable for
administration as oil-in-water emulsions and micelle formulations. The compounds
provide for high drug loading to enable small volumes for administration.
Emulsions containing tocopherol-modified camptothecin compounds of the
invention provide for enhanced stability of the compound's lactone compared to
conventional methods of camptothecin administration. Long plasma half-life is achieved
for the tocopherol-modified camptothecin compounds resulting in prolonged exposure of
a tumor to the compounds. Tocopherol-modified compounds achieve high permeation
through lipoidal membranes of tumor cells. Greater anti-tumor response without an
increase in toxicity may be provided by the tocopherol-modified camptothecin
compounds of the invention as compared to unmodified camptothecin and currently
available camptothecin analogs.
Although the compounds of the invention having formula (2) with m = 1, formula
(3) with n = 1, or formula (8) do not include compounds specifically excluded as
described above, it will be appreciated that the compositions, emulsion formulations,
microemulsion formulations, and micelle formulations include the compounds of the
invention having formulae (l)-(8) without such limitation. Methods for administering the
compositions, emulsion formulations, microemulsion formulations, and micelle
formulations, and methods for treating a condition treatable by administering the
compositions, emulsion formulations, microemulsion formulations, and micelle
formulations are likewise not limited with regard to the compounds of the invention.
The following examples are provided to illustrate, not limit, the invention.
EXAMPLES
EXAMPLE 1
The Preparation of a Representative Tocopherol-Modified
Camptothecin Compound: Tocopherol Succinate Camptothecin
A 500 ml flask was charged with 10.6 grams of d-α-tocopherol succinic acid,
6.97 grams of camptothecin, 6.13 grams of 2-chloro-1-methylpyridinium iodide (CMPI),
5.86 grams of 4-(dimethylamino)pyridine (DMAP), and 200 ml of dry
N,N-dimethylacetamide. The mixture was stirred at room temperature for 24 hours, and

then heated at 50°C for 4 hours. The mixture was cooled to room temperature and then
was filtered to remove precipitate and the filtrate was collected. To the filtrate were
added 250 ml of chloroform and 150 ml of deionized-water to extract the product into the
chloroform, and the water fraction was removed using a separation funnel. The
chloroform fraction was washed with deionized-water (3x150 ml) in a separation funnel,
collected, and dried over anhydrous MgSO4 overnight. The MgSO4 was removed by
filtration, and the chloroform was removed with a rotary evaporator under reduced
pressure to yield a dark-yellow solid. The product was purified by column
chromatography on silica gel. (Yield: 9.50 grams, 55.2%).
1H NMR (300 MHz, CDCl3): δ 8.318 (s, 1H), 8.163-8.135 (d, J = 8.4 Hz, 1H),
7.927-7.901 (d, J = 7.8 Hz, IE), 7.842-7.787 (m, 1H), 7.682-7.632 (m, 1H), 7.263-7.242
(d, J = 6.3 Hz, 1H), 5.702-5.410 (ABq, J1 = 17.4, J2 = 70 Hz, 2H), 5.190 (s, 2H),
3.014-2.938 (m, 4H), 2.368-0.809 (m, 54H).
Elemental anal. Calcd. for C53H68N2O8: C, 73.92; H, 7.96; N, 3.25.
Found: C, 73.61;
H, 7.90; N, 3.17.
EXAMPLE 2
The Preparation of a Representative Tocopherol-Modified
Camptothecin Compound: Tocopherol Succinate 10-Hydroxycamptothecin
Method 1. A 100 ml flask was charged with 1.06 grams of d-α-tocopherol
succinic acid, 0.476 grams of thionyl chloride, and 50 ml of toluene. The mixture was
stirred at room temperature overnight. The solvent was removed with a rotary evaporator
at 50°C, and the residue was collected. To the residue was added 0.728 grams of
10-hydroxycamptothecin and 40 ml of dried tetrahydrofuran with stirring. Then,
0.404 grams of triethylamine in 10 ml of tetrahydrofuran was added dropwise to the
reaction mixture. The mixture was stirred at room temperature overnight. The mixture
was filtered and white powder was washed with ethyl acetate (3x10 ml). The filtrate was
collected. The solvent was removed with a rotary evaporator. The residue was collected,
and purified by column chromatography on silica gel with a mobile phase of acetone and
chloroform (1:4, v/v). (Yield: 0.85 grams, 48.4%).
MS (Positive ESI): m/z 877 (M)+.
Anal. Calcd. for C53H68N2O9: C, 72.58; H, 7.81; N, 3.19. Found: C, 72.52;
H, 7.84; N, 3.21.

Alternatively, tocopherol succinate 10-hydroxycamptothecin can be prepared as
described below.
Method 2. A 100 ml flask was charged with 2.65 grams of d-α-tocopherol
succinate, 0.89 grams of thionyl chloride, and 20 ml of toluene. The mixture was stirred
at room temperature for 24 hours. The toluene and any excess thionyl chloride were
removed with vacuum distillation at 50°C. The remaining residue was dissolved in 15 ml
of chloromethane to provide Solution A. To a 100 ml flask, 0.9 grams of
10-hydroxycamptothecin, 0.5 ml of triethylamine, and 25 ml of freshly dried
N,N-dimethylacetamide was added with stirring. Then 15 ml of Solution A was slowly
added into the mixture through a dropping funnel over 5 minutes. The reaction mixture
was stirred at room temperature for 24 hours. The mixture was concentrated by vacuum
distillation. 150 ml of ethyl acetate was added to the residue. The mixture was washed
with saturated aqueous NaCl solution, (3x100 ml). The mixture was dried over
anhydrous MgSO4. The MgSO4 was removed by filtration and the ethyl acetate was then
removed by vacuum distillation. The crude product was purified by column
chromatography on silica gel. (Yield: 1.14 grams, 52.5%).
EXAMPLE 3
The Preparation of a Representative Tocopherol-Modified Camptothecin
Compound: Tocopherol Succinate 7-Ethyl-10-hydroxycamptothecin
Method 1. A 500 ml flask was charged with 22.5 grams of d-α-tocopherol
succinate, 7.6 grams of thionyl chloride, and 200 ml of toluene. The mixture was stirred
at room temperature for 24 hours. The toluene and the excess thionyl chloride were
removed by vacuum distillation. The remaining residue was dissolved in 100 ml of
chloromethane to provide Solution A. Solution A was used immediately, and was not
exposed to air. To a 500 ml flask, 7.8 grams of 7-ethyl-10-hydroxycamptothecin, 7 ml of
triethylamine, and 250 ml of freshly dried N,N-dimethylacetamide was added with
stirring. The 100ml of Solution A was slowly added into the mixture through a dropping
funnel over 30 minutes. The reaction mixture was stirred at room temperature for
24 hours. The solvent was concentrated by vacuum distillation. 500 ml of ethyl acetate
was added to the residue. The mixture was washed with saturated aqueous NaCl solution,
(3 x 200 ml). The mixture was dried over anhydrous MgSO4. The MgSO4 was removed
by filtration and the ethyl acetate was then removed by vacuum distillation. The crude
product was purified by recrystallization with acetone. (Yield: 15.18 grams, 83.9%).

M.P. 171°-173°C.
1H NMR (300 MHz, CDCl3): δ 8.236-8.206 (d, J = 9 Hz, 1H), 7.809-7.801
(d, J = 2.4 Hz, 1H), 7.648 (s, 1H), 7.572-7.533 (dd, J1 = 2.7 Hz, J2 = 9.3 Hz, 1H),
5.781-5.280 (ABq, J1 =16.2Hz, J2= 134.0 Hz, 2H), 5.253 (s, 2H), 3.863 (s, 1H),
3.136-3.113 (m,6H), 2.588 (t,2H), 2.091 (s, 3H), 2.037 (s, 3H), 1.994 (s, 3H),
1.970-1.852 (m, 2H), 1.821-1.725 (m, 2H), 1.654-0.833 (m, 42H).
MS (Positive ESI): m/z 905 (M)+, 928 (M + Na)+.
Anal. Calcd. for C55H72N2O9: C, 72.98; H, 8.02; N, 3.09. Found: C, 72.87;
H, 8.01; N, 2.88.
Alternatively, the tocopherol succinate 7-ethyl-10-hydroxycamptothecin can be
prepared as described below.
Method 2. A 500 ml flask was charged with 8.48 grams of d-α-tocopherol
succinate, 3.81 grams of thionyl chloride, and 250 ml of toluene. The mixture was stirred
at room temperature overnight. The toluene, and excess thionyl chloride were removed
with a rotary evaporator at 50 °C, and the residue was collected. To the residue was
added 6.27 grams of 7-ethyl-10-hydroxycamptothecin and 250 ml of sodium-dried
tetrahydrofuran with stirring. Then, 3.23 grams of triethylamine in 50 ml of
tetrahydrofuran was added dropwise to the mixture. The mixture was stirred at room
temperature overnight. The mixture was filtered and the white powder was washed with
ethyl acetate (3x50 ml). The filtrate was collected. The solvent was removed with a
rotary evaporator. The crude product was purified by recrystallization in acetone.
(Yield: 8.28 grams, 57.2%).
EXAMPLE 4
The Preparation of a Representative Tocopherol-Modified Camptothecin
Compound: 10,20-Di(tocopherol succinate) 7-Ethyl-10-hydroxycamptothecin
A 100 ml flask was charged with 0.905 grams of tocopherol succinate
7-ethyl-10-hydroxycamptothecin, 0.53 grams of d-α-tocopherol succinic acid,
0.255 grams of 2-chloro-1-methylpyridinium iodide, 0.244 grams of
4-(dimethylamino)pyridine and 50 ml of dioxane. The mixture was stirred at room
temperature for 24 hours. Thin layer chromatography showed that the reaction was
complete. The mixture was filtered to remove the solid phase, and the filtrate was
collected. The solvent was removed by vacuum distillation. The crude product was

purified by column chromatography on silica gel with 30% ethyl acetate in cyclohexane.
(Yield: 0.64 grams, 44.82%).
1H NMR (300 MHz, CDCl3): δ 8.168-8.138 (d, J = 9.0 Hz, 1H), 7.813-7.805
(d,J= 2.4 Hz, 1H), 7.754-7.536 (dd, J, = 2.1 Hz, J2 = 11.4 Hz, 1H), 7.197 (s, 1H),
5.703-5.409 (ABq, J1 = 17.4 Hz, J2 = 71.0 Hz, 2H), 5.243-5.088 (m, 2H), 3.113-2.857
(m, 10H), 2.606-2.564 (t, J = 6Hz, 2H), 2.383-2.184 (m, 2H), 2.090-1.723 (m, 22H),
1.588-0.785 (m,80H).
MS (Positive ESI): m/z 1418 (M+H)+.
Elemental anal. Calcd. for C88H124N2O13: C, 74.54; H, 8.81; N, 1.98.
Found: C, 74.31; H, 8.96; N, 1.75.
IRVMAX KBRCM-1: 2925, 2867, 1751, 1665, 1615, 1657, 1510, 1458, 1413, 1376,
1330, 1218, 1128, 1075, 1060, 1035, 992, 943, 923, 829, 812, 758, 724, 668.
EXAMPLE 5
The Preparation of a Representative Tocopherol-Modified Camptothecin Compound:
Tocopherol-Camptothecin Conjugate with a Hexa(ethylene glycol) Linker
Preparation of hexa(ethylene glycol) tocopherol succinate. In a 250 ml flask,
2.65 grams of d-α-tocopherol succinic acid and 2.82 grams of hexa(ethylene glycol) was
dissolved in 100 ml of toluene with stirring. The toluene was removed with a rotary
evaporator (drying by azeotropic distillation). To the mixture was added 100 ml of
chloroform, 1.08 grams of N,N-dicyclohexylcarbodiimide, and 100 mg of '
4-(dimethylamino)pyridine. The mixture was stirred overnight. Thin layer
chromatography with 40% acetone in hexane showed that the reaction was complete.
The mixture was washed three times with deionized-water (3x100 ml), and the
chloroform fraction was collected, and dried over anhydrous MgSO4 for two hours. After
filtration, chloroform was removed by a rotary evaporator. The crude product was
purified by column chromatography on silica gel using, successively, the solvents 30%
ethyl acetate in hexane, 50% ethyl acetate in hexane, and 30% acetone in hexane.
(Yield: 0.53 grams, 13.33%).
Preparation of tocopherol-succinyl-hexa(ethylene glycol) succinic acid. A 100 ml
flask was charged with 1.42 grams of hexa(ethylene glycol) tocopherol succinate
prepared above, 0.2 grams of succinic acid anhydride, 2 drops of tin (II) ethylhexanoate,
and 25 ml of xylene. The mixture was refluxed for 4 hours. After the reaction was

complete, the solvent was removed by a rotary evaporator. The crude product was
purified by column chromatography on silica gel. (Yield: 0.864 grams, 54%).
Preparation of tocopherol succinate camptothecin with a hexa(ethylene glycol)
linker. A 100 ml flask was charged with 0.822 grams of
tocopherol-succinyl-hexa(ethylene glycol) succinic acid prepared above, 0.3 grams of
camptothecin, 0.47 grams of 2-chloro-1-methylpyridimum iodide, 0.45 grams of
4-(dimethylamino)pyridine, and 40 ml of dried N,N-dimethylacetamide. The reaction
mixture was stirred at room temperature overnight. After the reaction was complete, the
solvent was removed by vacuum distillation, and the residue was collected. To the
residue was added 100 ml of ethyl acetate. After stirring for 30 minutes, the mixture was
filtered to remove precipitate, and the filtrate was collected and concentrated. The crude
product was purified by column chromatography on silica gel. (Yield: 0.342 grams,
30.4%).
1H NMR (300 MHz, CDCl3): δ 8.388 (s, 1H), 8.240-8.213 (d, J = 8.1 Hz, 1H),
7.951-7.923 (d, J = 8.4 Hz, 1H), 7.861-7.805 (dt, J1 = 1.5 Hz, J2 = 8.4 Hz, 1H),
7.694-7.640 (dt, J1 = 1.2 Hz, J2 = 8.1 Hz, 1H), 7.269 (s, 1H), 5.708-5.365
(ABq, J1 = 17.1 Hz, J2 = 85.8 Hz, 2H), 5.283 (s, 2H), 4.273-4.169 (m, 4H), 3.705-3.673
(t, 2H), 3.631-3.550 (m, 18H), 2.926-2.654 (m, 8H), 2.597-2.552 (t, J = 6.9 Hz, 2H),
2.381-2.2.113 (m, 2H), 2.074 (s, 3H), 2.004 (s, 3H), 1.964 (s, 3H), 1.827-1.683 (m, 2H),
1.655 (s, 3H), 1.544-0.964 (m, 24H), 0.875-0.830 (m, 12H).
MS (Positive ESI): m/z 1225 (M)+.
Elemental anal. Calcd. for C88H124N2OO13: C, 67.62; H, 7.90; N, 2.29.
Found: C, 67.08; H, 8.04; N, 2.07.
IRv maxKBrcm-1: 2925, 2867, 1735, 1667, 1618, 1563, 1500, 1457, 1405, 1366,
1349, 1232, 1204 1141, 1107, 1060, 994, 945, 859, 813, 787, 761, 723, 707.
EXAMPLE 6
The Preparation of a Representative Tocopherol-Modified
Paclitaxel Compound: Tocopherol Succinate Paclitaxel
A 250 ml flask was charged with 5.83 grams of tocopherol succinic acid,
2.38 grams of thionyl chloride, and 50 ml of toluene. The mixture was stirred at room
temperature overnight The solvent was removed with a rotary evaporator at 50°C, and
the residue was collected. To the residue were added 8.54 grams of paclitaxel and 100 ml
of dried tetrahydrofuran with stirring. Then, 1.52 grams of triethylamine in 50 ml of

tetrahydrofuran was added dropwise to the reaction mixture. The mixture was stirred at
room temperature overnight. The mixture was filtered and the white powder was washed
with ethyl acetate (3x10 ml). The filtrate was collected. The solvent was removed with a
rotary evaporator. The residue was collected, and purified by recrystallization in acetone
and hexane. (Yield: 11.56 grams, 84.6%).
Anal. Calcd. for C80H103NO18: C, 70.31; H, 7.59; N, 1.02. Found: C, 70.02,
H, 7.83; N, 0.93.
EXAMPLE 7
The Preparation of a Representative Tocopherol-Modified
Docetaxel Compound: Tocopherol Succinate Docetaxel
A 250 ml flask is charged with 9.86 grams of d-α-tocopherol succinic acid,
5.0 grams of docetaxel, 3.83 grams of dried N,N-dicyclohexylcarbodiimide, 500 mg of
4-(dimethylarnino)pyridine, and 150 ml of chloroform. The mixture is stirred at room
temperature overnight. The mixture is filtered to remove precipitate and the filtrate is
collected. The solvent is removed with rotary evaporator, and the residue is collected.
The crude product is purified by column chromatography on silica gel.
EXAMPLE 8
The Preparation of Mono-Tocopherol Phthalate
A 100 mL flask was charged with 8.61 grams of d1-α-tocopherol, 2.96 grams of
phthalic anhydride, 50 mg of tin (II) 2-ethylhexanoate, and 50 ml of dried
N,N-dimethylacetamide. The mixture was stirred at about 140 °C for 24 hours. After the
mixture was cooled to room temperature, the mixture was poured into 150 ml of ethyl
acetate. The mixture was washed three times with saturated aqueous NaCl (3x100 ml),
and dried over anhydrous MgSO4 overnight. The crude product was purified by column
chromatography on silica gel with 30% ethyl acetate in hexane. (Yield: 3.6 grams,
31.1%).
1H NMR (300 MHz, CDCl3) δ ppm: 10.80 (bs, 1H), 8.119-8.063 (m, 1H),
7.883-7.828 (m, 1H), 7.678-7.616 (m, 2H), 2.627-2.582 (t, 2H), 2.123 (s, 3H), 2.112
(s, 3H), 2.081 (s, 3H), 1.868-1.702 (m, 2H), 1.616-1.020 (m, 24H), 0.874-0.834 (m, 12H).
Anal. Calcd. for C37H54O5: C, 76.78; H, 9.40. Found: C, 76.57; H, 9.29.
IRvmaxKBrcm-1: 3073, 2919, 2858, 1737, 1701, 1578, 1455, 1409, 1373, 1276,
1230,1107,1071,913,738.

EXAMPLE 9
The Preparation of Mono-Tocopherol Terephthalate
A 100 mL flask was charged with 4.30 grams of dl-α-tocopherol, 3.32 grams of
terephthalic acid, 2.55 grams of 2-chloro-1-methylpyridinium iodide, 0.244 grams of
4-(dimethylamino)pyridine, and 50 ml of dry N,N-dimethylacetamide. The mixture was
stirred at 50 °C for 4 hours. Thin layer chromatography showed that the reaction was
complete. After the mixture was cooled to room temperature, the mixture was poured
into 150 ml of ethyl acetate. The mixture was washed three times with saturated aqueous
NaCl (3x100 mL), and dried over anhydrous MgSO4 overnight. The crude product was
purified by column chromatography on silica gel with 30% ethyl ether in hexane.
(Yield: 1.60 grams, 27.6%)
1H NMR (300 MHz, CDCl3) δ ppm: 11.80 (bs,lH), 8.374-8.259 (q, J1 = 8.4Hz,
J2= 26.1Hz, 4H), 2.650-2.607 (t, 2H), 2.130 (s, 3H), 2.066 (s, 3H), 2.024 (s, 3H),
1.895-1.783 (m, 2H), 1.532-1.083 (m, 24H), 0.878-0.839 (m, 12H).
Anal. Calcd. for C37H54O5: C, 76.78; H, 9.40. Found: C, 76.64; H, 9.39.
IRvmaxKBrcm-1: 3062, 2924, 2858, 1737, 1696, 1573, 1460, 1424, 1373, 1276,
1240, 1097, 928, 774, 723.
EXAMPLE 10
The Preparation of a Representative Tocopherol-Modified Camptothecin
Compound: Tocopherol Terephthalate Camptothecin
A 100 mL flask was charged with 1.16 grams of mono-tocopherol terephthalate
prepared above, 0.70 grams of camptothecin, 0.511 grams of
2-chloro-1-methylpyridinium iodide, and 0.489 grams of 4-(dimethylamino)pyridine.
The mixture was stirred at 50°C overnight. Thin layer chromatography showed the
reaction was complete. After the mixture cooled to room temperature, the reaction
mixture was poured into 150 ml of ethyl acetate. The mixture was filtered and the filtrate
was collected. The filtrate was washed with saturated aqueous NaCl (3x100 ml), and
dried over anhydrous MgSO4 overnight. The crude product was purified by column
chromatography on silica gel. (Yield: 0.560 grams, 30.8%)
1H NMR (300 MHz, CDCl3) δ ppm: 8.387 (s,lH), 8.370-8.242 (q, J1 = 8.4 Hz,
J2= 30.3Hz, 4H), 8.167-8.139 (d, J = 8.4 Hz, 1H), 7.937-7.910 (d, J = 8.1 Hz, 1H),
7.823-7.774 (t, 1H), 7.672-7.625 (t, 1H), 7.260 (s, 1H), 5.823-5.462 (ABq, J1 = 17.4 Hz,

J2 = 90.9Hz, 2H), 5.302 (s, 2H), 2.461 (t, 2H), 2.559-2.312 (m, 2H), 2.123 (s, 3H), 2.056
(s, 3H), 2.015 (s, 3H), 1.844-1.801 (m, 2H), 1.629-1.085 (m, 27H), 0.938-0.789 (m, 12H).
Anal. Calcd. for C57H68N208: C, 75.30; H, 7.54; N, 3.08. Found: C, 74.91;
H, 7.56; N, 3.02.
IRvmaxKBrcm-1: 3057, 2924, 2858, 1757, 1737, 1675, 1614, 1558, 1450, 1399,
1266, 1235, 1163, 1102, 1020, 723.
EXAMPLE 11
The Preparation of a Representative Tocopherol-Modified Camptothecin Compound:
Tocopherol Cyclohexane-1.2-dicarboxvlate 7-Ethyl-10-Hydroxycamptofhecin
Preparation of tocopherol cyclohexane- 1,2-dicarboxylic acid. A mixture of
1.54 grams of 1,2-cyclohexanedicarbolic acid anhydride, 8.6 grams of d-α-tocopherol,
1.34 grams of aluminum trichloride, and 100 ml of cyclohexane in a 250 ml flask was
heated under reflux for about 30 minutes. After the mixture cooled to room temperature,
it was filtered. The filtrate was washed with a dilute aqueous hydrochloric acid solution
and then dried over anhydrous MgSO4. The mixture was concentrated, and crude product
was purified by column chromatography on silica gel. (Yield: 3.325 grams, 56.9%).
Preparation of tocopherol cyclohexane-1,2-dicarboxylate 7-ethyl-10-
hydroxycamptothecin. A mixture of 1.08 grams of tocopherol cyclohexane-1,2-
dicarboxylic acid prepared above, 0.44 grams of thionyl chloride, and 20 ml of toluene
was stirred under nitrogen overnight. The toluene and excess thionyl chloride were
removed by vacuum distillation, and the residue was dissolved in 10 ml of
dichloromethane to provide Solution A. In a 100 ml flask, 0.350 grams of SN38 was
dissolved in 25 ml of dried N,N-dimethylacetamide to provide Solution B. Solution A
and 0.186 g of triethylamine were added to Solution B. The mixture was stirred
overnight at room temperature. The crude product was purified by column
chromatography on silica gel. (Yield: 0.59 grams, 68.9%).
EXAMPLE 12
The Preparation of a Representative Tocopherol-Modified
Doxorubicin Compound: Tocopherol Succinate Doxorubicin
A 100 ml flask is charged with equivalent moles (1 mmole) of tocopherol succinic
acid, doxorubicin, and N,N-dicyclohexylcarbodiimide, and 50 ml of dry
N,N-dimethylacetarnide. The mixture is stirred at room temperature until completion of
the reaction. The mixture is filtered to remove white precipitate and the filtrate is

collected. The solvent is removed with a rotary evaporator, and the residue is collected.
The product is purified by either recrystallization or column chromatography on silica
gel.
EXAMPLE 13
The Preparation of a Representative Tocopherol-Modified
Hydroxyzine Compound: Tocopherol Succinate Hydroxyzine
A 100 ml flask is charged with equivalent moles (1 mmole) of tocopherol succinic
acid, and thionyl chloride, and 50 ml of toluene. The mixture is stirred at room
temperature overnight. The solvent is removed with a rotary evaporator at 50°C, and the
residue is collected. To the residue are added 1 mmole of hydroxyzine and 40 ml of
chloroform with stirring. Then, 1 mmole of triethylamine in 10 ml of chloroform is
added dropwise to the reaction mixture at 0-5 °C. The mixture is then stirred at room
temperature overnight. The mixture is washed with saturated NaHCO3 aqueous solution
(3x50 ml). The organic phase is collected, and dried with anhydrous MgSO4. The
solvent is removed with a rotary evaporator after removal of MgSO4. ' The residue is
collected, and the crude product is purified by either recrystallization or silica column
chromatography.
EXAMPLE 14
Representative Tocopherol-Modified Therapeutic Drug Compound Solubility
In this example, the solubility of representative tocopherol-modified therapeutic
drug compounds of the invention, tocopherol succinate camptothecin and tocopherol
succinate 7-ethyl-10-hydroxycamptothecin, was compared to the solubility of
camptothecin in a variety of solvents.
The solubility of camptothecin, tocopherol succinate camptothecin, and
tocopherol succinate 7-ethyl-10-hydroxycamptothecin was determined in several
solvents. Compounds were dissolved in each solvent under constant stirring and
temperature to saturation. The resulting solutions were centrifuged and the supernatant
was analyzed by high performance liquid chromatography (HPLC).
The comparative solubility (mg/g) of camptothecin, tocopherol succinate
camptothecin, and tocopherol succinate 7-ethyl-10-hydroxycamptothecin in various
solvents is shown in Table 1.

Table 1. Solubility Comparison of Camptothecin and Tocopherol Succinate
Camptothecins.

1 VESA-SN38: tocopherol succinate 7-ethyl-10-hydroxycamptothecin
2 VESA-CPT: tocopherol succinate camptothecin
The results in Table 1 illustrate that tocopherol succinate camptothecin and
tocopherol succinate 7-ethyl-10-hydroxycamptothecin both have substantial solubility in
oils, and have particularly high solubility in vitamin E (α-tocopherol).

EXAMPLE 15
Representative Tocopherol-Modified
Therapeutic Drug Compound-Containing Emulsions
In this example, representative emulsions containing tocopherol-modified
therapeutic drug compounds of the invention are described.
A. Tocopherol Succinate 7-Ethyl-10-Hydroxycamptothecin Emulsion
Tocopherol succinate 7-ethyl-10-hydroxycamptothecin, prepared as described in
Example 3, was dissolved in vitamin E and then emulsified with the use of a
microfluidizer (M110Y Microfluidics) in the presence of d-α-tocopherol polyethylene
glycol 1000 succinate (TPGS), Poloxamer 407, and saline to produce an emulsion having
the following composition (% by weight):

The emulsion was filtered through a 0.2 µm filter and vialed in sterile glass vials.
Mean particle size was approximately 50 nM as determined by submicron particle sizer
(Nicomp Model 370), with 99% of the particles less than 80 nm. No evidence of
precipitation or loss of concentration as measured by HPLC was observed for at least
3 months when stored at 4°C.
B. Tocopherol Succinate 7-Ethyl-10-hydroxycamptothecin Emulsion
Tocopherol succinate 7-emyl-10-hydroxycamptothecin, prepared as described in
Example 3, was dissolved in vitarnin E and then emulsified with the use of a
microfluidizer (M110Y Microfluidics) in the presence of TPGS and saline to produce an
emulsion having the following composition (% by weight):

This formulation resulted in a more yellow and thicker emulsion than the
emulsion prepared as described above that included Poloxamer 407. The emulsion was
filtered through a 0.2 urn filter and vialed in sterile glass vials. Mean particle size was

approximately 75 nm as determined by submicron particle sizer (Nicomp Model 370),
with 99% of the particles less than 170 nm. No evidence of precipitation or loss of
concentration as measured by HPLC was observed for at least 3 months when stored at
4°C.
C. Tocopherol Succinate Camptothecin Emulsion
Tocopherol succinate camptothecin, prepared as described in Example 1, was
dissolved in vitamin E and then emulsified with the use of a microfluidizer
(M110Y Microfluidics) in the presence of TPGS, Poloxamer 407, and saline to produce
an emulsion having the following composition (% by weight):

The emulsion was filtered through a 0.2 urn filter and vialed in sterile glass vials.
Mean particle size was approximately 40 nm as determined by submicron particle sizer
(Nicomp Model 370), with 99% of the particles less than 75 nm. No evidence of
precipitation or loss of concentration as measured by HPLC was observed for at least
3 months when stored at 4°C.
D. Tocopherol Succinate Camptothecin Emulsion
Tocopherol succinate camptothecin, prepared as described in Example 1, was
dissolved in vitamin E and then emulsified with the use of a microfluidizer
(Ml 10Y Microfluidics) in the presence of TPGS, Poloxamer 407, and saline to produce
an emulsion having the following composition (% by weight):

The emulsion was filtered through a 0.2 µm filter and vialed in sterile glass vials.
Mean particle size was approximately 30 nm as determined by submicron particle sizer
(Nicomp Model 370), with 99% of the particles less than 100 nm. No evidence of

precipitation or loss of concentration as measured by HPLC was observed for at least
3 months when stored at 4°C.
E. Tocopherol Succinate 7-Ethyl-10-hydroxycamptothecin Emulsion
Tocopherol succinate 7-ethyl-10-hydroxycamptothecin, prepared as described in
Example 3, was dissolved in vitamin E and then emulsified with the use of a
microfluidizer (M110Y Microfluidics) in the presence of TPGS and citric acid buffered
saline to produce an emulsion having the following composition (% by weight):

The emulsion was filtered through a 0.2 µm filter and vialed in sterile glass vials.
Mean particle size was approximately 60 nm as determined by submicron particle sizer
(Nicomp Model 370), with 99% of the particles less than 150 nm. No evidence of
precipitation or loss of concentration as measured by HPLC was observed for at least
3 months when stored at 4°C and 25 °C.
F. Tocopherol Succinate 7-Ethyl-10-hydroxycamptothecin Emulsion
Tocopherol succinate 7-ethyl-10-hydroxycamptothecin, prepared as described in
Example 3, was dissolved in vitamin E and then emulsified with the use of a
microfluidizer (M110Y Microfluidics) in the presence of TPGS and succinate buffered
saline to produce emulsions having the following composition (% by weight):
Formulation 1

The emulsion was filtered through a 0.2 µm filter and vialed in sterile glass vials.
Mean particle size was approximately 70 nm as determined by submicron particle sizer
(Nicomp Model 370), with 99% of the particles less than 170 nm. No evidence of
precipitation or loss of concentration as measured by HPLC was observed for at least
3 months when stored at 4°C and 25°C.

Formulation 2

The emulsion was filtered through a 0.2 µm filter and vialed in sterile glass vials.
Mean particle size was approximately 70 nm as determined by submicron particle sizer
(Nicomp Model 370), with 99% of the particles less than 170 nm. No evidence of
precipitation or loss of concentration as measured by HPLC was observed for at least
1 month when stored at 4°C, 25°C, and 40°C.
Formulation 3

The emulsion was filtered through a 0.2 µm filter and vialed in sterile glass vials.
Mean particle size was approximately 95 nm as determined by submicron particle sizer
(Nicomp Model 370), with 99% of the particles less than 220 nm. No evidence of
precipitation or loss of concentration as measured by HPLC was observed for at least
1 month when stored at 4°C, 25°C, and 40°C.
G. Tocopherol Succinate 7-Ethyl-10-hydroxycamptothecin (VESA-SN38)
Micelle Formulation
Tocopherol succinate 7-ethyl-10-hydroxycamptothecin was dissolved in a mixture
containing TPGS, PEG(300), and ethanol at about 50°C - about 60°C with stirring for
about 1 hour to form a transparent solution. To this solution was added either deionized-
water (DI-water), Poloxamer 407 and DI-water, Poloxamer 188 and DI-water, or 0.9%
NaCl aqueous solution to form Formulations 1-5 respectively below. The formulations
were stirred for a few minutes to form transparent micelle solutions having the following
compositions (% by weight):


The formulation solution was filtered through a 0.2 µm filter and vialed in sterile
glass vials. No evidence of precipitation or loss of concentration as measured by
HPLC was observed for at least 11 weeks when stored at 4°C.

The formulation solution was filtered through a 0.2 µm filter and vialed in sterile
glass vials. No evidence of precipitation or loss of concentration as measured by
HPLC was observed for at least 11 weeks when stored at 4°C.

The formulation solution was filtered through a 0.2 µm filter and vialed in sterile
glass vials. No evidence of precipitation or loss of concentration as measured by
HPLC was observed for at least 11 weeks when stored at 4°C, and 25 °C.


The formulation solution was filtered through a 0.2 µm filter and vialed in sterile
glass vials. No evidence of precipitation or loss of concentration as measured by
HPLC was observed for at least 1 week when stored at 4°C, 25°C, or 40°C.

The formulation solution was filtered through a 0.2 µm filter and vialed in sterile
glass vials. No evidence of precipitation or loss of concentration as measured by
HPLC was observed for at least 3 weeks when stored at 4°C.
H. Tocopherol Succinate 7-Ethyl-10-hydroxycamptothecin (VESA-SN38)
Micelle Formulation
Tocopherol succinate 7-ethyl-10-hydroxycamptothecin was dissolved in a mixture
containing TPGS, PEG(300), and ethanol at about 50°C - about 60°C with stirring for
about 1 hour to form a transparent solution. To this solution was added succinate
buffered saline to form Formulations 1 and 2 below. The formulations were stirred for a
few minutes to form transparent micelle solutions having the following compositions
(% by weight):


The formulation solution was filtered through a 0.2 µm filter and vialed in sterile
glass vials.

The formulation solution was filtered through a 0.2 µm filter and vialed in sterile
glass vials.
EXAMPLE 16
In vitro Stability of Lactone of Representative Tocopherol-Modified
Therapeutic Drug Compounds in Presence of Human Albumin
In this example, the in vitro stability in the presence of human albumin of the
lactone form of representative tocopherol-modified therapeutic drug compounds of the
invention, tocopherol succinate camptothecin and tocopherol succinate 7-ethyl-10-
hydroxycamptothecin, was compared to the in vitro stability of the lactone form of
camptothecin.
Because the lactone (ring E) is a critical moiety for camptothecin activity and it is
reported not to be stable under physiological conditions (pH = 7.4), the stability of the
lactone for tocopherol succinate camptothecin and tocopherol succinate 7-ethyl-10-
hydroxycamptothecin was determined. The solubilization of tocopherol succinate
camptothecin and tocopherol succinate 7-ethyl-10-hydroxycamptothecin in the oil-phase
is thought to protect the lactone from hydrolysis and thus provide improved lactone
stability in physiological conditions. To evaluate lactone stability, a saline buffered
solution (10 mM, pH 7.4) containing 4% human serum albumin was incubated at 37°C in
the presence of camptothecin (dissolved in DMSO), tocopherol succinate camptothecin
emulsion (prepared as described in Example 15C, referred to herein as
"SN2300 emulsion") or tocopherol succinate 7-ethyl-10-hydroxycamptothecin emulsion
(prepared as described in Example 15A, referred to herein as "SN2310 emulsion"). High
performance liquid chromatography with fluorescence detection was used to analyze the
decrease in the concentration of the lactone form over time.

FIGURE 12 illustrates the percent change in concentration of the lactone form
over time for camptothecin, tocopherol succinate camptothecin (SN2300), and tocopherol
succinate 7-ethyl-10-hydroxycamptothecin (SN2310), in the presence of human serum
albumin. The stability of the lactone of tocopherol succinate camptothecin and
tocopherol succinate 7-ethyl-10-hydroxycamptothecin is greater than that of
camptothecin. This dramatic increase in the stability of the lactone may result in
increased activity compared to the unmodified camptothecin parent compound.
EXAMPLE 17
In vitro Cytotoxicity of Representative
Tocopherol-Modified Therapeutic Drug Compounds
In this example, the in vitro cytotoxicty of representative tocopherol-modified
therapeutic drug compounds of the invention, tocopherol succinate camptothecin and
tocopherol succinate 7-ethyl-10-hydroxycamptothecin, was compared to the in vitro
cytotoxicity of camptothecin, 10-hydroxycamptothecin, SN38, irinotecan, and topotecan.
The in vitro cytotoxicity, as measured by GI50 (50% of growth inhibition) values,
of tocopherol succinate camptothecin and tocopherol succinate 7-ethyl- 10-
hydroxycamptothecin was investigated and compared to the National Cancer Institute
(NCI) GI50 values for camptothecin, 10-hydroxycamptothecin, SN-38, irinotecan, and
topotecan in the following cancer cell lines: NCI-H460 (ATCC #HTB-177) (non-small
cell lung), HCT-15 (ATCC #CCL-225) (colorectal), HT-116 (ATCC #CCL-247)
(colorectal), HT-29 (ATCC #HTB-38) (colorectal), MCF-7 (ATCC #HTB-22) (breast),
and OVCAR-3 (ATCC #HTB-161) (ovarian).
The study was performed using emulsion formulations of tocopherol succinate
7-ethyl-10-hydroxycamptothecin (described in Example 15A) and tocopherol succinate
camptothecin (described in Example 15C) diluted in the corresponding cell media. The
cells were in contact with varying concentrations of the test article for a period of
48 hours. At the end of 48 hours, staining with ALAMAR BLUE was performed to
determine the number of viable cells and calculate the degree of cellular growth
inhibition as compared to a control group. The percent of inhibition versus concentration
was fit to the Hill equation to determine concentration that produces 50% of growth
inhibition (GI50).

The sensitivity of the tested cell lines to tocopherol succinate camptothecin
(SN2300), tocopherol succinate 7-ethyl-10-hydroxycamptothecin (SN2310),
camptothecin, irinotecan, and topotecan is illustrated in Table 2 and Figure 13.
Table 2. Comparative drug concentration that produce 50% cell growth inhibition
(GI50).

CPT: Camptothecin; 10-HO-CPT: 10-hydroxycamptothecin; SN38: 7-ethyl-10-
hydroxycamtothecin; VESA-CPT: tocopherol succinate camptothecin;
VESA-SN3 8: tocopherol succinate 7-ethyl-10-hydroxycamothecin.
The results in Table 2 illustrates that formulations of tocopherol-modified
therapeutic drug compounds of the invention provide effective anti-tumor activity.
FIGURE 13 is a plot of the GI50 values (concentration that produces 50% growth
inhibition) determined for tocopherol succinate camptothecin and tocopherol succinate
7-ethyl-10-hydroxycamptothecin in four of the tested cell lines. The values reported by
the NCI in these same cancer cell lines for camptothecin, irinotecan, and topotecan is also
included as comparison. A high GI50 value corresponds to a low drug concentration to
produce 50% inhibition. From the graph, it is clear that the compounds of the invention,

tocopherol succinate camptothecin and tocopherol succinate 7-ethyl-10-
hychoxycamptothecin, show a high level of cytotoxic activity similar to camptothecin.
EXAMPLE 18
Pharmacokinetics of Representative Tocopherol-Modified Therapeutic Drug Compounds
In this example, the pharmacokinetics of representative tocopherol-modified
therapeutic drug compounds of the invention, tocopherol succinate camptothecin and
tocopherol succinate 7-ethyl-10-hydroxycamptothecin, was compared to camptothecin,
irinotecan, and topotecan.
The pharmacokinetic profiles of tocopherol succinate camptothecin and
tocopherol succinate 7-ethyl-10-hydroxy camptothecin were investigated in
Sprague-Dawley rats following a bolus, intravenous administration of emulsion
formulations of the drug compounds (SN2300 emulsion and SN2310 emulsion) via the
lateral tail vein at a dose of approximately 14 mg of drug compound/kg of body weight.
Blood samples were collected for up to 120 hours post dose via the jugular vein. The
concentration of each camptothecin derivative in plasma was determined by high
performance liquid chromatography (HPLC) with fluorescence detection.
A noncompartmental analysis was carried out using WinNonlin (v 4.1).
The pharmacokinetic profiles of tocopherol succinate camptothecin (SN2300) and
tocopherol succinate 7-ethyl-10-hydroxycamptothecin (SN2310) are illustrated in
FIGURES 14A and 14B, respectively. FIGURES 14A and 14B illustrate
concentration-time values after an intravenous injection of 13.8 mg of drug compound/kg
of body weight for tocopherol succinate camptothecin (SN2300 emulsion) and tocopherol
succinate 7-ethyl-10-hydroxycamptothecin (SN2310 emulsion), respectively. Referring
to FIGURES 14A and 14B, a prolonged plasma half-life following intravenous
administration, particularly for tocopherol succinate camptothecin, is shown.
The calculated plasma elimination half-life, mean residence time, and clearance of
tocopherol succinate camptothecin (SN2300), tocopherol succinate 7-ethyl-10-
hydroxycamptothecin (SN2310), camptothecin, irinotecan, and topotecan is provided in
Table 3.
The term "plasma elimination half-life" refers to the time necessary to reduce the
drug concentration in plasma by 50% after equilibrium is reached. The term "elimination
rate constant" refers to the fraction of drug eliminated per unit of time. With first-order
elimination, the rate of elimination is directly proportional to the serum drug

concentration. There is a linear relationship between rate of elimination and serum drug
concentration. Although the amount of drug eliminated in a first-order process changes
with concentration, the fraction of a drug eliminated remains constant.
The term "clearance" refers to a measure of the body's ability to eliminate drug
and is a hypothetical volume of distribution of drug which is cleared per unit time (i.e.,
mL/min) by any pathway of drug removal. It is important to clarify that the clearance
does not indicate how much drug is being removed, rather, the volume of biological fluid
such as blood or plasma that would have to be completely freed of drug to account for the
elimination. The term "volume of distribution" refers to a calculated volume of body
fluid that would be required to dissolve the total amount of drug at the same
concentration as that found in the blood. It is a proportionality constant relating the
amount of drug in the body to the measured concentration in biological fluid (blood,
plasma, serum).
Table 3. Comparative pharmacokinetic parameters following intravenous
administration in rats of tocopherol succinate camptothecin (SN2300) and tocopherol
succinate 7-ethyl-10-hydroxycamptothecin (SN2310) compared to camptothecin,
irinotecan, and topotecan.

aEl-Gizawy SA, Hedaya MA. Cancer Chemother. Pharmacol, 43: 364-370
(1999).
bAtsumi R, Okazaji O Hakusui H. Biol. Pharm. Bull., 18 (8): 1114-1119 (1995).
Table 3 illustrates that the calculated plasma elimination half-life of tocopherol
succinate camptothecin (SN2300) and tocopherol succinate
7-ethyl-10-hydroxycamptothecin (SN2310) is approximately 30-times and 3-times longer
than the commercially available analogs, respectively. The higher mean residence time

(MRT) and lower clearance rate suggest a longer tumor exposure time to these new
derivatives, which may indicate a potential for increased chemotherapeutic effect.
Through lipophilic modification of therapeutic drug compounds, the plasma
elimination half-life of the parent therapeutic drug compound can be increased. The
compounds of the invention, by virtue of the lipophilic moiety (e.g., tocopherol moiety),
have increased plasma elimination half-life compared to the parent therapeutic drug. As
illustrated above for tocopherol succinate camptothecin and tocopherol succinate
7-ethyl-10-hydroxycamptothecin, the plasma elimination half-life is significantly
increased compared to the parent compounds.
EXAMPLE 19
In vivo Anti-Tumor Activity of Representative Tocopherol-Modified
Therapeutic Drug Compounds in Human Tumor Xenographs
In this example, the in vivo anti-tumor activity of representative
tocopherol-modified therapeutic drug compounds of the invention, tocopherol succinate
camptothecin and tocopherol succinate 7-ethyl-10-hydroxycamptothecin, was compared
to the anti-tumor effect of irinotecan.
NCI-H460 Human Tumor Xenograft. Athymic mice were subcutaneously
implanted with a cell suspension (107 cells/mouse). When tumors reached an appropriate
size, animals were randomized into groups of eight and intravenously administered the
following compounds at a dose of 15 mg of drug compound/kg of body weight on a
schedule of qldx5 for two consecutive weeks:
Saline-control group
Irinotecan
SN2300 emulsion
SN2310 emulsion
HT-29 Human Tumor Xenograft. Athymic mice were subcutaneously implanted
with 30-40 mg tumor fragments using 12-gauge trocar needles. A sufficient number of
mice were implanted with fragments so tumors in narrow weight range (100-200 mg)
were selected for the trial on staging day (SD). The animals selected with tumors in the
proper size range were randomized into six groups of 10 animals and intravenously
administered the following test compounds:


In both xenograph studies, animal body weights and tumors were measured twice
weekly following the initiation of dosing. The tumor measurements were performed using
a caliper (millimeters); the tumor volume was calculated based on the formula:
(Length x width2) / 2 = Volume (mm3).
The anti-tumor effect of SN2300 and SN2310 emulsions administered to athymic
mice implanted with NCI-H460 human tumor cells and HT-29 human tumor cells is
graphically represented in FIGURES 15A and 15B, respectively. Although the
SN2300 emulsion showed little to no anti-rumor effect in this model, the
SN2310 emulsion exhibited substantial anti-tumor effect as compared to both saline
control and irinotecan.
The calculated tumor response parameters for the HT-29 xenograft study is
provided in Table 4. Fifty-five days after dose initiation, 30% of mice in the control
group were sacrificed because of tumor size (>4000 mm3) and the median tumor size was
3136 mm3. At this same timepoint, 80% of the mice in the SN2310 (q3dx10) group
presented no measurable tumor. In addition, the SN2310 (qldx5) group had a median
tumor size of 126 mm with 40% having no measurable tumor. At the same time, the
irinotecan group showed a median tumor size of 1637 mm . The results indicate that the
administration of SN2310 produces significant anti-tumor activity.
Table 4. Calculated Tumor Response Parameters from the HT-29 Xenograft
Study.



* 90% of tumors in this group had still not reached maximum pre-determined size.
T-C = Median Time for Treatment group (T) and Control group (C) to reach a
predetermined size.
%T/C = (Treated median tumor weight)/(Control median tumor weight)
x 100 (at Day 55).
While the preferred embodiment of the invention has been illustrated and
described, it will be appreciated that various changes can be made therein without
departing from the spirit and scope of the invention.

WE CLAIM :
1. A tocopherol modified compound having the formula

wherein T is a tocopherol moiety;
L is a linker moiety, such as herein described;
D is a therapeutic drug moiety selected from a taxane, a taxane derivative, such as
herein described, camptothecin, or a camptothecin derivative, such as herein described;
n = 0, 1, 2, or 3;
m = 0, 1, 2, or 3; and
m + n = 1, 2, or 3;
wherein the n T-L tocopherol moieties are covalently coupled to the therapeutic drug
moiety through the linker moiety and the m lipophilic moieties are covalently coupled to the
therapeutic drug moiety.
2. The compound as claimed in Claim 1, wherein the linker moiety is a
succinate.
3. The compound as claimed in Claim 1, wherein the therapeutic drug moiety is
paclitaxel or a derivative thereof, such as herein described.
4. The compound as claimed in Claim 1, wherein the therapeutic drug moiety is
docetaxel or a derivative thereof, such as herein described.
5. The compound as claimed in Claim 1, wherein the therapeutic drug moiety is
10-hydroxycamptothecin or a derivative thereof, such as herein described.
6. The compound as claimed in Claim 1, wherein the therapeutic drug moiety is
7-ethyl-10-hydroxycamptothecin or a derivative thereof, such as herein described.

7. The compound as claimed in Claim 1, wherein n = 0.
8. The compound as claimed in Claim 1, wherein m = 0.
9. The compound as claimed in Claim 1, wherein m = 0 and n = 1.
10. The compound as claimed in Claim 1, wherein m = 0 and n = 2.

11. The compound as claimed in Claim 1, wherein the compound is tocopherol
succinate paclitaxe.
12. The compound as claimed in Claim 1, wherein the compound is tocopherol
succinate docetaxel.
13. The compound as claimed in Claim 1, wherein the compound is tocopherol
succinate camptothecin.
14. The compound as claimed in Claim 1, wherein the compound is tocopherol
succinate 10-hydroxycamptothecin.
15. The compound as claimed in Claim 1, wherein the compound is tocopherol
succinate 7-ethyl-10-hydroxycamptothecin.
16. A compound as claimed in any one of Claims 1-15 for treating a cell
proliferative disease.
17. A compound as claimed in any one of Claims 1-15 in the manufacture of a
medicament.

Tocopherol - modified therapeutic drug compounds; emulsion, microemulsion, and
micelle formulations that include the compounds; methods for making the compounds and
formulations.

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Patent Number 254788
Indian Patent Application Number 1255/KOLNP/2006
PG Journal Number 51/2012
Publication Date 21-Dec-2012
Grant Date 18-Dec-2012
Date of Filing 12-May-2006
Name of Patentee SONUS PHARMACEUTICALS, INC.
Applicant Address 22026, 20TH AVENUE SE, BOTHELL, WA 98021
Inventors:
# Inventor's Name Inventor's Address
1 ZHANG, YUEHUA 18320, 28TH DRIVE SE, BOTHELL, WA 98012
2 GOLD, LYNN, C 4800 N.FREMONT AVENUE, #224, SEATTLE, WA 98130
PCT International Classification Number A61K 31/337
PCT International Application Number PCT/US2004/036127
PCT International Filing date 2004-10-29
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 60/556,137 2004-03-24 U.S.A.
2 60/515,364 2003-10-29 U.S.A.
3 60/558,762 2004-04-01 U.S.A.
4 60/621,655 2004-10-26 U.S.A.