Methods and compositions for reducing side effects in chemotherapeutic treatments

Abstract

A pharmaceutical compound and a process for making the compound is provided where the compound includes a therapeutic agent, a spacer and a galactose, the spacer being covalently linked to the therapeutic agent at a first site on the spacer and covalently linked to the galactose by an ether bond at a second site on the spacer to form a conjugate. The conjugate may be used to treat a subject suffering from a medical condition, so as to reduce the side effects associated with the therapeutic agent by administering an effective dose of the conjugate to the subject so that the side effects in the subject are less then they would have been with the unconjugated therapeutic agent.

What is claimed is:  
     
         1 . A pharmaceutical compound, comprising: a therapeutic agent, a spacer and a galactose, the spacer being covalently linked to the therapeutic agent at a first site on the spacer and at a second site on the spacer, being covalently linked via an ether linkage with the galactose.  
     
     
         2 . A pharmaceutical compound according to  claim 1 , wherein the spacer is polyhydroxylated.  
     
     
         3 . A pharmaceutical compound according to  claim 2 , wherein the spacer is a selected from an aldose and a ketose.  
     
     
         4 . A pharmaceutical compound according to  claim 1 , further comprising the agent linked to —CH 2 —(CHOH) n —CH 2 —O— (Galactose) where n=≧0 and <20.  
     
     
         5 . A pharmaceutical compound according to  claim 1 , further comprising the agent linked to  
       
         
           
           
               
               
           
         
       
       where n=≧0 and <20 and m=≧0 and <20  
     
     
         6 . A pharmaceutical compound according to  claim 3 , wherein the spacer is an open chain saccharide selected from a triose, a tetrose, a pentose, a hexose and a septose.  
     
     
         7 . A pharmaceutical compound according to  claim 1 , wherein the first site is separated from the second site by at least two carbon atoms.  
     
     
         8 . A pharmaceutical compound according to  claim 3 , wherein the spacer is an open chain hexose.  
     
     
         9 . A pharmaceutical compound according to  claim 1 , wherein a covalent linkage is formed with a reactive group on the therapeutic agent, the reactive group being selected from an amino group, a alkoxy group, a hydroxy group, a carbonyl group, a carboxylic group, a halogen and a thiol group.  
     
     
         10 . A pharmaceutical compound according to  claim 1 , wherein the therapeutic agent is Adriamycin.  
     
     
         11 . A pharmaceutical compound according to  claim 10 , wherein the spacer is covalently linked to an amine group on the daunosamine.  
     
     
         12 . A pharmaceutical compound according to  claim 8 , wherein the galactose is linked to the spacer by means of a glycosidic linkage  
     
     
         13 . A pharmaceutical compound according to  claim 1 , further comprising N-[β-D-galactopyranosyl-(1→4)-β-O-D-sorbityl]doxorubicin.  
     
     
         14 . A pharmaceutical compound according to  claim 1 , further comprising N-[α-D-galactopyranosyl-(1→6)-β-O-D-sorbityl]doxorubicin.  
     
     
         15 . A pharmaceutical preparation, comprising: an effective dose of a compound according to  claim 1  and a pharmaceutically acceptable excipient.  
     
     
         16 . A method for synthesizing a pharmaceutical compound, comprising: 
 (a) providing (i) a therapeutic agent; and (ii) a spacer linked to galactose;    (b) protecting reactive groups on the therapeutic agent other than at a reactive site for linking to the spacer;    (c) reacting the protected therapeutic agent with the spacer linked to galactose; and    (d) deprotecting the therapeutic agent to form the pharmaceutical compound.    
     
     
         17 . A method according to  claim 16 , wherein the spacer linked to galactose has a formula:  
       
         
           
           
               
               
           
         
       
       where n=≧0 and <20.  
     
     
         18 . A method according to  claim 16 , wherein the spacer linked to galactose has a formula:  
       
         
           
           
               
               
           
         
       
       where n=≧0 and ≦20 and m=≧0 and ≦20  
     
     
         19 . A method according to  claim 16 , wherein the spacer is an aldose or ketose.  
     
     
         20 . A method according to  claim 19 , wherein the spacer is a hexose.  
     
     
         21 . A method of treating a chronic disease in a subject, comprising: administering to a subject, an effective dose of a pharmaceutical compound linked via a spacer to a galactose.  
     
     
         22 . A method of treating a subject suffering from a medical condition, so as to reduce side effects associated with a therapeutic agent selected for treating the condition without substantially reducing efficacy of the agent, comprising: 
 (a) providing as a conjugate, the therapeutic agent covalently linked to a spacer at a first site and the spacer being covalently linked to galactose at a second site; and    (b) administering an effective dose of the conjugate to the subject so that the side effects in the subject are less then they would have been with the unconjugated therapeutic agent.    
     
     
         23 . A method according to  claim 22 , wherein the medical condition is selected from a proliferative disease, high cholesterol, depression, asthma, hypertension and bacterial infections.  
     
     
         24 . A method according to  claim 22 , wherein the proliferative disease is a tumor.  
     
     
         25 . A method according to  claim 22 , wherein the proliferative disease is lymphocytic leukemia.  
     
     
         26 . A method according to  claim 22 , wherein the therapeutic agent is Adriamycin.  
     
     
         27 . A method according to  claim 22 , wherein the spacer is selected from a ketose and an aldose.  
     
     
         28 . A method according to  claim 22 , wherein the galactose is linked via an ether linkage to the galactose.  
     
     
         29 . A method according to  claim 22 , wherein the spacer is selected from 
 (agent) —CH 2 —(CHOH) n —CH2-O— (Galactose) where n=≧0 and <20, or                          where n=≧0 and <20 and m=≧0 and <20.    
     
     
         30 . A method according to  claim 22 , wherein the conjugate is selected from N-[β-D-galactopyranosyl-(1→4)-β-O-D-sorbityl]doxorubicin and N-[α-D-galactopyranosyl-(1→6)-β-O-D-sorbityl]doxorubicin.