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Title:
METHODS AND COMPOUNDS FOR THE TREATMENT OF NEOPLASMS
Document Type and Number:
WIPO Patent Application WO/2005/117847
Kind Code:
A2
Abstract:
The invention features compounds of 'formula (I) and their use in preparing 'medicaments for treating a patient having a cancer or other neoplasm. R' R9 R8 R N R7

Inventors:
KEITH CURTIS (US)
LEE MARGARET S (US)
FOLEY MICHAEL A (US)
STOCKWELL BRENT R (US)
Application Number:
PCT/US2005/019324
Publication Date:
December 15, 2005
Filing Date:
June 01, 2005
Export Citation:
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Assignee:
COMBINATORX INC (US)
KEITH CURTIS (US)
LEE MARGARET S (US)
FOLEY MICHAEL A (US)
STOCKWELL BRENT R (US)
International Classes:
A61K31/00; C07D279/28; (IPC1-7): A61K31/00
Foreign References:
GB1602110A1981-11-04
FR8293M1970-11-16
US6569853B12003-05-27
Other References:
RAJASEKARAN A ET AL: "Synthesis and analgesic evaluation of some 5-Äbeta-(10-phenothiazinyl )ethylÜ-1-(acyl)-1,2,3,4-tetrazoles" EUROPEAN JOURNAL OF MEDICINAL CHEMISTRY, EDITIONS SCIENTIFIQUE ELSEVIER, PARIS, FR, vol. 39, no. 3, March 2004 (2004-03), pages 273-279, XP004499763 ISSN: 0223-5234
ALBRECHT, B. ET AL: "Phenothiazine derivatives. 17. Conversion of [2- or 3-methylphenothiazin-10-ylÜpropionic acid hydrazides to heterocycles" PHARMAZIE , 27(5), 282-7 CODEN: PHARAT; ISSN: 0031-7144, 1972, XP002348695
DATABASE CAPLUS [Online] CHEMICAL ABSTRACTS SERVICE, COLUMBUS, OHIO, US; 1964, NAKANISHI: "Phenothiazine derivatives" XP002348698 retrieved from STN Database accession no. 1964:432490 -& JP 39 004634 B1 (YOSHITOMI) 16 April 1964 (1964-04-16)
GODEFROI, ERIK F. ET AL: "Preparation of some derivatives of .beta.-(10- phenothiazinyl)propionic acid and .beta.-(2-chloro-10- phenothiazinyl)propionic acid" JOURNAL OF ORGANIC CHEMISTRY , 21, 1163-8 CODEN: JOCEAH; ISSN: 0022-3263, 1956, XP002348696
Attorney, Agent or Firm:
Clark, Paul T. (101 Federal Street Boston, MA, US)
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Claims:
CLAIMS
1. A compound having the formula I: or a pharmaceutically acceptable salt or prodrug thereof, wherein R.
2. is selected from the group consisting of: H, CF3, halo, OCH3, COCH3, CN, OCF3, COCH2CH3, CO(CH2)2CH3, and SCH2CH3; each of R1, R3, R4, R5, R6, R7, and R8 is independently H, OH, F, OCF3, or OCH3; W is selected from the group consisting of: O, S, NH, S(O), S(O)2, CH2, and CH=CH; and R9 is selected from the group consisting of: X1 is CH2 or NR16, wherein NR16 is H or C16 alkyl; X2 is CH or N; each of Y and Z is, independently, O, CH2, or NR17, wherein NR17 is H or C16 alkyl; each of A and B is, independently, an optionally substituted C6 or Ci0 aryl or an optionally substituted C29 heteroaryl, each of R10 and R11 is, independently wherein R13 is H, C1C6 alkyl, QC8 cycloalkyl, C2C12 alkoxyalkyl, C2C6 hydroxyalkyl, C1C6 alkylamino C2C6 alkyl, amino C1C6 alkyl, or C6 or C10 aryl, R14 is H, C1C6 alkyl, C1C8 cycloalkyl, C1C6 alkyloxy, C2 C]2 alkoxyalkyl, C2C6 hydroxyalkyl, C3C]2 alkylaminoalkyl, C4Cj2 dialkylaminoalkyl, C2C6 aminoalkyl, or C6 orCio aryl, and R12 is H, OH, or C1C6 alkyloxy, carbonyl(QC6 alkoxy), carbonyl(C7i6 aralkoxy), carbonyl(C6 or Q0 aryloxy), or R12 and R13 together represent wherein each of R15, R16, and R17 is, independently, H, CjC6 alkyl, halogen, or trifluoromethyl, each of R18, R19, R20, and R21 is, independently, H or QC6 alkyl, and R is H, halogen, trifluoromethyl, OCF3, NO2, CiC6 alkyl, QC8 cycloalkyl, QC6 alkyloxy, C2Ci2 alkoxyalkyl, C2C6 hydroxyalkyl, C3Cj2 alkylaminoalkyl, C4Cj2 dialkylaminoalkyl, C2C6 aminoalkyl, or C6 or Cj0 aryl; q is 2 or 3; each of m and o is, independently, 2 or 3; and each of n and p is, independently, 0 or 1.
3. 2 The compound of claim 1 , wherein W is S, NH, S(O), S(O)2.
4. The compound of claim 2, wherein W is S.
5. The compound of claim 1 , wherein R9 is.
6. The compound of claim 1 , wherein R9 is.
7. The compound of claim 1 , wherein R9 is.
8. The compound of claim 6, wherein each of m and n is 2; each of n and p is 0; q is 3; each of Y and Z is O; and each of AR10 and BR1 x is.
9. The compound of claim 1 , wherein R9 is.
10. The compound of claim 8, wherein each of m and n is 2; each of n and p is 0; q is 3; each of Y and Z is O; X2 is N; and each of AR10 and BR11 is.
11. Use of a compound of formula I in the preparation of a medicament for treating a patient having a neoplasm, wherein said compound of formula I is: or a pharmaceutically acceptable salt or prodrug thereof, wherein R2 is selected from the group consisting of: H, CF3, halo, OCH3, COCH3, CN, OCF3, COCH2CH3, CO(CH2)2CH3, and SCH2CH3; each of R1, R3, R4, R5, R6, R7, and R8 is independently H, OH, F, OCF3, or OCH3; W is selected from the group consisting of: O, S, NH, S(O), S(O)2, CH2, and CH=CH; and R9 is selected from the group consisting of: X1 is CH2 or NR16, wherein NR16 is H or C16 alkyl; X2 is CH or N; each of Y and Z is, independently, O, CH2, or NR17, wherein NR17 is H or Ci6 alkyl; each of A and B is, independently, an optionally substituted C6 or C)0 aryl or an optionally substituted C29 heteroaryl, each of R10 and R11 is, independently wherein R13 is H, C, C6 alkyl, Q C8 cycloalkyl, C2C12 alkoxyalkyl, C2C6 hydroxyalkyl, CpC6 alkylamino C2C6 alkyl, amino CpC6 alkyl, or C6 or C10 aryl, R14 is H, C1C6 alkyl, C1C8 cycloalkyl, C1C6 alkyloxy, C2 Ci2 alkoxyalkyl, C2C6 hydroxyalkyl, C3Cj2 alkylaminoalkyl, C4Cj2 dialkylaminoalkyl, C2C6 aminoalkyl, or C6 OrC10 aryl, and R12 is H, OH, or C]C6 alkyloxy, carbonyl(C]C6 alkoxy), carbonyl(C716 aralkoxy), carbonyl(C6 or do aryloxy), or R and R together represent wherein each of R15, R16, and R17 is, independently, H, CpC6 alkyl, halogen, or trifluoromethyl, each of R18, R19, R20, and R21 is, independently, H or CpC6 alkyl, and R22 is H, halogen, trifluoromethyl, OCF3, NO2, CpC6 alkyl, C1C8 cycloalkyl, CpC6 alkyloxy, C2C12 alkoxyalkyl, C2C6 hydroxyalkyl, C3C12 alkylaminoalkyl, C4Ci2 dialkylaminoalkyl, C2C6 aminoalkyl, or C6 or Ci0 aryl; q is 2 or 3; each of m and o is, independently, 2 or 3; and each of n and p is, independently, 0 or 1.
12. The use of claim 10, wherein said neoplasm is cancer.
13. The use of claim 11, wherein said cancer is selected from the group consisting of acute leukemia, acute lymphocytic leukemia, acute myelocytic leukemia, acute myeloblastic leukemia, acute promyelocytic leukemia, acute myelomonocytic leukemia, acute monocytic leukemia, acute erythroleukemia, chronic leukemia, chronic myelocytic leukemia, chronic lymphocytic leukemia, polycythemia vera, Hodgkin's disease, non Hodgkin's disease, Waldenstrom's macroglobulinemia, heavy chain disease, fibrosarcoma, myxosarcoma, liposarcoma, chondrosarcoma, osteogenic sarcoma, chordoma, angiosarcoma, endotheliosarcoma, lymphangiosarcoma, lymphangioendotheliosarcoma, synovioma, mesothelioma, Ewing's tumor, leiomyosarcoma, rhabdomyosarcoma, colon carcinoma, pancreatic cancer, breast cancer, ovarian cancer, prostate cancer, squamous cell carcinoma, basal cell carcinoma, adenocarcinoma, sweat gland carcinoma, sebaceous gland carcinoma, papillary carcinoma, papillary adenocarcinomas, cystadenocarcinoma, medullary carcinoma, bronchogenic carcinoma, renal cell carcinoma, hepatoma, bile duct carcinoma, choriocarcinoma, seminoma, embryonal carcinoma, WiIm 's tumor, cervical cancer, uterine cancer, testicular cancer, lung carcinoma, small cell lung carcinoma, bladder carcinoma, epithelial carcinoma, glioma, astrocytoma, medulloblastoma, craniopharyngioma, ependymoma, pinealoma, hemangioblastoma, acoustic neuroma, oligodendriglioma, schwannoma, meningioma, melanoma, neuroblastoma, and retinoblastoma.
14. The use of claim 11 , wherein said medicament is administered to said patient in addition to a second treatment for cancer, wherein said medicament and said second treatment are administered within 6 months of each other.
15. The use of claim 13, wherein said second treatment comprises surgery, radiation therapy, chemotherapy, immunotherapy, antiangiogenesis therapy, or gene therapy.
16. The use of claim 13, wherein said second treatment comprises chemotherapy with one or more Group A antiproliferative agents.
17. The use of claim 15, wherein said antiproliferative agent is selected from bleomycin, carmustine, cisplatin, daunorubicin, etoposide, melphalan, mercaptopurine, methotrexate, mitomycin, vinblastine, paclitaxel, docetaxel, vincristine, vinorelbine, cyclophosphamide, chlorambucil, gemcitabine, capecitabine, 5fluorouracil, fludarabine, raltitrexed, irinotecan, topotecan, doxorubicin, epirubicin, letrozole, anastrazole, formestane, exemestane, tamoxifen, toremofϊne, goserelin, leuporelin, bicalutamide, flutamide, nilutamide, hypericin, trastuzumab, and rituximab, or any combination thereof.
18. The use of claim 16, wherein said cancer is lung cancer.
19. The use of claim 17, wherein said lung cancer is selected from the group consisting of squamous cell carcinoma, adenocarcinoma, and large cell carcinoma.
20. The use of claim 11, wherein said cancer is colon cancer.
21. The use of claim 11, wherein said cancer is a cancer of the ovary.
22. The use of claim 20, wherein said cancer of the ovary is adenocarcinoma.
23. The use of claim 11 , wherein said cancer is prostate cancer.
24. Use of a compound of formula I in the preparation of a medicament for inhibiting the development of a neoplasm in a patient, wherein said compound of formula I is: or a pharmaceutically acceptable salt or prodrug thereof, wherein R2 is selected from the group consisting of: H, CF3, halo, OCH3, COCH3, CN, OCF3, COCH2CH3, CO(CH2)2CH3, and SCH2CH3; each of R1, R3, R4, R5, R6, R7, and R8 is independently H, OH, F, OCF3, or OCH3; W is selected from the group consisting of: O, S, NH, S(O), S(O)2, CH2, and CH=CH; and R9 is selected from the group consisting of: wherein X1 is CH2 or NR16, wherein NR16 is H or C16 alkyl; X2 is CH or N; each of Y and Z is, independently, O, CH2, or NR17, wherein NR17 is H or C16 alkyl; each of A and B is, independently, an optionally substituted C6 or C10 aryl or an optionally substituted C29 heteroaryl, each of R10 and R11 is, independently wherein R13 is H, CpC6 alkyl, CpC8 cycloalkyl, C2Ci2 alkoxyalkyl, C2C6 hydroxyalkyl, CpC6 alkylamino C2C6 alkyl, amino CpC6 alkyl, or C6 or C10 aryl, R14 is H, C1C6 alkyl, C1C8 cycloalkyl, CpC6 alkyloxy, C2 Cj2 alkoxyalkyl, C2C6 hydroxyalkyl, C3Ci2 alkylaminoalkyl, C4Ci2 dialkylaminoalkyl, C2C6 aminoalkyl, or C6 orCio aryl, and R12 is H, OH, or CpC6 alkyloxy, carbonyl(CrC6 alkoxy), carbonyl(C7i6 aralkoxy), carbonyl(C6 or Ci0 aryloxy), or R12 and R13 together represent R15 R16, R17, N=N , R19 R20 , or R22 , wherein each of R15, R16, and R17 is, independently, H, C1C6 alkyl, halogen, or trifluoromethyl, each of R18, R19, R20, and R21 is, independently, H or CpC6 alkyl, and R22 is H, halogen, trifluoromethyl, OCF3, NO2, C1C6 alkyl, CpC8 cycloalkyl, CpC6 alkyloxy, C2C2 alkoxyalkyl, C2C6 hydroxyalkyl, C3Cj2 alkylaminoalkyl, C4Ci2 dialkylaminoalkyl, C2C6 aminoalkyl, or C6 or Ci0 aryl; q is 2 or 3; each of m and o is, independently, 2 or 3; and each of n and p is, independently, 0 or 1.
25. A pharmaceutical composition comprising a compound having the formula: or a pharmaceutically acceptable salt or prodrug thereof, wherein R2 is selected from the group consisting of: H, CF3, halo, OCH3, COCH3, CN, OCF3, COCH2CH3, CO(CH2)2CH3, and SCH2CH3; each of R1, R3, R4, R5, R6, R7, and R8 is independently H, OH, F, OCF3, or OCH3; W is selected from the group consisting of: O, S, NH, S(O), S(O)2, CH2, and CHCH; and R9 is selected from the group consisting of: and wherein X1 is CH2 or NR16, wherein NR16 is H or C16 alkyl; X2 is CH or N; each of Y and Z is, independently, O, CH2, or NR17, wherein NR17 is H or C16 alkyl; each of A and B is, independently, an optionally substituted C6 or C10 aryl or an optionally substituted C29 heteroaryl, each of R10 and R11 is, independently wherein R13 is H, C1C6 alkyl, C1C8 cycloalkyl, C2C12 alkoxyalkyl, C2C6 hydroxyalkyl, C1C6 alkylamino C2C6 alkyl, amino C1C6 alkyl, or C6 or C10 aryl, R14 is H, C1C6 alkyl, CrC8 cycloalkyl, QC6 alkyloxy, C2 Ci2 alkoxyalkyl, C2C6 hydroxyalkyl, C3Ci2 alkylaminoalkyl, C4Ci2 dialkylaminoalkyl, C2C6 aminoalkyl, or C6 orCio aryl, and R12 is H, OH, or CpC6 alkyloxy, carbonyl(CiC6 alkoxy), carbonyl(C7i6 aralkoxy), carbonyl(C6 or Ci0 aryloxy), or R12 and R13 together represent wherein each of R15, R16, and R17 is, independently, H, CpC6 alkyl, halogen, or trifluoromethyl, each of R18, R19, R20, and R21 is, independently, H or C1C6 alkyl, and R22 is H, halogen, trifluoromethyl, OCF3, NO2, C1C6 alkyl, C1C8 cycloalkyl, C1C6 alkyloxy, C2C12 alkoxyalkyl, C2C6 hydroxyalkyl, C3C12 alkylaminoalkyl, C4Cj2 dialkylaminoalkyl, C2C6 aminoalkyl, or C6 or C1O aryl; q is 2 or 3; each of m and o is, independently, 2 or 3; and each of n and p is, independently, 0 or 1.
Description:
METHODS AND COMPOUNDS FOR THE TREATMENT OF NEOPLASMS The present invention features compounds useful in the treatment of neoplasms. Accordingly, the invention features compounds having the formula I:

or a pharmaceutically acceptable salt or prodrug thereof, wherein R2 is selected from the group consisting of: H, CF3, halo, OCH3, COCH3, CN, OCF3, COCH2CH3, CO(CH2)2CH3, and SCH2CH3; each of R1, R3, R4, R5, R6, R7, and R8 is independently H, OH, F, OCF3, or OCH3; W is selected from the group consisting of: O, S, NH, S(O), S(O)2, CH2, and CH-CH; and R9 is selected from the group consisting of:

wherein X1 is CH2 or NR16, where NR16 is H or C1-6 alkyl; X2 is CH or N; each of Y and Z is, independently, O, CH2, or NR17, where NR17 is H or Ci-6 alkyl; each of A and B is, independently, an optionally substituted C6 or Ci0 aryl or an optionally substituted C2-9 heteroaryl; each of R10 and R11 is, independently

s R13

R14 , where R13 is H, C1-C6 alkyl, C1-C8 cycloalkyl, C2-C12 alkoxyalkyl, C2-C6 hydroxyalkyl, Ci-C6 alkylamino C2-C6 alkyl, amino CpC6 alkyl, or C6 or Ci0 aryl, R14 is H, C, -C6 alkyl, C,-C8 cycloalkyl, CpC6 alkyloxy, C2-Q2 alkoxyalkyl, C2-C6 hydroxyalkyl, C3-Cj2 alkylaminoalkyl, C4-Ci2 dialkylaminoalkyl, C2-C6 aminoalkyl, or C6 orQo aryl, and R12 is H, OH, or Cp C6 alkyloxy, carbonyl(Ci-C6 alkoxy), carbonyl(C7-i6 aralkoxy), carbonyl(C6 or Cio aryloxy), or R12 and R13 together represent

R15 R16, R17, where each of R15, R16, and R17 is, independently, H, CpC6 alkyl, halogen, or trifluoromethyl, each of R18, R19, R20, and R21 is, independently, H or C1-C6 alkyl, and R22 is H, halogen, trifluoromethyl, OCF3, NO2, CpC6 alkyl, C1-C8 cycloalkyl, CpC6 alkyloxy, C2-Cj2 alkoxyalkyl, C2-C6 hydroxyalkyl, C3-C]2 alkylaminoalkyl, C4-C12 dialkylaminoalkyl, C2-C6 aminoalkyl, or C6 or C10 aryl; q is 2 or 3; each of m and o is, independently, 2 or 3; and each of n and p is, independently, 0 or 1. Preferably W is S, NH, S(O), S(O)2, and most preferably, W is S. In one embodiment, R9 is

In another embodiment, R is

In another embodiment, R9 is

Preferred compounds of this embodiment are those in which m and n is 2; each of n and p is 0; q is 3; each of Y and Z is O; X1 is NR16, and each of — A-R10 and -B-R11 is

Examples of preferred compounds include compounds of Formula III:

(Ill), where R2 is H, Cl or CF3 and R . 1160 is H or CH3. In yet another embodiment, R9 is

Preferred compounds of this embodiment are those in which m and n is 2; each i o off n n a anndd p p is 0; q is 3; each of Y and Z is O; X2 is N; and each of -A- R10 and -B-R11 is

Examples of preferred compounds include compounds of Formula III:

where R2 is H, Cl or CF3 and R16 is H or CH3. In one example R2 is CF3 (compound 1). In another example R2 is H (compound 2). In yet another example, R2 is Cl (compound 3). The invention also features compositions that include a compound of formula (I) a pharmaceutically acceptable carrier. In a related aspect, the invention features another method for treating a patient having a neoplasm, by administering to the patient a first compound having the formula I:

or a pharmaceutically acceptable salt or prodrug thereof, wherein R2 is selected from the group consisting of: H, CF3, halo, OCH3, COCH3, CN, OCF3, COCH2CH3, CO(CH2)2CH3, and SCH2CH3; each of R1, R3, R4, R5, R6, R7, and R8 is independently H, OH, F, OCF3, or OCH3; W is selected from the group consisting of: O, S, NH, S(O), S(O)2, CH2, and CH=CH; and R9 is selected from the group consisting of: (CH2)S-Y-(CH2)H-A-R10

( /10 ( . __ . . _,„ f (CH2)O-Z-(CH2)P-B-R" ( fq _ ( ft N(CH2)o-Z-(CH2)p-A-R10_ J )

wherein X1 is CH2 or NR16, where NR16 is H or C1-6 alkyl; X2 is CH or N; each of Y and Z is, independently, O, CH2, or NR17, where NR17 is H or Ci-6 alkyl; each of A and B is, independently, an optionally substituted C6 or C1O aryl or an optionally substituted C2-9 heteroaryl; each of R10 and R1 1 is, independently

where R13 is H, C1-C6 alkyl, Q-C8 cycloalkyl, C2-C12 alkoxyalkyl, C2-C6 hydroxyalkyl, CpC6 alkylamino C2-C6 alkyl, amino CpC6 alkyl, or C6 or Cj0 aryl, R14 is H, C1-C6 alkyl, C1-C8 cycloalkyl, C1-C6 alkyloxy, C2-C]2 alkoxyalkyl, C2-C6 hydroxyalkyl, C3-Ci2 alkylaminoalkyl, C4-Ci2 dialkylaminoalkyl, C2-C6 aminoalkyl, or C6 OrQ0 aryl, and R12 is H, OH, or Q- C6 alkyloxy, carbonyl(C]-C6 alkoxy), carbonyl(C7-i6 aralkoxy), carbonyl(C6 or Cio aryloxy), or R12 and R13 together represent

R15 R16, R17 where each of R15, R16, and R17 is, independently, H, CpC6 alkyl, halogen, or trifluoromethyl, each of R18, R19, R20, and R21 is, independently, H or CrC6 alkyl, and R22 is H, halogen, trifluoromethyl, OCF3, NO2, CrC6 alkyl, CpC8 cycloalkyl, CpC6 alkyl oxy, C2-Cj2 alkoxyalkyl, C2-C6 hydroxyalkyl, C3-Ci2 alkylaminoalkyl, C4-C12 dialkylaminoalkyl, C2-C6 aminoalkyl, or C6 or Ci0 aryl; q is 2 or 3; each of m and o is, independently, 2 or 3; and each of n and p is, independently, 0 or 1. The methods of the invention can include administration to a patient a compound of formula (I) by intravenous, intramuscular, inhalation, rectal, or oral administration. In another aspect, the invention features a method for treating a patient having a neoplasm, such as cancer, that further includes, in a additon to administering to the patient a compound of formula (I), administering to the patient an additional treatment for cancer, with the additional treatment and the treatment with a compound of formula (I) within six months of each other. The additional treatment can be surgery, radiation therapy, chemotherapy, immunotherapy, anti-angiogenesis therapy, or gene therapy. Preferably, the additional treatment is chemotherapy with an antiproliferative agent. Most preferably, the additional treatment includes administering to a patient a Group A anti-proliferative agent, as defined below. Preferred agents include bleomycin, carmustine, cisplatin, daunorubicin, etoposide, melphalan, mercaptopurine, methotrexate, mitomycin, vinblastine, paclitaxel, docetaxel, vincristine, vinorelbine, cyclophosphamide, chlorambucil, gemcitabine, capecitabine, 5-fluorouracil, fludarabine, raltitrexed, irinotecan, topotecan, doxorubicin, epirubicin, letrozole, anastrazole, formestane, exemestane, tamoxifen, toremofine, goserelin, leuporelin, bicalutamide, flutamide, nilutamide, hypericin, trastuzumab, or rituximab, or any combination thereof. Cancers treated according to any of the methods of the invention can be, for example, leukemias (e.g., acute leukemia, acute lymphocytic leukemia, acute myelocytic leukemia, acute myeloblastic leukemia, acute promyelocytic leukemia, acute myelomonocytic leukemia, acute monocytic leukemia, acute erythroleukemia, chronic leukemia, chronic myelocytic leukemia, chronic lymphocytic leukemia), polycythemia vera, lymphoma (Hodgkin's disease, non-Hodgkin's disease), Waldenstrom's macroglobulinemia, heavy chain disease, and solid tumors such as sarcomas and carcinomas (e.g., fibrosarcoma, myxosarcoma, liposarcoma, chondrosarcoma, osteogenic sarcoma, chordoma, angiosarcoma, endotheliosarcoma, lymphangiosarcoma, lymphangioendotheliosarcoma, synovioma, mesothelioma, Ewing's tumor, leiomyosarcoma, rhabdomyosarcoma, colon carcinoma, pancreatic cancer, breast cancer, ovarian cancer, prostate cancer, squamous cell carcinoma, basal cell carcinoma, adenocarcinoma, sweat gland carcinoma, sebaceous gland carcinoma, papillary carcinoma, papillary adenocarcinomas, cystadenocarcinoma, medullary carcinoma, bronchogenic carcinoma, renal cell carcinoma, hepatoma, bile duct carcinoma, choriocarcinoma, seminoma, embryonal carcinoma, WiIm' s tumor, cervical cancer, uterine cancer, testicular cancer, lung carcinoma, small cell lung carcinoma, bladder carcinoma, epithelial carcinoma, glioma, astrocytoma, medulloblastoma, craniopharyngioma, ependymoma, pinealoma, hemangioblastoma, acoustic neuroma, oligodendroglioma, schwannoma, meningioma, melanoma, neuroblastoma, and retinoblastoma. Preferably, the cancer being treated is lung cancer, especially lung cancer attributed to squamous cell carcinoma, adenocarinoma, or large cell carcinoma, colorectal cancer, ovarian cancer, especially ovarian adenocarcinoma, or prostate cancer. In another aspect, the invention features a method for treating a patient who has a neoplasm, or inhibiting the development of a neoplasm in a patient who is at risk for developing a neoplasm by administering to the patient a pharmaceutical composition that includes a compound of formula (I) and a pharmaceutically acceptable carrier.

Definitions As used herein, the terms "cancer" or "neoplasm" or "neoplastic cells" is meant a collection of cells multiplying in an abnormal manner. Cancer growth is uncontrolled and progressive, and occurs under conditions that would not elicit, or would cause cessation of, multiplication of normal cells. By "inhibits the growth of a neoplasm" is meant measurably slows, stops, or reverses the growth rate of the neoplasm or neoplastic cells in vitro or in vivo. Desirably, a slowing of the growth rate is by at least 20%, 30%, 50%, or even 70%, as determined using a suitable assay for determination of cell growth rates (e.g., a cell growth assay described herein). Typically, a reversal of growth rate is accomplished by initiating or accelerating necrotic or apoptotic mechanisms of cell death in the neoplastic cells, resulting in a shrinkage of the neoplasm. By "an effective amount" is meant the amount of a compound, in a combination according to the invention, required to inhibit the growth of the cells of a neoplasm in vivo. The effective amount of active compound(s) used to practice the present invention for therapeutic treatment of neoplasms (i.e., cancer) varies depending upon the manner of administration, the age, body weight, and general health of the subject. Ultimately, the attending physician or veterinarian will decide the appropriate amount and dosage regimen. Such amount is referred to as an "effective" amount. The terms "acyl" or "alkanoyl," as used interchangeably herein, represent an alkyl group, as defined herein, or hydrogen attached to the parent molecular group through a carbonyl group, as defined herein, and is exemplified by formyl, acetyl, propionyl, butanoyl and the like. Exemplary unsubstituted acyl groups are of from 2 to 7 carbons. The term "acylamino," as used herein, represents an acyl group attached to the parent molecular group through a nitrogen atom. Exemplary unsubstituted acylamino groups are of from 2 to 7 carbons. The term "acyloxy," as used herein, represents an acyl group attached to the parent molecular group through an oxygen atom. Exemplary unsubstituted acyloxy groups are of from 2 to 7 carbons. The term "alkenyl," as used herein, represents monovalent straight or branched chain groups of, unless otherwise specified, from 2 to 6 carbons containing one or more carbon-carbon double bonds and is exemplified by ethenyl, 1-propenyl, 2-propenyl, 2-methyl- 1-propenyl, 1-butenyl, 2-butenyl and the like and may be optionally substituted with one, two, three or four substituents independently selected from the group consisting of: (1) alkoxy of one to six carbon atoms; (2) alkylsulfinyl of one to six carbon atoms; (3) alkylsulfonyl of one to six carbon atoms; (4) amino; (5) aryl; (6) arylalkoxy, wherein the alkylene group is of one to six carbon atoms; (7) aryloyl; (8) azido; (9) carboxaldehyde; (10) cycloalkyl of three to eight carbon atoms; (11) halo; (12) heterocycle; (13) (heterocycle)oxy; (14) (heterocycle)oyl; (15) hydroxy; (16) N-protected amino; (17) nitro; (18) oxo; (19) spiroalkyl of three to eight carbon atoms; (20) thioalkoxy of one to six carbon atoms; (21) thiol; (22) - CO2RA, wherein RA is selected from the group consisting of (a) alkyl, (b) aryl and (c) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (23) -C(O)NRBRC, wherein RB and Rc are independently selected from the group consisting of (a) hydrogen, (b) alkyl, (c) aryl and (d) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (24) -SO2RD, wherein RD is selected from the group consisting of (a) alkyl, (b) aryl and (c) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (25) -SO2NRERF, wherein RE and RF are independently selected from the group consisting of (a) hydrogen, (b) alkyl, (c) aryl and (d) arylalkyl, wherein the alkylene group is of one to six carbon atoms; and (26) -NRGRH, wherein RG and RH are independently selected from the group consisting of (a) hydrogen; (b) an N- protecting group; (c) alkyl of one to six carbon atoms; (d) alkenyl of two to six carbon atoms; (e) alkynyl of two to six carbon atoms; (f) aryl; (g) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (h) cycloalkyl of three to eight carbon atoms and (i) cycloalkylalkyl, wherein the cycloalkyl group is of three to eight carbon atoms, and the alkylene group is of one to ten carbon atoms, with the proviso that no two groups are bound to the nitrogen atom through a carbonyl group or a sulfonyl group. The terms "alkoxy" or "alkyloxy," as used interchangeably herein, represent an alkyl group attached to the parent molecular group through an oxygen atom. Exemplary unsubstituted alkoxy groups are of from 1 to 6 carbons. The terms "alkoxyalkyl" or "alkyloxyalkyl," as used interchangeably herein, represent an alkyl group to which is attached an alkoxy group. Exemplary unsubstituted alkoxyalkyl groups are of from 2 to 12 carbons. The terms "alkoxycarbonyl" or "alkyloxycarbonyl," as used interchangeably herein, represent an ester group; i.e. an alkoxy group, attached to the parent molecular group through a carbonyl group and is exemplified by methoxycarbonyl, ethoxycarbonyl and the like. Exemplary unsubstituted alkoxycarbonyl groups are of from 2 to 7 carbons. The term "alkyl," as used herein, represents a monovalent group derived from a straight or branched chain saturated hydrocarbon of, unless otherwise specified, from 1 to 6 carbons and is exemplified by methyl, ethyl, n- and iso- propyl, n-, sec-, iso- and tert-butyl, neopentyl and the like and may be optionally substituted with one, two, three or, in the case of alkyl groups of two carbons or more, four substituents independently selected from the group consisting of: (1) alkoxy of one to six carbon atoms; (2) alkylsulfinyl of one to six carbon atoms; (3) alkylsulfonyl of one to six carbon atoms; (4) amino; (5) aryl; (6) arylalkoxy; (7) aryloyl; (8) azido; (9) carboxaldehyde; (10) cycloalkyl of three to eight carbon atoms; (11) halo; (12) heterocyclyl; (13) (heterocycle)oxy; (14) (heterocycle)oyl; (15) hydroxyl; (16) N-protected amino; (17) nitro; (18) oxo; (19) spiroalkyl of three to eight carbon atoms; (20) thioalkoxy of one to six carbon atoms; (21) thiol; (22) -CO2RA, wherein RA is selected from the group consisting of (a) alkyl, (b) aryl and (c) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (23) -C(O)NR8R0, wherein R and R are independently selected from the group consisting of (a) hydrogen, (b) alkyl, (c) aryl and (d) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (24) -SO2RD, wherein RD is selected from the group consisting of (a) alkyl, (b) aryl and (c) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (25) -SO2NRERF, wherein RE and RF are independently selected from the group consisting of (a) hydrogen, (b) alkyl, (c) aryl and (d) arylalkyl, wherein the alkylene group is of one to six carbon atoms; C*1 T-T C* T-T and (26) -NR R , wherein R and R are independently selected from the group consisting of (a) hydrogen; (b) an N-protecting group; (c) alkyl of one to six carbon atoms; (d) alkenyl of two to six carbon atoms; (e) alkynyl of two to six carbon atoms; (f) aryl; (g) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (h) cycloalkyl of three to eight carbon atoms and (i) cycloalkylalkyl, wherein the cycloalkyl group is of three to eight carbon atoms, and the alkylene group is of one to ten carbon atoms, with the proviso that no two groups are bound to the nitrogen atom through a carbonyl group or a sulfonyl group.

The term "alkylamino," as used herein, represents an alkyl group attached to the parent molecular group through a nitrogen atom. Exemplary unsubstituted alkylamino groups are of from 1 to 6 carbons. The term "alkylaminocarbonyl," as used herein, represents an alkylamino group attached to the parent molecular group through a carbonyl group. Exemplary unsubstituted alkylaminocarbonyl groups are of from 2 to 7 carbons. The term "alkylaminosulfonyl," as used herein, represents an alkylamino group attached to the parent molecular group through an -SO2- group. Exemplary unsubstituted alkylaminosulfonyl groups are of from 1 to 6 carbons. The term "alkylene," as used herein, represents a saturated divalent hydrocarbon group derived from a straight or branched chain saturated hydrocarbon by the removal of two hydrogen atoms, and is exemplified by methylene, ethylene, isopropylene and the like. The term "alkylsulfinyl," as used herein, represents an alkyl group attached to the parent molecular group through an -S(O)- group. Exemplary unsubstituted alkylsulfinyl groups are of from 1 to 6 carbons. The term "alkylsulfinylalkyl," as used herein, represents an alkyl group, as defined herein, substituted by an alkylsulfinyl group. Exemplary unsubstituted alkylsulfinylalkyl groups are of from 2 to 12 carbons. The term "alkylsulfonyl," as used herein, represents an alkyl group attached to the parent molecular group through an -SO2- group. Exemplary unsubstituted alkylsulfonyl groups are of from 1 to 6 carbons. The term "alkylsulfonylalkyl," as used herein, represents an alkyl group, as defined herein, substituted by a alkylsulfonyl group. Exemplary unsubstituted alkylsulfonylalkyl groups are of from 2 to 12 carbons. The term "alkylthio," as used herein, represents an alkyl group attached to the parent molecular group through a sulfur atom. Exemplary unsubstituted alkylthio groups are of from 1 to 6 carbons. The term "alkynyl," as used herein, represents monovalent straight or branched chain groups of from two to six carbon atoms containing a carbon- carbon triple bond and is exemplified by ethynyl, 1-propynyl, and the like and may be optionally substituted with one, two, three or four substituents independently selected from the group consisting of: (1) alkoxy of one to six carbon atoms; (2) alkylsulfinyl of one to six carbon atoms; (3) alkylsulfonyl of one to six carbon atoms; (4) amino; (5) aryl; (6) arylalkoxy, wherein the alkylene group is of one to six carbon atoms; (7) aryloyl; (8) azido; (9) carboxaldehyde; (10) cycloalkyl of three to eight carbon atoms; (11) halo; (12) heterocycle; (13) (heterocycle)oxy; (14) (heterocycle)oyl; (15) hydroxy; (16) N-protected amino; (17) nitro; (18) oxo; (19) spiroalkyl of three to eight carbon atoms; (20) thioalkoxy of one to six carbon atoms; (21) thiol; (22) -CO2RA, wherein RA is selected from the group consisting of (a) alkyl, (b) aryl and (c) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (23) - C(O)NRBRC, wherein RB and Rc are independently selected from the group consisting of (a) hydrogen, (b) alkyl, (c) aryl and (d) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (24) -SO2RD, wherein RD is selected from the group consisting of (a) alkyl, (b) aryl and (c) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (25) -SO2NRERF, wherein RE and RF are independently selected from the group consisting of (a) hydrogen, (b) alkyl, (c) aryl and (d) arylalkyl, wherein the alkylene group is of one to six carbon atoms; and (26) -NR R , wherein R and R are independently selected from the group consisting of (a) hydrogen; (b) an N- protecting group; (c) alkyl of one to six carbon atoms; (d) alkenyl of two to six carbon atoms; (e) alkynyl of two to six carbon atoms; (f) aryl; (g) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (h) cycloalkyl of three to eight carbon atoms and (i) cycloalkylalkyl, wherein the cycloalkyl group is of three to eight carbon atoms, and the alkylene group is of one to ten carbon atoms, with the proviso that no two groups are bound to the nitrogen atom through a carbonyl group or a sulfonyl group. The term "amino," as used herein, represents an -NH2 group. The term "aminoalkyl," as used herein, represents an alkyl group, as defined herein, substituted by an amino group. The term "aryl," as used herein, represents a mono- or bicyclic carbocyclic ring system having one or two aromatic rings and is exemplified by phenyl, naphthyl, 1,2-dihydronaphthyl, 1,2,3,4-tetrahydronaphthyl, fluorenyl, indanyl, indenyl and the like and may be optionally substituted with one, two, three, four or five substituents independently selected from the group consisting of: (1) alkanoyl of one to six carbon atoms; (2) alkyl of one to six carbon atoms; (3) alkoxy of one to six carbon atoms; (4) alkoxyalkyl, wherein the alkyl and alkylene groups are independently of one to six carbon atoms; (5) alkylsulfinyl of one to six carbon atoms; (6) alkylsulfinylalkyl, wherein the alkyl and alkylene groups are independently of one to six carbon atoms; (7) alkylsulfonyl of one to six carbon atoms; (8) alkylsulfonylalkyl, wherein the alkyl and alkylene groups are independently of one to six carbon atoms; (9) aryl; (10) arylalkyl, wherein the alkyl group is of one to six carbon atoms; (11) amino; (12) aminoalkyl of one to six carbon atoms; (13) aryl; (14) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (15) aryloyl; (16) azido; (17) azidoalkyl of one to six carbon atoms; (18) carboxaldehyde; (19) (carboxaldehyde)alkyl, wherein the alkylene group is of one to six carbon atoms; (20) cycloalkyl of three to eight carbon atoms; (21) cycloalkylalkyl, wherein the cycloalkyl group is of three to eight carbon atoms and the alkylene group is of one to ten carbon atoms; (22) halo; (23) haloalkyl of one to six carbon atoms; (24) heterocyclyl; (25) (heterocyclyl)oxy; (26) (heterocyclyl)oyl; (27) hydroxy; (28) hydroxyalkyl of one to six carbon atoms; (29) nitro; (30) nitroalkyl of one to six carbon atoms; (31) N-protected amino; (32) N-protected aminoalkyl, wherein the alkylene group is of one to six carbon atoms; (33) oxo; (34) thioalkoxy of one to six carbon atoms; (35) thioalkoxyalkyl, wherein the alkyl and alkylene groups are independently of one to six carbon atoms; (36) - (CH2)qCO2RA, wherein q is zero to four and RA is selected from the group consisting of (a) alkyl, (b) aryl and (c) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (37) -(CH2)qCONRBRc, wherein RB and Rc are independently selected from the group consisting of (a) hydrogen, (b) alkyl, (c) aryl and (d) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (38) -(CH2)qSO2RD, wherein RD is selected from the group consisting of (a) alkyl, (b) aryl and (c) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (39) -(CH2)qSO2NRERF, , wherein RE and RF are independently selected from the group consisting of (a) hydrogen, (b) alkyl, (c) aryl and (d) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (40) - (CH2)qNRGRH, wherein RG and RH are independently selected from the group consisting of (a) hydrogen; (b) an N-protecting group; (c) alkyl of one to six carbon atoms; (d) alkenyl of two to six carbon atoms; (e) alkynyl of two to six carbon atoms; (f) aryl; (g) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (h) cycloalkyl of three to eight carbon atoms and (i) cycloalkylalkyl, wherein the cycloalkyl group is of three to eight carbon atoms, and the alkylene group is of one to ten carbon atoms, with the proviso that no two groups are bound to the nitrogen atom through a carbonyl group or a sulfonyl group; (41) oxo; (42) thiol; (43) perfluoroalkyl; (44) perfluoroalkoxy; (45) aryloxy; (46) cycloalkoxy; (47) cycloalkylalkoxy; and (48) arylalkoxy. The terms "arylalkenyl" or "aralkenyl," as used interchangeably herein, represent an aryl group attached to the parent molecular group through an alkenyl group. Exemplary unsubstituted arylalkenyl groups are of from 8 to 16 carbons. The terms "arylalkoxy" or "aralkoxy," as used interchangeably herein, represent an arylalkyl group attached to the parent molecular group through an oxygen atom. Exemplary unsubstituted arylalkoxy groups are of from 7 to 16 carbons. The terms "arylalkoxycarbonyl" or "aralkoxycarbonyl," as used interchangeably herein, represent an arylalkoxy group attached to the parent molecular group through a carbonyl group. Exemplary unsubstituted arylalkoxycarbonyl groups are of from 8 to 17 carbons. The terms "arylalkyl" or "aralkyl," as used interchangeably herein, represent an aryl group attached to the parent molecular group through an alkyl group. Exemplary unsubstituted arylalkyl groups are of from 7 to 16 carbons. The terms "arylalkylamino" or "aralkylamino," as used interchangeably herein, represent an arylalkyl group attached to the parent molecular group through a nitrogen atom. Exemplary unsubstituted arylalkylamino groups are of from 7 to 16 carbons. The terms "arylalkylaminocarbonyl" or "aralkylaminocarbonyl," as used interchangeably herein, represents an arylalkylamino group attached to the parent molecular group through a carbonyl group. Exemplary unsubstituted arylalkylaminocarbonyl groups are of from 8 to 17 carbons. The terms "arylalkylsulfinyl" or "aralkylsulfinyl," as used interchangeably herein, represent an arylalkyl group attached to the parent molecular group through an -SO- group. Exemplary unsubstituted arylalkylsulfinyl groups are of from 7 to 16 carbons. The terms "arylalkylsulfonyl" or "aralkylsulfonyl," as used interchangeably herein, represent an aralkyl group attached to the parent molecular group through an -SO2- group. Exemplary unsubstituted arylalkylsulfonyl groups are of from 7 to 16 carbons. The term "arylalkylthio" or " aralkylthio," as used interchangeably herein, represents an arylalkyl group attached to the parent molecular group through a sulfur atom. Exemplary unsubstituted arylalkylthio groups are of from 7 to 16 carbons. The term "arylamino," as used herein, represents an aryl group which is attached to the parent molecular group through a nitrogen atom. Exemplary unsubstituted arylamino groups are of 6 or 10 carbons. The term "arylaminocarbonyl," as used herein, represents an arylamino group attached to the parent molecular group through a carbonyl group. Exemplary unsubstituted arylaminocarbonyl groups are of from from 7 or 11 carbons. The term "arylaminosulfonyl," as used herein, represents an arylamino group attached to the parent molecular group through an -SO2- group. Exemplary unsubstituted arylaminosulfonyl groups are of 6 or 10 carbons. The term "aryloxy," as used herein, represents an aryl group which is attached to the parent molecular group through an oxygen atom. Exemplary unsubstituted aryloxy groups are of 6 or 10 carbons. The term "aryloxycarbonyl," as used herein, represents an aryloxy group which is attached to the parent molecular group through a carbonyl group. Exemplary unsubstituted aryloxycarbonyl groups are of 7 or 11 carbons. The terms "aryloyl" or "aroyl," as used interchangeably herein, represent an aryl group which is attached to the parent molecular group through a carbonyl group. Exemplary unsubstituted aryloxycarbonyl groups are of 7 or 11 carbons. The terms "aryloylamino" or "aroylamino," as used interchangeably herein, represent an aroyl group which is attached to the parent molecular group through a nitrogen atom. Exemplary unsubstituted aryloylamino groups are of 7 or 11 carbons. The term "arylsulfinyl," as used herein, represens an aryl group attached to the parent molecular group through an -SO- group. Exemplary unsubstituted arylsulfinyl groups are of 6 or 10 carbons. The term "arylsulfonyl," as used herein, represens an aryl group attached to the parent molecular group through an -SO2- group. Exemplary unsubstituted arylsulfonyl groups are of 6 or 10 carbons. The term "arylthio," as used herein, represents an aryl group which is attached to the parent molecular group through a sulfur atom. Exemplary unsubstituted arylthio groups are of 6 or 10 carbons. The term "azido," as used herein, represents an -N3 group. The term "azidoalkyl," as used herein, represents an alkyl group, as defined herein, substituted by an azido group. As used herein, the terms "cancer" or "neoplasm" or "neoplastic cells" is meant a collection of cells multiplying in an abnormal manner. Cancer growth is uncontrolled and progressive, and occurs under conditions that would not elicit, or would cause cessation of, multiplication of normal cells. The terms "carbamate" or "carbamyl," as used interchangeably herein, represent a RAOC(O)NRB- group, or a -OC(O)NRB- linkage, depending on the chemical context in which this term is used, wherein RA is selected from the group consisting of (a) alkyl, (b) aryl, and (c) arylalkyl; and RB is selected from the group consisting of (a) hydrogen, (b) alkyl, (c) aryl and (d) arylalkyl, as defined herein. The term "carbonate," as used herein represents a -RAOC(O)O- group, or a - OC(O)O- linkage, depending on the chemical context in which this term is used, wherein RΛ is selected from the group consisting of (a) alkyl, (b) aryl, and (c) arylalkyl, as defined herein. The term "carbonyl," as used herein, represents a C=O group. The term "carboxaldehyde," as used herein, represents a -CHO group. The term "(carboxaldehyde)alkyl," as used herein, represents an alkyl group, as defined herein, substituted by a carboxaldehyde group. The term "carboxy," as used herein, represents a -CO2H group. The term "carboxyalkyl," as used herein, represents an alkyl group, as defined herein, substituted by a carboxy group. The term "cycloalkenyl," as used herein represents a monovalent cyclic hydrocarbon of from three to eight carbons, unless otherwise specified, having at least one carbon-carbon double bond. The cycloalkenyl groups of this invention can be optionally substituted with (1) alkanoyl of one to six carbon atoms; (2) alkyl of one to six carbon atoms; (3) alkoxy of one to six carbon atoms; (4) alkoxyalkyl, wherein die alkyl and alkylene groups are independently of one to six carbon atoms; (5) alkylsulfinyl of one to six carbon atoms; (6) alkylsulfinylalkyl, wherein the alkyl and alkylene groups are independently of one to six carbon atoms; (7) alkylsulfonyl of one to six carbon atoms; (8) alkylsulfonylalkyl, wherein the alkyl and alkylene groups are independently of one to six carbon atoms; (9) aryl; (10) arylalkyl, wherein the alkyl group is of one to six carbon atoms; (11) amino; (12) aminoalkyl of one to six carbon atoms; (13) aryl; (14) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (15) aryloyl; (16) azido; (17) azidoalkyl of one to six carbon atoms; (18) carboxaldehyde; (19) (carboxaldehyde)alkyl, wherein the alkylene group is of one to six carbon atoms; (20) cycloalkyl of three to eight carbon atoms; (21) cycloalkylalkyl, wherein the cycloalkyl group is of three to eight carbon atoms and the alkylene group is of one to ten carbon atoms; (22) halo; (23) haloalkyl of one to six carbon atoms; (24) heterocyclyl; (25) (heterocyclyl)oxy; (26) (heterocyclyl)oyl; (27) hydroxy; (28) hydroxyalkyl of one to six carbon atoms; (29) nitro; (30) nitroalkyl of one to six carbon atoms; (31) N-protected amino; (32) N-protected aminoalkyl, wherein the alkylene group is of one to six carbon atoms; (33) oxo; (34) thioalkoxy of one to six carbon atoms; (35) thioalkoxyalkyl, wherein the alkyl and alkylene groups are independently of one to six carbon atoms; (36) -(CH2)qCO2RA, wherein q is zero to four and RA is selected from the group consisting of (a) alkyl, (b) aryl and (c) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (37) -(CH2)qCONRBRc, wherein RB and Rc are independently selected from the group consisting of (a) hydrogen, (b) alkyl, (c) aryl and (d) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (38) -(CH2)qSO2RD, wherein RD is selected from the group consisting of (a) alkyl, (b) aryl and (c) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (39) - (CH2)qSO2NRERF, , wherein RE and RF are independently selected from the group consisting of (a) hydrogen, (b) alkyl, (c) aryl and (d) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (40) -(CH2)qNRGRH, wherein RG and RH are independently selected from the group consisting of (a) hydrogen; (b) an N-protecting group; (c) alkyl of one to six carbon atoms; (d) alkenyl of two to six carbon atoms; (e) alkynyl of two to six carbon atoms; (f) aryl; (g) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (h) cycloalkyl of three to eight carbon atoms and (i) cycloalkylalkyl, wherein the cycloalkyl group is of three to eight carbon atoms, and the alkylene group is of one to ten carbon atoms, with the proviso that no two groups are bound to the nitrogen atom through a carbonyl group or a sulfonyl group; (41) oxo; (42) thiol; (43) perfluoroalkyl; (44) perfluoroalkoxy; (45) aryloxy; (46) cycloalkoxy; (47) cycloalkylalkoxy; and (48) arylalkoxy. The term "cycloalkyl," as used herein represents a monovalent saturated or unsaturated non-aromatic cyclic hydrocarbon group of from three to eight carbons, unless otherwise specified, and is exemplified by cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, bicyclo[2.2.1.]heptyl and the like. The cycloalkyl groups of this invention can be optionally substituted with (1) alkanoyl of one to six carbon atoms; (2) alkyl of one to six carbon atoms; (3) alkoxy of one to six carbon atoms; (4) alkoxyalkyl, wherein the alkyl and alkylene groups are independently of one to six carbon atoms; (5) alkylsulfinyl of one to six carbon atoms; (6) alkylsulfinylalkyl, wherein the alkyl and alkylene groups are independently of one to six carbon atoms; (7) alkylsulfonyl of one to six carbon atoms; (8) alkylsulfonylalkyl, wherein the alkyl and alkylene groups are independently of one to six carbon atoms; (9) aryl; (10) arylalkyl, wherein the alkyl group is of one to six carbon atoms; (11) amino; (12) aminoalkyl of one to six carbon atoms; (13) aryl; (14) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (15) aryloyl; (16) azido; (17) azidoalkyl of one to six carbon atoms; (18) carboxaldehyde; (19) (carboxaldehyde)alkyl, wherein the alkylene group is of one to six carbon atoms; (20) cycloalkyl of three to eight carbon atoms; (21) cycloalkylalkyl, wherein the cycloalkyl group is of three to eight carbon atoms and the alkylene group is of one to ten carbon atoms; (22) halo; (23) haloalkyl of one to six carbon atoms; (24) heterocyclyl; (25) (heterocyclyl)oxy; (26) (heterocyclyl)oyl; (27) hydroxy; (28) hydroxyalkyl of one to six carbon atoms; (29) nitro; (30) nitroalkyl of one to six carbon atoms; (31) N-protected amino; (32) N-protected aminoalkyl, wherein the alkylene group is of one to six carbon atoms; (33) oxo; (34) thioalkoxy of one to six carbon atoms; (35) thioalkoxyalkyl, wherein the alkyl and alkylene groups are independently of one to six carbon atoms; (36) - (CH2)qCO2RΛ, wherein q is zero to four and RA is selected from the group consisting of (a) alkyl, (b) aryl and (c) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (37) -(CH2)qCONRBRc, wherein RB and Rc are independently selected from the group consisting of (a) hydrogen, (b) alkyl, (c) aryl and (d) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (38) -(CH2)qSO2RD, wherein RD is selected from the group consisting of (a) alkyl, (b) aryl and (c) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (39) -(CH2)qSO2NRERF, , wherein RE and RF are independently selected from the group consisting of (a) hydrogen, (b) alkyl, (c) aryl and (d) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (40) - (CH2)qNR R , wherein R and R are independently selected from the group consisting of (a) hydrogen; (b) an N-protecting group; (c) alkyl of one to six carbon atoms; (d) alkenyl of two to six carbon atoms; (e) alkynyl of two to six carbon atoms; (f) aryl; (g) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (h) cycloalkyl of three to eight carbon atoms and (i) cycloalkylalkyl, wherein the cycloalkyl group is of three to eight carbon atoms, and the alkylene group is of one to ten carbon atoms, with the proviso that no two groups are bound to the nitrogen atom through a carbonyl group or a sulfonyl group; (41) oxo; (42) thiol; (43) perfluoroalkyl; (44) perfluoroalkoxy; (45) aryloxy; (46) cycloalkoxy; (47) cycloalkylalkoxy; and (48) arylalkoxy. The term "cycloalkylamino," as used herein, represents a cycloalkyl group attached to the parent molecular group through a nitrogen atom. Exemplary unsubstituted cycloalkylamino groups are of from 3 to 8 carbons. The term "cycloalkylaminocarbonyl," as used herein, represents a cycloalkylamino group attached to the parent molecular group through a carbonyl group. Exemplary unsubstituted cycloalkylaminocarbonyl groups are of from 4 to 9 carbons. The terms "cycloalkyloxy" or "cycloalkoxy," as used interchangeably herein, represent a cycloalkyl group, as defined herein, attached to the parent molecular group through an oxygen atom. Exemplary unsubstituted cycloalkyloxy groups are of from 3 to 8 carbons. The terms "cycloalkyloxycarbonyl" or "cycloalkoxycarbonyl," as used interchangeably herein, represent a cycloalkyloxy group, as defined herein, attached to the parent molecular group through a carbonyl group. Exemplary unsubstituted cycloalkyloxycarbonyl groups are of from 4 to 9 carbons. The term "cycloalkylalkoxy," as used herein, represents an alkoxy group, as defined herein, to which is attached a cycloalkyl group. Exemplary unsubstituted cycloalkylalkoxy groups are of from 4 to 14 carbons. The term "cycloalkylalkyl," as used herein, represents a cycloalkyl group, as defined herein, attached to the parent molecular group through an alkyl group. Exemplary unsubstituted cycloalkylalkyl groups are of from 4 to 14 carbons. The term "cycloalkylsulfinyl," as used herein, represents a cycloalkyl group attached to the parent molecular group through an -SO- group. Exemplary unsubstituted cycloalkylsulfinyl groups are of from 3 to 8 carbons. The term "cycloalkylsulfonyl," as used herein, represents a cycloalkyl group attached to the parent molecular group through an -SO2- group. Exemplary unsubstituted cycloalkylsulfonyl groups are of from 3 to 8 carbons. The term "dialkylamino," as used herein, represents an N5N- dialkylsubstituted amine attached to the parent molecular group through the nitrogen atom. The two alkyl substituents of a dialkylamino group can be the same or different, or can be joined together to form a ring. Exemplary dialkylamino groups are of from 2 to 12 carbons and include dimethylamino, diethylamino, pyrrolidino, and piperidino. By "an effective amount" is meant the amount of a compound, in a combination according to the invention, required to inhibit the growth of the cells of a neoplasm in vivo. The effective amount of active compound(s) used to practice the present invention for therapeutic treatment of neoplasms (i.e., cancer) varies depending upon the manner of administration, the age, body weight, and general health of the subject. Ultimately, the attending physician or veterinarian will decide the appropriate amount and dosage regimen. Such amount is referred to as an "effective" amount. The term "haloalkyl," as used herein, represents an alkyl group, as defined herein, substituted by one, two, or three halogen atoms and is exemplified by chloromethyl, bromoethyl, trifluoromethyl and the like. The terms "halo" or "halogen," as used interchangeably herein, represent F, Cl, Br or I. The term "heteroaryl," as used herein, represents that subset of heterocycles, as defined herein, which are aromatic: i.e., they contain 4n+2 pi electrons within the mono- or multicyclic ring system. Exemplary unsubstituted heteroaryl groups are of from 1 to 9 carbons. The terms "heteroarylalkenyl" or "heteroaralkenyl," or as used interchangeably herein, represent a heteroaryl group, as defined herein, attached to the parent molecular group through an alkenyl group. Exemplary unsubstituted heteroarylalkenyl groups are of from 3 to 15 carbons. The terms "heteroarylalkyl" or "heteroaralkyl," as used interchangeably herein, represent a heteroaryl group, as defined herein, attached to the parent molecular group through an alkyl group. Exemplary unsubstituted heteroarylalkyl groups are of from 2 to 15 carbons. The terms "heteroarylalkylamino" or "heteroaralkylamino," as used interchangeably herein, represent a heteroarylalkyl group, as defined herein, attached to the parent molecular group through a nitrogen atom. Exemplary unsubstituted heteroarylalkylamino groups are of from 2 to 15 carbons. The terms "heteroarylalkylaminocarbonyl" or "heteroaralkylaminocarbonyl," or as used interchangeably herein, represent a heteroarylalkylamino group, as defined herein, attached to the parent molecular group through a carbonyl group. Exemplary unsubstituted heteroarylalkylaminocarbonyl groups are of from 3 to 16 carbons. The terms "heteroaryloyl" or "heteroaroyl," or as used interchangeably herein, represent a heteroaryl group, as defined herein, attached to the parent molecular group through a carbonyl group. Exemplary unsubstituted heteroaryloyl groups are of from 2 to 10 carbons. The terms "heteroarylalkyloxy" or "heteroaralkoxy," or as used interchangeably herein, represent a heteroarylalkyl group, as defined herein, attached to the parent molecular group through an oxygen atom. Exemplary unsubstituted heteroarylalkyloxy groups are of from 2 to 15 carbons. The terms "heteroarylalkyloxycarbonyl" or "heteroaralkoxycarbonyl," as used interchangeably herein, represent a heteroaralkoxy group, as defined herein, attached to the parent molecular group through a carbonyl group. Exemplary unsubstituted heteroarylalkyloxycarbonyl groups are of from 3 to 16 carbons. The terms "heteroarylalkylsulfonyl" or "heteroaralkylsulfonyl," as used interchangeably herein, represent a heteroarylalkyl group attached to the parent molecular group through an -SO2- group. Exemplary unsubstituted heteroarylalkylsulfonyl groups are of from 2 to 15 carbons. The term "heteroarylamino," as used herein, represents a heteroaryl group attached to the parent molecular group through a nitrogen atom. Exemplary unsubstituted heteroarylamino groups are of from 1 to 9 carbons. The term "heteroarylaminocarbonyl," as used herein, represents a heteroarylamino group attached to the parent molecular group through a carbonyl group. Exemplary unsubstituted heteroarylaminocarbonyl groups are of from 2 to 10 carbons. The term "heteroarylaminosulfonyl," as used herein, represents a heteroarylamino group attached to the parent molecular group through an -SO2- group. Exemplary unsubstituted heteroarylaminosulfonyl groups are of from 1 to 9 carbons. The term "heteroaryloxy," as used herein, represents a heteroaryl group attached to the parent molecular group through an oxygen atom. Exemplary unsubstituted heteroaryloxy groups are of from 1 to 9 carbons. The term "heteroaryloxycarbonyl," as used herein, represents a heteroaryloxy group attached to the parent molecular group through a carbonyl group. Exemplary unsubstituted heteroaryloxycarbonyl groups are of from 1 to 9 carbons. The term "heteroarylsulfonyl," as used herein, represents a heteroaryl group attached to the parent molecular group through an -SO2- group. Exemplary unsubstituted heteroarylsulfonyl groups are of from 1 to 9 carbons. The term "heteroarylthio," as used herein, represents a heteroaryl group attached to the parent molecular group through a sulfur atom. Exemplary unsubstituted heteroaryloxy groups are of from 1 to 9 carbons. The terms "heterocycle" or "heterocyclyl," as used interchangeably herein represent a 5-, 6- or 7-membered ring, unless otherwise specified, containing one, two, three, or four heteroatoms independently selected from the group consisting of nitrogen, oxygen and sulfur. The 5-membered ring has zero to two double bonds and the 6- and 7-membered rings have zero to three double bonds. The term "heterocycle" also includes bicyclic, tricyclic and tetracyclic groups in which any of the above heterocyclic rings is fused to one or two rings independently selected from the group consisting of an aryl ring, a cyclohexane ring, a cyclohexene ring, a cyclopentane ring, a cyclopentene ring and another monocyclic heterocyclic ring such as indolyl, quinolyl, isoquinolyl, tetrahydroquinolyl, benzofuryl, benzothienyl and the like. Heterocyclics include pyrrolyl, pyrrolinyl, pyrrolidinyl, pyrazolyl, pyrazolinyl, pyrazolidinyl, imidazolyl, imidazolinyl, imidazolidinyl, pyridyl, piperidinyl, homopiperidinyl, pyrazinyl, piperazinyl, pyrimidinyl, pyridazinyl, oxazolyl, oxazolidinyl, isoxazolyl, isoxazolidiniyl, morpholinyl, thiomorpholinyl, thiazolyl, thiazolidinyl, isothiazolyl, isothiazolidinyl, indolyl, quinolinyl, isoquinolinyl, benzimidazolyl, benzothiazolyl, benzoxazolyl, furyl, thienyl, thiazolidinyl, isothiazolyl, isoindazoyl, triazolyl, tetrazolyl, oxadiazolyl, uricyl, thiadiazolyl, pyrimidyl, tetrahydrofuranyl, dihydrofuranyl, tetrahydrothienyl, dihydrothienyl, dihydroinidolyl, tetrahydroquinolyl, tetrahydroisoquinolyl, pyranyl, dihydropyranyl, dithiazolyl, benzofuranyl, benzothienyl and the like. Heterocyclic groups also include compounds of the formula

F' is selected from the group consisting Of -CH2-, -CH2O- and -O-, and G' is selected from the group consisting of -C(O)- and -(C(R')(R"))V-, wherein R1 and R" are independently selected from the group consisting of hydrogen or alkyl of one to four carbon atoms, and v is one to three and includes groups such as 1,3-benzodioxolyl, 1,4-benzodioxanyl and the like. Any of the heterocycle groups mentioned herein may be optionally substituted with one, two, three, four or five substituents independently selected from the group consisting of: (1) alkanoyl of one to six carbon atoms; (2) alkyl of one to six carbon atoms; (3) alkoxy of one to six carbon atoms; (4) alkoxyalkyl, wherein the alkyl and alkylene groups are independently of one to six carbon atoms; (5) alkylsulfinyl of one to six carbon atoms; (6) alkylsulfinylalkyl, wherein the alkyl and alkylene groups are independently of one to six carbon atoms; (7) alkylsulfonyl of one to six carbon atoms; (8) alkylsulfonylalkyl, wherein the alkyl and alkylene groups are independently of one to six carbon atoms; (9) aryl; (10) arylalkyl, wherein the alkyl group is of one to six carbon atoms; (11) amino; (12) aminoalkyl of one to six carbon atoms; (13) aryl; (14) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (15) aryloyl; (16) azido; (17) azidoalkyl of one to six carbon atoms; (18) carboxaldehyde; (19) (carboxaldehyde)alkyl, wherein the alkylene group is of one to six carbon atoms; (20) cycloalkyl of three to eight carbon atoms; (21) cycloalkylalkyl, wherein the cycloalkyl group is of three to eight carbon atoms and the alkylene group is of one to ten carbon atoms; (22) halo; (23) haloalkyl of one to six carbon atoms; (24) heterocycle; (25) (heterocycle)oxy; (26) (heterocycle)oyl; (27) hydroxy; (28) hydroxyalkyl of one to six carbon atoms; (29) nitro; (30) nitroalkyl of one to six carbon atoms; (31) N-protected amino; (32) N-protected aminoalkyl, wherein the alkylene group is of one to six carbon atoms; (33) oxo; (34) thioalkoxy of one to six carbon atoms; (35) thioalkoxyalkyl, wherein the alkyl and alkylene groups are independently of one to six carbon atoms; (36) - (CH2)qCO2RA, wherein q is zero to four and RA is selected from the group consisting of (a) alkyl, (b) aryl and (c) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (37) -(CH2)qCONRBRc, wherein RB and Rc are independently selected from the group consisting of (a) hydrogen, (b) alkyl, (c) aryl and (d) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (38) -(CH2)qSO2RD, wherein RD is selected from the group consisting of (a) alkyl, (b) aryl and (c) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (39) -(CH2)qSO2NRERF, , wherein RE and RF are independently selected from the group consisting of (a) hydrogen, (b) alkyl, (c) aryl and (d) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (40) - (CH2)qNR R , wherein R and R are independently selected from the group consisting of (a) hydrogen; (b) an N-protecting group; (c) alkyl of one to six carbon atoms; (d) alkenyl of two to six carbon atoms; (e) alkynyl of two to six carbon atoms; (f) aryl; (g) arylalkyl, wherein the alkylene group is of one to six carbon atoms; (h) cycloalkyl of three to eight carbon atoms and (i) cycloalkylalkyl, wherein the cycloalkyl group is of three to eight carbon atoms, and the alkylene group is of one to ten carbon atoms, with the proviso that no two groups are bound to the nitrogen atom through a carbonyl group or a sulfonyl group; (41) oxo; (42) thiol; (43) perfluoroalkyl; (44) perfluoroalkoxy; (45) aryloxy; (46) cycloalkoxy; (47) cycloalkylalkoxy; and (48) arylalkoxy. The term "heterocyclylalkyl" represents a heterocyclyl group attached to the parent molecular group through an alkyl group. Exemplary unsubstituted heterocyclylalkyl groups are of from 2 to 15 carbons. The terms "heterocyclylamino" or "(heterocycle)amino," as used interchangeably herein, represents a heterocycle group, as defined herein, attached to the parent molecular group through nitrogen. Exemplary unsubstituted heterocyclylamino groups are of from 1 to 9 carbons. The terms "heterocyclyloxy" or " (heterocycle) oxy," as used interchangeably herein, represents a heterocycle group, as defined herein, attached to the parent molecular group through an oxygen atom. Exemplary unsubstituted heterocyclyloxy groups are of from 1 to 9 carbons. The terms "heterocyclyloxycarbonyl" or "(heterocycle)oxycarbonyl," as used interchangeably herein, represents a heterocycloxy group, as defined herein, attached to the parent molecular group through a carbonyl group. Exemplary unsubstituted heterocyclyloxycarbonyl groups are of from 2 to 10 carbons. The term "heterocyclyloyl" or "(heterocycle)oyl," as used interchangeably herein, represents a heterocycle group, as defined herein, attached to the parent molecular group through a carbonyl group. Exemplary unsubstituted heterocyclyloyl groups are of from 2 to 10 carbons. The term "heterocyclylsulfonyl," as used herein, represents a heterocyclyl group attached to the parent molecular group through an -SO2- group. Exemplary unsubstituted heterocyclylsulfonyl groups are of from 1 to 9 carbons. The term "heterocyclylthio," as used herein, represents a heterocyclyl group attached to the parent molecular group through a sulfur atom. Exemplary unsubstituted heteroaryloxy groups are of from 1 to 9 carbons. The term "hydroxy" as used herein, represents an -OH group. The term "hydroxyalkyl," as used herein, represents an alkyl group, as defined herein, substituted by one to three hydroxy groups, with the proviso that no more than one hydroxy group may be attached to a single carbon atom of the alkyl group and is exemplified by hydroxymethyl, dihydroxypropyl and the like. By "inhibits the growth of a neoplasm" is meant measurably slows, stops, or reverses the growth rate of the neoplasm or neoplastic cells in vitro or in vivo. Desirably, a slowing of the growth rate is by at least 20%, 30%, 50%, or even 70%, as determined using a suitable assay for determination of cell growth rates (e.g., a cell growth assay described herein). Typically, a reversal of growth rate is accomplished by initiating or accelerating necrotic or apoptotic mechanisms of cell death in the neoplastic cells, resulting in a shrinkage of the neoplasm. By a "low dosage" is meant at least 10% less than the lowest standard recommended dosage of an anti-proliferative agent as recommended by the Physician 's Desk Reference, 57th Edition (2003). By a "high dosage" is meant at least 5% more than the highest standard dosage of an anti-proliferative agent. By a "moderate dosage" is meant the dosage between the low dosage and the high dosage. The term "methine" as used herein, represents a =C(H)- group. The term "N-protected amino," as used herein, refers to an amino group, as defined herein, to which is attached an N-protecting or nitrogen-protecting group, as defined herein. The term "N-protected aminoalkyl," as used herein, refers to an alkyl group, as defined herein, which is substituted by an N-protecting or nitrogen- protecting group, as defined herein. The terms "N-protecting group" or "nitrogen protecting group" as used herein, represent those groups intended to protect an amino group against undersirable reactions during synthetic procedures. Commonly used N- protecting groups are disclosed in Greene, "Protective Groups In Organic Synthesis, 3rd Edition" (John Wiley & Sons, New York, 1999), which is incorporated herein by reference. N-protecting groups comprise acyl, aroyl, or carbamyl groups such as formyl, acetyl, propionyl, pivaloyl, t-butylacetyl, 2- chloroacetyl, 2-bromoacetyl, trifluoroacetyl, trichloroacetyl, phthalyl, o- nitrophenoxyacetyl, α-chlorobutyryl, benzoyl, 4-chlorobenzoyl, 4- bromobenzoyl, 4-nitrobenzoyl and chiral auxiliaries such as protected or unprotected D, L or D, L-amino acids such as alanine, leucine, phenylalanine and the like; sulfonyl groups such as benzenesulfonyl, p-toluenesulfonyl and the like; carbamate forming groups such as benzyloxycarbonyl, p- chlorobenzyloxycarbonyl, p-methoxybenzyloxycarbonyl, p- nitrobenzyloxycarbonyl, 2-nitrobenzyloxycarbonyl, p- bromobenzyloxycarbonyl, 3,4-dimethoxybenzyloxycarbonyl, 3,5- dimethoxybenzyloxycarbonyl, 2,4-dimethoxybenzyloxycarbonyl, 4- methoxybenzyloxycarbonyl, 2-nitro-4,5-dimethoxybenzyloxycarbonyl, 3,4,5- trimethoxybenzyloxycarbonyl, 1 -(p-biphenylyl)- 1 -methyl ethoxycarbonyl, α,α- dimethyl-3 ,5-dimethoxybenzyloxycarbonyl, benzhydryloxycarbonyl, t- butyloxycarbonyl, diisopropylmethoxycarbonyl, isopropyloxycarbonyl, ethoxycarbonyl, methoxycarbonyl, allyloxycarbonyl, 2,2,2,- trichloroethoxycarbonyl, phenoxycarbonyl, 4-nitrophenoxy carbonyl, fluorenyl-9-methoxycarbonyl, cyclopentyloxycarbonyl, adamantyloxycarbonyl, cyclohexyloxycarbonyl, phenylthiocarbonyl and the like, arylalkyl groups such as benzyl, triphenylmethyl, benzyloxymethyl and the like and silyl groups such as trimethylsilyl and the like. Preferred N-protecting groups are formyl, acetyl, benzoyl, pivaloyl, t-butylacetyl, alanyl, phenylsulfonyl, benzyl, t- butyloxycarbonyl (Boc) and benzyloxycarbonyl (Cbz). The term "nitro," as used herein, represents an -NO2 group. The term "nitroalkyl," as used herein, represents an alkyl group substituted by an -NO2 group. By "non- vicinal O, S, or N" is meant an oxygen, sulfur, or substituted or unsubstituted nitrogen heteroatom substituent in a linkage, wherein the heteroatom substituent does not form a bond to a saturated carbon that is bonded to another heteroatom. The term "oxo," as used herein, represents =0. The term "perfluoroalkyl," as used herein, represents an alkyl group, as defined herein, wherein each hydrogen radical bound to the alkyl group has been replaced by a fluoride radical. Perfluoroalkyl groups are exemplified by trifluoromethyl, pentafluoroethyl, and the like. The term "perfluoroalkoxy," as used herein, refers to a perfluoroalkyl group, as defined herein, attached to the parent molecular group through an oxygen atom. The term "pharmaceutically acceptable salt," as use herein, represents those salts which are, within the scope of sound medical judgement, suitable for use in contact with the tissues of humans and animals without undue toxicity, irritation, allergic response and the like and are commensurate with a reasonable benefit/risk ratio. Pharmaceutically acceptable salts are well known in the art. For example, S. M Berge et al. describe pharmaceutically acceptable salts in detail in J. Pharmaceutical Sciences 66: 1-19, 1977. The salts can be prepared in situ during the final isolation and purification of the compounds of the invention or separately by reacting the free base group with a suitable organic acid. Representative acid addition salts include acetate, adipate, alginate, ascorbate, aspartate, benzenesulfonate, benzoate, bisulfate, borate, butyrate, camphorate, camphersulfonate, citrate, cyclopentanepropionate, digluconate, dodecylsulfate, ethanesulfonate, fumarate, glucoheptonate, glycerophosphate, hemisulfate, heptonate, hexanoate, hydrobromide, hydrochloride, hydroiodide, 2-hydroxy-ethanesulfonate, lactobionate, lactate, laurate, lauryl sulfate, malate, maleate, malonate, methanesulfonate, 2- naphthalenesulfonate, nicotinate, nitrate, oleate, oxalate, palmitate, pamoate, pectinate, persulfate, 3-phenylpropionate, phosphate, picrate, pivalate, propionate, stearate, succinate, sulfate, tartrate, thiocyanate, toluenesulfonate, undecanoate, valerate salts and the like. Representative alkali or alkaline earth metal salts include sodium, lithium, potassium, calcium, magnesium and the like, as well as nontoxic ammonium, quaternary ammonium, and amine cations, including, but not limited to ammonium, tetramethylammonium, tetraethylammonium, methylamine, dimethylamine, trimethylamine, triethylamine, ethylamine and the like. The term "pharmaceutically acceptable ester," as used herein, represents esters which hydrolyze in vivo and include those that break down readily in the human body to leave the parent compound or a salt thereof. Suitable ester groups include, for example, those derived from pharmaceutically acceptable aliphatic carboxylic acids, particularly alkanoic, alkenoic, cycloalkanoic and alkanedioic acids, in which each alkyl or alkenyl group preferably has not more than 6 carbon atoms. Examples of particular esters includes formates, acetates, propionates, butyates, acrylates and ethylsuccinates. The term "pharmaceutically acceptable prodrugs" as used herein, represents those prodrugs of the compounds of the present invention which are, within the scope of sound medical judgement, suitable for use in contact with with the tissues of humans and animals with undue toxicity, irritation, allergic response, and the like, commensurate with a reasonable benefit/risk ratio, and effective for their intended use, as well as the zwitterionic forms, where possible, of the compounds of the invention. The term "prodrug," as used herein, represents compounds which are rapidly transformed in vivo to the parent compound of the above formula, for example, by hydrolysis in blood. A thorough discussion is provided in T. Higuchi and V. Stella, Pro-drugs as Novel Delivery Systems, Vol. 14 of the A.C.S. Symposium Series, Edward B. Roche, ed., Bioreversible Carriers in Drug Design, American Pharmaceutical Association and Pergamon Press, 1987, and Judkins et al, Synthetic Communications 26(23):4351-4367, 1996), each of which is incorporated herein by reference. By "ring system substituent" is meant a substituent attached to an aromatic or non-aromatic ring system. When a ring system is saturated or partially saturated the "ring system substituent" further includes methylene (double bonded carbon), oxo (double bonded oxygen) or thioxo (double bonded sulfur). The term "spiroalkyl," as used herein, represents an alkylene diradical, both ends of which are bonded to the same carbon atom of the parent group to form a spirocyclic group. The term "sulfonyl," as used herein, represents an -SO2- group. The term "thioalkoxy," as used herein, represents represents an alkyl group attached to the parent molecular group through a sulfur atom. Exemplary unsubstituted thioalkoxy groups are of from 1 to 6 carbons. The term "thioalkoxyalkyl," as used herein, represents an alkyl group substituted by a thioalkoxy group. Exemplary unsubstituted thioalkoxyalkyl groups are of from 2 to 12 carbons. By "thiocarbonyl" is meant a -C(S)- group. By "thiol" is meant an -SH group. Asymmetric or chiral centers may exist in the compounds of the present invention. The present invention contemplates the various stereoisomers and mixtures thereof. Individual stereoisomers of compounds or the present invention are prepared synthetically from commercially available starting materials which contain asymmetric or chiral centers or by preparation of mixtures of enantiometic compounds followed by resolution well-known to those of ordinary skill in the art. These methods of resolution are exemplified by (1) attachment of a racemic mixture of enantiomers, designated (+/-), to a chiral auxiliary, separation of the resulting diastereomers by recrystallization or chromatography and liberation of the optically pure product from the auxiliary or (2) direct separation of the mixture of optical enantiomers on chiral chromatographic columns. Enantiomers are designated herein by the symbols "R" or "S," depending on the configuration of substituents around the chiral carbon atom. Geometric isomers may also exist in the compounds of the present invention. The present invention contemplates the various geometric isomers and mixtures thereof resulting from the arrangement of substituents around a carbon-carbon double bond and designates such isomers as of the Z or E configuration, wherein the term "Z" represents substituents on the same side of the carbon-carbon double bond and the term "E" represents substituents on opposite sides of the carbon-carbon double bond. It is also recognized that for

structures in which tautomeric forms are possible, the description of one

tautomeric form is equivalent to the description of both, unless otherwise

specified. For example, amidine structures of the formula -C(=NRQ)NHRT and

-C(NHRQ)=NRT, where Rτ and RQ are different, are equivalent tautomeric

structures and the description of one inherently includes the other.

By "Group A antiproliferative agent" is meant an agent listed in Table 1.

Table 1. Alkylating agents cyclophosphamide lomustine busulfan procarbazine ifosfamide altretamine melphalan estramustine phosphate hexamethylmelamine mechlorethamine thiotepa streptozocin chlorambucil temozolomide dacarbazine semustine. carmustine

Platinum agents cisplatin carboplatinum oxaliplatin ZD-0473 (AnorMED) spiroplatinum, lobaplatin (Aeterna) carboxyphthalatoplatinum, satraplatin (Johnson Matthey) tetraplatin BBR-3464 (Hoffmann-La Roche) ormiplatin SM- 11355 (Sumitomo) iproplatin AP-5280 (Access)

Antimetabolites azacytidine tomudex gemcitabine trimetrexate capecitabine deoxycoformycin 5-fluorouracil fludarabine floxuridine pentostatin 2-chlorodeoxyadenosine raltitrexed 6-mercaptopurine hydroxyurea 6-thioguanine decitabine (SuperGen) cytarabin clofarabine (Bioenvision) 2-fluorodeoxy cytidine irofulven (MGI Pharma) methotrexate DMDC (Hoffmann-La Roche) idatrexate ethynylcytidine (Taiho)

Topoisomerase Amsacrine rubitecan (SuperGen) inhibitors epirubicin exatecan mesylate (Daiichi) etoposide quinamed (ChemGenex) teniposide or mitoxantrone gimatecan (Sigma-Tau) irinotecan (CPT-I l) diflomotecan (Beaufour-Ipsen) 7-ethyl- 10-hydroxy-camptothecin TAS- 103 (Taiho) topotecan elsamitrucin (Spectrum) dexrazoxanet (TopoTarget) J-107088 (Merck & Co) pixantrone (Novuspharma) BNP-1350 (BioNumerik) rebeccamycin analogue (Exelixis) CKD-602 (Chong Kun Dang) BBR-3576 (Novuspharma) KW-2170 (Kyowa Hakko) Table 1 (cont.) Antitumor dactinomycin (actinomycin D) amonafide antibiotics doxorubicin (adriamycin) azonafide deoxyrubicin anthrapyrazole valrubicin oxantrazole daunorubicin (daunomycin) losoxantrone epirubicin bleomycin sulfate (blenoxane) therarubicin bleomycinic acid idarubicin bleomycin A rubidazone bleomycin B plicamycinp mitomycin C porfiromycin MEN-10755 (Menarini) cyanomorpholinodoxorubicin GPX-100 (Gem Pharmaceuticals) mitoxantrone (novantrone)

Antimitotic paclitaxel SB 408075 (GlaxoSmithKline) agents docetaxel E7010 (Abbott) colchicine PG-TXL (Cell Therapeutics) vinblastine IDN 5109 (Bayer) vincristine A 105972 (Abbott) vinorelbine A 204197 (Abbott) vindesine LU 223651 (BASF) dolastatin 10 (NCI) D 24851 (ASTAMedica) rhizoxin (Fujisawa) ER-86526 (Eisai) mivobulin (Warner-Lambert) combretastatin A4 (BMS) cemadotin (BASF) isohomohalichondrin-B (PharmaMar) RPR 109881A (Aventis) ZD 6126 (AstraZeneca) TXD 258 (Aventis) PEG-paclitaxel (Enzon) epothilone B (Novartis) AZ 10992 (Asahi) T 900607 (Tularik) IDN-5109 (Indena) T 138067 (Tularik) AVLB (Prescient NeuroPharma) cryptophycin 52 (Eli Lilly) azaepothilone B (BMS) vinflunine (Fabre) BNP-7787 (BioNumerik) auristatin PE (Teikoku Hormone) CA-4 prodrug (OXiGENE) BMS 247550 (BMS) dolastatin- 10 (NIH) BMS 184476 (BMS) CA-4 (OXiGENE) BMS 188797 (BMS) taxoprexin (Protarga)

Aromatase Aminoglutethimide exemestane inhibitors letrozole atamestane (BioMedicines) anastrazole YM-511 (Yamanouchi) formestane

Thymidylate pemetrexed (Eli Lilly) nolatrexed (Eximias) synthase inhibitors ZD-9331 (BTG) CoFactor™ (BioKeys)

DNA antagonists trabectedin (PharmaMar) mafosfamide (Baxter International) glufosfamide (Baxter International) apaziquone (Spectrum albumin + 32P (Isotope Solutions) Pharmaceuticals) thymectacin (NewBiotics) O6 benzyl guanine (Paligent) edotreotide (Novartis)

Farnesyltransferase arglabin (NuOncology Labs) tipifarnib (Johnson & Johnson) inhibitors lonafarnib (Schering-Plough) perillyl alcohol (DOR BioPharma) BAY-43-9006 (Bayer) Table 1 (cont.) Pump inhibitors CBT-I (CBA Pharma) zosuquidar trihydrochloride (Eli Lilly) tariquidar (Xenova) biricodar dicitrate (Vertex) MS-209 (Schering AG)

Histone tacedinaline (Pfizer) pivaloyloxymethyl butyrate (Titan) acetyltransferase SAHA (Aton Pharma) depsipeptide (Fujisawa) inhibitors MS-275 (Schering AG)

Metalloproteinase Neovastat (Aeterna Laboratories) CMT-3 (CollaGenex) inhibitors marimastat (British Biotech) BMS-275291 (Celltech)

Ribonucleoside gallium maltolate (Titan) tezacitabine (Aventis) reductase inhibitors triapine (Vion) didox (Molecules for Health)

TNF alpha virulizin (Lorus Therapeutics) revimid (Celgene) agonists/antagonists CDC-394 (Celgene)

Endothelin A atrasentan (Abbott) YM-598 (Yamanouchi) receptor antagonist ZD-4054 (AstraZeneca)

Retinoic acid fenretinide (Johnson & Johnson) alitretinoin (Ligand) receptor agonists LGD-1550 (Ligand)

Immuno- interferon dexosome therapy (Anosys) modulators oncophage (Antigenics) pentrix (Australian Cancer GMK (Progenies) Technology) adenocarcinoma vaccine (Biomira) ISF-154 (Tragen) CTP-37 (AVI BioPharma) cancer vaccine (Intercell) IRX-2 (Immuno-Rx) norelin (Biostar) PEP-005 (Peplin Biotech) BLP-25 (Biomira) synchrovax vaccines (CTL Immuno) MGV (Progenies) melanoma vaccine (CTL Immuno) β-alethine (Dovetail) p21 RAS vaccine (GemVax) CLL therapy (Vasogen)

Hormonal and estrogens prednisone antihormonal conjugated estrogens methylprednisolone agents ethinyl estradiol prednisolone chlortrianisen aminoglutethimide idenestrol leuprolide hydroxyprogesterone caproate goserelin medroxyprogesterone leuporelin testosterone bicalutamide testosterone propionate; flutamide fluoxymesterone octreotide methyltestosterone nilutamide diethylstilbestrol mitotane megestrol P-04 (Novogen) tamoxifen 2-methoxyestradiol (EntreMed) toremofme arzoxifene (Eli Lilly) dexamethasone

Photodynamic talaporfin (Light Sciences) Pd-bacteriopheophorbide (Yeda) agents Theralux (Theratechnologies) lutetium texaphyrin (Pharmacyclics) motexafin gadolinium (Pharmacyclics) hypericin Table 1 (cont.) Tyrosine Kinase imatinib (Novartis) kahalide F (PharmaMar) Inhibitors leflunomide (Sugen/Pharmacia) CEP-701 (Cephalon) ZD 1839 (AstraZeneca) CEP-751 (Cephalon) erlotinib (Oncogene Science) MLN518 (Millenium) canertinib (Pfizer) PKC412 (Novartis) squalamine (Genaera) phenoxodiol () SU5416 (Pharmacia) trastuzumab (Genentech) SU6668 (Pharmacia ) C225 (ImClone) ZD4190 (AstraZeneca) rhu-Mab (Genentech) ZD6474 (AstraZeneca) MDX-H210 (Medarex) vatalanib (Novartis) 2C4 (Genentech) PKI 166 (Novartis) MDX-447 (Medarex) GW2016 (GlaxoSmithKline) ABX-EGF (Abgenix) EKB-509 (Wyeth) IMC-I CI l (ImClone) EKB-569 (Wyeth)

Miscellaneous agents SR-27897 (CCK A inhibitor, Sanofi-Synthelabo) BCX- 1777 (PNP inhibitor, BioCryst) tocladesine (cyclic AMP agonist, Ribapharm) ranpimase (ribonuclease stimulant, Alfacell) alvocidib (CDK inhibitor, Aventis) galarubicin (RNA synthesis inhibitor, Dong-A) CV-247 (COX-2 inhibitor, Ivy Medical) tirapazamine (reducing agent, SRI International) P54 (COX-2 inhibitor, Phytopharm) N-acetylcysteine (reducing agent, Zambon) CapCell™ (CYP450 stimulant, Bavarian Nordic) R-flurbiprofen (NF-kappaB inhibitor, Encore) GCS-100 (gal3 antagonist, GlycoGenesys) 3CPA (NF-kappaB inhibitor, Active Biotech) G 17DT immunogen (gastrin inhibitor, Aphton) seocalcitol (vitamin D receptor agonist, Leo) efaproxiral (oxygenator, Allos Therapeutics) 131-I-TM-601 (DNA antagonist, TransMolecular) PI-88 (heparanase inhibitor, Progen) eflornithine (ODC inhibitor , ILEX Oncology) tesmilifene (histamine antagonist, YM minodronic acid (osteoclast inhibitor, BioSciences) Yamanouchi) histamine (histamine H2 receptor agonist, indisulam (p53 stimulant, Eisai) Maxim) aplidine (PPT inhibitor, PharmaMar) tiazofurin (IMPDH inhibitor, Ribapharm) rituximab (CD20 antibody, Genentech) cilengitide (integrin antagonist, Merck KGaA) gemtuzumab (CD33 antibody, Wyeth Ayerst) SR-31747 (IL-I antagonist, Sanofi-Synthelabo) PG2 (hematopoiesis enhancer, Pharmagenesis) CCI-779 (mTOR kinase inhibitor, Wyeth) Immunol™ (triclosan oral rinse, Endo) exisulind (PDE V inhibitor, Cell Pathways) triacetyluridine (uridine prodrug , Wellstat) CP-461 (PDE V inhibitor, Cell Pathways) SN-4071 (sarcoma agent, Signature BioScience) AG-2037 (GART inhibitor, Pfizer) TransMID-107™ (immunotoxin, KS Biomedix) WX-UKl (plasminogen activator inhibitor, PCK-3145 (apoptosis promotor, Procyon) Wilex) doranidazole (apoptosis promotor, PoIa) PBI- 1402 (PMN stimulant, ProMetic CHS-828 (cytotoxic agent, Leo) LifeSciences) trans-retinoic acid (differentiator, NIH) bortezomib (proteasome inhibitor, Millennium) MX6 (apoptosis promotor, MAXIA) SRL- 172 (T cell stimulant, SR Pharma) apomine (apoptosis promotor, ILEX Oncology) TLK-286 (glutathione S transferase inhibitor, urocidin (apoptosis promotor, Bioniche) Telik) Ro-31-7453 (apoptosis promotor, La Roche) PT-100 (growth factor agonist, Point brostallicin (apoptosis promotor, Pharmacia) Therapeutics) midostaurin (PKC inhibitor, Novartis) bryostatin-1 (PKC stimulant, GPC Biotech) CDA-II (apoptosis promotor, Everlife) SDX-101 (apoptosis promotor, Salmedix) ceflatonin (apoptosis promotor, ChemGenex) BRIEF DESCRIPTION OF THE DRAWING Figure 1 is three plots showing compound concentration vs. cell proliferation inhibition for compound 1 [plot A, EC5O (HCT cells) = 10 μM, EC50 (A549 cells) = 16 μM], compound 2 (plot B, EC50 (HCT cells) = 12 μM, EC50 (A549 cells) = 19 μM], and compound 3 [EC50 (HCT cells) = 11 μM, EC50 (A549 cells) = 7 μM]. Peak concentrations and dilution factors are listed on the top of each graph set. DETAILED DESCRIPTION

Compounds of formula I can be prepared as shown in Scheme 1.

Scheme I

n

Compounds of formula V and VIII can be prepared as described by Lin et al., in U.S. Patent Application Serial No. 09/849,000, using the phenothiazines of formula IV as a starting point. Compounds of formula VIII can then be reacted with nucleophiles to displace the chloro group resulting in compounds of formula X. In one example, the nucleophile is a secondary amine, resulting in compounds of formula I where R9 is

X2 is N and m, n, o, p, q, Y, Z, A, B R10 and R11 are as previously defined herein.

In another example, the nucleophile is a primary amine, resulting in compounds of formula I where R9 is

where X1 is NH and m, n, o, p, q, Y, Z, A, B R10 and R1 ' are as previously defined herein.

Compounds of formula VIII can be also be used to form organometallic compounds, such as cuprates, which can be subsequently reacted with activated olefins, such as α,β-unsaturated ketones or esters. In one example, the cuprate is reacted with an α,β -unsaturated ester of the formula XI: H3CO\^^/\/O-Protecting group O (XI),

which can be subsequently refunctionalized and carried on synthetically by reactions known to those skilled in the art to produce compounds of formula I where R9 is

where X2 is CH and m, n, o, p, q, Y, Z, A, B R10 and R1 ' are as previously defined herein.

In an alternate synthesis of compounds of formula I where R9 is

compounds of formula V can be oxidized to aldehydes of formula VI. In examples where W is S, oxidants such as Dess-Martin reagent are particularly preferred. A compound of formula VI can then be reacted with a secondary amine (each of Ra and Rb is, independently an optionally substituted alkyl, aryl, or heteroaryl as shown in Scheme 1) or with a primary amine (Ra is an optionally substituted alkyl, aryl, or heteroaryl and Rb is H) in a reductive amination procedure to produce compounds of formula VII.

Assay for Antiproliferative Activity

The compound dilution matrix was assayed using the bromodeoxyuridine (BrdU) cytoblot method. In the present invention, the assay was performed using both A549 and HCT cells. Forty-five microliters of a suspension containing A549 lung adenocarcinoma cells (ATCC# CCL- 185) was seeded in a white opaque polystyrene cell culture treated sterile 384- well plate (NalgeNunc #164610) using a multidrop (Labsystems) to give a density of 3000 cells per well. Fifteen microliters of the compound mixture matrix for compounds 1, 2, and 3 was added to each well of the plate containing the cells at concentrations ranging from 0.02 μM to 70 μM (2X dilutions). The compound mixture matrix was transferred using a 16-channel pipettor (Finnpipette). Each experiment was conducted in triplicate plates.

After incubation for 72 hours at 370C, BrdU was added to each well at a concentration of 10 μM. After 16 hours, the media was aspirated and the cells were fixed by the addition of 70% ethanol and phosphate-buffered saline (PBS) at room temperature for 1 hour. The fixative was aspirated and 2N HCl with Tween 20 (polyoxyethylene sorbitan monolaurate) was added to each well and the plates were incubated for 20 minutes at room temperature. The HCl was neutralized with a solution of 2N NaOH and the cells were washed twice with Hank's Balanced Salt Solution (HBSS) and once with PBS containing 0.5% bovine serum albumin (BSA) and 0.1% Tween 20. The wash solution was removed and mouse anti-BrdU primary antibody (PharMingen #555627) was diluted 1: 1000 in PBS containing BSA, Tween 20, and secondary antibody at a dilution of 1 :2000 (Amersham #NA931). The secondary antibody recognizes the mouse antibody and it is conjugated to the enzyme horseradish peroxidase (HRP). After one hour of incubation, the antibody solution was removed and the cells washed once with PBS. After the PBS wash, the HRP substrate (which contains luminol, hydrogen peroxide, and an enhancer such as para- iodophenol) was added to each well. The plates were read using an LJL Analyst. All aspirations as well as the washes with PBS and HBSS were performed using a TECAN Power Washer 384. The amount of light output from each well indicates the amount of DNA synthesis that occurred in that well. Decreased light indicates antiproliferative action of the compounds.

Luminescence for each position in the dilution matrix was divided into the luminescence values for A549 or HCT cells treated with only DMSO vehicle, providing antiproliferative ratios for each position in the dilution matrix for compounds 1, 2, and 3, respectively. The anti -proliferative effect demonstrated with A459 cells can be similarly demonstrated using other cancer cell lines, such as MCF7 mammary adenocarcinoma, PA-I ovarian teratocarcinoma, HT29 colorectal adenocarcinoma, H 1299 large cell carcinoma, U-2 OS osteogenic sarcoma, U- 373 MG glioblastoma, Hep-3B hepatocellular carcinoma, BT-549 mammary carcinoma, T-24 bladder cancer, C-33 A cervical carcinoma, HT-3 metastatic cervical carcinoma, SiHa squamous cervical carcinoma, CaSki epidermoid cervical carcinoma, NCI-H292 mucoepidermoid lung carcinoma, NCI-2030, non small cell lung carcinoma, HeLa, epithelial cervical adenocarcinoma, KB epithelial mouth carcinoma, HT 1080 epithelial fibrosarcoma, Saos-2 epithelial osteogenic sarcoma, PC3 epithelial prostate adenocarcinoma, SW480 colorectal carcinoma, CCL-228, and MS-751 epidermoid cervical carcinoma cell lines. The specificity can be tested by using cells such as NHLF lung fibroblasts, NHDF dermal fibroblasts, HMEC mammary epithelial cells, PrEC prostate epithelial cells, HRE renal epithelial cells, NHBE bronchial epithelial cells, CoSmC Colon smooth muscle cells, CoEC colon endothelial cells, NHEK epidermal keratinocytes, and bone marrow cells as control cells.

Therapy

The compounds of the invention are useful for the treatment of neoplasms. Therapy may be performed alone or in conjunction with another therapy (e.g., surgery, radiation therapy, chemotherapy, immunotherapy, anti- angiogenesis therapy, or gene therapy). For example, useful chemotherapeutic agents that can be used in a compound of formula I are listed in Table (I) and are referred to a "Group A antiproliferative agents."

The duration of the combination therapy depends on the type of disease or disorder being treated, the age and condition of the patient, the stage and type of the patient's disease, and how the patient responds to the treatment. Therapy may be given in on-and-off cycles that include rest periods so that the patient's body has a chance to recovery from any as yet unforeseen side- effects. Examples of cancers and other neoplasms include, without limitation, leukemias (e.g., acute leukemia, acute lymphocytic leukemia, acute myelocytic leukemia, acute myeloblastic leukemia, acute promyelocytic leukemia, acute myelomonocytic leukemia, acute monocytic leukemia, acute erythroleukemia, chronic leukemia, chronic myelocytic leukemia, chronic lymphocytic leukemia), polycythemia vera, lymphoma (Hodgkin's disease, non-Hodgkin's disease), Waldenstrom's macroglobulinemia, heavy chain disease, and solid tumors such as sarcomas and carcinomas (e.g., fibrosarcoma, myxosarcoma, liposarcoma, chondrosarcoma, osteogenic sarcoma, chordoma, angiosarcoma, endotheliosarcoma, lymphangiosarcoma, lymphangioendotheliosarcoma, synovioma, mesothelioma, Ewing's tumor, leiomyosarcoma, rhabdomyosarcoma, colon carcinoma, pancreatic cancer, breast cancer, ovarian cancer, prostate cancer, squamous cell carcinoma, basal cell carcinoma, adenocarcinoma, sweat gland carcinoma, sebaceous gland carcinoma, papillary carcinoma, papillary adenocarcinomas, cystadenocarcinoma, medullary carcinoma, bronchogenic carcinoma, renal cell carcinoma, hepatoma, bile duct carcinoma, choriocarcinoma, seminoma, embryonal carcinoma, WiIm' s tumor, cervical cancer, uterine cancer, testicular cancer, lung carcinoma, small cell lung carcinoma, bladder carcinoma, epithelial carcinoma, glioma, astrocytoma, medulloblastoma, craniopharyngioma, ependymoma, pinealoma, hemangioblastoma, acoustic neuroma, oligodenriglioma, schwannoma, meningioma, melanoma, neuroblastoma, and retinoblastoma).

Formulation of Pharmaceutical Compositions

The administration of each compound of the combination may be by any suitable means that results in a concentration of the compound that, combined with the other component, is anti-neoplastic upon reaching the target region. The compound may be contained in any appropriate amount in any suitable carrier substance, and is generally present in an amount of 1-95% by weight of the total weight of the composition. The composition may be provided in a dosage form that is suitable for the oral, parenteral (e.g., intravenously, intramuscularly), rectal, cutaneous, nasal, vaginal, inhalant, skin (patch), or ocular administration route. Thus, the composition may be in the form of, e.g., tablets, capsules, pills, powders, granulates, suspensions, emulsions, solutions, gels including hydrogels, pastes, ointments, creams, plasters, drenches, osmotic delivery devices, suppositories, enemas, injectables, implants, sprays, or aerosols. The pharmaceutical compositions may be formulated according to conventional pharmaceutical practice (see, e.g., Remington: The Science and Practice of Pharmacy, 20th edition, 2000, ed. A.R. Gennaro, Lippincott Williams & Wilkins, Philadelphia, and Encyclopedia of Pharmaceutical Technology, eds. J. Swarbrick and J. C. Boylan, 1988-1999, Marcel Dekker, New York).

Dosages

The dosage of each compound of the claimed combinations depends on several factors, including: the administration method, the neoplasm to be treated, the severity of the neoplasm, whether the neoplasm is to be treated or prevented, and the age, weight, and health of the patient to be treated.

For combinations that include a compound of formula I and another antiproliferative agent of Group A, the recommended dosage for the anti- proliferative agent is desirably less than or equal to the recommended dose as given in the Physician 's Desk Reference, 57th Edition (2003).

As described above, the compound in question may be administered orally in the form of tablets, capsules, elixirs or syrups, or rectally in the form of suppositories. Parenteral administration of a compound is suitably performed, for example, in the form of saline solutions or with the compound

incorporated into liposomes. In cases where the compound in itself is not sufficiently soluble to be dissolved, a solubilizer such as ethanol can be applied.

A chemotherapeutic agent of the invention is usually given by the same route of administration that is known to be effective for delivering it as a monotherapy. For example, when used in combination therapy a compound of formula I, a Group A antiproliferative agent is dosed in amounts and frequencies equivalent to or less than those that result in its effective monotherapeutic use.

All publications and patents cited in this specification are herein incorporated by reference as if each individual publication or patent were specifically and individually indicated to be incorporated by reference. Although the foregoing invention has been described in some detail by way of illustration and example for purposes of clarity of understanding, it will be readily apparent to those of ordinary skill in the art in light of the teachings of this invention that certain changes and modifications may be made thereto without departing from the spirit or scope of the appended claims.

What is claimed is: