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TW200400828A - A composition for cancer therapy - Google Patents

A composition for cancer therapy Download PDF

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Publication number
TW200400828A
TW200400828A TW092115783A TW92115783A TW200400828A TW 200400828 A TW200400828 A TW 200400828A TW 092115783 A TW092115783 A TW 092115783A TW 92115783 A TW92115783 A TW 92115783A TW 200400828 A TW200400828 A TW 200400828A
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TW
Taiwan
Prior art keywords
cancer
scope
composition
patent application
page
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TW092115783A
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Chinese (zh)
Inventor
Dong Huang
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Panagin Pharmaceuticals Inc
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Publication of TW200400828A publication Critical patent/TW200400828A/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Medicinal Chemistry (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Public Health (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Organic Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Epidemiology (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicines Containing Plant Substances (AREA)

Abstract

Compositions for cancer therapy comprising two or more saponins and/or sapogenins as provided. The compositions have enhanced anti-cancer activity when compared to each individual component alone. Also provided are pharmaceutical and non-pharmaceutical formulations comprising the compositions for use in the treatment of mammalian subjects having cancer, and pharmaceutical kits comprising such compositions or formulations.

Description

200400828 玖、發P說明 (發明說明應敘明··發明所屬之技術領域、先前技術、內容、實施方式及圖式簡單說 明) 【發明所屬之技術領域] 本發明係有關用爲癌症治療之組合物,更爲具體地,本發明關于包括 皂甙S/或皂甙配基㉙且雜在治療癌症方面的應用。 【先前技術】 由於持續存在硏發新穎抗癌藥物和藥物組合之需求,抗癌硏究已經越 來越多地轉向從天然資源中發掘新穎抗癌藥物,以及從天然資源中發現和 配製合成化。 長久以來人參被公認爲滋補品,並且是良性的和安全的草藥,人參中 的許多成分已經被確定及分類爲:人參皂甙(ginsenoside)、碳水化合物 (carbohydrate)' 氮類化劍勿(nitrogenous compound)' 溶脂性化^^I(fat-soluble compound)、維他命(vitamin)和礦物質(mineral),從人參中萃取的巷戒 (s^)〇nin)、也稱作人參官lt(ginsen〇side)、是人參φ主要的活性成分° 一般而言,皂甙是由醣基(glycon)和無醣甙元(aglycon)組成,人參中之 皂甙之骨架巷甙配基(sapogenin)進一步分爲三大類:達瑪院系(dammarane) 、四魅化合物(tetracyclic terpenoids)、原人參二醇(protopanaxadiol)和原人 參三醇(protopanaxatriol)、以及齊;®!^酸(oleanoic acid)〇 原人參三醇皂甙配親aglycon protopanaxatriol, aPPT)具有下列結 τι續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 發明說明續頁200400828 (Description of invention should be stated ... The technical field to which the invention belongs, prior art, content, embodiments, and drawings are briefly explained.) [Technical field to which the invention belongs] The present invention relates to a combination for the treatment of cancer More specifically, the present invention relates to the use of saponin S and / or saponin amidin in the treatment of cancer. [Previous Technology] Due to the continued demand for new anticancer drugs and drug combinations, anticancer research has increasingly turned to discovering new anticancer drugs from natural resources, and discovering and formulating synthetic compounds from natural resources. . Ginseng has long been recognized as a tonic and is a benign and safe herbal medicine. Many ingredients in ginseng have been identified and classified as: ginsenoside, carbohydrate 'nitrogenous compound ) 'Fat-soluble compound ^^ (fat-soluble compound), vitamins and minerals, extracted from ginseng (s ^) 〇nin), also known as ginseng officer lt (ginsen〇 side), is the main active ingredient of ginseng φ. Generally speaking, saponins are composed of glycosyl and aglycon, and the sapogenin of glycosides in ginseng is further divided into three Major categories: dammarane, tetracyclic terpenoids, protopanaxadiol and protopanaxatriol, and qi; oleanoic acid 〇 original ginsenotriol The saponin aglycon protopanaxatriol (aPPT) has the following continuation pages. (When the description page of the invention is insufficient, please note and use the continuation page.) 200400828 Description of the invention continued page

^llMA#^S?^^®BS(aglyconprotopanaxadiol, aPPD) 構:^ llMA # ^ S? ^^ ®BS (aglyconprotopanaxadiol, aPPD)

超過25種達瑪院型皂甙已經從高麗人參中分離出來,只是各種皂甙 留在醣基側鏈(sugar side chain)之單醣(monosaccharide)的數量和種®不 同。單體人參巷It是依據其在薄層式層層析盤(thin-layer chromatography plates)中的活動性而命名爲Rx的,例如,已知之人參島甙包括了那些從More than 25 types of Damain-type saponins have been isolated from Korean ginseng, but the amount and type of monosaccharides left by various saponins in the sugar side chain are different. The single ginseng lane It is named Rx based on its activity in thin-layer chromatography plates. For example, known ginseng glycosides include those derived from

Ra至Rh的皂甙,最近又有三®過熱處理人參獲得之新穎達瑪院型巷甙 (Rkl, Rk2,Rk3)的報導(見 see Park, I.H. (2002) Arch Pharm Res. 25: 428- 32)。 近幾年,有關人參皂甙在癌症治療應用上的效用已屢見報導,例如, 美國專利申請第09/910,887號(公告號:20030087835 )和美國朝丨伸請第 d]續次頁 (發明說明頁不敷使用時,請註記並使用續頁) 200400828 發明說:明^頁 09/982,018號(公告號:20030087836 )中披露之具有抗癌活性的新颖人參 皂甙化合物,類似地,美國專利第5,776,460號也披露了咖人參胃 [3-O-p-D-glucopyranosyl-20(s)_ protopanaxadiol])具有抗癌活性,咖具有 下列化學結構,其中“Glc”代表醣基(glycon or glucose):Sa to saponins from Ra to Rh, and recently a novel Damain type alloside (Rkl, Rk2, Rk3) obtained from three® heat-treated ginseng (see see Park, IH (2002) Arch Pharm Res. 25: 428- 32) . In recent years, the effectiveness of ginsenosides in the treatment of cancer has been reported frequently. For example, US Patent Application No. 09 / 910,887 (Bulletin No .: 20030087835) and the US DPRK petition] d] Continued page (Explanation of the invention When the page is inadequate, please note and use the continuation page) 200400828 Invention description: The new ginsenoside compound with anticancer activity disclosed in No. 09 / 982,018 (Announcement No. 20030087836), similarly, US Patent No. 5,776,460 The number also discloses that coffee ginseng stomach [3-OpD-glucopyranosyl-20 (s) _protopanaxadiol]) has anticancer activity, and coffee has the following chemical structure, where "Glc" stands for glycan or glucose:

有文獻報導過Rh2能夠誘導癌症細胞的分化(differentiation )和凋亡 (apoptosis) (KikucW Y. et al. (1991) Anti-cancer Drugs. 2: 63-7; Lee KY et al. (1996) Cancer Lett. 110: 193-200; Oh M et al. (1999) Int J Oncol. 18: 869-75; Ota T et al. (1997) Life Sci. 60: PL39-88; Nakata H et al. (1998) Jpn J Cancer Res. 89: 733-80; Kim H.E et al. (1999) Life Sci. 65: PL33-80; Park JA et al. (1997) Cancer Lett· 121: 73·81);透過口飼 Rh2 倉調抑制人類卵巢癌(human ovarian cancer)在裸鼠上的成長(Nakata H et al· (1998) Jpn J Cancer Res. 89: 733-80);在加偷·〇中Rh2與其他化讎物組合使用時,能夠殺死多藥耐 藥癌症細胞_ti_drug resistant, MDR)(美國專利申請第60/204,785號參 照)。 已經硏究發現人參皂甙Rg3 [3-0-[β-ϋ-葡萄吡喃醣(glucopyranosyl) (1 —2)-β~0-葡萄吼喃醣(glucopyranosy 1)]-20(S)-原人參二醇(protopanaxadiol)] 具有可以抑制不同癌症細胞轉移的活性(Shinkai K et al (1996) Jpn J CancerIt has been reported in the literature that Rh2 can induce differentiation and apoptosis of cancer cells (KikucW Y. et al. (1991) Anti-cancer Drugs. 2: 63-7; Lee KY et al. (1996) Cancer Lett. 110: 193-200; Oh M et al. (1999) Int J Oncol. 18: 869-75; Ota T et al. (1997) Life Sci. 60: PL39-88; Nakata H et al. (1998 ) Jpn J Cancer Res. 89: 733-80; Kim HE et al. (1999) Life Sci. 65: PL33-80; Park JA et al. (1997) Cancer Lett. 121: 73 · 81); by oral feeding Rh2 silencing inhibits the growth of human ovarian cancer in nude mice (Nakata H et al. (1998) Jpn J Cancer Res. 89: 733-80); Rh2 and other chemical compounds are added in stealing. When used in combination, it can kill multi-drug resistant cancer cells (ti_drug resistant, MDR) (refer to US Patent Application No. 60 / 204,785). Ginsenoside Rg3 [3-0- [β-ϋ-glucopyranosyl (1-2) -β ~ 0-glucopyranosy 1]]-20 (S) Ginsengdiol (protopanaxadiol)] has the ability to inhibit the metastasis of different cancer cells (Shinkai K et al (1996) Jpn J Cancer

Res. 87: 357-62),包括在 v//w 對AM前列腺癌細胞(prostate cancer cells) τι續次頁(發明說明頁不敷使用時’請註記並使用續頁) 200400828 發明說明續頁 (Liu WK et al. (2000) Life Sci. 07(11): 1297-306)、在小鼠上的癌細ΜΦΙΙ# (Iishi H et al.(1997)、以及大鼠上的癌細胞腹膜轉移(Mochizuki M et al.(1995) Biol Pharm Bull. 18: 1197-202),另外,美國專利申請第 09/957,082 號(公 告號:20030092638)披露了兩種皂甙配基原人參二醇和原人參三醇在與其 他化療藥物組合使用中,m vi如,能夠增加多藥耐藥癌症細胞對化療的敏 感0 除了分離出來之具有抗癌活性的各種人參老1C,在vfvo試驗中,一 些從人參中分離出來的齊墩果型(oleanane-type)五te化合物(pentacyclic terpenoid compounck)也具有抗癌活性(Shibata^ S. (2001) J. Korean Med. Sci., 16 Suppl.: S28-37)。 上述背景資料是基于申請人認爲有可能與本發明之有關之目的而提供 的,任何前述信息,無意、也不構成對抗本發明之先前技術’這裡有關全 部技術說明的出版物,都放在轉目錄中。 【內容】 本發明之一目標,在爲癌症治療提供一種組合物,以及該組合物在癌 症之治療中的應用,與本發明的一個方面相應,在此提供了一種具有增強 抗癌活注的組雜 > 該組额包含有兩觀多種巷甙及/或皂甙配基° 與本發明的另一個方面相應,在此提供了一種用于癌症治療之製藥配 方(pharmaceutical formulation),該配方包含前述組合物的藥學有效劑量 颜合之載體。 與本發明的再一個方面相應,在此提供了一種用于癌症治療之非製藥 續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 發明說明續頁 配方(non-pharmaceutical formulation),該配方包含前述組合物的藥學有 效齊11¾¾適合之載體。 與本發明的又一個方面相應,在此提供了一種組合物的應用,將該組 合物用于癌症患者的癌症治療。 附圖簡述 圖一提供了用不同皂甙和皂甙配基以及本發明之一種組合物處理人類神經 膨質瘤癌症細胞(human glioma tumor cells) U87後,細胞存活率的 ΙμΙτγ、, 圖二提供了用不同皂甙和皂甙配基以及本發明之一種組合物處理鼠類黑色 素瘤癌SB胞(mouse melanoma cells ) Β16後,細胞存活率的圖示; 圖三提供了用不同皂甙和皂甙配基以及本發明之一種組合物處理人類乳腺 癌細胞(human breast cancer cells) MCF7後,細胞存活率的圖 示; 圖4a提供了用本發明之組合物的不同劑量處理胰腺癌細胞(pancreatic cancer cells ) BXCP-3後,細胞存活率的圖示; 圖4b提供了用本發明之組合物的不同劑量處理胰腺癌細胞(pancreatic cancer cells ) CAPAN-1後,細胞存活率的圖示; 圖五顯示用本發明之組合物的不同劑量在加v/w處理癌細胞的抑制作用。 發明_細描述 本發明彳^于發現了使用包含有人參巷甙和皂甙配基的組合物,與單 獨使用那些已知之具有抗癌活性的皂甙或巷甙配基相比較,具有更強的細 "T"!續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 發明說明續頁 :..· · 胞殺死效果,即將組合物用于處理癌症細鹏,具有出乎意料之細胞殺死 的增強效果。 因此,本發明之組合物比單獨使用組合物中任何一種成分,具有更強 的抗癌功效和效力,單獨使用組合物中钳可-一種成分,如果要達到這種程 度的抗癌功效和效力,必須使用極高劑量。 除非另有規定,在此使用的所有技術及科學術語與對本發明所涉及先 前技術擁有普通常識的人員通常理解的含義相同。 “萃取物”係指物理的或化學的方式從植物原料中萃取之組合物,包含 有一種或多種皂甙及/或皂甙配基,對先前技術擁有普通常識的人員,將根 據在此提供之已知方法可以生產出萃取物,例如將一種溶媒使用于植物原 料上,該萃取物可以是天然萃取物(crude extract),也可能是部分純化的 物(purifiedextract)0 “植物原料”娜從一臟一組植物中獲取的一個或多個部分,包括但 不限于葉子、花、根莖、種好、莖幹、漿果及類似物。 “天然萃取物”係指從一種處于天然的未加工狀態的植物中獲取的萃取 物。 “部分純化”係指萃取物處于一種比天然萃取物含有較少蛋白質、核苷 酸、脂質、碳水化合物、或其他天然存在于植物中之類似原料的狀態,在 本發明之組雜中使用的是部分純化之鞠物。 “活賊分,,係指組合物中那些具有抗癌活性的成分,本發明之組合物 的活賊鮑括皂甙及/或皂甙配基。 “皂甙,,係指一種植物配醣類能夠通過消化釋放一個醣細一個皂甙配 續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 __ 發明說明®;!; 基,皂甙也被稱作4‘人參皂甙”。 “皂甙配基”係指皂甙中之無醣部分,通常是通過水解獲得,其不是具 有一個複合萜類(αοΜρΙεχίεφεηοίά)機^ 結構。 “增強效應”,在就二種或多種活性成分的組合使用而言,係指二_ 多種成分的組合活性ϋ過每一成分單獨使用時之活性。 “增強活性齊II量/增強活性比例”係指本發明中一種成分足以產生增強 效果的劑量,例如在與本發明組合物之其他成分組合使用時的增強細胞殺 死能力。 “功效(efficacy),,係指組合誠儒成分之殺死癌症細胞的效果。 “效力(potency) ”指與使用劑量(dose)有關之組合物或一種成分的 功效。 “多藥抗藥癌症(Multi-drug resistant cancer, MDR),,,係指癌症或腫瘤 細胞對治療產生之一種原發的或獲得的抵抗力,通常,原發型多藥抗藥癌 症(Prime MDR)被認爲是未經治療就對化學治療沒有反應的癌症,而繼發 型多藥抗藥癌症(Secondary MDR)則是在治療過程中產生了抗藥性,此領 域技術熟練人員所理解之“多藥抗藥癌症(Multi-dmg resistant cancer)”是 指以下幾種機制所造成的抗藥性:減少藥物的聚集(decreased drug accumulation) (例如 ,化療藥物被一 個蛋白質泵 (P-醣蛋白 ) 自動排出 (e.g., active excretion of the chemotherapeutic by a protein pump (P-glycoprotein)),藥物代 謝的加速及藥物代謝的其他改變、以及細胞修復藥物損傷能力的增強。在 本發明中所指之“抗藥癌症(drug resistant cancer) ”包括那些對一種或多 種化療藥物產生耐藥性的癌症,而與耐藥機制無關。 “日免期癌症(Advanced Cancer)”,是指病人身上的開放癌症(overt cancer ΓΤ1續次頁(發明說明頁不敷使用時’請註記並使用續頁) 200400828 發明說明_頁 ),這種開放癌症常常不限於局部,而且對局部治療方如手術或放射 治療沒有麵。 “原發型癌症(Primary cancer),,,是指初始腫瘤(original tumor)或原發性 腫瘤,並且通常以其所患身體部位來命名。 “轉移型癌症(Metastatic cancer)” ’是指已經從一個原始部位(原發型癌 链0擴散到其他部位(繼發型癌'症)的癌症類型,實際上所有癌症都可以發展 成爲轉移型,因此本術語並不侷限於任何一種特定的癌症種類。轉移型癌 症通常是耐藥性的。 “復發型癌症(Recurrent cancer)”,是指被認爲已經治癒或者病症緩解的 癌症重新復發,癌症復發可出現在數周後、數月後、若干年後、或許多年 後,此領域技術熟練人員所理解之復發癌症,是指原始治療如化學治療、 放射治療 '雜治療等未能去除或消滅的癌症細臟引起的癌症° 皂试及域皂麵基以且雜 本發明提供了由二種或多種皂甙及/或皂甙配基組合而成之組合物,用 于癌症治療,本發明之組合物可以包含,例如二種或多種皂甙、二種或多 種者甙配基、一種或多種巷甙與一種或多種皂甙配基,與本發明的一個方 面相應,該組合物在與單獨使用每一種成分相比較,具有抑制癌症細胞生 長的增強效果,組合物的這種增強效果可以是協同作用(synergistic),也 可以不是。 本發明之組合物的使用效果,在與每一種等量成分單獨使用時效果 相比較,至少增加了約5%,本發明之一個方面,組合物之使用效果,在 與每一種等量成分單獨使用時效果相比較,至少增加約川%,本發明之另 叫固方面,組合物之使用效果,至少增加約15¾,本發明之又一方面,組 [T]續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 發明說明續頁 合物之使用效果’至少馳D約20%,本發明之其他方面,組合物之使用效 果,至少增加約23%、約25%、約27%和約30%。 組中使用之巷甙及巷甙配基是從人參植物(plants 〇f gemjs押臟) 中提取得來,適合的皂甙配基包括原人參二醇和原人參三醇以及齊墩果 酸,本發明之一個方面,組合物包含〜種或多種的去醣原人參二醇皂甙配 基(aglyconprotopanaxadiol (aPPD))和去醣原人參三醇島甙配基(aglyc〇n protopanaxatriol (aPPT)) ° 從人參中提取的許多皂甙已經廣爲人知,並且適合用于本發明之組合 物,皂甙可以是原人參二醇型皂甙、原人參三醇型县甙或者是齊敏果酸型 皂甙’合適的皂甙舉例包括但不限于:Rai,Ra2, Rbl, Rb2, Rb3, Rc, gluco-Rc, Rd, Re, Rf, 20-gluco-Rf, Rg1? Rg2, Rg3, Rhl5Res. 87: 357-62), including v // w for AM prostate cancer cells (prostate cancer cells) τι Continued pages (when the invention description page is insufficient, please note and use the continued page) 200400828 Invention description continued page (Liu WK et al. (2000) Life Sci. 07 (11): 1297-306), cancer cell MΦΙΙ # (Iishi H et al. (1997) on mice, and cancer cell peritoneal metastasis on rats (Mochizuki M et al. (1995) Biol Pharm Bull. 18: 1197-202), in addition, U.S. Patent Application No. 09 / 957,082 (Bulletin No. 20030092638) discloses two saponin protopanaxadiols and protopanaxa When used in combination with other chemotherapeutics, mvi, for example, can increase the sensitivity of multidrug-resistant cancer cells to chemotherapy. In addition to the isolated ginseng 1C with anti-cancer activity, in the vfvo test, some The isolated oleanane-type pentacyclic compound (pentacyclic terpenoid compounck) also has anticancer activity (Shibata ^ S. (2001) J. Korean Med. Sci., 16 Suppl .: S28-37). The above background information is provided based on the applicant's opinion that it may be related to the present invention. , Any of the foregoing information is not intended to constitute a prior art counter to the present invention, and the publications of all the technical descriptions herein are placed in the table of contents. [Content] An object of the present invention is to provide a combination for cancer treatment And the application of the composition in the treatment of cancer, corresponding to one aspect of the present invention, here is provided a group with enhanced anti-cancer live injection > the group contains two kinds of alloside and / Corresponding to another aspect of the present invention, there is provided a pharmaceutical formulation for cancer treatment, which comprises a pharmaceutically effective dose of a carrier for the aforementioned composition. Correspondingly in another aspect, a non-pharmaceutical continuation page for cancer treatment is provided here (when the description sheet is insufficient, please note and use the continuation sheet) 200400828 Invention Description Continuation Sheet Formula (non-pharmaceutical formulation), the The formulation contains a pharmaceutically effective carrier suitable for the aforementioned composition. Corresponding to yet another aspect of the present invention, provided herein An application of the composition is provided for the treatment of cancer in cancer patients. Brief Description of the Drawings Figure 1 provides treatment of human neurotumor cancer cells with different saponins and saponin ligands and a composition of the present invention ( human glioma tumor cells) After U87, the cell survival rate is ΙμΙτγ. Figure 2 provides cells treated with different saponins and saponin ligands and a composition of the present invention after treating mouse melanoma cells SB16 B16. Graphical representation of survival rates; Figure 3 provides a graphical representation of cell survival rates after treating human breast cancer cells MCF7 with different saponins and saponin ligands and a composition of the present invention; Figure 4a provides Graphical illustration of cell survival rate of pancreatic cancer cells (BXCP-3) after treatment of pancreatic cancer cells (BXCP-3) at different doses of the composition of the present invention; Figure 4b provides treatment of pancreatic cancer cells (pancreatic cancer cells) at different doses of the composition of the present invention ) Graphical representation of cell viability after CAPAN-1; Figure 5 shows the treatment of cancer cells with v / w at different doses of the composition of the invention Inhibitory effect. Invention_Detailed Description The present invention was based on the discovery that the use of a composition containing ginseng alloside and saponin aglycone has stronger fineness than using those known saponin or alloside aglycone having anticancer activity alone. " T "! Continued page (When the description page of the invention is not enough, please note and use the continuation page) 200400828 Invention description Continued page: ..... · The cell killing effect, that is, the composition used to treat cancer cells, has Unexpected enhancement of cell killing. Therefore, the composition of the present invention has stronger anti-cancer effect and efficacy than using any one of the ingredients in the composition alone. The single-use composition in the composition can be used as a component, and if this level of anti-cancer efficacy and efficacy is to be achieved Very high doses must be used. Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the prior art to which this invention relates. "Extract" means a composition that is physically or chemically extracted from plant materials and contains one or more saponins and / or saponin ligands. Persons who have common knowledge of prior art will be based on the information provided here. Known methods can produce extracts, for example, a solvent is used on plant raw materials. The extract can be a crude extract or a partially purified extract. 0 "Plant raw materials" One or more parts obtained from a group of plants, including but not limited to leaves, flowers, rhizomes, seeds, stems, berries and the like. "Natural extract" means an extract obtained from a plant in its natural unprocessed state. "Partially purified" means that the extract is in a state that contains less protein, nucleotides, lipids, carbohydrates, or other similar raw materials that naturally occur in plants than natural extracts. It is a partially purified jujube. "Live thief" refers to those ingredients with anticancer activity in the composition. The live thief of the composition of the present invention includes saponin and / or saponin. "Saponin" refers to a plant glycoside that can pass through Digestion releases one sugar and one saponin with the continuation page (When the description page of the invention is insufficient, please note and use the continuation page) 200400828 __ Description of the invention ®;!; Saponin is also called 4 'ginsenoside. "" Saponin "Ligand" refers to the sugar-free portion of saponin, which is usually obtained by hydrolysis. It does not have a complex terpene structure (αοΜρΙεχίεφεηοίά). "Enhancing effect", in terms of the combined use of two or more active ingredients , Refers to the combined activity of two or more ingredients over the activity of each ingredient when used alone. "Enhancing activity Qi II / enhancing activity ratio" refers to a dose of one ingredient in the present invention sufficient to produce an enhancing effect, such as The other components of the composition of the invention enhance the cell killing ability when used in combination. "Efficacy" refers to the effect of combining honest ingredients to kill cancer cells. "Potency" refers to the efficacy of a composition or an ingredient in relation to the dose used. "Multi-drug resistant cancer (MDR), which refers to the primary or acquired resistance of a cancer or tumor cell to a treatment. Generally, primary multidrug resistant cancer (Prime MDR) is considered to be a cancer that does not respond to chemotherapy without treatment, and Secondary MDR cancer develops resistance during the course of treatment, as understood by those skilled in the art " "Multi-dmg resistant cancer" refers to resistance caused by several mechanisms: Decreased drug accumulation (for example, a chemotherapeutic drug is automatically driven by a protein pump (P-glycoprotein) Excretion (eg, active excretion of the chemotherapeutic by a protein pump (P-glycoprotein)), acceleration of drug metabolism and other changes in drug metabolism, and enhancement of the ability of cells to repair drug damage. In the present invention, "resistance to drugs" "Drug resistant cancer" includes cancers that are resistant to one or more chemotherapeutics, regardless of the mechanism of resistance. "Day-exempt cancer (A "dvanced Cancer" refers to an open cancer (overt cancer ΓΤ1 continuation page on the patient (when the invention description page is insufficient, please note and use the continuation page) 200400828 invention description _ page), this open cancer is often not limited to local And has no face for local treatments such as surgery or radiation therapy. "Primary cancer," refers to the original tumor or primary tumor, and is usually named after the part of the body it is suffering from "Metastatic cancer" refers to the type of cancer that has spread from an original site (primary cancer chain 0 to other sites (secondary cancer 'disease). In fact, all cancers can develop into metastatic cancer. Therefore, the term is not limited to any particular type of cancer. Metastatic cancer is usually resistant. "Recurrent cancer" refers to the recurrence of a cancer that is considered to have cured or the condition has resolved, Cancer recurrence can occur after several weeks, months, years, or years. The recurrence of cancer as understood by those skilled in the art refers to the original Initiate treatments such as chemotherapy, radiotherapy, heterotherapy, and other cancers that have not been removed or eliminated by cancer. The soap test and the saponin base are provided. The present invention provides two or more saponins and / or saponin compounds. The composition of the present invention is used for the treatment of cancer. The composition of the present invention may include, for example, two or more saponins, two or more aglycones, one or more allosides and one or more saponins, Corresponding to one aspect of the present invention, the composition has an enhanced effect of inhibiting the growth of cancer cells when compared with the use of each component alone, and this enhanced effect of the composition may or may not be synergistic. The use effect of the composition of the present invention is increased by at least about 5% compared with the effect when each equivalent amount of the ingredient is used alone. In one aspect of the present invention, the use effect of the composition is separate from each equal amount of the ingredient. Compared with the effect when used, it is increased by at least about 5%. Another aspect of the present invention is that the use effect of the composition is increased by at least about 15¾. In another aspect of the present invention, the group [T] continuation page (Please note and use the continuation sheet when applying.) 200400828 Description of the invention The use effect of the continuation composition is at least about 20%. In other aspects of the present invention, the use effect of the composition is increased by at least about 23% and about 25%. , About 27%, and about 30%. The alloside and alloside used in the group are extracted from ginseng plants (plants 0f gemjs). Suitable saponins include protopanaxadiol and protopanaxatriol and oleanolic acid. The present invention In one aspect, the composition comprises one or more of aglyconprotopanaxadiol (aPPD) and aglyconprotopanaxatriol (aPPT)) ° from ginseng Many saponins extracted from it have been widely known and are suitable for use in the composition of the present invention. The saponins can be protopanaxadiol saponins, protopanaxatriol-type glucosides, or homogenous acid saponins. Examples of suitable saponins Including but not limited to: Rai, Ra2, Rbl, Rb2, Rb3, Rc, gluco-Rc, Rd, Re, Rf, 20-gluco-Rf, Rg1? Rg2, Rg3, Rhl5

Rh2, Rh4, notoginsenoside Rl5 koryoginsenoside R2, RSl, Rs2, Q-l 和 chikusetsusaponinV,此領域技術熟練人員將會了解到大多數的人參島试的 自然形式是20S,在從植物原料中萃取加工時,可以獲得20R 型化合物,本發明中使用之皂甙包括20S和20R構造之皂甙。 發明之一方面,組雜包含一麟多種原人參二醇型皂甙及/或一 _多麵人參三醇型皂甙,在本發明之另一方面’組餘包含Rh2皂甙, 在本發明之又一方面,組雜包含Rg3皂甙,林發明之,定方面,組 合物包含從Rh2、aPPT和aPPD組類選取的皂甙及/贿甙配基之組合物, 在本發明之另一特定方面,組雜包含從Rh2 ' Rg3 ' aPPT和aPPD _ 選取的皂甙及/或皂甙配基之組合物,組合物另外也可以包含少量一種或多 ~9]續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 發明說明纘頁 S^知皂甙。 組合物包含的每一種成分之含量是不同的,大致在1%至鄕之間, 试含量大致在1%至5〇%之間,每種 皂甙配基含量大致在5%至75%之間,在本發明之另一方面,組合物中母 種巷甙含量大致在5%至40%之間,每種巷甙配基含量大致在1〇%至7〇 %之間。 本發明之一個典型組合物含有1〜90% R112、1〜90% aPPT和1〜90% aPPD,在本發明之一個方面,組合物含有1〜50% 、5〜40%和5〜75 % aPPD,在本發明之另一個方面,組合物含有5〜鄉酿、10〜35% aPPT 和10〜70% aPPD,在本翻之又一個方面,組合物含有742%仙2、15〜30 % aPPT 和 40〜700/〇 aPPD 〇 本發明之組合物中使用的皂甙及皂甙配基,經由處理之人參提取物中 單獨或混合產生,許多皂甙及/或皂甙配基也可以商業獲得(即從Pe8asus Pharmaceuticals, Inc” Richmond, British Columbia, Canada 購買獲得),也可 以通過廣爲此領域技術熟練人員所知之技術,進行化學或生物合成法獲得 (例如參見 Shibata^ S. (2001) J. Korean Med. Sci·,16 Siq)pl·: S28-37,及其 他规)。 本發明之組合物,可以直接從部分純化之植物萃取物來製備,即通過 對其簡單稀釋至適當濃度,或者爲調整活性成分比例至所要求之含量,可 以添加一種或多種島试及/或巷甙配基到植物萃取物中,或者,組合物也可 ~1〇1續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 _ 發明說明續頁 以通過按照增強活性之比例,混合二種或多種單獨的皂甙及/或皂甙配基來 進行製備獲得,上述單獨之皂甙和皂甙配基可以是完全純化或部分純化。 植物原料 在本發明之一方面,皂甙及/或皂甙配基都是從植物原料中提取的,在 本發明之另一方面,包含有增強活性比例之皂甙及/或巷甙配基之部分純化 的植物萃取物,可以用來製備組合物。 與本發明相應,適合用來提取萃取物之植物原料,是來源于人參類植 物,包括但不限于下歹幡參類:Panax aureus、Panax bipinnatifidus (也稱 爲 Panax major and Panax pseudoginseng var· bipinnatifidus )、Panax ginseng C. A. Meyer (也稱爲 Panax schinseng )、Panax japonicus (也稱爲 Panax pseudoginseng subsp. Japonicus ' Panax pseudoginseng var. japonicus Panax repens)、Panax notoginseng (也稱爲 Aralia quinquefolia var. notoginseng 和 Panax pseudoginseng var. notoginseng)、Panax pseudoginseng (也稱爲 Aralia pseudoginseng Panax pseudoginseng var. pseudoginseng)、Panax wangianus (也稱爲 Panax pseudoginseng var. wangianus ) 、Panax quinquefolius ' Panax stipuleanatus ' Panax trifolius ' Panax vietnamensis Panax zingiberensis ° 可以用在本發明中之植物原料,包括取自單個或一組植物上之一§5位 或多部位,包括但不限于葉子、根、種子、漿果、莖幹和其他部位,正如 此領域技術熟練人晨所知者,植物萃取物之化學成分及效果,因植物之生 HD續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 發明說明續頁 物氣候年齢(phenological age)、收觀料之濕度比例、爲萃取所選取植物 之部位、以及萃取之方法,在已經公開技術中之方法,可以被此領域普通 技術人員應用來麵萃取物和控制萃取物之質量。 在本發明之一方面,從人參中提取之植物原料,被用來萃取含有皂甙 及/或皂甙配基之萃取物,在本發明之另一方面’植物原料是從北美#( iWc 分L.)中提取,在本發明之又一方面,植物原料是從三七參 中提取。 植物原料之麵理 除了諸如植物的生物氣候年齢之外,植物收穫的地區和區域、收穫植 物的濕度比例、爲萃取所選取植物之部位’以及萃取之方法,萃取物之化 學成分,也會因植物原料之預處理而受影響,例如,當植物受到騷擾 (stress),一些生化過程被激活,除了已經說明過的基本產物外,合成產 生出許多新的化合物,除了有害物質、發霉、以及其他致病之侵襲,騷擾 源(stressors )還包括乾燥、力口熱、7Jc浸和機械損傷,因此,騷擾植物可 以作爲一種工具來增加一種或多種期望之化合物的含量,此領域技術熟練 人員懂得將上述一種騷擾源或多種不同的騷擾源用于此目的,例如,可以 通過添加植物在受到時自然合成的化合物,包括茉莉酬酸(jasmonic acid (JA)),來增加機械損傷之效果,昆蟲之口腔分泌物的類似物,也可以用 這種方式被用來增強植物對騷擾源的(reaction)。 在本發明之一方面,本發明之組合物是從植物原料萃取物中製備而 □I]續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 __ 發明說明續頁 成,前述植物原料是經過預先處理,例如在收集植物原料和萃取之前,用 化學或機械損傷、乾燥、加熱、或冷却方式、或混合使用上述方式來騷擾 植物。 植物及活贼分之確認 通過已知技術之標準方法來處理植物原料,可以獲得萃取物,有不同 的方式來從植物原料中獲得萃取物,選擇何種方式,是依據能萃取本發明 之組合物所需要成分之方法的功fg,獲得萃取物之合適方法舉例如下,包 括但不限于:水蒸館法(hydro-distillation)、直接蒸館法(direct steam distillation)、溶解提取法(solvent extraction)、以及微波處理法(Microwave Assisted Process ( MAP™ ) ) ° 因此,例如可以在水中煮開的方式來處理植物原料,成分因此釋放到 水中,再通過蒸餾和冷却獲得這些成分,作爲另一選擇,植物原料也可以 用蒸汽來處理,使得分子膜中之成分慢慢散出並與水蒸汽(water vapor) 糸賊混雜,成分可以通過濃縮後,獲得萃取物,有機溶劑(organic solvents)也可以被用來萃取活賊分,有機溶劑之非限制性例子,包括甲 醇(methanol)、乙醇(etjjanoi)、乙院(hexane)、和二氯甲院(methylene chloride),作爲水溶劑或有機溶劑之替代,微波(microwaves)可以被用 來激活植物觸哉中的水肝,從而造成細胞破裂釋放出存在于植物原料細 猶臟外之化合物。 麵定萃取物中存棚騰要之成分(即誠及/或皂甙配基),可以運 QU續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 發明說明續頁 用已知技術中之不同的解析技術,例如,這些解析技術包括有機分子的色 析法分離(chromatographic separation of organic molecules)、 或者是借助光 譜技術(spectroscopic techniques )(例如紅外線(infra-red )、紫外線 (ultra-violet) 石兹共振波譜(nuclear magnetic resonance spectroscopy))。 組癌活性之確定 根據候選之組合物的製備,組合物的抗癌活性能夠與單個成分之抗癌 活性進行比較和測量’許多此領域技術人員熟知之試驗方法可以被用來試 驗本發明之雜物 '組雜和配方之抗癌活[生。 1) In vitro 在初始確定本發明之組合物的效果時,可以運用―試驗技術。 例如,可以用^111'實驗(〇883丫£〇1*3-(4,5-(1111^11丫11:111犯〇1-2->1)-2,5-diphenyltetrazolium bromide (MTT)) » 或巷甙配基,對不同癌症細胞株(ceU lines)的細胞毒素活性(cytotoxic activities ),該技術主要是,將癌症細胞種於96孔平底精密測試盤(96-well plate)上,在候選組合物中培養24 /J僻,從測試盤去除中間物,並用MTT 溶劑代替,經過分析測試盤,從5701皿之吸光率(absorbance)計算出每 個裝有癌症細胞測試板中經過組合物之處理後存活細胞的數量,並對未經 處理之對照組、或單獨使用組合物中一種成分來處理之對照組來進行比 較,每匯成分在各種濃度時的方法和標準偏差(standard deviation),可以 運用標準的統計學方法雜行計算。 14 |續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 _ 發明說明_頁 另一種方法是,可以通過對腫瘤癌症細胞獨立生長(anchomge-independent growth)之抑制能力的確定來測試組合物,細胞獨立生長 (anchorage-independent growth )是在此領域裡公認之較好的腫瘤基因學 指示器(tumorigenicity) —般來說,通過將一種適合之癌細胞株殖入軟瓊 脂中,經過適當之孵化期,來確定細胞被克隆出的數量,從而評估細胞獨 立生長,用候選組合物處理過細胞的生長率,可以用來與經過適當控制處 理之細胞(即是用皂甙及/或皂甙配基成分單獨處理過的細胞)的生長率進 行比較 > 以及與未經過處麵胞的生長率進行比較° 組合物之細胞毒性在合物之v/的實驗中可以運用標準技術來測量, 例如在加W/ro實驗中將人類主要的纖維原細胞用組合物來處理,然後通 過運用標準的存活試驗方法來ί乍存活試驗,並在隨後的不同時間點進行測 試,前述標準的存活試驗法例如trypan-blue exclusion assay,也可以通過試 驗來測試細胞合成其DNA的能力,例如,運用胸苷結合試驗thymidine incorporation assay,以使用標準細胞檢菊則定 standard cell sorting assay 結合烫光細胞檢索器 fluorocytometer cell sorter ( FACS ) 〇 2) In vivo 在Jn Vivo試驗中,組合物抑制瞳瘤生長和繁殖的能力,可以通過適 當的動物模型,運用此領域已知的標準技術方法來確定(例如參見Enna^i al, Current Protocols in Pharmacology, J. Wiley & Sons, Inc., New York, NY)。 I 15 I續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 _ 發明說明_胃 一般來說,現在使用篩選抗腫瘤化合物之動物模型,是異種移植模型 (xenograft models ),通過這類模型,將一種人類腫瘤移植在一種i嫩/上, 人類癌症的異種移植麵例子包括但不限于:在腫瘤生長試驗中,將人類 固體瘤通過皮下注射方式移植于小鼠,在腫瘤生長試驗中、將人類固體瘤 通過脂肪注射方式同系移植于小鼠、在存活試驗中,用小鼠進行淋巴瘤和 白血病的試謝題、以及小鼠Wf#之試耐麵。 例如,組合物可以用小鼠進行固體瘤加v/w試驗來測試,在試驗首曰 小鼠是經雙向皮下移植了 30至60毫克的腫廇片段,載有腫瘤之動物在進 行不同處理和控制之前先行混合,在處理晚期腫瘤的試驗中,於腫瘤發展 到預期的尺寸,將那些腫瘤未達到足夠發展的小鼠除去,經選擇的動物然 後隨機分配成處理組和對照組,爲分離對腫瘤特定效果中的細胞毒素效 果,未帶有腫瘤之小鼠,也可以與帶有腫瘤之小鼠進行相同的處理,依據 腫瘤»之不同,在腫^植後3至22天開始進行化療,並每天對其進 行觀察,本發明之組合物可以用例如灌服九藥的方式給動物用藥,不同的 動物糸臟每周稱量讎3至4次直到或的失重之最大量,此後各組的鴯 稱量至少每周進行一次直到試驗結束。 腫廇大小每周測量2至3次,直至腫廇達到預定之大小及/或預定的重 量、或直至動物死亡,如果這發生在腫廇達到預定大小及/或預定的重量之 前' 然後將動物解剖進行纖分析,量腫瘤之大小及/或增長情況。 爲硏究組合物對白血病之效果,動物被移植上一定數量的癌症細胞, 1 16 I續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 發明說明續頁 然後通過與對照組比較處理小鼠之生存時間的增加來確定其抗腫瘤活性。 爲硏究本發明之組合物對腫瘤轉移的效果,先將腫瘤細胞在以νή;ο用 組合物處理,然後注射入適當的實驗用動物,經過一適當之期限來觀察腫 瘤細胞從注射處的擴散。 如νζ·ν〇,組合物之細胞毒性效果可以通過測量組合物在處理過程中對 動物體重的影響、通過進行血液病學的分析、以及在解剖動物進行肝臟酶 分丰腑> 麵古組雜細胞毒性效果° 圖表一:规癌症物舉例 癌症觀 細 腫瘤生長測定(Tumor Growth Assay) 人類固體瘤移植于小鼠(Human solid tumor xenografts in mice (sub-cutaneous injection)) 前歹鵬癌 Prostate (PC-3, DUl45) 乳腺癌 Breast (MDA-MB-231, MVB-9) 大腸癌 Colon (HT-29) 肺癌 Lung (NCI-H460, NCI-H209) 胰腺癌 Pancreatic (ASPC-1, SU86.86) 耐藥胰腺癌 Pancreatic: drug resistant (BxPC-3) 皮膚癌 Skin (A2058,C8161) 子宮頸癌 Cervical (SIHA,HeLa-S3) 耐藥子宮頸癌 Cervical: drug resistant (HeLa S3-HU-resistance) 肝臟癌 Liver (HepG2) 腦癌 Brain (U87-MG) 腎臟癌 Renal (Caki-1,A498) 卵巢癌 Ovary (SK-OV-3) 腫瘤生長測定(Tumor Growth Assay) 人類固體瘤移植于小鼠Human solid tumor isografts in mice (fat pad injection) Breast: drug resistant (MDA-CDDP-S4, MDA-MB435-T0.1) 存活試驗 Survival Assay 淋巴癌與白血病在小鼠上的試驗模型 Experimental model of lymphoma and leukaemia in mice Human: Burkitts lymphoma (Non-Hodgkin^) (raji) Murine: erythroleukemia (CB7 Friend retro virus-induced) Experimental model of lung metastasis in mice Human: melanoma (C8161) Murine: fibrosarcoma (R3) 17續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 _ 發明說明續頁 組雜之治療應用 本發明之組合物適合于治療患有癌症的患者。 可以用本發明之組雜來治療和穩定的癌症種龙,包括但不限于:白 血病(leukaemia)、癌(carcinomas)、腺體癌(adenocarcinomas)、黑色素瘤和 惡性肉瘤(melanomas and sarcomas),癌、腺體癌、黑色素瘤和惡性肉瘤通 常也被稱爲“固体瘤”,經常與固體瘤倂發的癌症包括但不限于下列癌症: 胸、雜、子宮頸、大腸、頭頸、腎臟、肺、卵巢、麵、前列腺、胃和 子宮部位的癌症、非小細胞肺癌和結腸直腸癌。 “白血病”在此是泛指組成血液器官之惡性疾病,白血病之特性表現在 白血球以及它們在血液和骨髓中的前體的異常繁殖和生長,也包括諸如紅 白血病(erythroleukaemia)的其他影響紅血球細胞生長的惡性血液細胞疾 病,白血病通常在臨床上按照下列基本來分類:⑴疾病之持續時間和特性 ---^注或隆性;⑵涉^/钿腻之種類--胞myeloid (myelogenous)、 淋巴細胞lymphoid (lymphogenous)或單核細胞monocytic ;以及⑶血液中變 態細胞數目之增長或非增長,例如白血病包括下歹幅類:acute nonlymphocytic leukaemia, chronic lymphocytic leukaemia, acute granulocytic leukaemia, chronic granulocytic leukaemia, acute promyelocytic leukaemia, adult T-cell leukaemia, aleukaemic leukaemia, aleukocythemic leukaemia, basophylic leukaemia, blast cell leukaemia, bovine leukaemia, chronic myelocytic leukaemia,leukaemia cutis, embryonal leukaemia, eosinophilic leukaemia, Gross’ leukaemia, hairy-cell leukaemia, hemoblastic leukaemia, 1 18 I續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 - 發明說明續頁 hemocytoblastic leukaemia, histiocytic leukaemia, stem cell leukaemia, acute monocytic leukaemia, leukopenic leukaemia, lymphatic leukaemia, lymphoblastic leukaemia, lymphocytic leukaemia, lymphogenous leukaemia, lymphoid leukaemia, lymphosarcoma cell leukaemia, mast cell leukaemia, megakaryocytic leukaemia, micromyeloblastic leukaemia, monocytic leukaemia, myeloblastic leukaemia, myelocytic leukaemia, myeloid granuloc^ic leukaemia, myelomonocytic leukaemia, Naegeli leukaemia, plasma cell leukaemia, plasmacytic leukaemia, promyelocytic leukaemia, Rieder cell leukaemia, Schilling's leukaemia, stem cell leukaemia, subleukaemic leukaemia, and undifferentiated cell leukaemia. “肉瘤,,通常指起源于如肌肉、骨骼、軟骨或脂肪連接組織(con-nective tissue)之腫瘤,並且由類似胚胎連接組織之物質組成,常常由與緊密地植 入纖維狀體或均質體細胞組)或,肉瘤包括下列fl類:Sarcomas include soft tissue sarcomas, chondrosarcoma, fibrosarcoma, lymphosarcoma, melanosarcoma, myxosarcoma, osteosarcoma, Abemethy^ sarcoma, adipose sarcoma, liposarcoma, alveolar soft part sarcoma, ameloblastic sarcoma, botryoid sarcoma, chloroma sarcoma, chorio carcinoma, embryonal sarcoma, Wilms5 tumor sarcoma, endometrial sarcoma, stromal sarcoma, Ewing5s sarcoma, fascial sarcoma, fibroblastic sarcoma, giant cell sarcoma, granulocytic sarcoma, Hodgkin^ sarcoma, idiopathic multiple pigmented haemorrhagic sarcoma, immunoblastic sarcoma of B cells, lymphoma, immunoblastic sarcoma of T-cells, Jensen’s sarcoma, Kaposi’s sarcoma, Kupffer cell sarcoma, angiosarcoma, leukosarcoma, malignant mesenchymoma sarcoma, parosteal sarcoma, reticulocytic sarcoma, Rons sarcoma, serocystic sarcoma, synovial sarcoma, and telangiectaltic sarcoma. “黑色素瘤"指起源于皮膚和其他器官黑色素系統之腫瘤,黑色素瘤包 I 19 |續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 發明說明續頁 括下歹幢類·· acral-lentiginous melanoma,amelanotic melanoma, benign juvenile melanoma, Cloudman's melanoma, S91 melanoma, Harding-Passey melanoma, juvenile melanoma, lentigo maligna melanoma, malignant melanoma, nodular melanoma, subungal melanoma, and superficial spreading melanoma. “癌”是泛指惡性生長,使得上皮膚細胞侵蝕組織表面並造成轉移,例 如癌的例子包括下列癌種:腺泡癌acinar carcinoma,葡萄狀腺癌acinous carcinoma, adenocystic carcinoma, adenoid cystic carcinoma, carcinoma adenomatosum, carcinoma of adrenal cortex, alveolar carcinoma, alveolar cell carcinoma, basal cell carcinoma, carcinoma basocellulare, basaloid carcinoma, basosquamous cell carcinoma, bronchioalveolar carcinoma, bronchiolar carcinoma, bronchogenic carcinoma, cerebriform carcinoma, cholangiocellular carcinoma, chorionic carcinoma, colorectal carcinoma, colloid carcinoma, comedo carcinoma, corpus carcinoma, cribriform carcinoma, carcinoma en cuirasse, carcinoma cutaneum, cylindrical carcinoma, cylindrical cell carcinoma, duct carcinoma, carcinoma durum, embryonal carcinoma, encephaloid carcinoma, epiermoid carcinoma, carcinoma epitheliale adenoides, exophytic carcinoma, carcinoma ex ulcere, carcinoma flbrosum, gelatiniform carcinoma, gelatinous carcinoma, giant cell carcinoma, carcinoma gigantocellulare, glandular carcinoma, granulosa cell carcinoma, hair-matrix carcinoma, haematoid carcinoma, hepatocellular carcinoma, Hurthle cell carcinoma, hyaline carcinoma, hypemephroid carcinoma, infantile embryonal carcinoma, carcinoma in situ, intraepidermal carcinoma, intraepithelial carcinoma, Krompecher's carcinoma, Kulchitzky-cell carcinoma, large-cell carcinoma, lenticular carcinoma, carcinoma lenticulare, lipomatous carcinoma, lymphoepithelial carcinoma, carcinoma medullare, medullary carcinoma, melanotic carcinoma, carcinoma molle, mucinous carcinoma, carcinoma muciparum, carcinoma 1 20 1續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 麵說明續頁 mucocellulare, mucoepidermoid carcinoma, carcinoma mucosum, mucous carcinoma, carcinoma myxomatodes, naspharyngeal carcinoma, oat cell carcinoma, non-small cell carcinoma, carcinoma ossificans, osteoid carcinoma, papillary carcinoma, periportal carcinoma, preinvasive carcinoma, prickle cell carcinoma, pultaceous carcinoma, renal cell carcinoma of kidney, reserve cell carcinoma, carcinoma sarcomatodes, Schneiderian carcinoma, scirrhous carcinoma, carcinoma scroti, signet-ring cell carcinoma, carcinoma simplex, small-cell carcinoma, solanoid carcinoma, spheroidal cell carcinoma, spindle cell carcinoma, carcinoma spongiosum, squamous carcinoma, squamous cell carcinoma, string carcinoma, carcinoma telangiectaticum, carcinoma telangiectodes, transitional cell carcinoma, carcinoma tuberosum, tuberous carcinoma, verrucous carcinoma, and carcinoma villosum. “癌”也包括腺癌(adenocarcinomas),腺癌是起源于製造具有腺體功M(分 泌腺)(glandular (secretory))器宫的細胞,或起源于擺列(line)中空內臟器宫 (hollow viscera),如胃腸管或支氣管(gastrointestinal tract or bronchial epithelia) 的細胞,癌之舉例包括但不限于乳腺癌、肺癌、賺癌麵列腺癌。 本發明所應用之癌症,還包括:何杰金氏症(Hodgkin’s disease)、非何 杰金氏淋巴腫廇(Non-Hodgkins lymphoma)、多種骨髓瘤(multiple myeloma)、 神經母紐胞瘤(neuroblastoma)、橫紋肌肉瘤(rhabdomyosarcoma)、原發型血小 板增多症(primary thrombocytosis)、原發型Ιΐ型蛋白球症(Primary macroglobuUnei^a)、小細顧市腫瘤(small-cell lung tumors)、原發型函留(primary brain tumors)、惡性胰腺癌(malignant pancreatic insulanoma)、惡性良性腫瘤 (malignant carcinoid)、膀胱癌(bladder cancer)、皮膚癌前病變(premalignant skin 續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 發明說明續蒙 lesions)、神經膠質瘤(gliomas)、畢九癌(testis cancer)、食道癌(esophagus cancer)、泌尿生殖管道癌症(genitourinary tract cancer)、惡性血過多症 (malignant hypercalcemia)、子宮內膜瘤(endometrial cancer)、腎上腺皮膚癌 (adrenal cortical cancer)、間質瘤(mesothelioma)和神經管胚細胞瘤 (medulloblastoma) ° 在本發明之一方面,應用本發明之組合物用于治療和穩定之癌症選自 下列組類中:胰腺癌(pancreatic cancer)、肺癌(lung cancer)、胃癌(stomach cancer)、食道癌(esophagus cancer)、結腸和直腸癌(colon and rectum cancer)、 胸癌(brain cancer)、卵巢癌(ovary cancer) ' 肝癌(liver cancer)、腎癌(kidney cancer)、喉癌(larynx cancer)、骨癌(bone cancer)、多種骨髓瘤(multiple myeloma)、黑色素瘤(mehnoma)、乳腺癌(breast cancer)、前列腺癌(prostate cancer)、膀胱癌(bladder)、子宮體癌症(cancer in body of uterus)、口腔癌(oral cavity c 咖er)、甲狀腺癌(thyroid c肋cer)、子宮頸癌(cervix cancer)、睪九癌(testis cancer)、非何杰金氏淋巴種廇(Non-Hodgkins lymphoma)、白血病(leukemia)、 何杰金氏症(Hodgkin’s disease)、皮膚癌(skin cancer)、和軟組織癌(soft tissue cancer) ° 本發明之組合物也可以應用于治療和穩定晚期及/或轉移癌症,包括上 述癌症之晚期階段,融癌麵常都是耐藥性的,本發明a且合 物也可以應用于治療復發或難以控制之前述癌種。 本發明所應用之癌症還包括,例如,不同組織及/或器官之原發和轉移 1 22 1續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 發明說明_胃 之多藥耐藥癌症’包括但不限于:發病于肌肉、骨骼或連接組織、皮膚、 腦、肺、性器官、淋巴或腎臟系統、乳腺或血細胞、肝臟、消化道、_ 和甲狀腺或腎上腺管等部位之癌症,包括固體瘤、卵巢癌、乳腺癌、腦癌、 前列腺癌、結腸癌、胃癌、腎癌或睪九癌、Kaposi肉瘤、膽管瘤、絨膜瘤、 神經母細胞瘤、Wilms瘤、何杰金氏症、黑色素瘤、多種骨髓瘤、淋巴白 血病、和急性或慢[生粒細胞淋巴瘤。 癌症耐藥性之產生是癌症治療的一大難題,圍繞耐藥性這一問題的傳 統方法之一,是通過運用多種藥物的不同活性機制和細胞毒性潛力,來進 # 行混合化,一種具有克服多藥耐藥能力之藥物,可以作爲化療藥物單獨使 用’或者是與其他藥物組合使用,這種將一種藥物與化療混合使用的潛在 益處,可以使用毒性較小的化合物、節約費用、或增強效果來減少治療次 通過將本發明之組合物與一種或多種化療藥物協同使用’本發明意圖 作爲混合化療之一部分來應用于患有多藥耐藥癌症之患者,因此,在 癌症時,本發明之組合物既能夠單獨使用,也可以與其他具有藥物活性之 _ 化療藥物協同使用。 藥輔方 本發明之組合物可以通過與合適的在藥理學和病理學上可接受之載體 (pharmaceutically physiologically acceptable carrier)、##劑(diluent)、賦开多劑 (excipient)或介質(vehicle)結合組成藥學配方進行用藥,該藥學配方也可以 l~23l續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 發明說明續頁 種化學治療藥物組成,用來對某對象進行同時用藥。 本發明的藥學配方可以通過吸入(inhalation)、或者噴射(spray)、或者通 過直fe〇*ectally)的劑量單位配方如dosage unit formulations),使用傳統藥學 可接受的無毒載體、輔助劑(adjuvants)和介質進行口服用藥(oraUy)、局 部用藥(topically)、注射用藥(parenterally),在此的注射用藥,包括皮下注射 (subcutaneous injections)、靜脈注射(intravenous)、肌肉注射(intramuscular)、 腹膜注射(intrastemal injection)或輸液技術(infusion techniques) 〇 藥學配方可以是適合口服使用的形式,例如以藥片(tablet)、片劑 (troches) ' 止咳糖(lozenges)、水性或油性懸浮液(aqueous or oily suspensions) 、可分营女粉末或顆粒(dispersible powders or granules)、乳劑(emulsion)、硬或 軟膠囊(hard or soft capsules)、或者糖槳(syrups)或口服液(elixirs),擬口服使 用的藥學配方,可以按照已爲製藥行業所知的方法進行製備,爲了製備藥 學上美觀適口的製劑,可以從甜味劑(sweetening agents)、調味劑(flavouring agents)、色素(coloring agents)和防腐劑(preserving agents)組類中,選取一 種或多種輔劑進行製備,含有活賊份的藥片與適當藥學上可接受的無毒 賦形劑(suitable non-toxic pharmaceutically acceptable excipients)混合,例如包 括:諸如碳酸釣(calcium carbonate)、碳酸鈉(sodium carbonate)、乳糖(lactose)、 磷酸f§(calcium phosphate)或者磷酸鈉(sodium phosphate)的惰性稀釋液(inert diluents)、諸如玉^潑輕}(com starch)、或褐藻酸(alginic acid)的粒化和分裂藥 物(granulating and disintegrating agents)、諸如源粉(starch)、白明膠或阿拉伯 [24 1續次頁(發明說明頁不敷使用時,請註記並使用顏) 200400828 發明說續頁 膠(gelatine or acacia)的粘合藥物(binding agents)、和諸如硬脂酸鎂(magnesium ste_)、硬脂酸(stearic add戚雲母(talc)的潤滑藥物(lubricating agents),藥 片可以是未加塗層的,或者是用已知技術進行藥片塗層,用來延遲其在胃 腸道(the gastrointestinal tract)中的消化和吸收(disintegration and absorption),從 而在長時間內提供持續作用,例如,可以使用甘油單硬脂酸鹽(glyceryl monostearate)或甘油復硬脂酸鹽(glyceryl distearate)作爲緩釋物質。 擬口服使用的藥學配方,也可以是硬白明膠質膠囊形式,其中活性成 分與諸如碳酸i^(calcium carbonate)、磷酸銘(calcium phosphate)或者高嶺土 (kaolin)的惰性固體稀釋劑混合,擬口服使用的藥物組合物藥學配方,也可 以是軟白明膠質膠囊开多式,其活性成分與7]<或諸如花生油(peanut oil)、液體 石鱲油(liquid paraffin)或橄欖油(olive oil)的油介質混合。 水性懸浮液(aqueous suspensions)含有活性化合物並與適合的賦形劑混 合,這類賦开多劑包括:諸如鈉竣甲基纖維素(80€1111111(:311皿711^物1〇611111€從)、 甲基纖維素(methyl cellulose)、氫丙基甲基纖維素 (hydropropylmethylcellulose)、藻酸鈉(sodium alginate)、聚乙烯吼咯院酮 (polyvinylpyrrolidone)、黃蓍膠(gum tragacanth)和阿拉伯樹膠(gum acacia)等 懸浮劑、諸如天然磷脂(naturally-occurring phosphatide)的分散劑或潤濕劑 (dispersing or wetting agents),例如卵磷脂(lecithin)、或者諸如聚氧乙烯硬脂 酸鹽(polyoxyethyene stearate)的環氧院烴(alkyleneoxide)與脂肪酸(fatty acids)的 濃縮產品、或者如 hepta-decaethyleneoxycetanol 的氧化乙嫌(ethylene oxide)與 "^51續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 __ 發明說明續頁 長鍵脂族酒精(aliphatic alcohols)的濃縮產品、或者如聚氧乙烯山梨醣醇單油 酸鹽(polyoxyethylene sorbitol monooleate)的氧化乙烯(ethylene oxide)與從脂肪 酸和己醣醇(hexitol)中提取的單硅酯(partial esters)的濃縮產品、或者如聚氧 乙烯山梨聚醣單油酸鹽(polyoxyethylene sorbitan monooleate)的氧化乙烯 (ethylene oxide)與從脂肪酸和己醣醇酐(hexitol anhydrides)中提取的單桂酯 (partial esters)的濃縮產品,7j<f生懸浮液(aqueous suspensions)可以含有一種或 多種如乙醛(ethyl)或對羥基苯甲酸酯(n-propyl j>hydr〇Xy-benZ〇ate)的防腐劑 (preservatives)、一種或多種色素藥物(colouring agents)、一種或多種調味藥 物(flavouring agents域者是一種或多種如蔗糖(sucrose)或糖精(saccharin)的甜 味劑(sweetening agents)〇 油性懸浮液(Oily suspensions)可以通過在諸如花生油(arachis oil)、橄欖 油(olive oil)、芝麻油(sesame oil)、椰子油(coconut oil)的蔬菜油或諸如液體 石蠟油(liquid paraffin)的礦物質油(mineral oil沖懸置活性成分來製備,油性 懸浮液可以含有如蜂蠘(beeswax)、硬石蠟(hard paraffin)或者餘鱲醇(cetyl alcohol)的增稠劑(thickening agent),前述的那些甜味劑(sweetening agents)及/ 或 111¾齊丨J(flavouring agents)的加入,可以徹口口腿且的適口度,藥 物組合物可以通過添加如抗壞血酸維生素C(ascorbic acid)的抗氧化劑(anti-oxidant)來防腐保存。 適合製備水性懸浮液(aqueous sus卿sion)的分营女粉末(細ersible powders) 和顆粒(酔ules)通過添加水,使得活性化合物與分散劑或潤濕劑(dispersing \~26]續次頁(發明說明頁不敷使用時’請註記並使用續頁) 200400828 發明說明續頁 or wetting agent)、懸浮劑和一種或多種防腐劑混合製備而成,合適的分散 劑或潤濕劑是指上面提到的添加劑舉例,額外的如甜味劑、調味劑和色素 麵形劑也可以添加其中。 本發明的藥學配方,也可以是油-水乳液形式,油的部分可以是諸如花 生油(arachis oil)、》油(olive oil)的蔬菜油或諸如液體石蠘獅quid paraffin) 的繼勿質油(mineral oil)、或者®1些油的混合,合適的乳{德物(emuisifying agents)可以是如黃蓍膠(gum tragacanth)和阿拉伯樹媵(gum acacia)的天然樹脂 (naturaUy-occmring gums)、可以是如大豆(soy bean)、卵磷脂(lecithin)的天然 磷脂(naturally-occurring phosphatides)' 從脂肪酸和己醣醇酐(hexitol anhydrides) 中提取的娃酯(esters)或單桂酯(partial esters),如山梨聚醣單油酸鹽(sorbitan monooleate)、以及上述單桂酯(partial esters)與如聚氧乙稀山梨聚醣單油酸鹽 (polyoxyethylene sorbitan monooleate)的氧化乙稀之濃縮產品,乳狀液也可以 含有 1»劑和調味齊丨J 〇 糖漿和口服液(syrups and elixirs),可以是由諸如甘油(glycerol)、丙二醇 (propylene glycol)、山梨醣醇(sorbitol)或蔗糖(sucrose)的甜味劑製備而成,該 組合物可以含有鎭痛劑(demulcent)、防腐劑(preservative)及/或調味劑和色 素0 藥學配方,可以是以無菌的可注射水性或油性懸浮液的形式製備,該 懸浮液可以根據已知技術通過使用前面提及的合適的分散劑或潤濕劑以及 懸浮劑來製備,無菌注射製備物,可以是無菌注射液或稀釋于可注射的無 ~27~1續次頁(發明說明頁不敷使用時’請註記並使用續頁) 200400828 發明說明續頁 毒稀釋液或溶劑中的懸浮液,例如1,3-丁二醇(butanediol)溶液,可使用的可 接受介質和溶劑,包括但不限于F列:水、複方氯化鈉注射液(Ringer's solution)、乳酸林格氏液(lactated Ringer’s solution)和等滲亞氯酸鈉溶液 (isotonic sodium chloride solution”其他的舉例還有傳統—ί二用來作爲溶滅懸 浮液介質的無菌不易揮發的油液,以及不同的刺激性小、不易揮發之油液 如合成甘油單酯(mono-glycerides)或甘油二酯diglycerides,另外,諸如油酸 (oleic acid)的脂肪撤fatty acids池可用于可注射組的製備。 其他藥學配方及組合物的製備方法,在此領域的先前技術中,是已知 的和被描述過的,例如已經在Williams & Wilkins, Philidelphia, PA (2000)出 版的,由 Gennaro, A” Lippincott 所著的《_Remi邮on: The Science and Practice of Pharmacy》源來被稱作 邮oiKPiiannaceuifcaiSdeiK^s”)描述過 ^ 非藥學配方 非藥學配方,是指無須經過管理藥品及生物製品的政府機構,如美國 的食品及藥品管理局(FDA)的預先批准,就可以進入市場的配方,此領域 熟練人員會知道一種配方既可以以藥學配方存在,也可以以非藥學配方存 在,例如,一種植物配方可以摘視爲既是藥學配方也是非藥學配方,非藥 βϋ方,可以按照前述藥學配方同樣之方法、形式以及藥學可接受媒介或 載體來配製。 非藥學配方可以是下列形式,如天然藥物組合物(nutraceutical QCI續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 發明說明續頁 composition)、食品(food)、品(health food)、天然^MMS(natural health product)、功會生食品(functional food)、營養補充劑(nutritional supplement)、 食品補充齊[J(diet町 supplement)、草藥補流齊[Kherbal s聊lement)、草藥(herb)、 M類療法藥物(alternative medidne)、以及自然療法產品(naturopathic product)。 在此披露的非藥學配方,作爲代表性的,可以是藥片(tablet)、膠囊 (capsule)、或油膏(ointment)开多式。 用藥方式與劑量方案 根據本發明,爲治療癌症向用藥對象施以含有本發明之組合物或配方 的治療有效劑量,該組合物或配方可以按照傳統的化學治療方式用藥。 本發明之組合物的施用劑量是依據治療的癌症種類、癌症患者病情、 以及治療對象的大小,熟誰觀人員對此能夠容易地作出決定,然而, 在治療不同種類癌症時,可按照此領域已知的技術,根據實際情況來決定 藥_用劑量以及用藥頻率。 例如,組合物中每種成分的治療有效劑量,可以是在每公斤體重每天 〇·〇1毫克至1000毫克之間,在本發明之一方面,組合物含有Rh2的治療有 效劑量,在每公斤體重每天0.01毫克至1000毫克之間,在本發明之另一 方面,組合物含有去醣人參三醇的治療有效劑量,在每公斤體重每天0.01 毫克至1000毫克之間,在本發明之又一方面,組合物含有去醣人參二醇的 治療有效劑量,在敏斤體重每天0.01毫克至1000毫克之間。 Γ29]續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 - 發明說明續頁 藥物組件 本發明另外還可以提供含有以藥學配方形式之本發明組合物之治療組 件(therapeutic kite),用于癌症治療,組件的單個部件將包裝在分開的容器 中,與這些容器一起,有按監管藥物及生物產品的生產、使用或銷售的政 府機構規定格式的說明,其反映該政府機構對人類用藥的生產、使用或銷 售的批准。 當藥物組件的部件是一種或多種液體溶液時,該液體溶液可以是水性 mm5 $DiE®7jci#^(sterile aqueous solution) - «Mf MT^»^(container means),可以是吸入器(inhalant)、注射器(syringe)、吸液管(pipette)、眼點滴 器(eye dropper)、或其他類似器械(apparatus),組合物可以經由這些器械給 對象使用藥物0 藥物組件的咨财牛也可以是乾燥的或凍乾的形式,並且藥物組件可以額 外地包含適當的溶劑來使凍乾的部件還原,本發明的藥物組件也可以包含 向用藥對象輔助用藥的器材,而與容器的種類和數量無關,該器材可以是 吸入器(inhalant)、注射器(syringe) ' 吸液管(pipette)、鑷子(forceps)、量匙 (measured spoon)、眼點滴器(eye dropper)、或其他任何准用的用藥 (delivery vehicle) ° 進一步地,藥物組件在向用藥對象施用藥物時,還可以包含一種或多 種其他化學治療藥物來與本發明之組合物組合使用。 爲便于更好地理解本項發明,在此舉出了下列實例,這些所列舉的實 例應被理解爲僅作解釋說明之目的,因此,無論如何這些實例不應限制本 ί 3〇1續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 ___ 發明說明續頁 項發明的範圍。 L~—- 【實施方式】 實施例 含有Rh2 '去醣原人參三齡PPT)和去醣原人參二醇(aPPD)之組啟勿, 與每種JP個成分的抗癌效果進行了比較,組合物按照下列劑各種成分之比 例進行製備: 組雜⑴ 組合物⑵ 組娜(3) Rh2 7.3% 14.3% 41.2% aPPT 26.3% 16.5% 17.6% aPPD 66.4% 69.2% 41.2% 合計 100% 100% 100% 使用標準微培養四唾分析法(standard microculture tetrazolium assay, MTT)進行細胞毒性(Cytotoxicity)測量(Alley,M C et al, Cancer Research 48:589-601,1988),指數增長的腫瘤細胞(包括多藥抗藥性細胞株)的培 養,用來進行微滴定盤培養(microtiter plate cultures),細胞按照每孔1.2x103 個細胞培殖于96 中(96-well plates),在摄氏37°CiSS中培養過夜, 然後加入測試的化合物,細胞接受24小時處理,按照已知技術的標準作 法’力口入 MTT 試驗染抖(MTT dye)(3-(4,5-二甲噻哩 dimethylthiazol-2-yl)-2,5-聯二苯四嗖溴化鹽水diphenyltetrazolium bromide in saline),確定每孔的細 胞存活數。 實施例1 :含有Rh2、去醣原人參三醇(aPPT)和去醣原人參二醇(aPPD)趙 雜處糸讎麵U87 增強縣 I 31 |續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 發明_i_胃 -舉獨使用不同劑量之Rh2、去醣原人參三醇(aPPT)和去醣原人參二醇 (aPPD)來處理人類神經膠質瘤細胞(U87) ’相同地,使用不同劑量之含有 Rh2、去醣原人參三醇(aPPT)和去醣原人參二醇(aPPD)皂甙和皂甙培基之組 合物來處理人類神經膠質瘤細胞(U87),在本實施例中使用之組合物}具有 下列化學成份:7,3%的Rh2、26.3%的aPPT、以及66.4%的aPPD,按照MTT 標準作法處理24小時後,確定細胞存活數。 圖一顯示了組合物1對處理人類神經膠質瘤(U87)的增強效果,如圖例 所示,15 pg/mL的組合物1殺死近乎100% (99%)的癌症細胞,而同時相似 劑量的單個成分Rh2、去醣原人參三醇(aPPT)和去醣原人參二醇(aPPD)卻只 能分別殺死64%、29%、和52%的癌症細胞,本實施例之結果表明,與單 獨使用每一種單個成分的相同劑量相比較,組合物更有功效和效力。 實施例2 :含有Rh2、去醣原人參三醇(aPPT)和去醣原人參二醇(aPPD)之組 細處aura色素瘤B16細胞之增強娜 單獨使用不同劑量之Rh2、去醣原人參三醇(aPPT)和去醣原人參二醇 (aPPD)鼠類黑色素瘤B16細胞,相同地,使用不同劑量之含有Rh2、去醏 原人參三醇(aPPT)和去醣原人參二醇(aPPD)皂甙和皂甙培基之組合物來處 理鼠類黑色素瘤B16細胞,在本實施例中使用之組合物2具有下列化學成 份:14.3%的Rh2、16.5%的aPPT、以及69.2%的aPPD,按照MTT標準作 法處理24小時後確定細胞存活數。 圖二顯示組合物2對處理鼠類黑色素瘤B16細胞的增強效果,如舉例 所示,10 pg/mL的組合物2殺死近乎81%的癌症細胞,而同時相似劑量Rh2, Rh4, notoginsenoside Rl5 koryoginsenoside R2, RSl, Rs2, Ql, and chikusetsusaponinV. Those skilled in the art will understand that the natural form of most ginseng island tests is 20S. 20R can be obtained when extracting and processing from plant raw materials. Type compounds, saponins used in the present invention include 20S and 20R structure saponins. In one aspect of the invention, the group contains a variety of protopanaxadiol saponins and / or mono-faceted ginsenotriol saponins, and in another aspect of the present invention, the group contains Rh2 saponin. In another aspect of the present invention, In one aspect, the complex contains Rg3 saponin. In the invention, in one aspect, the composition comprises a composition of saponin and / or aglycone selected from the group of Rh2, aPPT and aPPD. In another specific aspect of the present invention, the complex contains Composition containing saponin and / or saponin selected from Rh2 'Rg3' aPPT and aPPD _, the composition may also contain a small amount of one or more ~ 9] Continued page (Please note when the invention description page is insufficient And use continuation) 200400828 Description of the invention The content of each ingredient contained in the composition is different, approximately between 1% and 鄕, the test content is approximately between 1% and 50%, and the content of each saponin is approximately between 5% and 75%. In another aspect of the present invention, the content of the alloside in the parent species is approximately 5% to 40%, and the content of each alloside is approximately 10% to 70%. A typical composition of the present invention contains 1 to 90% R112, 1 to 90% aPPT, and 1 to 90% aPPD. In one aspect of the present invention, the composition contains 1 to 50%, 5 to 40%, and 5 to 75% aPPD, in another aspect of the present invention, the composition contains 5 ~ village, 10 ~ 35% aPPT and 10 ~ 70% aPPD, and in another aspect of the present invention, the composition contains 742% sen 2, 15 ~ 30% aPPT and 40 ~ 700 / 〇aPPD 〇 The saponin and saponin used in the composition of the present invention are produced separately or in mixture from the treated ginseng extract. Many saponins and / or saponins are also commercially available (ie, from Pe8asus Pharmaceuticals, Inc ”purchased from Richmond, British Columbia, Canada) or can be obtained by chemical or biosynthetic methods using techniques widely known to those skilled in the art (see, for example, Shibata ^ S. (2001) J. Korean Med. Sci ·, 16 Siq) pl ·: S28-37, and others). The composition of the present invention can be prepared directly from a partially purified plant extract, that is, by simply diluting it to an appropriate concentration, or Adjust the active ingredient ratio to the required content , You can add one or more island test and / or aglycone to the plant extract, or the composition can also be ~ 101 continuation page (if the invention description page is not enough, please note and use the continuation page) 200400828 _ Description of the invention The continuation sheet is prepared by mixing two or more separate saponins and / or saponin ligands according to the ratio of enhanced activity. The separate saponin and saponin ligands can be completely purified or partially purified. Raw materials In one aspect of the present invention, saponin and / or saponin are all extracted from plant raw materials, and in another aspect of the present invention, a portion of the saponin and / or alloside containing an enhanced active fraction is purified Plant extracts can be used to prepare compositions. Corresponding to the present invention, the plant raw materials suitable for extracting extracts are derived from ginseng plants, including but not limited to Panax aureus, Panax bipinnatifidus (also Called Panax major and Panax pseudoginseng var bipinnatifidus), Panax ginseng CA Meyer (also known as Panax schinseng), Panax japonicus (also known as Panax ps eudoginseng subsp. Japonicus' Panax pseudoginseng var. japonicus Panax repens), Panax notoginseng (also known as Aralia quinquefolia var. notoginseng and Panax pseudoginseng var. notoginseng), Panax pseudoginseng (also known as Aralia pseudoginseng Panusanax pseudoginseng) (Also known as Panax pseudoginseng var. Wangianus), Panax quinquefolius' Panax stipuleanatus' Panax trifolius' Panax vietnamensis Panax zingiberensis ° Plant materials that can be used in the present invention, including those taken from a single or group of plants § 5 or Many parts, including but not limited to leaves, roots, seeds, berries, stems and other parts. As known to those skilled in the art, the chemical composition and effects of plant extracts are due to the life of plants. The invention description page is not enough, please note and use the continuation page) 200400828 Invention description The continuation page phenological age, the humidity ratio of the viewing material, the part of the plant selected for extraction, and the method of extraction. Open technology Method may be applied to this surface by those of ordinary skill in the art controls extract and extract of mass. In one aspect of the present invention, the plant material extracted from ginseng is used to extract an extract containing saponin and / or saponin, and in another aspect of the present invention, the 'plant material is from North America # (iWc 分 L. ), In another aspect of the present invention, the plant raw material is extracted from Panax notoginseng. In addition to the biological climate of plants, the areas and areas where plants are harvested, the humidity ratio of harvested plants, the parts of the plants selected for extraction, and the method of extraction, the chemical composition of the extracts, etc. Pretreatment of plant materials is affected, for example, when plants are stressed, some biochemical processes are activated, in addition to the basic products already described, many new compounds are synthesized, in addition to harmful substances, mold, and other Pathogenic attack, stressors also include dryness, heat, 7Jc soaking and mechanical damage. Therefore, disturbing plants can be used as a tool to increase the content of one or more desired compounds. Those skilled in the art know how to apply The above-mentioned one kind of disturbance source or a plurality of different kinds of disturbance sources are used for this purpose. For example, the effects of mechanical damage can be increased by adding compounds that are naturally synthesized by plants when they are received, including jasmonic acid (JA). Analogs of oral secretions can also be used in this way to enhance plants Disturbance source (reaction). In one aspect of the present invention, the composition of the present invention is prepared from plant raw material extracts. □ I] Continued pages (when the description page of the invention is insufficient, please note and use the continuation page) 200400828 __ Invention description continued page into The aforementioned plant raw materials are pretreated, for example, chemical or mechanical damage, drying, heating, or cooling methods, or a combination of the above methods is used to disturb the plants before the plant raw materials are collected and extracted. Identification of plants and live thieves. Extracts can be obtained by processing plant raw materials through standard methods of known techniques. There are different ways to obtain extracts from plant raw materials. Which method is selected is based on the combination that can extract the invention. The work fg of the method of the required ingredients of the material, and examples of suitable methods for obtaining extracts include, but are not limited to: hydro-distillation, direct steam distillation, and solvent extraction ), And Microwave Assisted Process (MAP ™) ° Therefore, for example, boiled water can be used to process plant raw materials, the ingredients are released into the water, and these ingredients are obtained by distillation and cooling, as an alternative Plant raw materials can also be treated with steam, so that the components in the molecular film slowly disperse and are mixed with water vapor. The ingredients can be concentrated to obtain extracts, and organic solvents can also be used. Non-limiting examples of organic solvents used to extract live thieves, including methanol, ethanol ( etjjanoi), hexane, and methylene chloride. As an alternative to water or organic solvents, microwaves can be used to activate water and liver in plant palpation, causing cell rupture and release. Produces compounds that are present outside the plant's raw materials. The essential ingredients (ie, honesty and / or saponin) in the flour extracts can be continued on the next page (when the description page of the invention is not enough, please note and use the continued page) 200400828 For continued description of the invention Different analytical techniques in known technologies, for example, these include chromatographic separation of organic molecules, or the use of spectroscopic techniques (such as infra-red, ultraviolet) (ultra-violet) nuclear magnetic resonance spectroscopy). Determination of group cancer activity According to the preparation of candidate compositions, the anticancer activity of the composition can be compared and measured with the anticancer activity of a single ingredient. 'Many test methods well known to those skilled in the art can be used to test the miscellaneous components of the present invention. Anti-cancer activity of bio-groups and formula [sheng. 1) In vitro In order to determine the effect of the composition of the present invention initially, a test technique can be applied. For example, you can use ^ 111 'experiment (〇883 丫 £ 〇1 * 3- (4,5- (1111 ^ 11 丫 11: 111 commits 1-2- > 1) -2,5-diphenyltetrazolium bromide (MTT )) »Or aglycone, for cytotoxic activities of different cancer cell lines (ceU lines), the technology is mainly to seed cancer cells on a 96-well flat-bottom precision test plate (96-well plate) Incubate 24 / J in candidate composition, remove the intermediates from the test plate, and replace with MTT solvent. After analyzing the test plate, calculate the pass from each absorbance of the 5701 dish in each test plate containing cancer cells. The number of surviving cells of the composition after treatment is compared with the untreated control group or the control group treated with one component of the composition alone. The method and standard deviation of each component at various concentrations (standard deviation), you can use standard statistical methods for miscellaneous calculations. 14 | Continued (When the description page of the invention is not enough, please note and use the continued page) 200400828 _ Invention description_ page Another method is to use tumor Cancer cells grow independently ge-independent growth) to determine the inhibitory ability of the composition. Cell independent growth (anchorage-independent growth) is a well-known tumor genetic indicator (tumorigenicity) in this field-generally, by A suitable cancer cell line is colonized in soft agar, and after an appropriate incubation period, the number of cloned cells is determined to evaluate the independent growth of the cells. The growth rate of the cells treated with the candidate composition can be used with appropriate control Compare the growth rate of treated cells (that is, cells treated with saponin and / or saponin aglycone component alone) > and compare with the growth rate of non-faced cells ° Cytotoxicity of the composition The v / experiment can be measured using standard techniques, such as treating the main human fibroblasts with the composition in the W / ro experiment, and then using the standard survival test method to test the survival test, and then Test at different time points, the aforementioned standard survival test methods such as trypan-blue exclusion assay can also be tested by test Test the cell's ability to synthesize its DNA. For example, use thymidine incorporation assay to use standard cell sorting assay in combination with fluorocytometer cell sorter (FACS). 2) In vivo at Jn Vivo In experiments, the ability of the composition to inhibit the growth and reproduction of pupillary tumors can be determined through appropriate animal models using standard techniques known in the art (see, for example, Enna ^ i al, Current Protocols in Pharmacology, J. Wiley & Sons, Inc., New York, NY). I 15 I Continued page (Please note and use the continuation page when the invention description page is inadequate.) 200400828 _ Invention description _ In general, the animal model for screening antitumor compounds is now xenograft models. Through this type of model, a human tumor is transplanted on a tender, and examples of xenograft surfaces of human cancer include, but are not limited to: in a tumor growth test, human solid tumors are transplanted into mice by subcutaneous injection. In the tumor growth test, human solid tumors were transplanted into mice in the same line by fat injection. In the survival test, mice were tested for lymphoma and leukemia, and the test surface of mouse Wf # was tested. For example, the composition can be tested with mice in a solid tumor plus v / w test. At the beginning of the test, the mice were transplanted with two to sixty milligrams of swollen swollen fragments. The tumor-bearing animals were treated differently and Before the control, the mixture was mixed. In the test for the treatment of advanced tumors, after the tumors developed to the expected size, the mice whose tumors did not reach sufficient development were removed. The selected animals were then randomly allocated into treatment groups and control groups. The cytotoxic effect of tumor-specific effects, mice without tumors can also be treated the same as mice with tumors. Depending on the tumor », chemotherapy is started 3 to 22 days after tumor implantation. And observe it daily. The composition of the present invention can be administered to animals by, for example, gavage of nine medicines. Different animals' viscera are weighed 3 to 4 times a week until or the maximum amount of weight loss. Weigh at least once a week until the end of the test. The size of the swelling is measured 2 to 3 times a week until the swelling reaches the predetermined size and / or the predetermined weight, or until the animal dies, if this occurs before the swelling reaches the predetermined size and / or the predetermined weight. Dissection was performed for fibrous analysis to measure tumor size and / or growth. In order to investigate the effect of the composition on leukemia, animals were transplanted with a certain number of cancer cells. The 1 16 I continuation page (when the description page of the invention is insufficient, please note and use the continuation page) 200400828 The control group compared treated mice with increased survival time to determine their antitumor activity. In order to investigate the effect of the composition of the present invention on tumor metastasis, tumor cells were first treated with the composition, and then injected into appropriate experimental animals, and the tumor cells were observed from the injection site for an appropriate period of time. diffusion. Such as νζ · ν〇, the cytotoxic effect of the composition can be measured by measuring the effect of the composition on the animal's body weight during processing, by performing a hematological analysis, and performing liver enzyme enrichment in dissected animals > Heterocytotoxic effects ° Figure 1: Examples of regulatory cancers Tumor Growth Assay Human solid tumor xenografts in mice (sub-cutaneous injection) Prostate ( PC-3, DUl45) Breast cancer (MDA-MB-231, MVB-9) Colorectal cancer Colon (HT-29) Lung cancer Lung (NCI-H460, NCI-H209) Pancreatic cancer Pancreatic (ASPC-1, SU86.86 ) Pancreatic: drug resistant (BxPC-3) Skin Cancer (A2058, C8161) Cervical (SIHA, HeLa-S3) Cervical: drug resistant (HeLa S3-HU-resistance) Liver cancer (HepG2) Brain cancer Brain (U87-MG) Renal cancer Renal (Caki-1, A498) Ovarian cancer Ovary (SK-OV-3) Tumor Growth Assay Human solid tumor transplanted in mouse Human solid tumor isografts in mice (fat pad in jection) Breast: drug resistant (MDA-CDDP-S4, MDA-MB435-T0.1) Survival Assay Experimental model of lymphoma and leukaemia in mice Human: Burkitts lymphoma (Non -Hodgkin ^) (raji) Murine: erythroleukemia (CB7 Friend retro virus-induced) Experimental model of lung metastasis in mice Human: melanoma (C8161) Murine: fibrosarcoma (R3) 17 Continued page (when the invention description page is insufficient, Please note and use the continuation page) 200400828 _ Description of the Invention Continuing Group Therapeutic Application The composition of the present invention is suitable for treating patients with cancer. Cancer species that can be treated and stabilized with the set of the present invention include, but are not limited to, leukaemia, carcinomas, adenocarcinomas, melanoma and sarcomas, cancer Gland cancers, melanomas, and malignant sarcomas are also commonly referred to as "solid tumors." Cancers that frequently erupt with solid tumors include, but are not limited to, the following cancers: chest, miscellaneous, cervical, large intestine, head and neck, kidney, lung, Cancer of the ovary, face, prostate, stomach and uterus, non-small cell lung cancer, and colorectal cancer. "Leukemia" here refers generally to malignant diseases that make up the blood organs. The characteristics of leukemia are manifested in the abnormal reproduction and growth of white blood cells and their precursors in the blood and bone marrow, as well as other affecting red blood cells such as erythroleukaemia. Growth malignant blood cell disease, leukemia is usually classified clinically according to the following basics: ⑴ duration and characteristics of the disease --- ^ Note or proliferative; involved ^ / greasy species-cell myeloid (myelogenous), Lymphoid (lymphogenous) or monocytic cells; and (3) the growth or non-growth of the number of abnormal cells in the blood, such as leukemia including the following types: acute nonlymphocytic leukaemia, chronic lymphocytic leukaemia, acute granulocytic leukaemia, chronic granulocytic leukaemia, acute promyelocytic leukaemia, adult T-cell leukaemia, aleukaemic leukaemia, aleukocythemic leukaemia, basophylic leukaemia, blast cell leukaemia, bovine leukaemia, chronic myelocytic leukaemia, leukaemia cutis, embryonal leukaemia, eosinophilic leukaemia, Gross' le ukaemia, hairy-cell leukaemia, hemoblastic leukaemia, 1 18 I continuation page (if the invention description page is insufficient, please note and use the continuation page) 200400828-invention description continuation page hemocytoblastic leukaemia, histiocytic leukaemia, stem cell leukaemia, acute monocytic leukaemia, leukopenic leukaemia, lymphatic leukaemia, lymphoblastic leukaemia, lymphocytic leukaemia, lymphogenous leukaemia, lymphoid leukaemia, lymphosarcoma cell leukaemia, mast cell leukaemia, megakaryocytic leukaemia, micromyeloblastic leukaemia, monocytic leukaemia, myeloeloicic leukauka, leukaemia, Naegeli leukaemia, plasma cell leukaemia, plasmacytic leukaemia, promyelocytic leukaemia, Rieder cell leukaemia, Schilling's leukaemia, stem cell leukaemia, subleukaemic leukaemia, and undifferentiated cell leukaemia. "sarcoma, usually refers to origins such as muscle, bone, cartilage or fat A tumor that is a con-nective tissue and is connected by a tissue similar to an embryo Composed of, often consisting of tightly implanted fibrid or homogenous somatic cells) Or, sarcomas include the following fl types: Sarcomas include soft tissue sarcomas, chondrosarcoma, fibrosarcoma, lymphosarcoma, melanosarcoma, myxosarcoma, osteosarcoma, Abemethy ^ sarcoma, adipose sarcoma , liposarcoma, alveolar soft part sarcoma, ameloblastic sarcoma, botryoid sarcoma, chloroma sarcoma, chorio carcinoma, embryonal sarcoma, Wilms5 tumor sarcoma, endometrial sarcoma, stromal sarcoma, Ewing5s sarcoma, fascial sarcoma, comcommica, comic, sarcoma ^ sarcoma, idiopathic multiple pigmented haemorrhagic sarcoma, immunoblastic sarcoma of B cells, lymphoma, immunoblastic sarcoma of T-cells, Jensen's sarcoma, Kaposi's sarcoma, Kupffer cell sarcoma, angiosarcoma, leukosarcoma, comatic, align align me , serocystic sarcoma, synovial sarcoma, and telangiectaltic sarcoma. "Melanoma " refers to skin and Tumors of the melanin system of other organs, melanoma package I 19 | Continued page (When the description page of the invention is insufficient, please note and use the continuation page) 200400828 The description page of the invention description includes the following buildings: melanoma, benign juvenile melanoma, Cloudman's melanoma, S91 melanoma, Harding-Passey melanoma, juvenile melanoma, lentigo maligna melanoma, malignant melanoma, nodular melanoma, subungal melanoma, and superficial spreading melanoma. "Carcinoma" refers to the malignant growth of the skin, making the upper skin Cells attack tissue surfaces and cause metastases. Examples of cancers include the following cancer types: acinar carcinoma, acinous carcinoma, adenocystic carcinoma, adenoid cystic carcinoma, carcinoma adenomatosum, carcinoma of adrenal cortex, alveolar carcinoma, alveolar cell carcinoma, basal cell carcinoma, carcinoma basocellulare, basaloid carcinoma, basosquamous cell carcinoma, bronchioalveolar carcinoma, bronchiolar carcinoma, bronchogenic carcinoma, cerebriform carcinoma, cholangiocellula r carcinoma, chorionic carcinoma, colorectal carcinoma, colloid carcinoma, comedo carcinoma, corpus carcinoma, cribriform carcinoma, carcinoma en cuirasse, carcinoma cutaneum, cylindrical carcinoma, cylindrical cell carcinoma, duct carcinoma, carcinoma durum, embryonal carcinoma, encephaloid carcinoma, epiermoid carcinoma, carcinoma epitheliale adenoides, exophytic carcinoma, carcinoma ex ulcere, carcinoma flbrosum, gelatiniform carcinoma, gelatinous carcinoma, giant cell carcinoma, carcinoma gigantocellulare, glandular carcinoma, granulosa cell carcinoma, hair-matrix carcinoma, haematoid carcinoma, hepato cellular carcinoma, Hurthle cell carcinoma, hyaline carcinoma, hypemephroid carcinoma, infantile embryonal carcinoma, carcinoma in situ, intraepidermal carcinoma, intraepithelial carcinoma, Krompecher's carcinoma, Kulchitzky-cell carcinoma, large-cell carcinoma, lenticular carcinoma, carcinoma lenticulare, lipomatous carcinoma, lymphoepithelial carcinoma, carcinoma medullare, medullar y carcinoma, melanotic carcinoma, carcinoma molle, mucinous carcinoma, carcinoma muciparum, carcinoma 1 20 1 Continued on the page (If the description page of the invention is not enough, please note and use the continuation page) 200400828 Continuation page on mucocellulare, mucoepidermoid carcinoma, carcinoma mucosum , mucous carcinoma, carcinoma myxomatodes, naspharyngeal carcinoma, oat cell carcinoma, non-small cell carcinoma, carcinoma ossificans, osteoid carcinoma, papillary carcinoma, periportal carcinoma, preinvasive carcinoma, prickle cell carcinoma, pultaceous carcinoma, renal cell carcinoma of kidney, reserve cell carcinoma, carcinoma sarcomatodes, Schneiderian carcinoma, scirrhous carcinoma, carcinoma scroti, signet-ring cell carcinoma, carcinoma simplex, small-cell carcinoma, solanoid carcinoma, spheroidal cell carcinoma, spindle cell carcinoma, carcinoma spongiosum, squamous carcinoma, squamous cell carcinoma, string carcinoma, carcinoma telangiectaticum, carcinoma telangiectodes, transitional cell carcinoma, carcinoma tuberos um, tuberous carcinoma, verrucous carcinoma, and carcinoma villosum. "Cancer" also includes adenocarcinomas. Adenocarcinomas originate from the production of cells with glandular (secretory) organs, or Cells originating from the hollow viscera of the line, such as the gastrointestinal tract or bronchial epithelia. Examples of cancer include, but are not limited to, breast cancer, lung cancer, and cancerous adenocarcinoma. The cancers used in the present invention also include: Hodgkin's disease, Non-Hodgkins lymphoma, multiple myeloma, and neuroblastoma ), Rhabdomyosarcoma, primary thrombocytosis, primary macroglobu Unei ^ a, small-cell lung tumors, original hair type Primary brain tumors, malignant pancreatic insulanoma, malignant carcinoid, bladder cancer, premalignant skin (continued on the pages of the invention) Please note and use the continuation page) 200400828 Description of the invention Continuing Mongolian Lesions), gliomas, testis cancer, esophagus cancer, genitourinary tract cancer, malignant blood Malignant hypercalcemia, endometrial cancer, adrenal cortical cancer, mesomas thelioma and medulloblastoma ° In one aspect of the present invention, cancers using the composition of the present invention for treatment and stabilization are selected from the group consisting of pancreatic cancer, lung cancer ), Stomach cancer, esophagus cancer, colon and rectum cancer, breast cancer, ovary cancer, liver cancer, kidney cancer cancer, laryx cancer, bone cancer, multiple myeloma, mehnoma, breast cancer, prostate cancer, bladder cancer , Cancer in body of uterus, oral cavity c caer, thyroid c rib cer, cervical cancer (cervix cancer), testis cancer, non-hejie Non-Hodgkins lymphoma, leukemia, Hodgkin's disease, skin cancer, and soft tissue cancer ° The composition of the present invention may also be used Applied to treatment and Given late, and / or metastasis of the cancer, including the above-described late stage of cancer, are often surface melting cancer resistance, and a bonding composition of the present invention may also be used in the treatment of relapsed or difficult to control the types of cancer. The cancer to which the present invention is applied also includes, for example, the origin and metastasis of different tissues and / or organs 1 22 1 Continued pages (when the description page of the invention is insufficient, please note and use the continuation page) 200400828 Invention Description_ stomach 'Multidrug-resistant cancer' includes, but is not limited to, onset of muscle, bone, or connective tissue, skin, brain, lung, sex organs, lymph or kidney system, breast or blood cells, liver, digestive tract, and thyroid or adrenal ducts Cancers, including solid tumors, ovarian cancer, breast cancer, brain cancer, prostate cancer, colon cancer, gastric cancer, kidney cancer, or cancer, Kaposi's sarcoma, bile duct tumor, chorionic tumor, neuroblastoma, Wilms tumor, Ho Jenkin's disease, melanoma, multiple myeloma, lymphocytic leukemia, and acute or chronic [granulocytic lymphoma. The development of cancer resistance is a major problem in cancer treatment. One of the traditional methods surrounding the problem of drug resistance is to use different active mechanisms and cytotoxic potential of multiple drugs to perform hybridization. A drug that overcomes multidrug resistance can be used alone as a chemotherapeutic drug or in combination with other drugs. The potential benefits of mixing one drug with chemotherapy can use less toxic compounds, save costs, or enhance Effect to reduce the number of treatments. By using the composition of the present invention in conjunction with one or more chemotherapeutics, the present invention is intended to be applied to patients with multidrug resistant cancer as part of mixed chemotherapy. Therefore, in the case of cancer, the present invention The composition can be used alone or in synergy with other pharmacologically active _ chemotherapy drugs. Medicinal adjuvants The composition of the present invention can be formulated with a suitable pharmacologically and pathologically acceptable carrier, ## agent (diluent), excipient or vehicle. Combined with the composition of the pharmaceutical formula for drug use, the pharmaceutical formula can also be l ~ 23l continuation page (when the invention description page is not enough, please note and use the continuation page) 200400828 invention description continuation page is a kind of chemotherapeutic drug composition for a certain object Take simultaneous medication. The pharmaceutical formulations of the present invention can be prepared by inhalation, spray, or through dosage unit formulations such as dosage unit formulations, using traditional pharmaceutically acceptable non-toxic carriers, adjuvants Oral medication (oraUy), topical medication, parenterally, and injection with the medium, including injections under the skin (subcutaneous injections), intravenous (intravenous), intramuscular (intramuscular), peritoneal ( intrastemal injection or infusion techniques. Pharmaceutical formulations may be in a form suitable for oral use, such as in tablets, troches, lozenges, aqueous or oily suspensions ), Can be divided into female powder or granules (dispersible powders or granules), emulsions (emulsion), hard or soft capsules (hard or soft capsules), or sugar paddles (syrups) or oral liquids (elixirs), pharmaceuticals intended to be used orally The formula can be prepared according to the methods known to the pharmaceutical industry, in order to prepare pharmacologically beautiful and palatable The preparation can be prepared from sweetening agents, flavouring agents, coloring agents, and preserving agents by selecting one or more auxiliary agents, and the tablet contains a live thief Mixing with suitable pharmaceutically acceptable non-toxic acceptable excipients, including, for example, such as calcium carbonate, sodium carbonate, lactose, f§ (calcium) phosphate) or inert diluents of sodium phosphate, such as com starch, or granulating and disintegrating agents of alginic acid, such as Source powder (starch), white gelatin or arabic [24 1 Continued (When the description page of the invention is insufficient, please note and use the color) 200400828 Invention of binding agents for gelatine or acacia , And lubricating agents such as magnesium ste_, stearic add (talc), tablets can be uncoated Or coating the tablet with known techniques to delay its digestion and absorption in the gastrointestinal tract to provide sustained action over a long period of time, for example, glycerol mono Glyceryl monostearate or glyceryl distearate is used as a slow-release substance. Pharmaceutical formulations intended for oral use can also be in the form of hard white gelatin capsules in which the active ingredient is mixed with an inert solid diluent such as calcium carbonate, calcium phosphate or kaolin, and is intended for oral use. The pharmaceutical formulation of the pharmaceutical composition can also be a soft white gelatin capsule Kaido, its active ingredients and 7] < or an oil medium such as peanut oil, liquid paraffin or olive oil is mixed. Aqueous suspensions contain the active compound and are mixed with suitable excipients. Such excipients include: sodium sodium methylcellulose (80 € 1111111 (: 311 dishes 711 ^ 1 611 611 € from ), Methyl cellulose, hydropropylmethylcellulose, sodium alginate, polyvinylpyrrolidone, gum tragacanth, and gum arabic suspending agents such as gum acacia, dispersing or wetting agents such as naturally-occurring phosphatide, such as lecithin, or polyoxyethyene stearate ) Condensed products of alkyleneoxide and fatty acids, or ethylene oxide such as hepta-decaethyleneoxycetanol and "^ 51 Continued" Note and use continuation page) 200400828 __ Description of the invention Continuation page Concentrated products of long-chain aliphatic alcohols, or polyoxyethylene sorbitol monooleate (p olyoxyethylene sorbitol monooleate is a concentrated product of ethylene oxide and monoesters extracted from fatty acids and hexitol, or polyoxyethylene sorbitan monooleate ) Concentrated product of ethylene oxide and partial esters extracted from fatty acids and hexitol anhydrides, 7j < Aqueous suspensions may contain one or more preservatives, such as ethyl or n-propyl j > hydroxy-benzoate, a One or more coloring agents, one or more flavouring agents are one or more sweetening agents such as sucrose or saccharin. Oily suspensions may By suspending in vegetable oil such as arachis oil, olive oil, sesame oil, coconut oil or mineral oil such as liquid paraffin The active ingredient is prepared. The oily suspension may contain thickening agents such as beeswax, hard paraffin or cetyl alcohol, and the aforementioned sweetening agents. And / or 111¾ the addition of J (flavouring agents), can be mouth-to-mouth and palatable, the pharmaceutical composition can be added by anti-oxidant such as ascorbic acid (anti-oxidant) Preservative preservation. The active powders and 酔 ules are suitable for preparing aqueous suspensions, and the active compounds are added to dispersants or wetting agents (dispersing \ ~ 26) by adding water. Continued page (inventory description page is insufficient, please note and use the continuation page) 200400828 Invention description continued page or wetting agent), a suspension agent and one or more preservatives are prepared by mixing, suitable dispersant or wetting agent It refers to the examples of the additives mentioned above, and additional agents such as sweeteners, flavoring agents, and pigment doughs can also be added. The pharmaceutical formula of the present invention can also be in the form of an oil-water emulsion, and the oil part can be, for example, peanut oil (arachis oil), olive oil, vegetable oil or mineral oil such as liquid paraffin, or a mixture of some oils, suitable milk {德 物 (emuisifying agents) ) Can be natural resins (naturaUy-occmring gums) such as gum tragacanth and gum acacia, and can be naturally-occurring natural phospholipids such as soy beans and lecithin phosphatides) Esters or partial esters extracted from fatty acids and hexitol anhydrides, such as sorbitan monooleate, and the above partial partial esters esters) and ethylene oxide concentrated products such as polyoxyethylene sorbitan monooleate. Emulsions can also contain 1 »agents and flavors. 〇 〇 syrups and oral liquid (syrups and elixirs) can be prepared from sweeteners such as glycerol, propylene glycol, sorbitol or sucrose, and the composition can contain demulcent, preservatives Preservatives and / or flavoring agents and pigments 0 Pharmaceutical formulations can be prepared in the form of sterile injectable aqueous or oily suspensions, which can be prepared according to known techniques by using the appropriate dispersants or Wetting agents and suspensions are prepared. Sterile injectable preparations can be sterile injectable solutions or diluted in injectable without ~ 27 ~ 1 Continued pages (if the invention description page is insufficient, please note and make (Continued) 200400828 Description of the invention Continuation page Toxic dilutions or suspensions in solvents, such as 1,3-butanediol solution, acceptable media and solvents that can be used, including but not limited to column F: water, Compound sodium chloride injection (Ringer's solution), lactated Ringer's solution and isotonic sodium chloride solution (isotonic sodium chloride solution) Other examples are traditional-ί two used as dissolution suspension Sterile, non-volatile oils in liquid media, and various irritating, non-volatile oils such as synthetic mono-glycerides or diglycerides, and fatty acids such as oleic acid The fatty acids pool can be used in the preparation of injectable groups. Other methods of preparing pharmaceutical formulations and compositions are known and described in the prior art in this field, for example, published by Williams & Wilkins, Philidelphia, PA (2000), by Gennaro, A " Lippincott's "Remi Post on: The Science and Practice of Pharmacy" source is called post oiKPiiannaceuifcaiSdeiK ^ s ") described ^ Non-pharmaceutical formula Non-pharmaceutical formula refers to government agencies that do not need to go through the management of drugs and biological products, Formulas that can enter the market are pre-approved by the U.S. Food and Drug Administration (FDA). Those skilled in the art will know that a formula can exist as either a pharmaceutical or non-pharmaceutical formula, such as a plant formula It can be regarded as both a pharmaceutical formula and a non-pharmaceutical formula, and a non-medicinal βϋ prescription, which can be formulated according to the same method and form of the aforementioned pharmaceutical formula and a pharmaceutically acceptable medium or carrier. Non-pharmaceutical formulas can be in the following forms, such as natural pharmaceutical composition (nutraceutical QCI continuation page (when the invention description page is insufficient, please note and use the continuation page) 200400828 invention description continuation composition, food, food ( health food), natural health product (MMS), functional food, nutritional supplement, food supplement [J (diet 町 supplement), herbal supplement flow [Kherbal s chatlement ), Herbs, alternative medidne, and naturopathic products. The non-pharmaceutical formula disclosed herein may be a tablet, a capsule, or an ointment. Mode of administration and dosage regimen According to the present invention, a therapeutically effective dose containing the composition or formulation of the present invention is administered to a subject to treat cancer, and the composition or formulation can be administered according to a conventional chemical treatment. The dosage of the composition of the present invention is based on the type of cancer being treated, the condition of the cancer patient, and the size of the subject to be treated. Those skilled in the art can easily make decisions on this. However, when treating different types of cancer, it can be done in accordance with this field. Known technology determines the dosage of medication and the frequency of medication according to the actual situation. For example, the therapeutically effective dose of each ingredient in the composition may be between 0.01 mg and 1000 mg per kilogram of body weight per day. In one aspect of the present invention, the composition contains a therapeutically effective dose of Rh2 per kilogram. Body weight is between 0.01 mg and 1000 mg per day. In another aspect of the present invention, the composition contains a therapeutically effective dose of desugared ginsengtriol, between 0.01 mg and 1000 mg per kg of body weight per day. In one aspect, the composition contains a therapeutically effective dose of desugared ginsengdiol, between 0.01 mg and 1000 mg per day of body weight. Γ29] Continued pages (Notes and use of continuation pages when the invention description page is insufficient) 200400828-Description of the continuation page Pharmaceutical components The present invention can also provide therapeutic components containing the composition of the present invention in the form of pharmaceutical formulations (therapeutic kite), used for cancer treatment, individual components of the package will be packaged in separate containers, along with these containers, there are instructions in a format prescribed by government agencies that regulate the production, use or sale of drugs and biological products, which reflects the government Agency approval for the production, use, or sale of human drugs. When the component of the drug assembly is one or more liquid solutions, the liquid solution may be aqueous mm5 $ DiE®7jci # ^ (sterile aqueous solution)-«Mf MT ^» ^ (container means), and may be an inhalant , Syringe (syringe), pipette, eye dropper (apparatus), or other similar devices (apparatus), the composition can be administered to the subject via these devices Or lyophilized form, and the medicinal component may additionally contain a suitable solvent to reduce the lyophilized part, the medicinal component of the present invention may also include a device for assisting medication to the subject of the medication, regardless of the type and quantity of the container, The device can be an inhalant, a syringe, a pipette, forceps, a measured spoon, an eye dropper, or any other approved medication ( delivery vehicle) ° Further, when the drug component administers the drug to the subject, it may further include one or more other chemotherapeutic drugs for use in combination with the composition of the present inventionIn order to facilitate a better understanding of this invention, the following examples are listed, these listed examples should be understood for the purpose of explanation only, so these examples should not limit this Pages (Notes on Insufficient Use of Inventive Pages, please note and use continuation pages) 200400828 ___ Description of Inventive Continued Items The scope of the invention. L ~ —- [Embodiment] The embodiment contains Rh2 'deglycogenated ginseng third instar (PPT) and deglycogenated ginseng glycol (aPPD), and compared with the anti-cancer effect of each JP component, The composition is prepared according to the ratio of various ingredients of the following agents: Group Miscellaneous Composition Composition Nao (3) Rh2 7.3% 14.3% 41.2% aPPT 26.3% 16.5% 17.6% aPPD 66.4% 69.2% 41.2% Total 100% 100% 100 % Cytotoxicity measurement using standard microculture tetrazolium assay (MTT) (Alley, MC et al, Cancer Research 48: 589-601, 1988), exponentially growing tumor cells (including multiple Culture of drug-resistant cell lines) for microtiter plate cultures. Cells were cultured in 96-well plates at 1.2x103 cells per well and cultured overnight at 37 ° C iSS. Then, the test compound is added, and the cells are treated for 24 hours, and the MTT test MTT dye (3- (4,5-dimethylthiazol-2-yl) -2,5-Diphenyltetrabromide diphenyltetra zolium bromide in saline), to determine the number of cell survival per well. Example 1: Contains Rh2, deglycogenated ginsenotriol (aPPT) and deglycogenated ginseng triol (aPPD) Zhao Zao Chuan Noodles U87 Zengqiang County I 31 | Continued page (Insufficient invention pages, please use Note and use continuation page) 200400828 Invention_i_Stomach-Exclusive use of different doses of Rh2, deglycogenated ginstriol (aPPT) and deglycogenated ginseng glycol (aPPD) to treat human glioma cells (U87) 'Similarly, human glioma cells (U87) were treated with different doses of a composition containing Rh2, deglycogenated ginsenotriol (aPPT), and deglycogenated ginsengdiol (aPPD) saponin and saponin, in The composition used in this example} has the following chemical components: 7,3% Rh2, 26.3% aPPT, and 66.4% aPPD. After 24 hours of treatment according to the MTT standard method, the cell survival number is determined. Figure 1 shows the enhanced effect of Composition 1 on the treatment of human glioma (U87). As shown in the legend, Composition 1 at 15 pg / mL kills nearly 100% (99%) of cancer cells, while similar doses The single component Rh2, deglycogenated ginsenotriol (aPPT), and deglycogenated ginseng triol (aPPD) can only kill 64%, 29%, and 52% of cancer cells, respectively. The results of this example show that: The composition is more effective and effective compared to the same dosage of each individual ingredient used alone. Example 2: Enhancement of aura melanoma B16 cells containing Rh2, deglycogenated ginsenotriol (aPPT) and deglycogenated ginseng diol (aPPD), using different doses of Rh2, deglycogenated ginseng III alone (APPT) and deglycogenated ginseng diol (aPPD) murine melanoma B16 cells, the same, using different doses containing Rh2, deprotonated ginseng triol (aPPT) and deglycogenated ginseng diol (aPPD) A combination of saponin and saponin glycosyl to treat murine melanoma B16 cells. Composition 2 used in this example has the following chemical components: 14.3% Rh2, 16.5% aPPT, and 69.2% aPPD, according to MTT Cell viability was determined after 24 hours of standard practice. Figure 2 shows the potentiating effect of Composition 2 on the treatment of murine melanoma B16 cells. As shown in the example, Composition 2 at 10 pg / mL killed nearly 81% of cancer cells, and at the same time a similar dose

Jl]續次頁(發明說明頁不敷使用時,請註記並使用續頁) 發明說明續頁 的單個成分Rh2、去麵人參三醇(爾)和去醣原人參二醇(&ρρ聊只能分 別殺死56% ' 47%、和44%的酿細胞’ _漏之結果表明,與單雛 用每一種單個成分的相同劑量榔嫩,組飾更额效和效力。 3 ·含有咖、去酷原人參三醇(31>?聊去醣原人參二醇(a™)之 組*處理癌細胞MCF7之增強 單獨使用不Η齊丨I星之Rh2、去醣原人參三醇⑽叩和去醣原人參二醇 (aPPD)人類乳腺癌細胞MCF7 ’相同地,使用不同劑量之含有服、去醣 原人參三醇(aPPT)和去醣原人參二醇(aPPD)皂甙和皂甙培基之組合物來處 理人類乳腺癌細胞MCF7,在本實施例中使用之組合物3具有下列化學成 份· 41.2%的Rh2、17.6%的aPPT、以及41.2%的aPPD,按照MTT標準作 法處理24小時後確定細胞存活數。 圖三顯示了組合物3對處理肩獅癌細胞MCF7的增強效果,如舉 例戶細’ 15 pg/mL的組合^ 3驗逝乎92%的癌織獅,而同時相似劑 量的單個成分Rh2、去醣原人參三醇(aPPT靡去醣原人參二醇(卿〇郷只能 分另ίΐ殺死68%、68%、和69%的癌症細胞,本實施例之結果表明,與單獨 使用每一種單個成分的相同劑量相比較,組合物更有功。 實施例4 :含有Rh2、去醣原人參三醇(aPPT)粧醣原人參二醇(apPD)趙 合ti處理多麵藥/麵癌細胞之效果 ^ 用含有Rh2、去醣原人參三醇(_和去醣原人參二醇(aPPD)巷甙和皂 甙配基的組合物來處理具有耐藥性的胰腺癌症細胞(BXCP-3)和(CAPAN- 1),在本實施例中使用之組雜1具有下列化學成份:7.3%的Rh2、26.3% Γ~33~|續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 發明說明續頁 的aPPT、以及66.4%的aPPD,按照MTT標準作法處理24小時後確定細胞 存活數。 圖4a顯示了不同劑量之組合物1對處理有耐藥性的胰腺癌症細胞 (BXCP-3)的效果,圖4b顯示了不同劑量之組合物1對處理有耐藥性的胰 腺癌麵胞(CAPAN-1)的效果,如圖例所示,組合物1對兩種癌麵胞都 有殺死效果。 實施例5 :含有Rh2、去醣原人參三醇(aPPT)和去醣原人參二醇(aPPD)之組 合物對不同癌症細胞之抗癌縣 組合物4之抑制不同麵癌症細胞的效果顯示在下列圖表中: 癌麵胞株 100%殺死癌麵 麵需最小劑量 MCF7/adr 乳腺癌 40ug/ml 耐藥 MDA435LCC6M 癌 40 ug/ml 耐藥 MCF-7/c3 癌 40ug/ml Caspase-3 1¾¾ 9L 胸瘤 25 ug/ml SF188 胸瘤 20ug/ml LNCaP 前列腺癌 25 ug/ml PC3 前列腺癌 40 ug/ml HCT15 胃腸道系統腫瘤 40 ug/ml Keto 胃腸道系統願 35 ug/ml H460 肺癌 40 ug/ml 實施例6 :組合物4在In Vivo對不同癌症細胞之抑制效果 組合物4之各種成分含量: RJulZ 8% Rg3 2% 皂甙配基 70% 未知人參巷甙 20% I 34 I續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 __ 發明說明續頁 組倒4的抗癌活性在Vivo試驗中也得到了證實,腦瘤細胞被種殖于 大鼠大腦中,在種殖後第10天腫瘤已經形成的情況下,口飼三個劑量的組 合物4,如圖五所示,在2個5天的組合物4治療之後’治療組和對照PBS (生 繼水)動物的存活率有顯著的差異,尤其是舰25 mg/kg和50 mg/kg處理 的動物中,40%的大鼠存活期超過42天,而對照組的動物平均存活期僅18 天,尸檢表明,多于50%的存活動物的腫瘤完全消退。 實施例7 :組雜4之麵學_ 對組合物4進行了標準急性和慢性毒性實驗,在急毒實驗中,大鼠一 次性口服4,000mg/kg組合物4,服藥後三十分鐘內動物出現閉眼、安靜、 活動減少、嗜睡,這些症狀在四小時之內消失,動物的活動、進食、進水 也千灰復正常,沒有一個動物在給藥後七天內死亡,動物尸檢結果顯示心、 肝、脾、肺、腎、胃、腸無異常,在慢毒實驗中,動物分爲高、中、低劑 量三組,分別口服333.3mg/kg、131.0mg/kg和51.5mg/kg組合物4,每曰給 藥,持續八周,給藥結束後觀察兩周,結果如下:在高劑量組給藥後24 /J.內有一過性前列腺腫大(默程度187% ),一過性卵巢腫大(腫大 程度124% ),在中齊幢組也靜見一過性前歹鹏腫大(腫大程度156% ),但 是連續給藥兩周之後,腫大消失,另外,一些輕微的毒性反應也祇在高劑 量組內才能觀察到,包括給藥第三至四周內嗜睡,以及給藥末期(4-9周) 時的體重稍減(無統計學顯著意義,P>0.05),血常規以及器官組織學檢查 在高、中、低3組內均未發行異常。 I 35 |續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 發明說明續頁 組合物4的急性毒理實驗結果槪要如下: l. 血髓惹實驗 兔子(曰本大耳兔)經耳靜脈注射組合物4,每日一次,連續7天, 每次注射量5 ralTkg (Img/mi),在注射部位無可見變化,繊切片的顯 微鏡檢查沒有發現注射部位靜臓血、水贼炎注細胞浸潤等現象。 結論:組合物4不對血管造成刺激作用。 II.內毒素測驗 用Limulus Amebocyte (LAL)干擾實驗法來測定組合物4的內毒素水 平’所用的LAL檢驗可以測定到的最小內毒素水平是0.125 EU/ml - 0.25 EU/ml,在組合物 4 咅數分別爲 lmg/ml, 0.5 mg/ml,0.25 mg/ml 以及 0.125mg/ml的情況下,均沒有衞則出內毒素干擾。 結論:lmg組合物4的內毒素水平小于1EU。 m. 溶血實驗 實驗兔子的全血與不同稀釋度的組合物4混合,用分光度計測量其 上層淸液在545 nM波長下的吸光率,由此來決定溶血性,以生理鹽水 ^1且雜4 (組雜4 :生麵水=1 : 3),慰冬濃度(lmg/ml)造成 的溶血性反應小于1% (正常値<5%),未經稀釋的組合物4 (4mg/ml) 則有輕度溶血(51%)。 結論:在組合物4用生理鹽水1 : 3讎的情況下,無溶血反應。 Πόΐ續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 _ 發明說明續頁 IV. 過賴驗 過敏實驗用膝鼠進行,腹膜注射0.5 ml組合物4,隔曰一次,一共 ό曰(3次注射)’另外,同一膝鼠在第14天和第21天時分別靜脈注射 lml組合物4,每次注射後的15分鐘內觀察典型的過敏通,包括:咳 嗽、皮膚反應、呼吸反應等等。 結論:組合物4不引起過敏反應。 V. 組4 的半數( LD50 ) 五組小鼠靜脈注射5種不同劑量的組合物4 (濃度從85.5mg/kg到 160.0mg/kg),注射後動物被觀察7天,以Bliss方法測試半數致死量 (LD50),在136 mg/kg和160 mg/kg的濃度下,動物出現嚴重的毒性反 應和死亡,減低濃度明顯地減低毒性反應,空白溶劑實驗發現溶劑本身 具有同樣的物致死濃度,證明組雜4毒性完全由溶劑的毒注導致。 結論:組合物 4 的 JLD50 是 121.9 mg/kg,95%可信度爲 105.0 -141.6 mg/kg 之間。 實施例8 :非正式的臨賴察 一個非IE式一期臨床試驗在遼寧省中醫硏究所完成,對4〇例不同類 型的惡性實質性腫瘤的病人,進行了組合物4之非正式的一期臨床觀察, 所有的病人或者經一線抗瘤藥治療失敗,或者拒絕常規治療,參與臨床觀 察之癌症病人,患有下列癌症觀:肺癌(10例)、肝癌(6例)、_癌(5例)、 1 37 I續次頁(發明說明頁不敷使用時,請註記並使用顯) 200400828 __ 發明說明續頁 腸道癌(4例)、子宮癌(3働、_癌(2働、鼻喉癌(1例)、食道癌(1例)、 膽管癌α例)、胃癌(1例)、睾九癌(1働、腎癌(1働、膀胱癌(1働、尿道 癌(1働、口腔癌(1例)、以及肝硬化(1働,40例病人的平均年齡是56.1 土 11.5歲,用200毫克/天的組合物4 口服劑型治療,平均療程53.7 土 25.4 天,對組_ 4毒性的主要觀察指標,是噁心、嘔吐、胃炎、脫發、神經 系統症狀以及皮膚異常,沒有一例病人發行以上0犬,因此其臨床毒性爲 零級。 雖然該臨床試驗之目的,主要是毒性觀察,而不是療效觀察,但是對 纖的初步觀察結果令人鼓舞,據報告,75%的病人繊合物4治療後, 臨床症狀顯示症狀在不同程度上有所改進,一些病人的腫瘤明顯減少。 病例 病例1 :女,58歲,下膽管癌(3.0 X 2·6 cm) 症狀:體重銳減、噁心、職、疲勞、上腹部疼痛、黃疸等。 治療:114天,每天200 mg 改善:腫瘤大小縮至1.8 X 1.4 cm,所有上述症狀消失,自我感覺良好。 病例2 :女,74歲,食道癌(傘狀),長6.0cm (X光圖像) 症狀:吞咽困難、疼痛、消痩、經常打嗝 治療:110天,每天200 mg 改善:腫瘤大小縮至1.5 cm,吞咽無困難,打嗝次數大減,不再疼痛,自 我感覺良好。 [~38l續次頁(發明說明頁不敷使用時’請註記並使用續頁) 200400828 病例3 :男,66歲,胰腺癌45x4.5x3.7 cm 症狀:疲勞、暈眩、上腹部及肝區痛,GPT、GOT和血醣高 治療:90天,每天200 mg 改善:很少疼痛,GPT、GOT、血醣指數均ί灰復正常 儘管在此披露了本發明之不同方面,根據本領域熟練人員的共知常 識,可以在本發明的範圍內作許多改變與修改,此類修改不應被視作超出 本發明之範圍,並且所有對本領域熟練人員而言是顯而易見之修改,都將 包括在下列申請專利範圍中。 I 39 I續次頁(發明說明頁不敷使用時,請註記並使用續頁) 200400828 _ 發明說明^頁 【圖式簡單說明】 圖一提供了用不同皂甙和皂甙配基以及本發明之一種組合物處理人 類神經膠質瘤癌症細胞(human glioma tumor cells) U87後,細 胞存活率的圖示; 圖二提供了用不同皂甙和皂甙配基以及本發明之一種組合物處理鼠 類黑色素瘤癌症細胞(mouse melanoma cells) B16後,細胞存 活率的圖示; 圖三提供了用不同皂甙和皂甙配基以及本發明之一種組合物處理人 類乳腺癌細胞(human breast cancer cells ) MCF7後,細胞存活 率的圖不; 圖4a提供了用本發明之組合物的不同劑量處理胰腺癌細胞 (pancreatic cancer cells ) BXCP-3 後,細胞存活率的圖示; 圖4b提供了用本發明之組合物的不同劑量處理胰腺癌細胞 (pancreatic cancer cells) CAPAN-1 後,細胞存活率的圖示; 圖五顯示用本發明之組合物的不同劑量在處理癌細胞的抑制 作用。 40Jl] Continued pages (If the description page of the invention is insufficient, please note and use the continuation page.) Individual components of the continued page Rh2, faceless ginseng triol (Er), and deglycogenated ginseng glycol (& ρρ 聊It can only kill 56% '47% and 44% of germ cells'. The results show that the same amount of nut tender as the single chick with each single ingredient, the decoration is more effective and potent. 3 · Contains coffee 2. Decogen ginsenotriol (31 >? talk about deglycogen ginseng diol (a ™) group * treatment of cancer cell MCF7 to enhance the use alone can not be used 丨 I star of Rh2, deglycogen ginsenotriol ⑽ 叩 and Deglycogenated ginseng glycol (aPPD) human breast cancer cell MCF7 'Similarly, different doses of glycosides, deglycogenated ginsenotriol (aPPT), and deglycogenated ginseng glycol (aPPD) saponin and saponin were used. Composition to treat human breast cancer cell MCF7. Composition 3 used in this example has the following chemical components: 41.2% Rh2, 17.6% aPPT, and 41.2% aPPD, determined after 24 hours of treatment in accordance with the MTT standard method Cell survival number. Figure 3 shows the effect of Composition 3 on the treatment of shoulder lion cancer cell MCF7, such as For example, the combination of 15 'pg / mL ^ 3 tested about 92% of cancerous lions, and at the same time, a single dose of Rh2, a deglycogenated ginseng triol (aPPT and deglycogenated ginseng diol (Qingdao) It can only kill 68%, 68%, and 69% of cancer cells separately. The results of this example show that the composition is more effective than using the same dose of each individual component individually. Example 4: Contains Rh2, glycogen ginsenotriol (aPPT), glycogen ginseng diol (apPD), Zhao Heti treatment of multi-faceted drugs / cancer cells ^ with Rh2, glycogen-free ginseng triol (_ and glycogen) A combination of panaxadiol (aPPD) alloside and saponin to treat resistant pancreatic cancer cells (BXCP-3) and (CAPAN-1). The group 1 used in this example has the following chemistry Ingredients: 7.3% Rh2, 26.3% Γ ~ 33 ~ | continuation page (when the description page of the invention is insufficient, please note and use the continuation page) 200400828 invention description aPPT and 66.4% aPPD, according to the MTT standard Cell viability was determined after 24 hours of treatment. Figure 4a shows different doses of composition 1 resistant to treatment of pancreatic cancer (BXCP-3), Figure 4b shows the effect of different doses of Composition 1 on the treatment of resistant pancreatic cancer face cells (CAPAN-1). The noodle cells have a killing effect. Example 5: Inhibition of anti-cancer county composition 4 of different cancer cells by a composition containing Rh2, deglycogenated ginstriol (aPPT) and deglycogenated ginseng diol (aPPD) The effect of cancer cells in different aspects is shown in the following chart: The minimum dose of MCF7 / adr for breast cancer cell line is 100% to kill the cancer cell line. MCF7 / adr breast cancer 40ug / ml resistant MDA435LCC6M cancer 40 ug / ml resistant MCF-7 / c3 cancer 40ug / ml Caspase-3 1¾¾ 9L breast tumor 25 ug / ml SF188 breast tumor 20ug / ml LNCaP prostate cancer 25 ug / ml PC3 prostate cancer 40 ug / ml HCT15 gastrointestinal system tumor 40 ug / ml Keto gastrointestinal system may 35 ug / ml H460 Lung cancer 40 ug / ml Example 6: Inhibition effect of composition 4 on different cancer cells in In Vivo Content of various ingredients of composition 4: RJulZ 8% Rg3 2% saponin 70% unknown ginseng 20% I 34 I Continued pages (Please note and use continuation pages when the invention description page is insufficient) 200400 828 __ Description of the invention The anticancer activity of the continuation group 4 was also confirmed in the Vivo test. Brain tumor cells were seeded in the rat brain. Oral feeding was performed when the tumor had formed on the 10th day after seeding. Three doses of Composition 4, as shown in Figure 5, after two 5-day treatments of Composition 4, there was a significant difference in survival between the treatment group and the control PBS (biological water) animals, especially the 25 mg Of the animals treated with / kg and 50 mg / kg, 40% of the rats survived more than 42 days, compared with an average of 18 days for the animals in the control group. Autopsy showed that tumors in more than 50% of the surviving animals completely resolved. . Example 7: Facials of group 4_ Standard 4 acute and chronic toxicity experiments were performed on composition 4. In the acute toxicity test, rats were orally administered with composition 4 at a dose of 4,000 mg / kg at one time, and the animals were administered within 30 minutes after taking the drug. Eyes closed, quiet, decreased activity, and lethargy. These symptoms disappeared within four hours, and the animals' activities, eating, and water intake also returned to normal. No animal died within seven days after administration. The autopsy results showed heart , Liver, spleen, lung, kidney, stomach, and intestine were normal. In the chronic toxicity experiment, the animals were divided into three groups of high, medium, and low doses, which were orally administered with 333.3 mg / kg, 131.0 mg / kg, and 51.5 mg / kg combination. Drug 4, which was administered for eight weeks, was observed for two weeks after the end of the administration, and the results were as follows: in the high-dose group, there was a transient prostatic enlargement within 24 / J. (The degree of silence was 187%). Ovarian swelling (124% swelling degree), also in the Zhongqizhuang group, a transient anterior swelling swelling (156% swelling) was observed, but after two weeks of continuous administration, the swelling disappeared. In addition, Some mild toxic reactions were also observed only in the high-dose group, including the third to third doses. Weekly drowsiness and slight weight loss at the end of administration (4-9 weeks) (no statistical significance, P > 0.05), blood routine and organ histological examinations were not issued in the high, medium and low groups abnormal. I 35 | Continued pages (Notes and use of continuation pages when the Instruction Sheet is not enough) 200400828 Inventory The results of the acute toxicological test of Composition 4 on Continuation Sheet are as follows: l. Big ear rabbits) injected composition 4 through the ear vein once a day for 7 consecutive days, each injection amount was 5 ralTkg (Img / mi), there was no visible change at the injection site, and microscopic examination of the sacral section did not reveal that the injection site was quiet Infiltration of blood, water pirate inflammation, and other phenomena. Conclusion: Composition 4 does not cause irritation to blood vessels. II. Endotoxin test The Limulus Amebocyte (LAL) interference test method is used to determine the endotoxin level of composition 4. The minimum endotoxin level that can be measured by the LAL test is 0.125 EU / ml-0.25 EU / ml in the composition. In the case of 4 gadolinium numbers of 1 mg / ml, 0.5 mg / ml, 0.25 mg / ml and 0.125 mg / ml, no endotoxin interference was observed. Conclusion: The endotoxin level of 1 mg of composition 4 is less than 1 EU. m. Hemolysis experiment: The whole blood of rabbits was mixed with the composition 4 of different dilutions, and the absorbance of the upper mash was measured at a wavelength of 545 nM with a spectrophotometer to determine the hemolysis. Miscellaneous 4 (group Miscellaneous 4: raw water = 1: 3), less than 1% (normal 値 < 5%) of hemolytic response caused by winter concentration (lmg / ml), undiluted composition 4 (4mg / ml) had mild hemolysis (51%). CONCLUSION: In the case of using the normal saline 1: 3 for composition 4, there is no hemolytic reaction. Πόΐcontinuation page (if the description page of the invention is insufficient, please note and use the continuation page) 200400828 _ description of the page continued IV. The allergy test is performed by a knee mouse, 0.5 ml of the composition 4 is injected intraperitoneally, once every other day, A total of (3 injections) 'In addition, the same knee rat was injected intravenously with 1 ml of composition 4 on the 14th and 21st days, and the typical allergies were observed within 15 minutes after each injection, including: cough, skin Response, respiratory response, and more. Conclusion: Composition 4 does not cause allergic reactions. V. Half of group 4 (LD50) Five groups of mice were intravenously injected with 5 different doses of composition 4 (concentrations from 85.5mg / kg to 160.0mg / kg). Animals were observed for 7 days after injection, and the half was tested by the Bliss method The lethal dose (LD50), at the concentrations of 136 mg / kg and 160 mg / kg, animals have severe toxic reactions and death. Decreasing the concentration significantly reduced the toxic reactions. The blank solvent experiment found that the solvent itself had the same lethal concentration. It was proved that the group 4 toxicity was completely caused by the solvent injection. Conclusion: The JLD50 of Composition 4 is 121.9 mg / kg, with a 95% confidence level between 105.0 and 141.6 mg / kg. Example 8: Informal Linlaicha A non-IE phase I clinical trial was completed at the Liaoning Provincial Institute of Traditional Chinese Medicine. Forty patients with different types of malignant parenchymal tumors were treated with the informal composition 4 In the first phase of clinical observation, all patients either failed first-line antitumor treatment or refused conventional treatment. The cancer patients who participated in clinical observation had the following cancer views: lung cancer (10 cases), liver cancer (6 cases), _ cancer ( 5 cases), 1 37 I Continued pages (When the description page of the invention is insufficient, please note and use the display) 200400828 __ Description of the invention continued page intestinal cancer (4 cases), uterine cancer (3 働, _ cancer (2 働) , Nasopharyngeal cancer (1 case), esophageal cancer (1 case), bile duct cancer (α case), gastric cancer (1 case), testicular cancer (1%, kidney cancer (1%), bladder cancer (1%, urethral cancer (1%) 1. Oral cancer (1 case), and cirrhosis (1 case, the average age of 40 patients was 56.1 to 11.5 years old, treated with a composition of 200 mg / day 4 oral dosage form, the average course of treatment was 53.7 to 25.4 days. Group_ 4 The main observation indicators of toxicity are nausea, vomiting, gastritis, hair loss, neurological symptoms, and skin abnormalities. Patients issued more than 0 dogs, so their clinical toxicity was grade zero. Although the purpose of this clinical trial was mainly to observe toxicity rather than efficacy, the initial observations on fiber were encouraging. According to reports, 75% of patients After treatment with Chelate 4, the clinical symptoms showed improvement to varying degrees, and some patients had significantly reduced tumors. Case Case 1: Female, 58 years old, lower bile duct cancer (3.0 X 2.6 cm) Symptoms: Sharp weight Reduction, nausea, occupation, fatigue, upper abdominal pain, jaundice, etc. Treatment: 114 days, 200 mg per day improvement: tumor size reduced to 1.8 X 1.4 cm, all the above symptoms disappeared, and I felt good. Case 2: Female, 74 years old , Esophageal cancer (umbrella), 6.0cm long (X-ray image) Symptoms: difficulty swallowing, pain, diarrhea, frequent snoring Treatment: 110 days, 200 mg per day Improvement: tumor size shrinks to 1.5 cm, no difficulty swallowing, The number of snorings has been greatly reduced, no more pain, and I feel good about myself. [~ 38l continuation page (when the invention description page is insufficient, please note and use the continuation page) 200400828 Case 3: Male, 66 years old, pancreatic cancer 45x4.5x3. 7 cm Symptoms: Fatigue, dizziness, pain in the upper abdomen and liver, GPT, GOT, and hyperglycemia. Treatment: 200 mg per day for 90 days. Improvement: Very little pain. GPT, GOT, and glycemic index are normal. Although disclosed here. Various aspects of the present invention can be changed and modified within the scope of the present invention based on the common knowledge of those skilled in the art. Such modifications should not be regarded as beyond the scope of the present invention, and The obvious modifications are included in the scope of the following patent applications. I 39 I Continued pages (Note when the invention description page is inadequate, please note and use the continuation page) 200400828 _ Invention description ^ page [Simplified illustration of the figure] Figure 1 provides the use of different saponins and saponin ligands and one of the invention Graphical representation of cell survival rate after treatment of human glioma tumor cells U87 by the composition; Figure 2 provides treatment of murine melanoma cancer cells with different saponins and saponin ligands and a composition of the present invention (Mouse melanoma cells) A graphical representation of cell survival rates after B16; Figure 3 provides cell survival rates after treating human breast cancer cells MCF7 with different saponins and saponin ligands and a composition of the present invention Figure 4a provides a graphical representation of the cell survival rate of pancreatic cancer cells BXCP-3 treated with different doses of the composition of the present invention; Figure 4b provides the difference of using the composition of the present invention Graphical representation of cell survival after pancreatic cancer cells CAPAN-1 was dosed; Figure 5 shows Inhibition of cancer treatment doses. 40

Claims (1)

200400828 申請專利範圍 1. 一種包含有二種或多種巷甙、二種或多種皂甙配基、或—種或多種皂甙 與一種或多種就配基組合之增強活性劑量的組合物,該組合物具有抗 癌活注。 2. 如申請專利範圍第1項,組合物中所指巷甙和皂甙配基是選自含有处2、 去醣原人參二醇(aglycon Protopanaxatriol)、和去醣原人參二醇(agiyC〇n protopanaxadiol)的組類' 〇 3. 如申請專利範圍第2項,組合物含有Rh2、去醣原人參三醇(agiycon Protopanaxatriol)、和去醣原人參二醇(aglycon protopanaxadiol)在 1 〜90% 之間。 4. 如申請專利範圍第3項,組合物含有1〜50%的Rh2、5〜40%的去醣原人 參二醇(aglycon Protopanaxatriol)、和 5〜75%的去醣原人參二醇(aglycon protopanaxadiol) ° 5. 如申請專利範圍第4項,組合物含有5〜40%的Rh2、10〜35%的去醣原人 參三醇(aglycon Protopanaxatriol)、和 10〜70%的去醣原人參二醇(aglycon protopanaxadiol)。 6. 如申請專利範圍第3項,組合物含有7〜42% Rh2、15~30%的去醣原人參 二醇(aglycon Protopanaxatriol)、和 40〜70%的去醣原人參二醇(aglycon protopanaxadiol) ° 7. 如申請專利範圍第1項,其中所指一種或多種島甙和皂甙配基是從植物 ~π續次頁(申請專利範圍頁不敷使用時’請註記並使用續頁) 200400828 申請專利範圍續頁 原料中萃取的。 8如申請專利範圍第7項,舯所指植物原料是來源于一種或多歡_ 物。 9. 如申請專利範圍第8項,其中所指植物是亞洲人參(pa服思廳^)。 10. 如申請專利範圍第8項,其中所指植物是北美人參(pa駆 11·如申請糊範_8項,其中職植物是三七人。 12. 如申請辭__ 1項,其巾職—贼麵誠赌试瞧是合成 的。 13. —種治療癌症的藥學配方,包含有如申請專利範圍第丨項中組合物的治 劑量和藥學可接受之載體。 K一種治療癌症的非藥學配方,包含有如申請專利範圍第i項中組创_ 治療有效劑量和藥學可接受之載體。 15. 如申請專利範圍第13、14項,其中的配方是可口服开多式。 16. 如申請專利範圍第13、14項,其中的配方是可注射形式。 17·如申請專利範圍第13、14項,其中的配方是可外用形式(_物 form) ° 18.如申請專利範圍第13、14項,其中的治療有效劑量之腿爲每公斤體 重每天劑量在0.01毫克至1000毫克之間。 _!_]續次頁(申請專利範圍頁不敷使用時,請註記並使用續頁) 200400828 申請專利範圍續頁 19. 如申請專利範圍第13、14項,其中的治療有效劑量之去醣人參三醇 (aglycon protopanaxatriol僞斤體重每天齊幢在〇.〇1毫克至1〇〇〇毫克 之間。 20. 如申請專利範圍第13、14項,其中的治療有效劑量之去醣人參二醇 (aglycon protopanaxadiol)爲敏斤體重每天齊幢在〇.〇1毫克至1〇〇〇毫克 之間。 21. 如申請專利範圍第1項所指之組合物應用于治療癌症患者。 22. 如申請專利範圍第21項,其中所指的癌症是選自含有下列癌症的組類 中:神經膠質瘤(glioma tumor)、黑色素瘤(melanoma)、乳腺癌(breast cancer)、胰腺癌(pancreatic cancer)、腦瘤(brain tumor)、胃腸道系統癌症 (intestinal and gastric cancers)、前列腺癌(prostate cancer)、和肺癌(lung cancer) ° 23.如申請專利範圍第21項,其中所指的癌症是選自含有下列癌症的組類 中:胃癌(stomach cancer)、食道癌(esophagus cancer)、結腸和直腸癌(colon and rectum cancer)、卵巢癌(ovary cancer)、肝癌(liver cancer)、腎癌(kidney cancer)、喉癌(larynx cancer)、骨癌(bone cancer)、多種骨髓瘤(multiple myeloma)、膀腕癌(bladder cancer)、子宮體癌症(cancer in body of uterus)、 口腔癌(oral cavity cancer)、甲狀腺癌(thyroid cancer)、子宮頸癌(cervix cancer)、睪九癌(testis cancer)、非何杰金氏淋巴腫瘤(Non-Hodgkins lymphoma)、白血病(leukemia)、何杰金氏症(Hodgkin,s disease)、皮膚癌(skin H]續次頁(申請專利範圍頁不敷使用時,請註記並使用續頁) 200400828 申請專利 cancer)、和軟組織癌㈣乜慧瓢叻。 24.如申aR專利範圍第21項,其中所指的癌症是多藥耐藥癌症(multi-drug resistant cancer)。 25如申請專利範圍第24項,其中所指的多藥耐藥癌症是選自含有下列癌 症的原發癌症組類中:發病于肌肉、骨路或連接組織、皮膚、腦、肺、 性器官、淋巴或腎臟系統、乳腺或血細胞、肝臟、消化道、胰腺和甲狀 腺或腎上腺管等部位之癌症,包括固體瘤、卵巢癌、乳腺癌、腦癌、前 歹赚癌、結腸癌、胃癌、腎癌或睪九癌' Kap〇S1肉瘤、膽管瘤、絨膜瘤、 神經母細胞瘤、Wilms瘤、何杰金氏症、黑色素瘤、多種骨髓瘤、淋巴 白血病、和急性或慢注粒|田胞淋巴瘤。 26.如申請專利範圍第24項,其中所指的多藥耐藥癌症是選自含有下列癌 症之復發癌症組類中:胰腺癌(pancreatic cancer)、肺癌(lung cancer)、胃 癌(stomach cancer)、食道癌(esophagus cancer)、結腸和直腸癌(colon and rectum cancer)、腦癌(brain cancer)、卵巢癌(ovary cancer)、肝癌(liver cancer)、 腎癌(kidney cancer)、喉癌(larynx cancer)、骨癌(bone cancer)、多種骨髓瘤 (multiple myeloma)、黑色素瘤(melanoma)、乳腺癌(breast cancer)、前列 腺癌(prostate cancer)、膀胱癌(bladder)、子宮體癌症(cancer in body of uterus)、口腔癌(oral cavity cancer)、甲狀腺癌(thyroid cancer)、子宮頸癌 (cervix cancer)、睪九癌(testis cancer)、非何杰金氏淋巴腫瘤(Non-Hodgkins lymphoma)、白血病(leukemia)、何杰金氏症(Hodgkin’s disease)、皮膚癌(skin R1續次頁(申請專利範圍頁不敷使用時,請註記並使用續頁) 200400828 申請專利範圍續頁 cancer)、和軟組織癌(soft tissue cancer)。 27. 如申請專利範圍第21至26項任一項之應用,其中所指組合物用來與一 種或多種化療藥物組合使用。 28. 如申請專利範圍第1項組合物之應用于癌症治療藥物的生產製造。 29. —種用于治療癌症之藥物組件,該組件包含有如申請專利範圍第1項所 指之組合物和一種或多種容器。 5200400828 Scope of patent application 1. A composition comprising two or more allosides, two or more saponin ligands, or one or more saponin and one or more active ingredients in combination to enhance the active dose, the composition has Anticancer live injection. 2. As described in item 1 of the scope of the patent application, the alloside and saponin ligands in the composition are selected from the group consisting of: 2, aglycon Protopanaxatriol, and aglycon ginsenodiol (agiyCon Protopanaxadiol's group. 〇3. According to the scope of patent application No. 2, the composition contains Rh2, deglycogen ginsenotriol (agiycon Protopanaxatriol), and deglycogen ginseng glycol (aglycon protopanaxadiol) between 1 ~ 90% between. 4. As described in item 3 of the scope of patent application, the composition contains 1 to 50% Rh2, 5 to 40% aglycon protopanaxatriol, and 5 to 75% aglycon protopanaxatriol. protopanaxadiol) ° 5. According to item 4 of the scope of patent application, the composition contains 5 to 40% Rh2, 10 to 35% aglycon protopanaxatriol, and 10 to 70% deglycon ginseng II Aglycon protopanaxadiol. 6. As described in item 3 of the scope of patent application, the composition contains 7 to 42% Rh2, 15 to 30% aglycon protopanaxatriol, and 40 to 70% aglycon protopanaxadiol ) ° 7. As described in item 1 of the scope of patent application, which refers to one or more island glycosides and saponin aglycones are continued from the plant to π (When the scope of the patent application page is insufficient, please note and use the continuation page) 200400828 Patent applications are continually extracted from raw materials. 8 According to item 7 of the scope of patent application, the plant raw material referred to by 舯 is derived from one or more species. 9. As in the scope of patent application No. 8, the plant referred to is Asian ginseng (pa service hall ^). 10. If the scope of the patent application is No. 8, the plant referred to is North American ginseng (pa 駆 11 · If the application is _8, the plant is Sanqi. 12. If the application is __ 1, the towel Job—The thief face is gambling. It is synthetic. 13.—A pharmaceutical formula for treating cancer, which includes a therapeutic dose of the composition in the scope of application for patent application and a pharmaceutically acceptable carrier. K. A non-pharmaceutical for treating cancer The formula includes the group of _ therapeutically effective doses and pharmaceutically acceptable carriers as described in item i of the scope of patent application. 15. If the scope of patent applications is 13 and 14, the formula is orally prescribed. 16. If applied Items 13 and 14 of the scope of patents, the formula of which is injectable form. 17. If the scope of applications for the patents 13, 14 of which the formula is a form for external use (_ 物 form) ° 18. If the scope of patent applications 13, 14 items, of which the therapeutically effective dose of the leg is between 0.01 mg and 1000 mg per kilogram of body weight per day. _! _] Continued pages (please note and use the continuation pages when the patent application page is not enough, please use the continuation page) 200400828 Patent application range Continued 19 For example, the scope of application for patents Nos. 13 and 14, in which the therapeutically effective dose of aglycon protopanaxatriol is between 0.01 mg and 1000 mg per day. 20. If applied The scope of the patent is No. 13, 14 in which the therapeutically effective dose of aglycon protopanaxadiol is between 0.01 mg and 1,000 mg per day for the body weight of the sensitive cat. 21. If applying for a patent The composition referred to in scope item 1 is used to treat cancer patients. 22. According to the scope of application for patent scope item 21, the cancer referred to is selected from the group consisting of the following cancers: glioma tumor, melanin Melanoma, breast cancer, pancreatic cancer, brain tumor, gastrointestinal system cancer (intestinal and gastric cancers), prostate cancer (prostate cancer), and lung cancer ° 23. According to the scope of patent application No. 21, the cancer referred to is selected from the group consisting of stomach cancer, esophagus cancer, colon and rectal cancer tum cancer, ovary cancer, liver cancer, kidney cancer, laryx cancer, bone cancer, multiple myeloma, and wrist cancer ( bladder cancer, cancer in body of uterus, oral cavity cancer, thyroid cancer, cervix cancer, testis cancer, non-Hodgkin Non-Hodgkins lymphoma, leukemia, Hodgkin (s disease), skin H (skin H) continuation pages (if the patent application page is insufficient, please note and use (Continued) 200400828 patent) and soft tissue cancer. 24. As claimed in item 21 of the aR patent scope, the cancer referred to therein is a multi-drug resistant cancer. 25. According to item 24 of the scope of patent application, the multi-drug resistant cancer referred to is selected from the group of primary cancers containing the following cancers: onset of muscle, bone pathways or connected tissues, skin, brain, lungs, sex organs, Cancer of the lymphatic or renal system, breast or blood cells, liver, digestive tract, pancreas and thyroid or adrenal ducts, including solid tumors, ovarian cancer, breast cancer, brain cancer, anterior cancer, colon cancer, stomach cancer, kidney cancer Or K9 cancer 'Kap〇S1 sarcoma, cholangiomas, chorionic tumor, neuroblastoma, Wilms tumor, Hodgkin's disease, melanoma, multiple myeloma, lymphocytic leukemia, and acute or slow granulation Lymphoma. 26. According to item 24 of the scope of patent application, the multi-drug resistant cancer referred to is selected from the group of recurrent cancers containing the following cancers: pancreatic cancer, lung cancer, stomach cancer , Esophagus cancer, colon and rectum cancer, brain cancer, ovary cancer, liver cancer, kidney cancer, larynx cancer, bone cancer, multiple myeloma, melanoma, breast cancer, prostate cancer, bladder cancer, cancer in uterus body of uterus, oral cavity cancer, thyroid cancer, cervix cancer, testis cancer, Non-Hodgkins lymphoma, Leukemia, Hodgkin's disease, skin cancer (skin R1 continuation page (if the patent application page is insufficient, please note and use the continuation page) 200400828 patent application continuation cancer), and soft Woven cancer (soft tissue cancer). 27. The application according to any one of claims 21 to 26, wherein the composition referred to is used in combination with one or more chemotherapeutic drugs. 28. The application of the first composition in the scope of patent application for the manufacture of cancer treatment drugs. 29. A pharmaceutical component for treating cancer, the component comprising a composition as defined in item 1 of the scope of patent application and one or more containers. 5
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