Title of Invention	"METHOD FOR THE PREPARATION OF TRANS-OR CIS -DIAMMONIUMDICHLORODIHYDROXOPLATINUM (IV)"
Abstract	Disclosed is a method for the production of trans- or cis-diammoniumdichlorodihydroxoplatinum(IV) and use thereof for the production of pharmaceutical agent. The method includes reaction of trans- or cis-diammoniumdichloroplatinum(II) with a solution comprising >30% peroxide at temperatures below 30°C and the product thus obtained is dissolved in a mineral acid and subsequently precipitated with an alkaline solution. Fur¬ther disclosed is a compound, obtained by the aforementioned method, of general formula, wherein X1, X2 are calcium, magnesium, sodium, potassium, li¬thium ions, alkyl and/or aryl residues.

Title of Invention

"METHOD FOR THE PREPARATION OF TRANS-OR CIS -DIAMMONIUMDICHLORODIHYDROXOPLATINUM (IV)"

Abstract

Disclosed is a method for the production of trans- or cis-diammoniumdichlorodihydroxoplatinum(IV) and use thereof for the production of pharmaceutical agent. The method includes reaction of trans- or cis-diammoniumdichloroplatinum(II) with a solution comprising >30% peroxide at temperatures below 30°C and the product thus obtained is dissolved in a mineral acid and subsequently precipitated with an alkaline solution. Fur¬ther disclosed is a compound, obtained by the aforementioned method, of general formula, wherein X1, X2 are calcium, magnesium, sodium, potassium, li¬thium ions, alkyl and/or aryl residues.

Full Text	The invention relates to a method for the preparation of trans- or cis-diammoniumdichlorodihydroxoplatinum(IV) , salts and derivatives derived from said compound; the in¬vention also relates to the use of these compounds in prophylaxis, therapy, follow-up and aftercare of diseases associated with cell growth, cell differentiation and/or cell division, especially tumors. It is well-known that metals such as molybdenum, vanadium, as well as gold and platinum, in particular, can be used in the therapy of acute and chronic diseases such as rheumat¬ism, cancer or autoimmune diseases. Frequently, the metals being used are contacted in the form of complex compounds with the organism to be treated - in many cases via oral ingestion. The complex compounds comprising the metals are difficult to produce with the required pharmaceutical purity. Numer¬ous production methods which have been described either fail to generate the compounds with sufficient pharmaceuti¬cal purity or result in numerous byproducts giving rise to undesirable side effects in the organism. In particular, the preparation of pharmaceutically interesting cis- and trans-oxoplatinum compounds with the required purity or ab¬sence of byproducts is not possible with known methods (SO 1137698 Al, SU 1021116 Al). The object of the invention was therefore to provide a me¬thod allowing easy, reliable and effective provision of cis- or trans-oxoplatinum compounds. The invention accomplishes the above object by means of a method for the preparation of cis- or trans-diammoniumdi-chlorodihydroxoplatinum(IV) or diammoniumdichloro-trafls-di-hydroxoplatinum(IV) and derivatives thereof, wherein cis-or trans-diammoniumdichloroplatinum(II) is reacted with a solution comprising >30% peroxide at temperatures below 30°C, and the product thus obtained is dissolved in a min¬eral acid and subsequently precipitated with an alkaline solution. Surprisingly, the combination of features of a solution comprising >30% peroxide and relatively low temperatures, i.e., temperatures below 30°C, allows easy and reliable pro¬duction of oxo-cis-platinum and oxo-trans-platinum com¬pounds in such a way that small amounts of undesirable by¬products are obtained. The method according to the inven¬tion utilizes cis- or trans-diammoniumdichloroplatinum(II) compounds as starting compounds, which are converted into the corresponding cis- or trans-form of diammoniumdichloro-trans-dihydroxoplatinum(IV). Advantageously, the solution comprising peroxide is added to the starting compound over a prolonged period of time, preferably in a continuous fa¬shion. The solutions comprising peroxide can be solutions which liberate peroxide during the reaction or behave in a functionally analogous manner due to their specific struc¬ture, as is the case with e.g. hydrogen peroxide solutions or perchloroacetic acid solutions. In the method according to the invention, high yield and purity of the reaction products are combined with a reac¬ tion that proceeds very safely. In contrast to well-known methods, e.g. foaming and spattering of the reaction mix¬ture resulting in loss of platinum is prevented. The high purity of the product obtained allows good further processing into pharmaceutical active substances such as salts and derivatives. Of course, the method according to the invention is also suitable for the production of the desired compounds on a technical or an industrial scale. In the method according to the invention the starting mate¬rials are added repeatedly with hydrogen peroxide solution, especially at high concentration, at low temperatures and optionally with cooling, and reacted for a prolonged period of time, e.g. for several days. By means of the above reac¬tion step it is possible to obtain a solid product, e.g. an initial precipitate which is dissolved by adding a mineral acid. This is followed by precipitation using a preferably concentrated alkali solution. Thereafter, the product thus obtained can be washed and dried in vacuum. That is, the product obtained by reacting cis- or trans-diammoniumdichloroplatinum(II) is a solution or a solid, and the product obtained is preferably an initial precipi¬tate. The product obtained is reacted with a mineral acid, e.g. phosphoric acid or sulfuric acid. If the resulting product according to the invention is a precipitate, said precipitate is largely dissolved by means of said mineral acid. The precipitate thus dissolved with mineral acid is subsequently treated with an alkaline solution, e.g. con¬centrated sodium hydroxide solution, to form a second pre¬cipitate. Further work-up of the precipitated cis- or trans-diammoniumdichlorodihydroxoplatinum(IV) depends on the desired further use of the reaction product obtained and is well-known to those skilled in the art. In a preferred embodiment of the invention the solution comprising peroxide is a highly concentrated hydrogen pe¬roxide solution. Said hydrogen peroxide solution is prefer¬ably a >30% hydrogen peroxide solution and more preferably a 35% hydrogen peroxide solution. As is well-known to those skilled in the art, the hydrogen peroxide solution may also include other components increasing the oxidizing effect thereof. For example, the use of a solution of 30% hydrogen peroxide and 70% perchloroacetic acid can be advantageous. Obviously, it is also possible to use a solution which com¬prises perchloroacetic acid, but no hydrogen peroxide solu¬tion. In addition to hydrogen peroxide and perchloroacetic acid, a variety of functionally analogous compounds and so¬lutions generating or providing peroxide, e.g. sodium or potassium peroxide, are known to those skilled in the art. In another preferred embodiment of the invention the reac¬tion of the diammoniumdichloroplatinum(II), either in the cis- or in the trans-form, with the solution comprising pe¬roxide, preferably hydrogen peroxide solution, is effected at room temperature. Room temperature in the meaning of the invention is between 20°C and 29°C, preferably between 23°C and 27°C, and more preferably in a range of from 24°C to 25° C. As understood herein, however, room temperature is not a fixed temperature range. Depending on other process parame¬ters, the room temperature in the meaning of the invention can also be lower or higher. In a particularly preferred fashion the reaction of cis- or trans-diammoniumdichloroplatinum(II), or the entire method of the invention, is carried out below 20°C, more preferably below 15°C, even more preferably below 10°C, and particular¬ly below 7°C. Furthermore, it can be particularly preferred to perform the reaction under cooling with ice water so as to achieve a temperature of approximately 4°C. Such cooling, which does not necessarily have to be at 4°C, advantageously suppresses the formation of a number of byproducts. In another preferred embodiment of the invention, an acid capable of dissolving the product obtained from the reac¬tion of solution comprising peroxide with cis- or trans-diammoniumdichloroplatinum(II) is used as mineral acid, said acid preferably being sulfuric acid. Of course, other mineral acids known to those skilled in the art, such as phosphoric acid, nitric acid, carbonic acid or others, can be used. The required concentration of such mineral acids can easily be determined by a person skilled in the art. Amount and concentration of the above acids should be se¬lected such that the resulting product, in particular, can be dissolved, especially if it is an initial precipitate. Advantageously, the concentration is selected in such a way that only a small amount of mineral acids has to be em¬ployed, e.g. a precisely sufficient quantity of 0.5 N sul¬furic acid. In a preferred embodiment of the invention, a sodium hy¬droxide solution is used as alkaline solution. Advanta¬geously, said sodium hydroxide solution is a 25%, 30%, 33% or 35% sodium hydroxide solution. It is well-known to those skilled in the art that, apart from sodium hydroxide solu¬tion, any other basic compound can be used to precipitate the product obtained with the mineral acid. The alkaline solution must be selected such that the final product is as pure as possible and formation of byproducts as low as possible. This can be determined in routine tests by a per¬son skilled in the art. In another embodiment of the invention, it is preferred to react trans- or cis-diammoniumdichloroplatinum(II) with cooling and repeated addition of the solution comprising peroxide, particularly highly concentrated hydrogen perox¬ide, over a period of from 12 to 96, preferably from 24 to 48 hours. Here, cooling merely implies that the temperature would not permanently exceed 30°C. Under certain circums¬tances, however, brief surpassing of this temperature can be possible and desirable. Preferred types of cooling are those which can be accomplished effectively and safely and at low cost on a large scale, e.g. cooling with ice water or ice water/salt mixtures. Cooling is preferably selected in such a way that the highly concentrated hydrogen perox¬ide solution in particular can be reacted with the starting materials in such a way that a well-controllable chemical reaction would proceed. In the meaning of the invention, controllable means that there would be no vigorous chemical reactions in such a way that e.g. platinum metals would es¬cape from the reaction mixture in the form of splashes or other. Depending on the concentration and selection of the starting materials, the preferred cooling temperature can be a temperature of less than 10°C, more preferably a tem¬perature in a range of from 3°C to 7°C. By analyzing the purity of the final product and the byproducts possibly present, a person skilled in the art can easily determine whether the entire reaction or merely single partial steps of the reaction should be carried out at the above tempera¬tures. Thus, for example, it can be advantageous to perform only the reaction of the starting materials with the solu¬tion comprising peroxide, e.g. hydrogen peroxide solution, at temperatures ranging from 3°C to 7°C; however, performing the entire method of the invention within said temperature range can be equally advantageous. Advantageously, by routinely finding a suitable temperature of less than 30°C and a corresponding concentration of the solution comprising peroxide, a yield of reaction products of more than 60%, preferably more than 65%, and especially preferably of more than 67% of the theoretically calculated amount of trans- or cis-diammoniumdichlorodihydroxo-platinum(IV) can be achieved in another preferred embodi¬ment of the invention. The invention also relates to compounds of general formula (Formula Removed) wherein X1 X2 = calcium, magnesium, sodium, potassium, li¬thium, alkyl and/or aryl residues. The respective compounds of the above general formula may have completely different structures. Thus, if X1 and X2 = calcium and/or magnesium, for example, the respective biva¬lent cations can link two platinum complexes via oxygen mo¬lecules, so that two complex compounds are present in asso¬ciated form. However, if X1 and X2 are sodium or lithium, for example, it is also possible that a compound with only one platinum complex is present. In a preferred fashion, X2 can be a bivalent cation, e.g. calcium or magnesium, link¬ing two complexes each having one platinum central atom, and X1 can be sodium, potassium, lithium, an alkyl and/or aryl residue. Accordingly, it is possible to obtain trans-or cis-diammoniumdichlorodihydroxoplatinum(IV) salts with mono-, bi- or trivalent ions or with mono- and bivalent ions or with mono- and bivalent ions and alkyl and/or aryl residues, each in one single compound, from the base ob¬tained by means of the method according to the invention. Preferred salts are those comprising as cations elements of main groups I to V or subgroups I to VIII of the periodic system of the elements. In addition to chlorides, preferred anions can also be sulfates, phosphates, nitrates or carbo¬nates. For example, preferred alkyl residues are methyl, ethyl or propyl residues, and preferred aryl residues are phenyl, naphthyl or anthryl residues. The salts and deriva¬tives, especially when generated from the bases produced by means of the method according to the invention, show sever¬al advantages compared to cis- or trans-diammoniumdichloro-dihydroxoplatinum(IV). Surprisingly, the salts - as com¬pared to the base - have such good solubility that combina¬tion with other active substances or vitamins or with other well-known pharmaceutical agents, e.g. anti-tumor agents, is possible with advantage. Surprisingly, in particular, the solubility of the salts according to the invention in 0.1 N HC1 is better than that of the corresponding base by many times over. Such a concentration largely corresponds to the concentration of gastric acid, that is, the salts according to the invention will be immediately dissolved in the stomach, especially when reaching the stomach in the form of a pharmaceutical agent via oral ingestion or other¬wise. This is particularly advantageous for the treatment of gastric tumors, or to make sure that the compounds of the invention can reach various regions of the organism via absorption in the stomach. The salts and derivatives exhi¬bit higher bioavailability and are more effective at lower dosage than the base from which they are obtained, thereby having less side effects. Also, the residence time of the salts in important metabolic organs such as liver or kid¬neys is shorter than that of the original compounds. The salts, especially the structures wherein univalent and bi¬valent cations together form a compound according to the invention, generate less adducts, e.g. in kidneys and liv¬er, and are therefore less nephrotoxic or less toxic to the liver. Furthermore, they are better suited for the gastro¬intestinal passage. However, these advantages are not re¬stricted to the salts obtained with mono- and bivalent ca¬tions. More specifically, the compounds according to the invention can be employed with advantage in tumor prophy¬laxis and therapy. Consequently, the invention also relates to the use of the inventive compounds in medicine, espe¬cially for the production of a drug. The compounds according to the invention are contacted with an organism in a therapeutic amount; in this event, the compounds of the invention are employed as pharmaceutical agents or drugs; accordingly, these terms can be used syn¬onymously in the context with this invention. The expres¬sion "therapeutic amount" as used herein refers to an amount that prevents or improves symptoms of a disorder or of a responsive, pathologically physiological condition. In specific embodiments of the present invention the amount administered is sufficient to prevent or inhibit a tumor in its growth, said amount essentially prevents or inhibits spreading of a tumor, tumor angiogenesis, tumor invasion and/or tumor metastasizing in a recipient, the tumor dis¬eases being selected from the group of neoplastic tumors, inflammatory tumors and/or abscesses, effusions and edema. As stated above, the invention therefore relates to pharma¬ceutical agents or drugs comprising the compounds of the invention, optionally together with pharmaceutical adju¬vants . The amount of compounds of the invention to be used in a healthy person in the event of prophylaxis or in a patient in the event of therapy is formulated and the dose estab¬lished according to conventional medical practice, consi¬dering the disorder to be treated, the condition of each individual patient, the site of administration, the proce- dure of administration and other factors well-known to the attending physicians. Similarly, the dose of the adminis¬tered compounds of the invention depends on the characte¬ristics of the tumor, on the in vivo half-life of the com¬pounds of the invention in plasma, and on the concentration of the compounds of the invention in the formulation, and also on the route of administration, site and rate of do¬sage, clinical tolerance of each individual (human and ani¬mal) , pathological affection of the patient and the like, as is well-known to physicians or other persons skilled in the art. In general, dosages of about 0.1 to 1000 mg per individual and administration are preferred; particularly preferred is a dosage of from 10 to 500 mg, even more pre¬ferably 200 to 400 mg, and particularly 300 mg. It is also possible to employ varying dosages during a sequence of consecutive administrations. For example, injections (intramuscular or subcutaneous or into blood vessels) are envisaged as a route of therapeutic administration of the compounds of the invention, e.g. en¬capsulated or carrier-bound compounds of the invention, al¬though supply in the form of an aerosol, via catheters or surgical tubes is also applicable. Other preferred routes include suspensions, tablets, capsules and the like for oral administration, commercially available nebulizers for liquid formulations and inhalation of lyophilized or aero-lyzed compounds and suppositories for rectal or vaginal ad¬ministration. Liquid formulations can be used. The suita¬bility of the selected parameters, e.g. dosage, regimen, selection of adjuvants and the like can be determined by taking serum aliquots from the patient, i.e. human or ani¬mal, and testing during the course of the applications. Al¬ternatively or concomitantly, the amount of T cells or oth¬er cells of the immune system can be determined in a con¬ventional manner so as to obtain an overall survey of the patient's immunologic constitution. In addition, the clini¬cal condition of the patient can be observed for the de¬sired effect. In particular, growth and metastasizing of tumors can be determined. As tumors can be associated with other diseases, e.g. infections, additional co-monitoring of the latter is also possible. In general, both aqueous formulations and dry compounds of the invention can be mixed with an excipient so as to pro¬vide a stabilizing effect prior to treatment e.g. with a solvent. An aqueous solution of a compound according to the invention can be an inventive compound in suspension or a solution. Other forms of preparation, presentation and ap¬plication are well-known to those skilled in the art, e.g. as a gel, poudrage, powder, tablet, sustained-release tab¬let, premix, emulsion, brew-up formulation, drops, concen¬trate, granulate, syrup, pellet, bolus, capsule, aerosol, spray and/or inhalant. The treatment of solid tumors or leukemias comprises prophylaxis, prevention, diagnosis, at¬tenuation, therapy, follow-up and/or aftercare of metasta¬sizing, invasion and/or angiogenesis, said follow-up being monitoring the effectiveness of an anti-tumor treatment. The compound of the invention can be incorporated in a so¬lution together with a preservative. Examples of suitable preservatives of suspensions or solutions include phenol, benzyl alcohol, m-cresol, methylparaben, propylparaben, benzalkonium chloride and benzethonium chloride. In gener¬al, the formulations of the compounds according to the in¬vention may include components in amounts that will not ad¬versely affect the production of stable forms, and in amounts suitable for effective, safe pharmaceutical admin¬istration. For example, other pharmaceutically acceptable excipients well-known to those skilled in the art may form part of the compounds or formulations according to the in¬vention. For example, these include salts, various fillers, additional buffer agents, chelating agents, antioxidants, co-solvents and the like. In a preferred embodiment of the invention the inventive compounds are associated with liposomes, siosomes and/or niosomes. For example, this can be accomplished in such a way that the compound according to the invention is entrapped in a liposome or anchored on the surface of a liposome. It is well-known to those skilled in the art that artificial or natural membranes of liposomes may have an immune-stimulating effect, especially in those cases where the components are coupled to the surface of liposomes or en¬trapped inside the liposomes or simply mixed together with the liposomes. Such formulations of liposomes can be ap¬plied on the parenteral route. Using well-known methods, e.g. a spray, such formulations can be applied nasally on the mucosa of the nasal cavity. In a preferred fashion, therapeutic treatment using a spray is suitable for treat¬ing lung cancer or tumors in the ear-nose-throat region. Especially in nasal administration, the compound of the in¬vention must be applied on the mucosa in a state permitting penetration of the mucosa or absorption thereby. For this reason, the vesicle must be biocompatible with the mucus and have a certain degree of hydrophilicity. For example, such structures are known to those skilled in the art from EP 0 682 528, the teaching of which is hereby incorporated in the disclosure of the invention. The liposomal composi¬tion may comprise one or more additional pharmaceutical carriers selected from surface-active substances and ab¬sorption-promoting agents such as polyoxyethylene alcohol ethers, bile salts and derivatives thereof, fusidinic acid and derivatives thereof, oleic acid, lecithin, lysoleci-thins, Tween® 21 to 85, etc., water-absorbing polymers such as glycofurol, polyethylene glycol 200 to 7500, polyvinyl¬pyrrolidone, propylene glycol or polyacrylic acid, gelatin, cellulose and derivatives etc.; substances inhibiting enzy¬matic degradation, such as aprotinin etc.; organic solvents such as alcohols, e.g. ethanol, glycerol, benzyl alcohol etc.; or ethyl acetate etc.; hydrophobic agents such as vegetable oil, soybean oil, peanut oil, coconut oil, corn oil, olive oil, sunflower oil, "miglyols" or mixtures the¬reof, etc.; pH regulators such as nitric acid, phosphoric acid, acetic acid, citrates, etc.; preservatives and agents regulating the osmotic pressure, such as glycerol, sodium chloride, methyl paraoxybenzoate, benzoic acid, etc.; lipo¬somes and/or emulsion formulations such as lecithins etc.; micro-encapsulated formulations; propellants such as bu¬tane. It is preferred in another embodiment of the invention that the compounds according to the invention are optionally as¬sociated with each other or, coupled to a carrier, enclosed in liposomes, and such enclosure in liposomes does not nec¬essarily imply - in the meaning of the invention - that the compounds of the invention are present inside the lipo¬somes. Enclosure in the meaning of the invention may also imply that the compounds of the invention are associated with the membrane of the liposomes, e.g. in such a way that the compounds are anchored on the exterior membrane. Such a representation of the inventive compounds in or on lipo¬somes is advantageous in those cases where a person skilled in the art selects the liposomes such that the latter have an immune-stimulating effect. Various ways of modifying the immune-stimulating effect of liposomes are known to those skilled in the art from DE 198 51 282. The lipids can be ordinary lipids, such as esters and amides, or complex li¬pids, e.g. glycolipids such as cerebrosides or gangli-osides, sphingolipids or phospholipids. In the meaning of the invention, the carriers which can be components of drugs comprising the compounds of the inven¬tion can be proteins stimulating an antibody response as a result of their immunogenic behavior, but also pharmaceuti¬cal adjuvants well-known to those skilled in the art, such as QS-21, GPI-0100 or other saponines, water-oil emulsions such as Montanides, polylysine, polyarginine compounds, or others, e.g. phosphate-buffered saline, water, various kinds of detergents, sterile solutions and the like. A pharmaceutical agent in the meaning of the invention is any agent in the field of medicine, which can be used in prophylaxis, diagnosis, therapy, follow-up or aftercare of patients comprising a tumor in such a way that a pathogenic modification of their overall condition or of the condition of particular regions of the organism could establish at least temporarily. Thus, for example, the pharmaceutical agent in the meaning of the invention can be a vaccine or a therapeutic agent. In addition to the compounds of the in¬vention, the pharmaceutical agent in the meaning of the in¬vention may include e.g. an acceptable salt or components thereof. For example, these can be salts of inorganic acids such as phosphoric acid or salts of organic acids. Furthermore, the salts can be free of carboxyl groups and derived from inorganic bases such as sodium, potassium, am¬monium, calcium or iron hydroxides, or from organic bases such as isopropylamine, trimethylamine, 2-ethylamino-ethanol, histidine and others. Examples of liquid carriers are sterile aqueous solutions including no further mate¬rials or active ingredients, e.g. water, or those compris¬ing a buffer such as sodium phosphate with a physiological pH or a physiological salt solution or both, such as phos¬phate-buffered sodium chloride solution. Other liquid car- riers may comprise more than just one buffer salt, e.g. so¬dium and potassium chlorides, dextrose, propylene glycol, polyethylene glycol, or others. Liquid compositions of the pharmaceutical agents may additionally comprise a liquid phase, with water being excluded, however. Examples of such additional liquid phases are glycerol, vegetable oils, or¬ganic esters or water-oil emulsions. The pharmaceutical composition or pharmaceutical agent typically includes a content of at least 0.1 wt.-% of compounds according to the invention, relative to the overall pharmaceutical composi¬tion. The respective dose or dosage range for administering the pharmaceutical agent according to the invention is suf¬ficiently high or wide in order to achieve the desired prophylactic or therapeutic effect of forming neutralizing antibodies. In this context, the dose should not be se¬lected in such a way that undesirable side effects would dominate. In general, the dose will vary with the patient's age, constitution, sex and, of course, depending on the se¬verity of the disease. The individual dose can be adjusted both with reference to the primary disease and with refer¬ence to the occurrence of additional complications. Using well-known means and methods, the exact dose can be deter¬mined by a person skilled in the art, e.g. by determining the tumor growth as a function of dosage or as a function of the application regime or pharmaceutical carrier and the like. Depending on the patient, the dose can be selected individually. For example, a dose of pharmaceutical agent just tolerated by a patient can be such that the range the¬reof in plasma or locally in particular organs is from 0.1 to 10,000 µM, preferably between 1 and 100 µM. Alternative¬ly, the dose can be calculated relative to the body weight of the patient. In this event, a typical dose of pharma¬ceutical agent would have to be adjusted e.g. in a range between 0.1 µg and 100 µg per kg body weight, preferably between 1 and 50 µg/kg. Furthermore, however, it is also possible to determine the dose on the basis of particular organs rather than the whole patient. For example, this would be the case when placing the pharmaceutical agent ac¬cording to the invention, e.g. in a biopolymer incorporated in the respective patient, near specific organs by means of surgery. Several biopolymers capable of liberating peptides or recombinant proteins in a desirable manner are known to those skilled in the art. For example, such a gel may in¬clude 1 to 1000 µg of amino acid sequences of the inven¬tion, e.g. peptides or recombinant proteins, or of pharma¬ceutical agent per ml gel composition, preferably between 5 and 500 µg/ml, and more preferably between 10 and 100 mg/ml. In this event, the therapeutic agent is adminis¬tered as a solid, gel-like or liquid composition. In another preferred embodiment of the invention, the car¬riers are selected from the group of fillers, diluents, binders, humectants, disintegrants, dissolution retarders, absorption enhancers, wetting agents, adsorbents and/or lu¬bricants. The fillers and diluents are preferably starches, lactose, cane-sugar, glucose, mannitol and silica, the binder is preferably carboxymethylcellulose, alginate, gelatin, poly¬vinylpyrrolidone, the humectant is preferably glycerol, the disintegrant is preferably agar, calcium carbonate and so¬dium carbonate, the dissolution retarder is preferably pa¬raffin, and the absorption enhancer is preferably a quater¬nary ammonium compound, the wetting agent is preferably cetyl alcohol and glycerol monostearate, the adsorbent is preferably kaolin and bentonite, and the lubricant is pre¬ferably talc, calcium and magnesium stearate, a solid po¬lyethylene glycol or concerns mixtures of the materials mentioned above. In another preferred embodiment of the invention the inven¬tive compounds are prepared as gel, poudrage, powder, tab¬let, sustained-release tablet, premix, emulsion, brew-up formulation, drops, concentrate, granulate, syrup, pellet, bolus, capsule, aerosol, spray and/or inhalant and/or inha¬lant and/or applied in this form. The tablets, coated tab¬lets, capsules, pills and granulates can be provided with conventional coatings and envelopes optionally including opacification agents, and can be composed such that release of the active substance(s) takes place only or preferably in a particular part of the intestinal tract, optionally in a delayed fashion, to which end polymer substances and wax¬es can be used as embedding materials. For example, the drugs of the present invention can be used in oral administration in any orally tolerable dosage form, including capsules, tablets and aqueous suspensions and so¬lutions, without being restricted thereto, however. In case of tablets for oral application, carriers frequently used include lactose and corn starch. Lubricants such as magne¬sium stearate are typically added. For oral administration in the form of capsules, useful diluents include lactose and dried corn starch. In oral administration of aqueous suspensions the active substance is combined with emulsifi-ers and suspending agents. Also, particular sweeteners and/or flavors and/or coloring agents can be added, if de¬sired. The active substance (s), i.e., the compounds of the inven¬tion, optionally can be present in a micro-encapsulated form, together with one or more of the above-mentioned car¬rier substances. In addition to the active substance (s), suppositories may include conventional water-soluble or water-insoluble car- rier substances, e.g. polyethylene glycols, fats, e.g. co¬coa fat and higher esters (for example, C14 alcohol with C16 fatty acid) or mixtures of such materials. In addition to the active substance(s), ointments, pastes, creams and gels may include conventional carrier sub¬stances, e.g. animal and vegetable fats, waxes, paraffins, starch, tragacanth, cellulose derivatives, polyethylene glycols, silicones, bentonites, silica, talc and zinc oxide or mixtures of these materials. In addition to the active substance(s), powders and sprays may include conventional carriers such as lactose, talc, silica, aluminum hydroxide, calcium silicate and polyamide powder or mixtures of these substances. In addition, sprays may include conventional propellants such as chlorofluoro-hydrocarbons. In addition to the active substance(s), solutions and emul¬sions may include conventional carriers such as solvents, solubilizers, and emulsifiers, e.g. water, ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene glycol, 1,3-butylene glycol, dimethylformamide, oils, especially cotton seed oil, peanut oil, corn oil, olive oil, castor oil and sesame oil, glycerol, glycerol formal, tetrahydrofurfuryl alcohol, polyethylene glycols, and fatty esters of sorbitan, or mix¬tures of these substances. For parenteral application, the solutions and emulsions may also be present in a sterile and blood-isotonic form. In addition to the active substance(s), suspensions may in¬clude conventional carriers such as liquid diluents, e.g. water, ethyl alcohol, propylene glycol, suspending agents, e.g. ethoxylated isostearyl alcohols, polyoxyethylene sor- bitol and sorbitan esters, microcrystalline cellulose, alu¬minum metahydroxide, bentonite, agar, tragacanth, or mix¬tures of these substances. The drugs can be present in the form of a lyophilized ste¬rile injectable formulation, e.g. as a sterile injectable aqueous or oily suspension. Such a suspension can also be formulated by means of methods known in the art, using suitable dispersing or wetting agents (such as Tween 80) and suspending agents. The sterile injectable formulation can also be a sterile injectable solution or suspension in a non-toxic, parenterally tolerable diluent or solvent, e.g. a solution in 1,3-butanediol. Tolerable vehicles and solvents that can be used include mannitol, water, Ringer's solution, and isotonic sodium chloride solution. Further¬more, sterile, non-volatile oils are conventionally used as solvents or suspending medium. Any mild non-volatile oil, including synthetic mono- or diglycerides, can be used for this purpose. Fatty acids such as oleic acid and glyceride derivatives thereof can be used in the production of injec¬tion agents, e.g. natural pharmaceutically tolerable oils such as olive oil or castor oil, especially in their po-lyoxyethylated forms. Such oil solutions or suspensions may also include a long-chain alcohol or a similar alcohol as diluent or dispersant. The above-mentioned formulation forms may also include co¬lorants, preservatives, as well as odor- and taste-improving additives, e.g. peppermint oil and eucalyptus oil, and sweeteners, e.g. saccharine. Preferably, the com¬pounds according to the invention should be present in the above-mentioned pharmaceutical formulations at a concentra¬tion of about 0.1 to 99.5, more preferably about 0.5 to 95 wt.-% of the overall mixture. In addition to the compounds of the invention, the above-mentioned pharmaceutical preparations may include further pharmaceutical active substances. The production of the pharmaceutical preparations specified above proceeds in a usual manner according to well-known methods, e.g. by mix¬ing the active substance(s) with the carrier substance(s). The above-mentioned preparations can be applied orally, na¬sally, rectally, regionally, e.g. liver, spleen, kidneys, lungs or the like, parenterally (intravenous, intramuscu¬lar, subcutaneous routes), intracisternally, intravaginal-ly, intraperitoneally, locally (powder, ointment, drops) in humans and animals and used in the therapy of inflammations in hollow areas and body cavities. For oral therapy, injec¬tion solutions, solutions and suspensions, gels, brew-up formulations, emulsions, ointments or drops are possible as suitable preparations. For local therapy, ophthalmic and dermatological formulations, silver and other salts, ear drops, eye ointments, powders or solutions can be used. With animals, ingestion can be effected via feed or drink¬ing water in suitable formulations. Furthermore, gels, pou-drage, powders, tablets, sustained-release tablets, premix-es, concentrates, granulates, pellets, boli, capsules, aerosols, sprays and inhalants can be used in humans and animals. Furthermore, the compounds of the invention can be incorporated in other carrier materials such as plastics (plastic chains for local therapy), collagen or bone ce¬ment. In another preferred embodiment of the invention the com¬pounds according to the invention are incorporated in a formulation at a concentration of 0.1 to 99.5, preferably 0.5 to 95, and more preferably 20 to 8.0 wt.-%. That is, the compounds of the invention are present in the above-specified pharmaceutical formulations, e.g. tablets, pills, granulates and others, at a concentration of preferably 0.1 to 99.5 wt.-% of the overall mixture. The amount of active substance, i.e., the amount of a compound according to the invention that is combined with the carrier materials to produce a single dosage form, can be varied by a person skilled in the art depending on the host to be treated, the tumor to be treated, and on the particular type of adminis¬tration. Once the condition of a host or patient has im¬proved, the proportion of active compound in the prepara¬tion can be modified so as to obtain a maintenance dose. Depending on the symptoms, the dose or frequency of admin¬istration or both can subsequently be reduced to a level where the improved condition is retained. Once the symptoms have been alleviated to the desired level, the treatment should be stopped. However, patients may require an inter¬mittent treatment on a long-term basis if any symptoms of the disease should recur. Accordingly, the proportion of the compounds, i.e. their concentration, in the overall mixture of the pharmaceutical preparation, as well as the composition or combination thereof, is variable and can be modified and adapted by a person of specialized knowledge in the art. Those skilled in the art will be aware of the fact that the compounds of the invention can be contacted with an organ¬ism, preferably a human or an animal, on various routes. Furthermore, a person skilled in the art will also be fa¬miliar with the fact that the pharmaceutical agents in par¬ticular can be applied at varying dosages. Application should be effected in such a way that a tumor is combatted as effectively as possible, or the onset of such a disease is prevented by a prophylactic administration. Concentra¬tion and type of application can be determined by a person skilled in the art using routine tests. Preferred applica¬tions of the compounds of the invention are oral applica- tion in the form of powder, tablets, fluid mixtures, drops, capsules or the like, rectal application in the form of suppositories, solutions and the like, parenteral applica¬tion in the form of injections, infusions and solutions, inhalation of vapors and aerosols, powders and pads, and local application in the form of ointments, pads, dress¬ings, lavages and the like. Contacting with the compounds according to the invention is preferably effected in a prophylactic or therapeutic fashion. In prophylactic admin¬istration, development of the specified tumors is to be prevented at least in such a way that further propagation thereof is massively reduced, or that tumors are almost completely eliminated. In therapeutic contacting, a manif¬est tumor disease of a patient is already existing, and the and tumors already existing in the body should be either destroyed or inhibited in their propagation. Other forms of application preferred for this purpose are e.g. subcutane¬ous, sublingual, intravenous, intramuscular, intraperito¬neal and/or topical ones. In addition to the above-specified concentrations during use of the compounds of the invention, the compounds in a preferred embodiment can be employed in a total amount of 0.05 to 500 mg/kg body weight per 24 hours, preferably 5 to 100 mg/kg body weight. Advantageously, this is a therapeu¬tic quantity which is used to prevent or improve the symp¬toms of a disorder or of a responsive, pathologically phy¬siological condition. The amount administered is sufficient to inhibit tumor growth. Obviously, the dose will depend on the age, health and weight of the recipient, degree of the disease, type of re¬quired simultaneous treatment, frequency of the treatment and type of the desired effects, and side-effects. The dai¬ly dose of 0.05 to 500 mg/kg body weight can be applied as a single dose or multiple doses in order to furnish the de¬sired results. The dosage levels per day are applicable both in prophylaxis and treatment of a tumor disease, in¬cluding infection, e.g. infections inducing or co-inducing a tumor, such as hepatitis, especially hepatitis B infec¬tion. In particular, pharmaceutical agents are typically used in about 1 to 7 administrations per day, or alterna¬tively or additionally as a continuous infusion. Such ad¬ministrations can be applied as a chronic or acute therapy. Of course, the amounts of active substance that are com¬bined with the carrier materials to produce a single dosage form may vary depending on the host to be treated and on the particular type of administration. In a preferred fa¬shion, the daily dose is distributed over 2 to 5 applica¬tions, with 1 to 2 tablets including an active substance content of 0.05 to 500 mg/kg body weight being administered in each application. Of course, it is also possible to se¬lect a higher content of active substance, e.g. up to a concentration of 5000 mg/kg. The tablets can also be sus¬tained-release tablets, in which case the number of appli¬cations per day is reduced to 1 to 3. The active substance content of sustained-release tablets can be from 3 to 3000 mg. If the active substance - as set forth above - is admi¬nistered by injection, the host is preferably contacted 1 to 8 times per day with the compounds of the invention or by using continuous infusion, in which case quantities of from 1 to 4000 mg per day are preferred. The preferred to¬tal amounts per day were found advantageous both in human and veterinary medicine. It may become necessary to deviate from the above-mentioned dosages, and this depends on the nature and body weight of the host to be treated, the type and severity of the disease, the type of formulation and application of the drug, and on the time period or interval during which the administration takes place. Thus, it may be preferred in some cases to contact the organism with less than the amounts mentioned above, while in other cases the amount of active substance specified above has to be surpassed. A person of specialized knowledge in the art can easily determine the optimum dosages required in each case and the type of application of the active substances. In another particularly preferred embodiment of the inven¬tion the compounds of the invention are used in a single administration of from 1 to 80, especially from 3 to 30 mg/kg body weight. In the same way as the total amount per day, the amount of a single dose per application can be va¬ried by a person of specialized knowledge in the art. Simi¬larly, the compounds used according to the invention can be employed in veterinary medicine with the above-mentioned single concentrations and formulations together with the feed or feed formulations or drinking water. A single dose preferably includes that amount of active substance which is administered in one application and which normally cor¬responds to one whole, one half daily dose or one third or one quarter of a daily dose. Accordingly, the dosage units may preferably include 1, 2, 3 or 4 or more single doses or 0.5, 0.3 or 0.25 single doses. In a preferred fashion, the daily dose of the compounds according to the invention is distributed over 2 to 10 applications, preferably 2 to 7, and more preferably 3 to 5 applications. Of course, conti¬nuous infusion of the agents according to the invention is also possible. In a particularly preferred embodiment of the invention, 1 to 10 tablets or capsules, preferably 4 to 8 capsules or tablets, and more preferably 6 capsules or tablets are ad¬ministered in each oral application of the compounds of the invention. The tablets according to the invention can be provided with coatings and envelopes well-known to those skilled in the art or can be composed in a way so as to re- lease the active substance(s) only in preferred, particular regions of the host. In another preferred embodiment of the invention the com¬pounds according to the invention can be employed together with at least one other well-known pharmaceutical agent. That is to say, the compounds of the invention can be used in a prophylactic or therapeutic combination in connection with well-known drugs. Such combinations can be adminis¬tered together, e.g. in an integrated pharmaceutical formu¬lation, or separately, e.g. in the form of a combination of tablets, injection or other medications administered simul¬taneously or at different times, with the aim of achieving the desired prophylactic or therapeutic effect. These well-known agents can be agents which enhance the effect of the compounds according to the invention. Of course, it is also possible to use the compounds of the invention, particularly the pharmaceutical agents, alone or together with other agents in a therapy, e.g. in a combina¬tion therapy, as a regional therapy; this can be preferred in the event of a liver tumor, for example. It is well-known to those skilled in the art that increas¬ing the concentration of agents oxidizing glutathione or increasing the inactivation of glutathione can be advanta¬geous in particular tumor diseases. For example, DL-buthionine-(SR)-sulfoximine can be used for glutathione depletion. Typically, there is an optimum ratio of compound(s) of the invention with respect to each other and/or with respect to other therapeutic or effect-enhancing agents (such as transport inhibitors, metabolic inhibitors, inhibitors of renal excretion or glucuronidation, such as probenecid, acetaminophen, aspirin, lorazepan, cimetidine, ranitidine, colifibrate, indomethacin, ketoprofen, naproxen etc.) where the active substances are present at an optimum ratio. Op¬timum ratio is defined as the ratio of compound (s) of the invention to other therapeutic agent(s) where the overall therapeutic effect is greater than the sum of the effects of the individual therapeutic agents. In general, the opti¬mum ratio is found when the agents are present at a ratio of from 10:1 to 1:10, from 20:1 to 1:20, from 100:1 to 1:100 and from 500:1 to 1:500. In some cases, an exceeding¬ly small amount of a therapeutic agent will be sufficient to increase the effect of one or more other agents. In ad¬dition, the use of the compounds of the invention in combi¬nations is particularly beneficial in order to reduce the risk of developing resistance and/or increase the therapeu¬tic effectiveness. Of course, the compounds of the inven¬tion can be used in combination with other well-known anti¬tumor agents. Such agents are well-known to those skilled in the art. Accordingly, the compounds of the invention can be administered together with all conventional agents, es¬pecially other drugs, available for use particularly in connection with tumor drugs, either as a single drug or in a combination of drugs. They can be administered alone or in combination with same. In a preferred fashion the compounds of the invention are administered together with said other well-known pharma¬ceutical agents at a ratio of about 0.005 to 1. Preferably, the compounds of the invention are administered particular¬ly together with virus-inhibiting agents at a ratio of from 0.05 to about 0.5 parts and up to about 1 part of said known agents. The pharmaceutical composition can be present in substance or as an aqueous solution together with other materials such as preservatives, buffer substances, agents to adjust the osmolarity of the solution, and so forth. In a preferred fashion the pharmaceutical agent is employed as a vaccine after tumor formation, or as a preventive vac¬cination. Advantageously, vaccination is effected in such a way that, following application, a protection against spreading or formation of tumors is developed in the organ¬ism. Of course, it is also possible to effect vaccination immediately prior to or shortly after manifestation of a tumor, or as a therapy with a plurality of applications. Those skilled in the art are familiar with the fact that tumor treatment can be advantageous at virtually any point in time following formation of metastases, so that vaccina¬tion in the meaning of the invention could also be applica¬tion of the inventive pharmaceutical agent weeks, months, years or decades after formation of a tumor. The invention also relates to a kit and to the use thereof in medicine. In a preferred fashion, the compounds of the invention or the kit comprising same are used in a combina¬tion therapy, especially in the treatment of tumors. In a particularly preferred fashion, said combination therapy comprises a chemotherapy, a treatment with cytostatic agents and/or a radiotherapy. In a particularly preferred embodiment of the invention the combination therapy is an adjuvant, biologically specific form of therapy, and in a particularly preferred fashion, said form of therapy is an immune therapy. Furthermore, in a particularly preferred fashion the combination therapy comprises a gene therapy and/or a therapy using a compound according to the inven¬tion. Various combination therapies, especially for the treatment of tumors, are well-known to those skilled in the art. For example, a treatment with cytostatic agents or e.g. irradiation of a particular tumor area can be envi¬saged within the scope of a combination therapy, and this treatment is combined with a gene therapy, using the com- pounds of the invention as anticancer agents. Accordingly, the use of the compounds according to the invention for in¬creasing the sensitivity of tumor cells to cytostatic agents and/or radiation can be particularly preferred. Fur¬thermore, a preferred use of the compounds according to the invention is in inhibiting the vitality, the proliferation rate of cells and/or inducing apoptosis and cell cycle ar¬rest. In a preferred embodiment the cancerous disease or tumor being treated or prevented is selected from the group of cancerous diseases or tumor diseases of the ear-nose-throat region, of the lungs, mediastinum, gastrointestinal tract, urogenital system, gynecological system, breast, endocrine system, skin, bone and soft-tissue sarcomas, mesotheliomas, melanomas, neoplasms of the central nervous system, cancer¬ous diseases or tumor diseases during infancy, lymphomas, leukemias, paraneoplastic syndromes, metastases with un¬known primary tumor (CUP syndrome), peritoneal carcinoma¬toses, immunosuppression-related malignancies and/or tumor metastases. More specifically, the tumors may comprise the following types of cancer: adenocarcinoma of breast, prostate and co¬lon; all forms of lung cancer starting in the bronchial tube; bone marrow cancer, melanoma, hepatoma, neuroblasto¬ma; papilloma; apudoma, choristoma, branchioma; malignant carcinoid syndrome; carcinoid heart disease, carcinoma (for example, Walker carcinoma, basal cell carcinoma, squamobas-al carcinoma, Brown-Pearce carcinoma, ductal carcinoma, Eh-rlich tumor, in situ carcinoma, cancer-2 carcinoma, Merkel cell carcinoma, mucous cancer, non-parvicellular bronchial carcinoma, oat-cell carcinoma, papillary carcinoma, scirr-hus carcinoma, bronchio-alveolar carcinoma, bronchial car¬cinoma, squamous cell carcinoma and transitional cell car- cinoma); histiocytic functional disorder; leukemia (e.g. in connection with B cell leukemia, mixed-cell leukemia, null cell leukemia, T cell leukemia, chronic T cell leukemia, HTLV-II-associated leukemia, acute lymphocytic leukemia, chronic lymphocytic leukemia, mast cell leukemia, and mye¬loid leukemia); malignant histiocytosis, Hodgkin disease, non-Hodgkin lymphoma, solitary plasma cell tumor; reticu-loendotheliosis, chondroblastoma; chondroma, chondrosarco¬ma; fibroma; fibrosarcoma; giant cell tumors; histiocytoma; lipoma; liposarcoma; leukosarcoma; mesothelioma; myxoma; myxosarcoma; osteoma; osteosarcoma; Ewing sarcoma; synovi¬oma; adenofibroma; adenolymphoma; carcinosarcoma, chordoma, craniopharyngioma, dysgerminoma, hamartoma; mesenchymoma; mesonephroma, myosarcoma, ameloblastoma, cementoma; odonto¬ma; teratoma; thymoma, chorioblastoma; adenocarcinoma, ade¬noma; cholangioma; cholesteatoma; cylindroma; cystadenocar-cinoma, cystadenoma; granulosa cell tumor; gynadroblastoma; hidradenoma; islet-cell tumor; Leydig cell tumor; papillo¬ma; Sertoli cell tumor, theca cell tumor, leiomyoma; lei¬omyosarcoma; myoblastoma; myoma; myosarcoma; rhabdomyoma; rhabdomyosarcoma; ependymoma; ganglioneuroma, glioma; me-dulloblastoma, meningioma; neurilemmoma; neuroblastoma; neuroepithelioma, neurofibroma, neuroma, paraganglioma, non-chromaffin paraganglioma, angiokeratoma, angiolymphoid hyperplasia with eosinophilia; sclerotizing angioma; angi¬omatosis; glomangioma; hemangioendothelioma; hemangioma; hemangiopericytoma, hemangiosarcoma; lymphangioma, lymphan-giomyoma, lymphangiosarcoma; pinealoma; cystosarcoma phyl-loides; hemangiosarcoma; lymphangiosarcoma; myxosarcoma, ovarian carcinoma; sarcoma (for example, Ewing sarcoma, ex¬perimentally, Kaposi sarcoma and mast cell sarcoma); neop¬lasms (for example, bone neoplasms, breast neoplasms, neop¬lasms of the digestive system, colorectal neoplasms, liver neoplasms, pancreas neoplasms, hypophysis neoplasms, tes¬ticle neoplasms, orbital neoplasms, neoplasms of the head and neck, of the central nervous system, neoplasms of the hearing organ, pelvis, respiratory tract and urogenital tract); neurofibromatosis and cervical squamous cell dys¬plasia. In another preferred embodiment the cancerous disease or tumor being treated or prevented is selected from the group of tumors of the ear-nose-throat region, comprising tumors of the inner nose, nasal sinus, nasopharynx, lips, oral cavity, oropharynx, larynx, hypopharynx, ear, salivary glands, and paragangliomas, tumors of the lungs comprising non-parvicellular bronchial carcinomas, parvicellular bron¬chial carcinomas, tumors of the mediastinum, tumors of the gastrointestinal tract, comprising tumors of the esophagus, stomach, pancreas, liver, gallbladder and biliary tract, small intestine, colon and rectal carcinomas and anal car¬cinomas, urogenital tumors comprising tumors of the kid¬neys, ureter, bladder, prostate gland, urethra, penis and testicles, gynecological tumors comprising tumors of the cervix, vagina, vulva, uterine cancer, malignant trophob-last disease, ovarian carcinoma, tumors of the uterine tube (Tuba Faloppii), tumors of the abdominal cavity, mammary carcinomas, tumors of the endocrine organs, comprising tu¬mors of the thyroid, parathyroid, adrenal cortex, endocrine pancreas tumors, carcinoid tumors and carcinoid syndrome, multiple endocrine neoplasias, bone and soft-tissue sarco¬mas, mesotheliomas, skin tumors, melanomas comprising cuta¬neous and intraocular melanomas, tumors of the central nervous system, tumors during infancy, comprising retinob¬lastoma, Wilms tumor, neurofibromatosis, neuroblastoma, Ew-ing sarcoma tumor family, rhabdomyosarcoma, lymphomas com¬prising non-Hodgkin lymphomas, cutaneous T cell lymphomas, primary lymphomas of the central nervous system, morbus Hodgkin, leukemias comprising acute leukemias, chronic mye¬loid and lymphatic leukemias, plasma cell neoplasms, myelo- dysplasia syndromes, paraneoplastic syndromes, metastases with unknown primary tumor (CUP syndrome), peritoneal car¬cinomatosis, immunosuppression-related malignancy compris¬ing AIDS-related malignancy such as Kaposi sarcoma, AIDS-associated lymphomas, AIDS-associated lymphomas of the cen¬tral nervous system, AIDS-associated morbus Hodgkin and AIDS-associated anogenital tumors, transplantation-related malignancy, metastasized tumors comprising brain metastas¬es, lung metastases, liver metastases, bone metastases, pleural and pericardial metastases, and malignant ascites. In another preferred embodiment the cancerous disease or tumor being treated or prevented is selected from the group comprising mammary carcinomas, gastrointestinal tumors, in¬cluding colon carcinomas, stomach carcinomas, pancreas car¬cinomas, colon cancer, small intestine cancer, ovarian car¬cinomas, cervical carcinomas, lung cancer, prostate cancer, kidney cell carcinomas and/or liver metastases. Without intending to be limiting, the invention will be ex¬plained in more detail with reference to the following ex¬amples. 1. Synthesis of cis-diammoniumdichlorodihydroxo-platinum(IV) 150 g of cisplatin is suspended in about 300 ml of water in a 2 liter three-necked flask (provided with precision glass stirrer) and added with 350 ml H2O2 (35%) in portions with stirring over a period of 2 days. Stirring is continued for another 4 days at about 20°C. Thereafter, the raw product is sucked off, washed with a small amount of ice water, dis¬solved in a precisely sufficient amount of 0.5 N sulfuric acid, and subsequently precipitated with 35% NaOH (pH ~ 7-8). After storage in a refrigerator overnight, the yel¬low crystalline mass is sucked off, washed with a small amount of cold water, ethanol and eventually with ether and dried in vacuum. Yield (3 batches): 336.7 g (67.2% of theoretical) 2. Synthesis of cis-diannnoniumdichlorodihydroxo- platinum(IV) disodium salt 20 g (0.06 mol) of cis-diammoniumdichlorodihydroxoplati-num(IV) is dissolved in about 450 ml of aqueous sodium hy¬droxide solution (containing 4.8 g (0.12 mol) of NaOH) with heating and, following cooling to room temperature, stored in a refrigerator overnight. The precipitated reaction product is sucked off, washed with a small amount of cold water, ethanol and eventually with ether and dried in va¬cuum. Yield: 13.6 g (59.9% of theoretical) 3. Use of cis-di dimmnoniumdichlorodihydroxoplatinum(IV) and salts thereof Growth inhibition tests on various human cell lines show the different activities of cisplatin, cis-oxoplatin and oxaliplatin. The results illustrated below show that cis-oxoplatin has an activity similar to that of oxaliplatin, but higher activity than carboplatin. The following Table illustrates the results produced with cisplatin, oxoplatin, carboplatin and oxaliplatin (the values specified are IC50 values in µg/ml, i.e., the concentration where 50% of the cells survive, nd = not determined; res = resistant = non-sensitive or IC50 value cannot be determined at a concentra¬tion of up to 40 µg/ml; IC = inhibition concentration) . Table 1 Table 2 (Table Removed) The results determined show that chemically highly similar platinum compounds such as cisplatin and cis-oxoplatin have different effects on various human cancer cells, and that the salts of the platinum compounds show a behavior on tu¬mors which is different from that of the base compounds from which the salts have been generated. In general, and extending beyond concrete tests, it appears that the DNA binding ability of cis-oxoplatin salts, especially of cis-oxoplatin sodium salt, is unexpected when compared to cis-oxoplatin. For example, this may have its cause in the dif¬ferent structures of the DNA adducts formed with the base, on the one hand, and with the salt, on the other hand. Fur¬thermore, it can be assumed that the cis-oxoplatin salts undergo a different process of biotransformation compared to the corresponding bases. These unexpected variations are of great importance when using bases and salts in tumor therapy. For example, further important issues of such dif- ferent behavior of bases and salts are: absorption, diffu¬sion and distribution in the tissue and in particular or¬gans. The intracellular uptake and the toxicity of cis-oxoplatin sodium salts are different from those of the cor¬responding base; the absorption and dissolution, as well as the pharmacogenetics of cis-oxoplatin salts are not compa¬rable to those of the base. The type of interaction with DNA, and the efficiency and effectiveness, as well as the therapeutic potency of cis-oxoplatin salts are different from those of cis-oxoplatin. Inter alia, this can be demon¬strated on the chemical structure of cis-oxoplatin calcium salt as one example of salts of bivalent cations: (Formula Removed) As can be seen in this structure, salts such as calcium salts have a structure that is completely different from that of the corresponding base. Such variations in the ste¬reochemical properties result in a different behavior with respect to the interaction with DNA in cells, especially in cancer cells. As a result of the different structure of salts, a lower dose can be sufficient to achieve a thera¬peutic effect. Furthermore, biotransformation may result in conversion of platinum(IV) complexes into platinum(II) com¬plexes in the body, and platinum(IV) and platinum(II) com- plexes have different effects on different tumors (see Ta¬ble 1) . 2. Cytotoxic activity of trans-oxoplatin (TRAXO) trans-Oxoplatin was tested on a panel of cell lines, using double steps and an initial concentration of 40 g/ml. As the IC50 values were not reached in most cases, cell surviv¬al at the highest concentration is indicated. Table 5 (Table Removed) As shown by' the tests on 19 cell lines, TRAXO has consider¬able activity against a colon carcinoma cell line (SW 620), against 2 osteosarcoma cell lines (G-292, HOS), against a renal carcinoma cell line (ACHN) , a leukemia cell line (HL-60), and against an embryonic pulmonary fibroblast cell line (WI-38). Cell lines sensitive to cis-oxoplatin, such as T-47D and BxPC3, are non-sensitive to TRAXO. The salts of the trans-oxoplatin compounds may have a different the¬rapeutic potential and different effectiveness against par¬ticular human cancer cells, cell lines and tumors. 7. Antitumor effectiveness of alkyl derivatives Ethyl, propyl, phenyl and naphthyl derivatives of the platinum(IV) hydroxo compounds were tested in tumor rats, in which tests the above-mentioned derivatives were introduced into the target organism by infusion, on the one hand, and - on the other hand - as an oral administration in the form of a feed admixture. Surprisingly, oral administration was particularly effective because the derivatives obtained have a low molecular weight, are essentially neutral, inert with respect to their kinetics, stable to acid, and lipophilic to some extent. The tested components show exceptional cytotoxicity and good oral antitumor activity in the rat models. The tumor effectiveness was established by determining the tumor weight in grams. In non-treated tumor rats, the tumors had a weight of 37 g on an average. When administering the infusion agent (dose: 5 mg/kg body weight), mean values of the tumors of 31 g were determined. In oral administration, a mean tumor weight of 24 g was measured. The tests surprisingly showed that tumor rats (Walker carcinoma) could be treated particularly effectively i^j oxai adttiiui G C'l UL ion Ui. L'he" alkyi 01 uxyi derivatives. Due to the fluctuations between individual aryl and alkyl derivatives measured during the tumor suppression tests, no statements as to significant variations can be made as yet. We Claim: - 1. A method for the preparation of trans- or cis-di-ammoniumdichlorodihydroxoplatinum(IV) and derivatives the¬reof, characterized in that trans- or cis-diammoniumdichloroplatinum(II) is reacted with a solution comprising >30% peroxide at temperatures below 30°C and the product thus obtained is dissolved in a mineral acid and subsequently precipitated with an al¬kaline solution. 2. The method of claim 1, wherein the mineral acid is se¬ lected from the group consisting of sulfuric acid, phos¬ phoric acid, nitric acid, carbonic acid and combinations comprising at least one of the foregoing. 3. The method of claim 1,wherein the alkaline solution is so¬dium hydroxide solution. 4. A novel compound as claimed in claim 1 and of general for¬mula (Formula Removed) wherein X1, X2 are calcium, magnesium, sodium, potassium, lithium ions, alkyl and/or aryl residues. 5. A pharmaceutical composition, comprising a compound as claimed in claim 4, optionally together with a pharmaceut-ically tolerable carrier, adjuvant and/or vehicle.

Full Text

The invention relates to a method for the preparation of trans- or cis-diammoniumdichlorodihydroxoplatinum(IV) , salts and derivatives derived from said compound; the in¬vention also relates to the use of these compounds in prophylaxis, therapy, follow-up and aftercare of diseases associated with cell growth, cell differentiation and/or cell division, especially tumors.
It is well-known that metals such as molybdenum, vanadium, as well as gold and platinum, in particular, can be used in the therapy of acute and chronic diseases such as rheumat¬ism, cancer or autoimmune diseases. Frequently, the metals being used are contacted in the form of complex compounds with the organism to be treated - in many cases via oral ingestion.
The complex compounds comprising the metals are difficult to produce with the required pharmaceutical purity. Numer¬ous production methods which have been described either fail to generate the compounds with sufficient pharmaceuti¬cal purity or result in numerous byproducts giving rise to undesirable side effects in the organism. In particular, the preparation of pharmaceutically interesting cis- and trans-oxoplatinum compounds with the required purity or ab¬sence of byproducts is not possible with known methods (SO 1137698 Al, SU 1021116 Al).
The object of the invention was therefore to provide a me¬thod allowing easy, reliable and effective provision of cis- or trans-oxoplatinum compounds.
The invention accomplishes the above object by means of a method for the preparation of cis- or trans-diammoniumdi-chlorodihydroxoplatinum(IV) or diammoniumdichloro-trafls-di-hydroxoplatinum(IV) and derivatives thereof, wherein cis-or trans-diammoniumdichloroplatinum(II) is reacted with a solution comprising >30% peroxide at temperatures below 30°C, and the product thus obtained is dissolved in a min¬eral acid and subsequently precipitated with an alkaline solution.
Surprisingly, the combination of features of a solution comprising >30% peroxide and relatively low temperatures, i.e., temperatures below 30°C, allows easy and reliable pro¬duction of oxo-cis-platinum and oxo-trans-platinum com¬pounds in such a way that small amounts of undesirable by¬products are obtained. The method according to the inven¬tion utilizes cis- or trans-diammoniumdichloroplatinum(II) compounds as starting compounds, which are converted into the corresponding cis- or trans-form of diammoniumdichloro-trans-dihydroxoplatinum(IV). Advantageously, the solution comprising peroxide is added to the starting compound over a prolonged period of time, preferably in a continuous fa¬shion. The solutions comprising peroxide can be solutions which liberate peroxide during the reaction or behave in a functionally analogous manner due to their specific struc¬ture, as is the case with e.g. hydrogen peroxide solutions or perchloroacetic acid solutions.
In the method according to the invention, high yield and
purity of the reaction products are combined with a reac¬
tion that proceeds very safely. In contrast to well-known
methods, e.g. foaming and spattering of the reaction mix¬ture resulting in loss of platinum is prevented. The high purity of the product obtained allows good further processing into pharmaceutical active substances such as salts and derivatives. Of course, the method according to the invention is also suitable for the production of the desired compounds on a technical or an industrial scale.
In the method according to the invention the starting mate¬rials are added repeatedly with hydrogen peroxide solution, especially at high concentration, at low temperatures and optionally with cooling, and reacted for a prolonged period of time, e.g. for several days. By means of the above reac¬tion step it is possible to obtain a solid product, e.g. an initial precipitate which is dissolved by adding a mineral acid. This is followed by precipitation using a preferably concentrated alkali solution.
Thereafter, the product thus obtained can be washed and dried in vacuum.
That is, the product obtained by reacting cis- or trans-diammoniumdichloroplatinum(II) is a solution or a solid, and the product obtained is preferably an initial precipi¬tate. The product obtained is reacted with a mineral acid, e.g. phosphoric acid or sulfuric acid. If the resulting product according to the invention is a precipitate, said precipitate is largely dissolved by means of said mineral acid. The precipitate thus dissolved with mineral acid is subsequently treated with an alkaline solution, e.g. con¬centrated sodium hydroxide solution, to form a second pre¬cipitate. Further work-up of the precipitated cis- or trans-diammoniumdichlorodihydroxoplatinum(IV) depends on the desired further use of the reaction product obtained and is well-known to those skilled in the art.
In a preferred embodiment of the invention the solution comprising peroxide is a highly concentrated hydrogen pe¬roxide solution. Said hydrogen peroxide solution is prefer¬ably a >30% hydrogen peroxide solution and more preferably a 35% hydrogen peroxide solution. As is well-known to those skilled in the art, the hydrogen peroxide solution may also include other components increasing the oxidizing effect thereof. For example, the use of a solution of 30% hydrogen peroxide and 70% perchloroacetic acid can be advantageous. Obviously, it is also possible to use a solution which com¬prises perchloroacetic acid, but no hydrogen peroxide solu¬tion. In addition to hydrogen peroxide and perchloroacetic acid, a variety of functionally analogous compounds and so¬lutions generating or providing peroxide, e.g. sodium or potassium peroxide, are known to those skilled in the art.
In another preferred embodiment of the invention the reac¬tion of the diammoniumdichloroplatinum(II), either in the cis- or in the trans-form, with the solution comprising pe¬roxide, preferably hydrogen peroxide solution, is effected at room temperature. Room temperature in the meaning of the invention is between 20°C and 29°C, preferably between 23°C and 27°C, and more preferably in a range of from 24°C to 25° C. As understood herein, however, room temperature is not a fixed temperature range. Depending on other process parame¬ters, the room temperature in the meaning of the invention can also be lower or higher.
In a particularly preferred fashion the reaction of cis- or trans-diammoniumdichloroplatinum(II), or the entire method of the invention, is carried out below 20°C, more preferably below 15°C, even more preferably below 10°C, and particular¬ly below 7°C. Furthermore, it can be particularly preferred to perform the reaction under cooling with ice water so as
to achieve a temperature of approximately 4°C. Such cooling, which does not necessarily have to be at 4°C, advantageously suppresses the formation of a number of byproducts.
In another preferred embodiment of the invention, an acid capable of dissolving the product obtained from the reac¬tion of solution comprising peroxide with cis- or trans-diammoniumdichloroplatinum(II) is used as mineral acid, said acid preferably being sulfuric acid. Of course, other mineral acids known to those skilled in the art, such as phosphoric acid, nitric acid, carbonic acid or others, can be used. The required concentration of such mineral acids can easily be determined by a person skilled in the art. Amount and concentration of the above acids should be se¬lected such that the resulting product, in particular, can be dissolved, especially if it is an initial precipitate. Advantageously, the concentration is selected in such a way that only a small amount of mineral acids has to be em¬ployed, e.g. a precisely sufficient quantity of 0.5 N sul¬furic acid.
In a preferred embodiment of the invention, a sodium hy¬droxide solution is used as alkaline solution. Advanta¬geously, said sodium hydroxide solution is a 25%, 30%, 33% or 35% sodium hydroxide solution. It is well-known to those skilled in the art that, apart from sodium hydroxide solu¬tion, any other basic compound can be used to precipitate the product obtained with the mineral acid. The alkaline solution must be selected such that the final product is as pure as possible and formation of byproducts as low as possible. This can be determined in routine tests by a per¬son skilled in the art.
In another embodiment of the invention, it is preferred to react trans- or cis-diammoniumdichloroplatinum(II) with
cooling and repeated addition of the solution comprising peroxide, particularly highly concentrated hydrogen perox¬ide, over a period of from 12 to 96, preferably from 24 to 48 hours. Here, cooling merely implies that the temperature would not permanently exceed 30°C. Under certain circums¬tances, however, brief surpassing of this temperature can be possible and desirable. Preferred types of cooling are those which can be accomplished effectively and safely and at low cost on a large scale, e.g. cooling with ice water or ice water/salt mixtures. Cooling is preferably selected in such a way that the highly concentrated hydrogen perox¬ide solution in particular can be reacted with the starting materials in such a way that a well-controllable chemical reaction would proceed. In the meaning of the invention, controllable means that there would be no vigorous chemical reactions in such a way that e.g. platinum metals would es¬cape from the reaction mixture in the form of splashes or other. Depending on the concentration and selection of the starting materials, the preferred cooling temperature can be a temperature of less than 10°C, more preferably a tem¬perature in a range of from 3°C to 7°C. By analyzing the purity of the final product and the byproducts possibly present, a person skilled in the art can easily determine whether the entire reaction or merely single partial steps of the reaction should be carried out at the above tempera¬tures. Thus, for example, it can be advantageous to perform only the reaction of the starting materials with the solu¬tion comprising peroxide, e.g. hydrogen peroxide solution, at temperatures ranging from 3°C to 7°C; however, performing the entire method of the invention within said temperature range can be equally advantageous.
Advantageously, by routinely finding a suitable temperature of less than 30°C and a corresponding concentration of the solution comprising peroxide, a yield of reaction products
of more than 60%, preferably more than 65%, and especially preferably of more than 67% of the theoretically calculated amount of trans- or cis-diammoniumdichlorodihydroxo-platinum(IV) can be achieved in another preferred embodi¬ment of the invention.
The invention also relates to compounds of general formula
(Formula Removed)
wherein X1 X2 = calcium, magnesium, sodium, potassium, li¬thium, alkyl and/or aryl residues.
The respective compounds of the above general formula may have completely different structures. Thus, if X1 and X2 = calcium and/or magnesium, for example, the respective biva¬lent cations can link two platinum complexes via oxygen mo¬lecules, so that two complex compounds are present in asso¬ciated form. However, if X1 and X2 are sodium or lithium,
for example, it is also possible that a compound with only one platinum complex is present. In a preferred fashion, X2 can be a bivalent cation, e.g. calcium or magnesium, link¬ing two complexes each having one platinum central atom, and X1 can be sodium, potassium, lithium, an alkyl and/or aryl residue. Accordingly, it is possible to obtain trans-or cis-diammoniumdichlorodihydroxoplatinum(IV) salts with mono-, bi- or trivalent ions or with mono- and bivalent ions or with mono- and bivalent ions and alkyl and/or aryl residues, each in one single compound, from the base ob¬tained by means of the method according to the invention.
Preferred salts are those comprising as cations elements of main groups I to V or subgroups I to VIII of the periodic system of the elements. In addition to chlorides, preferred anions can also be sulfates, phosphates, nitrates or carbo¬nates. For example, preferred alkyl residues are methyl, ethyl or propyl residues, and preferred aryl residues are phenyl, naphthyl or anthryl residues. The salts and deriva¬tives, especially when generated from the bases produced by means of the method according to the invention, show sever¬al advantages compared to cis- or trans-diammoniumdichloro-dihydroxoplatinum(IV). Surprisingly, the salts - as com¬pared to the base - have such good solubility that combina¬tion with other active substances or vitamins or with other well-known pharmaceutical agents, e.g. anti-tumor agents, is possible with advantage. Surprisingly, in particular, the solubility of the salts according to the invention in 0.1 N HC1 is better than that of the corresponding base by many times over. Such a concentration largely corresponds to the concentration of gastric acid, that is, the salts according to the invention will be immediately dissolved in the stomach, especially when reaching the stomach in the form of a pharmaceutical agent via oral ingestion or other¬wise. This is particularly advantageous for the treatment of gastric tumors, or to make sure that the compounds of the invention can reach various regions of the organism via absorption in the stomach. The salts and derivatives exhi¬bit higher bioavailability and are more effective at lower dosage than the base from which they are obtained, thereby having less side effects. Also, the residence time of the salts in important metabolic organs such as liver or kid¬neys is shorter than that of the original compounds. The salts, especially the structures wherein univalent and bi¬valent cations together form a compound according to the invention, generate less adducts, e.g. in kidneys and liv¬er, and are therefore less nephrotoxic or less toxic to the
liver. Furthermore, they are better suited for the gastro¬intestinal passage. However, these advantages are not re¬stricted to the salts obtained with mono- and bivalent ca¬tions. More specifically, the compounds according to the invention can be employed with advantage in tumor prophy¬laxis and therapy. Consequently, the invention also relates to the use of the inventive compounds in medicine, espe¬cially for the production of a drug.
The compounds according to the invention are contacted with an organism in a therapeutic amount; in this event, the compounds of the invention are employed as pharmaceutical agents or drugs; accordingly, these terms can be used syn¬onymously in the context with this invention. The expres¬sion "therapeutic amount" as used herein refers to an amount that prevents or improves symptoms of a disorder or of a responsive, pathologically physiological condition. In specific embodiments of the present invention the amount administered is sufficient to prevent or inhibit a tumor in its growth, said amount essentially prevents or inhibits spreading of a tumor, tumor angiogenesis, tumor invasion and/or tumor metastasizing in a recipient, the tumor dis¬eases being selected from the group of neoplastic tumors, inflammatory tumors and/or abscesses, effusions and edema. As stated above, the invention therefore relates to pharma¬ceutical agents or drugs comprising the compounds of the invention, optionally together with pharmaceutical adju¬vants .
The amount of compounds of the invention to be used in a healthy person in the event of prophylaxis or in a patient in the event of therapy is formulated and the dose estab¬lished according to conventional medical practice, consi¬dering the disorder to be treated, the condition of each individual patient, the site of administration, the proce-
dure of administration and other factors well-known to the attending physicians. Similarly, the dose of the adminis¬tered compounds of the invention depends on the characte¬ristics of the tumor, on the in vivo half-life of the com¬pounds of the invention in plasma, and on the concentration of the compounds of the invention in the formulation, and also on the route of administration, site and rate of do¬sage, clinical tolerance of each individual (human and ani¬mal) , pathological affection of the patient and the like, as is well-known to physicians or other persons skilled in the art. In general, dosages of about 0.1 to 1000 mg per individual and administration are preferred; particularly preferred is a dosage of from 10 to 500 mg, even more pre¬ferably 200 to 400 mg, and particularly 300 mg. It is also possible to employ varying dosages during a sequence of consecutive administrations.
For example, injections (intramuscular or subcutaneous or into blood vessels) are envisaged as a route of therapeutic administration of the compounds of the invention, e.g. en¬capsulated or carrier-bound compounds of the invention, al¬though supply in the form of an aerosol, via catheters or surgical tubes is also applicable. Other preferred routes include suspensions, tablets, capsules and the like for oral administration, commercially available nebulizers for liquid formulations and inhalation of lyophilized or aero-lyzed compounds and suppositories for rectal or vaginal ad¬ministration. Liquid formulations can be used. The suita¬bility of the selected parameters, e.g. dosage, regimen, selection of adjuvants and the like can be determined by taking serum aliquots from the patient, i.e. human or ani¬mal, and testing during the course of the applications. Al¬ternatively or concomitantly, the amount of T cells or oth¬er cells of the immune system can be determined in a con¬ventional manner so as to obtain an overall survey of the
patient's immunologic constitution. In addition, the clini¬cal condition of the patient can be observed for the de¬sired effect. In particular, growth and metastasizing of tumors can be determined. As tumors can be associated with other diseases, e.g. infections, additional co-monitoring of the latter is also possible.
In general, both aqueous formulations and dry compounds of the invention can be mixed with an excipient so as to pro¬vide a stabilizing effect prior to treatment e.g. with a solvent. An aqueous solution of a compound according to the invention can be an inventive compound in suspension or a solution. Other forms of preparation, presentation and ap¬plication are well-known to those skilled in the art, e.g. as a gel, poudrage, powder, tablet, sustained-release tab¬let, premix, emulsion, brew-up formulation, drops, concen¬trate, granulate, syrup, pellet, bolus, capsule, aerosol, spray and/or inhalant. The treatment of solid tumors or leukemias comprises prophylaxis, prevention, diagnosis, at¬tenuation, therapy, follow-up and/or aftercare of metasta¬sizing, invasion and/or angiogenesis, said follow-up being monitoring the effectiveness of an anti-tumor treatment.
The compound of the invention can be incorporated in a so¬lution together with a preservative. Examples of suitable preservatives of suspensions or solutions include phenol, benzyl alcohol, m-cresol, methylparaben, propylparaben, benzalkonium chloride and benzethonium chloride. In gener¬al, the formulations of the compounds according to the in¬vention may include components in amounts that will not ad¬versely affect the production of stable forms, and in amounts suitable for effective, safe pharmaceutical admin¬istration. For example, other pharmaceutically acceptable excipients well-known to those skilled in the art may form part of the compounds or formulations according to the in¬vention. For example, these include salts, various fillers,
additional buffer agents, chelating agents, antioxidants, co-solvents and the like.
In a preferred embodiment of the invention the inventive compounds are associated with liposomes, siosomes and/or niosomes.
For example, this can be accomplished in such a way that the compound according to the invention is entrapped in a liposome or anchored on the surface of a liposome. It is well-known to those skilled in the art that artificial or natural membranes of liposomes may have an immune-stimulating effect, especially in those cases where the components are coupled to the surface of liposomes or en¬trapped inside the liposomes or simply mixed together with the liposomes. Such formulations of liposomes can be ap¬plied on the parenteral route. Using well-known methods, e.g. a spray, such formulations can be applied nasally on the mucosa of the nasal cavity. In a preferred fashion, therapeutic treatment using a spray is suitable for treat¬ing lung cancer or tumors in the ear-nose-throat region. Especially in nasal administration, the compound of the in¬vention must be applied on the mucosa in a state permitting penetration of the mucosa or absorption thereby. For this reason, the vesicle must be biocompatible with the mucus and have a certain degree of hydrophilicity. For example, such structures are known to those skilled in the art from EP 0 682 528, the teaching of which is hereby incorporated in the disclosure of the invention. The liposomal composi¬tion may comprise one or more additional pharmaceutical carriers selected from surface-active substances and ab¬sorption-promoting agents such as polyoxyethylene alcohol ethers, bile salts and derivatives thereof, fusidinic acid and derivatives thereof, oleic acid, lecithin, lysoleci-thins, Tween® 21 to 85, etc., water-absorbing polymers such
as glycofurol, polyethylene glycol 200 to 7500, polyvinyl¬pyrrolidone, propylene glycol or polyacrylic acid, gelatin, cellulose and derivatives etc.; substances inhibiting enzy¬matic degradation, such as aprotinin etc.; organic solvents such as alcohols, e.g. ethanol, glycerol, benzyl alcohol etc.; or ethyl acetate etc.; hydrophobic agents such as vegetable oil, soybean oil, peanut oil, coconut oil, corn oil, olive oil, sunflower oil, "miglyols" or mixtures the¬reof, etc.; pH regulators such as nitric acid, phosphoric acid, acetic acid, citrates, etc.; preservatives and agents regulating the osmotic pressure, such as glycerol, sodium chloride, methyl paraoxybenzoate, benzoic acid, etc.; lipo¬somes and/or emulsion formulations such as lecithins etc.; micro-encapsulated formulations; propellants such as bu¬tane.
It is preferred in another embodiment of the invention that the compounds according to the invention are optionally as¬sociated with each other or, coupled to a carrier, enclosed in liposomes, and such enclosure in liposomes does not nec¬essarily imply - in the meaning of the invention - that the compounds of the invention are present inside the lipo¬somes. Enclosure in the meaning of the invention may also imply that the compounds of the invention are associated with the membrane of the liposomes, e.g. in such a way that the compounds are anchored on the exterior membrane. Such a representation of the inventive compounds in or on lipo¬somes is advantageous in those cases where a person skilled in the art selects the liposomes such that the latter have an immune-stimulating effect. Various ways of modifying the immune-stimulating effect of liposomes are known to those skilled in the art from DE 198 51 282. The lipids can be ordinary lipids, such as esters and amides, or complex li¬pids, e.g. glycolipids such as cerebrosides or gangli-osides, sphingolipids or phospholipids.
In the meaning of the invention, the carriers which can be components of drugs comprising the compounds of the inven¬tion can be proteins stimulating an antibody response as a result of their immunogenic behavior, but also pharmaceuti¬cal adjuvants well-known to those skilled in the art, such as QS-21, GPI-0100 or other saponines, water-oil emulsions such as Montanides, polylysine, polyarginine compounds, or others, e.g. phosphate-buffered saline, water, various kinds of detergents, sterile solutions and the like.
A pharmaceutical agent in the meaning of the invention is any agent in the field of medicine, which can be used in prophylaxis, diagnosis, therapy, follow-up or aftercare of patients comprising a tumor in such a way that a pathogenic modification of their overall condition or of the condition of particular regions of the organism could establish at least temporarily. Thus, for example, the pharmaceutical agent in the meaning of the invention can be a vaccine or a therapeutic agent. In addition to the compounds of the in¬vention, the pharmaceutical agent in the meaning of the in¬vention may include e.g. an acceptable salt or components thereof. For example, these can be salts of inorganic acids such as phosphoric acid or salts of organic acids.
Furthermore, the salts can be free of carboxyl groups and derived from inorganic bases such as sodium, potassium, am¬monium, calcium or iron hydroxides, or from organic bases such as isopropylamine, trimethylamine, 2-ethylamino-ethanol, histidine and others. Examples of liquid carriers are sterile aqueous solutions including no further mate¬rials or active ingredients, e.g. water, or those compris¬ing a buffer such as sodium phosphate with a physiological pH or a physiological salt solution or both, such as phos¬phate-buffered sodium chloride solution. Other liquid car-
riers may comprise more than just one buffer salt, e.g. so¬dium and potassium chlorides, dextrose, propylene glycol, polyethylene glycol, or others. Liquid compositions of the pharmaceutical agents may additionally comprise a liquid phase, with water being excluded, however. Examples of such additional liquid phases are glycerol, vegetable oils, or¬ganic esters or water-oil emulsions. The pharmaceutical composition or pharmaceutical agent typically includes a content of at least 0.1 wt.-% of compounds according to the invention, relative to the overall pharmaceutical composi¬tion. The respective dose or dosage range for administering the pharmaceutical agent according to the invention is suf¬ficiently high or wide in order to achieve the desired prophylactic or therapeutic effect of forming neutralizing antibodies. In this context, the dose should not be se¬lected in such a way that undesirable side effects would dominate. In general, the dose will vary with the patient's age, constitution, sex and, of course, depending on the se¬verity of the disease. The individual dose can be adjusted both with reference to the primary disease and with refer¬ence to the occurrence of additional complications. Using well-known means and methods, the exact dose can be deter¬mined by a person skilled in the art, e.g. by determining the tumor growth as a function of dosage or as a function of the application regime or pharmaceutical carrier and the like. Depending on the patient, the dose can be selected individually. For example, a dose of pharmaceutical agent just tolerated by a patient can be such that the range the¬reof in plasma or locally in particular organs is from 0.1 to 10,000 µM, preferably between 1 and 100 µM. Alternative¬ly, the dose can be calculated relative to the body weight of the patient. In this event, a typical dose of pharma¬ceutical agent would have to be adjusted e.g. in a range between 0.1 µg and 100 µg per kg body weight, preferably between 1 and 50 µg/kg. Furthermore, however, it is also
possible to determine the dose on the basis of particular organs rather than the whole patient. For example, this would be the case when placing the pharmaceutical agent ac¬cording to the invention, e.g. in a biopolymer incorporated in the respective patient, near specific organs by means of surgery. Several biopolymers capable of liberating peptides or recombinant proteins in a desirable manner are known to those skilled in the art. For example, such a gel may in¬clude 1 to 1000 µg of amino acid sequences of the inven¬tion, e.g. peptides or recombinant proteins, or of pharma¬ceutical agent per ml gel composition, preferably between 5 and 500 µg/ml, and more preferably between 10 and 100 mg/ml. In this event, the therapeutic agent is adminis¬tered as a solid, gel-like or liquid composition.
In another preferred embodiment of the invention, the car¬riers are selected from the group of fillers, diluents, binders, humectants, disintegrants, dissolution retarders, absorption enhancers, wetting agents, adsorbents and/or lu¬bricants.
The fillers and diluents are preferably starches, lactose, cane-sugar, glucose, mannitol and silica, the binder is preferably carboxymethylcellulose, alginate, gelatin, poly¬vinylpyrrolidone, the humectant is preferably glycerol, the disintegrant is preferably agar, calcium carbonate and so¬dium carbonate, the dissolution retarder is preferably pa¬raffin, and the absorption enhancer is preferably a quater¬nary ammonium compound, the wetting agent is preferably cetyl alcohol and glycerol monostearate, the adsorbent is preferably kaolin and bentonite, and the lubricant is pre¬ferably talc, calcium and magnesium stearate, a solid po¬lyethylene glycol or concerns mixtures of the materials mentioned above.
In another preferred embodiment of the invention the inven¬tive compounds are prepared as gel, poudrage, powder, tab¬let, sustained-release tablet, premix, emulsion, brew-up formulation, drops, concentrate, granulate, syrup, pellet, bolus, capsule, aerosol, spray and/or inhalant and/or inha¬lant and/or applied in this form. The tablets, coated tab¬lets, capsules, pills and granulates can be provided with conventional coatings and envelopes optionally including opacification agents, and can be composed such that release of the active substance(s) takes place only or preferably in a particular part of the intestinal tract, optionally in a delayed fashion, to which end polymer substances and wax¬es can be used as embedding materials.
For example, the drugs of the present invention can be used in oral administration in any orally tolerable dosage form, including capsules, tablets and aqueous suspensions and so¬lutions, without being restricted thereto, however. In case of tablets for oral application, carriers frequently used include lactose and corn starch. Lubricants such as magne¬sium stearate are typically added. For oral administration in the form of capsules, useful diluents include lactose and dried corn starch. In oral administration of aqueous suspensions the active substance is combined with emulsifi-ers and suspending agents. Also, particular sweeteners and/or flavors and/or coloring agents can be added, if de¬sired.
The active substance (s), i.e., the compounds of the inven¬tion, optionally can be present in a micro-encapsulated form, together with one or more of the above-mentioned car¬rier substances.
In addition to the active substance (s), suppositories may include conventional water-soluble or water-insoluble car-
rier substances, e.g. polyethylene glycols, fats, e.g. co¬coa fat and higher esters (for example, C14 alcohol with C16
fatty acid) or mixtures of such materials.
In addition to the active substance(s), ointments, pastes, creams and gels may include conventional carrier sub¬stances, e.g. animal and vegetable fats, waxes, paraffins, starch, tragacanth, cellulose derivatives, polyethylene glycols, silicones, bentonites, silica, talc and zinc oxide or mixtures of these materials.
In addition to the active substance(s), powders and sprays may include conventional carriers such as lactose, talc, silica, aluminum hydroxide, calcium silicate and polyamide powder or mixtures of these substances. In addition, sprays may include conventional propellants such as chlorofluoro-hydrocarbons.
In addition to the active substance(s), solutions and emul¬sions may include conventional carriers such as solvents, solubilizers, and emulsifiers, e.g. water, ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene glycol, 1,3-butylene glycol, dimethylformamide, oils, especially cotton seed oil, peanut oil, corn oil, olive oil, castor oil and sesame oil, glycerol, glycerol formal, tetrahydrofurfuryl alcohol, polyethylene glycols, and fatty esters of sorbitan, or mix¬tures of these substances. For parenteral application, the solutions and emulsions may also be present in a sterile and blood-isotonic form.
In addition to the active substance(s), suspensions may in¬clude conventional carriers such as liquid diluents, e.g. water, ethyl alcohol, propylene glycol, suspending agents, e.g. ethoxylated isostearyl alcohols, polyoxyethylene sor-
bitol and sorbitan esters, microcrystalline cellulose, alu¬minum metahydroxide, bentonite, agar, tragacanth, or mix¬tures of these substances.
The drugs can be present in the form of a lyophilized ste¬rile injectable formulation, e.g. as a sterile injectable aqueous or oily suspension. Such a suspension can also be formulated by means of methods known in the art, using suitable dispersing or wetting agents (such as Tween 80) and suspending agents. The sterile injectable formulation can also be a sterile injectable solution or suspension in a non-toxic, parenterally tolerable diluent or solvent, e.g. a solution in 1,3-butanediol. Tolerable vehicles and solvents that can be used include mannitol, water, Ringer's solution, and isotonic sodium chloride solution. Further¬more, sterile, non-volatile oils are conventionally used as solvents or suspending medium. Any mild non-volatile oil, including synthetic mono- or diglycerides, can be used for this purpose. Fatty acids such as oleic acid and glyceride derivatives thereof can be used in the production of injec¬tion agents, e.g. natural pharmaceutically tolerable oils such as olive oil or castor oil, especially in their po-lyoxyethylated forms. Such oil solutions or suspensions may also include a long-chain alcohol or a similar alcohol as diluent or dispersant.
The above-mentioned formulation forms may also include co¬lorants, preservatives, as well as odor- and taste-improving additives, e.g. peppermint oil and eucalyptus oil, and sweeteners, e.g. saccharine. Preferably, the com¬pounds according to the invention should be present in the above-mentioned pharmaceutical formulations at a concentra¬tion of about 0.1 to 99.5, more preferably about 0.5 to 95 wt.-% of the overall mixture.
In addition to the compounds of the invention, the above-mentioned pharmaceutical preparations may include further pharmaceutical active substances. The production of the pharmaceutical preparations specified above proceeds in a usual manner according to well-known methods, e.g. by mix¬ing the active substance(s) with the carrier substance(s).
The above-mentioned preparations can be applied orally, na¬sally, rectally, regionally, e.g. liver, spleen, kidneys, lungs or the like, parenterally (intravenous, intramuscu¬lar, subcutaneous routes), intracisternally, intravaginal-ly, intraperitoneally, locally (powder, ointment, drops) in humans and animals and used in the therapy of inflammations in hollow areas and body cavities. For oral therapy, injec¬tion solutions, solutions and suspensions, gels, brew-up formulations, emulsions, ointments or drops are possible as suitable preparations. For local therapy, ophthalmic and dermatological formulations, silver and other salts, ear drops, eye ointments, powders or solutions can be used. With animals, ingestion can be effected via feed or drink¬ing water in suitable formulations. Furthermore, gels, pou-drage, powders, tablets, sustained-release tablets, premix-es, concentrates, granulates, pellets, boli, capsules, aerosols, sprays and inhalants can be used in humans and animals. Furthermore, the compounds of the invention can be incorporated in other carrier materials such as plastics (plastic chains for local therapy), collagen or bone ce¬ment.
In another preferred embodiment of the invention the com¬pounds according to the invention are incorporated in a formulation at a concentration of 0.1 to 99.5, preferably 0.5 to 95, and more preferably 20 to 8.0 wt.-%. That is, the compounds of the invention are present in the above-specified pharmaceutical formulations, e.g. tablets, pills,
granulates and others, at a concentration of preferably 0.1 to 99.5 wt.-% of the overall mixture. The amount of active substance, i.e., the amount of a compound according to the invention that is combined with the carrier materials to produce a single dosage form, can be varied by a person skilled in the art depending on the host to be treated, the tumor to be treated, and on the particular type of adminis¬tration. Once the condition of a host or patient has im¬proved, the proportion of active compound in the prepara¬tion can be modified so as to obtain a maintenance dose. Depending on the symptoms, the dose or frequency of admin¬istration or both can subsequently be reduced to a level where the improved condition is retained. Once the symptoms have been alleviated to the desired level, the treatment should be stopped. However, patients may require an inter¬mittent treatment on a long-term basis if any symptoms of the disease should recur. Accordingly, the proportion of the compounds, i.e. their concentration, in the overall mixture of the pharmaceutical preparation, as well as the composition or combination thereof, is variable and can be modified and adapted by a person of specialized knowledge in the art.
Those skilled in the art will be aware of the fact that the compounds of the invention can be contacted with an organ¬ism, preferably a human or an animal, on various routes. Furthermore, a person skilled in the art will also be fa¬miliar with the fact that the pharmaceutical agents in par¬ticular can be applied at varying dosages. Application should be effected in such a way that a tumor is combatted as effectively as possible, or the onset of such a disease is prevented by a prophylactic administration. Concentra¬tion and type of application can be determined by a person skilled in the art using routine tests. Preferred applica¬tions of the compounds of the invention are oral applica-
tion in the form of powder, tablets, fluid mixtures, drops, capsules or the like, rectal application in the form of suppositories, solutions and the like, parenteral applica¬tion in the form of injections, infusions and solutions, inhalation of vapors and aerosols, powders and pads, and local application in the form of ointments, pads, dress¬ings, lavages and the like. Contacting with the compounds according to the invention is preferably effected in a prophylactic or therapeutic fashion. In prophylactic admin¬istration, development of the specified tumors is to be prevented at least in such a way that further propagation thereof is massively reduced, or that tumors are almost completely eliminated. In therapeutic contacting, a manif¬est tumor disease of a patient is already existing, and the and tumors already existing in the body should be either destroyed or inhibited in their propagation. Other forms of application preferred for this purpose are e.g. subcutane¬ous, sublingual, intravenous, intramuscular, intraperito¬neal and/or topical ones.
In addition to the above-specified concentrations during use of the compounds of the invention, the compounds in a preferred embodiment can be employed in a total amount of 0.05 to 500 mg/kg body weight per 24 hours, preferably 5 to 100 mg/kg body weight. Advantageously, this is a therapeu¬tic quantity which is used to prevent or improve the symp¬toms of a disorder or of a responsive, pathologically phy¬siological condition. The amount administered is sufficient to inhibit tumor growth.
Obviously, the dose will depend on the age, health and weight of the recipient, degree of the disease, type of re¬quired simultaneous treatment, frequency of the treatment and type of the desired effects, and side-effects. The dai¬ly dose of 0.05 to 500 mg/kg body weight can be applied as
a single dose or multiple doses in order to furnish the de¬sired results. The dosage levels per day are applicable both in prophylaxis and treatment of a tumor disease, in¬cluding infection, e.g. infections inducing or co-inducing a tumor, such as hepatitis, especially hepatitis B infec¬tion. In particular, pharmaceutical agents are typically used in about 1 to 7 administrations per day, or alterna¬tively or additionally as a continuous infusion. Such ad¬ministrations can be applied as a chronic or acute therapy. Of course, the amounts of active substance that are com¬bined with the carrier materials to produce a single dosage form may vary depending on the host to be treated and on the particular type of administration. In a preferred fa¬shion, the daily dose is distributed over 2 to 5 applica¬tions, with 1 to 2 tablets including an active substance content of 0.05 to 500 mg/kg body weight being administered in each application. Of course, it is also possible to se¬lect a higher content of active substance, e.g. up to a concentration of 5000 mg/kg. The tablets can also be sus¬tained-release tablets, in which case the number of appli¬cations per day is reduced to 1 to 3. The active substance content of sustained-release tablets can be from 3 to 3000 mg. If the active substance - as set forth above - is admi¬nistered by injection, the host is preferably contacted 1 to 8 times per day with the compounds of the invention or by using continuous infusion, in which case quantities of from 1 to 4000 mg per day are preferred. The preferred to¬tal amounts per day were found advantageous both in human and veterinary medicine. It may become necessary to deviate from the above-mentioned dosages, and this depends on the nature and body weight of the host to be treated, the type and severity of the disease, the type of formulation and application of the drug, and on the time period or interval during which the administration takes place. Thus, it may be preferred in some cases to contact the organism with
less than the amounts mentioned above, while in other cases the amount of active substance specified above has to be surpassed. A person of specialized knowledge in the art can easily determine the optimum dosages required in each case and the type of application of the active substances.
In another particularly preferred embodiment of the inven¬tion the compounds of the invention are used in a single administration of from 1 to 80, especially from 3 to 30 mg/kg body weight. In the same way as the total amount per day, the amount of a single dose per application can be va¬ried by a person of specialized knowledge in the art. Simi¬larly, the compounds used according to the invention can be employed in veterinary medicine with the above-mentioned single concentrations and formulations together with the feed or feed formulations or drinking water. A single dose preferably includes that amount of active substance which is administered in one application and which normally cor¬responds to one whole, one half daily dose or one third or one quarter of a daily dose. Accordingly, the dosage units may preferably include 1, 2, 3 or 4 or more single doses or 0.5, 0.3 or 0.25 single doses. In a preferred fashion, the daily dose of the compounds according to the invention is distributed over 2 to 10 applications, preferably 2 to 7, and more preferably 3 to 5 applications. Of course, conti¬nuous infusion of the agents according to the invention is also possible.
In a particularly preferred embodiment of the invention, 1 to 10 tablets or capsules, preferably 4 to 8 capsules or tablets, and more preferably 6 capsules or tablets are ad¬ministered in each oral application of the compounds of the invention. The tablets according to the invention can be provided with coatings and envelopes well-known to those skilled in the art or can be composed in a way so as to re-
lease the active substance(s) only in preferred, particular regions of the host.
In another preferred embodiment of the invention the com¬pounds according to the invention can be employed together with at least one other well-known pharmaceutical agent. That is to say, the compounds of the invention can be used in a prophylactic or therapeutic combination in connection with well-known drugs. Such combinations can be adminis¬tered together, e.g. in an integrated pharmaceutical formu¬lation, or separately, e.g. in the form of a combination of tablets, injection or other medications administered simul¬taneously or at different times, with the aim of achieving the desired prophylactic or therapeutic effect. These well-known agents can be agents which enhance the effect of the compounds according to the invention.
Of course, it is also possible to use the compounds of the invention, particularly the pharmaceutical agents, alone or together with other agents in a therapy, e.g. in a combina¬tion therapy, as a regional therapy; this can be preferred in the event of a liver tumor, for example.
It is well-known to those skilled in the art that increas¬ing the concentration of agents oxidizing glutathione or increasing the inactivation of glutathione can be advanta¬geous in particular tumor diseases. For example, DL-buthionine-(SR)-sulfoximine can be used for glutathione depletion.
Typically, there is an optimum ratio of compound(s) of the invention with respect to each other and/or with respect to other therapeutic or effect-enhancing agents (such as transport inhibitors, metabolic inhibitors, inhibitors of renal excretion or glucuronidation, such as probenecid,
acetaminophen, aspirin, lorazepan, cimetidine, ranitidine, colifibrate, indomethacin, ketoprofen, naproxen etc.) where the active substances are present at an optimum ratio. Op¬timum ratio is defined as the ratio of compound (s) of the invention to other therapeutic agent(s) where the overall therapeutic effect is greater than the sum of the effects of the individual therapeutic agents. In general, the opti¬mum ratio is found when the agents are present at a ratio of from 10:1 to 1:10, from 20:1 to 1:20, from 100:1 to 1:100 and from 500:1 to 1:500. In some cases, an exceeding¬ly small amount of a therapeutic agent will be sufficient to increase the effect of one or more other agents. In ad¬dition, the use of the compounds of the invention in combi¬nations is particularly beneficial in order to reduce the risk of developing resistance and/or increase the therapeu¬tic effectiveness. Of course, the compounds of the inven¬tion can be used in combination with other well-known anti¬tumor agents. Such agents are well-known to those skilled in the art. Accordingly, the compounds of the invention can be administered together with all conventional agents, es¬pecially other drugs, available for use particularly in connection with tumor drugs, either as a single drug or in a combination of drugs. They can be administered alone or in combination with same.
In a preferred fashion the compounds of the invention are administered together with said other well-known pharma¬ceutical agents at a ratio of about 0.005 to 1. Preferably, the compounds of the invention are administered particular¬ly together with virus-inhibiting agents at a ratio of from 0.05 to about 0.5 parts and up to about 1 part of said known agents. The pharmaceutical composition can be present in substance or as an aqueous solution together with other materials such as preservatives, buffer substances, agents to adjust the osmolarity of the solution, and so forth.
In a preferred fashion the pharmaceutical agent is employed as a vaccine after tumor formation, or as a preventive vac¬cination. Advantageously, vaccination is effected in such a way that, following application, a protection against spreading or formation of tumors is developed in the organ¬ism. Of course, it is also possible to effect vaccination immediately prior to or shortly after manifestation of a tumor, or as a therapy with a plurality of applications. Those skilled in the art are familiar with the fact that tumor treatment can be advantageous at virtually any point in time following formation of metastases, so that vaccina¬tion in the meaning of the invention could also be applica¬tion of the inventive pharmaceutical agent weeks, months, years or decades after formation of a tumor.
The invention also relates to a kit and to the use thereof in medicine. In a preferred fashion, the compounds of the invention or the kit comprising same are used in a combina¬tion therapy, especially in the treatment of tumors. In a particularly preferred fashion, said combination therapy comprises a chemotherapy, a treatment with cytostatic agents and/or a radiotherapy. In a particularly preferred embodiment of the invention the combination therapy is an adjuvant, biologically specific form of therapy, and in a particularly preferred fashion, said form of therapy is an immune therapy. Furthermore, in a particularly preferred fashion the combination therapy comprises a gene therapy and/or a therapy using a compound according to the inven¬tion. Various combination therapies, especially for the treatment of tumors, are well-known to those skilled in the art. For example, a treatment with cytostatic agents or e.g. irradiation of a particular tumor area can be envi¬saged within the scope of a combination therapy, and this treatment is combined with a gene therapy, using the com-
pounds of the invention as anticancer agents. Accordingly, the use of the compounds according to the invention for in¬creasing the sensitivity of tumor cells to cytostatic agents and/or radiation can be particularly preferred. Fur¬thermore, a preferred use of the compounds according to the invention is in inhibiting the vitality, the proliferation rate of cells and/or inducing apoptosis and cell cycle ar¬rest.
In a preferred embodiment the cancerous disease or tumor being treated or prevented is selected from the group of cancerous diseases or tumor diseases of the ear-nose-throat region, of the lungs, mediastinum, gastrointestinal tract, urogenital system, gynecological system, breast, endocrine system, skin, bone and soft-tissue sarcomas, mesotheliomas, melanomas, neoplasms of the central nervous system, cancer¬ous diseases or tumor diseases during infancy, lymphomas, leukemias, paraneoplastic syndromes, metastases with un¬known primary tumor (CUP syndrome), peritoneal carcinoma¬toses, immunosuppression-related malignancies and/or tumor metastases.
More specifically, the tumors may comprise the following types of cancer: adenocarcinoma of breast, prostate and co¬lon; all forms of lung cancer starting in the bronchial tube; bone marrow cancer, melanoma, hepatoma, neuroblasto¬ma; papilloma; apudoma, choristoma, branchioma; malignant carcinoid syndrome; carcinoid heart disease, carcinoma (for example, Walker carcinoma, basal cell carcinoma, squamobas-al carcinoma, Brown-Pearce carcinoma, ductal carcinoma, Eh-rlich tumor, in situ carcinoma, cancer-2 carcinoma, Merkel cell carcinoma, mucous cancer, non-parvicellular bronchial carcinoma, oat-cell carcinoma, papillary carcinoma, scirr-hus carcinoma, bronchio-alveolar carcinoma, bronchial car¬cinoma, squamous cell carcinoma and transitional cell car-
cinoma); histiocytic functional disorder; leukemia (e.g. in connection with B cell leukemia, mixed-cell leukemia, null cell leukemia, T cell leukemia, chronic T cell leukemia, HTLV-II-associated leukemia, acute lymphocytic leukemia, chronic lymphocytic leukemia, mast cell leukemia, and mye¬loid leukemia); malignant histiocytosis, Hodgkin disease, non-Hodgkin lymphoma, solitary plasma cell tumor; reticu-loendotheliosis, chondroblastoma; chondroma, chondrosarco¬ma; fibroma; fibrosarcoma; giant cell tumors; histiocytoma; lipoma; liposarcoma; leukosarcoma; mesothelioma; myxoma; myxosarcoma; osteoma; osteosarcoma; Ewing sarcoma; synovi¬oma; adenofibroma; adenolymphoma; carcinosarcoma, chordoma, craniopharyngioma, dysgerminoma, hamartoma; mesenchymoma; mesonephroma, myosarcoma, ameloblastoma, cementoma; odonto¬ma; teratoma; thymoma, chorioblastoma; adenocarcinoma, ade¬noma; cholangioma; cholesteatoma; cylindroma; cystadenocar-cinoma, cystadenoma; granulosa cell tumor; gynadroblastoma; hidradenoma; islet-cell tumor; Leydig cell tumor; papillo¬ma; Sertoli cell tumor, theca cell tumor, leiomyoma; lei¬omyosarcoma; myoblastoma; myoma; myosarcoma; rhabdomyoma; rhabdomyosarcoma; ependymoma; ganglioneuroma, glioma; me-dulloblastoma, meningioma; neurilemmoma; neuroblastoma; neuroepithelioma, neurofibroma, neuroma, paraganglioma, non-chromaffin paraganglioma, angiokeratoma, angiolymphoid hyperplasia with eosinophilia; sclerotizing angioma; angi¬omatosis; glomangioma; hemangioendothelioma; hemangioma; hemangiopericytoma, hemangiosarcoma; lymphangioma, lymphan-giomyoma, lymphangiosarcoma; pinealoma; cystosarcoma phyl-loides; hemangiosarcoma; lymphangiosarcoma; myxosarcoma, ovarian carcinoma; sarcoma (for example, Ewing sarcoma, ex¬perimentally, Kaposi sarcoma and mast cell sarcoma); neop¬lasms (for example, bone neoplasms, breast neoplasms, neop¬lasms of the digestive system, colorectal neoplasms, liver neoplasms, pancreas neoplasms, hypophysis neoplasms, tes¬ticle neoplasms, orbital neoplasms, neoplasms of the head
and neck, of the central nervous system, neoplasms of the hearing organ, pelvis, respiratory tract and urogenital tract); neurofibromatosis and cervical squamous cell dys¬plasia.
In another preferred embodiment the cancerous disease or tumor being treated or prevented is selected from the group of tumors of the ear-nose-throat region, comprising tumors of the inner nose, nasal sinus, nasopharynx, lips, oral cavity, oropharynx, larynx, hypopharynx, ear, salivary glands, and paragangliomas, tumors of the lungs comprising non-parvicellular bronchial carcinomas, parvicellular bron¬chial carcinomas, tumors of the mediastinum, tumors of the gastrointestinal tract, comprising tumors of the esophagus, stomach, pancreas, liver, gallbladder and biliary tract, small intestine, colon and rectal carcinomas and anal car¬cinomas, urogenital tumors comprising tumors of the kid¬neys, ureter, bladder, prostate gland, urethra, penis and testicles, gynecological tumors comprising tumors of the cervix, vagina, vulva, uterine cancer, malignant trophob-last disease, ovarian carcinoma, tumors of the uterine tube (Tuba Faloppii), tumors of the abdominal cavity, mammary carcinomas, tumors of the endocrine organs, comprising tu¬mors of the thyroid, parathyroid, adrenal cortex, endocrine pancreas tumors, carcinoid tumors and carcinoid syndrome, multiple endocrine neoplasias, bone and soft-tissue sarco¬mas, mesotheliomas, skin tumors, melanomas comprising cuta¬neous and intraocular melanomas, tumors of the central nervous system, tumors during infancy, comprising retinob¬lastoma, Wilms tumor, neurofibromatosis, neuroblastoma, Ew-ing sarcoma tumor family, rhabdomyosarcoma, lymphomas com¬prising non-Hodgkin lymphomas, cutaneous T cell lymphomas, primary lymphomas of the central nervous system, morbus Hodgkin, leukemias comprising acute leukemias, chronic mye¬loid and lymphatic leukemias, plasma cell neoplasms, myelo-
dysplasia syndromes, paraneoplastic syndromes, metastases with unknown primary tumor (CUP syndrome), peritoneal car¬cinomatosis, immunosuppression-related malignancy compris¬ing AIDS-related malignancy such as Kaposi sarcoma, AIDS-associated lymphomas, AIDS-associated lymphomas of the cen¬tral nervous system, AIDS-associated morbus Hodgkin and AIDS-associated anogenital tumors, transplantation-related malignancy, metastasized tumors comprising brain metastas¬es, lung metastases, liver metastases, bone metastases, pleural and pericardial metastases, and malignant ascites.
In another preferred embodiment the cancerous disease or tumor being treated or prevented is selected from the group comprising mammary carcinomas, gastrointestinal tumors, in¬cluding colon carcinomas, stomach carcinomas, pancreas car¬cinomas, colon cancer, small intestine cancer, ovarian car¬cinomas, cervical carcinomas, lung cancer, prostate cancer, kidney cell carcinomas and/or liver metastases.
Without intending to be limiting, the invention will be ex¬plained in more detail with reference to the following ex¬amples.
1. Synthesis of cis-diammoniumdichlorodihydroxo-platinum(IV)
150 g of cisplatin is suspended in about 300 ml of water in a 2 liter three-necked flask (provided with precision glass stirrer) and added with 350 ml H2O2 (35%) in portions with stirring over a period of 2 days. Stirring is continued for another 4 days at about 20°C. Thereafter, the raw product is sucked off, washed with a small amount of ice water, dis¬solved in a precisely sufficient amount of 0.5 N sulfuric acid, and subsequently precipitated with 35% NaOH (pH ~ 7-8). After storage in a refrigerator overnight, the yel¬low crystalline mass is sucked off, washed with a small
amount of cold water, ethanol and eventually with ether and
dried in vacuum.
Yield (3 batches): 336.7 g (67.2% of theoretical)
2. Synthesis of cis-diannnoniumdichlorodihydroxo-
platinum(IV) disodium salt
20 g (0.06 mol) of cis-diammoniumdichlorodihydroxoplati-num(IV) is dissolved in about 450 ml of aqueous sodium hy¬droxide solution (containing 4.8 g (0.12 mol) of NaOH) with heating and, following cooling to room temperature, stored in a refrigerator overnight. The precipitated reaction product is sucked off, washed with a small amount of cold water, ethanol and eventually with ether and dried in va¬cuum. Yield: 13.6 g (59.9% of theoretical)
3. Use of cis-di dimmnoniumdichlorodihydroxoplatinum(IV) and
salts thereof
Growth inhibition tests on various human cell lines show the different activities of cisplatin, cis-oxoplatin and oxaliplatin. The results illustrated below show that cis-oxoplatin has an activity similar to that of oxaliplatin, but higher activity than carboplatin. The following Table illustrates the results produced with cisplatin, oxoplatin, carboplatin and oxaliplatin (the values specified are IC50 values in µg/ml, i.e., the concentration where 50% of the cells survive, nd = not determined; res = resistant = non-sensitive or IC50 value cannot be determined at a concentra¬tion of up to 40 µg/ml; IC = inhibition concentration) .
Table 1
Table 2
(Table Removed)
The results determined show that chemically highly similar platinum compounds such as cisplatin and cis-oxoplatin have different effects on various human cancer cells, and that the salts of the platinum compounds show a behavior on tu¬mors which is different from that of the base compounds from which the salts have been generated. In general, and extending beyond concrete tests, it appears that the DNA binding ability of cis-oxoplatin salts, especially of cis-oxoplatin sodium salt, is unexpected when compared to cis-oxoplatin. For example, this may have its cause in the dif¬ferent structures of the DNA adducts formed with the base, on the one hand, and with the salt, on the other hand. Fur¬thermore, it can be assumed that the cis-oxoplatin salts undergo a different process of biotransformation compared to the corresponding bases. These unexpected variations are of great importance when using bases and salts in tumor therapy. For example, further important issues of such dif-
ferent behavior of bases and salts are: absorption, diffu¬sion and distribution in the tissue and in particular or¬gans. The intracellular uptake and the toxicity of cis-oxoplatin sodium salts are different from those of the cor¬responding base; the absorption and dissolution, as well as the pharmacogenetics of cis-oxoplatin salts are not compa¬rable to those of the base. The type of interaction with DNA, and the efficiency and effectiveness, as well as the therapeutic potency of cis-oxoplatin salts are different from those of cis-oxoplatin. Inter alia, this can be demon¬strated on the chemical structure of cis-oxoplatin calcium salt as one example of salts of bivalent cations:
(Formula Removed)
As can be seen in this structure, salts such as calcium salts have a structure that is completely different from that of the corresponding base. Such variations in the ste¬reochemical properties result in a different behavior with respect to the interaction with DNA in cells, especially in cancer cells. As a result of the different structure of salts, a lower dose can be sufficient to achieve a thera¬peutic effect. Furthermore, biotransformation may result in conversion of platinum(IV) complexes into platinum(II) com¬plexes in the body, and platinum(IV) and platinum(II) com-
plexes have different effects on different tumors (see Ta¬ble 1) .
2. Cytotoxic activity of trans-oxoplatin (TRAXO)
trans-Oxoplatin was tested on a panel of cell lines, using double steps and an initial concentration of 40 g/ml. As the IC50 values were not reached in most cases, cell surviv¬al at the highest concentration is indicated.
Table 5
(Table Removed)
As shown by' the tests on 19 cell lines, TRAXO has consider¬able activity against a colon carcinoma cell line (SW 620), against 2 osteosarcoma cell lines (G-292, HOS), against a renal carcinoma cell line (ACHN) , a leukemia cell line (HL-60), and against an embryonic pulmonary fibroblast cell line (WI-38). Cell lines sensitive to cis-oxoplatin, such as T-47D and BxPC3, are non-sensitive to TRAXO. The salts of the trans-oxoplatin compounds may have a different the¬rapeutic potential and different effectiveness against par¬ticular human cancer cells, cell lines and tumors.
7. Antitumor effectiveness of alkyl derivatives
Ethyl, propyl, phenyl and naphthyl derivatives of the platinum(IV) hydroxo compounds were tested in tumor rats, in which tests the above-mentioned derivatives were introduced into the target organism by infusion, on the one hand, and - on the other hand - as an oral administration in the form of a feed admixture. Surprisingly, oral administration was particularly effective because the derivatives obtained have a low molecular weight, are essentially neutral, inert with respect to their kinetics, stable to acid, and lipophilic to some extent. The tested components show exceptional cytotoxicity and good oral antitumor activity in the rat models. The tumor effectiveness was established by determining the tumor weight in grams. In non-treated tumor rats, the tumors had a weight of 37 g on an average. When administering the infusion agent (dose: 5 mg/kg body weight), mean values of the tumors of 31 g were determined. In oral administration, a mean tumor weight of 24 g was measured. The tests surprisingly showed that tumor rats (Walker carcinoma) could be treated particularly effectively i^j oxai adttiiui G C'l UL ion Ui. L'he" alkyi 01 uxyi derivatives. Due to the fluctuations between individual aryl and alkyl derivatives measured during the tumor suppression tests, no statements as to significant variations can be made as yet.

We Claim: -
1. A method for the preparation of trans- or cis-di-ammoniumdichlorodihydroxoplatinum(IV) and derivatives the¬reof, characterized in that
trans- or cis-diammoniumdichloroplatinum(II) is reacted with a solution comprising >30% peroxide at temperatures below 30°C and the product thus obtained is dissolved in a mineral acid and subsequently precipitated with an al¬kaline solution.
2. The method of claim 1, wherein the mineral acid is se¬
lected from the group consisting of sulfuric acid, phos¬
phoric acid, nitric acid, carbonic acid and combinations
comprising at least one of the foregoing.
3. The method of claim 1,wherein the alkaline solution is so¬dium hydroxide solution.
4. A novel compound as claimed in claim 1 and of general for¬mula
(Formula Removed)
wherein X1, X2 are calcium, magnesium, sodium, potassium, lithium ions, alkyl and/or aryl residues.
5. A pharmaceutical composition, comprising a compound as claimed in claim 4, optionally together with a pharmaceut-ically tolerable carrier, adjuvant and/or vehicle.

"METHOD FOR THE PREPARATION OF TRANS-OR CIS -DIAMMONIUMDICHLORODIHYDROXOPLATINUM (IV)"

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