申请人:American Home Products Corporation
公开号:US06423699B1
公开(公告)日:2002-07-23
This invention relates to cyclic combination therapies and regimens utilizing substituted indoline derivative compounds which are antagonists of the progesterone receptor having the general structure:
wherein:
A is O, S, or NR4;
B is a bond between A and C═Q, or the moiety CR5R6; R4, R5, R6 are independently selected from H or optionally substituted C1 to C6 alkyl, C2 to C6 alkenyl, C2 to C6 alkynyl, C3 to C8 cycloalkyl, substituted C3 to C8 cycloalkyl, aryl, or heterocyclic groups, or cyclic alkyl constructed by fusing R4 and R5 to from a 5 to 7 membered ring; R1 is selected from H, OH, NH2, C1 to C6 alkyl, substituted C1 to C6 alkyl, C3 to C6 alkenyl, substituted C1 to C6 alkenyl, alkynyl, substituted alkynyl, —COH, or optionally substituted —CO(C1 to C3 alkyl), —CO(aryl), —CO(C1 to C3 alkoxy), or —CO(C1 to C3 aminoalkyl) groups; R2 is selected from H, halogen, CN, NO2, or optionally substituted C1 to C6 alkyl C1 to C6 alkoxy, or C1 to C6 aminoalkyl groups; R3 is selected from a trisubstituted benzene ring; or a 5- or 6-membered heteroaromnatic ring containing 1 or 2 substituents; or a pharmaceutically acceptable salt thereof, in combination with a progestational agent, an estrogen, or both or for the treatment and/or prevention of secondary amenorrhea, dysfunctional bleeding, uterine leiomyomata, endometriosis; polycystic ovary syndrome, carcinomas and adenocarcinomas of the endometrium, ovary, breast, colon, prostate. These combinations may also be used to in methods of contraception, to stimulate food intake or for minimization of side effects or cyclic menstrual bleeding.
这项发明涉及利用替代吲哚啉衍生物化合物的循环组合疗法和方案,这些化合物是孕激素受体拮抗剂,具有以下一般结构:
其中:
A为O、S或NR4;
B为A和C═Q之间的键,或基团CR5R6;R4、R5、R6分别独立地选自H或可选择取代的C1至C6烷基、C2至C6烯基、C2至C6炔基、C3至C8环烷基、取代的C3至C8环烷基、芳基或杂环基,或由R4和R5融合形成5至7成员环的环烷基;R1选自H、OH、NH2、C1至C6烷基、取代的C1至C6烷基、C3至C6烯基、取代的C1至C6烯基、炔基、取代的炔基、—COH,或可选择取代的—CO(C1至C3烷基)、—CO(芳基)、—CO(C1至C3烷氧基)或—CO(C1至C3氨基烷基)基团;R2选自H、卤素、CN、NO2,或可选择取代的C1至C6烷基、C1至C6烷氧基或C1至C6氨基烷基基团;R3选自三取代苯环;或含有1或2个取代基的5-或6成员杂芳环;或其药学上可接受的盐,与孕激素类药物、雌激素或两者结合,用于治疗和/或预防继发性闭经、功能性出血、子宫平滑肌瘤、子宫内膜异位症、多囊卵巢综合征、子宫内膜、卵巢、乳腺、结肠、前列腺的癌瘤和腺癌。这些组合物也可用于避孕方法、刺激食欲或减少副作用或周期性月经出血。