申请人:Aventis Pharmaceuticals, Inc.
公开号:US06413951B2
公开(公告)日:2002-07-02
The invention relates to 20&xgr;-fluoropregna-4,17(20)-dien-3-on-21-oic acid ethyl ester, 20&xgr;-fluoro-3&bgr;-hydroxypregna-5,17(20)-dien-21-oic acid ethyl ester, 20&xgr;-fluoro-21-hydroxypregna-4,17 (20)-dien-3-one, 20&xgr;-fluoropregna-5,17(20)-dien-3&bgr;,21-diol and related compounds and to compositions incorporating these compounds, as well as the inhibition of C17,20 lyase, 5&agr;-reductase and C17-hydroxylase, and to the use of these compounds in the treatment of androgen and estrogen mediated or dependent disorders, including benign prostatic hyperplasia, prostate cancer, breast cancer and DHT-mediated disorders such as acne and hirsutism. Treatment of disorders related to the over synthesis of cortisol, for example, Cushing's Syndrome are also included. The treatment of androgen-dependent disorders also includes a combination therapy with known androgen-receptor antagonists, such as flutamide. The compounds of the invention have the following general formulae:
本发明涉及20&xgr;-氟孕酮-4,17(20)-二烯-3-酮-21-油酸乙酯、20&xgr;-氟-3&bgr;-羟基孕酮-5,17(20)-二烯-21-油酸乙酯、20&xgr;-氟-21-羟基孕酮-4,17(20)-二烯-3-酮、20&xgr;-氟孕酮-5,17(20)-二烯-3&bgr;,21-二醇及其相关化合物,以及包含这些化合物的组合物,还涉及抑制C17,20裂解酶、5&agr;-还原酶和C17-羟化酶,以及将这些化合物用于治疗雄激素和雌激素介导或依赖性疾病,包括良性前列腺增生、前列腺癌、乳腺癌和DHT介导的疾病,如痤疮和多毛症。本发明还包括治疗与皮质醇过度合成相关的疾病,例如库欣综合征。雄激素依赖性疾病的治疗还包括与已知雄激素受体拮抗剂(如氟他胺)的联合治疗。本发明的化合物具有以下一般式: