申请人:Corcept Therapeutics, Inc.
公开号:US10117852B2
公开(公告)日:2018-11-06
Methods and compositions for treating a subject hosting a non-ACTH-secreting pancreatic tumor are disclosed. The methods include administering to the subject a chemotherapeutic agent and a glucocorticoid receptor modulator (GRM), preferably a selective glucocorticoid receptor modulator (SGRM), to reduce the tumor load in the subject. The GRM may be a nonsteroidal GRM, and may be a nonsteroidal SGRM. The non-ACTH-secreting pancreatic tumor may be an exocrine pancreatic tumor.
The nonsteroidal SGRM may be a nonsteroidal compound comprising: a fused azadecalin structure; a heteroaryl ketone fused azadecalin structure; or an octahydro fused azadecalin structure. Pharmaceutical compositions comprising a chemotherapeutic agent and a GRM are disclosed. The GRM in such pharmaceutical compositions may be a nonsteroidal GRM, and may be a SGRM, such as a nonsteroidal SGRM. The nonsteroidal SGRM may comprise: a fused azadecalin structure; a heteroaryl ketone fused azadecalin structure; or an octahydro fused azadecalin structure.
本发明公开了用于治疗患有非 ACTH 分泌性胰腺肿瘤的受试者的方法和组合物。这些方法包括向受试者施用化疗剂和糖皮质激素受体调节剂(GRM),最好是选择性糖皮质激素受体调节剂(SGRM),以减少受试者体内的肿瘤负荷。GRM可以是非类固醇GRM,也可以是非类固醇SGRM。非 ACTH 分泌性胰腺肿瘤可以是外分泌性胰腺肿瘤。
非甾体 SGRM 可以是一种非甾体化合物,包括:融合氮杂环丁烷结构;杂芳酮融合氮杂环丁烷结构;或八氢融合氮杂环丁烷结构。公开了包含化疗药物和 GRM 的药物组合物。此类药物组合物中的 GRM 可以是非类固醇 GRM,也可以是 SGRM,例如非类固醇 SGRM。非甾体 SGRM 可包括:融合氮杂萘结构;杂芳酮融合氮杂萘结构;或八氢融合氮杂萘结构。