申请人:ELI LILLY AND COMPANY
公开号:EP0702961A2
公开(公告)日:1996-03-27
The present invention provides a method of minimizing the uterotrophic effect of non-steroidal antiestrogen compounds of formula II
wherein
either R⁴ is H or a lower alkyl radical and R⁵ is a lower alkyl radical, or R⁴ and R⁵ are joined together with the adjacent nitrogen atom to form a heterocyclic radical;
R⁶ is H or a lower alkyl radical;
R⁷ is H, halo, OH, a lower alkyl radical, or is a buta-1,3-dienyl radical which together with the adjacent benzene ring forms a naphthyl radical;
R⁸ is H or OH; and
n is 2;
or a pharmaceutically acceptable salt thereof, wherein said formula II compound is administered to a woman for the treatment or prevention of breast carcinoma, comprising concurrently or sequentially administering to said woman a compound of formula I
wherein
R¹ is -H, -OH, -O(C₁-C₄ alkyl), -OCOC₆H₅, -OCO(C₁-C₆ alkyl), or -OSO₂(C₄-C₆ alkyl);
R is -H, -OH, -O(C₁-C₄ alkyl), -OCOC₆H₅, -OCO(C₁-C₆ alkyl), or -OSO₂(C₄-C₆ alkyl);
n is 2 or 3; and
R³ is 1-piperidinyl, 1-pyrrolidinyl, methyl-1-pyrrolidinyl, dimethyl-1-pyrrolidinyl, 4-morpholino, dimethylamino, diethylamino, or 1-hexamethyleneimino;
or a pharmaceutically acceptable salt thereof.
The present invention further provides pharmaceutical compositions comprising a compound of formula I and a compound of formula II together with a pharmaceutically acceptable carrier, excipient, or diluent.
本发明提供了一种将式 II 的非类固醇抗雌激素化合物的子宫营养作用降至最低的方法
其中
R⁴ 是 H 或低级烷基,R⁵ 是低级烷基,或者 R⁴ 和 R⁵ 与相邻的氮原子连接在一起形成杂环基;
R⁶ 是 H 或低级烷基;
R⁷ 是 H、卤素、OH、低级烷基,或者是丁-1,3-二烯基,与邻近的苯环一起形成萘基;
R⁸ 是 H 或 OH;以及
n 是 2;
或其药学上可接受的盐,其中所述式 II 化合物用于妇女治疗或预防乳腺癌,包括同时或依次向所述妇女施用式 I 化合物
其中
R¹是-H、-OH、-O(C₁-C₄烷基)、-OCOC₆H₅、-OCO(C₁-C₆烷基)或-OSO₂(C₄-C₆烷基);
R 是-H、-OH、-O(C₁-C₄ 烷基)、-OCOC₆H₅、-OCO(C₁-C₆ 烷基)或-OSO₂(C₄-C₆ 烷基);
n 是 2 或 3;以及
R³ 是 1-哌啶基、1-吡咯烷基、甲基-1-吡咯烷基、二甲基-1-吡咯烷基、4-吗啉基、二甲基氨基、二乙基氨基或 1-六亚甲基亚氨基;
或其药学上可接受的盐。
本发明进一步提供了药物组合物,其包含式 I 化合物和式 II 化合物以及药学上可接受的载体、赋形剂或稀释剂。