Methods of treating neuroepithelial tumors using selective glucocorticoid receptor modulators
申请人:Corcept Therapeutics, Inc.
公开号:US11213526B2
公开(公告)日:2022-01-04
Applicant discloses methods for treating a glucocorticoid receptor positive (GR+) neuroepithelial tumor in a subject, comprising administering a selective glucocorticoid receptor modulator (SGRM) in an amount effective to reduce the tumor load in a subject. The GR+ neuroepithelial tumor may be a neurofibromatosis type 2 (NF 2) tumor; the GR+ neuroepithelial tumor may be a schwannoma, meningioma, or ependymoma. In embodiments, the GR+ neuroepithelial tumor is not an adrenocorticotropic hormone (ACTH)-secreting tumor. In embodiments, the SGRM comprises a steroidal backbone. In embodiments, the SGRM is mifepristone. In embodiments, the SGRM comprises a non-steroidal backbone, such as, e.g., a cyclohexyl pyrimidine, a fused azadecalin, a heteroaryl ketone fused azadecalin, or an octahydro fused azadecalin backbone. The SGRM may be administered orally. The SGRM may be administered alone. In embodiments, the SGRM is administered with at least one non-SGRM therapy, e.g., a chemotherapy, a radiation therapy, or other therapeutic agents.
申请人公开了治疗受试者体内糖皮质激素受体阳性(GR+)神经上皮肿瘤的方法,包括施用选择性糖皮质激素受体调节剂(SGRM),施用量应能有效减少受试者体内的肿瘤负荷。GR+神经上皮肿瘤可以是神经纤维瘤病2型(NF 2)肿瘤;GR+神经上皮肿瘤可以是分裂瘤、脑膜瘤或上皮瘤。在实施方案中,GR+神经上皮肿瘤不是分泌促肾上腺皮质激素(ACTH)的肿瘤。在实施方案中,SGRM 包括类固醇骨架。在实施方案中,SGRM 是米非司酮。在实施方案中,SGRM包括非类固醇骨架,例如,环己基嘧啶、融合氮杂环丁烷、杂芳酮融合氮杂环丁烷或八氢融合氮杂环丁烷骨架。SGRM 可以口服给药。SGRM 可单独给药。在实施方案中,SGRM与至少一种非SGRM疗法(如化疗、放疗或其他治疗剂)一起给药。