申请人:Merck & Co., Inc.
公开号:US05777134A1
公开(公告)日:1998-07-07
The novel compounds of the present invention are those of structural formula I: ##STR1## wherein X is selected from O and S, or a pharmaceutically acceptable salt, ester, or stereoisomer thereof, and are inhibitors of 5.alpha.-reductase. The compounds of formula I are useful in the oral, systemic, parenteral or topical treatment of hyperandrogenic conditions such as acne vulgaris, seborrhea, androgenic alopecia which includes female and male pattern baldness, female hirsutism, benign prostatic hyperplasia, and the prevention and treatment of prostatic carcinoma, as well as in the treatment of prostatitis. Methods of using the compounds of formula I for the treatment of hyperandrogenic conditions such as acne vulgaris, seborrhea, androgenic alopecia, male pattern baldness, female hirsutism, benign prostatic hyperplasia, and the prevention and treatment of prostatic carcinoma, as well as the treatment of prostatitis are provided, as well as pharmaceutical compositions for the compounds of formula I. The use of compounds of formula I in combination with other active agents, for example with finasteride, or a potassium channel opener, such as minoxidil, or a retinoic acid or a derivative thereof is also taught, wherein such combinations would be useful in one or more of the above-mentioned methods of treatment or pharmaceutical compositions.
本发明的新型化合物为结构式I的化合物:其中X从O和S中选择,或其药学上可接受的盐、酯或立体异构体,并且是5α-还原酶的抑制剂。公式I的化合物在口服、全身、注射或局部治疗多毛症等高雄激素症状方面具有用途,如痤疮、皮脂溢、雄激素性脱发包括女性和男性型秃发、女性多毛症、良性前列腺增生以及前列腺癌的预防和治疗,以及前列腺炎的治疗。提供了使用公式I的化合物治疗高雄激素症状,如痤疮、皮脂溢、雄激素性脱发、男性型秃发、女性多毛症、良性前列腺增生以及前列腺癌的预防和治疗,以及前列腺炎的方法,以及用于公式I的化合物的药物组合。还教授了公式I的化合物与其他活性剂的组合使用,例如与非那雄胺或钾通道开放剂(如米诺地尔)或维甲酸或其衍生物,这样的组合在上述任一或多种治疗方法或药物组合中将是有用的。