Therapeutic uses of relacorilant, a heteroaryl-ketone fused azadecalin glucocorticoid receptor modulator
申请人:Corcept Therapeutics Incorporated
公开号:US11058670B2
公开(公告)日:2021-07-13
Methods and compositions are disclosed for diagnosing a patient suspected of suffering from, and for treating a patient suffering from, a disorder such as hypercortisolemia, metabolic syndrome, pre-diabetes, diabetes, Cushing's syndrome, Cushing's Disease, hyperglycemia secondary to hypercortisolemia, a liver disease, a cardiac disorder, high blood pressure, a blood clotting disorder, a cancer, a psychological disorder, weight gain, a disorder of glucose control, a bone disorder (e.g., osteoporosis), hypogonadism, pseudoacromegaly, pituitary tumors, functional hypercortisolism, ACTH secreting tumors, peripheral neuropathy, dyslipidemia and other disorders.
The methods and compositions include administration of a heteroaryl-ketone fused azadecalin glucocorticoid receptor modulator (GRM). The preferred heteroaryl-ketone fused azadecalin GRM is relacorilant ((R)-(1-(4-fluorophenyl)-6-((1-methyl-1H-pyrazol-4-yl)sulfonyl)-4,4a,5,6,7,8-hexahydro-1H-pyrazolo[3,4-g]isoquinolin-4a-yl)(4-(trifluoromethyl)pyridin-2-yl)methanone). In some cases, the GRM (e.g., relacorilant) is orally administered. In some cases, the GRM (e.g., relacorilant) is orally administered without food.
本发明公开了用于诊断疑似高皮质醇血症、代谢综合征、糖尿病前期、糖尿病、库欣综合征、库欣病、继发于高皮质醇血症的高血糖症、肝脏疾病、心脏疾病、高血压、凝血障碍、癌症、心理障碍、体重增加、血糖控制障碍、骨骼障碍(例如,骨质疏松症)等疾病的患者和治疗患者的方法和组合物。g.,骨质疏松症)、性腺功能减退症、假性肢端肥大症、垂体瘤、功能性皮质醇过多症、促肾上腺皮质激素分泌肿瘤、周围神经病变、血脂异常和其他疾病。
这些方法和组合物包括施用杂芳基酮融合氮杂萘糖皮质激素受体调节剂(GRM)。优选的杂芳基酮融合氮杂十环素 GRM 是 relacorilant((R)-(1-(4-氟苯基)-6-((1-甲基-1H-吡唑-4-基)磺酰基)-4,4a,5,6,7,8-六氢-1H-吡唑并[3,4-g]异喹啉-4a-基)(4-(三氟甲基)吡啶-2-基)甲酮)。在某些情况下,口服 GRM(例如 relacorilant)。在某些情况下,GRM(如抗逆转录酶药)不经食物口服给药。