[EN] 17-HETEROCYCLIC-4-AZASTEROID DERIVATIVES AS ANDROGEN RECEPTOR MODULATORS<br/>[FR] DERIVES DE 4-AZASTEROIDE 17-HETEROCYCLIQUES SERVANT DE MODULATEURS DU RECEPTEUR D'ANDROGENE
申请人:MERCK & CO INC
公开号:WO2005025579A1
公开(公告)日:2005-03-24
Compounds of structural formula I are modulators of the androgen receptor (AR) in a tissue selective manner. These compounds are useful in the enhancement of weakened muscle tone and the treatment of conditions caused by androgen deficiency or which can be ameliorated by androgen administration, including osteoporosis, osteopenia, glucocorticoid-induced osteoporosis, periodontal disease, bone fracture, bone damage following bone reconstructive surgery, sarcopenia, frailty, aging skin, male hypogonadism, postmenopausal symptoms in women, atherosclerosis, hypercholesterolemia, hyperlipidemia, obesity, aplastic anemia and other hematopoietic disorders, inflammatory arthritis and joint repair, HIV-wasting, prostate cancer, benign prostatic hyperplasia (BPH), abdominal adiposity, metabolic syndrome, type II diabetes, cancer cachexia, Alzheimer’s disease, muscular dystrophies, cognitive decline, sexual dysfunction, sleep apnea, depression, premature ovarian failure, and autoimmune disease, alone or in combination with other active agents.
结构式I的化合物是睾酮受体(AR)的调节剂,具有组织选择性。这些化合物在增强虚弱肌肉张力和治疗由雄激素缺乏引起或可以通过雄激素治疗改善的疾病方面非常有用,包括骨质疏松症、骨质疏松症、糖皮质激素诱导的骨质疏松症、牙周病、骨折、骨重建手术后的骨损伤、肌肉萎缩、衰弱、老化皮肤、男性睾丸功能减退症、女性更年期症状、动脉粥样硬化、高胆固醇血症、高脂血症、肥胖、再生障碍性贫血和其他造血系统疾病、炎症性关节炎和关节修复、艾滋病消瘦、前列腺癌、良性前列腺增生(BPH)、腹部脂肪过多、代谢综合征、2型糖尿病、癌症消耗症、阿尔茨海默病、肌肉萎缩症、认知下降、性功能障碍、睡眠呼吸暂停、抑郁症、早发卵巢功能衰竭和自身免疫疾病等方面具有作用,可以单独或与其他活性剂结合使用。