申请人:Wyeth
公开号:US06444668B1
公开(公告)日:2002-09-03
This invention relates to cyclic combination therapies and regimens utilizing substituted indoline derivative compounds which are antagonists of the progesterone receptor having the general structure:
wherein R1 and R2 may be single substituents or fused to form spirocyclic or hetero-spirocyclic rings; R3 is H, OH, NH2, C1 to C6 alkyl, substituted C1 to C6 allyl C3 to C6 alkenyl, substituted C1 to C6 alkenyl, alkynyl, or substituted alknyl, CORC; RC is H, C1 to C3 alkyl, substituted C1 to C3 alkyl, aryl, substituted aryl, C1 to C3 alkoxy, substituted C1 to C3 alkoxy, C1 to C3 aminoalkyl, or substituted C1 to C3 aminoalkyl; R4 is H, halogen, CN, NO2, C1 to C6 alkyl, substituted C1 to C6 alkyl alkynyl, or substituted alkynyl, C1 to C6 alkoxy, substituted C1 to C6 alkoxy, amino, C1 to C6 aminoalkyl, or substituted C1 to C6 aminoalkyl; and R5 is selected from a trisubstituted benzene ring of a five or six membered ring with 1, 2, or 3 heteroatoms from the group including O, S, SO, SO2 or NR6 and containing one or two independent substituents from the group including H, halogen, CN, NO2, amino, and C1 to C3 alkyl, C1 to C3 alkoxy, C1 to C3 aminoalkyl, CORF, or NRGCORF; or pharmaceutically acceptable salt thereof. These methods of treatment may be used for contraception or for the treatment and/or prevention of secondary amenorrhea, dysfunctional bleeding, uterine leiomyomata, endometriosis; polycystic ovary syndrome, carcinomas and adenocarcinomas of the endometrium, ovary, breast, colon, prostate, or inmization of side effects or cyclic menstrual bleeding. Additional uses of the invention include stimulation of food intake.
这项发明涉及利用替代吲哚啉衍生物化合物的循环组合疗法和方案,这些化合物是孕激素受体拮抗剂,具有以下一般结构:
其中R1和R2可以是单个取代基或融合形成螺环或杂环螺环;R3为H、OH、NH2、C1至C6烷基、取代的C1至C6烯丙基、C3至C6烯基、取代的C1至C6烯基、炔基或取代的炔基、CORC;RC为H、C1至C3烷基、取代的C1至C3烷基、芳基、取代的芳基、C1至C3烷氧基、取代的C1至C3烷氧基、C1至C3氨基烷基、或取代的C1至C3氨基烷基;R4为H、卤素、CN、NO2、C1至C6烷基、取代的C1至C6烷基炔基、或取代的炔基、C1至C6烷氧基、取代的C1至C6烷氧基、氨基、C1至C6氨基烷基、或取代的C1至C6氨基烷基;R5从包含O、S、SO、SO2或NR6的1、2或3个杂原子的五元或六元环的三取代苯环中选择,并含有来自包括H、卤素、CN、NO2、氨基和C1至C3烷基、C1至C3烷氧基、C1至C3氨基烷基、CORF或NRGCORF的一个或两个独立取代基;或其药学上可接受的盐。这些治疗方法可用于避孕或用于治疗和/或预防继发性闭经、功能性出血、子宫平滑肌瘤、子宫内膜异位症;多囊卵巢综合征、子宫内膜、卵巢、乳腺、结肠、前列腺的癌瘤和腺癌,或减轻副作用或循环性月经出血。该发明的其他用途包括促进食物摄入。