申请人:Wyeth
公开号:US06498154B1
公开(公告)日:2002-12-24
This invention relates to cyclic combination therapies utilizing, in combination with progestins, estrogens, or both, compounds which are progesterone receptor antagonists of the general structure:
wherein: R1 and R2 are H, CORA, or NRBCORA, alkyl, alkenyl, alkynyl, cycloalkyl, aryl, or heterocyclic; or R1 and R2 fuse to form 3 to 8 membered spirocyclic alkyl, alkenyl or heterocyclic rings; RA is H or optionally substituted alkyl, aryl, alkoxy, or aminoalkyl groups; RB is H or alkyl; R3 is H, OH, NH2, CORC or alkyl, alkenyl, or alkynyl; RC is H, alkyl, aryl, alkoxy, or aminoalkyl; R4 is H, halogen, CN, NO2, alkyl, alkynyl, alkoxy, amino or aminoalkyl; R5 is benzene or 5- or 6-membered heterocyclic ring; R6 is H or alkyl; G1 is O, NR7, or CR7R8; G2 is CO or CR7R8; provided that when G1 is O, G2 is CR7R8, and G1 and G2 cannot both be CR7R8; R7 and R8 are H or an optionally substituted alkyl, aryl, or heterocyclic moiety; or pharmaceutically acceptable salt thereof. These methods may be used for contraception or 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 minimization of side effects or cyclic menstrual bleeding. Additional uses of the invention include stimulation of food intake.
本发明涉及循环联合疗法,利用孕激素受体拮抗剂与孕激素、雌激素或两者的结合物相结合,其一般结构为:其中:R1和R2为H、CORA或NRBCORA、烷基、烯基、炔基、环烷基、芳基或杂环基;或R1和R2融合形成3至8个成员的螺环烷基、烯基或杂环环;RA为H或可选取代的烷基、芳基、烷氧基或氨基烷基;RB为H或烷基;R3为H、OH、NH2、CORC或烷基、烯基或炔基;RC为H、烷基、芳基、烷氧基或氨基烷基;R4为H、卤素、CN、NO2、烷基、炔基、烷氧基、氨基或氨基烷基;R5为苯环或5-或6-成员杂环环;R6为H或烷基;G1为O、NR7或CR7R8;G2为CO或CR7R8;前提是当G1为O时,G2为CR7R8,且G1和G2不能同时为CR7R8;R7和R8为H或可选取代的烷基、芳基或杂环基;或其药学上可接受的盐。这些方法可用于避孕或治疗和/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、多囊卵巢综合症、子宫内膜癌、卵巢癌、乳腺癌、结肠癌、前列腺癌或最小化副作用或周期性月经出血。本发明的其他用途包括促进食物摄入。