[EN] CONTRACEPTIVE COMPOSITIONS CONTAINING QUINAZOLINONE AND BENZOXAZINE DERIVATIVES<br/>[FR] COMPOSITIONS CONTRACEPTIVES CONTENANT DE LA QUINAZOLINONE ET DES DERIVES DE BENZOXAZINE
申请人:AMERICAN HOME PROD
公开号:WO2000066165A1
公开(公告)日:2000-11-09
This invention relates to cyclic combination therapies utilizing, in combination with progestins, estrogens, or both, compounds which are progesterone receptor antagonists of general structure: (I) wherein: R?1 and R2¿ are H, COR?A, or NRBCORA¿, alkyl, alkenyl, alkynyl, cycloalkyl, aryl, or heterocyclic; or R?1 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, NH¿2, COR?C or alkyl, alkenyl, or alkynyl; RC is H, alkyl, aryl, alkoxy, or aminoalkyl; R4 is H, halogen, CN, NO¿2?, alkyl, alkynyl, alkoxy, amino or aminoalkyl; R?5¿ is benzen or 5- or 6-membered heterocyclic ring; R6 is H or alkyl; G¿1? 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.
本发明涉及循环组合疗法,利用与孕激素、雌激素或两者结合使用的化合物,这些化合物是一般结构的孕激素受体拮抗剂:(I)其中:R?1和R2¿为H、COR?A或NRBCORA¿、烷基、烯基、炔基、环烷基、芳基或杂环基;或R?1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或可选择的取代烷基、芳基、烷氧基或氨基烷基;RB为H或烷基;R3为H、OH、NH¿2、COR?C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、NO¿2?、烷基、炔基、烷氧基、氨基或氨基烷基;R?5¿为苯或5-或6-成员杂环环;R6为H或烷基;G¿1?为O、NR7或CR7R8;G2为CO或CR7R8;但是当G1为O时,G2为CR7R8,且G1和G2不能同时为CR7R8;R7和R8为H或可选择的取代烷基、芳基或杂环基团;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、子宫内膜癌和腺癌、卵巢、乳腺、结肠、前列腺癌的最小化副作用或周期性月经出血。本发明的其他用途包括刺激食欲。