Use of progesterone receptor modulators
First Claim
1. A method of inducing contraception, hormone replacement therapy, treating hormone-dependent disease, synchronizing estrus, or treating cycle-related symptoms in a mammal, the method comprising administering to a mammal in need thereof an effective amount of a compound having the structure of formula I, or a pharmaceutically acceptable salt thereof:
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wherein;
R1 is selected from the group consisting of;
H, SO2—
C1-C6 alkyl, SO2—
C3-C8 cycloalkyl, SO2-substituted C1-C6 alkyl, SO2-aryl, SO2-substituted aryl, SO2-heteroaryl, SO2-heterocycle, SO2—
C3-C6 alkenyl, SO2—
C3-C6 alkynyl, SO2—
C3-C6 substituted alkenyl, SO2—
C3-C6 substituted alkynyl, CN, C(O)—
C1-C6 alkyl, C(O)—
C3-C8 cycloalkyl, C(O)-substituted C1-C6 alkyl, C(O)-aryl, C(O)-substituted aryl, C(O)-heteroaryl, C(O)-heterocycle, C(O)—
C3-C6 alkenyl, C(O)—
C3-C6 alkynyl, C(O)-substituted C3-C6 alkenyl, C(O)-substituted C3-C6 alkynyl, C(O)O—
C1-C6 alkyl, C(O)O—
C3-C8 cycloalkyl, C(O)O-substituted C1-C6 alkyl, C(O)O-aryl, C(O)O-substituted aryl, C(O)O-heteroaryl, C(O)O-heterocycle, C(O)O—
C3-C6 alkenyl, C(O)O—
C3-C6 alkynyl, C(O)O—
C3-C6 substituted alkenyl, C(O)O—
C3-C6 substituted alkynyl, C(O)NH—
C1-C6 alkyl, C(O)NH—
C3-C8 cycloalkyl, C(O)N-di-C3-C8 cycloalkyl, C(O)N-di C1-C6 alkyl, C(O)N-di-substituted C1-C6 alkyl, C(O)NH-substituted C1-C6 alkyl, C(O)NH-aryl, C(O)N-(aryl)2, C(O)NH-substituted aryl, C(O)N-disubstituted aryl, C(O)NH-heteroaryl, C(O)N-diheteroaryl, C(O)NH-heterocycle, C(O)N-diheterocycle, C(O)NH—
C3-C6 alkenyl, C(O)NH—
C3-C6 alkynyl, C(O)O-substituted C3-C6 alkenyl, and C(O)O-substituted C3-C6 alkynyl;
or R1 is a linking group to a second structure of formula I to form a dimer of formula I, said linking group selected from the group consisting of C(O)— and
S(O)2—
;
R2 is selected from the group consisting of H, C1-C6 alkyl, substituted C1-C6 alkyl, C3-C6 cycloalkyl, SO2-alkyl, and SO2-substituted alkyl;
or R1 and R2 are joined to form —
(C(R8)a(R9)b)c—
SO2—
(C(R8)d(R9)e)f;
R8 and R9 are, independently, H, halogen, or C1 to C6 alkyl;
a and b are, independently, 0 to 2, provided that a+b=2;
d and e are, independently, 0 to 2, provided that a+b=2;
c and f are, independently, 0 to 5, provided that one of c or f is greater than 0;
R3, R4, R5 and R6 are independently selected from the group consisting of H, halogen, CN, C1-C6 alkyl, substituted C1-C6 alkyl, —
(CHmXn)zCHpXq, C3-C6 cycloalkyl, O—
C1-C6 alkyl, O—
C1-C6 substituted alkyl, O—
(CHmXn)zCHpXq, aryl, heteroaryl, heterocycle, substituted aryl, substituted heteroaryl, and substituted heterocycle;
X is halogen;
m and n are, independently, 0 to 2, provided that m+n=2;
p and q are, independently, 0 to 3, provided that p+q=3;
z is 0 to 10;
R7 is selected from the group consisting of H, C1-C6 alkyl, C(O)O—
C1-C6 alkyl, C2 to C6 alkenyl, C2 to C6 alkynyl, C3-C6 cycloalkyl, and substituted C3-C6 cycloalkyl.
2 Assignments
0 Petitions
Accused Products
Abstract
The use of compounds of formula I, or a pharmaceutically acceptable salt thereof,
wherein R1, R2, R3, R4, R5, R6 and R7, are as defined herein, for contraception, hormone replacement therapy, synchronizing estrus, treating dysmenorrhea, treating dysfunctional uterine bleeding, treating uterine myometrial fibroids, treating endometriosis, treating benign prostatic hypertrophy, treating carcinomas and adenocarcinomas of the endometrium, ovary, breast, colon, prostate, pituitary, and meningioma, inducing amenorrhea, cycle-related symptoms, or treating symptoms of premenstrual syndrome and premenstrual dysphoric disorder are described. Also provided are products containing these compounds.
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Citations
31 Claims
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1. A method of inducing contraception, hormone replacement therapy, treating hormone-dependent disease, synchronizing estrus, or treating cycle-related symptoms in a mammal,
the method comprising administering to a mammal in need thereof an effective amount of a compound having the structure of formula I, or a pharmaceutically acceptable salt thereof: -
wherein;
R1 is selected from the group consisting of;
H, SO2—
C1-C6 alkyl, SO2—
C3-C8 cycloalkyl, SO2-substituted C1-C6 alkyl, SO2-aryl, SO2-substituted aryl, SO2-heteroaryl, SO2-heterocycle, SO2—
C3-C6 alkenyl, SO2—
C3-C6 alkynyl, SO2—
C3-C6 substituted alkenyl, SO2—
C3-C6 substituted alkynyl,CN, C(O)—
C1-C6 alkyl, C(O)—
C3-C8 cycloalkyl, C(O)-substituted C1-C6 alkyl, C(O)-aryl, C(O)-substituted aryl, C(O)-heteroaryl, C(O)-heterocycle, C(O)—
C3-C6 alkenyl, C(O)—
C3-C6 alkynyl, C(O)-substituted C3-C6 alkenyl, C(O)-substituted C3-C6 alkynyl,C(O)O—
C1-C6 alkyl, C(O)O—
C3-C8 cycloalkyl, C(O)O-substituted C1-C6 alkyl, C(O)O-aryl, C(O)O-substituted aryl, C(O)O-heteroaryl, C(O)O-heterocycle, C(O)O—
C3-C6 alkenyl, C(O)O—
C3-C6 alkynyl, C(O)O—
C3-C6 substituted alkenyl, C(O)O—
C3-C6 substituted alkynyl,C(O)NH—
C1-C6 alkyl, C(O)NH—
C3-C8 cycloalkyl, C(O)N-di-C3-C8 cycloalkyl, C(O)N-di C1-C6 alkyl, C(O)N-di-substituted C1-C6 alkyl, C(O)NH-substituted C1-C6 alkyl, C(O)NH-aryl, C(O)N-(aryl)2, C(O)NH-substituted aryl, C(O)N-disubstituted aryl, C(O)NH-heteroaryl, C(O)N-diheteroaryl, C(O)NH-heterocycle, C(O)N-diheterocycle, C(O)NH—
C3-C6 alkenyl, C(O)NH—
C3-C6 alkynyl, C(O)O-substituted C3-C6 alkenyl, and C(O)O-substituted C3-C6 alkynyl;
orR1 is a linking group to a second structure of formula I to form a dimer of formula I, said linking group selected from the group consisting of C(O)— and
S(O)2—
;
R2 is selected from the group consisting of H, C1-C6 alkyl, substituted C1-C6 alkyl, C3-C6 cycloalkyl, SO2-alkyl, and SO2-substituted alkyl;
orR1 and R2 are joined to form —
(C(R8)a(R9)b)c—
SO2—
(C(R8)d(R9)e)f;
R8 and R9 are, independently, H, halogen, or C1 to C6 alkyl;
a and b are, independently, 0 to 2, provided that a+b=2;
d and e are, independently, 0 to 2, provided that a+b=2;
c and f are, independently, 0 to 5, provided that one of c or f is greater than 0;
R3, R4, R5 and R6 are independently selected from the group consisting of H, halogen, CN, C1-C6 alkyl, substituted C1-C6 alkyl, —
(CHmXn)zCHpXq, C3-C6 cycloalkyl, O—
C1-C6 alkyl, O—
C1-C6 substituted alkyl, O—
(CHmXn)zCHpXq, aryl, heteroaryl, heterocycle, substituted aryl, substituted heteroaryl, and substituted heterocycle;
X is halogen;
m and n are, independently, 0 to 2, provided that m+n=2;
p and q are, independently, 0 to 3, provided that p+q=3;
z is 0 to 10;
R7 is selected from the group consisting of H, C1-C6 alkyl, C(O)O—
C1-C6 alkyl, C2 to C6 alkenyl, C2 to C6 alkynyl, C3-C6 cycloalkyl, and substituted C3-C6 cycloalkyl. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29)
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30. A contraception regimen which comprises:
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a) a first phase of from 14 to 24 daily dosage units of a progestational agent equal in progestational activity to about 35 to about 100 μ
g levonorgestrel;
b) a second phase of from 1 to 11 daily dosage units, at a daily dosage of from about 2 to 200 mg, of a compound having the structure of formula I, or a pharmaceutically acceptable salt thereof;
wherein;
R1 is selected from the group consisting of;
H, SO2—
C1-C6 alkyl, SO2—
C3-C8 cycloalkyl, SO2-substituted C1-C6 alkyl, SO2-aryl, SO2-substituted aryl, SO2-heteroaryl, SO2-heterocycle, SO2—
C3-C6 alkenyl, SO2—
C3-C6 alkynyl, SO2—
C3-C6 substituted alkenyl, SO2—
C3-C6 substituted alkynyl,CN, C(O)—
C1-C6 alkyl, C(O)—
C3-C8 cycloalkyl, C(O)-substituted C1-C6 alkyl, C(O)-aryl, C(O)-substituted aryl, C(O)-heteroaryl, C(O)-heterocycle, C(O)—
C3-C6 alkenyl, C(O)—
C3-C6 alkynyl, C(O)-substituted C3-C6 alkenyl, C(O)-substituted C3-C6 alkynyl,C(O)O—
C1-C6 alkyl, C(O)O—
C3-C8 cycloalkyl, C(O)O-substituted C1-C6 alkyl, C(O)O-aryl, C(O)O-substituted aryl, C(O)O-heteroaryl, C(O)O-heterocycle, C(O)O—
C3-C6 alkenyl, C(O)O—
C3-C6 alkynyl, C(O)O—
C3-C6 substituted alkenyl, C(O)O—
C3-C6 substituted alkynyl,C(O)NH—
C1-C6 alkyl, C(O)NH—
C3-C8 cycloalkyl, C(O)N-di-C3-C8 cycloalkyl, C(O)N-di C1-C6 alkyl, C(O)N-di-substituted C1-C6 alkyl, C(O)NH-substituted C1-C6 alkyl, C(O)NH-aryl, C(O)N-(aryl)2, C(O)NH-substituted aryl, C(O)N-disubstituted aryl, C(O)NH-heteroaryl, C(O)N-diheteroaryl, C(O)NH-heterocycle, C(O)N-diheterocycle, C(O)NH—
C3-C6 alkenyl, C(O)NH—
C3-C6 alkynyl, C(O)O-substituted C3-C6 alkenyl, and C(O)O-substituted C3-C6 alkynyl;
orR1 is a linking group to a second structure of formula I to form a dimer of formula I, said linking group selected from the group consisting of C(O)— and
S(O)2—
;
R2 is selected from the group consisting of H, C1-C6 alkyl, substituted C1-C6 alkyl, C3-C6 cycloalkyl, SO2-alkyl, and SO2-substituted alkyl;
orR1 and R2 are joined to form —
(C(R8)a(R9)b)c—
SO2—
(C(R8)d(R9)e)f;
R8 and R9 are, independently, H, halogen, or C1 to C6 alkyl;
a and b are, independently, 0 to 2, provided that a+b=2;
d and e are, independently, 0 to 2, provided that a+b=2;
c and f are, independently, 0 to 5, provided that one of c or f is greater than 0;
R3, R4, R5 and R6 are independently selected from the group consisting of H, halogen, CN, C1-C6 alkyl, substituted C1-C6 alkyl, —
(CHmXn)zCHpXq, C3-C6 cycloalkyl, O—
C1-C6 alkyl, O—
C1-C6 substituted alkyl, O—
(CHmXn)zCHpXq, aryl, heteroaryl, heterocycle, substituted aryl, substituted heteroaryl, and substituted heterocycle;
X is halogen;
m and n are, independently, 0 to 2, provided that m+n=2;
p and q are, independently, 0 to 3, provided that p+q=3;
z is 0 to 10;
R7 is selected from the group consisting of H, C1-C6 alkyl, C(O)O—
C1-C6 alkyl, C2 to C6 alkenyl, C2 to C6 alkynyl, C3-C6 cycloalkyl, and substituted C3-C6 cycloalkyl; and
c) optionally, a third phase of daily dosage units of an orally and pharmaceutically acceptable placebo for the remaining days of the 28 consecutive days in which no antiprogestin, progestin or estrogen is administered;
wherein the total daily dosage units of the first, second and third phases equals 28.
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31. A compound selected from the group consisting of 5-(4-aminophenyl)-1-methyl-1H-pyrrole-2-carbonitrile and 5-(4-amino-3-fluorophenyl)-1-methyl-1H-pyrrole-2-carbonitrile, or a pharmaceutically acceptable salt thereof.
Specification