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    • 8. 发明授权
    • Cyclic regimens using quinazolinone and benzoxazine derivatives
    • 使用喹唑啉酮和苯并恶嗪衍生物的循环方案
    • US06498154B1
    • 2002-12-24
    • US09552357
    • 2000-04-19
    • Gary S. GrubbLin ZhiTodd K. JonesPuwen ZhangJames P. EdwardsAndrew FensomeEugene A. TerefenkoJay E. WrobelChristopher M. Tegley
    • Gary S. GrubbLin ZhiTodd K. JonesPuwen ZhangJames P. EdwardsAndrew FensomeEugene A. TerefenkoJay E. WrobelChristopher M. Tegley
    • A61K3156
    • A61K31/565A61K31/57A61K45/06A61K2300/00
    • 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.
    • 本发明涉及利用与孕激素,雌激素或两者作为一般结构的孕酮受体拮抗剂的化合物的环状组合疗法:其中:R1和R2是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元螺环烷基,烯基或杂环; RA为H或任选取代的烷基,芳基,烷氧基或氨基烷基; RB是H或烷基; R3是H,OH,NH2,CORC或烷基,烯基或炔基; RC是H,烷基,芳基,烷氧基或氨基烷基; R4是H,卤素,CN,NO2,烷基,炔基,烷氧基,氨基或氨基烷基; R5是苯或5-或6-元杂环; R6是H或烷基; G1是O,NR7或CR7R8; G2为CO或CR7R8; 条件是当G1为O时,G2为CR7R8,G1和G2不能为CR7R8; R 7和R 8是H或任选取代的烷基,芳基或杂环部分; 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,功能障碍性出血,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,前列腺的癌和腺癌,或副作用最小化或周期性月经出血。 本发明的额外用途包括刺激食物摄取。