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    • 4. 发明授权
    • 4-oxa and 4-thia steriods
    • 4-氧杂和4-硫杂异构体
    • US5777134A
    • 1998-07-07
    • US738545
    • 1996-10-24
    • Raman K. BakshiGool F. PatelGary H. RasmussonRichard L. Tolman
    • Raman K. BakshiGool F. PatelGary H. RasmussonRichard L. Tolman
    • C07D311/94C07D335/04C07D311/02A61K31/585
    • C07D311/94C07D335/04
    • The novel compounds of the present invention are those of structural formula I: ##STR1## wherein X is selected from O and S, or a pharmaceutically acceptable salt, ester, or stereoisomer thereof, and are inhibitors of 5.alpha.-reductase. The compounds of formula I are useful in the oral, systemic, parenteral or topical treatment of hyperandrogenic conditions such as acne vulgaris, seborrhea, androgenic alopecia which includes female and male pattern baldness, female hirsutism, benign prostatic hyperplasia, and the prevention and treatment of prostatic carcinoma, as well as in the treatment of prostatitis. Methods of using the compounds of formula I for the treatment of hyperandrogenic conditions such as acne vulgaris, seborrhea, androgenic alopecia, male pattern baldness, female hirsutism, benign prostatic hyperplasia, and the prevention and treatment of prostatic carcinoma, as well as the treatment of prostatitis are provided, as well as pharmaceutical compositions for the compounds of formula I. The use of compounds of formula I in combination with other active agents, for example with finasteride, or a potassium channel opener, such as minoxidil, or a retinoic acid or a derivative thereof is also taught, wherein such combinations would be useful in one or more of the above-mentioned methods of treatment or pharmaceutical compositions.
    • 本发明的新化合物是结构式I的化合物:其中X选自O和S,或其药学上可接受的盐,酯或立体异构体,并且是5α-还原酶的抑制剂。 式I化合物可用于口服,全身,胃肠外或局部治疗雄激素过多症状,如寻常痤疮,皮脂溢,雄激素性脱发,包括女性和男性型秃发,女性多毛症,良性前列腺增生,以及预防和治疗 前列腺癌,以及前列腺炎的治疗。 使用式I化合物治疗高雄激素病症如寻常痤疮,皮脂溢,雄激素性脱发,男性型秃发,女性多毛症,良性前列腺增生以及预防和治疗前列腺癌的方法,以及治疗 提供前列腺炎,以及用于式I化合物的药物组合物。式I化合物与其它活性剂(例如与非那雄胺)或钾通道开放剂如米诺地尔或视黄酸组合使用或 还教导了其衍生物,其中这样的组合可用于一种或多种上述治疗方法或药物组合物。