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    • 2. 发明申请
    • GLUCOCORTICOID RECEPTOR MODULATORS TO TREAT PANCREATIC CANCER
    • 糖皮质激素受体调节剂治疗胰腺癌
    • WO2018049255A1
    • 2018-03-15
    • PCT/US2017/050812
    • 2017-09-08
    • CORCEPT THERAPEUTICS, INC.
    • HUNT, HazelBLOCK, Thaddeus S.
    • A61K31/337A61K31/513A61K31/7068A61K31/4745
    • Methods and compositions for treating a subject hosting a non-ACTH-secreting pancreatic tumor are disclosed. The methods include administering to the subject a chemotherapeutic agent and a glucocorticoid receptor modulator (GRM), preferably a selective glucocorticoid receptor modulator (SGRM), to reduce the tumor load in the subject. The GRM may be a nonsteroidal GRM, and may be a nonsteroidal SGRM. The non-ACTH-secreting pancreatic tumor may be an exocrine pancreatic tumor. The nonsteroidal SGRM may be a nonsteroidal compound comprising: a fused azadecalin structure; a heteroaryl ketone fused azadecalin structure; or an octahydro fused azadecalin structure. Pharmaceutical compositions comprising a chemotherapeutic agent and a GRM are disclosed. The GRM in such pharmaceutical compositions may be a nonsteroidal GRM, and may be a SGRM, such as a nonsteroidal SGRM. The nonsteroidal SGRM may comprise: a fused azadecalin structure; a heteroaryl ketone fused azadecalin structure; or an octahydro fused azadecalin structure.
    • 公开了用于治疗患有非ACTH分泌性胰腺肿瘤的受试者的方法和组合物。 该方法包括向受试者施用化疗剂和糖皮质激素受体调节剂(GRM),优选选择性糖皮质激素受体调节剂(SGRM),以降低受试者的肿瘤负荷。 GRM可能是非甾体GRM,可能是非甾体SGRM。 非ACTH分泌型胰腺肿瘤可以是外分泌型胰腺肿瘤。 非甾体SGRM可以是非甾族化合物,其包含:稠合的氮杂十六烷结构; 杂芳基酮稠合的阿扎德卡因结构; 或八氢稠合的阿扎德卡因结构。 公开了包含化学治疗剂和GRM的药物组合物。 这种药物组合物中的GRM可以是非甾体GRM,并且可以是SGRM,例如非甾体SGRM。 非甾族SGRM可以包含:稠合的氮杂卡因结构; 杂芳基酮稠合的阿扎德卡因结构; 或八氢稠合的氮杂十字结构。
    • 3. 发明申请
    • DIFFERENTIAL DIAGNOSIS OF ECTOPIC CUSHING'S SYNDROME
    • 异位冲动综合征的差异诊断
    • WO2017127448A1
    • 2017-07-27
    • PCT/US2017/013974
    • 2017-01-18
    • CORCEPT THERAPEUTICS, INC.
    • MORAITIS, Andreas G.
    • A61B5/00G01N33/74
    • G01N33/743A61B5/4227G01N33/74G01N2333/575G01N2333/723G01N2800/04G16H50/30
    • Improved methods and systems for differentially diagnosing ACTH-dependent Cushing's syndrome are provided herein. Treatment methods can use glucocorticoid receptor antagonists, which differentially affects the ratio of cortisol to ACTH levels in patients having Cushing's Disease versus patients having Ectopic Cushing's Syndrome. Methods for differentially diagnosing ACTH-dependent Cushing's syndrome can include obtaining baseline cortisol and ACTH levels of a patient, treating the patient with a glucocorticoid receptor antagonist (GRA) according to a protocol that would typically substantially elevate cortisol levels, obtaining post-treatment cortisol and ACTH levels of the patient, determining a differential relationship between baseline cortisol and ACTH levels and post-treatment cortisol and ACTH levels and providing a positive diagnosis based on the differential relationship.
    • 本文提供了用于区别诊断ACTH依赖性库欣综合征的改进方法和系统。 治疗方法可以使用糖皮质激素受体拮抗剂,其差异地影响患有库欣病的患者与具有异位库欣综合征的患者的皮质醇与ACTH水平的比率。 用于区别诊断ACTH依赖性库欣综合征的方法可以包括获得患者的基线皮质醇和ACTH水平,根据通常大体上提高皮质醇水平的方案用糖皮质激素受体拮抗剂(GRA)治疗患者,获得治疗后皮质醇和 ACTH水平,确定基线皮质醇和ACTH水平以及治疗后皮质醇和ACTH水平之间的差异关系,并根据差异关系提供阳性诊断。
    • 9. 发明申请
    • HETEROARYL-KETONE FUSED AZADECALIN GLUCOCORTICOID RECEPTOR MODULATORS
    • 异氟烷酮融合的阿卡曲林葡萄糖激素受体调节剂
    • WO2013177559A3
    • 2014-01-16
    • PCT/US2013042732
    • 2013-05-24
    • CORCEPT THERAPEUTICS INC
    • HUNT HAZELJOHNSON TONYRAY NICHOLASWALTERS IAIN
    • A61K31/5377C07D471/02
    • C07D471/04
    • The present Invention provides heteroaryl ketone fused azadecalin compounds and methods of using the compounds as glucocorticoid receptor modulators. In some embodiments, the present invention provides a pharmaceutical cmnposition including a pharmaceutically acceptable excipient and the compound of formula I. In some embodiments, the present invention provides a method of modulating a glucocorticoid receptor, the method including contacting a glucocorticoid receptor with a compound of formula I, thereby modulating the glucocorticoid receptor, as well as a method of treating a disorder through modulating a glucocorticoid receptor, the method including administering to a subject in need of such treatment, a therapeutically eftective amount of a compound of formula (I), thereby treating the disorder.
    • 本发明提供杂芳基酮稠合的十九烷基化合物和使用该化合物作为糖皮质激素受体调节剂的方法。 在一些实施方案中,本发明提供包含药学上可接受的赋形剂和式I化合物的药物定位。在一些实施方案中,本发明提供调节糖皮质激素受体的方法,所述方法包括将糖皮质激素受体与 式I,从而调节糖皮质激素受体,以及通过调节糖皮质激素受体来治疗疾病的方法,所述方法包括向需要这种治疗的受试者施用治疗有效量的式(I)化合物, 从而治疗病症。