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TW201002736A - Compositions and methods for treating progesterone-dependent conditions - Google Patents

Compositions and methods for treating progesterone-dependent conditions Download PDF

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Publication number
TW201002736A
TW201002736A TW098112266A TW98112266A TW201002736A TW 201002736 A TW201002736 A TW 201002736A TW 098112266 A TW098112266 A TW 098112266A TW 98112266 A TW98112266 A TW 98112266A TW 201002736 A TW201002736 A TW 201002736A
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Taiwan
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antiprogestin
acid
diene
progesterone
present
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TW098112266A
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Chinese (zh)
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Joseph S Podolski
Ronald D Wiehle
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Repros Therapeutics Inc
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • A61P15/04Drugs for genital or sexual disorders; Contraceptives for inducing labour or abortion; Uterotonics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P5/00Drugs for disorders of the endocrine system
    • A61P5/24Drugs for disorders of the endocrine system of the sex hormones
    • A61P5/36Antigestagens

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  • Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Chemical & Material Sciences (AREA)
  • Veterinary Medicine (AREA)
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  • General Health & Medical Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Endocrinology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Engineering & Computer Science (AREA)
  • Reproductive Health (AREA)
  • Diabetes (AREA)
  • Gynecology & Obstetrics (AREA)
  • Pregnancy & Childbirth (AREA)
  • Epidemiology (AREA)
  • Steroid Compounds (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

The subject matter of the instant invention is pertinent to field of treatment of progesterone-dependent conditions. Compositions for practicing the methods, comprising one or more 19-norsteroid progesterone receptor modulators having a monomethylamine-substituted phenyl ring at the 11 β -position of carbon 11 and exhibiting low antiglucocorticoid activity, are also disclosed. Embodiments of the instant invention disclose methods for treating endometriosis, dysmenorrhea, breast cancer, uterine fibroids and endometrial hyperproliferation.

Description

201002736 六、發明說明: 【相關申請案之交互參照】 本申請案主張2008年4月28曰申請之美國臨時申請 案第61/048,459號的權益,將其内容以引用方式納入本文 中〇 【發明領域】 本發明係關於治療各種孕酮依賴性症狀的組成物及方 法。更明確地說,本發明係關於包括一或多個19-去甲類固 醇孕酮受體調節劑的組成物,較佳的是其衍生自19-去曱睪 酮或19-去甲孕酮,在碳11之11卢-位置處包括經單曱基胺 -取代之苯環,具有低抗糖皮質激素活性,用以治療孕酮依 賴性症狀。 【發明背景】 已經完全證明類固醇激素孕酮對生殖系統的影響。例 如,孕嗣為建立並維持懷孕以及對生殖系統之各種組織發 揮作用所不可或缺的。已經報告了孕酮對生殖系統以外之 組織的作用’但未完全定性。 抗孕激素(antiprogestinQ^p制孕酮之作用的化合物, 有相當大的潛力用於不孕和各種症狀及疾病(如乳癌和子宮 内膜異位症)的藥理學調節。第一個報告的抗孕激素_米非司 鲷〇η^Ρηδη>η6)(κυ486) ’是19_去甲睪酮衍生物的成員之 對孕酮和糖皮質激素受體兩者有強親和力,並具有 201002736 抗懷孕和抗糖皮質激素 主鏈的各種抗孕激素; 的抗糖皮質激素活性。 活性。亦已經合成 项*基於19-去甲孕酮 然而,許多這4b八7 ^ 〜刀子亦展現出顯著 使得其等不適合長 促腎上腺皮質激素 於具有極低抗糖皮 依賴性症狀的抗孕 這些抗孕激素的抗糖皮質激素活性 期投藥’特別是因為會增加皮質固醇、 和腎上腺雄激素的循環濃度。因此,對 質激素活性,適合長期投藥以治療孕_ 激素仍有需求。 【發明摘要】 本發明係關於使用19_去甲睪酮_或19_去甲孕酮衍生 之抗孕激素(其在石炭u的"位置處包括經單甲基胺-取 代之苯環),以治療各種孕酮依賴性症狀的方法。該抗孕激 素可以是純的抗孕激素或選擇性孕_受體調節劑(seiectiye201002736 VI. Description of the invention: [Reciprocal reference to the relevant application] This application claims the benefit of U.S. Provisional Application No. 61/048,459, filed on Apr. 28, 2008, the content of which is hereby incorporated by reference. FIELD OF THE INVENTION The present invention relates to compositions and methods for treating various progesterone-dependent symptoms. More specifically, the present invention relates to a composition comprising one or more 19-nor-steroid steroid progesterone receptor modulators, preferably derived from 19-defluorenone or 19-norgestrel. The carbon 11-11-position includes a monodecylamine-substituted benzene ring with low anti-glucocorticoid activity to treat progesterone-dependent symptoms. BACKGROUND OF THE INVENTION The effects of the steroid hormone progesterone on the reproductive system have been fully demonstrated. For example, pregnancy is essential for establishing and maintaining pregnancy and for the various tissues of the reproductive system. The role of progesterone in tissues other than the reproductive system has been reported 'but not fully characterized. Antiprogestin (a compound that acts as a progesterone, has considerable potential for infertility and pharmacological regulation of various symptoms and diseases such as breast cancer and endometriosis. Antiprogestin _ mifepristone η^Ρηδη>η6)(κυ486) 'is a member of the 19_normethonone derivative having strong affinity for both progesterone and glucocorticoid receptors, and has 201002736 anti-pregnancy And anti-glucocorticoids of the anti-glucocorticoid main chain; anti-glucocorticoid activity. active. Also synthesized * based on 19-norgestrine, however, many of these 4b VIII 7 ^ ~ knives also exhibit significant anti-pregnancy resistance that is not suitable for long-adrenal corticosteroids with very low anti-glucose-dependent symptoms The anti-glucocorticoid active phase of progesterone is administered in particular because it increases the circulating concentrations of corticosteroids and adrenal androgens. Therefore, there is still a need for long-term administration of hormonal activity to treat pregnancy hormones. SUMMARY OF THE INVENTION The present invention relates to the use of 19-nor- ketone ketone or 19-norgestrel-derived antiprogestin (which includes a monomethylamine-substituted benzene ring at the " location of the charcoal u), To treat various progesterone-dependent symptoms. The anti-pregnancy may be a pure antiprogestin or a selective pregnancy receptor modulator (seiectiye)

Progesterone receptor modulator, SPRM)’ 只要該抗孕激素 對糖皮邊激素爻體具有低親和力即可,並以有效治療孕酮 依賴性症狀的量投藥。 可藉著本發明之組成物治療的激素依賴性症狀,包括 但不限於子宮内膜異位症、痛經、内分泌激素依賴性腫瘤、 子宮肌瘤和子宮内膜過度增殖。亦可使用本發明之組成物 以誘導月經、誘導分娩,以及避孕。 本發明亦關於改善19 -去甲類固醇-衍生之抗孕激素之 操作特徵的方法。 201002736 【發明詳細描述】 有政劑量” 一詞意指組成物之活性組份的量 特定的症狀。 σ療 擇性孕酮受體調節劑,,一詞意指以組織-專一之 影響孕酮受體之功能的化合物。該化合物在某些組織(例: 在孔房組織)中作用為孕酮受體拮抗劑而在其他組織 在子宮)中作用則為孕酮受體激動劑。 如 當在本文中使用時,,,治療,,或,,治療,,一詞意指 依賴性病症或疾病的任何治療,並包括但不限於抑制2 ::疾病n病症或疾病的進展;解除病症或疾病,例: 起病症或疾病的消退;或解除由疾病或病症引起 狀,解除疾病或病症之徵候。 :正 ^關於孕嗣依賴性病症或疾病,’,預防,,或,,預防,,一气,— 尚未出現,意指預防病症或疾病發展的開始,或若業已右 現病症或疾病’則預防進一步病症或疾病的發展。例如出 可使用本發明之組成物以預防腫瘤的復發。可 細胞的殘餘顯微群或巢隨後擴展成臨床上可檢測之= 而發生腫瘤的復發。 , “孕酮激動劑,’一詞意指與孕酮受體結合,並 素之作用的化合物。 “、、激 孕酮拮抗劑,’一詞意指與孕酮受體結 影響的化合物。 並抑制孕酮之 當在本文中提到在雌性中之激素水平時, 沒有降低”-詞,意指在本發明之組成物的投藥期間,激: 201002736 水平仍維持在正常範圍内。因此,只要激素水平維持在正 常範圍内’便認為可能在激素水平上出現一些降低。 當在本文中提到在雌性中之激素水平時,使用,,實質上 沒有增加”一詞,意指在本發明之組成物的投藥期間,激素 水平仍維持在正常範圍内。因此,只要激素水平維持在正 常範圍内’便認為可能在激素水平上出現一些升高。 本發明係關於藉著投與包括一或多個19_去甲睪酮-或 19-去甲孕酮-衍生之抗孕激素(其在碳n的丨丨万·位置處包 括經單曱基胺-取代之苯環)的組成物,治療孕酮依賴性症狀 的方法。預期在碳11的11 /5 -位置處具有經單甲基胺_取代 之本環的19-去曱睪酮-或19_去甲孕酮_衍生之抗孕激素會 顯不出比在相同位置處包括經二曱基胺_取代之苯環的相同 化合物更低的抗糖皮質激素活性,同時仍保留至少實質上 部分的抗孕激素活性。抗孕激素可以是純的抗孕激素, 或可以疋專一的孕酮受體調節劑(spRM),只要該抗孕激素 八有低糖皮負激素活性即可。較佳的是該抗孕激素具有 低雌激素/抗雌激素活性,得以在投與該抗孕激素之後^患 者中實質上維持血清雌激素水平。 “ 在本發明的一方面中,將本發明之組成物投與患有乳 癌的患者,以便治療乳癌。 、在本發明相關的方面中,將本發明之組成物投與患有 或多個對抗雌激素治療有抵抗力之腫瘤的乳癌患者以 便治療乳癌。例如,本發明之化合物對於在患者巾治療抗_ 他莫昔芬(tam0xifen)之乳癌可能是特別有用的。 201002736 在本發明的另一方面中,將本發明之組成物投與接典 雌激素治療的雌性,以便預防在該雌性中發展出乳癌。又 在本發明的另一方面中,將本發明之組成物投與需要 其之雌性患者,以便壓抑子宮内膜的增殖。 在本發明相關的方面中,將本發明之組成物投與需要 其之雌性患者’以便治療子宮内膜異位症。 本^月的另方面中,將本發明之組成物投與需要 其之雌性,以便治療痛經。 而要 本發月的另方面中,將本發明之組成物投與需要 其之雌性,以便治療子宮肌瘤。 、需要 在本發明的另一方面中,將本發明之組成物投與需要 其之雌性,以便在該雌性中誘導月經。 發月的另方面中’將本發明之組成物投與需要 其之雌性,以便誘導分娩。 在本發明的另—方面中,將本發明之組成物投與需要 其之雌性,作為避孕藥。 本發月之化合物適合長期投藥,因為該化合物只有低 的糖皮g激素$體結合活性,並因此該化合物不會干擾糖 皮質激素受體的@ m , — 力b °因此’該化合物的應用可能有降低 的田彳作用,如血划从m ^ 1也在使用對糖皮質激素受體具有高親和 力曰抗孕激素時發現的情緒擺盪、疲勞和體重喪失。較佳 '本發月之化合物亦具有低的,或實質上沒有雌激素 性、抗-雌激素和抗_雄激素活性。 本發明之包·你士γ t , 7万法可包括投與本發明之組成物,持續 201002736 至少 ι、2、3、4、$、& 15、16、17、18、〗9、2〇、7: 8、、9、1〇、U、12、13、14、 28、29、30、31 或更多天二了、23、24、25、26、27、 持續至少1、2、L 4夕$ 、投藥期間。亦可投與該組成物 多個月的投藥期門 9⑺'11、1〕或更 4、5、6、7 8日可投與該組成物持續至少1、2、3、 内,可每天或定:二或更多年的投藥期間。在投藥期間 一 ’奴與该組成物,如每隔一天、每隔 個月,以及類彻去+ 母知一 者。亦可間歇地投與該組成物。 投與該組成物持續1、? 7 1 c 4 J如可 亏項I 2、3、4、5或更多個月的投藥 接著是停藥期,接著是卜2、3、4 :期間, 期間,等等。 次更多個月的投藥 可由熟諳此藝者使用任何已知的19.去甲孕鋼或19_去 甲睪酮衍生物(其在碳U的^々-位置處包括經單甲基胺 - 取代之苯環,具有上述化合物之特徵),來實行本發明。 在一具體事實中,可藉著在美國專利第6,861,415號和 6,900,193號中揭示之化合物的單脫甲基化,合成本發明之 i 化合物,分別全部以引用方式納入本文中,其為下丨 /、π「Μ通式 的21-經取代之19-去甲孕烧(norpregnane):Progesterone receptor modulator (SPRM)' As long as the antiprogestin has low affinity for the glucoside hormone steroid, it is administered in an amount effective to treat progesterone-dependent symptoms. Hormone-dependent symptoms that can be treated by the compositions of the invention include, but are not limited to, endometriosis, dysmenorrhea, endocrine hormone dependent tumors, uterine fibroids, and endometrial hyperproliferation. Compositions of the invention may also be used to induce menstruation, induce labor, and contraception. The invention also relates to methods of improving the operational characteristics of 19-nor-steroid-derived antiprogestins. 201002736 [detailed description of the invention] The term "political dose" means the specific symptom of the amount of the active component of the composition. The term s-therapeutic progesterone receptor modulator, the term means the tissue-specific influence of progesterone A compound that functions as a receptor. The compound acts as a progesterone receptor antagonist in certain tissues (eg, in atrial tissue) and a progesterone receptor agonist in other tissues in the uterus. The term "use,", "treat," or "treat," as used herein, refers to any treatment that depends on a condition or disease, and includes, but is not limited to, inhibiting the progression of a 2: disease n condition or disease; A disease, for example, a dissipating of a disease or a disease; or a symptom of a disease or a condition that is caused by a disease or a disease. A positive symptom or disease, 'prevention, or, prevention, A qi, - not yet appearing, means preventing the onset of a disease or disease, or if a condition or disease is present, preventing the development of a further condition or disease. For example, a composition of the invention can be used to prevent swelling Recurrence. The residual microscopy or nest of cells can then be expanded to be clinically detectable = and the recurrence of the tumor occurs. "Progesterone agonist," means the combination with the progesterone receptor. compound of. ",, progesterone antagonist, 'the term means a compound that is affected by the progesterone receptor knot. And inhibits progesterone when it is mentioned in the article that the hormone level in the female is not lowered" - word, meaning It means that during the administration of the composition of the present invention, the level of 201002736 is still maintained within the normal range. Therefore, as long as the hormone levels are maintained within the normal range, it is considered that there may be some decrease in hormone levels. When the term "hormone in a female is mentioned herein, the term "substantially no increase" is used, it means that during the administration of the composition of the present invention, the hormone level is maintained within the normal range. Therefore, as long as the hormone The level is maintained within the normal range' and it is believed that there may be some increase in hormone levels. The present invention relates to the administration of anti-pregnancy by including one or more 19-nor-ketone- or 19-norgestrel-derived A method for treating progesterone-dependent symptoms of a hormone (which includes a monodecylamine-substituted benzene ring at the position of carbon n). It is expected to have a position at 11 /5 - of carbon 11 The 19-desanone- or 19-norgestrel-derived antiprogestin substituted by the monomethylamine-substituted ring may not exhibit a phenyl ring substituted with a dimercaptoamine-substituted at the same position. The same compound has lower antiglucocorticoid activity while still retaining at least a substantial portion of the antiprogestin activity. The antiprogestin may be a pure antiprogestin or may be a specific progesterone receptor modulator (spRM) As long as the antiprogestin has a low-glucose negative hormone activity Preferably, the antiprogestin has low estrogen/antiestrogenic activity to substantially maintain serum estrogen levels in the patient after administration of the antiprogestin. "In an aspect of the invention The composition of the present invention is administered to a patient having breast cancer to treat breast cancer. In a related aspect of the invention, the composition of the present invention is administered to a breast cancer patient having one or more tumors resistant to estrogen therapy to treat breast cancer. For example, the compounds of the invention may be particularly useful for treating breast cancer with anti-tamoxifen in a patient towel. 201002736 In another aspect of the invention, the composition of the invention is administered to a female estrogen-treated female to prevent the development of breast cancer in the female. In still another aspect of the invention, the composition of the invention is administered to a female patient in need thereof to suppress proliferation of the endometrium. In a related aspect of the invention, the composition of the invention is administered to a female patient in need thereof for the treatment of endometriosis. In another aspect of the present invention, the composition of the present invention is administered to a female in need thereof for the treatment of dysmenorrhea. In another aspect of the present month, the composition of the present invention is administered to a female in need thereof for the treatment of uterine fibroids. In a further aspect of the invention, the composition of the invention is administered to a female in need thereof to induce menstruation in the female. In another aspect of the diarrhea, the composition of the present invention is administered to a female in need thereof to induce labor. In another aspect of the invention, the composition of the invention is administered to a female in need thereof as a contraceptive. The compound of this month is suitable for long-term administration because the compound has only low glycoside g-body binding activity, and therefore the compound does not interfere with the glucocorticoid receptor @ m , - force b ° thus the application of the compound There may be a reduced field effect, such as blood stroke from m ^ 1 also using the high affinity for the glucocorticoid receptor, anti-progestin, and the emotional swing, fatigue and weight loss. Preferably, the compound of the present month also has low, or substantially no estrogenic, anti-estrogen and anti-androgenic activity. The package of the present invention, γ t , 70,000 can include the composition of the present invention, continuing 201002736 at least ι, 2, 3, 4, $, & 15, 16, 17, 18, 〖9, 2 〇, 7: 8, 9, 9, 1 , U, 12, 13, 14, 28, 29, 30, 31 or more days, 23, 24, 25, 26, 27, lasting at least 1, 2 L 4 eve $, during the administration period. The composition may also be administered for a plurality of months of administration period door 9(7) '11, 1] or 4, 5, 6, or 7 8 days, the composition may be administered for at least 1, 2, 3, or within Set: Two or more years of administration. During the administration, a slave and the composition, such as every other day, every other month, and the class goes to + the mother knows one. The composition may also be administered intermittently. Is the composition continued for 1,? 7 1 c 4 J If the loss is I 2, 3, 4, 5 or more months, then the withdrawal period, followed by the 2, 3, 4: period, period, and so on. Sub-more months of administration can be accomplished by any of the known 19.pregnant steels or 19-nor- fluorenone derivatives (which include monomethylamine-substituted at the position of carbon U). The benzene ring, which has the characteristics of the above compounds, is used to carry out the invention. In a specific case, the compounds of the present invention can be synthesized by the single demethylation of the compounds disclosed in U.S. Patent Nos. 6,861,415 and 6,900,193, each of which is incorporated herein by reference in its entirety.丨/, π "Μ-type 21-substituted 19-norpregnane:

9 201002736 其中: X為N,N-二甲胺基;9 201002736 wherein: X is N,N-dimethylamino;

Ri可以是,例如〇、NOH或NO-甲基; R2可以是,例如氫或乙醯基;且 R·3可以是,例如甲氧基、曱醯氧基、乙醯氧基、醯氧 基、S-烧氧基、乙醯亞硫醯基(acetylthe〇nyl)、甘胺酸鹽、 乙烯基喊、乙醯氧基甲基、碳酸曱g旨、齒素、甲基、經基 和乙氧基。 例如,可經單脫甲基化,以形成可用在本發明中之化 合物的21-經取代之19_去曱孕烷,包括但不限於下文揭示 的下列24個化合物。 l.CDB-4247(21-丙醯氧基_17α _乙醯氧基_n 点 _(4n,n_ 二曱胺基苯基)-19-去甲孕_4,9-二烯-3,2〇-二酮),具有以下 結構式: 〇Ri may be, for example, hydrazine, NOH or NO-methyl; R2 may be, for example, hydrogen or acetamidine; and R.sup.3 may be, for example, methoxy, decyloxy, ethoxylated, decyloxy. , S-alkoxy, acetylthe 〇nyl, glycerate, vinyl, ethoxymethyl, cesium carbonate, dentate, methyl, thiophene and Oxygen. For example, 21-substituted 19-desopregnanes which may be mono-demethylated to form the compounds useful in the present invention include, but are not limited to, the following 24 compounds disclosed below. l.CDB-4247(21-propenyloxy_17α_acetoxy_n dot_(4n,n-diaminoaminophenyl)-19-norpregna- _4,9-diene-3, 2〇-dione), having the following structural formula: 〇

S將其單脫甲基化時,變成21-丙醯氧基_17〇:_乙醯氧 基-11/5-(4-Ν-曱胺基苯基)_19_去甲孕_4,9二烯_3,2〇二酮。 10 201002736 2.CDB-43 61(21-(1’-乙烯氧基)-17〇:-乙醯氧基-11 召 -(4N,N-二曱胺基苯基)-19-去曱孕-4,9-二烯-3,20-二酮),具 有以下結構式: ο c——N C 3 ΗWhen S is demethylated, it becomes 21-propenyloxy _17 〇: _ ethoxylated -11/5-(4-indole-ylaminophenyl) _19_nor-pregnant _4, 9 diene _3, 2 fluorenone. 10 201002736 2.CDB-43 61(21-(1'-vinyloxy)-17〇:-ethyloxy-11- (4N,N-diaminoaminophenyl)-19-depregnancy -4,9-diene-3,20-dione) having the following structural formula: ο c——NC 3 Η

Ac 當將其單脫甲基化時,變成21-乙烯基醚-17α;-乙醯氧 基-11/3 -(4-Ν-甲胺基苯基)-19-去甲孕-4,9-二烯-3,20-二酮。 3.CDB-405 9(21-乙醯氧基-17α -乙醯氧基-11 点-(4Ν,Ν-二曱胺基苯基)-19-去曱孕-4,9-二烯-3,20-二酮),具有以下 結構式:Ac, when it is mono-demethylated, becomes 21-vinyl ether-17α; -ethyloxy-11/3-(4-indole-methylaminophenyl)-19-norpregna-4. 9-diene-3,20-dione. 3. CDB-405 9(21-Ethyloxy-17α-ethoxycarbonyl-11-(4Ν, Ν-diamidinophenyl)-19-depregna-4,9-diene- 3,20-dione), having the following structural formula:

當將其單脫甲基化時,變成21-乙醯氧基-17α-乙醯氧 基-11 yS -(4-Ν-甲胺基苯基)-19-去曱孕-4,9-二烯-3,20-二酮。 4.CDB-4124(21-甲氧基-17α-乙醯氧基-ll/3-(4N,N-二 11 201002736 曱胺基苯基)-19-去曱孕-4,9-二烯-3,20-二酮),具有以下結 構式: C 3 ΗWhen it is mono-demethylated, it becomes 21-ethoxyl-17-ethoxycarbonyl-11 yS-(4-indole-methylphenyl)-19-depretated-4,9- Diene-3,20-dione. 4. CDB-4124 (21-methoxy-17α-ethyloxy-ll/3-(4N,N-di 11 201002736 amidinophenyl)-19-depretated-4,9-diene -3,20-dione), having the following structural formula: C 3 Η

C A 當將其單脫甲基化時,變成21-甲氧基-17α -乙醯氧基 -11冷-(4-Ν-曱胺基苯基)-19-去曱孕-4,9-二烯-3,20-二酮 (CDB-4453)。 5.€〇6-4031(21-溴-17〇:-乙醯氧基-11/3-(4队:^二曱胺 基苯基)-19-去甲孕-4,9-二烯-3,20-二酮),具有以下結構式:When it is mono-demethylated, it becomes 21-methoxy-17α-acetoxy-11 cold-(4-Ν-decylaminophenyl)-19-depretated-4,9- Diene-3,20-dione (CDB-4453). 5. 〇 6-4031 (21-bromo-17 〇:-acetoxy-11/3-(4 team: ^diamidophenyl)-19-norpregna-4,9-diene -3,20-dione), having the following structural formula:

當將其單脫曱基化時,變成21-溴-17 α -乙醯氧基-1 1 /3 -(4-N-曱胺基苯基)-19-去甲孕-4,9-二烯-3,20-二酮。 6丄08-3876(2卜氣-17〇:-乙醯氧基-11)5-(4队^二曱胺 基苯基)-19-去曱孕-4,9-二烯-3,20-二酮),具有以下結構式: 12 201002736When it is mono-demethylated, it becomes 21-bromo-17 α -ethyloxy-1 1 /3 -(4-N-nonylaminophenyl)-19-norpregna-4,9- Diene-3,20-dione. 6丄08-3876(2 Bu -17 〇:-Ethyloxy-11) 5-(4 ^^diamidophenyl)-19-depregnant-4,9-diene-3, 20-diketone), having the following structural formula: 12 201002736

當將其單脫甲基化時,變成21-氯-17α-乙醯氧基-11/3 -(4-Ν-甲胺基苯基)-19-去曱孕-4,9-二烯-3,20-二酮。 7.CDB-4058(21-氟-17α;-乙醯氧基-ll/3-(4N,N-二曱胺 基苯基)-19-去甲孕-4,9-二烯-3,20-二酮),具有以下結構式: c——N 〇 C 3 ΗWhen it is mono-demethylated, it becomes 21-chloro-17α-acetoxy-11/3-(4-anthracene-methylphenyl)-19-depregna-4,9-diene -3,20-dione. 7. CDB-4058 (21-fluoro-17α; -ethyloxy-ll/3-(4N,N-dialylaminophenyl)-19-norpregna-4,9-diene-3, 20-diketone), having the following structural formula: c - N 〇 C 3 Η

C A 當將其單脫甲基化時,變成21-氟-17α -乙醯氧基-11/5 -(4-Ν-甲胺基苯基)-19-去曱孕-4,9-二烯-3,20-二酮。 8.CDB-403 0(21-曱基-17α -乙醯氧基-11/5 -(4N,N-二甲 胺基苯基)-19-去甲孕-4,9-二烯-3,20-二酮),具有以下結構 式: 13 201002736When it is mono-demethylated, it becomes 21-fluoro-17α-ethoxylated -11/5-(4-indole-methylphenyl)-19-depretated-4,9-di Alkene-3,20-dione. 8. CDB-403 0(21-fluorenyl-17α-acetoxy-11/5-(4N,N-dimethylaminophenyl)-19-norpregna-4,9-diene-3 , 20-diketone), having the following structural formula: 13 201002736

v° I 丄、、OAc 當將其單脫甲基化時,變成21-甲基-17a-乙醯氧基-11 /5-(4-义曱胺基苯基)-19-去甲孕-4,9-二烯-3,20-二酮。 9.€03-415 2(21-羥基-17«-乙醯氧基-11/5-(4队:^二曱 胺基苯基)-19-去曱孕-4,9-二烯-3,20-二酮),具有以下結構 式:V° I 丄,, OAc, when it is mono-demethylated, it becomes 21-methyl-17a-acetoxy-11 /5-(4-yimidylphenyl)-19-norpregnant -4,9-diene-3,20-dione. 9. €03-415 2(21-hydroxy-17«-acetoxy-11/5-(4 team: ^diamidophenyl)-19-depregated-4,9-diene- 3,20-dione), having the following structural formula:

當將其單脫甲基化時,變成2 1 -羥基-1 7 α -乙醯氧基-1 1 /3 -(4-Ν-甲胺基苯基)-19-去曱孕-4,9-二烯-3,20-二酮。 10.CDB-4167(21-乙氧基-17α-乙醯氧基-11/3 -(4N,N-二曱胺基苯基)-19-去曱孕-4,9-二烯-3,20-二酮),具有以下 結構式· 14 201002736When it is mono-demethylated, it becomes 2 1 -hydroxy-1 7 α -ethyloxy-1 1 /3 -(4-indole-methylphenyl)-19-depregna-4. 9-diene-3,20-dione. 10. CDB-4167 (21-ethoxy-17α-ethyloxy-11/3-(4N,N-didecylaminophenyl)-19-depregna-4,9-diene-3 , 20-diketone), having the following structural formula · 14 201002736

CHCH

當將其單脫曱基化時,變成21-乙氧基-17α -乙醯氧基 -11万-(4-Ν-甲胺基苯基)-19-去甲孕-4,9-二烯-3,20-二酮。 ll.CDB-4101(21-甲氧硫基-17 -乙醯氧基-11 /3 -(4义义二甲胺基苯基)-19-去甲孕-4,9-二烯-3,20-二酮),具 有以下結構式··When it is mono-demethylated, it becomes 21-ethoxy-17α-acetoxy-110,000-(4-anthracene-methylphenyl)-19-norpregna-4,9-di Alkene-3,20-dione. ll.CDB-4101(21-methoxysulfanyl-17-ethenyloxy-11 /3-(4-yiyidimethylaminophenyl)-19-norpregna-4,9-diene-3 , 20-diketone), having the following structural formula··

CH, h3ctCH, h3ct

當將其單脫曱基化時,變成21-甲氧硫基-17α-乙醯氧 基-11沒-(4-Ν-甲胺基苯基)-19-去曱孕-4,9-二烯-3,20-二酮。 12.CDB-4110(21-丙酮化合物(acetonide)-17 a -乙醯氧 基-11/3 -(4N,N-二曱胺基苯基)-19-去曱孕-4,9-二烯-3,20-二 酮),具有以下結構式: 15 201002736When it is mono-demethylated, it becomes 21-methoxysulfo-17α-acetoxy-11-(4-indole-methylphenyl)-19-depretated-4,9- Diene-3,20-dione. 12. CDB-4110 (21-acetone compound (acetonide)-17 a-acetoxy-11/3 -(4N,N-didecylaminophenyl)-19-depregnant-4,9-two Alkene-3,20-dione) having the following structural formula: 15 201002736

c 3 Hc 3 H

當將其單脫曱基化時,變成21 -丙酮化合物-1 7 α -乙醯 氧基-11/5-(4-^甲胺基苯基)-19-去甲孕-4,9-二烯-3,20-二 酮。 13.CDB-4111(21-BMD-17 α -乙醯氧基-1 1 /5 -(4Ν,Ν-二 甲胺基苯基)-19-去甲孕-4,9-二烯-3,20-二酮),具有以下結 構式··When it is mono-demethylated, it becomes 21-acetone compound-1 7 α -ethoxymethoxy-11/5-(4-^methylaminophenyl)-19-norpregna-4,9- Diene-3,20-dione. 13. CDB-4111 (21-BMD-17 α-acetoxy-1 1 /5 -(4Ν,Ν-dimethylaminophenyl)-19-norpregna-4,9-diene-3 , 20-diketone), having the following structural formula··

c——N c 3 Hc——N c 3 H

AcoOA 當將其單脫甲基化時,變成21-BMD-17 α -乙醯氧基-11 /3 -(4-Ν-甲胺基苯基)-19-去甲孕-4,9-二烯-3,20-二酮。 14.CDB-4125(21-(Cyp* -羥基)-17α-乙醯氧基-11/S -(4Ν,Ν-二甲胺基苯基)-19-去甲孕-4,9-二烯-3,20-二酮)’具 有以下結構式: 16 201002736AcoOA when it is mono-demethylated, becomes 21-BMD-17 α-acetoxy-11 /3 -(4-Ν-methylaminophenyl)-19-norpregna-4,9- Diene-3,20-dione. 14.CDB-4125(21-(Cyp*-hydroxy)-17α-acetoxy-11/S-(4Ν,Ν-dimethylaminophenyl)-19-norpregna-4,9-di The ene-3,20-dione)' has the following structural formula: 16 201002736

c 3 Hc 3 H

Η c——NΗ c——N

〇 :Cyp = 3-環戊基丙醯氧基 當將其單脫曱基化時,變成21-(Cyp*-羥基)-17α -乙醯 氧基-11/5-(4-义曱胺基苯基)-19-去甲孕-4,9-二烯-3,20-二 酮。 15.CDB-4205(3-羥胺基-21-曱氧基-17α -乙醯氧基-11 /5 -(4Ν,Ν-二甲胺基苯基)-19-去曱孕-4,9-二烯-3,20-二酮), 具有以下結構式:〇: Cyp = 3-cyclopentylpropenyloxy group, when it is mono-demethylated, it becomes 21-(Cyp*-hydroxy)-17α-acetoxy-1/5-(4-yiguanamine Phenylphenyl)-19-norpregna-4,9-diene-3,20-dione. 15. CDB-4205 (3-hydroxylamino-21-decyloxy-17α-acetoxy-11 /5 -(4Ν,Ν-dimethylaminophenyl)-19-depregnant-4,9 -diene-3,20-dione), having the following structural formula:

C A 當將其單脫甲基化時,變成3-羥胺基-21-甲氧基-17 α -乙醯氧基-11 yS -(4-Ν-曱胺基苯基)-19-去曱孕-4,9-二烯 -3,20-二酮。 16.〇08-4206(3-羥胺基-21-乙醯氧基-17〇:-乙醯氧基 17 201002736 -1 1 /3 -(4N,N-二曱胺基苯基)-19-去曱孕-4,9-二烯-3,20-二 酮),具有以下結構式:When it is mono-demethylated, it becomes 3-hydroxyamino-21-methoxy-17α-ethyloxy-11 yS-(4-indole-ylaminophenyl)-19-dean Pregnancy-4,9-diene-3,20-dione. 16.〇08-4206(3-Hydroxyamino-21-ethoxymethoxy-17〇:-ethoxycarbonyl 17 201002736 -1 1 /3 -(4N,N-diaminoaminophenyl)-19- Go to the progesterone-4,9-diene-3,20-dione) with the following structural formula:

當將其單脫甲基化時,變成3-羥胺基-21-乙醯氧基-17 α -乙醯氧基-11 /5 -(4-N-曱胺基苯基)-19-去甲孕-4,9-二烯 -3,20-二酮。 17.CDB-4226(3-羥胺基-21-乙氧基-17α -乙醯氧基-11 /3 -(4Ν,Ν-二曱胺基苯基)-19-去甲孕-4,9-二烯-3,20-二酮), 具有以下結構式:When it is mono-demethylated, it becomes 3-hydroxyamino-21-acetoxy-17α-ethoxycarbonyl-11/5-(4-N-nonylaminophenyl)-19- Megestrol-4,9-diene-3,20-dione. 17. CDB-4226 (3-hydroxylamino-21-ethoxy-17α-ethoxycarbonyl-11 /3 -(4Ν,Ν-didecylaminophenyl)-19-norpregna-4,9 -diene-3,20-dione), having the following structural formula:

HON 乂/ 當將其單脫甲基化時,變成3-羥胺基-21-乙氧基-17 α -乙醯氧基-1 1 /3 -(4-Ν-曱胺基苯基)-19-去曱孕-4,9-二烯 -3,20-二酮。 18 201002736 18.CDB-4262(3-甲氧胺基-21-乙氧基-17α -乙醯氧基 -11 /3 -(4Ν,Ν-二甲胺基苯基)-19-去甲孕-4,9-二烯-3,20-二 酮),具有以下結構式: CH.HON 乂 / When it is mono-demethylated, it becomes 3-hydroxyamino-21-ethoxy-17 α -ethyloxy-1 1 /3 -(4-indole-ylaminophenyl)- 19-Deprecipitated-4,9-diene-3,20-dione. 18 201002736 18.CDB-4262(3-methoxyamino-21-ethoxy-17α-ethyloxy-11 /3 -(4Ν,Ν-dimethylaminophenyl)-19-norpregnancy -4,9-diene-3,20-dione) having the following structural formula: CH.

當將其單脫甲基化時,變成3-甲氧胺基-21-乙氧基-17 α -乙醯氧基-1 1 /3 -(4-N-甲胺基苯基)-19-去甲孕-4,9-二烯 -3,20-二酮。 19.CDB-4223(21-甲硫基-17 α -乙醯氧基-1 1 /5 -(4N,N-二曱胺基苯基)-19-去曱孕-4,9-二烯-3,20-二酮),具有以下 結構式·When it is mono-demethylated, it becomes 3-methoxyamino-21-ethoxy-17α-ethyloxy-1 1 /3 -(4-N-methylaminophenyl)-19 - Norgestimate-4,9-diene-3,20-dione. 19.CDB-4223(21-Methylthio-17α-ethyloxy-1 1 /5 -(4N,N-diaminoaminophenyl)-19-depregna-4,9-diene -3,20-dione), having the following structural formula

當將其單脫甲基化時,變成21-甲硫基-17α -乙醯氧基 19 201002736 -11 yS -(4-N-曱胺基苯基)-19-去曱孕-4,9-二烯-3,20-二酮。 20.CDB-4119(4-安息香-2卜乙醯硫基-17 cc -乙醯氧基 -11泠-(4N,N-二曱胺基苯基)-19-去甲孕-4,9-二烯-3,20-二 酮),具有以下結構式: οιWhen it is mono-demethylated, it becomes 21-methylthio-17α-acetoxy 19 201002736 -11 yS -(4-N-nonylaminophenyl)-19-depregnant-4,9 -diene-3,20-dione. 20. CDB-4119 (4-benzoin-2 ethane thiol-17 cc - ethoxylated-11 泠-(4N,N-didecylaminophenyl)-19-norpregnant-4,9 -diene-3,20-dione) having the following structural formula: οι

當將其單脫曱基化時,變成4-安息香-2 1 -乙醯硫基-1 7 α -乙醯氧基-11冷-(4-N-曱胺基苯基)-19-去曱孕-4,9-二烯 -3,20-二酮。 21丄08-423 9(4-安息香-21-曱氧基-17〇:-乙醯氧基-11 /3 -(4N,N-二甲胺基笨基)-19-去曱孕-4,9-二烯-3,20-二酮), 具有以下結構式: 20 201002736When it is mono-demethylated, it becomes 4-benzoin-2 1 -acetylsulfonyl-1 7 α -ethoxycarbonyl-11 cold-(4-N-decylaminophenyl)-19- Pregnancy-4,9-diene-3,20-dione. 21丄08-423 9(4-benzoin-21-decyloxy-17〇:-acetoxy-11 /3 -(4N,N-dimethylamino stupyl)-19-depregnant-4 , 9-diene-3,20-dione), having the following structural formula: 20 201002736

當將其單脫甲基化時,變成4-安息香-21-甲氧基-17 α -乙醯氧基-11 /3 -(4-Ν-曱胺基苯基)-19-去曱孕-4,9-二烯 -3,20-二酮。 22.CDB-4306(21-甘胺酸鹽-17 α -乙醯氧基-11冷 -(4队1二甲胺基苯基)-19-去曱孕-4,9-二烯-3,20-二酮),具 有以下結構式:When it is mono-demethylated, it becomes 4-benzoin-21-methoxy-17α-ethyloxy-11 /3-(4-indole-aminophenyl)-19-depregated -4,9-diene-3,20-dione. 22. CDB-4306 (21-glycinate-17α-acetoxy-11 cold-(4 team 1 dimethylaminophenyl)-19-depregna-4,9-diene-3 , 20-diketone), having the following structural formula:

當將其單脫甲基化時,變成21-甘胺酸鹽-17 α -乙醯氧 基-11 /9 -(4-Ν-曱胺基苯基)-19-去甲孕-4,9-二烯-3,20-二酮。 21 201002736 23.CDB-43 5 2(21-氰硫基-17α -乙醯氧基-11/3 -(4N,N-二曱胺基苯基)-19-去曱孕-4,9-二烯-3,20-二酮),具有以下 結構式·When it is mono-demethylated, it becomes 21-glycinate-17α-acetoxy-11 /9-(4-indole-ylaminophenyl)-19-norpregna-4. 9-diene-3,20-dione. 21 201002736 23.CDB-43 5 2(21-cyanothio-17α-acetoxy-11/3-(4N,N-diguanylaminophenyl)-19-depregnant-4,9- Diene-3,20-dione), having the following structural formula

S-CNS-CN

當將其單脫甲基化時,變成2 1 -氰硫基-1 7 a -乙醯氧基 -1 1 /3 -(4-N-曱胺基苯基)-19-去甲孕-4,9-二烯-3,20-二酮。 24.CDB-4362(21-曱氧乙醯基-17 α -乙醯氧基-11 /3 -(4氏:^-二甲胺基苯基)-19-去甲孕-4,9-二烯-3,20-二酮),具 有以下結構式·· ΟWhen it is mono-demethylated, it becomes 2 1 -cyanothio-1 7 a-acetoxy-1 1 /3 -(4-N-nonylaminophenyl)-19-norpregnancy- 4,9-diene-3,20-dione. 24. CDB-4362 (21-oxoethoxyethyl-7 α-acetoxy-11 /3 - (4:^-dimethylaminophenyl)-19-norpregnant-4,9- Diene-3,20-dione), having the following structural formula··

當將其單脫曱基化時,變成21-甲氧乙醯基-17α-乙醯 氧基-1 1 /5 -(4-Ν-甲胺基苯基)-19-去曱孕-4,9-二烯-3,20-二 22 201002736 已經證實CDB-4453(21-曱氧基-17α-乙醯氧基_up -(4-N-甲胺基苯基)_i9-去甲孕-4,9-二烯-3,20-二酉同), CDB-4 1 24的單脫曱基化衍生物具有比其親代更低的抗糖 皮質激素活性。Attardi 等人,2002,Mol. Cell. Endocrin 1 88:1 1 1-123,將其内容以引用方式納入本文中。 可藉著在技術領域中已知的任何方法,發生任何19_去 曱睪酮-或19-去甲孕酮-衍生之抗孕激素(其在碳π的丨丨沒_ 位置處具有經二曱基胺-取代之苯環)的單脫甲基化,如在美 國專利第6,900,193號之實施例46中描述的氧化N_脫甲基 化程序’用以從二甲胺基苯基前驅物合成17α -乙醯氧基- π /5 -[4-(Ν-甲胺基)苯基]-21-甲氧基-17-去甲孕_4,9-二烯 -3,2 0 -二嗣。 可經單脫甲基化,以形成可用在本發明中之化合物的 其他化合物,包括但不限於下列的: 米非司嗣(Mifepristone) (RU-486,11 沒-[4Ν,Ν-二甲 胺基笨基]-17/S-羥基-17-(卜丙炔基)-雌-4,9-二烯-3-酮),其 在單脫甲基化後變成11 /9 -[4-Ν-曱胺基苯基]-17/5-羥基 -17-(1-丙炔基)·雌-4,9-二烯-3-酮,具有以下結構: 23 201002736When it is mono-demethylated, it becomes 21-methoxyethenyl-17α-acetoxy-1 1 /5 -(4-indole-methylphenyl)-19-depregnant-4 , 9-diene-3,20-di 22 201002736 CDB-4453 (21-decyloxy-17α-ethoxylated _up-(4-N-methylaminophenyl)_i9-norpregnancy has been confirmed -4,9-diene-3,20-dioxime), the mono-demethylated derivative of CDB-4 1 24 has lower anti-glucocorticoid activity than its parent. Attardi et al., 2002, Mol. Cell. Endocrin 1 88:1 1 1-123, the contents of which are incorporated herein by reference. Any 19-demethylketone- or 19-norgestrel-derived antiprogestin (which has a dip in the annihilation of carbon π) can occur by any method known in the art. Monodemethylation of a amide-substituted benzene ring, as described in Example 46 of U.S. Patent No. 6,900,193, for the synthesis of N-demethylation procedures from dimethylaminophenyl precursors 17α-Ethyloxy-π/5-[4-(Ν-methylamino)phenyl]-21-methoxy-17-norgestrel-4,9-diene-3,2 0 -2 Hey. Other compounds which may be mono-demethylated to form compounds useful in the present invention include, but are not limited to, the following: Mifepristone (RU-486, 11 no-[4Ν, Ν-dimethyl Amino-based]-17/S-hydroxy-17-(p-propynyl)-est-4,9-dien-3-one) which becomes 11 /9 -[4 after mono-demethylation -Ν-Aminophenyl]-17/5-hydroxy-17-(1-propynyl)·est-4,9-dien-3-one having the following structure: 23 201002736

11 /3 -[4-N-甲胺基苯基]-17 /3 -羥基_l7 (1、丙;、u* _4,9 -二烯-3-酮是用在本發明中特佳的抗孕激去 人居"〇 奥那司酮(Onapristone)(l 1 点-(4N,N-二田 胺基苯基)-17 (2-海基-17-(3-赵丙基)-13〇:-雖-4,9-二稀-3 56口、 那,其在單 甲基化後變成(1 1召-(4-N-曱胺基苯基)-17 α _叙 抱基-1 7-(3-輕 丙基)-13〇:-雌-4,9-二烯- 3-8同),具有以下結構: 9H311 /3 -[4-N-methylaminophenyl]-17 /3 -hydroxy-l7 (1, C;, u* _4,9-dien-3-one is particularly useful in the present invention Anti-pregnancy to Habitat "Onapristone (l 1 point - (4N, N-dadalamylphenyl)-17 (2-海基-17-(3-Zhepropyl)-13 〇:-Although -4,9-di-salt - 56, then, after monomethylation, it becomes (1 1 call-(4-N-decylaminophenyl)-17 α _ 抱 基 - 1 7-(3-Light propyl)-13〇:-Estra-4,9-diene-3-8), having the following structure: 9H3

OH 利洛司酮(Lil〇pristone)(n召_(4N,N•二甲胺基苯基)_17 /5-羥基-17-((2)-3-羥丙烯基)雌_4,9-二烯_3-酮),其在單脫 甲基化後變成(11召_(4_N_甲胺基苯基)_17万-羥基 -1 7-((Z)-3-羥丙烯基)雌_4,9_二烯_3_酮),具有以下結構: 24 201002736OH lysine (Lil〇pristone) (n call _(4N,N•dimethylaminophenyl)_17 /5-hydroxy-17-((2)-3-hydroxypropenyl) female _4,9 -diene-3-ketone) which, after mono-demethylation, becomes (11-[4_N_methylaminophenyl)-170,000-hydroxy-1 7-((Z)-3-hydroxypropenyl) Female _4,9-diene _3 ketone) having the following structure: 24 201002736

〇H 〇h -> 利洛司酮 ORG-3 1710((6 α ,11 冷,17 /5 )-ll-(4N,N-二甲胺基苯 基)-6-甲基-4’,5’ -二氫螺環[雌-4,9-二烯-17,2’(3’Η)-呋 喃]-3-酮),其在單脫曱基化後變成((6 α ,11 /3 ,17 y? )-;11_(4->4-甲胺基苯基)-6-甲基-4’,5’-二氩螺環[雌-4,9-二 烯-17,2’(3’HV呋喃]-3-酮,具有以下結構:〇H 〇h -> Lilosterone ORG-3 1710 ((6 α , 11 cold, 17 /5 )-ll-(4N,N-dimethylaminophenyl)-6-methyl-4' , 5'-dihydrospiro[estra-4,9-diene-17,2'(3'Η)-furan]-3-one), which becomes (6α, after mono-demethylation 11 /3 ,17 y? )-;11_(4->4-Methylaminophenyl)-6-methyl-4',5'-di-argon spiro[Estra-4,9-diene- 17,2'(3'HVfuran]-3-one, having the following structure:

\\

ORG-3 18 06((7 /3,1 1 /5 ,17 冷)-1 1-(4N,N-二曱胺基苯 基)-7-甲基-4’,5’ -二氫螺環[雌-4,9-二烯-17,2’(3’H)-呋 喃]-3-酮),其在單脫甲基化後變成((7沒,11万,17 冷)-11_(4-Ν-曱胺基苯基)-7-曱基-4’,5’-二氫螺環[雌-4,9-二 烯-17,2’(3’H)-呋喃]-3-酮),具有以下結構: 25 201002736 9H3ORG-3 18 06((7 /3,1 1 /5 ,17 cold)-1 1-(4N,N-diaminoaminophenyl)-7-methyl-4',5'-dihydrospiro Ring [est-4,9-diene-17,2'(3'H)-furan]-3-one) which becomes mono-demethylated ((7 no, 110,000, 17 cold) - 11_(4-Ν-曱aminophenyl)-7-mercapto-4',5'-dihydrospiro[est-4,9-diene-17,2'(3'H)-furan] -3-ketone), having the following structure: 25 201002736 9H3

ORG-31806 9h3ORG-31806 9h3

0110-33245((1 1 石,17 6〇-17,23-環氧-11-[(4>^:^-二曱胺 基)苯基]-19,24-二去曱膽-4,9,20-三烯-3-酮),其在單脫甲基 化後變成(11 /3 ,17 a )-17,23-環氧-11-[(4-Ν-甲胺基)苯 基]-19,24-二去甲膽-4,9,20-三烯-3-酮,具有以下結構: 9h3 9h30110-33245((1 1 stone, 17 6〇-17,23-epoxy-11-[(4>^:^-diamido)phenyl]-19,24-didebend-4, 9,20-Trien-3-one) which becomes (11 /3 ,17 a )-17,23-epoxy-11-[(4-anthracene-methyl)benzene after monodemethylation Base]-19,24-dinormethylene-4,9,20-trien-3-one, having the following structure: 9h3 9h3

更進一步打算用在本發明中的是藉著美國專利第 4,82 9,060號之通式I化合物之單脫曱基化產生的經單甲胺 基苯基-取代之11/3 -芳基-雌二烯,全部以引用方式納入本 文中。 更進一步打算用在本發明中的是藉著具有在美國專利 26 201002736 % 4,386,085 % . 4,447,424 ^ . 4,519,946 4,634,695 號中揭示之通式的化合物之單脫甲基化產生的經單曱胺基 表基-取代之19-去甲類固醇和19-去甲-D同類固醇,分別 全部以引用方式納入本文中,其中Ri為二甲胺基苯基。 更進一步打算用在本發明中的是藉著具有在美國專利 第4,5 3 6,401號中揭示之式I的化合物之單脫曱基化產生的 經單甲胺基苯基-取代之11点_芳基雌二烯,將其完整内容 以引用方式納入本文中’其中Ri為二甲胺基。 更進一步打算用在本發明中的是藉著具有在美國專利 第4,7 80,46 1號中揭示之式I的化合物之單脫甲基化產生的 經單甲胺基苯基-取代之13α -烷基-留烷(g〇nane),將其完 整内容以引用方式納入本文中。 更進一步打算用在本發明中的是具有美國專利第 4,609,651號之通式I的11冷_芳基雌二烯,將其完整内容以 引用方式納入本文中’其中R1為單甲胺基。 更進一步打算用在本發明中的是美國專利第5,728,689 號之式I的11 /5 -芳基-4-雌烯,將其完整内容以引用方式納 入本文中,其中R4為單甲胺基。 更進一步打算用在本發明中的是美國專利第5,843,933 號和5,843,93 1號之式I的11/3 _芳基_4_雌烯衍生物,分別 全部以引用方式納入本文中’其中R4為單曱胺基。 更進一步打鼻用在本發明中的是在美國專利第 4,921,845號中揭示之11-芳基類固醇,將其完整内容以引用 方式納入本文中’其中R1為單甲胺基苯基。 27 201002736 更進-步打算用在本發明中的是美國專利第5,739,i25 號之式I的lly9-芳基-留(g〇na) _4,9_二烯_3_酮將其完 整内容以引用方式納入本文中,其中R2為單甲胺基。 更進-步打算用在本發明中的是美國專利第5,4〇7,928 號之式I的11/5-芳基_甾·4,9_二烯將其完整内容以引用 方式納入本文中,其中R2為單甲胺基。 更進一步打算用在本發明中的是藉著在Kang等人,Further contemplated for use in the present invention is monomethylaminophenyl-substituted 11/3-aryl-derived by mono-demethylation of a compound of formula I of U.S. Patent No. 4,82,060 Female diene is incorporated herein by reference in its entirety. Further contemplated for use in the present invention is a monoammonium-based surface group produced by mono-demethylation of a compound of the formula disclosed in U.S. Patent No. 26, 2010,027,036, 4,386,085, 4,447,424, 4,519,946, 4, 634, 695. - Substituted 19-nor steroids and 19-nor-D sterols, all incorporated herein by reference, wherein Ri is dimethylaminophenyl. Further contemplated for use in the present invention is monomethylaminophenyl-substituted by mono-demethylation of a compound of formula I as disclosed in U.S. Patent No. 4,359,401. 11 _ aryl estradiol, the entire contents of which are incorporated herein by reference, wherein Ri is dimethylamino. Further contemplated for use in the present invention is monomethylaminophenyl-substituted by mono-demethylation of a compound of formula I as disclosed in U.S. Patent No. 4,780,46. 13α-Alkyl-retentane (g〇nane), the entire contents of which are incorporated herein by reference. Further contemplated for use in the present invention is 11 cold aryl aryl diene having the general formula I of U.S. Patent No. 4,609,651, the disclosure of which is incorporated herein in its entirety . Further intending to be used in the present invention is 11 /5-aryl-4-estrene of the formula I of U.S. Patent No. 5,728,689, the disclosure of which is incorporated herein in its entirety by reference in its entirety in its entirety. Further contemplated for use in the present invention are the 11/3 _ aryl-4 estrene derivatives of Formula I of U.S. Patent Nos. 5,843,933 and 5,843,93, each incorporated herein by reference herein It is a monoamine group. Further in the present invention is the 11-aryl steroid disclosed in U.S. Patent No. 4,921,845, the disclosure of which is incorporated herein in 27 201002736 Further steps are intended to be used in the present invention. The lly9-aryl-residue (g〇na) _4,9-diene_3-one of the formula I of U.S. Patent No. 5,739, i25 is incorporated herein by reference. Incorporated herein by reference, wherein R2 is a monomethylamino group. Further step-by-step is intended to be used in the present invention. 11/5-aryl-甾·4,9-diene of the formula I of U.S. Patent No. 5,4,7,928, the entire contents of which is incorporated herein by reference. Wherein R2 is a monomethylamino group. Further intends to be used in the present invention is by Kan et al.

Bioorg. Med. Chem. Lett. 17(4):907-910(2007)中揭示之化 合物的單脫甲基化產生的經單曱胺基苯基_取代之氧雜_類 固醇6,全部以引用方式納入本文中。 重要的是,單甲基胺基團可位在苯基基團的對、鄰或 間位,但較佳的是在對位。 在其他的具體事實中,本發明提供改善19-去甲類固醇 -何生之抗孕激素之操作特徵的方法。許多19_去甲類固醇· 何生之抗孕激素(包括在國際公開案W097/41 145中揭示的 那些,以引用方式納入本文中),是非常難以操作的非晶形 固體。例如,這些化合物經常是難以分離和定性並分離出 咼純度。已經意外地發現某些在碳u的丨丨万-位置處具有 二單甲基胺-取代之苯環的19_去甲類固醇_衍生之抗孕激 素,以自由鹼之形式結晶。相反的,在碳丨丨的丨丨沒-位置 處具有經二甲基胺_取代之苯環的19_類固醇_衍生之抗孕激 素的自由鹼形式則是非晶形固體。無意與理論結合,在碳 11之Π/3-位置處具有經單曱基胺_取代之苯環的抗孕激 素,可能基於相對於經二甲基胺_取代之化合物的較高電荷 28 201002736 密度而顯示出結晶特徵。在碳"的η α 甲基胺-取代之苯環的 置處/、有經早 的19-類固醇_衍生之抗孕激 & 經改善的鹽-形成特微 京方了迅明 P 1 徵。在碳11的1M-位置處具有經單甲 基胺-取代之笨環的10 i /、令、、土早f 的i9-類固醇_衍生之抗孕激 性,提供了在操作和純化上的優點。 素的”特 在另八體事實中,本發明教示可用以鑑認具有選擇 性孕酮受體結合活性之# ^ t 男适擇 古〖生之化合物的方法。這些方法包 結合和在活體内的生物、、目,丨+已祜又體 们生物測疋,如抗-McGinty、抗-Claube 糖皮質激素、雌激辛、掩,机主 5 ’、A隹激素、抗-糖皮質激素(ag)、抗- 雕激素和抗-雄激辛法把 、 ,以及性交後和抗-排卵活性,其中 使用本發明之先導化合物作為參考。 ^ 在另-具體事實中,本發明教示亦可針對其等在人類 細胞中的轉錄活性’分析可能的抗孕激素。此時使用在本 # Θ t 孕激素作為參考’該分析可供應關於⑴候 選化„物與孕體之交互作用、⑺經活化孕酮受體盘兑 他轉錄因子之交互作用,和(3)轉錄複合物在孕酮反應^牛 (Pwgester〇ne response elemem,PRE)處之活化的資訊。在這 -實驗中’可纟PRE-依賴性啟動基因之下,將表現人類 PR-B同功型(hPR_B)if體與任何熟諸相關技藝者已知的 報。子共同轉染到HeLa、HepG2或T47D細胞内。報告子 可包括,但不限於蟲螢光素酶、沒-半乳糖苷酶、綠螢光蛋 白紅螢光蛋白或黃螢光蛋白。在轉染之後,以候選化合 物或在本申請案中揭示的抗孕激素之一(其擔任陽性對照組) 處理細胞。在處理之後,針對報告子的表現來測定細胞。 29 201002736 在另一具體事實中,本發明教示可針對其等在人類淋 巴細胞之細胞株CEM-7中對抗地塞米松(dexamethasoneh 誘導之細胞死亡的能力,並與在本說明書中揭示之抗孕激 素的效果相比較,測試有希望的抗孕激素。在這些實驗中, 可以結果導致細胞死亡之濃度加入地塞米松。然後以濃产 在10·6到1〇-8Μ之間的RU486(本發明的抗孕激素之—)或受 試化合物處理細胞。 可使用在技術領域中已知的合成化學技術,如在美國 專利第6,86 1,415號中揭示的那些,合成可根據本發明使用 之抗孕激素化合物。要瞭解在反應條件下,某些官能基可 月b會被其他反應劑或試劑干擾,並因此可能需要暫時性的 保護。在’有機合成中的保護基(Protective Gr〇ups m 〇rganic Synthesis),,第 2 版,T.w.心⑽ & pGM 玫此,Biomono. Med. Chem. Lett. 17(4): 907-910 (2007) by mono-demethylation of a monoammonium phenyl-substituted oxa-steroid 6 produced by the compound, all cited The way is included in this article. Importantly, the monomethylamine group can be in the para, ortho or meta position of the phenyl group, but is preferably in the para position. In other specific instances, the present invention provides methods for improving the operational characteristics of 19-nor-sterols. Many of the 19-nor-steroidal anti-progestogens (including those disclosed in International Publication No. W097/41 145, incorporated herein by reference) are very difficult to operate amorphous solids. For example, these compounds are often difficult to separate and characterize and separate the purity of hydrazine. It has been unexpectedly discovered that certain 19-nor-sterol-derived anti-pregniniins having a dimonomethylamine-substituted benzene ring at the --position of carbon u crystallize in the form of a free base. Conversely, the free base form of the 19-steroid-derived anti-pregnancy with a dimethylamine-substituted benzene ring at the annihilation-position of the carbonium is an amorphous solid. Unintentionally combined with theory, an antiprogestin with a monodecylamine-substituted benzene ring at the Π/3-position of carbon 11 may be based on a higher charge relative to the dimethylamine-substituted compound 28 201002736 Density shows crystallization characteristics. In the carbon " η α methylamine-substituted benzene ring set /, there is an early 19-steroid _ derived anti-pregnancy & improved salt - formed special micro-jing Fang Xunming P 1 Sign. The anti-pregnancy of the i9-steroid derived from the monomethylamine-substituted stupid ring of 10 i /, 令,土土 f at the 1M-position of carbon 11 provides operation and purification advantage. In the other eight facts, the present invention teaches a method for identifying a compound having a selective progesterone receptor binding activity. These methods include binding and in vivo. The creatures, the eyes, the cockroaches, the cockroaches and the cockroaches, such as anti-McGinty, anti-Claube glucocorticoids, estrogen, mask, 5', A hormone, anti-glucocorticoid (ag , anti-carving hormone and anti-androgenic methods, and after sexual intercourse and anti-ovulation activity, wherein the lead compound of the present invention is used as a reference. ^ In another specific fact, the teachings of the present invention may also be directed thereto. Transcriptional activity in human cells' analysis of possible antiprogestins. At this time use in this # Θ t progesterone as a reference 'this analysis can supply about (1) candidate interaction with the pregnancy, (7) activated progesterone The interaction of the receptor plate with his transcription factor, and (3) the activation of the transcription complex at the Pwgester〇ne response elemem (PRE). Under this -experimental 纟PRE-dependent promoter gene, the human PR-B isoform (hPR_B) if body will be reported to anyone known to those skilled in the art. The cells are co-transfected into HeLa, HepG2 or T47D cells. Reporters may include, but are not limited to, luciferase, galactosidase, green fluorescent white fluorescent protein or yellow fluorescent protein. After transfection, the cells were treated with a candidate compound or one of the antiprogestins disclosed in the present application, which served as a positive control. After treatment, cells were assayed for the performance of the reporter. 29 201002736 In another specific aspect, the present teachings are directed to its ability to combat dexamethasone-induced cell death in cell line CEM-7 of human lymphocytes, and to anti-pregnancy disclosed in the present specification Compare the effects of hormones and test promising antiprogestins. In these experiments, dexamethasone can be added to the concentration that causes cell death. Then, RU486 (between 10 and 6 to 1〇-8Μ) is produced. The anti-progestin of the invention - or the test compound is used to treat the cells. Synthetic chemistry techniques known in the art can be used, such as those disclosed in U.S. Patent No. 6,86 1,415, which can be synthesized according to the present invention. Antiprogestin compounds are used. Under certain reaction conditions, certain functional groups may be interfered with by other reagents or reagents, and thus may require temporary protection. Protective groups in 'organic synthesis' (Protective Gr 〇ups m 〇rganic Synthesis),, 2nd edition, Tw heart (10) & pGM

Wiley-InterSCience(l991)中描述了保護基的使用。 在-具體事實中,本發明之組合物包括_或多個㈣ 受體調節劑(其在碳11的11/3_位置處包括經單甲基胺_取 代之苯環),或其在藥學上可接受之鹽類。依據加工條件, 可以中性或鹽形式獲得該鹽化合物。鹽形式包括水合物及 其他媒合物,還有結晶多形體。根據本發明,可使用這些 終產物的自由驗和鹽類兩者。 酸加成鹽類在某種意義上可能是原本已知的使用鹼 性劑(如驗金屬)或藉著離子交換轉型成自由驗。亦可利用有 機或無機酸類,使所得之自由鹼形成鹽類。 在製備酸加成鹽類時,較佳的是使用適當地形成在藥 30 201002736 學上可接受之鹽類的這類酸類。這類酸類之實例為氫氣 酸、硫酸、磷酸、硝酸、脂肪族酸、脂環族羧酸或磺酸, 如甲酸、乙酸、丙酸、破珀酸、乙醇酸、乳酸、蘋果酸、 酒石酸、檸檬酸、抗壞血酸、尿甘酸、反丁烯二酸、順丁 烯二酸、羥基順丁烯二酸、丙酮酸、天冬胺酸、穀胺酸、 對-羥基苯曱酸、雙羥萘酸、乙烷磺酸、羥基乙烷磺酸、笨 基乙酸、杏仁酸、齒素苯磺酸、甲苯磺酸、半乳糖二酸、 半乳糖醛酸或萘磺酸。可根據本發明使用所有結晶形式多 形體。The use of protecting groups is described in Wiley-InterSCience (l991). In a specific fact, the composition of the present invention comprises _ or a plurality of (four) receptor modulators (which include a monomethylamine-substituted benzene ring at the 11/3-position of carbon 11), or Acceptable salts. The salt compound can be obtained in a neutral or salt form depending on the processing conditions. Salt forms include hydrates and other conjugates, as well as crystalline polymorphs. Both free tests and salts of these end products can be used in accordance with the present invention. Acid addition salts may in some sense be originally known to use an alkaline agent (such as a metal test) or to be converted into a free test by ion exchange. It is also possible to use an organic or inorganic acid to form a salt which is obtained as a free base. In the preparation of acid addition salts, it is preferred to use such acids which are suitably formed in the salts acceptable for use in Pharmacy 30 201002736. Examples of such acids are hydrogen acid, sulfuric acid, phosphoric acid, nitric acid, aliphatic acids, alicyclic carboxylic acids or sulfonic acids, such as formic acid, acetic acid, propionic acid, spearic acid, glycolic acid, lactic acid, malic acid, tartaric acid, Citric acid, ascorbic acid, uric acid, fumaric acid, maleic acid, hydroxy maleic acid, pyruvic acid, aspartic acid, glutamic acid, p-hydroxybenzoic acid, pamoic acid Ethanesulfonic acid, hydroxyethanesulfonic acid, stupid acetic acid, mandelic acid, dentate benzenesulfonic acid, toluenesulfonic acid, galactonic acid, galacturonic acid or naphthalenesulfonic acid. All crystalline form polymorphs can be used in accordance with the present invention.

亦可根據本發明使用鹼加成鹽類,並可藉著使自由酸 形式與足量想要的鹼接觸來製備,以傳統方式產生鹽。可 藉著使鹽形式與酸接觸,使自由酸形式再生,並以傳統方 式分離自由酸。利用金屬或胺,如驗金屬和驗土金屬或有 機胺,形成在藥學上可接受之驗加成鹽類。用以作為陽離 子之金屬的實例,為鈉、鉀、鈣、鎂以及類似者。適當之 胺的實例為胺基酸’如離胺酸、膽汁素、三乙醇胺、:二 胺、N-甲基葡糖胺以及類似者。 一 可將本發明之組成物製備成劑 口服、非經腸、經皮、經直賜.“之❿式,或適合 早位。非經腸投藥包括,但不限於靜脈内:的劑量 内、皮下、肌肉内、鞘内和關節内。 、、腹腔 在本文中,,,口服投藥,,或”可口 個體之治療劑或其組成 k 阑包括遞送至 成物放在該個體的嘴相 ^ ,八f將該製劑或組 ',、、論有沒有吞儀該製劑或組成 201002736 物。因此, 入)投藥。 口服投藥”包括頰部和舌下 還有食道(例如吸 則具體事實中,將本發明之組成物調配成直腸检 u含有栓劑基底’包括但不限於可可脂或甘油醋。 亦可為了吸入調配本發明之組合物,其可以是包括作 不限於溶液、懸浮液或乳劑的形式,可作為 溶 膠之形式,使用推進劑(如二氣氣甲貌或三氣氟甲烧)投與。 亦可為了經皮膚遞送,調配本發明之組成物,例如乳 霜、軟膏、洗劑、糊劑'凝膠、藥布、貼片或膜。這類电 成物可包括任何適當的賦形劑,例如渗透促進劑以及類似 者0 亦可為了非經腸投藥(包括但不限於藉著注射或連續輸 液),調配本發明之組成物。注射用的調配物可以是在油性 或水性媒劑中的懸浮液、溶液或乳劑之形式。亦可以散劑 形式提供這類組成物,利用適當的媒劑(包括但不限於無 菌、無熱原的水、WFI以及類似者)重建。 亦可將本發明之組成物調配成積儲製劑,其可藉著植 入或藉著肌肉内注射投藥。可利用適當的聚合或忌水性材 料(例如’像是在可接受之油中的乳劑)、離子交換樹脂調配 這類組成物,或做成微溶性衍生物(例如像是微溶的鹽)。 亦可將本發明之組成物調配成脂質體製劑。脂質體製 劑可包括貫穿感興趣之細胞或角質層’並與細胞膜融合的 脂質體,結果將該脂質體的内容物遞送到細胞内。例如, 可使用像是在Yarosh之美國專利第5,〇77,211號、Redziniak 32 201002736 專人之美國專利弟4,62 1,〇23號或Redziniak等人之美國專 利第4,508,703號中描述的那些脂質體。 本發明之組成物可以是固體劑量單位之形式,如錠劑 (例如懸浮錠、咬懸浮錠、快速分散錠、可咀嚼錠、起泡錠、 雙層錠等等)、膠囊錠(caplets)、膠囊(例如軟或硬明膠膠 囊)、散劑(例如經包裝散劑、可分散散劑或起泡粉)、含片、 藥包(sachets)、豆狀膠囊沁““⑷、口含錠、小丸、顆粒、Base addition salts can also be used in accordance with the present invention and can be prepared in a conventional manner by contacting the free acid form with a sufficient amount of the desired base. The free acid form can be regenerated by contacting the salt form with an acid and isolating the free acid in a conventional manner. The use of metals or amines, such as metal and soil metals or organic amines, forms pharmaceutically acceptable test addition salts. Examples of metals used as cations are sodium, potassium, calcium, magnesium and the like. Examples of suitable amines are amino acids such as lysine, bilirubin, triethanolamine, diamine, N-methylglucamine and the like. The composition of the present invention can be prepared into an oral, parenteral, transdermal, or a direct administration, or a suitable dosage. The parenteral administration includes, but is not limited to, intravenous: Subcutaneous, intramuscular, intrathecal, and intra-articular., peritoneal cavity, herein, orally administered, or "a therapeutic agent of a palatable individual or its composition k" includes delivery to a subject placed in the mouth of the individual,八f The preparation or group ',,, whether or not the preparation or composition 201002736. Therefore, the drug is administered. Oral administration "including buccal and sublingual and esophagus (for example, in the case of absorption, the composition of the present invention is formulated into a rectal examination containing a suppository base] including but not limited to cocoa butter or glycerin vinegar. The composition of the present invention may be in the form of, but not limited to, a solution, a suspension or an emulsion, and may be administered as a sol in the form of a propellant (e.g., a two-gas or three-gas fluorocarbon). For delivery via the skin, compositions of the invention are formulated, such as creams, ointments, lotions, pastes, gels, drapes, patches or films. Such electroforms may include any suitable excipients, for example Penetration enhancers and the like can also be formulated for parenteral administration (including but not limited to by injection or continuous infusion). The formulation for injection can be suspended in an oily or aqueous vehicle. In the form of a liquid, solution or emulsion. Such compositions may also be provided in powder form for reconstitution with a suitable vehicle, including but not limited to sterile, pyrogen-free water, WFI and the like. The composition of the composition is formulated into a reservoir preparation which can be administered by implantation or by intramuscular injection. Appropriate polymeric or hydrophobic materials (such as 'emulsions in acceptable oils'), ion exchange resins can be utilized. Formulating such compositions, or formulating them as sparingly soluble derivatives (such as, for example, sparingly soluble salts). The compositions of the invention may also be formulated as liposomal formulations. Liposomal formulations may include cells or stratum corneum throughout the fungus. 'Liposomes fused to the cell membrane, as a result, the contents of the liposome are delivered to the cells. For example, U.S. Patent No. 5, 〇77, 211, Redziniak 32 201002736, to Yarosh, U.S. Patent 4, The liposomes described in U.S. Patent No. 4,508,703, the entire disclosure of which is incorporated herein by reference. Ingots, chewable ingots, foaming ingots, double-layer ingots, etc.), capsules (caplets), capsules (such as soft or hard gelatin capsules), powders (eg, packaged powders, dispersible) Foaming agents or powder), tablets, kits (sachets), bean shape capsule Qin "" ⑷, lozenges, pellets, granules,

微顆粒、經包膠微顆粒、散劑氣溶膠調配物,或任何其他 為了投藥而適度修改的固體劑型。 可根據許多相關、已熟知之藥學技術中的任一者製備 錠劑。在-具體事實中,可藉著使用包括但不限於下列方 法之一或其組合的製程,製備錠劑或其他固體劑型·(1)乾 式心、(2)直接壓緊、(3)研磨' (4)乾式或非·水成粒、⑺ 濕式成粒,或(6)融合。 在鍵劑製備之濕式成粒製程中的個別步驟,血型地勺 研磨和過筛、乾粉混合、濕成塊(massi:g)、成: - <的研磨。乾式成粒涉及在重型旋轉式壓片機上, :::丨::物壓緊成粗錠劑或,,條塊' 然後藉著研磨操作, 別的:¥通過振動造粒機,將條塊打破成粒狀微粒。個 1…驟包括混合散劑、壓緊(乾壓製 或成粒)。血型妯^ 7 Μ唧厲(條塊鈿減 或水分。 在任何步驟中均沒有涉及任何濕黏合劑 另具體事實中,可藉著混合抗孕激f與 藥學賦形劑,字激素與或多個 ^ A貝上均質的處方前摻合物,來製備 33 201002736 固體劑型。然後 加工(例如壓緊、 型。 °、刀該處方如摻合物,並視需要進一步 包膠H分散等等)成為任何想要的劑 可藉著擠麼本發明$也_添丨斗、丄 月之散劑或成粒組成物來製備壓錠。” 壓叙一 S司通常意指適合 P # 服攝食之原味、未經塗膜的錠 劑’ It著簡單壓替十、站# ”次藉者在擠壓前輕敲,接著最後的壓緊 來製備。可塗佈本發 穷月之紅劑,或另行混合,以提供具有 經改良操作或儲存 饤试之優點的劑型。在一具體事實中, 會選擇任何這類的塗料’以便在投與個體後實質上不會延 遲本發明組成物之治療效果的開始。當在本文中使用時,” 懸洋錠”-詞意指經過緊壓的錠劑,將其放在水中之後會迅 速地分解。 本發明之組成物的適當液體劑型包括溶液、水性或油 :芯浮液、酏劑、糖漿、乳劑、液體氣溶膠調配物、凝膠、 < 軟膏等4。亦可將這類組成物調配成乾產物,在使 用之則以水或其他適當的媒劑重建。 在—具體事實中’在將液體或半_固體組成物儲存在密 閉谷益中,維持在室溫、冷藏(例如大约5_1(rc)溫度或冷凍 恤度下’持續大約 i'2'3、4、5、6、7、8、9、10、11 或12個月後,顯示至少大約9〇%、至少大約、至少 大約95%或至少大約97 5%的本文提供之原始抗孕激素化 合物。 右希望’本發明之組成物可包含一或多個在藥學上可 接受之賦形劑。在本文中,,賦形劑,,一詞意指任何本身不是治 34 201002736 療劑的物質,用來作為遞送治療劑至 二 =藥組成物中,改善其操作或儲存特性劑=二 ::)稀:之卓位:量的形成,劑包括(舉例說明而無 亦丨、典念•才丨* 1者劑、濕潤劑、潤滑 劑、'動劑…改性劑或表面活性劑、香料、縣浮劑、Microparticles, encapsulated microparticles, powder aerosol formulations, or any other solid dosage form that is modestly modified for administration. Tablets can be prepared according to any of a number of related and well known pharmaceutical techniques. In a specific fact, lozenges or other solid dosage forms can be prepared by using processes including, but not limited to, one or a combination of the following methods: (1) dry core, (2) direct compression, (3) grinding (4) Dry or non-aqueous granulation, (7) wet granulation, or (6) fusion. In the individual steps of the wet granulation process for the preparation of the key preparation, the blood type is ground and sieved, dry powder mixed, wet lumped (massi: g), into: - < Dry granulation involves pressing on a heavy-duty rotary tablet press, :::::: compacted into a thick lozenge or strip, then by grinding operation, something else: ¥ by vibrating granulator, strip The block breaks into granular particles. The steps include... mixing powder, compacting (dry pressing or granulation). Blood type 妯 ^ 7 Μ唧 ( 条 条 条 条 条 条 条 条 条 条 条 条 ( ( 条 条 ( 在 在 在 在 在 在 在 在 在 在 在 在 在 在 在 在 在 在 在 在 在 在 在 在 在 在 在 在 在A pre-prescription blend on a beetle to prepare a solid dosage form of 33 201002736. Then processed (eg, compacted, type. °, knife, such as a blend, and further encapsulated H dispersion, etc.) To become any desired agent, it is possible to prepare a tablet by squeezing the invention with the invention of the invention, the addition of the powder, or the granulation composition." The syllabary generally means that it is suitable for the original taste of the P # serving, The uncoated tablet 'It's simple to replace the ten, station # 》 the second borrower taps before extrusion, and then the final compression to prepare. Can be coated with the red moon, or mixed separately To provide a dosage form with the advantages of improved handling or storage testing. In a specific case, any such coating will be selected so as not to substantially delay the onset of the therapeutic effect of the compositions of the invention after administration to an individual. When used in this article, "hanging ingots" - By means of a compacted tablet, it will decompose rapidly after it is placed in water. Suitable liquid dosage forms for the compositions of the invention include solutions, aqueous or oil: core floats, elixirs, syrups, emulsions, liquid aerosols Formulations, gels, <ointments, etc. 4. Such compositions may also be formulated as dry products, which may be reconstituted with water or other suitable vehicle when used. In the specific case, 'in the liquid or half _ The solid composition is stored in a closed valley, maintained at room temperature, refrigerated (eg, at a temperature of about 5_1 (rc) or a frozen shirt' for about i'2'3, 4, 5, 6, 7, 8, 9, 10, After 11 or 12 months, at least about 9%, at least about, at least about 95%, or at least about 975% of the original antiprogestin compound provided herein is shown. Right hope that the composition of the invention may comprise one or more A pharmaceutically acceptable excipient. As used herein, the term excipient, means any substance that is not itself a therapeutic agent for the treatment of 34 201002736, and is used as a delivery therapeutic agent to a second drug composition. Improve its handling or storage characteristics = two: :) thin: the bit Forming amount of agents include (without also illustrates Shu, typically only read • * 1 by Shu agents, wetting agents, lubricants, '... movable modifiers agents or surfactants, perfumes, county floating agent,

乳化劑、非水媒劑、防腐劑、抗氧化劑1著劑、:整PH 值和渗透壓的製_如緩衝劑)、㈣劑、增稠劑、增甜劑、 調味劑、味道遮蔽劑1色劑或染料、渗透促進劑,以及 加入以改善組成物之外觀的物質。 視需要在本發明之組成物中使用的職形劑,可以是固 體、半-固體、液體或其組合。可藉著任何已知的藥學技術, 包括將賦形劑與藥物或治療劑混合’來製備含有賦形劑的 本發明組成物。 本發明之組成物可視需要包括一或多個在藥學上可接 受之稀釋劑,作為賦形劑。適當的稀釋劑例如包括,個別 或混合的乳糖,包括無水乳糖和乳糖單水合物;澱粉,包 括可直接壓緊的澱粉和經水解之澱粉(例如CelutabTM和 EmdeX™);甘露糖醇;山梨糖醇;木糖醇;右旋糖(例如 Cerelose™2000)和右旋糖單水合物;磷酸氫鈣二水合物;旯 於蔗糖之稀釋劑;細紋理碎糖(confectioner、sugar);硫酉曼 二氫鈣單水合物;硫酸鈣二水合物;粒狀乳酸辑三水合物. 葡萄糖結合劑(dextrates);肌醇;經水解之榖類固體;直鍵 澱粉;纖維素’包括微晶纖維素、食品級來源的α _和非晶 形纖維素(例如RexcelTM)和粉末纖維素;碳酸鈣;甘胺竣. 35 201002736 膨潤土,聚乙烯吡咯烷酮;以及類似者。這類稀釋劑,若 有的活,總共構成組成物之總重量的大約5%到大約99%, 大約10%到大約85%,或大約2〇%到大約8〇%。較佳的是 選擇任何稀釋劑或稀釋劑們,以顯示適當的流動特性,且 在想要錠劑之處顯示出可壓縮性。 *τ使用超顆粒微晶纖維素(即在脫水步驟之後將微晶纖 維素加至經濕式成粒之組成物中)的用途,以改善硬度(對於 錠劑)及/或崩解時間。 本發明之組成物可視需要包括一或多個在藥學上可接 受之崩解劑作為賦形劑,特別是對於錠劑、膠囊或其他固 體調配物。適當的崩解劑包括,個別或混合的澱粉,包括 乙醇酸'殿粉鈉(例如Pen We st的Exp lotab™)和預糊化玉米澱Emulsifier, non-aqueous agent, preservative, antioxidant 1 agent, system for whole pH and osmotic pressure _ such as buffer), (iv) agent, thickener, sweetener, flavoring agent, taste masking agent 1 A toner or dye, a penetration enhancer, and a substance added to improve the appearance of the composition. The dosage agent to be used in the composition of the present invention may be a solid, a semi-solid, a liquid or a combination thereof as needed. The composition of the present invention containing an excipient can be prepared by any known pharmaceutical technique, including mixing an excipient with a drug or a therapeutic agent. The compositions of the present invention may optionally comprise one or more pharmaceutically acceptable diluents as excipients. Suitable diluents include, for example, individual or mixed lactose, including anhydrous lactose and lactose monohydrate; starch, including directly compressible starch and hydrolyzed starch (eg, CelutabTM and EmdeXTM); mannitol; sorbose Alcohol; xylitol; dextrose (such as CereloseTM 2000) and dextrose monohydrate; calcium hydrogen phosphate dihydrate; thinner for sucrose; fine texture broken sugar (confectioner, sugar); Dicalcium calcium monohydrate; calcium sulfate dihydrate; granular lactic acid trihydrate. glucose binder (dextrates); inositol; hydrolyzed anthraquinone solid; direct bond starch; cellulose 'including microcrystalline cellulose , food grade source of alpha _ and amorphous cellulose (eg, RexcelTM) and powdered cellulose; calcium carbonate; glycine oxime. 35 201002736 bentonite, polyvinylpyrrolidone; and the like. Such diluents, if any, constitute from about 5% to about 99%, from about 10% to about 85%, or from about 2% to about 8%, based on the total weight of the composition. It is preferred to select any diluent or diluent to exhibit proper flow characteristics and to exhibit compressibility where the tablet is desired. *τ uses the use of superparticulate microcrystalline cellulose (i.e., the addition of microcrystalline cellulose to the wet granulated composition after the dehydration step) to improve hardness (for tablets) and/or disintegration time. The compositions of the present invention may optionally comprise one or more pharmaceutically acceptable disintegrants as excipients, particularly for lozenges, capsules or other solid formulations. Suitable disintegrants include individual or mixed starches, including glycolic acid 'sodium powder (such as Pen West's Exp lotabTM) and pregelatinized corn starch

粉(例如 Nati〇naiTM i55i'Nati〇naiTM ι 550 和 c〇iocornTM uoo)、黏土(例如VeegumTM HV),纖維素,如經純化之纖 維素、微晶纖維素、甲基纖維素、羧甲基纖維素和羧甲基 纖維素鈉、父聯羧曱基纖維素納(croscarmellose sodium)(例 如FMC的Ac-Di_Sol™)、藻酸鹽、克洛帕維酮(crosp〇vid〇ne) 和樹膠,如瓊脂、瓜耳樹膠(guar)、三仙膠(xanthan)、刺槐 丑膠(locust bean)、刺梧桐樹膠(karaya)、果膠和黃蓍膠。 可在製備組成物期間的任何適當步驟,特別是在成粒 步驟之前’或在壓緊之前的潤滑步驟期間加入崩解劑。這 類朋解劑’若有的話,總共構成組成物之總重量的大約〇. 2 % 到大約30%、大約0.2%到大約10%,或大約0.2%到大約5%。 本發明之組成物可視需要包括一或多個在藥學上可接 36 201002736 受之黏合#丨或黏著劑作為賦形劑,特別是對於錠劑調配 物。這類黏合劑和黏I齊|J,較佳的{給與⑨製成錠劑之散 劑足夠的凝聚力,以允許正常的加卫操作,如篩選大小、 潤滑、壓緊和包裝’但仍允許旋劑崩解並在攝食後吸收該 組成物。適當的黏合劑和黏著劑包括,個別或混合的阿拉Powder (eg Nati〇naiTM i55i 'Nati〇naiTM ι 550 and c〇iocornTM uoo), clay (eg VeegumTM HV), cellulose, such as purified cellulose, microcrystalline cellulose, methyl cellulose, carboxymethyl Cellulose and sodium carboxymethylcellulose, croscarmellose sodium (eg Ac-Di_SolTM from FMC), alginate, cropodone (crosp〇vid〇ne) and gum Such as agar, guar, xanthan, locust bean, karaya, pectin and tragacanth. The disintegrant can be added at any suitable step during the preparation of the composition, particularly prior to the granulation step' or during the lubrication step prior to compaction. Such penetrants', if any, constitute a total of from about 0.2% to about 30%, from about 0.2% to about 10%, or from about 0.2% to about 5%, by total weight of the composition. The compositions of the present invention may optionally comprise one or more pharmaceutically acceptable adhesives or adhesives as excipients, particularly for lozenge formulations. This type of adhesive and adhesive IJ|J, preferably {giving 9 a sufficient amount of coagulant to make the bulking force to allow normal lifting operations, such as screening size, lubrication, compaction and packaging' but still allow The rotatory agent disintegrates and absorbs the composition after ingestion. Suitable binders and adhesives include, individual or mixed Allah

伯樹膠;黃箸膠·,蔗糖;明膠;葡萄糖:澱粉,像是但不 限於預糊化澱粉(例如NationalTM 1511和Nati〇naiTM 1500);纖維素,像是但不限於甲基纖維素和羧甲纖維素 (carmellose)鈉(例如Tyl0seTM);藻酸和藻酸的鹽類;矽酸鎂 鋁;PEG ;瓜耳樹膠;多醣酸;膨潤土;聚維酮(p〇vid〇ne), 例如聚維酮K-15、K-30和K-29/32 ;聚甲基丙烯酸酯; HPMC ;羥丙基纖維素(例如KlucelTM);以及乙基纖維素(例 如Ethocel™)。這類黏合劑及/或黏著劑,若有的話,總共構 成組成物之總重量的大約心5%到大約25%、大約〇·75%到 大約1 5 %,或大約1 %到大約〖〇 〇/〇。 本發明之組成物可視需要包括一或多個在藥學上可接 文之濕潤劑作為賦形劑。在本發明之組成物中,可用來作 為濕潤劑之表面活性劑的非-限制性實例包括四級銨化合 物’例如苯扎氯敍(benzalkonium chloride)、节索氯録 (benzethonium chloride)和西吡氯銨(cetylpyHdinium chloride)、磺基琥珀酸鈉二辛酯、聚氧乙烯烷基苯基醚例 如壬笨醇醚(nonoXyn〇l)9、壬苯醇趟1〇和辛苯聚釀 (〇ctoxyn〇l)9、泊洛沙姆(p〇l〇xamers)(聚氧乙烯和聚氧丙烯 嵌段共聚物)、聚氧乙烯脂肪酸甘油酯和油類,例如聚氧乙 37 201002736 稀⑻辛酸/癸酸單-和二甘油酯(例如Gattef〇sse的 Labrasc^)、聚氧乙烯(35) t麻油和聚氧乙稀⑽)氫化該 油;聚氧乙敎基謎,例如聚氧乙歸(2())_硬@旨醯基鍵、 聚氧乙烯脂肪酸酯,例如聚氧乙烯(4〇)硬脂酸酯、聚氧乙烯 脫水山梨糖醇酯,例如聚山梨糖醇酯2〇和聚山梨糖醇酯 80(例如ICI的TweenTM80)、丙二醇脂肪酸酯,例如丙二醇 月桂酸酯(例如Cattefosse的LauroglycolTM)、十二烧基硫酸 鈉、脂肪酸及其鹽類,例如油酸、油酸鈉和油酸三乙醇銨、 甘油脂肪酸酿’例如甘油單硬脂酸酯、脫水山梨糖醇醋, 例如脫水山梨糖醇單月桂酸酯、脫水山梨糖醇單油酸酯、 脫水山梨糖醇單棕櫚酸酯和脫水山梨糖醇單硬脂酸醋、四 丁酚醇(tyloxapol)及其混合物。這類濕潤劑,若有的話,總 共構成組成物之總重量的大約0.25%到大約1 5%、大約0.4% 到大約10%,或大約0.5。/。到大約5%。 本發明之組成物可視需要包括一或多個在藥學上可接 受之潤滑劑(包括抗-黏劑(anti-adherents)及/或滑動劑)作為 賦形劑。適當的潤滑劑包括’個別或混合的山蓊酸甘油酯(例 如CompritolTM 888);硬脂酸及其鹽類,包括硬脂酸鎂(硬脂 酸鎂)、鈣和鈉;氫化植物油(例如Sterotex™);膠體二氧化 石夕;滑石;蠟;硼酸;笨曱酸鈉;醋酸鈉;反丁烯二酸鈉; 氣4匕納’ DL-免胺酉曼;PEG( {列如 Carbowax™ 4000 Carbowax™ 6000);油酸鈉;十二烷基硫酸鈉;以及十二烷 基硫酸鎂。這類潤滑劑,若有的話,總共構成組成物之總 重量的大約0.1 %到大約10%、大約0.2%到大約8%,或大 38 201002736 約0.25%到大約5%。 適當之抗-黏劑包括滑石、玉米澱粉、DL-亮胺酸、十 二烷基硫酸鈉和金屬硬脂酸鹽。滑石是抗-黏劑或滑動劑, 用以例如減少調配物黏附至設備表面,也用以降低在換人 物中的靜電。一或多個抗-黏劑,若有的話,構成組成物之 總重量的大約〇_1%到大約10%、大約0.25%到大約5%,或 大約0.5%到大約2%。 , 可使用滑動劑以促進固體調配物的散劑流動。適當的 滑動劑包括膠體二氧化石夕、澱粉、滑石、磷酸三|弓、粉末 纖維素和三矽酸鎂。膠體二氧化矽是特佳的。 本發明之組成物可包括一或多個消泡劑。二曱石夕油 (simethicone)是作為例證的消泡劑。消泡劑,若有的話,構 成組成物之總重量的大約0.0 0 1 %到大約5 %、大約〇 q 〇 1 % ' 到大約2%,或大約0.001«%到大約1〇/〇。 用在本發明中作為例證的抗氧化劑包括,但不限於經 # 丁基化的羥基甲苯、經丁基化的羥基苯甲醚、偏二亞硫酸 鉀’以及類似物。一或多個抗氧化劑,若需要,典型地以 按重量計大約0.01%到大約2.5%,例如大約0 01%、大約 0.05%、大約0.1%、大約〇·5%、大約ι%、大約】5%、大 約1_75%、大約2%、大約2.25%或大約2.5%的量,出現在 本發明之組成物中。 在各種具體事實中,本發明之組成物可包括防腐劑。 適當的防腐劑包括’但不限於苯扎氣銨、對羥基苯甲酸甲 酯、乙酯、丙酯或丁酯、苯曱醇、苯乙醇、苄索氯銨、對_ 39 201002736 羥基苯甲酸甲酯或丙酯和山梨 任意防腐劑以按重量計大約二:: 0.01%到大約2.5。/。的量存在。 典型地,該 0.5%或大約 在一具體事實中,本發明之組成物可視需要包括緩衝 劑。緩衝劑包括降低pH值改變的製劑。用在本發明之各種 具體事實中的緩衝劑之例證種類包括第Σ A族金屬的鹽,包 括例如I A族金屬的碳酸氳鹽、工八族金屬的碳酸鹽、鹼金 屬或驗土金屬緩衝劑、紹緩衝劑、職衝劑、納緩衝劑或 鎖緩衝劑。適當的緩衝劑包括任何前述者的碳酸鹽、碟酸 鹽、破酸氫鹽、檸檬酸鹽、领酸鹽、醋酸鹽、鄰苯二甲酸 鹽、酒石酸鹽、琥知酸鹽,例如磷酸、檸檬酸、蝴酸、醋 酸、碳酸氫和碳酸鈉或鉀。 適當之緩衝劑的非-限制性實例包括鋁、氫氧化鎂、甘 胺齩鋁醋酸鈣、碳酸氫約、硼酸句、碳酸鈣、檸檬酸舞、 葡萄糖i*·約、甘油麟酸的、氫氧化飼、乳酸妈、鄰苯二甲 酸鈣、磷酸鈣 '琥珀酸鈣、酒石酸鈣、磷酸氫二鈉、磷酸 氫二鉀、磷酸二鉀 '磷酸氫二鈉、琥珀酸二鈉 '無水氫氧 化鋁漩膠、醋酸鎂、鋁酸鎂、硼酸鎂、碳酸氫鎂、碳酸鎂、 檸檬酸鎂、葡萄糖酸鎂、氫氧化鎂、乳酸鎂、矽酸鋁酸鎂、 氧化鎂 '鄰苯二甲酸鎂、磷酸鎂、矽酸鎂、琥珀酸鎂、酒 石酸鎂、醋酸鉀、碳酸鉀、碳酸氫鉀、硼酸鉀、檸檬酸鉀、 偏填酸鉀、鄰笨二甲酸鉀、填酸鉀、聚磷酸鉀、焦填酸鉀、 琥ϊό酸钟、酒石酸鉀、醋酸鈉、碳酸氫鈉、硼酸鈉、碳酸 納、檸檬酸鈉、葡萄糖酸鈉、磷酸氫鈉、氫氧化鈉、乳酸 40 201002736 鈉、鄰苯二曱酸鈉、磷酸鈉、聚磷酸鈉、焦磷酸鈉、倍半 碳酸鈉、琥珀酸鈉、酒石酸鈉、三聚磷酸鈉、合成的菱水 鋁鎂石、焦磷酸四鉀、焦磷酸四鈉、磷酸三鉀、磷酸三鈉 和三羥曱基胺基曱烧(trometamol)(—部分基於在默克索引 (The Marck Index),Merck & Co. Rahway,N.J.(2001)中提供 的一覽表)。此外,可在本文描述之醫藥組成物中使用任何 二或多個上文提及之緩衝劑的組合或混合物。一或多個緩 衝劑,若需要,以按重量計大約0.01%到大約5%或大約 0.01 %到大約3%的量出現在本發明之組成物中。 在各種具體事實中,本發明之組成物可包括一或多個 增加黏性的製劑。作為例證之增加黏性的製劑包括,但不 限於甲基纖維素、羧甲基纖維素鈉、乙基纖維素、鹿角菜 膠(carrageenan)、卡波姆(carbopol)& /或其組合。典型地, 一或多個增黏劑,若需要,以按重量計大約〇 1%到大約1〇% 或大約0.1%到大約5%的量出現在本發明之組成物中。Berber gum; tragacanth, sucrose; gelatin; glucose: starch, such as but not limited to pre-gelatinized starch (eg NationalTM 1511 and Nati〇naiTM 1500); cellulose, such as but not limited to methylcellulose and carboxyl Carmellose sodium (eg Tyl0seTM); salts of alginic acid and alginic acid; magnesium aluminum citrate; PEG; guar gum; polysaccharide acid; bentonite; povidone (p〇vid〇ne), eg poly Vesone K-15, K-30 and K-29/32; polymethacrylate; HPMC; hydroxypropyl cellulose (eg KlucelTM); and ethyl cellulose (eg EthocelTM). Such binders and/or adhesives, if any, constitute a total of about 5% to about 25%, about 7575% to about 15%, or about 1% to about 〖the total weight of the composition. 〇〇/〇. The compositions of the present invention may optionally include one or more pharmaceutically acceptable humectants as excipients. Non-limiting examples of surfactants useful as wetting agents in the compositions of the present invention include quaternary ammonium compounds such as benzalkonium chloride, benzethonium chloride, and spirulina. CetylpyHdinium chloride, dioctyl sulfosuccinate, polyoxyethylene alkyl phenyl ether such as nonoXyn〇l 9, nonyl phenolphthalein 1 and octyl benzene (〇ctoxyn) 〇l)9, poloxamer (p〇l〇xamers) (polyoxyethylene and polyoxypropylene block copolymer), polyoxyethylene fatty acid glycerides and oils, such as polyoxyethylene 37 201002736 dilute (8) octanoic acid / Hydrogenation of the oil by mono- and diglycerides of decanoic acid (such as Labrasc^ of Gattef〇sse), polyoxyethylene (35) t sesame oil and polyoxyethylene (10); polyoxyethylene hydrazines, such as polyoxyethylene ( 2 ()) _ hard @ 醯 醯 base, polyoxyethylene fatty acid esters, such as polyoxyethylene (4 〇) stearate, polyoxyethylene sorbitan ester, such as polysorbate 2 〇 and Polysorbate 80 (eg TweenTM 80 from ICI), propylene glycol fatty acid esters such as propylene glycol laurate (eg Catt) EuroglycolTM of efosse, sodium lauryl sulfate, fatty acids and their salts, such as oleic acid, sodium oleate and triethanolammonium oleate, glycerol fatty acids such as glyceryl monostearate, sorbitan, For example, sorbitan monolaurate, sorbitan monooleate, sorbitan monopalmitate and sorbitan monostearate, tyloxapol, and mixtures thereof. Such humectants, if any, collectively comprise from about 0.25% to about 5%, from about 0.4% to about 10%, or about 0.5, of the total weight of the composition. /. To about 5%. The compositions of the present invention may optionally comprise one or more pharmaceutically acceptable lubricants (including anti-adherents and/or slip agents) as excipients. Suitable lubricants include 'individually or in combination with glyceryl behenate (eg CompritolTM 888); stearic acid and its salts, including magnesium stearate (magnesium stearate), calcium and sodium; hydrogenated vegetable oils (eg Sterotex) TM); colloidal silica dioxide eve; talc; wax; boric acid; sodium alginate; sodium acetate; sodium fumarate; gas 4 匕 DL 'DL-free amine mann; PEG ({ column such as CarbowaxTM 4000 CarbowaxTM 6000); sodium oleate; sodium lauryl sulfate; and magnesium lauryl sulfate. Such lubricants, if any, constitute a total of from about 0.1% to about 10%, from about 0.2% to about 8%, or from about 38% to about 5% of the total weight of the composition. Suitable anti-adhesive agents include talc, corn starch, DL-leucine, sodium lauryl sulfate, and metal stearates. Talc is an anti-adhesive or slip agent that, for example, reduces the adhesion of the formulation to the surface of the device and also reduces static in the exchange. One or more anti-adhesive agents, if any, constitute from about 〇_1% to about 10%, from about 0.25% to about 5%, or from about 0.5% to about 2% of the total weight of the composition. A slip agent can be used to promote the flow of the solid formulation. Suitable slip agents include colloidal silica dioxide, starch, talc, tri-phosphate, powdered cellulose, and magnesium tricaprate. Colloidal cerium oxide is particularly preferred. The compositions of the present invention may include one or more antifoaming agents. Simethicone is an exemplary defoamer. The antifoaming agent, if any, constitutes from about 0.001% to about 5%, from about 〇q 〇 1%' to about 2%, or from about 0.001«% to about 1 〇/〇 of the total weight of the composition. Antioxidants exemplified in the present invention include, but are not limited to, #butylated hydroxytoluene, butylated hydroxyanisole, potassium metabisulfite', and the like. One or more antioxidants, if desired, are typically from about 0.01% to about 2.5% by weight, such as about 0.01%, about 0.05%, about 0.1%, about 5%, about 5%, about 5%, about ??? An amount of 5%, about 1-75%, about 2%, about 2.25% or about 2.5% is present in the compositions of the present invention. In various specific facts, the compositions of the present invention may include a preservative. Suitable preservatives include, but are not limited to, benzalkonium chloride, methylparaben, ethyl ester, propyl or butyl ester, phenylhydrin, phenylethyl alcohol, benzethonium chloride, _ 39 201002736 hydroxybenzoic acid The ester or propyl ester and sorbet are preservatives in an amount of from about two: 0.01% to about 2.5 by weight. /. The amount exists. Typically, the 0.5% or about in a particular fact, the compositions of the present invention may optionally include a buffer. Buffers include formulations that reduce pH changes. Illustrative classes of buffering agents useful in the various specific aspects of the invention include salts of Group A metals, including, for example, cerium carbonate salts of Group IA metals, carbonates of Group VIII metals, alkali metal or soil-measuring metal buffers. , buffer, granules, nano buffer or lock buffer. Suitable buffering agents include any of the foregoing carbonates, discates, hydrogen sulphates, citrates, terephthalates, acetates, phthalates, tartrates, succinates, such as phosphoric acid, Citric acid, ceradic acid, acetic acid, hydrogen carbonate and sodium or potassium carbonate. Non-limiting examples of suitable buffers include aluminum, magnesium hydroxide, calcium glycinate, calcium carbonate, hydrogen carbonate, boric acid, calcium carbonate, citric acid dance, glucose i*·about, glycerol acid, hydrogen. Oxidative feeding, lactating mother, calcium phthalate, calcium phosphate 'calcium succinate, calcium tartrate, disodium hydrogen phosphate, dipotassium hydrogen phosphate, dipotassium phosphate 'disodium hydrogen phosphate, disodium succinate' anhydrous aluminum hydroxide Swirling gel, magnesium acetate, magnesium aluminate, magnesium borate, magnesium hydrogencarbonate, magnesium carbonate, magnesium citrate, magnesium gluconate, magnesium hydroxide, magnesium lactate, magnesium phthalate, magnesium oxide, magnesium phthalate, Magnesium phosphate, magnesium citrate, magnesium succinate, magnesium tartrate, potassium acetate, potassium carbonate, potassium hydrogencarbonate, potassium borate, potassium citrate, potassium potassiumate, potassium phthalate, potassium potassiumate, potassium polyphosphate, Coke potassiumate, succinic acid clock, potassium tartrate, sodium acetate, sodium bicarbonate, sodium borate, sodium carbonate, sodium citrate, sodium gluconate, sodium hydrogen phosphate, sodium hydroxide, lactic acid 40 201002736 sodium, o-benzene Sodium citrate, sodium phosphate, sodium polyphosphate, sodium pyrophosphate, Sodium half carbonate, sodium succinate, sodium tartrate, sodium tripolyphosphate, synthetic smithite, tetrapotassium pyrophosphate, tetrasodium pyrophosphate, tripotassium phosphate, trisodium phosphate and trishydroxyl amide (trometamol) (- based in part on the list provided in The Marck Index, Merck & Co. Rahway, NJ (2001)). Furthermore, any combination or mixture of two or more of the above mentioned buffering agents can be used in the pharmaceutical compositions described herein. One or more buffers, if desired, are present in the compositions of the present invention in an amount of from about 0.01% to about 5% by weight or from about 0.01% to about 3% by weight. In various specific instances, the compositions of the present invention may include one or more formulations that increase viscosity. Exemplary viscous formulations include, but are not limited to, methylcellulose, sodium carboxymethylcellulose, ethylcellulose, carrageenan, carbopol & / or combinations thereof. Typically, one or more tackifiers, if desired, are present in the compositions of the present invention in an amount of from about 1% to about 1% by weight or from about 0.1% to about 5% by weight.

V 在各種具體事實中,本發明之組成物包括,,官能劑 (organoleptic agent)”,以改善該組成物的官能特性。在本文 中”官能劑”-詞意指任何能改善本發明之組成物的味道或 氣味’或協助遮蔽其令人討厭之味道或氣味的賦形劑。這 類製劑包括增甜劑、調味劑及/或味道遮蔽劑。適當的増甜 劑及/或調味劑包括增甜或對醫藥組成物提供味道的任^ 劑。任意的官能劑典型地以大約〇1毫克/毫升到大約 克/毫升、大約0.5毫克/毫升到5毫克/亳升,或大約 /毫升的量出現在本發明之組成物中。 兄 41 201002736 作為例證的增甜劑或調味劑包括,但不限於阿拉伯糖 漿、茴香腦(anethole)、大茴香油(anise 〇il)、芳香酏、苯甲 醛、苯曱醛酏劑、環糊精、香菜(caraway)、香菜油、菫蔻 油(cardamom oil)、菫蔻籽、菫蔻酒精、莖蔻酊、櫻桃汁、 櫻桃糖漿、肉桂(cinnam〇n)、肉桂油、肉桂水、擰檬酸、檸 棣酸糖漿、丁香油(Cl0ve 〇il)、可可、可可糖漿、芫荽油 (coriander oil)、右旋糖、毛網草(eri〇dicty〇n)、毛網草流浸 膏(fluideXtract)、毛網草糖漿、芳香劑、乙酸乙酯、乙香草 醛(ethyl vanillin)、小茴香油(fennel 〇u)、生薑生薑流浸 霄、生薑樹脂油、右旋糖、葡萄糖、糖、麥芽糊精、甘油、 甘草(glycyrrlnza)、甘草酏、甘草浸膏、甘草純浸膏、甘草 "•I· /又膏甘草糖漿、蜂蜜、等-酒精触(iso-alcoholic elixir)、 薰衣草油(lavender oil)、擰檬油、檸檬酊、甘露糖醇、水揚 酉夂甲酉日肉旦蔻油(nutmeg oil)、苦撥(orange bitter)酏、苦 燈油 '燈花油、橙花水、撥油、橙皮苦、撥皮甜訂、橙酒 精、橙糖漿、薄荷(peppermint)、薄荷油、薄荷酒精 '薄荷 水、苯乙醇、覆盆子(raspberry)汁、€盆子糖裝、迷迭香油 (rosemary oil)、薔薇油、濃薔薇水、糖精、鈣糖精、鈉糖精' 撒爾沙(sarsaparilla)糖漿、撒爾沙、山梨糖醇溶液' 綠薄荷 (spearmint)、綠薄荷油、蔗糖、三氯蔗糖(sucral〇se)、糖漿、 瑞香草油(thyme 011)、妥路香膠(t〇lu baisam)、妥路香膠糖 t、香草(vaniUa)'香草酊、香草醛、野櫻皮糖漿或其組合。 作為例證之味道遮蔽劑包括,但不限於環糊精、環糊 精乳劑、環糊精顆粒、環糊精複合物或其組合。 、 42 201002736 證之懸浮劑包括,但不限於山梨糖醇轉裝、甲 素、、《萄糖/糖糖漿、明膠、窥乙基鐵維素、幾^基 纖維素、硬脂酸铭凝膠和氫化食用脂。 作為例證之乳化劑包括,但不限於即磷脂 糖醇單油酸酯和阿拉伯樹 八 用油、杏^、,1 媒劑包括’但不限於食 / 、,工刀餾之椰子油、油性酯、丙二醇和乙醇。 前迷的賦形劑可能有多個角色,如同在技術領域中已 J的。例如’殿粉可作為填料和崩解劑。不應以任何方式 :以上的賦形劑分類解釋為限制。 > 服=任何方式投與本發明之組成物,包括但不限於口 由吸入、、二腸、舌下、經皮膚、經直腸'透黏膜、局部、經 及入、經由頰部投藥或其組合。非經 ::靜::内:脈内、腹腔"下、肌肉内1二 p η 細池内和腦室内。 、使用在療法中所需之組成物的治療有效量,可視想要 的活性時間長度、待治療之患者的年齡和狀 後由主治醫師判定。然而,通常為了人類= 的劑里’典型地是在每天大約〇 〇〇1毫克/公斤到大約 5卯耄克/公斤的範圍内,例如每天大約i微克/公斤到大約 …克/ A斤或每天大約1微克/公斤到大約100微克/公斤。 對於大多數的大型哺乳動物,總每日劑量是從大約1到1〇〇 t克:較佳的是從大約2到80毫克。可調整給藥方案,以 最適切的治療反應。可以單一劑量便利地投與想要的 θ ϊ,或按適當的間隔以多個劑量投與,例如以每天二、 43 201002736 三、四或更多個次劑量(subdose)。 舉例來說,可將本發明之組成物投與個體,以提供該 個體大約1微克/公斤到大約1毫克/公斤體重之含量的抗孕 激素’例如大約1微克/公斤、大約2 5微克/公斤、大約5 0 微克/公斤、大約75微克/公斤、大約1〇〇微克/公斤、大約 125微克/公斤、大約150微克/公斤、大約175微克/公斤、 大約200微克/公斤、大約225微克/公斤、大約250微克/ 公斤、大約275微克/公斤、大約300微克/公斤、大約325 微克/公斤、大約350微克/公斤、大約375微克/公斤、大約 4〇〇微克/公斤、大約425微克/公斤、大約45〇微克/公斤、 大約475微克/公斤、大約500微克/公斤、大約525微克/ 公斤、大約550微克/公斤 '大約575微克/公斤、大約6〇〇 微克/公斤、大約625微克/公斤、大約650微克/公斤、大約 675微克/公斤、大約700微克/公斤、大約725微克/公斤、 大約750微克/公斤、大約775微克/公斤、大約8〇〇微克/ 公斤、大約825微克/公斤、大約85〇微克/公斤、大約875 微克/公斤、大約900微克/公斤、大約925微克/公斤、大約 950微克/公斤'大約975微克/公斤或大約i毫克/公斤體重。 接受本發明之組成物治療的患者,應該例行地監視其 等之血清雌激素和糖皮質激素水平。 提供下列非-限制性實施例以協助瞭解本發明之教示。 實施例1.可將本發明之調配物製備成錠劑 欲獲得實行本發明之錠劑,可在壓片機中將下列成分 44 201002736 緊壓在一起: 1 〇·〇毫克 η泠-[4-N-甲胺基苯基] 17 (λ 7 /3 -經基 140.5毫克 69.5毫克 2.5毫克 2.0毫克 0.5毫克 欲獲得實 -7-(ΐ-丙炔基)_雌_4,9_二 乳糖 鲷 玉米搬粉 t 乙稀基„比π各烧酮 氧化妙氣/邊膠(aer〇sil) f 硬脂酸鎂 仃本毛月之油性製劑,例如可將下 合在一起,並裝入安瓿中: j成分此 1〇〇_〇毫克 n/5_[4-N-甲胺基苯基μ ρ _羥巷 ^ -(-丙块基)-雌-4,9-二烯 343.4毫克 Ε麻油 608.6毫克 苯甲酸苄酯 實施例2.測量在碳^的“石—位置處包括經單曱基胺 取代之苯環之19-去甲類固醇的試管内結合親和力 土 使用細胞溶負製劑進行競爭性結合測定。V. In various specific facts, the compositions of the present invention include, an "organoleptic agent" to improve the functional properties of the composition. As used herein, "functional agent" means any composition that improves the composition of the present invention. The taste or odor of the article' or an excipient that assists in masking its unpleasant taste or odor. Such formulations include sweeteners, flavoring agents and/or taste masking agents. Suitable sweeteners and/or flavoring agents include A sweetening or flavoring agent for a pharmaceutical composition. Any functional agent typically ranges from about 1 mg/ml to about g/ml, from about 0.5 mg/ml to 5 mg/ml, or about/ml. Amounts are present in the compositions of the invention. Brother 41 201002736 Exemplary sweeteners or flavorings include, but are not limited to, arabinose, anethole, anise 〇il, aromatic hydrazine, benzaldehyde , benzofurald oxime, cyclodextrin, caraway, coriander oil, cardamom oil, alfalfa seeds, alfalfa alcohol, stalks, cherry juice, cherry syrup, cinnamon (cinnam〇n ), cinnamon oil, Guishui, citric acid, citric acid syrup, clove oil (Cl0ve 〇il), cocoa, cocoa syrup, coriander oil, dextrose, eri〇dicty〇n, hairy grass FluidXtract, hairy grass syrup, fragrance, ethyl acetate, ethyl vanillin, fennel oil (fennel 〇u), ginger ginger dip, ginger resin oil, right Sugar, glucose, sugar, maltodextrin, glycerin, licorice (glycyrrlnza), licorice, licorice extract, licorice pure extract, licorice "•I· / paste licorice syrup, honey, etc. - alcohol touch ( Iso-alcoholic elixir), lavender oil, lemon oil, lemon tart, mannitol, nutmeg oil, orange bitter, bitter oil 'Lianhua oil, orange blossom water, oil, orange peel, sweet skin, orange alcohol, orange syrup, peppermint, peppermint oil, mint alcohol 'mint water, phenylethyl alcohol, raspberry juice, € bowl of sugar, rosemary oil, rose oil, concentrated rose water, saccharin Calcium saccharin, sodium saccharin 'sarsaparilla syrup, salsa, sorbitol solution' spearmint, spearmint oil, sucrose, sucral〇se, syrup, rucola oil ( Thyme 011), t〇lu baisam, toluoli gum t, vanilla (vaniUa)' vanilla, vanillin, wild cherry syrup or a combination thereof. Illustrative taste masking agents include, but are not limited to, cyclodextrins, cyclodextrin emulsions, cyclodextrin particles, cyclodextrin complexes, or combinations thereof. , 42 201002736 The suspension of the certificate includes, but is not limited to, sorbitol trans, A, "glycemic sugar syrup, gelatin, lycopene, cellulose, stearic acid gel And hydrogenated edible fat. Exemplary emulsifiers include, but are not limited to, phospholipid monooleate and arabic eight oil, apricot, and 1 vehicle including 'but not limited to food /, coconut oil, oily ester , propylene glycol and ethanol. Previously used excipients may have multiple roles, as in the technical field. For example, 'house powder can be used as a filler and disintegrant. It should not be interpreted in any way: the above excipient classification is interpreted as a limitation. < Service = any means for administering the compositions of the present invention, including but not limited to oral inhalation, second intestine, sublingual, transdermal, transrectal transmucosal, topical, transluminal, buccal administration or combination. Non-menstrual :: static:: inside: intrapulmonary, abdominal cavity " lower, intramuscular 1 2 p η in the pool and intraventricular. The therapeutically effective amount of the composition required for use in therapy can be determined by the attending physician depending on the length of active time desired, the age and condition of the patient to be treated. However, usually for humans = the agent 'typically ranges from about 1 mg/kg to about 5 g/kg per day, for example about i micrograms/kg to about gram per kilogram per day or About 1 microgram/kg to about 100 micrograms/kg per day. For most large mammals, the total daily dose is from about 1 to 1 gram per gram: preferably from about 2 to 80 mg. The dosage regimen can be adjusted to best suit the response. The desired θ ϊ can be conveniently administered in a single dose, or administered in multiple doses at appropriate intervals, for example, two, 43 201002736 three, four or more subdose per day. For example, a composition of the invention can be administered to an individual to provide an antiprogestin in an amount of from about 1 microgram/kg to about 1 milligram per kilogram of body weight of the individual, such as about 1 microgram/kg, about 25 micrograms per second. Kilograms, approximately 50 μg/kg, approximately 75 μg/kg, approximately 1 μg/kg, approximately 125 μg/kg, approximately 150 μg/kg, approximately 175 μg/kg, approximately 200 μg/kg, approximately 225 μg /kg, approximately 250 μg/kg, approximately 275 μg/kg, approximately 300 μg/kg, approximately 325 μg/kg, approximately 350 μg/kg, approximately 375 μg/kg, approximately 4 μg/kg, approximately 425 μg /kg, approximately 45 μg/kg, approximately 475 μg/kg, approximately 500 μg/kg, approximately 525 μg/kg, approximately 550 μg/kg 'About 575 μg/kg, approximately 6 μg/kg, approximately 625 Micrograms/kg, approximately 650 μg/kg, approximately 675 μg/kg, approximately 700 μg/kg, approximately 725 μg/kg, approximately 750 μg/kg, approximately 775 μg/kg, approximately 8 μg/g/ Kilograms, approximately 825 μg/kg, approximately 85 μg/kg, approximately 875 μg/kg, approximately 900 μg/kg, approximately 925 μg/kg, approximately 950 μg/kg 'approx. 975 μg/kg or approximately i mg/kg body weight. Patients receiving treatment with the compositions of the invention should routinely monitor their serum estrogen and glucocorticoid levels. The following non-limiting examples are provided to assist in understanding the teachings of the present invention. Example 1. Preparation of a formulation of the present invention into a tablet. To obtain a tablet of the present invention, the following ingredients 44 201002736 can be pressed together in a tablet press: 1 〇·〇mgη泠-[4 -N-methylaminophenyl] 17 (λ 7 /3 - thiol 140.5 mg, 69.5 mg, 2.5 mg, 2.0 mg, 0.5 mg, to obtain -7-(indolyl)- _4,9-dilactose鲷 搬 搬 搬 乙 乙 „ „ 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比 比Medium: j component of this 1〇〇_〇mg n/5_[4-N-methylaminophenyl μ ρ _ hydroxy alley ^ - (- propyl block) - female-4,9-diene 343.4 mg castor oil 608.6 mg benzyl benzoate Example 2. Measurement of in-tube binding affinity soils comprising a 19-nor steroid of a phenyl ring substituted with a monodecylamine at the "stone-position" of carbon" using a cell-soluble negative preparation for competition Binding assay.

為了測量對兔子孕酮受體(PR)和糖皮質激素受體(GR) 的結合,分別從預先提供雌二醇之不成熟兔子的子宮或胸 腺中製備細胞/谷質。為了與兔子子宮PR結合,在TEGMD 緩衝溶液(10mM Tris, PH7.2,1.5mM EDTA, 0.2mM 鉬酸 納、10%甘油、ImMDTT)中’製備含有兔子子宮PR的細胞 溶質,並與 6nM 1,2-[3H]孕酮(NEN Life Science Products; 45 201002736 52居里/毫莫耳)一起培養;以從2到ΙΟΟηΜ之濃度加入受 試化合物。為了與兔子胸腺GR結合,在TEGMD緩衝溶液 中製備細胞溶質,並與6nM 6,7_[3H]dex(地塞米松)(NEN ; 35或40居里/毫莫耳)一起培養;以從2到100nM之濃度加 入受試化合物。 為了測量對人類孕酮受體_A(rhPR-A)或孕酮受體-B (rhPR-B)的結合,從以表現hpR_A或hPR-B之重組桿狀病 毒感染的Sf9昆蟲細胞中製備細胞溶質萃取物。將Sf9細胞 溶質(在含有下列蛋白酶抑制劑之TEGMD緩衝溶液中製 備:100微克/毫升桿菌肽(bacitracin)、2微克/毫升抑肽酶 (aprotinin)、94破克/宅升亮抑酶肽(〗eupeptin)、2〇〇微克/ 毫升胃蛋白酶抑制素A)與6_8nM 1,2,6,7,16,17-[311]孕酮 (NEN,M3居里/毫莫耳)一起培養;以從丄到1〇〇nM之濃 度加入受試化合物。 在4°C下隔夜培養之後,藉著加入經塗佈葡聚糖之活七 碳,並在4°C下以2100xg離心15分鐘,分離已結合和未超 結合之[3h]-類固醇。倒出得自GR測定的上清液,並名To measure binding to the progesterone receptor (PR) and glucocorticoid receptor (GR) in rabbits, cells/strain were prepared from the uterus or thymus of premature rabbits that previously provided estradiol. For binding to rabbit uterus PR, cytosol containing rabbit uterus PR was prepared in TEGMD buffer solution (10 mM Tris, pH 7.2, 1.5 mM EDTA, 0.2 mM sodium molybdate, 10% glycerol, ImMDTT), and with 6 nM 1 2-[3H]progesterone (NEN Life Science Products; 45 201002736 52 Curie/mole) was cultured together; the test compound was added at a concentration from 2 to ΙΟΟηΜ. For binding to rabbit thymus GR, cytosol was prepared in TEGMD buffer solution and incubated with 6nM 6,7_[3H]dex (dexamethasone) (NEN; 35 or 40 Curie/mole); The test compound was added to a concentration of 100 nM. To measure binding to human progesterone receptor _A (rhPR-A) or progesterone receptor-B (rhPR-B), prepared from Sf9 insect cells infected with recombinant baculovirus expressing hpR_A or hPR-B Cell solute extract. Sf9 cytosol (prepared in TEGMD buffer solution containing the following protease inhibitors: 100 μg/ml bacitracin, 2 μg/ml aprotinin, 94 gram/home luciferin ( Eupeptin), 2 μg/ml pepsin A) and 6_8 nM 1,2,6,7,16,17-[311] progesterone (NEN, M3 Curie/mole); The test compound was added from a hydrazine to a concentration of 1 〇〇 nM. After overnight incubation at 4 ° C, the bound and unsuper-conjugated [3h]-steroids were separated by adding live heptasaccharide of coated dextran and centrifugation at 2100 xg for 15 minutes at 4 °C. Pour out the supernatant from the GR measurement, and name

BeCkmanLS-1800液體閃爍計數器中計數。將含有pR之』 清液吸移至24-孔微量培養盤内, a Μ 並在 Packard TopCount 浓 體閃爍計數器中計數。將每分籍 母刀知计數(cpm)記入Packard, RIASmartTM 内,計算 ECw 枯 > 5G值。如下計算每個受試化合物¥ 相對結合親和力:(標準物的Ec & (競肀者的 EC5〇)xlOO。 PR結合測定之標準物為P4, 且GR結合測定之標準物為 dex ° 46 201002736 κ施例3.在活體内測量抗糖皮質激素活性和孕酮拮抗 劑活性 、,為了測量受試化合物在活體内的孕綢拮抗劑活性,以 適當的激素敏感性報告子基因質體(例如PRE2-tk-LUC,其 含有在胸腺核芽激酶(tk)啟動基因上游助孕素/糖皮質激素/ 、素又體反應元件的兩個副本和螢火蟲蟲螢光素酶(LUc) 報告子基因)轉染生長在單層培養物上,在補充有1〇%胎牛 血e(FBS)、1〇單位/毫升青黴素G和1〇微克/毫升硫酸鏈 黴素之不含酚紅之DMEM中的T47D_c〇人類乳癌細胞。在 有或無各種濃度的受試化合物之下,將經轉染之t47d_c〇 細胞與(預定的)最大刺激濃度之助孕素(例如P4)—起培養 ^ 使用Promega’s蟲螢光素酶測定系統測量LUC活 性,並判定受試化合物的IC5〇。 為了測量在活體内的糖皮質激素拮抗劑活性,以適當 之激素敏感性報告子基因質體(如PRE^tk-LUC)和GR表現 載體/、同轉染生長在不含酌·紅之ΜΕΜα中的單層培養物上 (補充有i〇%FBS和青黴素/鏈黴素)的HepG2人類肝胚瘤 細胞。在有或無各種濃度的受試化合物之下,將經轉染之 HePG2細胞與(預定的)最大刺激濃度之地塞米松一起培養 2〇小時。藉著測量LUC活性,判定受試化合物的IC5〇。 預期在碳11的11位置處具有經單甲基胺取代之苯 、 去甲類固醇抗孕激素會顯示比在相同位置包括經 一甲基胺取代之苯環的相同化合物更高的IC5〇(因此還有更 47 201002736 低的糖皮質激素活性),因此使其等較適合長期投藥。 【圖式簡單說明】 無 【主要元件符號說明】 無 48Count in the BeCkman LS-1800 liquid scintillation counter. The supernatant containing pR was pipetted into a 24-well microplate, a Μ and counted in a Packard TopCount Concentration Scintillation Counter. The count of each parent knife (cpm) is recorded in Packard, RIASmartTM, and the ECw dry > 5G value is calculated. The relative binding affinities of each test compound were calculated as follows: (Ec & ECM of the standard) x100. The standard for the PR binding assay was P4, and the standard for the GR binding assay was dex ° 46 201002736 κ Example 3. Measurement of antiglucocorticoid activity and progesterone antagonist activity in vivo, in order to measure the activity of the test compound in the living body, in the presence of appropriate hormone sensitivity reporter genoplasts (eg PRE2-tk-LUC, which contains two copies of the progesterone/glucocorticoid/, renin response element and the firefly luciferase (LUc) reporter gene upstream of the thymocyte nuclear bud kinase (tk) promoter gene Transfection was grown on monolayer cultures in phenol red-free DMEM supplemented with 1% fetal bovine blood e (FBS), 1 〇 unit/ml penicillin G, and 1 〇 microgram/ml streptomycin sulfate. T47D_c〇 human breast cancer cells. Transfected t47d_c〇 cells are cultured with a (predetermined) maximum stimulatory concentration of progesterone (eg P4) with or without various concentrations of test compound ^ using Promega's Insect luciferase assay system for measuring LU C activity, and determine the IC5〇 of the test compound. In order to measure the activity of glucocorticoid antagonist in vivo, the appropriate hormone sensitivity reporter gene plastid (such as PRE^tk-LUC) and GR expression vector /, HepG2 human hepatic blastoma cells grown on a monolayer culture (with i〇% FBS and penicillin/streptomycin supplemented) in the absence of discretionary red ΜΕΜα, with or without various concentrations of the test. Under the compound, the transfected HePG2 cells were cultured for 2 hrs with the (predetermined) maximum stimulating concentration of dexamethasone. By measuring the LUC activity, the IC5 受 of the test compound was determined. Benzene and norxylamine antiprogestin substituted with monomethylamine will show higher IC5 比 than the same compound including benzene ring substituted with monomethylamine at the same position (thus there are still more 47,070,027,36 lower) Glucocorticoid activity, so it is suitable for long-term administration. [Simplified description] No [Main component symbol description] No 48

Claims (1)

201002736 七、申請專利範圍: 1. 一種用於治療孕s间价切 i……人 性症狀之方法’其包含向有需 要之女性技予包含有效量之 在碳η的^位置處包括經單甲基胺_取代之=)素= 該抗孕激素具有比與該抗孕激素除了在碳u的"石位置 處包括'“甲基胺·取代之苯環的相同化合物更低的抗 質激素活性。 —2^請__第1項之方法,其中該抗孕激素具有 貫吳上如同與該抗孕激素除了在碳n的….位置處包括 經-甲基胺·取代之苯環的相同化合物之抗孕激素活性。 3·如申請專利範圍第1項之方法,其中該抗孕激素係藉 由與該抗孕激素除了在碳η的u/s-位置處包括經二甲基 胺-取代之苯環的相同化合物之單脫甲基化而形成。 士申-月專利範圍第1項之方法’其中該孕酮依賴性症 狀係選“:子宮内膜異位症(endometriosis)、痛經 k (dySmen〇rrhea)、乳癌、子宮肌瘤Uterine版〇1叫和子宮内 膜過度增殖所組成之群組。 5.如申請專利範圍第4項之方法,其中該抗孕激素為 11点-[4-N-甲胺基苯基]-17点_經基_17七丙诀基)_雖—* 9 二烯-3-酮。 ’ 6‘如申請專利範圍第4項之方法,其中該抗孕 呈 有下列通式之化合物: ,、 49 201002736 D201002736 VII. Scope of application for patents: 1. A method for treating sympathetic stagnation of human pregnancy                                     The base amine = substituted =) = the antiprogestin has a lower anti-progesterone than the same compound as the antiprogestin except for the "methylamine-substituted benzene ring" at the carbon "stone position The method of claim 2, wherein the antiprogestin has a benzene ring as described above with the antiprogestin except at the position of carbon n. The anti-progestin activity of the same compound. The method of claim 1, wherein the antiprogestin comprises dimethylamine by addition to the antiprogestin at a u/s-position of carbon η. - a method of monomethylation of the same compound of a substituted benzene ring. The method of the first aspect of the patent of the patent of the patent of the present invention, wherein the progesterone-dependent symptom is selected as follows: endometriosis, Dysmenorrhea k (dySmen〇rrhea), breast cancer, uterine fibroids Uterine version 〇 1 call and Intrauterine film group consisting of hyperproliferation. 5. The method of claim 4, wherein the antiprogestin is 11-[4-N-methylaminophenyl]-17-dozenyl- 17-propenyl)- Dien-3-one. The method of claim 4, wherein the anti-pregnancy is a compound of the following formula: , 49 201002736 D X為N-甲胺基; Ri代表Ο、NOH或NO-曱基; R·2代表氫或乙醢基;且 R3代表甲氧基、曱醯氧基、乙醯氧基、醯氧基、8_烷 氧基、乙醯亞硫醯基(aCetylthe〇nyl)、甘胺酸鹽、乙烯基醚、 乙醯氧基甲基、碳酸甲酯、^素、甲基、羥基或乙氧基。 7. 如申請專利範圍第丨、5或6項之方法,其中該抗孕 激素係以從0.5毫克/公斤到500毫克/公斤之劑量投與。 8. —種改良1 9 -去甲類固酿_料斗+ > & 玄Τ頰回知何生之抗孕激素之操作特 性的方法,包括(a)提供19-去曱孕酮„戈19丰 H 、奴九 十㈣次19-去甲睪酮-衍生之 抗孕激素,(b)以化學方式修改步 兮铲功、& 1 之抗孕激素,以便在 忒抗孕激素之碳"的11/3·位置處 苯環,以及⑷可視需要以化學方式7甲基胺_取代之 素,以便產生步驟⑷之抗孕激素。〃 ^驟⑻之抗孕激 9·如申請專利範圍第8項之方 的1Μ -位置處帶有經二甲基胺_取代?中藉著使在碳11 醇-衍生之抗孕激素單脫甲基化,之苯環的19-去甲類固 1〇·如令請專利範圍第8項之^步驟(b)之抗孕激素。 4 ,其中步驟(a)之抗孕 50 201002736 激素為CDB-4124。 八、圖式: 無 51X is N-methylamino; Ri represents hydrazine, NOH or NO-fluorenyl; R. 2 represents hydrogen or acetyl group; and R3 represents methoxy, decyloxy, ethoxylated, decyloxy, 8 - alkoxy, aCetylthe 〇nyl, glycinate, vinyl ether, ethoxymethyl, methyl carbonate, ketone, methyl, hydroxy or ethoxy. 7. The method of claim 5, 5 or 6, wherein the antiprogestin is administered at a dose of from 0.5 mg/kg to 500 mg/kg. 8. A method for improving 1-9-nor-type solid-state _ hopper + >& mysterious cheeks to know the operational characteristics of anti-progestin, including (a) providing 19-depreservative ketone 19 Feng H, slave ninety (four) times 19-normethanone-derived antiprogestin, (b) chemically modified stepping shovel, & 1 antiprogestin, so that in the anti-progestin carbon The benzene ring at the 11/3 position, and (4) the chemically 7 methylamine _ substituted cyclin may be used to produce the antiprogestin of step (4). 抗 ^ (8) anti-pregnancy 9 · as claimed The 1Μ-position of the 8th item carries the 19-nor-methyl group of the benzene ring by monomethylation of the anti-progestin derived from carbon 11 alcohol by dimethylamine_substitution 1〇·If you order the anti-progestin of step (b) of the patent scope item 8 , 4 , wherein the anti-pregnancy 50 201002736 of step (a) is CDB-4124. 8. Pattern: No 51
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