Compositions and methods for treating conditions responsive to estrogen
AssigneePfizer Inc.
InventorsDavid D. Thompson, Andrew G. Lee, Wesely W. Day, Robert L. Rosati
Life of this patent
Estimating the term…
Abstract
This invention relates to methods, pharmaceutical compositions and kits useful in treating conditions responsive to estrogen by the administration of estrogen agonists/antagonists. Conditions responsive to the compositions and methods include rheumatoid arthritis, colon cancer, tissue wounds, skin wrinkles and cataracts. The compositions are comprised of an estrogen agonist/antagonist and a pharmaceutically acceptable vehicle, carrier or diluent. The compositions and methods of treatment are effective while substantially reducing the concomitant liability of adverse effects associated with estrogen administration.
Claims31
A method of treating a condition responsive to estrogen comprising:
- administering to a human in need thereof, an effective amount of a compound of formula (I):
- 15
- wherein:
- A is selected from CH2 and NR;
- B, D and E are independently selected from CH and N;
- Y is
- (a) phenyl, optionally substituted with 1-3 substituents independently selected from R4;
- (b) naphthyl, optionally substituted with 1-3 substituents independently selected from R4;
- (c) C3-C8 cycloalkyl, optionally substituted with 1-2 substituents independently selected from R4;
- (d) C3-C8 cycloalkenyl, optionally substituted with 1-2 substituents independently selected from R4;
- (e) a five membered heterocycle containing up to two heteroatoms selected from the group consisting of —O—, —NR2— and —S(O)n—, optionally substituted with 1-3 substituents independently selected from R4;
- (f) a six membered heterocycle containing up to two heteroatoms selected from the group consisting of —O—, —NR2— and —S(O)n— optionally substituted with 1-3 substituents independently selected from R4;
- or
- (g) a bicyclic ring system consisting of a five or six membered heterocyclic ring fused to a phenyl ring, said heterocyclic ring containing up to two heteroatoms selected from the group consisting of —O—, —NR2— and —S(O)n—, optionally substituted with 1-3 substituents independently selected from R4;
- z1 is
- (a) —(CH2)p W(CH2)q—;
- (b) —O(CH2)p CR5R6—;
- (c) —O(CH2)pW(CH2)q—;
- (d) —OCHR2CHR3—;
- or
- (e) —SCHR2CHR3—;
- G is
- (a) —NR7R8;
- (b)
- 16
- wherein n is 0, 1 or 2;
- m is 1, 2 or 3;
- Z2 is —NH—, —O—, —S—, or —CH2—;
- optionally fused on adjacent carbon atoms with one or two phenyl rings and, optionally independently substituted on carbon with one to three substituents and, optionally, independently on nitrogen with a chemically suitable substituent selected from R4;
- or
- (c) a bicyclic amine containing five to twelve carbon atoms, either bridged or fused and optionally substituted with 1-3 substituents independently selected from R4;
- or
- 17
- Z1 and G in combination may be
- W is
- (a) —CH2—;
- (b) —CH═CH—;
- (c) —O—;
- (d) —NR2—;
- (e) —S(O)n—;
- (f)
- 18
- (g) —CR2(OH)—;
- (h) —CONR2—;
- (i) —NR2CO—;
- (j)
- 19
- or
- (k) —C≡C—;
- R is hydrogen or C1-C6 alkyl;
- R2 and R3 are independently
- (a) hydrogen;
- or
- (b) C1-C4 alkyl;
- R4 is
- (a) hydrogen;
- (b) halogen;
- (c) C1-C6 alkyl;
- (d) C1-C4 alkoxy;
- (e) C1-C4 acyloxy;
- (f) C1-C4 alkylthio;
- (g) C1-C4 alkylsulfinyl;
- (h) C1-C4 alkylsulfonyl;
- (i) hydroxy (C1-C4)alkyl;
- (j) aryl (C1-C4)alkyl;
- (k) —CO2H;
- (I)—CN;
- (m) —CONHOR;
- (n) —SO2NHR;
- (o) —NH2;
- (p) C1-C4 alkylamino;
- (q) C1-C4 dialkylamino;
- (r) —NHSO2R;
- (s) —NO2;
- (t) -aryl;
- or
- (u) —OH;
- R5 and R6 are independently C1-C8 alkyl or together form a C3-C10 carbocyclic ring;
- R7 and R8 are independently
- (a) phenyl;
- (b) a C3-C10 carbocyclic ring, saturated or unsaturated;
- (c) a C3-C10 heterocyclic ring containing up to two heteroatoms, selected from —O—, —N— and —S—;
- (d) H;
- (e) C1-C6 alkyl;
- or
- (f) form a 3 to 8 membered nitrogen containing ring with R5 or R6;
- R7 and R8 in either linear or ring form may optionally be substituted with up to three substituents independently selected from C1-C6 alkyl, halogen, alkoxy, hydroxy and carboxy;
- a ring formed by R7 and R8 may be optionally fused to a phenyl ring;
- e is 0, 1 or 2;
- m is 1, 2 or 3;
- n is 0, 1 or 2;
- p is 0, 1, 2 or 3;
- q is 0, 1, 2or 3;
- or an optical or geometric isomer thereof;
- or a nontoxic pharmacologically acceptable acid addition salt, N-oxide, ester, quaternary ammonium salt or prodrug thereof.
A kit for use by a consumer to treat rheumatoid arthritis, colon cancer, tissue wounds, skin wrinkles or cataracts, said kit comprising:
- a) a pharmaceutical composition comprising a compound of formula (I):
- 22
- wherein:
- A is selected from CH2 and NR;
- B, D and E are independently selected from CH and N;
- Y is
- (a) phenyl, optionally substituted with 1-3 substituents independently selected from R4;
- (b) naphthyl, optionally substituted with 1-3 substituents independently selected from R4;
- (c) C3-C8 cycloalkyl, optionally substituted with 1-2 substituents independently selected from R4;
- (d) C3-C8 cycloalkenyl, optionally substituted with 1-2 substituents independently selected from R4;
- (e) a five membered heterocycle containing up to two heteroatoms selected from the group consisting of —O—, —NR2— and —S(O)n—, optionally substituted with 1-3 substituents independently selected from R4;
- (f) a six membered heterocycle containing up to two heteroatoms selected from the group consisting of —O—, —NR2— and —S(O)n— optionally substituted with 1-3 substituents independently selected from R4;
- or
- (g) a bicyclic ring system consisting of a five or six membered heterocyclic ring fused to a phenyl ring, said heterocyclic ring containing up to two heteroatoms selected from the group consisting of —O—, —NR2— and —S(O)n—, optionally substituted with 1-3 substituents independently selected from R4;
- Z1 is
- (a) —(CH2)p W(CH2)q—;
- (b) —O(CH2)p CR5R6—;
- (c) —O(CH2)pW(CH2)q—;
- (d) —OCHR2CHR3—;
- or
- (e) —SCHR2CHR3—;
- G is
- (a) —NR7R8;
- (b)
- 23
- wherein n is 0, 1 or 2;
- m is 1, 2 or 3;
- Z2 is —NH—, —O—, —S—, or —CH2—;
- optionally fused on adjacent carbon atoms with one or two phenyl rings and, optionally independently substituted on carbon with one to three substituents and, optionally, independently on nitrogen with a chemically suitable substituent selected fromR4;or
- (c) a bicyclic amine containing five to twelve carbon atoms, either bridged or fused and optionally substituted with 1-3 substituents independently selected from R4;
- or
- 24
- Z1 and G in combination may be
- W is
- (a) —CH2—;
- (b) —CH═CH—;
- (c) —O—;
- (d) —NR2—;
- (e) —S(O)n—;
- 25
- (f)
- (g) —CR2(OH)—;
- (h) —CONR2—;
- (i) —NR2Co—;
- 26
- (j)
- (k) —C≡C—;
- R is hydrogen or C1-C6 alkyl;
- R2 and R3 are independently
- (a) hydrogen;
- or
- (b) C1-C4 alkyl;
- R4is
- (a) hydrogen;
- (b) halogen;
- (c) C1-C6 alkyl;
- (d) C1-C4 alkoxy;
- (e) C1-C4 acyloxy;
- (f) C1-C4 alkylthio;
- (g) C1-C4 alkylsulfinyl;
- (h) C1-C4 alkylsulfonyl;
- (i) hydroxy (C1-C4)alkyl;
- (j) aryl (C1-C4)alkyl;
- (k) —CO2H;
- (l)—CN;
- (m) —CONHOR;
- (n) —SO2NHR;
- (o) —NH2;
- (p) C1-C4 alkylamino;
- (q) C1-C4 dialkylamino;
- (r) —NHSO2R;
- (s) —NO2;
- (t) -aryl;
- or
- (u) —OH;
- R5 and R6 are independently C1-C8 alkyl or together form a C3-C10 carbocyclic ring;
- R7 and R8 are independently
- (a) phenyl;
- (b) a C3-C10 carbocyclic ring, saturated or unsaturated;
- (c) a C3-C10 heterocyclic ring containing up to two heteroatoms, selected from —O—, —N— and —S—;
- (d) H;
- (e) C1-C6 alkyl;
- or
- (f) form a 3 to 8 membered nitrogen containing ring with R5 or R6;
- R7 and R8 in either linear or ring form may optionally be substituted with up to three substituents independently selected from C1-C6 alkyl, halogen, alkoxy, hydroxy and carboxy;
- a ring formed by R7 and R8 may be optionally fused to a phenyl ring;
- e is 0, 1 or 2;
- m is 1, 2 or 3;
- n is 0, 1 or 2;
- p is 0, 1, 2 or 3;
- q is 0, 1, 2 or 3;
- or an optical or geometric isomer thereof;
- or a nontoxic pharmacologically acceptable acid addition salt, N-oxide, ester or quaternary ammonium salt or prodrug thereof and a pharmaceutically acceptable vehicle, carrier or diluent;
- and
- b) instructions describing a method of using the pharmaceutical composition to treat rheumatoid arthritis, colon cancer, tissue wounds, skin wrinkles or cataracts.
A topical formulation for the reduction of skin wrinkles comprising:
- a compound of formula (I):
- 29
- wherein:
- A is selected from CH2 and NR;
- B, D and E are independently selected from CH and N;
- Y is
- (a) phenyl, optionally substituted with 1-3 substituents independently selected from R4;
- (b) naphthyl, optionally substituted with 1-3 substituents independently selected from R4;
- (c) C3-C8 cycloalkyl, optionally substituted with 1-2 substituents independently selected from R4;
- (d) C3-C8 cycloalkenyl, optionally substituted with 1-2 substituents independently selected from R4;
- (e) a five membered heterocycle containing up to two heteroatoms selected from the group consisting of —O—, —NR2— and —S(O)n—, optionally substituted with 1-3 substituents independently selected from R4;
- (f) a six membered heterocycle containing up to two heteroatoms selected from the group consisting of —O—, —NR2— and —S(O)n— optionally substituted with 1-3 substituents independently selected from R4;
- or
- (g) a bicyclic ring system consisting of a five or six membered heterocyclic ring fused to a phenyl ring, said heterocyclic ring containing up to two heteroatoms selected from the group consisting of —O—, —NR2— and —S(O)n—, optionally substituted with 1-3 substituents independently selected from R4;
- Z, is
- (a) —(CH2)p W(CH2)q—;
- (b) —O(CH2)p CR5R6—;
- (c) —O(CH2)pW(CH2)q—;
- (d) —OCHR2CHR3—;
- or
- (e) —SCHR2CHR3;
- G is
- (a) —NR7R8;
- 30
- (b)
- wherein n is 0, 1 or 2;
- m is 1, 2 or 3;
- Z2 is —NH—, —O—, —S—, or —CH2—;
- optionally fused on adjacent carbon atoms with one or two phenyl rings and, optionally independently substituted on carbon with one to three substituents and, optionally, independently on nitrogen with a chemically suitable substituent selected from R4;
- or
- (c) a bicyclic amine containing five to twelve carbon atoms, either bridged or fused and optionally substituted with 1-3 substituents independently selected from R4;
- or
- 31
- Z1 and G in combination may be
- W is
- (a) —CH2—;
- (b) —CH═CH—;
- (c) —O—;
- (d) —NR2—;
- (e) —S(O)n—;
- 32
- (f)
- (g) —CR2(OH)—;
- (h) —CONR2—;
- (i) —NR2CO—;
- 33
- (j) or
- (k) —C≡C—;
- R is hydrogen or C1-C6 alkyl;
- R2 and R3 are independently
- (a) hydrogen;
- or
- (b) C1-C4 alkyl;
- R4 is
- (a) hydrogen;
- (b) halogen;
- (c) C1-C6 alkyl;
- (d) C1-C4 alkoxy;
- (e) C1-C4 acyloxy;
- (f) C1-C4 alkylthio;
- (g) C1-C4 alkylsulfinyl;
- (h) C1-C4 alkylsulfonyl;
- (i) hydroxy (C1-C4)alkyl;
- (j) aryl (C1-C4)alkyl;
- (k) —CO2H;
- (l) —CN;
- (m) —CONHOR;
- (n) —SO2NHR;
- (o) —NH2;
- (p) C1-C4 alkylamino;
- (q) C1-C4 dialkylamino;
- (r) —NHSO2R;
- (s) —NO2;
- (t) -aryl;
- or
- (u) —OH;
- R5 and R6 are independently C1-C8 alkyl or together form a C3-C10 carbocyclic ring;
- R7 and R8 are independently
- (a) phenyl;
- (b) a C3-C10 carbocyclic ring, saturated or unsaturated;
- (c) a C3-C10 heterocyclic ring containing up to two heteroatoms, selected from —O—, —N— and —S—;
- (d) H;
- (e) C1-C6 alkyl;
- or
- (f) form a 3 to 8 membered nitrogen containing ring with R5 or R6;
- R7 and R8 in either linear or ring form may optionally be substituted with up to three substituents independently selected from C1-C6 alkyl, halogen, alkoxy, hydroxy and carboxy;
- a ring formed by R7 and R8 may be optionally fused to a phenyl ring;
- e is 0, 1 or 2;
- m is 1, 2or 3;
- n is 0, 1 or 2;
- p is 0, 1, 2 or 3;
- q is 0, 1, 2 or 3;
- or an optical or geometric isomer thereof;
- or a nontoxic pharmacologically acceptable acid addition salt, N-oxide, ester or quaternary ammonium salt or prodrug thereof and a pharmaceutically or cosmetically acceptable topical vehicle.
Dependencies are inferred from the claim text.