Method of treating colonic adenomas
AssigneeMerck & Co., Inc.
InventorsStacia Kargman, Jilly Evans, Thomas J. Simon
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Abstract
This invention is directed to a method of retarding or preventing the transformation of a colonic adenoma to a colonic adenocarcinoma comprising the administration to a patient with FAP or a patient with one or more of said adenomas a non-toxic therapeutically effective amount of NSAID, said amount effective to inhibit the PGHS-2 in said adenoma. The preferred method comprises the administration of a specific PGHS-2 inhibiting agent as defined herein.
Claims7
A method of retarding or preventing the transformation of a colonic adenoma to a colonic adenocarcinoma comprising administering to a patient with one or more of said adenmas a non-toxic therapeutically effective amount of a compound of formula III ##STR6## or a pharmaceutically acceptable salt thereof wherein:
- R.sup.1 is selected from the group consisting of
- (a) S(O).sub.2 CH.sub.3,
- (b) S(O).sub.2 NH.sub.2,
- (c) S(O).sub.2 NHC(O)CF.sub.3,
- (d) S(O)(NH)CH.sub.3,
- (e) S(O)(NH)NH.sub.2,
- (f) S(O)(NH)NHC(O)CF.sub.3,
- R.sup.2 is selected from the group consisting of
- (a) C.sub.3, C.sub.4, C.sub.5, C.sub.6, and C.sub.7, cycloalkyl,
- (b) mono-, di- or tri-substituted phenyl wherein the substituent is selected from the group consisting of
- (1) hydrogen,
- (2) halo,
- (3) C.sub.1-6 alkoxy,
- (4) C.sub.1-6 alkylthio,
- (5) CN,
- (6) CF.sub.3,
- (7) C.sub.1-6 alkyl,
- (8) N.sub.3,
- (9) --CO.sub.2 H,
- (10) --CO.sub.2 --C.sub.1-4 alkyl,
- (11) --C(H)(R.sup.6)--OH,
- (12) --C(H)(R.sup.6)--O--C.sub.1-4 alkyl, and
- (13) --C.sub.1-6 alkyl--CO.sub.2 H;
- (c) mono-, di- or tri-substituted heteroaryl wherein the heteroaryl is a monocyclic aromatic ring of 5 atoms, said ring having one hetero atom which is S, O, or N, and optionally 1, 2, or 3 additional N atoms;
- or
- the heteroaryl is a monocyclic ring of 6 atoms, said ring having one hetero atom which is N, and optionally 1, 2 or 3 additional N atoms;
- said substituents are selected from the group consisting of
- (1) hydrogen,
- (2) halo, including fluoro, chloro, bromo and iodo,
- (3) C.sub.1-6 alkyl,
- (4) C.sub.1-6 alkoxy,
- (5) C.sub.1-6 alkylthio,
- (6) CN,
- (7) CF.sub.3,
- (8) N.sub.3,
- (9) --C(H)(R.sup.6)--OH,
- (10) --C(H)(R.sup.6)--O--C.sub.1-4 alkyl;
- R.sup.5 and R.sup.5' are each methyl or ethyl, and
- R.sup.6 is selected from the group consisting of
- (a) hydrogen, and
- (b) C.sub.1-6 alkyl.
Dependencies are inferred from the claim text.