AbstractNovel substituted 4-azasteroid 5--reductase inhibitors of formula (I), wherein A is (a), (b) or (c), are claimed as well as pharmaceutically acceptable salts and formulations thereof. These compounds are effective inhibitors of testosterone 5-reductase(s) and are thus useful in the treatment of a number of hyperandrogenic conditions including benign prostatic hypertrophy, acne, seborrhea, female hirsutism, and male and female pattern baldness (alopecia). Other References- Brooks et al, Steroids, vol. 47, No. 1 (1986), "5 Alpha-reductase inhibitory . . . activities of some 4-aza-steroids in the rat", pp. 1-19
- Voight et al., Endocrinology, vol. 92 (1973), "The antiandrogenic action of 4-androsten-3-one-17beta-carboxylic acid and its methyl ester on hamster flank organ", pp. 1216-1222
- Geldof et al., Eur. J. Cancer, vol. 26, No. 2 (1990), "Enzyme inhibitors in hormone dependent prostate cancer growth", p. 188
- Kedderis et al., Toxicol. Appl. Pharmacol., vol. 93 (1988), "Studies with nitrogen-containing steroids and freshly isolated rat hepatocytes: Role of cytochrome p-450 in Detoxification", pp. 403-412
- Geldof et al., J. Cancer Res. Clin. Oncol., vol. 118 (1992), "Consideration of the use of 17beta-N,N-diethylcarbamoyl-4-methyl-4-aza-5alpha-androstan-3-one (4MA), a 5 alpha-reductase inhibitor, in prostate cancer therapy", pp. 50-55
- The Daily (Tuesday, May 7, 1996), "New Data on Proscar, Abbott's Hytrin Show Conflicting Results"
- Wall Street Journal (Tuesday, May 7, 1996), "Study Finds Abbott's Prostate Drug is Much More Effective than Merck's", p. B4
- Endo., vol. 91, No. 2, pp. 427-437 (1972) by Neri, et al., "A Biological Profile of a Non-steroidal Antiandrogen, SCH 13521 . . . "
- Steroids, 14, 269-283(1969), by Nayfeh, et al., "Metabolism of Progesterone by Rat Testicular Homogenates-III"
- J. Pharm. Sci., 62, No. 4, pp. 638-640 (1973) by Doorenbos & Solomons, "Synthesis & Antimicrobial Properties of 17 Beta-Isopentyloxy-4-Aza-5 Alpha-Androstane and the 4-Methyl Derivative"
- J. Pharm. Sci., 60, No. 8, pp. 1234-1235 (1971) by Doorenbos & Brown, "4.17 Alpha-Dimethyl-4-Aza-5 Alpha-Androstan-17 beta-ol Acetate & Related Azasteroids"
- J. Pharm., 63, No. 4, pp. 620-622 (1974) by Doorenbos & Kim, "Synthesis & Evaluation of Antimicrobial Properties of Amidinoazaandrostanes and Guanidinoazaandrostanes"
- J. Med. Chem. (1986) 29 (11): pp. 2298-3115 by Rasmusson, et al., "Aza Steroids: Structure-Activity Relationships . . . "
- The Prostate (1986) 9 (1): pp. 65-75 by Brooks, et al., "Prostatic Effects Induced in Dogs By . . . 5 alpha-Reductase Inhibitors"
- Endocr. (1985) 117 (2): pp. 571-579, by Liang, et al., "Species Differences in Prostatic Steroidal 5 Alpha-Reductases of Rat, Dog and Human"
- J. Med. Chem. (1984) 27 (12).sunburst. pp. 1690-1701, by Rasmusson, et al., "Azasteroids as Inhibitors of Rat Prostatic 5 alpha-reductase"
- J. Org. Chem. (1981) vol. 46, No. 7, pp. 1442-1446, T. Back, et al., "N-Chloroazasteroids . . . "
- Chem. Abstracts, vol. 95, 109055j, by T. Liang, et al. "Inhibition of 5 Alpha-Receptor Binding . . . by a 4-Methyl-4-Aza-Steroid"
- JNCI, vol. 74, No. 2, pp. 475-481 (Feb. 1985), by N. Kadohama, et al., "Retardation of Prostate Tumor Progression in the Noble Rat by 4-Methyl-4-Aza-Steroid Inhibitors of 5 Alpha-Reductase"
- The Prostate, vol. 10, pp. 189-197 (1987) by G. Androile, et al., "The Effect of 4MA . . . on the Growth of . . . Human Tumors . . . "
- J. Endocr., vol. 57, pp. 111-121 (1973) by K. D. Bingham, et al., "The Metabolism of Testosterone by Human Male Scalp Skin"
- Toxicol. Appl. Pharmacol., vol. 103, pp. 222-227 (1990) by G. L. Kedderis, et al., "Studies With Nitrogen Containing Steroids . . . "
- Bioinorganic Chemistry, 17, pp. 372-376 (1986) by B. W. Metcalf, et al., "Patent Inhibition of Human Steroid . . . by 3-Androstene-3-Carboxylic Acid"
- Biochemistry, 1990, vol. 29, pp. 2815-2824, by M. A. Levy, et al., "Inhibition of Rat Liver Steroid 5 Alpha-Reductase . . . "
- I. Med. Chem., 1990, vol. 33, pp. 943-950, by D. A. Holt, et al., "Steroidal A Ring Carboxylic Acids . . . "
- J. Steroid Biochem., vol. 34, Nos. 1-6, pp. 571-575 (1989), by M. A. Levy, et al., "Interaction Between Rat Prostatic 5 Alpha-Reductase . . . "
- J. Med. Chem., vol. 33, pp. 937-942 (1990) by D. A. Holt, et al., "Steroidal A Ring Aryl Carboxylic Acids"
- TIPS, Dec. 1989, vol. 10, pp. 491-495, by D. W. Metcalf, et al., "Inhibitors of . . . 5 Alpha-Reductase in Benign Prostatic Hyperplasia . . . "
- Steroids, vol. 35, No. 3 (Mar. 1980) pp. 1-7, by L. Murphy, et al., "Effect of Estradiol on a . . . Binding Protein in the Uterus of the Mouse"
- Prostate, vol. 9, pp. 311-318 (1986) by N. Stone, et al., "Estrogen Formation in Human Prostatic Tissue . . . "
- Steroids, vol. 47, No. 1, pp. 1-19 (1986) by J. R. Brooks, et al., "5 Alpha-Reductase Inhibitiory . . . Activities of Some 4-Azasteroids . . . "
- Lancet, No. 1986, No. 8515, pp. 1095-1096, by F. Labrie, et al. "Combination therapy in prostate cancer"
- J. Clin. Endocrin. and Metab., vol. 55, No. 1, pp. 188-193 (1987), by R. Rittmaster, et al., "The Effects of . . . a 5 Alpha-Reductase Inhibitor . . . "
- J. Clin. Endocrin and Metab., vol. 74, No. 2, pp. 345-350 (1990), by A. Diani, et al., "Hair Growth Effects of Oral Administration of Finasteride . . . "
- J. Clin. Endocrinol. Metab. 67, No. 4, pp. 808-816 (1988), by N. Bruchovsky, et al., "Kinetic Parameters of 5 Alpha-Reductase Activity in Stroma & Epithelium of Normal Hyperplastic & Carcinomatous Human Prostates"
- J. Steroid Biochem, 26, (3) pp. 349-353 (1987), by R. Hudson, "Comparison of Nuclear 5 Alpha-Reductase Activities in the Stromal and Epithelial Fractions of Human Prostatic Tissue"
- J. Biol. Chem. 251, (19) pp. 5895-5900 (1976), by R. J. Moore, et al., "Steroid 5 Alpha-Reductase in Cultured Human Fibroblasts"
- J. Biol. Chem. 264, (27) pp. 16249-16255 (1989), by S. Andersson, et al., "Expression Cloning & Regulation of steroid 5 alpha-Reductase, an Exzyme Essential for Male Sexual Differentiation"
- Proc. Nat'l Acad. Science 87, pp. 3640-3644 (1990), by S. Andersson, et al., "Structural & Biochemical Properties of cloned and expressed human and rat steroid 5 alpha-reductases"
- Nature 354, pp. 159-161 (Nov. 14, 1991), by S. Andersson, et al., "Deletion of Steroid 5 Alpha-Reductase-2 Gene in Male Pseudohermaphroditism"
- Biol. of Reproduction, vol. 46, pp. 168-173 (1992), by J. D. Wilson, "Syndromes of Androgen Resistance"
- J. Cancer Res. Clin. Oncol. 118, pp. 50-55 (1992), by A. Geldof, et al., "Consideration of the Use of . . . 4MA . . . in Prostate Cancer Therapy"
- The Prostate 18, pp. 215-227 (1991), by J. Brooks, et al., "Effect of Castration, DES, Flutamide, and MK-906 on Growth of the Dunning Rat Prostatic Carcinoma . . . "
- Eur. J. Pharm. 183(5), p. 1757 (1990), by Y. Masubuchi, et al., "Lack of DHT Inhibition . . . by Treatment of 4MA . . . "
- Diani et al "Hair Growth Effects of Oral Administration of Finasteride, A Steroid 5 Alpha Reductase Inhibitor, Alone and in Combination witTopical Minoxidil in the Balding Stumptail Macaque", Jour. Clinical Endoc & Meta. 72:345-50 (1992)
- Stinson, "Prostate Drug Proscar Cleared for Marketing", Chem. & Eng. News, Jun. 19, 1992 pp. 7-8
- Helliker, "Alopecia Sufferers Seek to Suffer Less, and Not in Silence", Wall St. Journal Jun. 7, 1991, pp. A1, A7
- Burger, "Medicinal Chemistry 2ed", Interscience, NY 1960, p. 4
| InventorsAssigneeApplication No. 338574 filed on 03/01/1995 US Classes:514/284, Tetracyclo ring system having the six-membered hetero ring as one of the cyclos514/253.02, Polycyclo ring system having the additional six-membered nitrogen hetero ring as one of the cyclos514/269, Pyrimidines with chalcogen bonded directly to a ring carbon of said pyrimidine moiety544/238, 1,2-diazines which contain an additional hetero ring544/242, 1,3-diazines544/243, Phosphorus attached directly or indirectly to the diazine ring by nonionic bonding544/336, 1,4-diazines544/337, Phosphorus attached directly or indirectly to the diazine ring by nonionic bonding546/77The six-membered hetero ring shares ring members with one other cyclo onlyField of Search514/284, Tetracyclo ring system having the six-membered hetero ring as one of the cyclos546/77The six-membered hetero ring shares ring members with one other cyclo onlyExaminers Primary: Daus, Donald G.Attorney, Agent or FirmUS Patent References 2227876, 3239417, 3264301, 3285918, 4220775, Preparation of 4-aza-17-substituted-5-androstan-3-ones useful as 5-reductase inhibitors Issued on: 09/02/1980 Inventor: Rasmusson , et al.4317817, Novel steroid 5-reductase inhibitors Issued on: 03/02/1982 Inventor: Blohm , et al.4377584, 4-Aza-17ଲ-substituted-5-androstan-3-one-reductase inhibitors Issued on: 03/22/1983 Inventor: Rasmusson , et al.4596812, Methods and solutions for treating male pattern alopecia Issued on: 06/24/1986 Inventor: Chidsey, III , et al.4732897, Steroidic 5-reductase inhibitors Issued on: 03/22/1988 Inventor: Cainelli , et al.4760071, 17ଲ-N-monosubstituted carbamoyl-4-aza-5-androst-1-en-3-ones which are active as testosterone 5-reductase inhibitors Issued on: 07/26/1988 Inventor: Rasmusson , et al.4845104, Oxidized analogs of 17ଲ-N-monosubstituted-carbamoyl-4-aza-5--androstan-3-ones Issued on: 07/04/1989 Inventor: Carlin , et al.4859681, 17 -Acyl-4-aza-5a-androst-1-en-3-ones as 5 alpha-reductase inhibitors Issued on: 08/22/1989 Inventor: Rasmusson , et al.4882319, Phosphonic acid substituted aromatic steroids as inhibitors of steroid 5--reductase Issued on: 11/21/1989 Inventor: Holt, et al.4910226, Steroid 5-alpha-reductase inhibitors Issued on: 03/20/1990 Inventor: Holt, et al.5049562, 17ଲ-acyl-4-aza-5-androst-1-ene-3-ones as 5-reductase inhibitors Issued on: 09/17/1991 Inventor: Rasmusson, et al.5110939, Intermediates in the preparation of steriod 5-alpha-reductase inhibitors Issued on: 05/05/1992 Inventor: Holt, et al. 5116983, 5494914Inhibitors for testosterone 5-reductase activity Issued on: 02/27/1996 Inventor: Labrie, et al.Foreign Patent References- 970692 CA. 07/21/1975
- 0004949 EP. 10/21/1979
- 0155096 EP. 09/21/1985
- 0200859 EP. 11/21/1986
- 0277002 EP. 06/21/1988
- 0289327 EP. 11/21/1988
- 0314199 EP. 05/21/1989
- 0343954 EP. 11/21/1989
- 0375349 EP. 06/21/1990
- 0375347 EP. 06/21/1990
- 0375345 EP. 06/21/1990
- 0375344 EP. 08/21/1990
- 0572166A1 EP. 12/21/1993
- 1465544 FR. 11/21/1965
- WO91/12261 WO. 08/21/1991
- WO93/23053 WO. 11/21/1993
- 9323048 WO. 11/21/1993
International Classes A61K 031/45 C07D 221/02
|