DE102011088270A1 - (11β, 17β) -17-hydroxy-11- [4- (methylsulfonyl) phenyl] -17- (pentafluoroethyl) estra-4,9-dien-3-one for the treatment of Charcot's disease Marie Toot - Google Patents
(11β, 17β) -17-hydroxy-11- [4- (methylsulfonyl) phenyl] -17- (pentafluoroethyl) estra-4,9-dien-3-one for the treatment of Charcot's disease Marie Toot Download PDFInfo
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- DE102011088270A1 DE102011088270A1 DE102011088270A DE102011088270A DE102011088270A1 DE 102011088270 A1 DE102011088270 A1 DE 102011088270A1 DE 102011088270 A DE102011088270 A DE 102011088270A DE 102011088270 A DE102011088270 A DE 102011088270A DE 102011088270 A1 DE102011088270 A1 DE 102011088270A1
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- charcot
- marie
- disease
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- pentafluoroethyl
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/56—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
- A61K31/57—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane or progesterone
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P21/00—Drugs for disorders of the muscular or neuromuscular system
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/02—Drugs for disorders of the nervous system for peripheral neuropathies
Abstract
Die Erfindung betrifft die Behandlung von Morbus Charcot Marie Tooth mit dem Progesteronrezeptorantagonisten (11β,17β)-17-hydroxy-11-[4-(methylsulfonyl)phenyl]-17-(pentafluorethyl)estra-4,9-dien-3-on und seinen pharmazeutisch verträglichen Salzen.The invention relates to the treatment of Charcot Marie Tooth's disease with the progesterone receptor antagonist (11β, 17β) -17-hydroxy-11- [4- (methylsulfonyl) phenyl] -17- (pentafluoroethyl) estra-4,9-dien-3-one and its pharmaceutically acceptable salts.
Description
Die Erfindung betrifft die Behandlung von Morbus Charcot Marie Tooth mit dem Progesteronrezeptorantagonisten (11β,17β)-17-hydroxy-11-[4-(methylsulfonyl)phenyl]-17-(pentafluorethyl)estra-4,9-dien-3-on und seinen pharmazeutisch verträglichen Salzen. The invention relates to the treatment of Charcot Marie Tooth's disease with the progesterone receptor antagonist (11β, 17β) -17-hydroxy-11- [4- (methylsulfonyl) phenyl] -17- (pentafluoroethyl) estra-4,9-dien-3-one and its pharmaceutically acceptable salts.
(11β,17β)-17-hydroxy-11-[4-(methylsulfonyl)phenyl]-17-(pentafluorethyl)estra-4,9-dien-3-on, seine Herstellung und Verwendung zur Behandlung und/oder Prophylaxe von Krankheiten sowie ihre Verwendung zur Herstellung von Arzneimitteln zur Behandlung und/oder Prophylaxe von Krankheiten, insbesondere von Uterusfibroiden (Myomen, uterine Leiomyome), der Endometriose, schweren Menstruationsblutungen, Meningiomen, hormonabhängigen Mammakarzinomen und von mit der Menopause assoziierten Beschwerden oder zur Fertilitätskontrolle und Notfallkontrazeption ist aus
Dabei handelt es sich um einen selektiven Progesteronrezeptorantagonisten, also einen Wirkstoff, der die die Wirkung des Progesterons an seinem Rezeptor inhibiert. It is a selective progesterone receptor antagonist, ie an active substance that inhibits the action of progesterone on its receptor.
(11β,17β)-17-hydroxy-11-[4-(methylsulfonyl)phenyl]-17-(pentafluorethyl)estra-4,9-dien-3-on kann darüber hinaus zur Behandlung und/oder Prophylaxe von PR positiven Tumoren (der Brust, des Ovars, des Endoemtriums, der Zervix, der Prostata, von Leiomyosarcomen, Gliomen, Meningiomen oder Desmoid Tumoren) eingesetzt werden. Es ist weiterhin zur Behandlung von Neurofibromen und neuromuskulären Erkrankungen wie bspw. Morbus Charcot-Marie-Tooth geeignet. Außerdem sind in der Tiermedizin Anwendungen zur Geburtseinleitung, zur Behandlung von Pyometra, Hyperplasien der Brustdrüse insbesondere bei weiblichen Hunden und Katzen denkbar. Außerdem kommen alle Progesteronabhängigen Neoplasien auch in der Tierheilkunde in Betracht. In addition, (11β, 17β) -17-hydroxy-11- [4- (methylsulfonyl) phenyl] -17- (pentafluoroethyl) estra-4,9-dien-3-one may be used for the treatment and / or prophylaxis of PR positive tumors (breast, ovary, endoemtrium, cervix, prostate, leiomyosarcoma, glioma, meningioma or desmoid tumors). It is also suitable for the treatment of neurofibromas and neuromuscular diseases such as, for example, Charcot-Marie-Tooth's disease. In addition, in the veterinary medicine applications for labor induction, for the treatment of pyometra, hyperplasia of the mammary gland in particular in female dogs and cats are conceivable. In addition, all progesterone-dependent neoplasms come into consideration in veterinary medicine.
Gegenstand der vorliegenden Anmeldung ist die Behandlung von Morbus Charcot-Marie-Tooth (vergl. hierzu:
Morbus Charcot-Marie-Tooth (CMT, auch hereditäre motorisch-sensible Neuropathie Typ I oder neurale Muskelatrophie genannt) gehört zu den neuromuskulären Erkrankungen. Sie ist eine der häufigsten neurogenetische Erkrankungen. Dabei werden entweder der Nervenzellfortsatz (Axon) oder die isolierende Myelinschicht geschädigt und dadurch die Weiterleitung von Nervenimpulsen in peripheren Nerven behindert, so dass die Befehle des Gehirns die Muskeln nicht richtig erreichen können. Aus der Denervierung resultiert der Abbau der betroffenen Muskulatur. CMT Typ 1 und 1A (CMT1/1A) sind die häufigsten Formen der genetisch heterogenen Gruppe der CMT Erkrankungen. In den meisten Fällen liegt bei der CMT1A eine Verdoppelung einer bestimmten Region des Chromosomes 17p12 vor, die das Gen PMP22 enthält. Die Schwann-Zellen, die die Axons umgeben, exprimieren PMP22 als wichtigen Baustein der Myellinhülle, die für die elektrische Isolation notwendig ist. Verschiedenste Studien haben gezeigt, dass der Expressionslevel von PMP22 den Typ und das Ausmaß der Neuropathie in dieser Erkrankung bestimmt. Neurone und Schwann-Zellen exprimieren zudem Progesteron. In kultivierten Schwann’schen Zellen wurde gezeigt, dass Progesteron die PMP22 Expression stimuliert.. Charcot-Marie-Tooth disease (CMT, also called hereditary motor-sensory neuropathy type I or neural muscular atrophy) is one of the neuromuscular diseases. It is one of the most common neurogenic diseases. This either damages the nerve cell process (axon) or the insulating myelin layer, thereby hindering the transmission of nerve impulses in peripheral nerves, so that the commands of the brain can not properly reach the muscles. The denervation results in the breakdown of the affected muscles. CMT type 1 and 1A (CMT1 / 1A) are the most common forms of the genetically heterogeneous group of CMT disorders. In most cases, CMT1A duplicates a specific region of chromosome 17p12, which contains the gene PMP22. The Schwann cells surrounding the axons express PMP22 as an important building block of the myelin sheath necessary for electrical isolation. Various studies have shown that the expression level of PMP22 determines the type and extent of neuropathy in this disease. Neurons and Schwann cells also express progesterone. In cultured Schwann cells, progesterone has been shown to stimulate PMP22 expression.
Alle Formen und Ausprägungen der CMT, bei denen Veränderungen von PMP22 auftreten, kommen als therapeutische Optionen in Betracht (u.a. CMT1, CMT1A, CMT4 auch autosomal rezessive CMT1 genannt). Zudem dient die Analyse auf Verdopplung des Genlocus von PMM22 (zur Patienten-Selektion). Die verringerte Expression von PMP22 während der Behandlung kann als Biomarker dienen. All forms and manifestations of CMT in which changes in PMP22 occur are considered therapeutic options (inter alia, CMT1, CMT1A, CMT4 also called autosomal recessive CMT1). In addition, the analysis serves to double the gene locus of PMM22 (for patient selection). The reduced expression of PMP22 during treatment may serve as a biomarker.
Patienten deren CMT-Erkrankung auf dieser Mutation beruht, profitieren besonders von einer Behandlung mit (11β,17β)-17-hydroxy-11-[4-(methylsulfonyl)phenyl]-17-(pentafluorethyl)estra-4,9-dien-3-on. Patients whose CMT disease is based on this mutation benefit particularly from treatment with (11β, 17β) -17-hydroxy-11- [4- (methylsulfonyl) phenyl] -17- (pentafluoroethyl) estra-4,9-diene 3-one.
Es ist bekannt, dass Progesteronrezeptorantagonisten im Tiermodell Morbus Charcot Marie Tooth positiv beeinflussen (
Zur Behandlung von Morbus Charcot-Marie-Tooth kann (11β,17β)-17-hydroxy-11-[4-(methylsulfonyl)phenyl]-17-(pentafluorethyl)estra-4,9-dien-3-on mit weiteren Wirkstoffen, insbesondere mit Ascorbinsäure kombiniert werden. For the treatment of Charcot-Marie-Tooth's disease, (11β, 17β) -17-hydroxy-11- [4- (methylsulfonyl) phenyl] -17- (pentafluoroethyl) estra-4,9-dien-3-one with other active substances , in particular be combined with ascorbic acid.
Die folgenden Beispiele dienen der Veranschaulichung der vorliegenden Erfindung ohne diese in irgend einer Weise zu begrenzen. The following examples serve to illustrate the present invention without limiting it in any way.
Beispiel 1: Behandlung von PMP22-transgenen CMT-Ratten mit (11β,17β)-17-hydroxy-11-[4-(methylsulfonyl)phenyl]-17-(pentafluorethyl)estra-4,9-dien-3-on Example 1: Treatment of PMP22 transgenic CMT rats with (11β, 17β) -17-hydroxy-11- [4- (methylsulfonyl) phenyl] -17- (pentafluoroethyl) estra-4,9-dien-3-one
Zufällig ausgewählte männliche PMP22-transgene CMT-Ratten (vergl.
ZITATE ENTHALTEN IN DER BESCHREIBUNG QUOTES INCLUDE IN THE DESCRIPTION
Diese Liste der vom Anmelder aufgeführten Dokumente wurde automatisiert erzeugt und ist ausschließlich zur besseren Information des Lesers aufgenommen. Die Liste ist nicht Bestandteil der deutschen Patent- bzw. Gebrauchsmusteranmeldung. Das DPMA übernimmt keinerlei Haftung für etwaige Fehler oder Auslassungen.This list of the documents listed by the applicant has been generated automatically and is included solely for the better information of the reader. The list is not part of the German patent or utility model application. The DPMA assumes no liability for any errors or omissions.
Zitierte PatentliteraturCited patent literature
- WO 2011009531 [0002] WO 2011009531 [0002]
Zitierte Nicht-PatentliteraturCited non-patent literature
- Patzkó et al: Update on Charcot-Marie-Tooth Disease, Curr Neurol Neurosci Rep (2011) 11:78–88 [0005] Patzkó et al: Update on Charcot-Marie-Tooth Disease, Curr Neurol Neurosci Rep (2011) 11: 78-88 [0005]
- Rareyson et al: Diagnosis, natural history, and management of Charcot-Marie-Tooth disease, Lancet Neurol 2009; 8: 654–67 [0005] Rareyson et al: Diagnosis, natural history, and management of Charcot-Marie-Tooth disease, Lancet Neurol 2009; 8: 654-67 [0005]
- Sereda et a.: Therapeutic administration of progesterone antagonist in a model of Charcot-Marie-Tooth disease (CMT-1A), Nature Medicine 9, 1533–1537 (2003) [0009] Sereda et al .: Therapeutic administration of progesterone antagonist in a model of Charcot-Marie-Tooth disease (CMT-1A), Nature Medicine 9, 1533-1537 (2003) [0009]
- Sereda et al: A transgenic rat model of Charcot-Marie-Tooth disease, Neuron 16, 1049–1060 (1996) [0012] Sereda et al: A transgenic rat model of Charcot-Marie-Tooth disease, Neuron 16, 1049-1060 (1996) [0012]
- Sereda et al (Therapeutic administration of progesterone antagonist in a model of Charcot-Marie-Tooth disease (CMT-1A), Nature Medicine 9, 1533–1537 (2003) [0012] Sereda et al (Therapeutic administration of progesterone antagonist in a model of Charcot-Marie-Tooth disease (CMT-1A), Nature Medicine 9, 1533-1537 (2003) [0012]
Claims (6)
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE102011088270A DE102011088270A1 (en) | 2011-12-12 | 2011-12-12 | (11β, 17β) -17-hydroxy-11- [4- (methylsulfonyl) phenyl] -17- (pentafluoroethyl) estra-4,9-dien-3-one for the treatment of Charcot's disease Marie Toot |
PCT/EP2012/074972 WO2013087575A1 (en) | 2011-12-12 | 2012-12-10 | (11ss,17ss)-17-hydroxy-11-[4-(methylsulphonyl)phenyl]-17-(pentafluoro- ethyl)estra-4,9-dien-3-one for the treatment of charcot marie tooth disease |
TW101147019A TW201330853A (en) | 2011-12-12 | 2012-12-12 | (11 β ,17 β )-17-hydroxy-11-[4-(methylsulfonyl)phenyl]-17-(pentafluoroethyl)estra-4,9-dien-3-one for treating Charcot-Marie-Tooth disease |
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DE102011088270A DE102011088270A1 (en) | 2011-12-12 | 2011-12-12 | (11β, 17β) -17-hydroxy-11- [4- (methylsulfonyl) phenyl] -17- (pentafluoroethyl) estra-4,9-dien-3-one for the treatment of Charcot's disease Marie Toot |
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DE102011088270A1 true DE102011088270A1 (en) | 2013-06-13 |
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DE102011088270A Withdrawn DE102011088270A1 (en) | 2011-12-12 | 2011-12-12 | (11β, 17β) -17-hydroxy-11- [4- (methylsulfonyl) phenyl] -17- (pentafluoroethyl) estra-4,9-dien-3-one for the treatment of Charcot's disease Marie Toot |
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DE (1) | DE102011088270A1 (en) |
TW (1) | TW201330853A (en) |
WO (1) | WO2013087575A1 (en) |
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EP3214092A1 (en) * | 2016-03-04 | 2017-09-06 | Bayer Pharma Aktiengesellschaft | Prodrugs of the selective progesterone receptor modulator (sprm) (11.beta.,17.beta.)-17-hydroxy-11-[4-(methylsulphonyl)phenyl]-17-(pentafluoroethyl)estra-4,9-dien-3-one |
Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2011009531A2 (en) | 2009-07-20 | 2011-01-27 | Bayer Schering Pharma Aktiengesellschaft | 17-hydroxy-17-pentafluorethyl-estra-4,9(10)-dien-11-aryl derivatives, methods for the production thereof and use thereof for treating diseases |
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EP1694610A1 (en) * | 2003-12-19 | 2006-08-30 | Degussa AG | Dispersion of a metal-oxide powder containing binding agent and layer obtained therewith |
US20080096950A1 (en) * | 2006-10-19 | 2008-04-24 | Karl Richard Gibson | Compounds Useful In Therapy |
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- 2011-12-12 DE DE102011088270A patent/DE102011088270A1/en not_active Withdrawn
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- 2012-12-10 WO PCT/EP2012/074972 patent/WO2013087575A1/en active Application Filing
- 2012-12-12 TW TW101147019A patent/TW201330853A/en unknown
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WO2011009531A2 (en) | 2009-07-20 | 2011-01-27 | Bayer Schering Pharma Aktiengesellschaft | 17-hydroxy-17-pentafluorethyl-estra-4,9(10)-dien-11-aryl derivatives, methods for the production thereof and use thereof for treating diseases |
Non-Patent Citations (5)
Title |
---|
Patzkó et al: Update on Charcot-Marie-Tooth Disease, Curr Neurol Neurosci Rep (2011) 11:78-88 |
Rareyson et al: Diagnosis, natural history, and management of Charcot-Marie-Tooth disease, Lancet Neurol 2009; 8: 654-67 |
Sereda et a.: Therapeutic administration of progesterone antagonist in a model of Charcot-Marie-Tooth disease (CMT-1A), Nature Medicine 9, 1533-1537 (2003) |
Sereda et al (Therapeutic administration of progesterone antagonist in a model of Charcot-Marie-Tooth disease (CMT-1A), Nature Medicine 9, 1533-1537 (2003) |
Sereda et al: A transgenic rat model of Charcot-Marie-Tooth disease, Neuron 16, 1049-1060 (1996) |
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WO2013087575A1 (en) | 2013-06-20 |
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