RU2021111681A - Нейроактивные стероиды, композиции и их применение - Google Patents

Нейроактивные стероиды, композиции и их применение Download PDF

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RU2021111681A
RU2021111681A RU2021111681A RU2021111681A RU2021111681A RU 2021111681 A RU2021111681 A RU 2021111681A RU 2021111681 A RU2021111681 A RU 2021111681A RU 2021111681 A RU2021111681 A RU 2021111681A RU 2021111681 A RU2021111681 A RU 2021111681A
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patient
compound
hydroxycholesterol
sample
administering
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RU2021111681A
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Киран РЕДДИ
Джеймс Доуэрти
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Сейдж Терапьютикс, Инк.
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Publication of RU2021111681A publication Critical patent/RU2021111681A/ru

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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
    • A61K31/575Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of three or more carbon atoms, e.g. cholane, cholestane, ergosterol, sitosterol
    • 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
    • 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
    • A61K31/565Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol
    • A61K31/568Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol substituted in positions 10 and 13 by a chain having at least one carbon atom, e.g. androstanes, e.g. testosterone
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    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
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    • C07J1/0003Androstane derivatives
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    • C07J41/0055Normal steroids containing one or more nitrogen atoms not belonging to a hetero ring not covered by C07J41/0005 the 17-beta position being substituted by an uninterrupted chain of at least three carbon atoms which may or may not be branched, e.g. cholane or cholestane derivatives, optionally cyclised, e.g. 17-beta-phenyl or 17-beta-furyl derivatives
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    • C07J7/0065Normal steroids containing carbon, hydrogen, halogen or oxygen substituted in position 17 beta by a chain of two carbon atoms not substituted in position 21 substituted in position 20 by an OH group free esterified or etherified
    • C07J7/007Normal steroids containing carbon, hydrogen, halogen or oxygen substituted in position 17 beta by a chain of two carbon atoms not substituted in position 21 substituted in position 20 by an OH group free esterified or etherified not substituted in position 17 alfa
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    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
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    • G01N33/5005Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving human or animal cells
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    • G01N33/6893Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving proteins, peptides or amino acids related to diseases not provided for elsewhere
    • G01N33/6896Neurological disorders, e.g. Alzheimer's disease
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Claims (9)

1. Способ оценки или лечения пациента, например пациента с описанным здесь нарушением, включающий
a) необязательно получение образца пациента;
b) получение оценки и/или оценку образца на изменение в уровне 24(S)-гидроксихолестерина по сравнению со стандартным образцом.
2. Способ по п.1, дополнительно включающий введение пациенту (например, в ответ на оценку образца) эффективного количества 24(S)-гидроксихолестерина или структурно родственного стерина или стероида, оксистерина, агониста NMDAR или позитивного аллостерического модулятора (PAM) NMDAR, или описанного здесь соединения, такого как соединение формулы (I).
3. Способ по п.1, дополнительно включающий введение пациенту (например, в ответ на оценку образца) эффективного количества антагониста NMDAR или негативного аллостерического модулятора (NAM) NMDAR.
4. Способ по п.1, дополнительно включающий введение пациенту (например, в ответ на оценку образца) эффективного количества соединения, которое дополняет (например повышает) эндогенную активность или количество 24(s)-гидроксихолестерина (например соединения, ингибирующего фермент, который метаболизирует 24(s)-гидроксихолестерин (например соединения, ингибирующего 24-гидроксихолестерин-7-альфа-гидроксилазу (CYP39))).
5. Способ по п.1, дополнительно включающий введение пациенту (например, в ответ на оценку образца) эффективного количества соединения, которое снижает эндогенную активность или количество 24(s)-гидроксихолестерина (например соединения, активирующего фермент, который продуцирует 24(s)-гидроксихолестерин (например соединения, активирующего холестерин-24(S)-гидроксилазу (CYP46))).
6. Способ по п.1, дополнительно включает лечение пациента, где пациента лечат от ухудшения памяти или для улучшения обучаемости.
7. Способ по п.1, дополнительно включает лечение пациента от передозировки наркотиками.
RU2021111681A 2013-03-13 2014-03-13 Нейроактивные стероиды, композиции и их применение RU2021111681A (ru)

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US (1) US20160022701A1 (ru)
EP (2) EP2970504A4 (ru)
JP (3) JP2016514967A (ru)
CN (2) CN105164161A (ru)
AU (5) AU2014243819A1 (ru)
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HK (1) HK1220472A1 (ru)
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