TW200307661A - Multi-substituted selective androgen receptor modulators and methods of use thereof - Google Patents

Multi-substituted selective androgen receptor modulators and methods of use thereof Download PDF

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TW200307661A
TW200307661A TW092104237A TW92104237A TW200307661A TW 200307661 A TW200307661 A TW 200307661A TW 092104237 A TW092104237 A TW 092104237A TW 92104237 A TW92104237 A TW 92104237A TW 200307661 A TW200307661 A TW 200307661A
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androgen receptor
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selective androgen
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receptor modulator
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James T Dalton
Duane D Miller
Donghua Yin
Yali He
Mitchell S Steiner
A Veverka Karen
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Univ Tennessee Res Corp
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07CACYCLIC OR CARBOCYCLIC COMPOUNDS
    • C07C235/00Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms
    • C07C235/02Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms having carbon atoms of carboxamide groups bound to acyclic carbon atoms and singly-bound oxygen atoms bound to the same carbon skeleton
    • C07C235/04Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms having carbon atoms of carboxamide groups bound to acyclic carbon atoms and singly-bound oxygen atoms bound to the same carbon skeleton the carbon skeleton being acyclic and saturated
    • C07C235/18Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms having carbon atoms of carboxamide groups bound to acyclic carbon atoms and singly-bound oxygen atoms bound to the same carbon skeleton the carbon skeleton being acyclic and saturated having at least one of the singly-bound oxygen atoms further bound to a carbon atom of a six-membered aromatic ring, e.g. phenoxyacetamides
    • C07C235/24Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms having carbon atoms of carboxamide groups bound to acyclic carbon atoms and singly-bound oxygen atoms bound to the same carbon skeleton the carbon skeleton being acyclic and saturated having at least one of the singly-bound oxygen atoms further bound to a carbon atom of a six-membered aromatic ring, e.g. phenoxyacetamides having the nitrogen atom of at least one of the carboxamide groups bound to a carbon atom of a six-membered aromatic ring
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P13/00Drugs for disorders of the urinary system
    • A61P13/08Drugs for disorders of the urinary system of the prostate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • A61P15/16Masculine contraceptives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00Drugs for disorders of the senses
    • A61P27/02Ophthalmic agents
    • A61P27/04Artificial tears; Irrigation solutions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P5/00Drugs for disorders of the endocrine system
    • A61P5/24Drugs for disorders of the endocrine system of the sex hormones
    • A61P5/28Antiandrogens

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  • Ophthalmology & Optometry (AREA)
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Abstract

This invention provides androgen receptor targeting agents (ARTA). The agents define a new subclass of compounds, which are selective androgen receptor modulators (SARM). Several of the SARM compounds have been found to have an unexpected androgenic and anabolic activity of a nonsteroidal ligand for the androgen receptor. Other SARM compounds have been found to have an unexpected antiandrogenic activity of a nonsteroidal ligand for the androgen receptor. The SARM compounds, either alone or as a composition, are useful for (a) male contraception; (b) treatment of a variety of hormone-related conditions, for example conditions associated with Androgen Decline in Aging Male (ADAM), such as fatigue, depression, decreased libido, sexual dysfunction, erectile dysfunction, hypogonadism, osteoporosis, hair loss, anemia, obesity, sarcopenia, osteopenia, osteoporosis, benign prostate hyperplasia, alterations in mood and cognition and prostate cancer; (c) treatment of conditions associated with Androgen Decline in Female (ADIF), such as sexual dysfunction, decreased sexual libido, hypogonadism, sarcopenia, osteopenia, osteoporosis, alterations in cognition and mood, depression, anemia, hair loss, obesity, endometriosis, breast cancer, uterine cancer and ovarian cancer; (d) treatment and/or prevention of acute and/or chronic muscular wasting conditions; (e) preventing and/or treating dry eye conditions; (f) oral androgen replacement therapy; and/or (g) decreasing the incidence of, halting or causing a regression of prostate cancer.

Description

(i) (i)200307661 玫、發明說明 (發明說明應敘明··發明所屬之技術領域、先前技術、内容、實施方式及圖式簡單說明) 政府權益聲明 本發明係在由國家癌症研究所,國家衛生研究所授與之 補助金証書編號R29 CA〇68〇%下,及在由國家兒童衛生與人 類發展研究所,國家衛生研究所授與之補助金証書編號 R15 HD35329下’整體或部份於政府支持下施行。政府可擁 有本發明之一定權利。 技術領域 本發明係關於雄激素受體為標的之藥劑(ARTA),其証實 非類固醇配位體對雄激素受體之抗雄激素活性。此等藥劑 係界足化合物之新穎亞組,其係為選擇性雄激素受體調節 劑(SARM),可用於a)男性避孕;b)治療多種激素相關之症 狀’例如與老化男性中之雄激素下降(ADAM)有關聯之症狀 ,c)治療與女性中之雄激素下降(ADIF)有關聯之症狀;由治 療及/或預防急性及/或慢性肌肉消耗症狀;e)預防及/ 或治療乾眼症狀;f) 口服雄激素替補療法;及/或幻降低 則列腺癌之發生率,使其停止或造成其復原。 A前技術 准激素受體(AR")為配位體活化之轉錄調節蛋白質,其係 經過其與内源雄激素之活性,媒介男性之性發育與功能之 诱發。雄激素-般係稱為男性之性激素。#激素為類固醇 ,其係在身體中由睪丸及腎上腺之皮質所產生,或可在實 驗至中合成。雄激素類固醇在許多生理過程中,係扮演一 項重要角色,包括男性性特徵之發育與維持,#如:'肉與 200307661 (2) 骨胳質ΐ、箾列腺生長、精子發生及男性毛髮型式(Matsumoto,(i) (i) 200307661 Description of the invention (The description of the invention should state the technical field, prior art, content, implementation, and drawings of the invention. Brief description of the government's rights and interests. This invention belongs to the National Cancer Institute. , Under the grant certificate number R29 CA0680% granted by the National Institutes of Health, and under the grant certificate number R15 HD35329 awarded by the National Institute of Child Health and Human Development, National Institute of Health Implemented with government support. The government may have certain rights in the invention. TECHNICAL FIELD The present invention relates to an androgen receptor-targeted agent (ARTA), which confirms the antiandrogenic activity of a non-steroidal ligand to the androgen receptor. These medicaments are a novel subgroup of the world's foot compounds, which are selective androgen receptor modulators (SARMs) that can be used for a) male contraception; b) treatment of multiple hormone-related symptoms, such as androgens in aging men Symptoms associated with a decrease in ADAM, c) treatment of symptoms associated with a decline in androgen in women (ADIF); treatment and / or prevention of acute and / or chronic muscle wasting symptoms; e) prevention and / or treatment of dry eyes Symptoms; f) Oral androgen replacement therapy; and / or a decrease in the incidence of leg cancer, stopping it or causing it to recover. Pre-A technology Quasi-hormone receptor (AR ") is a ligand-activated transcription-regulating protein that is induced by its sexual development and function in males through its activity with endogenous androgens. Androgens-like sex hormones for men. # Hormones are steroids, which are produced in the body by testes and the adrenal cortex, or can be synthesized in experiments. Androgenic steroids play an important role in many physiological processes, including the development and maintenance of male sexual characteristics, such as: 肉 与 200307661 (2) bone skeletal ridges, sacral growth, spermatogenesis, and male hair (Matsumoto,

Endocrinol· Met· Clin· Ν· Am. 23 : 857-75 (1994))。内源類固醇雄激素 包括睪酮與二氫睪酮("DHT”)。睪酮為由睪丸分泌之主要類 固醇’且為在男性血漿中發現之主要循環雄激素。睪酮係 在許多末梢組織中被5 α-還原酶轉化成DHT。因此,DHT被 認為係充作大部份雄激素作用之胞内介體(zh〇u等人,M〇le. Endocrinol· 9 : 208-18 (1995))。其他類固醇雄激素包括睪酮之酯 類,譬如西比歐酸酯(Cypi〇nate)、丙酸酯、苯基丙酸酯、環 戊基丙酸酯、異己酸酯、庚酸酯及癸酸酯等酯類,及其他 合成雄激素’譬如7-甲基-去甲睪酮("MENT)及其醋酸酯 (Sundaram等人,"7 α-甲基-去甲睪酮(MENT):男性避孕用之最 適宜雄激素",Arm. Med·,25 : 199-205 (1993)(,,Sxmdaram,,))。由於 AR 係 涉及男性性發育與功能,故AR為達成男性避孕或其他激 素替補療法形式之可能標的。 全世界人口生長與家庭計劃之社會警覺性,已刺激很多 在避孕上之研究。避孕在任何情況下,均為一項困難之主 題。其係充滿著文化與社會污名,宗教牵連,而最當然的 是’重要之健康顧慮。當此主題專注於男性避孕時,此狀 況只會更為惡化。儘管適當避孕裝置之有效性,於歷史上 ’社會一直指望女性負責避孕之決定及其結果。雖然於性 傳染病上之顧慮,已使得男性更注意到發展安全且負責任 性習慣之需要,但女性仍然經常是避孕選擇之首當其衝者 。女性有許多選擇,從暫時機械裝置,譬如海綿與隔膜, 至暫時化學裝置,譬如殺精子劑。女性亦隨其之意,有較 200307661Endocrinol Met Clin N Am. 23: 857-75 (1994)). Endogenous steroid androgens include testosterone and dihydrotestosterone (" DHT "). Testosterone is the main steroid secreted by testis' and is the main circulating androgen found in male plasma. Testosterone is 5 alpha in many peripheral tissues. -Reductase is converted to DHT. Therefore, DHT is considered to act as an intracellular mediator for most androgenic effects (zhou et al. Mole. Endocrinol 9: 208-18 (1995)). Others Steroids androgens include esters of fluorenone, such as Cypionate, Propionate, Phenylpropionate, Cyclopentylpropionate, Isohexanoate, Heptanoate and Caprate Esters, and other synthetic androgens, such as 7-methyl-normethylone (" MENT) and its acetate (Sundaram et al., &Quot; 7 α-methyl-normethylone (MENT): male contraceptives The most suitable androgen ", Arm. Med ·, 25: 199-205 (1993) (,, Sxmdaram ,,)). Since AR is involved in male sexual development and function, AR is to achieve male contraception or other hormone replacement Possible targets for the form of therapy. Social alertness of population growth and family planning worldwide has stimulated Most researches on contraception. Contraception is a difficult topic in any case. It is full of cultural and social stigma, religious implication, and most importantly, 'important health concerns. When this topic focuses on This situation will only worsen when men are contraceptive. Despite the effectiveness of appropriate contraceptive devices, historically, 'society has been counting on women to take responsibility for contraceptive decisions and their consequences. Although concerns over sexually transmitted diseases have made men more aware To the need to develop safe and responsible habits, but women are still often the number one choice for contraception. Women have many options, ranging from temporary mechanical devices such as sponges and diaphragms to temporary chemical devices such as spermicide. Women also follow The meaning is more than 200307661

(3) 永久性之選擇,譬如物理裝置,包括IUD與子宮頸帽,以 及較永久性化學處理藥品,譬如生育控制丸劑與皮下植入 物。但是’迄今’可供男性採用之僅有選擇係包括保險套 之使用與輸精管切除術。但是,保險套之使用並不被許多 男性所喜歡,因為降低之性敏感性,性自發性之中斷,及 因破裂或誤用所造成懷孕之顯著可能性。輸精管切除術亦 不被吾歡。右有較方便之生育控制方法可被男性採用,特 別是長期方法’就在性行為之前,其不需要預備活動,則 此種方法可顯著地增加男性對避孕較為貴任之可能性。 關於此點,男性之性類固醇(例如睪酮及其衍生物)之投 藥,已顯示特別有希望,此係由於此等化合物之合併促性 腺激素-抑制與雄激素-取代性質所致(Steinberger等人,"睪酮庚 酸酯之性投藥,對於精子製造與血漿睪酮、促即泡成熟 激素及促黃體生成激素含量之作用:可能男性避孕藥、生 育及不孕之初步評估28 : 1320-28 (1977))。高劑量睪酮之慢性 投藥’會完全廢除精子製造(無精子)或使其降至極低含量 (精子過少)。為產生不孕所必須之產生精子抑制之程度, 並不正確地明瞭。但是,世界衛生組織最近之報告顯示, 每週肌内注射睪酮庚酸酯會造成無精子或嚴重精子過少( 意即,每毫升低於3百萬個精子),且在98%接受治療之男 性中造成不孕(世界衛生組織特遣部隊對於男性生育之方 法與調節,π睪酮所引致之無精子與精子過少在正常男性中 之避孕功效”,生育與不孕65 : 821-29 (1996))。 多種睪酮酯類已被發展,其在肌内注射後係較慢被吸收 200307661(3) Permanent choices, such as physical devices, including IUDs and cervical caps, and more permanent chemical treatments, such as birth control pills and subcutaneous implants. But the only options available to date for men include condom use and vasectomy. However, condom use is not preferred by many men because of reduced sexual sensitivity, spontaneous disruption of sex, and the significant likelihood of pregnancy due to rupture or misuse. Vasectomy was not recommended either. Right, there are more convenient methods of birth control that can be used by men, especially long-term methods. ”Just before sex, it does not require preparatory activities. This method can significantly increase the possibility that men are more expensive for contraception. In this regard, the administration of male sex steroids (such as fluorenone and its derivatives) has been shown to be particularly promising due to the combined gonadotropin-inhibiting and androgen-substituting properties of these compounds (Steinberger et al. "Sex dosing of fluorenone enanthate, effects on sperm production and plasma acetone, maturation-stimulating hormone, and luteinizing hormone content: possible preliminary assessment of male contraceptives, fertility, and infertility 28: 1320-28 ( 1977)). Chronic administration of high-dose fluorenone will completely abolish sperm production (azoospermia) or reduce it to very low levels (too few sperm). The extent to which sperm production is necessary to produce infertility is not clearly understood. However, a recent report by the World Health Organization has shown that weekly intramuscular injection of fluorenone enanthate results in azoospermia or severe hypospermia (meaning, less than 3 million sperm per ml), and 98% of men treated Cause infertility (Methods and Regulations of Men's Fertility by the Task Force of the World Health Organization, Contraceptive Effects of Azoospermia and Too-Spermia Induced by π 睪 one in Normal Men ", Fertility and Infertility 65: 821-29 (1996) ). A variety of fluorenone esters have been developed which are absorbed more slowly after intramuscular injection 200307661

(4) ’因此會造成較大雄激素作用。睪酮庚酸酯為此等酿類中 取廣泛被使用者。雖然以建立男性避孕用之激素劑之可行 性為觀點,睪酮庚酸酯已經是有價值的,但其具有數項缺 點,包括必須每週注射,及緊接於肌内注射之後,有超生 理學尖峰含量之睪酮存在(Wu,"睪酮庚酸酯在正常男性中之 作用:得自多中心避孕藥功效研究之經驗",生育與不孕仍 :626-36(1996))。 會結合AR且充作雄激素(例如睪酮庚酸酿)或充作抗雄激 素(例如環丙氯地孕酮醋酸酯)之類固醇配位體,已經已知 多年,且於臨床上使用(Wul988)。雖然非類固醇抗雄激素 係於臨床上用於激素依賴性之前列腺癌,非類固醇雄激 素並未被報告。因此,關於男性避孕藥之研究,已完全專 注於類固醇化合物上。 前列腺癌為在美國男性中最常發生之癌症之一,其中每 年診斷出數以百計數以千計之新穎病W。很不幸地,已發 現超過κ十百分比之新診斷出之前列腺癌病例,於病理學 上係被,展’《有治癒,及憂參之預後。此問題之一種處 理:j是經過篩檢程序較早期發現前列腺癌,冑以減少已 進展W列腺癌病Φ > r ^ 0, 心人數。但疋,另一種策略是發展能預 防刖列腺癌$ Μ Μ . χ <头物。所有超過50歲男性中,三分之一具有 《前列腺癌,其可被活化成為威脅生命之臨床前 列腺癌形式。、紙士 & 印在則列腺腫瘤之頻率,已註實會實質上隨 Λ* 士 命命而增加,從50歲(5少14% )至9〇歲(4〇_8〇% 具 有潛在前列臆# 癌 <人數,越過所有文化、族群及人種均為 200307661 (5)(4) 'This will cause a greater androgenic effect. The fluorenone enanthate is widely used by these brewers. Although from the viewpoint of establishing the feasibility of hormonal agents for male contraception, fluorenone enanthate is already valuable, but it has several disadvantages, including the necessity of weekly injections, and the superphysiological effects immediately following intramuscular injections. The peak content of fluorenone exists (Wu, "The role of fluorenone enanthate in normal men: experience from the efficacy of multicenter contraceptive studies", fertility and infertility: 626-36 (1996)). Steroid ligands that combine AR and act as androgens (such as acetoenanthionate) or as antiandrogens (such as cyproterone acetate) have been known for many years and are used clinically (Wul988 ). Although nonsteroidal antiandrogens are clinically used for hormone-dependent prostate cancer, nonsteroidal androgens have not been reported. Therefore, research on male contraceptives has focused entirely on steroids. Prostate cancer is one of the most frequently occurring cancers in American men, with hundreds of thousands of novel diseases being diagnosed every year. Unfortunately, more than ten percent of newly diagnosed cases of prostate cancer have been identified pathologically, and they have a cure, and the prognosis of sorrow and sorrow. One way to deal with this problem is to detect prostate cancer early after screening procedures to reduce the number of adenocarcinomas that have progressed in the past Φ > r ^ 0. However, another strategy is to develop a head cancer that prevents the prevention of spleen adenocarcinoma. One-third of all men over the age of 50 have "prostate cancer, which can be activated into a life-threatening form of clinical prostate cancer. The frequency of tumors printed on paper and printed on the glenoid glands has been shown to increase substantially with the life of Λ * soldiers, from 50 years old (5 less 14%) to 90 years old (4〇_80% have Potential forefront 臆 # cancer < number of people, across all cultures, ethnic groups and ethnic groups 200307661 (5)

相同’而臨床上強勢癌症之頻率卻又顯著地不同。這暗示 環境因素可在活化潛在前列腺癌上,扮演一項角色。因此 ’抵抗前列腺癌之治療與預防策略之發展,於抵抗前列腺 癌之醫學與經濟兩者上,可具有最大整體衝擊。 骨質疏鬆症為一種系統性骨骼疾病,其特徵為低骨頭質 量與骨頭組織之退化,因而造成增加骨頭脆性及對骨折之 易感性。在美國,此症狀係影嚮超過2千5百萬人,且每年 造成超過1_3百萬人骨折,包括每年5〇〇,〇〇〇人之椎骨,25〇,〇〇0 人之髖部及240,〇〇〇人之手腕骨折。髖部骨折為骨質疏鬆症 之最嚴重結果,其中5-20%之病患在一年内瀕臨死亡,及 超過50% <存活者成為殘障。年長者係處於骨質疏鬆症之 取大危險下,因此預測該問題會隨著人口之老化而顯著地 增加。預測全世界骨折發生率,在未來6〇年内會增加三倍 ,一項研究估計全世界在2050年時,將有4千5百萬人髖部 骨折。 女性係比男性處於骨質疏鬆症之較大危險下。女性在斷 經後之五年期間,會歷經骨質耗損之尖銳加速作用。會增 加此危險之其他因素,包括抽煙、酒精濫用、久坐生活方 式及低鈣攝取。但是,骨質疏鬆症亦經常發生在男性中。 已充分確a的疋,男性之骨礦物質密度會隨著年齡而降低 。骨礦物質含量與密度減少之量,係與降低之骨骼強度相 互關聯,1易罹患骨折。在非生殖組織中,從屬於性激素 之親多組織性作用之分子機制,僅只是開始被瞭解而已, 但明瞭的是,雄激素與雌激素之生理濃度,在整個生命循 (6) (6)200307661The same ', but the frequency of clinically strong cancers is significantly different. This suggests that environmental factors can play a role in activating potential prostate cancer. Therefore, the development of treatment and prevention strategies against prostate cancer can have the greatest overall impact on both the medicine and the economy against prostate cancer. Osteoporosis is a systemic skeletal disease characterized by low bone mass and bone tissue degradation, which results in increased bone fragility and susceptibility to fractures. In the United States, this symptom affects more than 25 million people and causes fractures in more than 1-3 million people each year, including vertebrae of 50,000 people, hips of 250,000 people and A wrist fracture occurred in 240,000 people. Hip fractures are the most severe result of osteoporosis, with 5-20% of patients dying within a year and more than 50% of survivors becoming disabled. The elderly are at great risk of osteoporosis, so the problem is expected to increase significantly as the population ages. The incidence of fractures worldwide is predicted to triple in the next 60 years. A study estimates that 45 million people worldwide will have hip fractures by 2050. Women are at greater risk of osteoporosis than men. During the five years following menopause, women experience sharp acceleration of bone loss. Other factors that increase this risk include smoking, alcohol abuse, sedentary lifestyles, and low calcium intake. However, osteoporosis also often occurs in men. It is fully confirmed that the bone mineral density of men will decrease with age. The decrease in bone mineral content and density is related to the reduced bone strength, and 1 is susceptible to fractures. In non-reproductive tissues, the molecular mechanisms underlying the pro-organic effects of sex hormones are only beginning to be understood, but it is clear that the physiological concentrations of androgens and estrogen throughout the life cycle (6) (6) 200307661

環中,於保持骨頭等耨把μ 况± %、 上,係扮演一嚷重要角色。因此 ,當發生雄激素或雌瀲备金+ η土 -教素丧失時,於骨頭改造之速率上, 有所造成之增加,這會佶鉍招你 ㈢使耗抽與形成 < 平衡偏斜至有利於 耗損,其會助長骨頭質量之棼姊 貝Κ登體抽失。在男性中,性激素 在成熟期之天然下降(雄激素之直接下降,以及較低含量 《雌激素’係源自於雄激素之末梢芳香化作用)係伴隨著 骨頭之脆弱。此作用亦發現於已被割除睪丸之男性中。 於老化男性中之雄激素下降(ADAM)係指雄激素製造上之 漸進降低,通常是在中年後之男性中。此徵候簇之特徵為 身體與智能範圍上之改變,其係與雄激素環境相互關聯, 且可經由雄激素環境之操控而被改正❶ADAM於生物化學 上之特徵,不僅是血清雄激素上之降低,而且是在其他激 素,譬如生長激素、褪黑激素及脫氳表雄留酮上之降低。 臨床現象包括疲勞、抑鬱、性慾減退、性機能障礙、勃起 機能障礙、性腺機能減退、骨質疏鬆症、毛髮掉落、肥胖 少肌症、骨負缺 <、良性前列腺增生、貧血、於心情與 認知力上之改變及前列腺癌。 於女性中之雄激素缺乏(ADIF)係指多種激素相關之症狀, 包括常見於中年後之女性中者。此徵候簇之特徵為性機能 障礙、性慾減退、性腺機能減退、少肌症、骨質缺乏、骨 質疏鬆症、於認知力與心情上之改變、貧血、抑鬱、毛髮 掉落、肥胖、子宮内膜組織異位形成、乳癌、子宮癌及卵 巢癌。 肌肉消耗係指肌肉質量之漸進損失,及/或肌肉之漸進 200307661In the ring, to maintain the bones and so on, the μ condition ±%, up plays an important role. Therefore, when androgen or estrogen reserve + η soil-culturin loss occurs, there is an increase in the rate of bone reformation, which will cause bismuth to induce you to consume and form < balance skewed to Conducive to wear, it will promote the loss of bone mass, Kelvin. In men, the natural decline in sex hormones during the maturation period (direct decline in androgens, and the lower levels of "estrogens" are derived from the androgen's peripheral aromatization) are accompanied by bone fragility. This effect is also found in men who have had their testicles circumcised. Decreased androgen in aging men (ADAM) refers to a gradual decrease in androgen production, usually in men after middle age. This symptom is characterized by changes in the physical and intellectual range, which are related to the androgen environment, and can be corrected by the manipulation of the androgen environment. ADAM's biochemical characteristics are not only a decrease in serum androgens And it is reduced on other hormones, such as growth hormone, melatonin and exo-androsterone. Clinical phenomena include fatigue, depression, hyposexuality, sexual dysfunction, erectile dysfunction, hypogonadism, osteoporosis, hair loss, obesity, osteopenia <, benign prostatic hyperplasia, anemia, mood and mood Cognitive changes and prostate cancer. Androgen deficiency (ADIF) in women refers to a variety of hormone-related symptoms, including those commonly seen in women after middle age. This symptom is characterized by sexual dysfunction, hyposexuality, hypogonadism, oligosarcoma, osteoporosis, osteoporosis, cognitive and mood changes, anemia, depression, hair loss, obesity, endometrium Ectopic tissue formation, breast cancer, uterine cancer and ovarian cancer. Muscle exhaustion refers to a progressive loss of muscle mass and / or a progressive loss of muscle 200307661

(7) 變弱與退化’包括控制移動之骨骼肌或隨意肌,控制心臟 (心肌病)之心肌,及平滑肌。慢性肌肉消耗為一種慢性症 狀(意即,持續歷經一段長時間),其特徵為肌肉質量之漸 進損失,肌肉之變弱與退化。在肌肉消耗期間所發生之肌 肉質量損失’其特徵可為肌肉蛋白質分解或降解。發生蛋 白質降解,係由於不尋常高速率之蛋白質降解,不尋常低 速率之蛋白質合成’或兩者之組合。蛋白質降解,無論是 因高程度之蛋白質降解或低程度之蛋白質合成所造成,均 會導致肌肉質量之降低,及肌肉消耗。肌肉消耗係伴隨著 慢性、神經病性、遣傳性或傳染性病理學疾病、病症或症 狀。其包括肌肉營養不良,譬如Duchenne肌肉營養不良與肌 強直病營養不良,肌肉萎縮,譬如灰質後肌肉萎縮(PPMA) ;惡病質,譬如心臟惡病質、AIDS惡病質及癌症惡病質, 營養不良、麻風、糖尿病、腎病、慢性阻塞肺病(C〇pd)、 癌症、末期腎衰竭、氣腫、骨軟化症、HIV感染、AIDS及 心肌病。此外,其他狀況與症狀係連接至並可能造成肌肉 消耗。其包括性下方背痛、進展之老化、中樞神經系統 (CNS)損傷、末梢神經損傷、脊髓損傷、化學損傷、中樞神 經系統(CNS)傷害、末梢神經傷害、脊髓傷害、化學傷害、 灼傷,當肢體被固定時所發生之廢用去調理作用,由於病 症或損傷所致之長期住院,及酒精中毒。肌肉消耗若保持 不減退,則可能具有可怕健康影嚮。例如,在肌肉消耗期 間所發生之變化,可能會導致變弱之身體狀態,其係有害 於個人之健康,而造成增加對感染之易感染性,不良表現 200307661(7) Weakness and degeneration 'include skeletal or voluntary muscles that control movement, myocardium that controls the heart (cardiomyopathy), and smooth muscles. Chronic muscle wasting is a chronic condition (that is, lasting for a long time) and is characterized by a progressive loss of muscle mass, weakening and degeneration of muscle. Muscle mass loss' that occurs during muscle wasting can be characterized by muscle protein breakdown or degradation. The occurrence of protein degradation is due to an unusually high rate of protein degradation, an unusually low rate of protein synthesis' or a combination of both. Protein degradation, whether caused by a high degree of protein degradation or a low degree of protein synthesis, can lead to a decrease in muscle mass and muscle consumption. Muscle wasting is accompanied by a chronic, neuropathic, transmission, or infectious pathological disease, disorder, or condition. It includes muscular dystrophy, such as Duchenne muscular dystrophy and myotonic dystrophy, muscular atrophy, such as gray matter post muscular atrophy (PPMA); cachexia, such as cardiac cachexia, AIDS cachexia, and cancer cachexia, malnutrition, leprosy, diabetes, kidney disease , Chronic obstructive pulmonary disease (Copd), cancer, end-stage renal failure, emphysema, osteomalacia, HIV infection, AIDS, and cardiomyopathy. In addition, other conditions and symptoms are linked to and may cause muscle wasting. It includes lower back pain, progressive aging, central nervous system (CNS) injury, peripheral nerve injury, spinal cord injury, chemical injury, central nervous system (CNS) injury, peripheral nerve injury, spinal cord injury, chemical injury, burns, and when the limbs are Disuses for conditioning during fixation, long-term hospitalization due to illness or injury, and alcoholism. If muscle exhaustion remains undiminished, it can have dire health effects. For example, changes that occur during muscle depletion may lead to a weakened state of the body, which is harmful to the health of the individual, causing increased susceptibility to infection, and poor performance 200307661

(8) 狀態及對損傷之易感受性。 在基礎科學與臨床層次兩者上’边切需要新的創新研究 途徑,以開發化合物,其可用於a)男性避孕;b)治療多種 激素相關之症狀,例如與老化男性中之雄激素下降(ADAM) 有關聯之症狀,譬如疲勞、抑鬱、性慾減退、性機能障礙 、勃起機能障礙、性腺機能減退、骨質疏鬆症、毛髮掉落 、貧血、肥胖、少肌症、骨質缺乏、骨質疏鬆症、良性前 列腺增生、於心情與認知力上之改變及前列腺癌;c)治療 與ADIF有關聯之症狀,譬如性機能障礙、性慾減退、性腺 機能減退、少肌症、骨質缺乏、骨質疏鬆症、於認知力與 心情上之改變、抑鬱、貧血、毛髮掉落、肥胖、子宮内膜 組織異位形成、乳癌、子宮癌及卵巢癌;d)治療及/或預 防急性及/或慢性肌肉消耗症狀;e)預防及/或治療乾眼 症狀;f) 口服雄激素替補療法;及/或g)降低前列腺癌之 發生率,使其停止或造成其復原。 發明内容 於一項具體實施例中,本發明係提供一種雄激素受體為 標的之藥劑(ARTA)。此藥劑係界定化合物之新穎亞組,其 係為選擇性雄激素受體調節劑(SARM)。已發現數種从_化 合物具有非類固醇配位體對雄激素受體之令人意外雄激素 與合成代謝活性。6發現其他SARM化合物具有非類固醇 配位體對雄激+ # “ 〃素又姐〈令人意外抗雄激素活性。SARM化 療多種可用於a)男性避孕;b)治 療多種激素相關之症狀 J ^ 力性中《雄激素下降 (9) (9)200307661(8) State and susceptibility to damage. Both basic science and clinical levels need new and innovative research approaches to develop compounds that can be used for a) male contraception; b) treatment of multiple hormone-related symptoms, such as androgen decline in aging men (ADAM ) Related symptoms, such as fatigue, depression, hyposexuality, sexual dysfunction, erectile dysfunction, hypogonadism, osteoporosis, hair loss, anemia, obesity, oligosomyopathy, osteoporosis, osteoporosis, benign Benign prostatic hyperplasia, changes in mood and cognition, and prostate cancer; c) treatment of symptoms associated with ADIF, such as sexual dysfunction, hyposexuality, hypogonadism, oligosarcoma, osteoporosis, osteoporosis, cognition Changes in strength and mood, depression, anemia, hair loss, obesity, endometrial tissue formation, breast cancer, uterine cancer and ovarian cancer; d) treatment and / or prevention of acute and / or chronic muscle wasting symptoms; e ) Prevent and / or treat dry eye symptoms; f) oral androgen replacement therapy; and / or g) reduce the incidence of prostate cancer and stop or cause it Its recovery. SUMMARY OF THE INVENTION In a specific embodiment, the present invention provides an androgen receptor-targeted agent (ARTA). This agent defines a novel subgroup of compounds that are selective androgen receptor modulators (SARMs). Several secondary compounds have been found to have surprising androgenic and anabolic activity of androgen receptors by non-steroidal ligands. 6 found that other SARM compounds have non-steroidal ligands for androgenic + # "〃 素 又 姐 <surprising anti-androgenic activity. SARM chemotherapy can be used for a) male contraception; b) treatment of a variety of hormone-related symptoms J ^ Strength in `` androgen decline (9) (9) 200307661

(=DAM)有關聯I症狀,譬如疲勞、抑鬱、性慾減退、性機 二障礙、勃起機能障礙、性腺機能減退、t質疏鬆症、毛 髮掉各、貧血、肥胖、少肌症、#質缺乏、骨質疏鬆症、 良I*生則歹j腺增纟、於心情與認知力上之改變及前列腺癌; 0治療與女性中之雄激素下降(ADIF)有關聯之症狀,譬如性 機能障礙、性慾減退、性腺機能減退、少肌症、骨質缺乏 、骨質疏鬆症、於認知力與心情上之改變、抑鬱、貧血、 毛髮掉落、肥胖、子宮内膜組織異位形成、乳癌、子宮癌 及卵巢癌;d)治療及/或預防急性及/或慢性肌肉消耗症 狀,e)預防及/或治療乾眼症狀;〇 口服雄激素替補療法 ’及/或g)降低前列腺癌之發生率,使其停止或造成其復 原。 於一項具體實施例中,本發明係提供一種選擇性雄激素 受體調節劑(SARM)化合物,以式I結構表示:(= DAM) I-related symptoms, such as fatigue, depression, hyposexuality, sexual dysfunction, erectile dysfunction, hypogonadism, osteoporosis, hair loss, anemia, obesity, oligosomyopathy, #quality deficiency , Osteoporosis, benign disease, glandular enlargement, changes in mood and cognition, and prostate cancer; 0 treatment of symptoms associated with androgen decline in women (ADIF), such as sexual dysfunction, sexual desire Decrease, hypogonadism, oligosarcoma, osteopenia, osteoporosis, cognitive and mood changes, depression, anemia, hair loss, obesity, endometrial tissue formation, breast cancer, uterine cancer and ovaries Cancer; d) treatment and / or prevention of acute and / or chronic muscle wasting symptoms, e) prevention and / or treatment of dry eye symptoms; o oral androgen replacement therapy 'and / or g) reduce the incidence of prostate cancer, making it Stop or cause it to recover. In a specific embodiment, the present invention provides a selective androgen receptor modulator (SARM) compound, which is represented by the structure of Formula I:

其中 X 為一個鍵結、〇、CH2、NH、Se、PR、NO或 NR ; G為Ο或S ; T 為 OH、OR、-NHCOCH3 或 NHCOR ;Where X is a bond, 0, CH2, NH, Se, PR, NO or NR; G is 0 or S; T is OH, OR, -NHCOCH3 or NHCOR;

R為烷基、s烷基、二||烷基、三1¾烷基、CH2F chf2、cf3、cf2cf3 ;芳基、苯基、卣素、烯基或oh; 1為 CH3、CH2F、chf2、CF3、CH2CH3 或 CF2CF3 ; 200307661R is alkyl, salkyl, di || alkyl, tri-1,2-alkyl, CH2F chf2, cf3, cf2cf3; aryl, phenyl, halogen, alkenyl, or oh; 1 is CH3, CH2F, chf2, CF3 , CH2CH3 or CF2CF3; 200307661

R2 為 F、α、Br、I、CH3、CF3、OH、CN、N02、NHCOCH3 、NHCOCF3、NHCOR、烷基、芳烷基、〇R、NH2、NHR 、NR2、SR ; R3 為 F、Cl、Br、I、CN、N02、COR、COOH、CONHR 、CF3、SnR3,或R3與其所連接之苯環一起形成一個 稠合環系統,以下列結構表示:R2 is F, α, Br, I, CH3, CF3, OH, CN, N02, NHCOCH3, NHCOCF3, NHCOR, alkyl, aralkyl, OR, NH2, NHR, NR2, SR; R3 is F, Cl, Br, I, CN, N02, COR, COOH, CONHR, CF3, SnR3, or R3 together with the benzene ring to which they are connected form a fused ring system, which is represented by the following structure:

Z 為 N02、CN、COR、COOH 或 CONHR ; Y 為 CF3、F、Bi*、Cl、I、CN 或 SnR3 ; Q 為 Η、烷基、鹵素、CF3、CN、CR3、SnR3、NR2、 NHCOCH3、NHCOCF3、NHCOR、NHCONHR、NHCOOR、OCONHR 、CONHR、NHCSCH3、NHCSCF3、NHCSR、NHS02CH3、NHS02R 、OH、OR、COR、OCOR、0S02R、SO5R、SR;或 Q與 其所連接之苯環一起為一個稠合環系統,以結構A、 B或C表示:Z is N02, CN, COR, COOH or CONHR; Y is CF3, F, Bi *, Cl, I, CN or SnR3; Q is fluorene, alkyl, halogen, CF3, CN, CR3, SnR3, NR2, NHCOCH3, NHCOCF3, NHCOR, NHCONHR, NHCOOR, OCONHR, CONHR, NHCSCH3, NHCSCF3, NHCSR, NHS02CH3, NHS02R, OH, OR, COR, OCOR, OS02R, SO5R, SR; or Q and the benzene ring connected to it are a fused ring System, represented by structure A, B or C:

η為1-4之整數;及 m為1-3之整數。 於另一項具體實施例中,本發明係提供式I化合物之類 似物、衍生物、異構物、新陳代謝產物、藥學上可接受之 (11) (11)200307661 鹽、水合物或N_氧化物或其任何組合。 ^ 一項具體實施例中,化合物J中之X為〇。於另一項具 體實施例中,化合物!中之C^O。於另_:胃具體實施例中 ’化合物I中之Z為N〇2。於另-項具體實施例中,化合物J 中之Z為CN。於另一項具體實施例中,化合物!中之γ為% 。:广項具體實施例中,化合物!中之Q4nhc〇cH3。於 另一項具體實施例中,化合物〗中之(^為!^。於另一項具體 實施例中,化合物!中之T為0H。於另一嚷具體實施例; 化η物I中之Rl為CHS。於另一項具體實施例中,化合物I 中之Q為F,且R2為CH3。於另一項具體實施例中,化合物J 中之Q為F,且112為α。 於另一項具體實施例中,本發明係提供一種選擇性雄激 素受體調節劑(SARM)化合物,以式π結構表示:n is an integer of 1-4; and m is an integer of 1-3. In another specific embodiment, the present invention provides analogs, derivatives, isomers, metabolites, pharmaceutically acceptable (11) (11) 200307661 salts, hydrates or N-oxidation of compounds of formula I Or any combination thereof. ^ In a specific embodiment, X in compound J is 0. In another specific embodiment, compounds! In C ^ O. In another embodiment: in the specific embodiment of the stomach, Z in Compound I is No. 02. In another embodiment, Z in compound J is CN. In another embodiment, γ in Compound! Is%. : In a wide range of specific examples, Q4nhcocH3 in Compound !. In another specific embodiment, (^ is! ^ In compound). In another specific embodiment, T is 0H in compound !. In another specific embodiment; R1 is CHS. In another embodiment, Q in compound I is F, and R2 is CH3. In another embodiment, Q in compound J is F, and 112 is α. In a specific embodiment, the present invention provides a selective androgen receptor modulator (SARM) compound, which is represented by the structure of formula π:

Π 其中P為2-5之整數,且其餘取代基均如上文關於化合物J 之定義。於一項具體實施例中,p為5。 於另一項具體實施例中,本發明係提供式II化合物之類 似物、衍生物、異構物、新陳代謝產物、藥學上可接受之 鹽、水合物或N-氧化物或其任何組合。 於另一項具體實施例中,本發明係提供一種選擇性雄激 素受體調節劑(SARM)化合物,以式V結構表示: 200307661 (12)Π where P is an integer of 2-5, and the remaining substituents are as defined above for compound J. In a specific embodiment, p is 5. In another specific embodiment, the present invention provides analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, hydrates or N-oxides or any combination thereof, of a compound of formula II. In another specific embodiment, the present invention provides a selective androgen receptor modulator (SARM) compound, which is represented by the structure of formula V: 200307661 (12)

其中 R2 為 F、Cl、Br、I、CH3、CF3、OH、CN、N〇2、NHCOCH3 、NHCOCF3、NHCOR、烷基、芳烷基、OR、NH2、NHR 、NR2、SR ; R3 為 F、Cl、Br、I、CN、N02、COR、COOH、CONHR 、CF3、SnR3,或R3與其所連接之苯環一起形成一個 稠合環系統,以下列結構表示:Where R2 is F, Cl, Br, I, CH3, CF3, OH, CN, No2, NHCOCH3, NHCOCF3, NHCOR, alkyl, aralkyl, OR, NH2, NHR, NR2, SR; R3 is F, Cl, Br, I, CN, N02, COR, COOH, CONHR, CF3, SnR3, or R3 together with the benzene ring to which they are connected form a fused ring system, which is represented by the following structure:

R為烷基、i烷基、二鹵烷基、三齒烷基、CH2F、 CHF2、CF3、CF2CF3 ;芳基、苯基、鹵素、烯基或OH; Z 為 N〇2、CN、COR、COOH 或 CONHR ; Y 為 CF3、F、Br、Cl、I、CN 或 SnR3 ; Q 為 H、烷基、鹵素、CF3、CN、CR3、SnR3、NR2、 NHCOCH3、NHCOCF3、NHCOR、NHCONHR、NHCOOR、OCONHR 、CONHR、NHCSCH3、NHCSCF3、NHCSR、NHS02CH3、NHS02R 、OH、OR、COR、OCOR、0S02R、S02R、SR;或 Q與 其所連接之苯環一起為一個稠合環系統,以結構A、 200307661R is alkyl, i-alkyl, dihaloalkyl, tridentyl, CH2F, CHF2, CF3, CF2CF3; aryl, phenyl, halogen, alkenyl, or OH; Z is No2, CN, COR, COOH or CONHR; Y is CF3, F, Br, Cl, I, CN or SnR3; Q is H, alkyl, halogen, CF3, CN, CR3, SnR3, NR2, NHCOCH3, NHCOCF3, NHCOR, NHCONHR, NHCOOR, OCONHR , CONHR, NHCSCH3, NHCSCF3, NHCSR, NHS02CH3, NHS02R, OH, OR, COR, OCOR, OS02R, S02R, SR; or Q together with the benzene ring to which it is connected is a fused ring system with structure A, 200307661

B或C表示:B or C means:

n為1-4之整數;及 m為1-3之整數。 於另一項具體實施例中,本發明係提供式V化合物之類 似物、衍生物、異構物、新陳代謝產物、藥學上可接受之 鹽、水合物或N-氧化物或其任何組合。 於另一項具體實施例中,化合物v中之z為N〇2。於另一 項具體實施例中,化合物V中之z為CN。於另一項具體實 施例中’化合物V中之Y為CF3。於另-項具體實施例中, 化合物V中之Q為NHCOCH3。於另一項具體實施例中,化合 為F,且&amp;為CH3。於另一項具體實施例中,化合物v中之 Q為F,且r2為C1。 於另一項具體實施例中,本發明係提供—種選擇性雄激 素受體調節劑(SARM)化合物,以式贝結構表示:n is an integer of 1-4; and m is an integer of 1-3. In another embodiment, the present invention provides analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, hydrates or N-oxides or any combination thereof of a compound of formula V. In another embodiment, z in compound v is No. In another embodiment, z in compound V is CN. In another specific embodiment, Y in 'compound V is CF3. In another embodiment, Q in compound V is NHCOCH3. In another embodiment, the compound is F, and &amp; is CH3. In another embodiment, Q in compound v is F, and r2 is C1. In another specific embodiment, the present invention provides a selective androgen receptor modulator (SARM) compound, which is represented by the formula:

其中P*為1-4之整數 V之定義。於一項且 &lt;正數,且其餘取代基均如上文關於化合物 一項具體實施例中,p,為5。 (14)200307661 於另一項具體實施例中, 似物 t發明係提供式VI化合物之類Where P * is the definition of the integer V of 1-4. In one term &lt; positive, and the remaining substituents are as described above for a specific embodiment of the compound, p is 5. (14) 200307661 In another specific embodiment, the analog t invention provides a compound of formula VI or the like

一項具體實施例中 SARM係以下列結構表示 鹽、In a specific embodiment, SARM is represented by the following structure:

於另一項具體實施例中 SARM係以下列結構表示In another specific embodiment, SARM is represented by the following structure

於另一項具體實施例中,SARM係以下列結構表示In another specific embodiment, SARM is represented by the following structure

合物為雄激素受體拮抗劑。於另一項具體實施例中,任何 式I-VI之SARM化合物係不可逆地結合至雄激素受體。於另 —項具體實施例中’任何式I-VI之SARM化合物係可逆地結 合至雄激素受體。 於一項具體實施例中’本發明係提供一種組合物,其包 含本發明之選擇性雄激素受體調節劑化合物及其類似 物、衍生物、異構物、新陳代謝產物、藥學上可接受之睡 、醫藥產物、水合物或N-氧化物或其任何組合。 於另一項具體實施例中’本發明係提供一種醫藥組合物 -21- (15)200307661 ,其包含本發明之選擇性雄 其類似物、衍生物、異構物 水合物或N-氧化物或其任何 於另一項具體實施例中, 雄激素受體調節劑化合物至 下步騾,使雄激素受體與本 劑化合物及/或其類似物、 物、藥學上可接受之鹽、醫 其任何組合接觸,其量可有 劑化合物至雄激素受體。 於另一項具體實施例中, 制精子發生之方法,其包括 之選擇性雄激素受體調節劑 物、異構物、新陳代謝產物 物、水合物或N-氧化物或其 制精子製造。 於另一項具體實施例中, 中避孕之方法,其包括以下 選擇性雄激素受體調節劑化 、異構物、新陳代謝產物、 、水合物或N-氧化物或其任 中之精子製造,藉以達成病 於另一項具體實施例中, 方法,其包括以下步驟,使 激素受體調節劑化合物及/或 、新陳代謝產物、醫藥產物、 組合;及適當載劑或稀釋劑。 本發明係提供一種結合選擇性 雄激素受體之方法,其包括以 發明之選擇性雄激素受體調節 衍生物、異構物、新陳代謝產 藥產物、水合物或Ν-氧化物或 效結合選擇性雄激素受體調節 本發明係提供一種在病患中抑 使病患之雄激素受體與本發明 化合物及/或其類似物、衍生 、藥學上可接受之鹽、醫藥產 任何組合接觸,其量可有效抑 本發明係提供一種在男性病患 步騾’對該病患投予本發明之 合物及/或其類似物、衍生物 藥學上可接受之鹽、醫藥產物 何組合’其量可有效抑制病患 患之避孕。 本發明係提供一種激素治療之 病患之雄激素受體與任何本發 200307661The compound is an androgen receptor antagonist. In another embodiment, any SARM compound of Formula I-VI irreversibly binds to an androgen receptor. In another embodiment, 'any SARM compound of formula I-VI is reversibly bound to the androgen receptor. In a specific embodiment, the present invention provides a composition comprising the selective androgen receptor modulator compound of the present invention and its analogs, derivatives, isomers, metabolites, pharmaceutically acceptable Sleep, pharmaceutical products, hydrates or N-oxides or any combination thereof. In another embodiment, the present invention provides a pharmaceutical composition-21- (15) 200307661, which comprises the selective androgen analog, derivative, isomer hydrate or N-oxide of the present invention. Or in any other specific embodiment, the androgen receptor modulator compound to the next step, the androgen receptor and the compound and / or its analogs, substances, pharmaceutically acceptable salts, medical Any combination thereof may be contacted in an amount that can have a compound to the androgen receptor. In another embodiment, a method for spermatogenesis comprises the production of selective androgen receptor modulators, isomers, metabolites, hydrates or N-oxides, or spermatozoa. In another specific embodiment, a method of intermediate contraception, which includes the following selective androgen receptor modulators, isomers, metabolites, hydrates, or N-oxides or any of their sperm, In order to achieve disease in another specific embodiment, the method includes the steps of using a hormone receptor modulator compound and / or, a metabolite, a medicinal product, a combination; and an appropriate carrier or diluent. The present invention provides a method for binding a selective androgen receptor, which comprises a selective androgen receptor modulating derivative, an isomer, a metabolic medicinal product, a hydrate or an N-oxide or a potent binding selection with the invention. Sexual Androgen Receptor Modulation The present invention provides a method for inhibiting a patient's androgen receptor in contact with a compound of the present invention and / or its analog, a derivative, a pharmaceutically acceptable salt, or any combination of medicinal products. The amount is effective for inhibiting the present invention to provide a method for administering the compound of the present invention and / or its analogs, derivatives, pharmaceutically acceptable salts, and pharmaceutical products to male patients. Can effectively inhibit contraception in patients. The present invention provides an androgen receptor for any hormone treated patient and any

(16) 明之選擇性雄激素受體調節劑化合物及/或其類似物、衍 生物、異構物、新陳代謝產物、藥學上可接受之鹽、醫藥 _ 產物、水合物或N-氧化物或其任何組合接觸,其量可有效 · 達成雄激素依賴性症狀中之變化。 於另一項具體實施例中,本發明係提供一種激素替補治 療之方法,其包括以下步騾,使病患之雄激素受體與本發 . 明之選擇性雄激素受體調節劑化合物及/或其類似物、衍 · 生物、異構物、新陳代謝產物、藥學上可接受之鹽、醫藥 β 產物、水合物或Ν-氧化物或其任何組合接觸,其量可有效 達成雄激素依賴性症狀中之變化。 於另一項具體實施例中,本發明係提供一種治療具有激 素相關症狀之病患之方法,其包括以下步驟,對該病患投 予本發明之選擇性雄激素受體調節劑化合物及/或其類似 物、衍生物、異構物、新陳代謝產物、藥學上可接受之職 、醫藥產物、水合物或Ν-氧化物或其任何粗合,其量可有 效達成雄激素依賴性症狀中之變化。 _ 於另一項具體實施例中,本發明係提供一種治療患有前 列腺癌之病患之方法’其包括以下步驟,對該病患投予本 發明之選擇性雄激素受體調節劑化合物及/或其類似物、 衍生物、異構物、新陳代謝產物、藥學上可接受之鹽、醫 藥產物、水合物或Ν-氧化物或其任何組合,其量可在病串、 : 中有效治療前列腺癌。 . 於另一項具體實施例中,本發明係提供一種在病患中預 防前列腺癌之方法,其包括以下步驟,對該病患投予本發 (17)200307661(16) Selective androgen receptor modulator compounds and / or their analogs, derivatives, isomers, metabolism products, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides or In any combination, the amount is effective · Achieve changes in androgen-dependent symptoms. In another specific embodiment, the present invention provides a method of hormone replacement therapy, which includes the following steps, the patient's androgen receptor and the present invention and a selective androgen receptor modulator compound and / or Its analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, pharmaceutical beta products, hydrates or N-oxides or any combination thereof are contacted in amounts effective to achieve androgen-dependent symptoms The change. In another specific embodiment, the present invention provides a method for treating a patient with hormone-related symptoms, comprising the steps of administering to the patient a selective androgen receptor modulator compound of the present invention and / Or its analogs, derivatives, isomers, metabolites, pharmaceutically acceptable positions, medicinal products, hydrates or N-oxides, or any of their crude forms, in amounts effective to achieve androgen-dependent symptoms Variety. _ In another embodiment, the present invention provides a method for treating a patient with prostate cancer, which includes the steps of administering to the patient a selective androgen receptor modulator compound of the present invention and / Or its analogs, derivatives, isomers, metabolism products, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides, or any combination thereof, in an amount effective to treat the prostate cancer. In another specific embodiment, the present invention provides a method for preventing prostate cancer in a patient, which comprises the following steps: administering the disease to the patient (17) 200307661

明之選擇 生物、異 產物、水 有效預防 於另一 腺癌之病 ,對該病 及/或其 上可接受 合,其量 於另一 腺癌之病 騾,對該 物及/或 學上可接 合,其量 於另一 腺癌之病 驟,對該 物及/或 學上可接 組合,其 於另一 之病患中 性雄激素雙體調節劑化合物及/或其類似物, 構物、新陳代謝產物、藥學上可接受之: 合物或N-氧化物或其任何組合,其量可在病 前列腺癌。 ^ t 項具體實施财’本發明係提供-種在患有前列 患中延遲前列腺癌進展之方法,纟包括以下步驟 患投予本發明之選擇性雄激素受體調節劑化合物 類似物、衍生物、異構物、新陳代謝產物藥學 之鹽、醫藥產物、水合物或N_氧化物或其任何組 可在病患中有效延遲前列腺癌之進展。 項具體實施例中,本發明係提供一種在患有前列 患中預防如列腺癌再發生之方法,其包括以下步 病患投予本發明之選擇性雄激素受體調節劑化合 其類似物、衍生物、異構物、新陳代謝產物、藥 受之鹽醫藥產物、水合物或氧化物或其任何組 可在病患中有效預防前列腺癌之再發生。 項具體實施例中,本發明係提供一種在患有前列 患中治療前列腺癌再發生之方法,其包括以下步 病患投予本發明之選擇性雄激素受體調節劑化合 其類似物、衍生物、異構物、新陳代謝產物、藥 受之鹽、醫藥產物、水合物或N-氧化物或其任何 量可在病患中有效治療前列腺癌之再發生。 項具體實施例中,本發明係提供一種在患有乾眼 治療乾眼症狀之方法,其包括以下步驟,對該病 -94. (18) (18)200307661Ming's selection of organisms, foreign products, and water is effective in preventing the disease of another adenocarcinoma, and the amount of the disease and / or its acceptable combination is the disease of another adenocarcinoma. Conjugation, the amount of which is in the course of another adenocarcinoma, the substance and / or the scientifically acceptable combination, and the neutral androgen dimorphin modulator compound and / or its analogue, structure in another patient , Metabolites, pharmaceutically acceptable: compounds or N-oxides or any combination thereof, the amount of which can be in the disease of prostate cancer. ^ Item t. The present invention provides a method for delaying the progression of prostate cancer in patients with prostatic diseases, which comprises the steps of administering the selective androgen receptor modulator compound analogs and derivatives of the invention , Isomers, metabolites, pharmacological salts, medicinal products, hydrates or N_oxides or any group thereof can effectively delay the progression of prostate cancer in patients. In a specific embodiment, the present invention provides a method for preventing the recurrence of prostatic adenocarcinoma in patients with prostatic disease, which comprises the step of administering to the patient the selective androgen receptor modulator of the present invention and combining the analog thereof. , Derivatives, isomers, metabolites, medicinal salts, medicinal products, hydrates or oxides, or any group thereof, can effectively prevent the recurrence of prostate cancer in patients. In a specific embodiment, the present invention provides a method for treating recurrence of prostate cancer in a patient suffering from a forefront, which comprises the step of administering to the patient the selective androgen receptor modulator of the present invention, combining an analog thereof, and derivatizing the same. Substances, isomers, metabolites, medicated salts, medicinal products, hydrates or N-oxides or any amount thereof can effectively treat the recurrence of prostate cancer in a patient. In a specific embodiment, the present invention provides a method for treating dry eye symptoms in a patient with dry eye, comprising the steps of treating the disease -94. (18) (18) 200307661

患投予本發明之選擇性雄激素受體調節劑化合物及/或其 類似物、衍生物、異構物'新陳代謝產物、藥學上可接受、 之鹽、醫藥產物、水合物或N•氧化物或其任何組合,其量· 可在病患中有效治療乾眼。 於另一項具體實施例中,本發明係提供一種在病患中預 防乾眼症狀之方法’其包括以下步驟,對該病患投予本發 明之選擇性雄激素受體調節劑化合物及/或其類似物、衍 ^ 生物、異構物、新陳代謝產物、藥學上可接受之鹽、醫藥 產物、水合物或N-氧化物或其任何組合,其量可在病患中 有效預防乾眼。 · 於另一項具體實施例中,本發明係提供製備選擇性雄激 - 素受體調節劑(SARM)化合物之方法,該化合物係以式I結構 表示:Suffer from administration of a selective androgen receptor modulator compound and / or its analogs, derivatives, isomers' metabolites, pharmaceutically acceptable, salts, pharmaceutical products, hydrates, or N • oxides Or any combination thereof in an amount effective to treat dry eye in a patient. In another specific embodiment, the present invention provides a method for preventing dry eye symptoms in a patient, which includes the steps of administering to the patient a selective androgen receptor modulator compound of the present invention and / Or its analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides, or any combination thereof, in an amount effective to prevent dry eyes in patients. · In another embodiment, the present invention provides a method for preparing a selective androgen-receptor modulator (SARM) compound, which is represented by the structure of Formula I:

其中 X 為 Ο、NH、S、Se、PR 或 NR ; G為〇或S ; T 為 OH、OR、-NHCOCH3 或 NHCOR ; R為燒基、i燒基、二函燒基、三函燒基、CH2 F、 chf2、cf3、CF2CF3、芳基、苯基、鹵素、烯基或OH; 〜為 CH3、CH2F、CHF2、CF3、CH2CH3 或 CF2CF3 ; 200307661Where X is 〇, NH, S, Se, PR, or NR; G is 〇 or S; T is OH, OR, -NHCOCH3 or NHCOR; R is alkynyl, i-alkynyl, two-halfyl, three-halfyl , CH2 F, chf2, cf3, CF2CF3, aryl, phenyl, halogen, alkenyl or OH; ~ CH3, CH2F, CHF2, CF3, CH2CH3 or CF2CF3; 200307661

R2 為 F、α、Br、I、CH3、CF3、OH、CN、N02、NHCOCH3 、NHCOCF3、NHCOR、烷基、芳烷基、OR、NH2、NHR 、NR2、SR ; R3 為 F、Cl、Br、I、CN、N02、COR、COOH、CONHR 、CF3、SnR3 ’或R3與其所連接之苯環一起形成一個 稠合環系統,以下列結構表示:R2 is F, α, Br, I, CH3, CF3, OH, CN, N02, NHCOCH3, NHCOCF3, NHCOR, alkyl, aralkyl, OR, NH2, NHR, NR2, SR; R3 is F, Cl, Br , I, CN, N02, COR, COOH, CONHR, CF3, SnR3 'or R3 together with the benzene ring to which they are connected form a fused ring system, which is represented by the following structure:

Z 為 N〇2、CN、COR、COOH 或 CONHR ; Y 為 CF3、F、Br、Cl、I、CN 或 SnR3 ; Q 為 Η、烷基、鹵素、CF3、CN、CR3、SnR3、NR2、 NHCOCH3、NHCOCF3、NHCOR、NHCONHR、NHCOOR、OCONHR 、CONHR、NHCSCH3、NHCSCF3、NHCSR、NHSO?CH3、NHS02R 、OH、OR、COR、OCOR、0S02R、S02rSR ;或 Q 與其 所連接之苯環一起為一個稠合環系統,以結構A、B 或C表示:Z is No2, CN, COR, COOH, or CONHR; Y is CF3, F, Br, Cl, I, CN, or SnR3; Q is fluorene, alkyl, halogen, CF3, CN, CR3, SnR3, NR2, NHCOCH3 , NHCOCF3, NHCOR, NHCONHR, NHCOOR, OCONHR, CONHR, NHCSCH3, NHCSCF3, NHCSR, NHSO? CH3, NHS02R, OH, OR, COR, OCOR, 0S02R, S02rSR; or Q and the benzene ring to which it is connected is a fused Ring system, represented by structure A, B or C:

η為1-4之整數;及 m為1-3之整數; 此方法包括以下步驟,使式VII化合物: 200307661 (20)η is an integer of 1-4; and m is an integer of 1-3; This method includes the following steps to make a compound of formula VII: 200307661 (20)

其中Z、Y、G、R!、T、R3及m均如上文定義,且L為脫 離基,與式VIII化合物偶合:Where Z, Y, G, R !, T, R3 and m are as defined above, and L is a releasing group, which is coupled with a compound of formula VIII:

其中Q、X、R2&amp;n均如上文定義。 於一項具體實施例中,偶合步騾係於鹼存在下進行。於 另一項具體實施例中,脫離基L為Br。於另一項具體實施 例中,式VII化合物係以下述方式製成 a) 藉由式X環狀化合物之開環作用,製備式IX化合物Wherein Q, X, R2 &amp; n are as defined above. In a specific embodiment, the coupling step is performed in the presence of a base. In another specific embodiment, the leaving group L is Br. In another embodiment, the compound of formula VII is prepared in the following manner: a) The compound of formula IX is prepared by the ring-opening action of a cyclic compound of formula X

GG

Rfy X IX . 其中L、Ri、G及T均如上文定義,且Ti為Ο或NH ;及 · b) 使式XI胺:Rfy X IX. Where L, Ri, G and T are as defined above and Ti is 0 or NH; and b) make the amine of formula XI:

-01 _ 200307661-01 _ 200307661

(21) 其中z、γ、R3及m均如上文定義,於偶合試劑存在 與式IX化合物反應,以製造式VII化合物。(21) wherein z, γ, R3 and m are as defined above, and react with a compound of formula IX in the presence of a coupling reagent to produce a compound of formula VII.

於一項具體實施例中,步騾⑻係於HBr存在下進行。於 另一嚷具體實施例中,此方法進一步包括使選擇性雄激素 受體調節劑(SARM)化合物轉化成其類似物、異構物、新陳 代謝產物、衍生物、藥學上可接受之鹽、醫藥產物、N-氧 化物、水合物或其任何組合之步驟。 本發明之新穎選擇性雄激素受體調節劑化合物,無論是 單獨或作成醫藥組合物,可用於a)男性避孕;b)治療多種 激素相關之症狀,例如與ADAM有關聯之症狀,譬如疲勞 、抑鬱、性慾減退、性機能障礙、勃起機能障礙、性腺機 能減退、骨質疏鬆症、毛髮掉落、肥胖、少肌症、骨質缺 乏、良性前列腺增生及於心情與認知力上之改變;c)治療 與ADIF有關聯之症狀,譬如性機能障礙、性慾減退、性腺 機能減退、少肌症、骨質缺乏、骨質疏鬆症、於認知力與 心情上之改變、抑鬱、貧血、毛髮掉落、肥胖、子宮内膜 組織異位形成、乳癌、子宮癌及卵巢癌;d)治療及/或預 防急性及/或慢性肌肉消耗症狀;e)預防及/或治療乾眼 症狀;f) 口服雄激素替補療法;及/或g)降低前列腺癌之 發生率,使其停止或造成其復原。 -28- (22)200307661In a specific embodiment, step XI is performed in the presence of HBr. In another specific embodiment, the method further comprises converting a selective androgen receptor modulator (SARM) compound into its analog, isomer, metabolite, derivative, pharmaceutically acceptable salt, medicine Product, N-oxide, hydrate, or any combination thereof. The novel selective androgen receptor modulator compound of the present invention, whether alone or as a pharmaceutical composition, can be used for a) male contraception; b) treatment of a variety of hormone-related symptoms, such as symptoms associated with ADAM, such as fatigue, Depression, hyposexuality, sexual dysfunction, erectile dysfunction, hypogonadism, osteoporosis, hair loss, obesity, oligosarcoma, bone deficiency, benign prostatic hyperplasia, and changes in mood and cognition; c) treatment Symptoms associated with ADIF, such as sexual dysfunction, hyposexuality, hypogonadism, sarcopenia, osteoporosis, osteoporosis, cognitive and mood changes, depression, anemia, hair loss, obesity, uterus Endometriosis, breast, uterine and ovarian cancer; d) treatment and / or prevention of acute and / or chronic muscle wasting symptoms; e) prevention and / or treatment of dry eye symptoms; f) oral androgen replacement therapy; And / or g) reduce the incidence of prostate cancer, stop it or cause it to recover. -28- (22) 200307661

本發明之選 固醇雄激素治 受體調節劑化 體對雄激素受 雄激素受體調 體之雄激素與 不方便之投藥 缺乏與其他類 之優點。 於一項具體 之藥劑(ARTA) &lt; 選擇性雄激素 具有非類固醇 成代謝活性。 體對雄激素受 無論是單獨或 種激素相關之 有關聯之症狀 、勃起機能障 、貧血、肥胖 列腺增生、於 與女性中之雄 障礙、性慾減 擇性雄激素受體調節漆丨 w即劑化合物係提供勝過類 療之重要進展,因、 為本發明 &lt; 選擇性雄激素 合物,已被註實於法触&amp; θ ‘ 、洽内具有非類固醇配位 體之雄激素與合成伙也、工^ 风代谢活性。因此,選擇性 節劑化合物具有非類面# &amp; F頰固醇配位體對雄激素受 合成代謝活性,且不备#战世 且不會伴隨著嚴重副作用, 模式或高成本’而又具有口服生物利用性、 固醇受體之交又反應性,及長生物學半生期 發明鲜祓 施例中,本發明係提供雄激素受體為標的 此藥劑係界定化合物之新穎亞組,其係為 受體調節劑(SARM)。已發現數種SARM化合物 配位體對雄激素受體之令人意外雄激素與合 已發現其他SARM化合物具有非類固醇配位 體之令人意外抗雄激素活性。SARM化合物 作成組合物,T用於a)男性避孕;b)治療多 症狀,例如與老化男性中々祕、紅士 τ &lt;雄激素下降(ADAM) ’譬如疲勞、抑鬱、性啾 您减退、性機能障礙 礙、性腺機能減退、骨皙徐㉒、 月負疏鬆症、毛髮掉落 、少肌症、骨質缺乏、骨暂% ^ _ 丹為疏鬆症、良性則 心丨㈣與認知力上之改變及 欠及則列腺癌;c)治療 激素下降(ADIF)有關聯之# &amp; ι 千、 P &lt;痖狀,譬如性機能 退、性腺機能減退、少肌#、&amp; ^妓、骨質缺乏、骨 200307661The steroids androgen receptor receptor modulators of the present invention lack the and other advantages of androgen and inconvenient administration of androgen receptor androgen receptor modulators. In a specific agent (ARTA) &lt; Selective androgen has non-steroidal metabolic activity. The body androgen is affected by symptoms related to androgen alone, or related to hormones, erectile dysfunction, anemia, obesity, hyperplasia of obesity, androgen disorders in women, and libido androgenic androgen receptor modulation paint. Compounds provide important advances in overcoming therapies, because the present invention &lt; selective androgen compounds have been described in the method &amp; θ ', androgen and synthetic partners with non-steroidal ligands Also, industrial wind metabolic activity. Therefore, selective dosing compounds have non-facet-like cheek ligands that are subject to anabolic activity against androgens, and are not prepared for war and are not accompanied by severe side effects, patterns or high costs. With oral bioavailability, cross-reactivity of sterol receptors, and long biological half-life inventions, the invention provides androgen receptors as the target. This agent is a novel subgroup of defined compounds, which It is a receptor modulator (SARM). Several SARM compounds have been found to have surprising androgen synergy with androgen receptors. Other SARM compounds have been found to have surprisingly androgenic activity with non-steroidal ligands. SARM compound is used as a composition, T is used for a) male contraception; b) treatment of multiple symptoms, such as constipation and redness in aging men τ &lt; androgen decline (ADAM) 'such as fatigue, depression, sexual decline, sexual decline Dysfunction, hypogonadism, osteoporosis, osteoporosis, hair loss, hair loss, oligosarcoma, osteoporosis, temporary bone loss ^ _ Dan for osteoporosis, benign heart and changes in cognition And poorly treated adenocarcinoma; c) treatment of hormonal decline (ADIF) is associated with # & I, P &lt; 痖, such as hypogonadism, hypogonadism, oligomuscular #, & ^ prostitute, bone Lack, bone 200307661

(23) 質疏鬆症、於認知力與心情上之改變、抑參、貧血、毛髮 掉落、肥胖、子宮内膜組織異位形成、乳癌、子宮癌及卵 巢癌;d)治療及/或預防急性及/或慢性肌肉消耗症狀;e) 預防及/或治療乾眼症狀;〇 口服雄激素替補療法;及/ 或g)降低前列腺癌之發生率,使其停止或造成其復原。 於一項具體實施例中,本發明係提供一種選擇性雄激素 受體調節劑(SARM)化合物,以式I結構表示:(23) osteoporosis, cognitive and mood changes, ginseng suppression, anemia, hair loss, obesity, endometrial tissue formation, breast cancer, uterine cancer and ovarian cancer; d) treatment and / or prevention Symptoms of acute and / or chronic muscle wasting; e) prevention and / or treatment of dry eye symptoms; o oral androgen replacement therapy; and / or g) reducing the incidence of prostate cancer, stopping it or causing it to recover. In a specific embodiment, the present invention provides a selective androgen receptor modulator (SARM) compound, which is represented by the structure of Formula I:

其中 X 為一個鍵結、Ο、CH2、NH、Se、PR、NO 或 NR ; G為Ο或S ; T 為 OH、OR、-NHCOCH3 或 NHCOR ; R為烷基、鹵烷基、二齒烷基、三自烷基、CH2F、 CHF2、CF3、CF2CF3 ;芳基、苯基、函素、晞基或OH ; 心為 CH3、CH2F、CHF2、CF3、CH2CH3 或 CF2CF3 ; R2 為 F、a、Br、I、CH3、CF3、OH、CN、N02、NHCOCH3 、NHCOCF3、NHCOR、烷基、芳烷基、OR、NH2、NHR 、NR2、SR ; R3 為 F、Cl、Br、I、CN、N02、COR、COOH、CONHR 、CF3、SnR3,或R3與其所連接之苯環一起形成一個 稠合環系統,以下列結構表示: 200307661Where X is a bond, 0, CH2, NH, Se, PR, NO or NR; G is 0 or S; T is OH, OR, -NHCOCH3 or NHCOR; R is alkyl, haloalkyl, bidentane Group, trisalkyl, CH2F, CHF2, CF3, CF2CF3; aryl, phenyl, functional element, fluorenyl or OH; CH3, CH2F, CHF2, CF3, CH2CH3 or CF2CF3; R2 is F, a, Br , I, CH3, CF3, OH, CN, N02, NHCOCH3, NHCOCF3, NHCOR, alkyl, aralkyl, OR, NH2, NHR, NR2, SR; R3 is F, Cl, Br, I, CN, N02, COR, COOH, CONHR, CF3, SnR3, or R3 forms a fused ring system with the benzene ring to which it is connected, and is represented by the following structure: 200307661

Z 為 N02、CN、COR、COOH 或 CONHR ;Z is N02, CN, COR, COOH or CONHR;

Y 為 CF3、F、Br、Cl、I、CN 或 SnR3 ; Q 為 H、烷基、鹵素、CF3、CN、CR3、SnR3、NR2、 NHCOCH3、NHCOCF3、NHCOR、NHCONHR、NHCOOR、OCONHR 、CONHR、NHCSCH3、NHCSCF3、NHCSR、NHS02CH3、NHS02R 、OH、OR、COR、OCOR、0S02R、S02R、SR ;或 Q 與 其所連接之苯環一起為一個稠合環系統,以結構A、 B或C表示:Y is CF3, F, Br, Cl, I, CN or SnR3; Q is H, alkyl, halogen, CF3, CN, CR3, SnR3, NR2, NHCOCH3, NHCOCF3, NHCOR, NHCONHR, NHCOOR, OCONHR, CONHR, NHCSCH3 , NHCSCF3, NHCSR, NHS02CH3, NHS02R, OH, OR, COR, OCOR, OS02R, S02R, SR; or Q together with the benzene ring to which it is connected is a fused ring system, represented by the structure A, B or C:

η為1-4之整數,及 m為1-3之整數。 於一項具體實施例中,本發明係提供式I化合物之類似 物。於另一項具體實施例中,本發明係提供式I化合物之 衍生物。於另一項具體實施例中,本發明係提供式I化合 物之異構物。於另一項具體實施例中,本發明係提供式I 化合物之新陳代謝產物。於另一項具體實施例中,本發明 係提供式I化合物之藥學上可接受之鹽。於另一項具體實 施例中,本發明係提供式I化合物之醫藥產物。於另一項 具體實施例中,本發明係提供式I化合物之水合物。於另 200307661η is an integer of 1-4, and m is an integer of 1-3. In a specific embodiment, the invention provides analogs of a compound of formula I. In another embodiment, the invention provides derivatives of compounds of formula I. In another embodiment, the present invention provides an isomer of a compound of formula I. In another embodiment, the present invention provides a metabolic product of a compound of formula I. In another embodiment, the present invention provides a pharmaceutically acceptable salt of a compound of Formula I. In another embodiment, the invention provides a pharmaceutical product of a compound of formula I. In another embodiment, the present invention provides a hydrate of a compound of formula I. On 2003200361

(25) 一項具體實施例中,本發明係提供式I化合物之N-氧化物 。於另一項具體實施例中,本發明係提供式I化合物之任 何類似物、衍生物、新陳代謝產物、異構物、藥學上可接 受之鹽、醫藥產物、水合物或N-氧化物之組合。 於一項具體實施例中,本發明係提供式I化合物,其中X 為Ο。於另一項具體實施例中,本發明係提供式I化合物, 其中G為Ο。於另一項具體實施例中,本發明係提供式I化 合物,其中Z為N02。於另一項具體實施例中,本發明係提 供式I化合物,其中Z為CN。於另一項具體實施例中,本 發明係提供式I化合物,其中Y為CF3。於另一項具體實施 例中,Q為NHCOCH3。於另一項具體實施例中,本發明係提 供式I化合物,其中Q為F。於另一項具體實施例中,本發 明係提供式I化合物,其中T為OH。於另一項具體實施例 中,本發明係提供式I化合物,其中&amp;為CH3。於另一項具 體實施例中,本發明係提供式I化合物,其中Q為F,且R2 為ch3。於另一項具體實施例中,本發明係提供式I化合物 ,其中Q為F,且R2為C1。 取代基Z、Y及R3可在帶有此等取代基之環(後文稱為” A 環”)之任何位置上。於一項具體實施例中,取代基Z係在A 環之對位上。於另一項具體實施例中,取代基Y係在A環 之間位上。於另一項具體實施例中,取代基Z係在A環之 對位上,且取代基Y係在A環之間位上。 取代基Q與R2可在帶有此等取代基之環(後文稱為&quot;B環”) 之任何位置上。於一項具體實施例中,取代基Q係在B環 200307661(25) In a specific embodiment, the present invention provides an N-oxide of a compound of formula I. In another embodiment, the present invention provides any analog, derivative, metabolite, isomer, pharmaceutically acceptable salt, pharmaceutical product, hydrate, or N-oxide combination of a compound of formula . In a specific embodiment, the present invention provides a compound of formula I, wherein X is 0. In another specific embodiment, the present invention provides a compound of formula I, wherein G is 0. In another embodiment, the present invention provides a compound of formula I, wherein Z is N02. In another embodiment, the invention provides a compound of formula I, wherein Z is CN. In another embodiment, the present invention provides a compound of formula I, wherein Y is CF3. In another embodiment, Q is NHCOCH3. In another embodiment, the invention provides a compound of formula I, wherein Q is F. In another embodiment, the present invention provides a compound of formula I, wherein T is OH. In another embodiment, the present invention provides a compound of formula I, wherein &amp; is CH3. In another specific embodiment, the present invention provides a compound of formula I, wherein Q is F and R2 is ch3. In another embodiment, the present invention provides a compound of formula I, wherein Q is F and R2 is C1. The substituents Z, Y, and R3 may be at any position on the ring bearing these substituents (hereinafter referred to as the "A ring"). In a specific embodiment, the substituent Z is in the para position of the A ring. In another embodiment, the substituent Y is in the position between the A ring. In another embodiment, the substituent Z is in the para position of the A ring, and the substituent Y is in the inter position of the A ring. The substituents Q and R2 may be in any position on the ring with these substituents (hereinafter referred to as &quot; B ring "). In a specific embodiment, the substituent Q is on the B ring 200307661

(26) 之對位上。於另一項具體實施例中,取代基Q係 ____ 對位上。於另一項具體實施例中,取代基Q係為NJJCOCH3 , 且係在B環之對位上。 正如意欲涵蓋於本文中者,當整數111與11大於一時,取代 基心與&amp;並不限於一種特定取代基,且可為上文列示取代 基之任何組合。 胃λ體實施例中’本發明係、提供—種選擇性雄激 素受體調節劑(SARM)化合物,以式㈣構表示:(26) in opposition. In another embodiment, the substituent Q is in the ____ para position. In another specific embodiment, the substituent Q is NJJCOCH3, and is in the para position of the B ring. As intended to be included herein, when the integers 111 and 11 are greater than one, the substituents and &amp; are not limited to one particular substituent, and may be any combination of the substituents listed above. In the embodiment of the gastric λ body, the present invention provides a selective androgen receptor modulator (SARM) compound, which is represented by the formula:

(F)P 其中p為2_5之整數,H甘 且其餘取代基均如上文關於化合 物I之定義。(F) P, where p is an integer of 2-5, H and the other substituents are as defined above for compound I.

於一項具體實施例中,太双nn L 本發明係提供式II化舍物,其中p 為2。於一項具體實施例, 4 T ’本發明係提供式II化合物, 其中ρ為3。於一項具體會、a , I他例中,本發明係提供式II化合 物,其中ρ為4。於一項氣触奋In a specific embodiment, Taishuangnn L The present invention provides a compound of formula II, wherein p is 2. In a specific embodiment, the present invention provides a compound of formula II, wherein p is 3. In a specific example, a, I, the present invention provides a compound of formula II, where p is 4. In a spirit of excitement

、缸實施例中,本發明係提供式II 化合物,其中ρ為5。 於一項具體實施例中,太&amp; 本發明係提供式II化合物之類似 物万;另-項具骨豆實施例中,本發明係提供式工工化合物之In the embodiment, the present invention provides a compound of formula II, wherein ρ is 5. In one embodiment, the invention provides analogs of the compound of formula II; in another embodiment of the invention, the invention provides compounds of the formula engineering compound

衍生物。彡另一項具體實施例中,本發明係提供式II化合 物異構物。於另—項~ILderivative.彡 In another embodiment, the present invention provides isomers of compounds of formula II. In another—item ~ IL

^ 丹隨實施例中,本發明係提供式II^ In the examples, the present invention provides Formula II

化合物之新陳代謝產物。於另 _ 3 ^ . y . , . ^ 0EI 、另一項具體實施例中,本發明 200307661 (27) 係提供式II化合物之藥學上可接受之鹽。於另一項具體實 施例中,本發明係提供式II化合物之醫藥產物。於另一項 具體實施例中,本發明係提供式II化合物之水合物。於另 一項具體實施例中,本發明係提供式II化合物之N-氧化物 。於另一項具體實施例中,本發明係提供式II化合物之任 何類似物、衍生物、新陳代謝產物、異構物、藥學上可接 受之鹽、醫藥產物、水合物或N-氧化物之組合。 於另一項具體實施例中,本發明係提供一種選擇性雄激 素受體調節劑(SARM)化合物,以式III結構表示:Metabolites of compounds. In another _ 3 ^. Y.,. ^ 0EI and another specific embodiment, the present invention 200307661 (27) provides a pharmaceutically acceptable salt of a compound of formula II. In another embodiment, the invention provides a pharmaceutical product of a compound of formula II. In another embodiment, the present invention provides a hydrate of a compound of formula II. In another embodiment, the present invention provides an N-oxide of a compound of Formula II. In another embodiment, the invention provides any analog, derivative, metabolite, isomer, pharmaceutically acceptable salt, medicinal product, hydrate, or N-oxide combination of a compound of Formula II . In another specific embodiment, the present invention provides a selective androgen receptor modulator (SARM) compound, represented by the structure of formula III:

ΙΠ 其中 X 為一個鍵結、0、CH2、NH、Se、PR、NO 或 NR ; G為Ο或S ; T 為 OH、OR、-NHCOCH3 或 NHCOR ; R為燒基、鹵燒基、二鹵燒基、三鹵燒基、CH2 F、 CHF2、CF3、CF2CF3 ;芳基、苯基、鹵素、烯基或OH ; 心為 CH3、CH2F、CHF2、CF3、CH2CH3 或 CF2CF3 ; R2 為 F、C卜 Br、I、CH3、CF3、OH、CN、N02、NHCOCH3 、NHCOCF3、NHCOR、烷基、芳烷基、OR、NH2、NHR 、NR2、SR ;ΙΠ where X is a bond, 0, CH2, NH, Se, PR, NO, or NR; G is 0 or S; T is OH, OR, -NHCOCH3 or NHCOR; R is alkyl, haloalkyl, dihalo Alkyl, trihalo, CH2 F, CHF2, CF3, CF2CF3; aryl, phenyl, halogen, alkenyl or OH; CH3, CH2F, CHF2, CF3, CH2CH3 or CF2CF3; R2 is F, C Br, I, CH3, CF3, OH, CN, N02, NHCOCH3, NHCOCF3, NHCOR, alkyl, aralkyl, OR, NH2, NHR, NR2, SR;

R3 為 F、Cl、Br、I、CN、N02、COR、COOH、CONHR 200307661R3 is F, Cl, Br, I, CN, N02, COR, COOH, CONHR 200307661

(28) 、CF3、SnR3,或R3與其所連接之苯環一起形成一個 稠合環系統,以下列結構表示:(28), CF3, SnR3, or R3 together with the benzene ring to which they are attached form a fused ring system, which is represented by the following structure:

Z 為 N〇2、CN、COR、COOH 或 CONHR ; Y 為 CF3、F、Br、Cl、I、CN 或 SnR3 ; Q 為 Η、烷基、鹵素、CF3、CN、CR3、SnR3、NR2、 NHCOCH3、NHCOCF3、NHCOR、NHCONHR、NHCOOR、OCONHR 、CONHR、NHCSCH3、NHCSCF3、NHCSR、NHS02 CH3、NHS02R 、OH、OR、COR、OCOR、0S02R、S02R、SR ;或 Q 與 其所連接之苯環一起為一個稠合環系統,以結構A、 B或C表示:Z is No2, CN, COR, COOH, or CONHR; Y is CF3, F, Br, Cl, I, CN, or SnR3; Q is fluorene, alkyl, halogen, CF3, CN, CR3, SnR3, NR2, NHCOCH3 , NHCOCF3, NHCOR, NHCONHR, NHCOOR, OCONHR, CONHR, NHCSCH3, NHCSCF3, NHCSR, NHS02 CH3, NHS02R, OH, OR, COR, OCOR, 0S02R, S02R, SR; or Q and the benzene ring connected to it are a thick Closed loop system, represented by structure A, B or C:

A BA B

η為1-4之整數;及 m為1-3之整數。 於一項具體實施例中,本發明係提供式III化合物之類似 物。於另一項具體實施例中,本發明係提供式III化合物之 衍生物。於另一項具體實施例中,本發明係提供式III化合 物之異構物。於另一項具體實施例中,本發明係提供式ΠΙ 化合物之新陳代謝產物。於另一項具體實施例中,本發明 200307661n is an integer of 1-4; and m is an integer of 1-3. In a specific embodiment, the invention provides analogs of compounds of formula III. In another embodiment, the invention provides derivatives of compounds of formula III. In another embodiment, the present invention provides an isomer of a compound of formula III. In another embodiment, the present invention provides a metabolic product of a compound of formula III. In another specific embodiment, the present invention is 200307661

(29) 係提供式III化合物之藥學上可接受之鹽。於另一項具體實 施例中,本發明係提供式III化合物之醫藥產物。於另一項 具體實施例中,本發明係提供式III化合物之水合物。於另 一項具體實施例中,本發明係提供式III化合物之N-氧化物 。於另一項具體實施例中,本發明係提供式III化合物之任 何類似物、衍生物、新陳代謝產物、異構物、藥學上可接 受之鹽、醫藥產物、水合物或N-氧化物之組合。 於一項具體實施例中,本發明係提供式III化合物,其中 X為〇。於另一項具體實施例中,本發明係提供G為〇之式m 化合物。於另一項具體實施例中,本發明係提供z為N〇2i 化合物in。於另一項具體實施例中,本發明係提供2為CN 之式III化合物。於另一項具體實施例中,本發明係提供Y 為CF3之式Μ化合物。於另一項具體實施例中,本發明係提 供Q為NHCOCH3之式III化合物。於另一項具體實施例中,Q 為F。於另一項具體實施例中,本發明係提供τ為〇H之式m 化合物。於另一項具體實施例中,本發明係提供&amp;為Ch3 之式III化合物。於另一項具體實施例中,9為?,且R2*ch3 。於另一項具體實施例中,本發明係提供9為F,且&amp;為α 之式III化合物。 糸另項具體貫施例中,本發明係提供一種選擇性雄激 素受體調節劑(SARM)化合物,以式IV結構表示·(29) is a pharmaceutically acceptable salt that provides a compound of formula III. In another embodiment, the invention provides a pharmaceutical product of a compound of formula III. In another embodiment, the present invention provides a hydrate of a compound of formula III. In another embodiment, the present invention provides an N-oxide of a compound of formula III. In another specific embodiment, the present invention provides any analog, derivative, metabolite, isomer, pharmaceutically acceptable salt, pharmaceutical product, hydrate, or N-oxide combination of a compound of Formula III . In a specific embodiment, the present invention provides a compound of formula III, wherein X is 0. In another embodiment, the present invention provides a compound of formula m wherein G is 0. In another specific embodiment, the present invention provides a compound in which z is NO2i. In another embodiment, the present invention provides a compound of formula III wherein 2 is CN. In another embodiment, the present invention provides a compound of formula M wherein Y is CF3. In another embodiment, the present invention provides a compound of formula III wherein Q is NHCOCH3. In another embodiment, Q is F. In another embodiment, the present invention provides a compound of formula m with τ being 0H. In another embodiment, the present invention provides a compound of formula III &amp; is Ch3. In another specific embodiment, 9 is? And R2 * ch3. In another embodiment, the present invention provides a compound of formula III wherein 9 is F and &amp; is α.糸 In another specific embodiment, the present invention provides a selective androgen receptor modulator (SARM) compound, which is represented by the structure of formula IV.

200307661 (30) 其中p’為1-4 &lt;整數’且其餘取代基均如上文關於化合物m 之定義。 - 於一項具體實施例中,本發明係提供式IV化合物,其中p, 為1。於一項具體實施例中,本發明係提供式IV化合物, 其中P’為2。於一項具體實施例中,本發明係提供式jy化 合物’其中P1為3。於一項具體實施例中,本發明係提供 式IV化合物,其中p’為4。 | 於一項具體實施例中,本發明係提供式!V化合物之類似 物。於另一項具體實施例中,本發明係提供式IV化合物之 衍生物。於另一項具體實施例中,本發明係提供式IV化合 ·200307661 (30) where p 'is 1-4 &lt; integer &quot; and the remaining substituents are as defined above for compound m. -In a specific embodiment, the present invention provides a compound of formula IV, wherein p is 1. In a specific embodiment, the present invention provides a compound of formula IV, wherein P 'is 2. In a specific embodiment, the present invention provides a compound of formula jy 'wherein P1 is 3. In a specific embodiment, the present invention provides a compound of formula IV, wherein p 'is 4. | In a specific embodiment, the present invention is provided! Analogs of compound V. In another embodiment, the invention provides derivatives of compounds of formula IV. In another embodiment, the present invention provides a compound of formula IV.

物之異構物。於另一項具體實施例中,本發明係提供式!V 化合物之新陳代謝產物。於另一項具體實施例中,本發明 係提供式IV化合物之藥學上可接受之鹽。於另一項具體實 施例中,本發明係提供式IV化合物之醫藥產物。於另一項 具體實施例中,本發明係提供式IV化合物之水合物。於另 一項具體實施例中,本發明係提供式IV化合物之N-氧化物 I 。於另一項具體實施例中,本發明係提供式IV化合物之任 何類似物、衍生物、新陳代謝產物、異構物、藥學上可接 受之鹽、醫藥產物、水合物或N-氧化物之組合。 於另〜項具體實施例中,本發明係提供一種選擇性雄激 素受體調節劑(SARM)化合物,以式V結構表示:Isomers of things. In another specific embodiment, the present invention is provided! V. Metabolites of compounds. In another embodiment, the present invention provides a pharmaceutically acceptable salt of a compound of Formula IV. In another embodiment, the invention provides a pharmaceutical product of a compound of formula IV. In another embodiment, the present invention provides a hydrate of a compound of formula IV. In another embodiment, the present invention provides an N-oxide I of a compound of formula IV. In another embodiment, the present invention provides any analog, derivative, metabolite, isomer, pharmaceutically acceptable salt, pharmaceutical product, hydrate, or N-oxide combination of a compound of Formula IV . In another embodiment, the present invention provides a selective androgen receptor modulator (SARM) compound, which is represented by the structure of Formula V:

-T7- 200307661-T7- 200307661

(31) 其中 R2 為 F、α、Br、I、CH3、CF3、OH、CN、N02、NHCOCH3 、NHCOCF3、NHCOR、烷基、芳烷基、OR、NH2、NHR x NR2 ' SR &gt; R3 為 F、Cl、Br、I、CN、N02、COR、COOH、CONHR 、CF3、S11R3 ’或R3與其所連接之苯環一起形成一個 稠合環系統,以下列結構表示:(31) where R2 is F, α, Br, I, CH3, CF3, OH, CN, N02, NHCOCH3, NHCOCF3, NHCOR, alkyl, aralkyl, OR, NH2, NHR x NR2 'SR &gt; R3 is F, Cl, Br, I, CN, N02, COR, COOH, CONHR, CF3, S11R3 'or R3 together with the benzene ring to which they are connected form a fused ring system, which is represented by the following structure:

Y Y R為烷基、烷基、二自烷基、三卣烷基、CH2F、 CHF2、CF3、CF2CF3 ;芳基、苯基、鹵素、烯基或OH ; Z 為 N02、CN、COR、COOH 或 CONHR ; Y 為 CF3、F、Br、Cl、I、CN 或 SnR3 -; Q 為 H、烷基、鹵素、CF3、CN、CR3、SnR3、NR2、 NHCOCH3、NHCOCF3、NHCOR、NHCONHR、NHCOOR、OCONHR 、CONHR、NHCSCH3、NHCSCF3、NHCSR、NHS02CH3、NHS02R 、OH、OR、COR、OCOR、〇s〇2r、S02R、SR;或 Q與 其所連接之苯環一起為一個稠合環系統,以結構A、 B或C表示:YYR is alkyl, alkyl, dialkyl, trialkyl, CH2F, CHF2, CF3, CF2CF3; aryl, phenyl, halogen, alkenyl or OH; Z is N02, CN, COR, COOH or CONHR ; Y is CF3, F, Br, Cl, I, CN or SnR3-; Q is H, alkyl, halogen, CF3, CN, CR3, SnR3, NR2, NHCOCH3, NHCOCF3, NHCOR, NHCONHR, NHCOOR, OCONHR, CONHR , NHCSCH3, NHCSCF3, NHCSR, NHS02CH3, NHS02R, OH, OR, COR, OCOR, 〇〇〇2r, S02R, SR; or Q and the benzene ring to which it is connected as a fused ring system, with structure A, B or C means:

(32) (32)200307661 n為1-4之整數;及 m為1-3之整數。 於一項具體實施例中,本發明係提供式v化合物之類似 物。於另一項具體實施例中,本發明係提供式vt合物之 衍生物。於另一項具體實施例中,本發明係提供式V化合 物之異構物。#另一項具體實施例中,本發明係提供式V 化合物之新陳代謝產物。於另一項具體實施例中,本發明 係提供式V化合物之藥學上可接受之鹽。於另一項具體實 施例中,本發明係提供式v化合物之醫藥產物。於另一項 具體實施例中,本發明係提供式乂化合物之水合物。於另 一項具體實施例中,本發明係提供式V化合物之N_氧化物 。於另一項具體實施例中,本發明係提供式V化合物之任 何類似物、衍生物、新陳代謝產物、異構物、藥學上可接 受之鹽、醫藥產物、水合物或N_氧化物之組合。 於另一項具體實施例中,本發明係提供式V化合物,其 中Z為N〇2。於另一項具體實施例中,本發明係提供式V化 合物,其中Z為CN。於另一項具體實施例中,本發明係提 供式V化合物,其中γ為eh。於另一項具體實施例中/本 發明係提供式V化合物,其中(^為nhcqcH3。於另一項具體 實施例中,本發明係提供式V化合物,其中卩為17。於另一 項具體實施例中,本發明係提供式v化合物,其中卩為1?, 且&amp;為0¾。於另一項具體實施例中,本發明係提供式v化 合物,其中Q為F,且&amp;為C1。 於另一項具體實施例中,本發明係提供一種選擇性雄激 200307661(32) (32) 200307661 n is an integer from 1-4; and m is an integer from 1-3. In one embodiment, the invention provides analogs of a compound of formula v. In another embodiment, the invention provides derivatives of compounds of formula vt. In another embodiment, the present invention provides an isomer of a compound of formula V. #In another specific embodiment, the present invention provides a metabolic product of a compound of formula V. In another embodiment, the invention provides a pharmaceutically acceptable salt of a compound of formula V. In another specific embodiment, the invention provides a pharmaceutical product of a compound of formula v. In another embodiment, the present invention provides a hydrate of a compound of formula (I). In another embodiment, the present invention provides N-oxides of compounds of formula V. In another embodiment, the present invention provides any analog, derivative, metabolite, isomer, pharmaceutically acceptable salt, medicinal product, hydrate or N_oxide combination of a compound of formula V . In another embodiment, the present invention provides a compound of formula V, wherein Z is No. In another embodiment, the present invention provides a compound of formula V, wherein Z is CN. In another embodiment, the present invention provides a compound of formula V, wherein γ is eh. In another specific embodiment / the present invention provides a compound of formula V, wherein (^ is nhcqcH3. In another specific embodiment, the present invention provides a compound of formula V, wherein 卩 is 17. In an embodiment, the present invention provides a compound of formula v, wherein 卩 is 1 ?, and &amp; is 0¾. In another specific embodiment, the present invention provides a compound of formula v, wherein Q is F, and &amp; is C1. In another specific embodiment, the present invention provides a selective male stimulation 200307661

(33) 素受體調節劑(SARM)化合物,以式VI結構表示··(33) A compound of a receptor receptor modulator (SARM), represented by the formula VI structure ...

其中pf為1-4之整數,且其餘取代基均如上文關於化合物 V之定義。於一項具體實施例中,本發明係提供式VI化合 物,其中P*為1。於一項具體實施例中,本發明係提供式VI 化合物,其中p’為2。於一項具體實施例中,本發明係提 供式VI化合物,其中“為3。於一項具體實施例中,本發 明係提供式VI化合物,其中p’為4。 於一項具體實施例中,本發明係提供式VI化合物之類似 物。於另一項具體實施例中,本發明係提供式VI化合物之 衍生物。於另一項具體實施例中,本發明係提供式VI化合 物之異構物。於另一項具體實施例中,本發明係提供式VI 化合物之新陳代謝產物。於另一項具體實施例中,本發明 係提供式VI化合物之藥學上可接受之鹽。於另一項具體實 施例中,本發明係提供式VI化合物之醫藥產物。於另一項 具體實施例中,本發明係提供式VI化合物之水合物。於另 一項具體實施例中,本發明係提供式VI化合物之N-氧化物 。於另一項具體實施例中,本發明係提供式VI化合物之任 何類似物、衍生物、新陳代謝產物、異構物、藥學上可接 受之鹽、醫藥產物、水合物或N-氧化物之組合。 於一項具體實施例中,SARM化合物為任何式i-vi化合物 200307661 (34) ,其中汉2為F。於另一項具體實施例中,SARM化合物為任 何式I vi化合物’其中&amp;為a。於一項具體實施例中,s 化合物為任何式ΙΛα化合物,其中&amp;為玢。於一項具體實 施例中,SARM化合物為任何式][_VI化合物,其中&amp;為I。於 另一項具體實施例中,SARM化合物為任何式μνι化合物, 其中R2為CH3。於另一項具體實施例中,SARM化合物為任 何式I-VI化合物,其中&amp;為〇1^於另一項具體實施例中, SARM化合物為任何式I-VI化合物,其中&amp;為ο〗。於另一項 具體實施例中,SARM化合物為任何式i-vi化合物,其中r2 為0H。於另一項具體實施例中,SARM化合物為任何式ΙΛα 化口物’其中為CN ^於另一項具體實施例中,jgARM化 合物為任何式I-VI化合物,其中&amp;為N〇2。於另一項具體實 施例中’ SARM化合物為任何式Ι-VI化合物,其中為NHCOCH3 。於另一項具體實施例中,SARM化合物為任何式i_VI化合 物,其中R2為NHCOCF3。於另一項具體實施例中,3_化 合物為任何式I-VI化合物,其中R2為NHCOR。於另一項具體 實施例中,SARM化合物為任何式I-VI化合物,其中r2為挽 基。於另一項具體實施例中,SARM化合物為任何式ΙΛΊ化 σ物’其中尺2為芳悦基。於另一項具體實施例中,s arm化 合物為任何式I-VI化合物,其中R2為OR。於另一項具體實 施例中,SARM化合物為任何式I-VI化合物,其中r2為nh2。 於另一項具體實施例中,SARM化合物為任何式化合物 ’其中&amp;為NHR。於另一項具體實施例中,SARM化合物為 任何式I-VI化合物,其中&amp;為NR?。於另一項具體實施例中 200307661 (35) ’ SARM化合物為任何式I-VI化合物,其中r2為SR。 於一項具體實施例中,SARM化合物為任何式ΙΛα化合物 ,其中&amp;為F。於另一項具體實施例中,SARM化合物為任 何式ι-νι化合物,其中%為α。於另一項具體實施例中,sarm 化合物為任何式I_VI化合物,其中%為Br。於另一項具體 實施例中’ SARM化合物為任何式i-vi化合物,其中&amp;為I。 於另一項具體實施例中,SARM化合物為任何式I-VI化合物 ,其中&amp;為CN。於另一項具體實施例中,s ARM化合物為任 何式ι-νι化合物,其中心為N〇2。於另一項具體實施例中, SARM化合物為任何式ΙΛα化合物,其中%為c〇R。於另一 項具體實施例中,SARM化合物為任何式ΙΛα化合物,其中R3 為COOH。於另一磺具體實施例中,sarm化合物為任何式^ VI化合物,其中為C0NHR。於另一項具體實施例中,SARM 化合物為任何式I-VI化合物,其中&amp;為cf3。於另一項具體 實施例中,SARM化合物為任何式ΙΛΊ化合物,其中心為SnR3 。於另一項具體實施例中,SARM化合物為任何式化合 物’其中Rs與其所連接之苯環一起形成化合物,以下列結 構表示:Where pf is an integer from 1 to 4 and the remaining substituents are as defined above for compound V. In a specific embodiment, the present invention provides a compound of formula VI, wherein P * is 1. In a specific embodiment, the present invention provides a compound of formula VI, wherein p 'is 2. In a specific embodiment, the present invention provides a compound of formula VI, wherein "is 3. In a specific embodiment, the present invention provides a compound of formula VI, wherein p 'is 4. In a specific embodiment, The present invention provides analogs of compounds of formula VI. In another specific embodiment, the present invention provides derivatives of compounds of formula VI. In another specific embodiment, the present invention provides differences in compounds of formula VI In another embodiment, the present invention provides a metabolic product of a compound of formula VI. In another embodiment, the present invention provides a pharmaceutically acceptable salt of a compound of formula VI. In another embodiment, In one embodiment, the present invention provides a pharmaceutical product of a compound of Formula VI. In another embodiment, the present invention provides a hydrate of a compound of Formula VI. In another embodiment, the present invention provides N-oxide of a compound of formula VI. In another embodiment, the present invention provides any analog, derivative, metabolite, isomer, pharmaceutically acceptable salt of a compound of formula VI A combination of a pharmaceutical product, a hydrate, or an N-oxide. In one embodiment, the SARM compound is any compound of formula i-vi 200307661 (34), where Han 2 is F. In another embodiment, A SARM compound is any compound of formula I vi 'where &amp; is a. In a specific embodiment, the s compound is any compound of formula IΛα, where &amp; is 玢. In a specific embodiment, the SARM compound is any formula ] [_ VI compound, where &amp; is I. In another specific embodiment, the SARM compound is any compound of formula μνι, where R2 is CH3. In another specific embodiment, the SARM compound is any formula I-VI In another embodiment, the SARM compound is any compound of formula I-VI, wherein &amp; is ο. In another embodiment, the SARM compound is any formula i -vi compound, wherein r2 is 0H. In another specific embodiment, the SARM compound is any of the formula IΛαα ', where is CN ^ In another specific embodiment, the jgARM compound is any compound of formula I-VI Where &amp; is No. 02. In another specific embodiment, the 'SARM compound is any compound of Formula I-VI, which is NHCOCH3. In another specific embodiment, the SARM compound is any compound of Formula i_VI, wherein R2 is NHCOCF3. In another specific implementation In the example, the 3-compound is any compound of formula I-VI, wherein R2 is NHCOR. In another specific embodiment, the SARM compound is any compound of formula I-VI, wherein r2 is a aryl group. In another specific implementation In the example, the SARM compound is any of the compounds of formula IΛ ′, where Chi 2 is a aryl group. In another specific embodiment, the s arm compound is any compound of Formula I-VI, wherein R2 is OR. In another specific embodiment, the SARM compound is any compound of Formula I-VI, wherein r2 is nh2. In another specific embodiment, the SARM compound is a compound of any formula, wherein &amp; is NHR. In another specific embodiment, the SARM compound is any compound of Formula I-VI, wherein &amp; is NR ?. In another embodiment, 200307661 (35) &apos; SARM compound is any compound of Formula I-VI, wherein r2 is SR. In a specific embodiment, the SARM compound is any compound of Formula IΛα, wherein &amp; is F. In another specific embodiment, the SARM compound is any compound of formula ι-νι, wherein% is α. In another specific embodiment, the sarm compound is any compound of Formula I_VI, wherein% is Br. In another specific embodiment, the 'SARM compound is any compound of formula i-vi, wherein &amp; is I. In another embodiment, the SARM compound is any compound of Formula I-VI, wherein &amp; is CN. In another specific embodiment, the sARM compound is any compound of formula ι-νι, and its center is No 2. In another specific embodiment, the SARM compound is any compound of formula IΛα, wherein% is COR. In another embodiment, the SARM compound is any compound of formula IΛα, wherein R3 is COOH. In another embodiment of the sulfonic acid, the sarm compound is any compound of Formula VI, where is CONHR. In another embodiment, the SARM compound is any compound of Formula I-VI, wherein &amp; is cf3. In another specific embodiment, the SARM compound is any compound of Formula IΛΊ, and its center is SnR3. In another specific embodiment, the SARM compound is a compound of any formula, wherein Rs forms a compound together with the benzene ring to which it is attached, and is represented by the following structure:

於一項具體實施例中,SARM化合物為任何式ΙΛα化合物 其中m為1。於另一項具體實施例中,化合物為任 200307661In a specific embodiment, the SARM compound is any compound of Formula IΛα where m is 1. In another embodiment, the compound is Ren 200307661

(36) 何式I-VI化合物,其中m為2。於另一項具體實施例中,sarm 化合物為任何式I-VI化合物,其中m為3。於一項具體實施 例中’ SARM化合物為任何式Ι-Vi化合物,其中η為1。於另 項具體實施例中,SARM化合物為任何式Ι-Vi化合物,其 中η為2。於另一項具體實施例中,sarm化合物為任何式工_ VI化合物,其中n為3。於另一項具體實施例中,化 合物為任何式化合物,其中η為4。 於另一項具體實施例中,SARM係以下列結構表示(36) A compound of formula I-VI, wherein m is 2. In another specific embodiment, the sarm compound is any compound of Formula I-VI, where m is 3. In a specific embodiment, the 'SARM compound is any compound of Formula I-Vi, wherein n is 1. In another embodiment, the SARM compound is any compound of Formula I-Vi, wherein n is 2. In another specific embodiment, the sarm compound is any compound of formula I_VI, where n is 3. In another embodiment, the compound is a compound of any formula, wherein n is 4. In another specific embodiment, SARM is represented by the following structure

於另一項具體實施例中,SARM係以下列結構表示In another specific embodiment, SARM is represented by the following structure

於另一項具體實施例中,SARM係以下列結構表示In another specific embodiment, SARM is represented by the following structure

取代基R在本文中係被定義為烷基、鹵烷基、二函烷基 、二鹵烷基、CH2F、CHF2、CF3、CF2CF3 ;芳基、苯基、鹵 素、晞基或羥基(OH)。 π燒基π係指飽和脂族烴,包括直鏈、分枝鏈及環烷基。 於一項具體實施例中,烷基具有1_12個碳。於另一項具體 實施例中’燒基具有1-7個碳。於另一項具體實施例中,燒 基具有1-6個碳。於另一項具體實施例中,烷基具有Μ個 200307661The substituent R is defined herein as alkyl, haloalkyl, dihaloalkyl, dihaloalkyl, CH2F, CHF2, CF3, CF2CF3; aryl, phenyl, halogen, fluorenyl, or hydroxyl (OH) . π alkyl refers to saturated aliphatic hydrocarbons, including straight chain, branched chain and cycloalkyl. In a specific embodiment, the alkyl group has 1-12 carbons. In another embodiment, the &apos; alkyl group has 1-7 carbons. In another embodiment, the alkyl group has 1-6 carbons. In another specific embodiment, the alkyl group has M 200307661

(37) 碳。此燒基可為未經取代,或被一或多個基图取代,取代 基係選自齒素、幾基、烷氧羰基、醯胺基、烷基醯胺基、 二懷基酿胺基、硝基、胺基、烷胺基、二烷胺基、羧基、 硫基及硫基燒基。 ’’鹵烷基&quot;係指如上文定義之烷基,其係被—或多個鹵原 子取代’例如被F、Cl、Br或I。 ’’芳基&quot;係指具有至少一個碳環狀芳族基團或雜環狀芳族 基團之芳族基團,其可為未經取代或被一或多個基團取代 ’取代基選自卣素、齒燒基、裡基、燒氧談基、酿胺基、 烷基醯胺基、二烷基醯胺基、痛基、胺基、烷胺基、二烷 胺基、獲基或硫基或硫基燒基。芳基環之非限制性實例為 苯基、茬基、旅喃基、吡哈基、毗畊基、嘧啶基、吡唑基 、吡啶基、呋喃基、硫苯基、邊唑基、咪唑基、異嘮唑基 &quot;羥基”係指ΟΗ基。”埽基”係指其有至少^個碳對碳雙鍵 之基團。鹵基係指F、Cl、Br或I。 &quot;芳燒基&quot;係指結合至芳基之嫁基,其中燒基與芳基均如 上文定義。芳烷基之實例為爷基。 正如意欲涵蓋於本文中者,本發明係關於SARM化合物及 /或其類似物、衍生物、異構物、新陳代謝產物、藥學上 可接受之鹽、醫藥產物、水合物、Ν-氧化物或其組合之用 途。於一項具體實施例中,本發明係關於SARM化合物之 類似物之用途。於另一,具體實施例中’本發明係關於 SARM化合物之衍生物之用途。於另一項具體實施例中, 200307661(37) Carbon. The alkyl group may be unsubstituted or substituted by one or more base groups, and the substituent is selected from the group consisting of haloyl, alkynyl, alkoxycarbonyl, amido, alkyl, amido, and diamino. , Nitro, amino, alkylamino, dialkylamino, carboxyl, thio, and thioalkyl. &Quot; 'Haloalkyl &quot; means an alkyl group, as defined above, which is substituted by-or more halogen atoms', e.g. F, Cl, Br or I. `` Aryl '' refers to an aromatic group having at least one carbocyclic aromatic group or heterocyclic aromatic group, which may be unsubstituted or substituted with one or more groups. Selected from the group consisting of halogen, sulfonyl, sulfonyl, alkynyl, amine, alkyl, amino, dialkyl, amino, alkyl, alkyl, dialkyl, Radical or thio radical or thio radical. Non-limiting examples of aryl rings are phenyl, succinyl, sulfanyl, pyrhyl, pyrimyl, pyrimidinyl, pyrazolyl, pyridyl, furyl, thiophenyl, sideazolyl, imidazolyl "Isoxazolyl" means "hydroxyl". "Hydroxy" refers to a group having at least ^ carbon-to-carbon double bonds. Halo refers to F, Cl, Br, or I. &quot; The "group" refers to a grafting group bonded to an aryl group, wherein the alkyl group and the aryl group are as defined above. An example of an aralkyl group is a hexyl group. As intended to be included herein, the present invention relates to SARM compounds and / or The use of analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates, N-oxides, or combinations thereof. In a specific embodiment, the present invention relates to SARM Use of analogues of compounds. In another embodiment, the present invention relates to the use of derivatives of SARM compounds. In another embodiment, 200307661

(38) 本發明係關於SARM化合物之異構物之用途。於另一項具 體實施例中,本發明係關於SARM化合物之新陳代謝產物 之用途。於另一項具體實施例中,本發明係關於SARM化 合物之藥學上可接受鹽之用途。於另一項具體實施例中, 本發明係關於SARM化合物之醫藥產物之用途。於另一項 具體實施例中,本發明係關於SARM化合物之水合物之用 途。於另一項具體實施例中,本發明係關於SARM化合物 之N-氧化物之用途。 當於本文中定義時,”異構物”一詞係包括但不限於光學 異構物及類似物、結構異構物及類似物、構形異構物及類 似物等。 於一項具體實施例中,本發明係涵蓋SARM化合物之各種 光學異構物之用途。熟諳此藝者應明瞭的是,本發明之 SARM含有至少一個對掌中心。因此,使用於本發明方法 中之SARM,可以光學活性或外消旋形式存在且經單離。 一些化合物亦可顯示多晶型現象。應明暸的是,本發明係 涵蓋任何外消旋、光學活性、多晶型或立體異構物形式或 其混合物,該形式具有可用於治療本文中所述雄激素相關 症狀之性質。於一項具體實施例中,SARM為純(R)-異構物 。於另一項具體實施例中,SARM為純(s)-異構物。於另一 項具體實施例中,SARM為(R)與⑸異構物之混合物。於另 一項具體實施例中,SARM為包含等量(R)與⑸異構物之外 消旋混合物。此項技藝中習知如何製備光學活性形式(例 如,經由外消旋形式之解析,藉再結晶技術’經由從光學 200307661 (39) 活性起始物質合成,藉由對掌性合成或使用對掌固定相藉 層析分離)。(38) The present invention relates to the use of isomers of SARM compounds. In another specific embodiment, the present invention relates to the use of metabolic products of SARM compounds. In another embodiment, the present invention relates to the use of a pharmaceutically acceptable salt of a SARM compound. In another embodiment, the present invention relates to the use of pharmaceutical products of SARM compounds. In another embodiment, the present invention relates to the use of a hydrate of a SARM compound. In another embodiment, the present invention relates to the use of N-oxides of SARM compounds. As defined herein, the term "isomer" includes, but is not limited to, optical isomers and analogs, structural isomers and analogs, configurational isomers and analogs, and the like. In a specific embodiment, the present invention covers the use of various optical isomers of SARM compounds. Those skilled in the art should understand that the SARM of the present invention contains at least one palm center. Therefore, the SARM used in the method of the present invention may exist in optically active or racemic form and be isolated. Some compounds can also show polymorphism. It should be understood that the present invention encompasses any racemic, optically active, polymorphic or stereoisomeric form, or mixtures thereof, which has properties useful in the treatment of androgen-related symptoms described herein. In a specific embodiment, the SARM is a pure (R) -isomer. In another embodiment, SARM is a pure (s) -isomer. In another embodiment, SARM is a mixture of (R) and hydrazone isomers. In another specific embodiment, SARM is a racemic mixture comprising equal amounts of (R) and a hydrazone isomer. In this technique, it is known how to prepare optically active forms (for example, through the analysis of racemic forms, by recrystallization techniques' synthesized from optically active starting materials in 200307661 (39), by synthesizing by palm or using The stationary phase is separated by chromatography).

本發明包括胺基取代之化合物與有機及無機酸(例如棒 樣酸與鹽酸)之藥學上可接受鹽。本發明亦包括本文中所 述化合物之胺基取代基之N_氧化物。藥學上可接受之鹽亦 可經由以無機鹼例如氫氧化鈉處理,而製自酚性化合物。 盼性化合物之酯類,亦可以脂族與芳族羧酸類例如醋酸與 苯甲酸酯類製成。 · 本發明進一步包括s ARM化合物之衍生物。”衍生物”一詞 包括但不限於醚衍生物、酸衍生物、醯胺衍生物、酿衍生 物等。此外,本發明進一步包括SARM化合物之水合物。&quot; 水合物” 一詞包括但不限於半水合物、單水合物、二水人 物、三水合物等。 本發明進一步包括8_化合物之新陳代謝產物。&quot;新陳The present invention includes amine-substituted compounds and pharmaceutically acceptable salts of organic and inorganic acids (e.g., baric acid and hydrochloric acid). The invention also includes N-oxides of the amine substituents of the compounds described herein. Pharmaceutically acceptable salts can also be prepared from phenolic compounds by treatment with an inorganic base such as sodium hydroxide. Desirable esters can also be made from aliphatic and aromatic carboxylic acids such as acetic acid and benzoates. The invention further includes derivatives of sARM compounds. The term "derivative" includes, but is not limited to, ether derivatives, acid derivatives, amidine derivatives, and derivatives. In addition, the present invention further includes a hydrate of a SARM compound. &quot; Hydrate &quot; includes, but is not limited to, hemihydrates, monohydrates, dihydrates, trihydrates, etc. The present invention further includes metabolites of 8-compounds. &quot; xinchen

代謝產物&quot;一詞’係意謂藉由新陳代謝作用或代謝程序, 由另一種物質產生之任何物質。 藥產物。”醫藥產物,, 藥用途之組合物(醫 本發明進一步包括SARM化合物之醫 ^ ’係意謂適合如本文中定義之醫 藥組合物)。 於另—項具體實施例中 夸典触、 八穴教爾選擇性 I又隨碉節劑(SARM)化合物之方法,該人 表$ : σ物係以式The term "metabolite" means any substance produced by another substance through metabolism or metabolic processes. Drug product. "Pharmaceutical products, compositions for medicinal use (the present invention further includes medical compounds of SARM compounds ^ 'means suitable for a pharmaceutical composition as defined herein). In another-specific embodiment, the standard touch and eight points According to the method of Selenium Compound (SARM) compound, the person expresses the following formula: σ

200307661 、200307661,

(40) 其中 X 為 Ο、NH、S、Se、PR 或 NR ; G為O或S ; T 為 OH、OR、-NHCOCH3 或 NHCOR ; R為烷基、#烷基、二_烷基、三函烷基、CH2F、 CHF2、CF3、CF2 CF3、芳基、苯基、鹵素、缔基或OH; &amp;為 CH3、CH2F、CHF2、CF3、CH2CH3 或 CF2CF3 ; R2 為 F、Cl、Br、I、CH3、CF3、OH、CN、N02、NHCOCH3 、NHCOCF3、NHCOR、烷基、芳烷基、〇R、、NHR -NR2 ' SR ; R3 為 F、Cl、Br、I、CN、N02、COR、COOH、CONHR 、CF3、SnR3,或R3與其所連接之苯環一起形成一個 稠合環系統,以下列結構表示:(40) where X is 0, NH, S, Se, PR or NR; G is O or S; T is OH, OR, -NHCOCH3 or NHCOR; R is alkyl, #alkyl, di-alkyl, tri Alkyl, CH2F, CHF2, CF3, CF2 CF3, aryl, phenyl, halogen, alkenyl or OH; &amp; CH3, CH2F, CHF2, CF3, CH2CH3 or CF2CF3; R2 is F, Cl, Br, I , CH3, CF3, OH, CN, N02, NHCOCH3, NHCOCF3, NHCOR, alkyl, aralkyl, 〇R ,, NHR-NR2 'SR; R3 is F, Cl, Br, I, CN, N02, COR, COOH, CONHR, CF3, SnR3, or R3 forms a fused ring system with the benzene ring to which it is connected, and is represented by the following structure:

Z 為 N〇2、CN、COR、COOH 或 CONHR ; Y 為 CF3、F、Br、Cl、I、CN 或 SnR3 ; Q 為 Η、烷基、鹵素、CF3、CN、CR3、SnR3、NR2、 NHCOCH3、NHCOCF3、NHCOR、NHCONHR、NHCOOR、OCONHR 、CONHR、NHCSCH3、NHCSCF3、NHCSR、NHS02 CH3、NHS02R 、OH、OR、COR、OCOR、0S02R、S02R、SR ;或 Q 與 其所連接之苯環一起為一個稠合環系統,以結構A、 B或C表示: 200307661 (41)Z is No2, CN, COR, COOH, or CONHR; Y is CF3, F, Br, Cl, I, CN, or SnR3; Q is fluorene, alkyl, halogen, CF3, CN, CR3, SnR3, NR2, NHCOCH3 , NHCOCF3, NHCOR, NHCONHR, NHCOOR, OCONHR, CONHR, NHCSCH3, NHCSCF3, NHCSR, NHS02 CH3, NHS02R, OH, OR, COR, OCOR, 0S02R, S02R, SR; or Q and the benzene ring connected to it are a thick one Closed loop system, represented by structure A, B or C: 200307661 (41)

η為1-4之整數;及 m為1-3之整數; 此方法包括以下步驟,使式VII化合物:n is an integer of 1-4; and m is an integer of 1-3; This method includes the following steps to make a compound of formula VII:

ΥΠ 其中Z、Y、G、R!、T、R3及m均如上文定義,且L為脫 離基,與式VIII化合物偶合:ΥΠ where Z, Y, G, R !, T, R3, and m are as defined above, and L is a leaving group, which is coupled with a compound of formula VIII:

其中Q、X、R2及η均如上文定義。 於一項具體實施例中,偶合步騾係於鹼存在下進行。於 另一項具體實施例中,脫離基L為Br。於另一項具體實施 例中,式VII化合物係以下述方式製成 a)藉由式X環狀化合物之開環作用,製備式IX化合物Wherein Q, X, R2 and η are as defined above. In a specific embodiment, the coupling step is performed in the presence of a base. In another specific embodiment, the leaving group L is Br. In another embodiment, a compound of formula VII is prepared in the following manner: a) A compound of formula IX is prepared by the ring-opening action of a cyclic compound of formula X

X IX 200307661 (42) 其中L、h、G及T均如上文定義,且1\為0或NH;及 b)使式XI胺:X IX 200307661 (42) where L, h, G, and T are as defined above, and 1 \ is 0 or NH; and b) make the amine of formula XI:

其中Z、Y、R3及m均如上文定義,於偶合試劑存在下, 與式IX化合物反應,以製造式VII化合物。Z, Y, R3 and m are all as defined above, and react with a compound of formula IX in the presence of a coupling reagent to produce a compound of formula VII.

熟諳此藝者應明瞭的是,當A為Ο或NH時,化合物VIII中 之T為Ο或NH2。因此,當化合物I中之T為QR時,反應將涉 及經由與例如烷基鹵化物R-X反應,而使OH轉化成OR之另 一個步騾。當化合物I中之T為NHCOR、NHCOCH3時,反應 將涉及經由與例如其相應之氯化醯C1COR或C1C0CH3反應, 而使NH2轉化成NHCOR或NHCOCH3之另一個步驟。 於一項具體實施例中,步驟⑻係於HBr存在下進行。於 另一項具體實施例中,此方法進一步包括使選擇性雄激素 受體調節劑(SARM)化合物轉化成其類似物、異構物、新陳 代謝產物、衍生物、藥學上可接受之鹽、醫藥產物、N-氧 化物、水合物或其任何組合之步驟。 200307661 (43) 於一項具體實施例中,上文所定義之偶合步驟係於鹼存 在下進行。會使-XH部份基團(例如酚部份基團,當X為〇 時)之氫去質子化並允許偶合之任何適當鹼,均可使用。 鹼之非限制性實例為碳酸鹽,譬如鹼金屬碳酸鹽,例如碳 酸鈉(Na2 C03)、碳酸钟(K2 C03 )及碳酸铯(Cs2 C03 );重碳酸鹽 ,譬如鹼金屬重碳酸鹽,例如碳酸氫鈉(NaHC03)、碳酸氫 钟(KHCO3),驗金屬氫化物,譬如氫化鈉(NaH)、氫化却(KH) 及氫化鋰(LiH)等。 脫離基L在本文中係被定義為習用上被考慮用於化學反 應之任何可移除基團,如熟諳此藝者所已知者^適當脫離 基為鹵素,例如F、Cl、Br及I ;烷基續酸酯類(_〇s〇2R),其 中R為烷基,例如甲烷磺酸酯(甲磺酸酯)、三氟甲烷磺酸 酯、乙烷磺酸酯、2,2,2-三氟乙烷磺酸酯、全氟丁烷磺酸酯 ;芳基磺酸酯類(-〇S〇2 Ar),其中Ar為芳基,例如對_甲苯甲 醯基續酸酿(甲苯磺酸酯),苯磺酸酯,其可為未經取代, 或被甲基、氯、溴、硝基等取代;N〇3、N〇2或硫酸鹽、亞 疏酸鹽、磷酸鹽、亞磷酸鹽、羧酸酯、亞胺基酯、K或胺 基甲酸酯。 此反應可合宜地在適當惰性溶劑或稀釋劑中進行,例如 四氫呋喃、乙醚,芳族胺類,譬如吡啶;脂族與芳族烴類 ,譬如苯、甲苯及二甲苯;二甲亞颯(DMS〇)、二甲基甲醯 胺(DMF)及二甲基乙醯胺(DMAC)。此反應係適當地於例如μ 至120C範圍之溫度内進行,例如在於或接近環境溫度下。 上又所疋義I偶合試劑,係為能夠使式χ之羧酸/硫代 -50 - (44) (44)200307661 羧酸轉變成其反應性衍生物,因此能夠與個別胺偶合以來 成醯胺/硫醯胺鍵結之試劑。羧酸/硫代羧 乂形 \遭當/¾ 性何生物,係為例如南化醯/齒化硫醯,例鉍 *、 、%由酸/石云 代酸與播機酸氣化物(例如二氯化亞硫醯)之反 ' 、 形成 醯基/硫醯基氯化物;混合 例如經由酸斑 样 /、虱甲酸酿嬖 如氯甲酸異丁酯之反應所形成之酐;活性酯 &quot; A 凡Θ日,例如 經由酞/硫代酸與酚,酯/硫酯或醇,譬如甲 ^ 異丙醇、丁醇或Ν-羥基苯并三唑之反應所形成 、 〜/硫酉旨 ;醯基/硫醯基疊氮化物,例如經由酸/硫代〆 &amp;與變氮化 物譬如登氮化二苯基磷醯之反應所形成之疊氮 A 1G物,醢基 氰化物/硫醯基氰化物,例如經由酸與氰化物 一 7詈如氰化二 乙基磷酿之反應所形成之氰化物;或酸/硫代酸與碳化二 亞胺譬如二環己基碳化二亞胺之反應產物。 反應可合宜地在如上文所述之適當惰性溶劑或稀釋劑中 ,適當地於鹼存在下,譬如三乙胺,並在譬如上文所述之 溫度範圍内進行。 選擇性雄激素J節劑化合物之生物學法柹 本文中所提供之化合物係為選擇性雄激素受體調節劑 (SARM)化合物,其可用於口服睪酮替補療法,其具有非類 固醇配位體對雄激素受體之雄激素與合成代謝活性之令人 思外活體内活性。再者,經適當取代之化合物係有效治療 ㈤列腺癌’並可用於前列腺癌之成像。SARM化合物証實 非類固醇配位體對雄激素受體之活體内雄激素與合成代謝 200307661 (45) 正如意欲涵蓋於本文中者,經適當取代之本發明之SARM 化合物可用於a)男性避孕;b)治療多種激素相關之症狀, 例如與老化男性中之雄激素下降(ADAM)有關聯之症狀,譬 如疲勞、抑鬱、性慾減退、性機能障礙、勃起機能障礙、 性腺機能減退、骨質疏鬆症、毛髮掉落、貧血、肥胖、少 肌症、骨質缺乏、骨質疏鬆症、良性前列腺增生、於心情 與認知力上之改變及前列腺癌;c)治療與ADIF有關聯之症 狀,譬如性機能障礙、性慾減退、性腺機能減退、少肌症 、骨質缺乏、骨質疏鬆症、於認知力與心情上之改變、抑 鬱、貧血、毛髮掉落、肥胖、子宮内膜組織異位形成、乳 癌、子宮癌及卵巢癌;d)治療及/或預防急性及/或慢性 肌肉消耗症狀;e)預防及/或治療乾眼症狀;f) 口服雄激 素替補療法;及/或g)降低前列腺癌之發生率,使其停止 或造成其復原。 當於本文中使用時,供胞外發出訊息分子用之受體,係 被總稱為π細胞發出訊息受體”。許多細胞發出訊息受體為 在細胞表面上之跨膜蛋白質;當其結合胞外發出訊息分子 (意即配位體)時,其變成被活化,以致能夠產生會改變細 胞行為之胞内訊息之階式反應。對照上而言,在一些情況 中,受體係在細胞内部,且發出訊息配位體必須進入細胞 中,以使其活化;因此,此等發出訊息分子必須足夠小且 具疏水性,以擴散越過細胞之漿膜。 類固醇激素為小的疏水性分子之一項實例,其會直接擴 散越過標的細胞之漿膜,並結合至胞内細胞發出訊息受體 -52- (46) 200307661 。此等受體係於結構上相關,且構成胞内受體超族群(或 類固醇-激素受體超族群)。類固醇激素受體包括黃體酮受 體、雌激素受體、雄激素受體、葡糖類皮質激素受體及礦 物皮質激素受體。本發明特別是針對雄激素受體。 除了配位體結合至受體以外,受體可被阻斷以防止配位 體結合。當一種物質結合至受體時,該物質之三次元結構 係配合至藉由該受體之三次元結構所建立之空間中,呈球 與套筒型態。此球愈良好地配合至套筒中,其係被保持得 愈轚名、。此現象稱為親和力。若物質之親和力大於原先之 激素,則其將與激素競爭,且更頻繁地結合此結合位置。 一旦經結合’即可將訊息經過受體傳送至細胞,造成細胞 以某種方式回應。此係被稱為活化作用。在活化時,經活 化受體係接著直接調節專一基因之轉錄。但此物質與受體 可具有親和力以外之某些特質,以活化細胞。在此物質之 原子與受體之原子間之化學鍵’可以形成。在一些情況中 ,這會導致文體型態上之改變,其足夠使活化過程開始( 稱為訊息轉導)。Those skilled in the art should understand that when A is 0 or NH, T in compound VIII is 0 or NH2. Therefore, when T in compound I is QR, the reaction will involve another step of converting OH to OR via reaction with, for example, an alkyl halide R-X. When T in compound I is NHCOR, NHCOCH3, the reaction will involve another step of converting NH2 to NHCOR or NHCOCH3 by reacting with, for example, its corresponding hafnium chloride C1COR or C1C0CH3. In a specific embodiment, step VII is performed in the presence of HBr. In another embodiment, the method further comprises converting a selective androgen receptor modulator (SARM) compound into its analog, isomer, metabolite, derivative, pharmaceutically acceptable salt, medicine Product, N-oxide, hydrate, or any combination thereof. 200307661 (43) In a specific embodiment, the coupling step defined above is performed in the presence of a base. Any suitable base that deprotonates the hydrogen of the -XH moiety (eg, a phenol moiety when X is 0) and allows coupling can be used. Non-limiting examples of bases are carbonates, such as alkali metal carbonates, such as sodium carbonate (Na2C03), bell carbonate (K2 C03), and cesium carbonate (Cs2 C03); bicarbonates, such as alkali metal bicarbonates, such as Sodium bicarbonate (NaHC03), bicarbonate bell (KHCO3), test metal hydride, such as sodium hydride (NaH), hydrogenated (KH) and lithium hydride (LiH). The leaving group L is defined herein as any removable group that is conventionally considered for chemical reactions, as known to those skilled in the art ^ Suitable leaving groups are halogens, such as F, Cl, Br and I ; Alkyl esters (_〇s〇2R), where R is an alkyl group, such as methanesulfonate (methanesulfonate), trifluoromethanesulfonate, ethanesulfonate, 2,2, 2-trifluoroethane sulfonate, perfluorobutane sulfonate; aryl sulfonates (-0SO2 Ar), where Ar is aryl, such as p-toluenemethylsulfonic acid ( Tosylate), benzenesulfonate, which may be unsubstituted or substituted with methyl, chlorine, bromine, nitro, etc .; No3, No2 or sulfate, sulfite, phosphate , Phosphite, carboxylate, imide, K or urethane. This reaction is conveniently carried out in a suitable inert solvent or diluent, such as tetrahydrofuran, diethyl ether, aromatic amines, such as pyridine; aliphatic and aromatic hydrocarbons, such as benzene, toluene, and xylene; DMS (DMS) 〇), dimethylformamide (DMF) and dimethylacetamide (DMAC). This reaction is suitably performed at a temperature ranging from, for example, μ to 120C, for example, at or near ambient temperature. The above-mentioned I coupling reagent is a carboxylic acid / thio-50-(44) (44) 200307661 carboxylic acid of the formula χ which can be converted into its reactive derivative, so it can be combined with individual amines. Amine / thiamine bonding reagent. Carboxylic acid / thiocarboxylic acid, saccharin / sulfonate, and other organisms are, for example, sulfonium sulfonium / sulfonated sulfonium, such as bismuth *, bismuth *, sulfonate, and sour gas (eg, Dithionyl dichloride), in turn, to form fluorenyl / thiosulfenyl chloride; mixing, for example, an acid anhydride formed by the reaction of acid spot-like, phenolic acid such as isobutyl chloroformate; active esters &quot; A where Θ day, for example, formed by the reaction of phthalic acid / thio acid with phenol, ester / thioester or alcohol, such as methyl ^ isopropanol, butanol or N-hydroxybenzotriazole, ~ / thiopyridine; Fluorenyl / thiofluorenyl azide, for example azide A 1G formed by the reaction of an acid / thiophosphonium & with a azide such as diphenylphosphine diphenylphosphonium, fluorenyl cyanide / thiosulfide Cyanide, such as a cyanide formed by the reaction of an acid with a cyanide, such as diethylphosphonium cyanide; or a reaction of an acid / thio acid with a carbodiimide, such as dicyclohexylcarbodiimide product. The reaction is conveniently carried out in a suitable inert solvent or diluent as described above, suitably in the presence of a base, such as triethylamine, and in a temperature range such as described above. Biological Methods of Selective Androgen J Substance Compounds: The compounds provided herein are selective androgen receptor modulator (SARM) compounds that can be used for oral fluorenone replacement therapy, which has a non-steroidal ligand pair Androgenic and anabolic activity of the androgen receptor is surprisingly in vivo. Furthermore, appropriately substituted compounds are effective in treating stigma adenocarcinoma 'and can be used for imaging of prostate cancer. SARM compounds demonstrate in vivo androgen and anabolic metabolism of nonsteroidal ligands to androgen receptors 200307661 (45) As intended herein, appropriately substituted SARM compounds of the invention may be used for a) male contraception; b ) Treatment of various hormone-related symptoms, such as those associated with ADAM in aging men, such as fatigue, depression, hyposexuality, sexual dysfunction, erectile dysfunction, hypogonadism, osteoporosis, hair loss Fall, anemia, obesity, oligosarcoma, osteoporosis, osteoporosis, benign prostatic hyperplasia, changes in mood and cognition, and prostate cancer; c) treatment of symptoms associated with ADIF, such as sexual dysfunction, hyposexuality , Hypogonadism, sarcopenia, osteoporosis, osteoporosis, changes in cognition and mood, depression, anemia, hair loss, obesity, endometrial tissue formation, breast cancer, uterine cancer and ovarian cancer D) treatment and / or prevention of acute and / or chronic muscle wasting symptoms; e) prevention and / or treatment of dry eye symptoms; f) oral male Hormone replacement therapy; and / or g) reduce the incidence of prostate cancer, stop it or cause it to recover. As used herein, receptors for extracellular signaling molecules are collectively referred to as π-cell signaling receptors. "Many cellular signaling receptors are transmembrane proteins on the surface of cells; when they bind to cells, When a signaling molecule (ie, a ligand) is sent out, it becomes activated so that it can produce a step response of intracellular messages that alters cell behavior. In contrast, in some cases, the receptor system is inside the cell, And the signaling ligand must enter the cell to activate it; therefore, these signaling molecules must be small enough and hydrophobic to diffuse across the plasma membrane of the cell. Steroid hormones are an example of small hydrophobic molecules It directly diffuses across the plasma membrane of the target cells and binds to intracellular cells to send messages to the receptor -52- (46) 200307661. These systems are structurally related and form the intracellular receptor superfamily (or steroid- Hormonal receptor superfamily). Steroid hormone receptors include progesterone receptor, estrogen receptor, androgen receptor, glucocorticoid receptor and mineral corticoid receptor The invention is specifically directed to the androgen receptor. In addition to the ligand binding to the receptor, the receptor can be blocked to prevent ligand binding. When a substance is bound to the receptor, the three-dimensional structure of the substance It fits into the space created by the three-dimensional structure of the acceptor, and it is in the form of a ball and a sleeve. The better the ball fits into the sleeve, the more it is kept unknown. This phenomenon is called Affinity. If the substance has a greater affinity than the original hormone, it will compete with the hormone and bind this binding site more frequently. Once bound, the message can be transmitted to the cell through the receptor, causing the cell to respond in some way. This system is called activation. During activation, the activated receptor system then directly regulates the transcription of specific genes. However, the substance and the receptor may have certain traits other than affinity to activate the cell. The atoms and receptors of this substance A chemical bond between the atoms of the body can be formed. In some cases, this can lead to a change in the style of the stylus that is sufficient to begin the activation process (called message transduction).

’並使其活化。於一項具體實施例中, 。受體催動劑為一種 ’於一項具體實施例 、至類固醇激素受體 ’本發明之催動劑化 合物為一種會結合雄激素受體之催動劑。於另一項具體實 施例中,此化合物對雄激素受體具有高親和力。於另一项 -53- 200307661And make it active. In a specific embodiment,. The receptor activator is, in a specific embodiment, to the steroid hormone receptor, the activator compound of the present invention is an activator that binds to the androgen receptor. In another specific embodiment, the compound has a high affinity for the androgen receptor. On another -53- 200307661

(47) 具體實施例中,該催動劑化合物亦具有合成代謝活性。於 另一項具體實施例+,本發明係提供-種選擇性雄激素調 節劑化合物,纟具有非類固醇化合物對雄激素受體之催動 劑與合成代謝活性。 於另一項具體實她例中,本發明係針對選擇性雄激素受 體調節劑化合@,其係為拮抗劑化合物。受體拮抗劑為一 種會結合受體並使其失活之物質。因此,於一項具體實施 例中,本發明之SARM化合物可用於結合至類固醇激素受 m ’並使其失活。於一項具體實施例巾,本發明之拮抗劑 化合物為一種會結合雄激素受體之拮抗劑。於另一項具體 實施例中,此化合物對雄激素受體具有高親和力。 於又另一項具體實施例中,本發明之SARM化合物可被分 類為部份AR催動劑/枯抗劑。在一些組織中,SA·為从 催動劑,以造成AR-回應基因之增加轉綠(例如肌肉合成代 謝作用)。在其他組織中,此等化合物係在Μ處充作抑制 劑,以防止天然雄激素之催動作用。 測足本發明化合物是否為AR催動劑或拮抗劑之檢測,係 為熟諳此藝者所習知。例如’ AR催動活性可藉由監測SARM 化合物保持及/或刺激含AR組織(譬如前列腺與精囊)生長 之能力而測得’其係藉由重量度量。AR拮抗活性可藉由 監測SARM化合物抑制含AR組織生長之能力而測得。 本發明化合物係可逆地或者不可逆地結合至雄激素受體 。於一項具體實施例中,雄激素受體為哺乳動物之雄激素 受體。於另一項具體實施例中,雄激素受體為人類之雄激 200307661(47) In a specific embodiment, the activator compound also has anabolic activity. In another specific embodiment +, the present invention provides a selective androgen modulator compound, which has a stimulant and anabolic activity of a nonsteroidal compound on the androgen receptor. In another specific example, the present invention is directed to the compound and @, a selective androgen receptor modulator, which is an antagonist compound. A receptor antagonist is a substance that binds to and inactivates a receptor. Therefore, in a specific embodiment, the SARM compounds of the present invention can be used to bind to and inactivate the steroid hormone receptor m '. In a specific embodiment, the antagonist compound of the present invention is an antagonist that binds to an androgen receptor. In another embodiment, the compound has a high affinity for the androgen receptor. In yet another specific embodiment, the SARM compound of the present invention can be classified as a partial AR activator / cumin inhibitor. In some tissues, SA is a secondary activator that causes an increase in AR-responsive genes to turn green (such as muscle synthesis metabolism). In other tissues, these compounds act as inhibitors at M to prevent the stimulating effect of natural androgens. The detection of whether the compound of the present invention is an AR activator or antagonist is well known to those skilled in the art. For example, 'AR stimulating activity can be measured by monitoring the ability of a SARM compound to maintain and / or stimulate the growth of AR-containing tissues such as the prostate and seminal vesicles', which is measured by weight. AR antagonistic activity can be measured by monitoring the ability of SARM compounds to inhibit the growth of AR-containing tissues. The compounds of the invention bind reversibly or irreversibly to the androgen receptor. In a specific embodiment, the androgen receptor is an androgen receptor in a mammal. In another specific embodiment, the androgen receptor is human androgenic 200307661

(48) 素受體。於一項具體實施例中,SARM化合物係可逆地結 合至哺乳動物例如人類之雄激素受體。化合物對受體之可 逆結合,係意謂化合物在結合後,可自受體脫離。 於另一項具體實施例中,SARM化合物係不可逆地結合至 哺乳動物例如人類之雄激素受體。因此,於一項具體實施 例中’本發明化合物可含有一種官能基(例如親和力標識 物)’其允許雄激素受體之烷基化(意即共價鍵形成)。因 此,於此情況中,义合物係為烷基化劑,其係不可逆地結 合至受體’且因此不能被類固醇譬如内源配位體DHT與睪 酉同置換。”燒基化劑,,在本文中係被定義為一種會與細胞成 份譬如DN A、RN A或酵素形成烷基化物(形成共價鍵)之藥 劑。其係為一種高度反應性化學物質,其會引進烷基至生 物活〖生刀子中,藉以防止其固有功用。燒基化部份基團為 種親私子性基圈,其會與細胞成份中之親核性部份基圏 交互作用。 據本發月之一項具體實施例,係提供一種結合本發明 《SARM化合物至雄激素受體之方法,其方式是使受體與 SARM化合物及’或其類似物、衍生物、異構物、新陳代謝 :物、藥學上可接受之鹽、I藥產物、水合物或N-氧化物 或〃任何、、且合,在有效造成選擇性雄激素受體調節劑化合 :結合至雄激素受體之條件下接觸。選擇性雄激素受體調 即一1化合物對雄激素受體之結合,使得本發明之化合物能 ^乍為男^避孕藥使用,及用於多種激素治療巾。催動劑 口物…合至雄激素受體並使其活化。拮抗劑化合物會 -55- 200307661(48) hormone receptor. In a specific embodiment, the SARM compound is reversibly bound to an androgen receptor in a mammal, such as a human. The reversible binding of a compound to a receptor means that the compound can detach from the receptor after binding. In another embodiment, a SARM compound irreversibly binds to an androgen receptor in a mammal, such as a human. Therefore, in a specific embodiment, 'the compound of the present invention may contain a functional group (e.g., an affinity marker)' which allows the alkylation of the androgen receptor (meaning covalent bond formation). Therefore, in this case, the sense compound is an alkylating agent, which is irreversibly bound to the receptor 'and therefore cannot be replaced with steroids such as the endogenous ligand DHT and 睪. "Alkylating agent, is defined herein as an agent that forms alkylates (forming covalent bonds) with cellular components such as DN A, RN A, or enzymes. It is a highly reactive chemical substance, It will introduce alkyl groups to biological living knives in order to prevent its inherent function. The part of the alkynyl group is a kind of parent-child base ring, which will interact with the nucleophilic part of the cell components. According to a specific embodiment of the present invention, a method for combining a SARM compound to an androgen receptor according to the present invention is provided by combining the receptor with a SARM compound and its or its analogs, derivatives, isoforms Structures, metabolisms: compounds, pharmaceutically acceptable salts, I drug products, hydrates or N-oxides, or any of these, and are effective in causing selective androgen receptor modulators to combine: binding to androgens Contact under the condition of a receptor. Selective androgen receptor modulation means that the combination of a compound and the androgen receptor allows the compound of the present invention to be used as a male contraceptive, and used in a variety of hormone treatment towels. Activator mouthpiece ... He Zhixiong Receptor and activating it. Antagonist compound will -55-200307661

結合至雄激素受體I使其失活。催動劑或拮抗劑化合物之 結合’係為無論是 &lt; 逆或不可逆。 根據本發明之—項異體實施例,係提供一種在病患中抑 制精子發生之方法,其方式是使病患之雄激素受體與本發 明之SARM化合物及/或其類似物、衍生物、異構物、新陳 代謝產物、藥學上 &lt; 接受之鹽、醫藥產物、水合物或N-氧 化物或其任何組合接觸,其量可有效結合選擇性雄激素受 體調節劑化合物至雄激素受體,並抑制精子發生。 根據本發明之另一項具體實施例,係提供一種在男性病 患中避孕之方法,其包括以下步驟,對該病患投予本發明 之SARM化合物及/或其類似物、衍生物、異構物、新陳代 謝產物、藥學上可接受之鹽、醫藥產物、水合物或N-氧化 物或其任何組合,其量可有效抑制病患中之精子製造,藉 以達成病患之避孕。 根據本發明之另一項具體實施例,係提供一種在病患( 意即患有雄激素依賴性症狀者)中之激素治療之方法,其 包括使病患之雄激素受體與本發明之SARM化合物及/或其 類似物、衍生物、異構物、新陳代謝產物、藥學上可接受 之鹽、醫藥產物、水合物或N_氧化物或其任何組合接觸, 其量可有效結合選擇性雄激素受體調節劑化合物至雄激素 受體,並達成雄激素依賴性症狀中之變化。 根據本發明之另一項具體實施例,係提供一種在病患( 意即患有雄激素依賴性症狀者)中之激素替補治療之方法 ,其包括使病患之雄激素受體與本發明之SARM化合物及/ (50) (50)200307661Binding to androgen receptor I inactivates it. The combination of agonist or antagonist compounds' is either &lt; reversible or irreversible. According to an allogeneic embodiment of the present invention, a method for inhibiting spermatogenesis in a patient is provided by combining a patient's androgen receptor with the SARM compound and / or its analog, derivative, Structures, metabolism products, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides or any combination thereof in an amount effective to bind a selective androgen receptor modulator compound to the androgen receptor, And inhibit spermatogenesis. According to another embodiment of the present invention, a method for contraception in a male patient is provided, which comprises the steps of administering to the patient a SARM compound and / or its analog, derivative, Structures, metabolites, pharmaceutically acceptable salts, medicinal products, hydrates or N-oxides, or any combination thereof, in an amount effective to inhibit sperm production in the patient, thereby achieving contraception in the patient. According to another embodiment of the present invention, a method for hormonal treatment in a patient (ie, a person suffering from androgen-dependent symptoms) is provided, which comprises combining the patient's androgen receptor with the SARM of the present invention. Compounds and / or their analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N_oxides, or any combination thereof are contacted in an amount effective to bind selective androgens Receptor modulator compounds to the androgen receptor and achieve changes in androgen-dependent symptoms. According to another embodiment of the present invention, there is provided a method of hormone replacement therapy in a patient (ie, a person suffering from androgen-dependent symptoms), which comprises combining the patient's androgen receptor with the SARM compounds and / (50) (50) 200307661

或其類似物、衍生物、里姐&amp; 〃構物、新陳代謝產物、藥學上可 接受之鹽、醫藥產*、水合物或n氧化物或其任何組合接 觸’其量可有效結合選擇性雄激素受體調節劑化合物至雄 激素受體,並達成雄激素依賴性症狀中之變化。 根據本發明之另一項具體實施例,係提供一種治療具有 激素相關症狀之病患之方法,其包括對該病患投予本發明 义SARM化合物及/或其類似物、衍生物、異構物、新陳代 謝產物、藥學上可接受之鹽、醫藥產物水合物或n_氧化物 或其任何組合,其量可有效結合SARM化合物至雄激素受 體,並達成雄激素依賴性症狀中之變化。 可根據本發明治療之雄激素依賴性症狀,包括與老化有 關聯之症狀,譬如性腺機能減退、少肌症、紅血球生成、 骨質疏鬆症,及任何其他後來被測得係依賴低雄激素(例 如睪酮)含量之症狀。 根據本發明之另一項具體實施例,係提供一種治療患有 月ίΐ列腺癌之病患之方法,其包括以下步騾,對該病患投予 本發明之SARM化合物及/或其類似物、衍生物、異構物、 新陳代謝產物、藥學上可接受之鹽、醫藥產物、水合物或 N-氧化物或其任何組合,其量可在病患中有效治療前列腺 癌0 根據本發明之另一項具體實施例,係提供一種在病患中 預防前列腺癌之方法,其包括以下步騾,對該病患投予本 發明之SARM化合物及/或其類似物、衍生物、異構物、新 陳代謝產物、藥學上可接受之鹽、醫藥產物、水合物或N_ 200307661 (51) 氧化物或其任何組合’其量可在病患中有效治療預防前列 腺癌。 根據本發明之另一項具體實施例,係提供一種在患有前 列腺癌之病患中延遲前列腺癌進展之方法,其包括以下步 驟,對該病患投予本發明之SARM化合物及/或其類似物、 衍生物、異構物、新陳代謝產物、藥學上可接受之鹽、醫 藥產物、水合物或N-氧化物或其任何組合,其量可在病患 中有效延遲前列腺癌之進展。 根據本發明之另一項具體實施例,係提供一種在患有前 列腺癌之病患中預防前列腺癌再發生之方法,其包括以下 步驟,對該病患投予本發明之SARM化合物及/或其類似物 、衍生物、異構物、新陳代謝產物、藥學上可接受之鹽、 醫藥產物、水合物或N-氧化物或其任何組合,其量可在病 患中有效預防前列腺癌之再發生。 根據本發明之另一項具體實施例,係提供一種在患有前 列腺癌之病患中治療前列腺癌再發生之方法,其包括以下 步騾,對該病患投予本發明之SARMt合物及/或其類似物 、衍生物、異構物、新陳代謝產物、藥學上可接受之鹽、 醫藥產物、水合物或N-氧化物或其任何組合,其量可在病 患中有效治療前列腺癌之再發生。 再者’雄激素文體之刺激作用會刺激眼淚之產生,因此 本發明之SARM化合物可用以治療乾眼症狀。因此,根據 本發明之另一項具體實施例,係提供一種在患有乾眼之病 患中治療乾眼症狀之方法,其包括以下步驟,對該病患投 200307661Or its analogs, derivatives, lipases, amylases, metabolites, pharmaceutically acceptable salts, medicinal products *, hydrates or n-oxides, or any combination thereof, in an amount effective to bind a selective male Hormone receptor modulator compounds to the androgen receptor and achieve changes in androgen-dependent symptoms. According to another embodiment of the present invention, a method for treating a patient with hormone-related symptoms is provided, which comprises administering to the patient a SARM compound and / or an analog, derivative, or isomer thereof according to the present invention. Substances, metabolism products, pharmaceutically acceptable salts, pharmaceutical products hydrates or n-oxides, or any combination thereof, in an amount effective to bind the SARM compound to the androgen receptor and achieve changes in androgen-dependent symptoms. Androgen-dependent symptoms that can be treated in accordance with the present invention include those associated with aging, such as hypogonadism, oligosarcoma, erythropoiesis, osteoporosis, and any other later measured low-androgen-dependent (eg, ) Symptoms of content. According to another specific embodiment of the present invention, there is provided a method for treating a patient suffering from spleen adenocarcinoma, which comprises the steps of administering the SARM compound and / or the like of the present invention to the patient. Substances, derivatives, isomers, metabolites, pharmaceutically acceptable salts, medicinal products, hydrates or N-oxides, or any combination thereof, in an amount effective to treat prostate cancer in a patient. 0 According to the invention Another specific embodiment is to provide a method for preventing prostate cancer in a patient, comprising the steps of administering to the patient a SARM compound and / or an analog, derivative, or isomer thereof according to the present invention. , Metabolites, pharmaceutically acceptable salts, medicinal products, hydrates or N_200307661 (51) oxides or any combination thereof, the amount of which is effective in preventing and treating prostate cancer in patients. According to another specific embodiment of the present invention, a method for delaying the progression of prostate cancer in a patient with prostate cancer is provided, which comprises the steps of administering the SARM compound and / or the SARM compound of the present invention to the patient. Analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, medicinal products, hydrates, or N-oxides, or any combination thereof, are in amounts effective to delay the progression of prostate cancer in a patient. According to another specific embodiment of the present invention, a method for preventing the recurrence of prostate cancer in a patient with prostate cancer is provided, which comprises the steps of administering the SARM compound of the present invention to the patient and / or Its analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides, or any combination thereof, are effective in preventing the recurrence of prostate cancer in patients. . According to another specific embodiment of the present invention, a method for treating recurrence of prostate cancer in a patient with prostate cancer is provided, which comprises the following steps: administering the SARMt compound of the present invention to the patient and / Or its analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides, or any combination thereof, in an amount effective to treat prostate cancer in a patient Happen again. Furthermore, the stimulating effect of the 'androgen stylistic' can stimulate the production of tears, so the SARM compounds of the present invention can be used to treat dry eye symptoms. Therefore, according to another specific embodiment of the present invention, a method for treating dry eye symptoms in a patient with dry eye is provided. The method includes the following steps.

(52) 予式I-V之選擇性雄激素受體調節劑化合物及/或其類似物 、衍生物、異構物、新陳代謝產物、藥學上可接受之鹽、 醫C產物、水合物或N-氧化物或其任何組合,其量可在病 患中有效治療乾眼。 根據本發明之另一項具體實施例,係提供一種在病患中 預防乾眼症狀之方法,其包括以下步驟,對該病患投予式 I-V之選擇性雄激素受體調節劑化合物及/或其類似物、衍 生物、異構物、新陳代謝產物、藥學上可接受之鹽、醫藥 產物、水合物或N-氧化物或其任何組合,其量可在病患中 有效預防乾眼。 當於本文中定義時,&quot;接觸&quot;係意謂本發明之sarm化合物 被引進含有酵素之試樣中’置於試管、燒瓶、组織培養物 、晶片、p車列、板、微板、毛細管或其類似物+,並在足 以允許SARM結合至酵素之溫度與時間下培養。用於使試 樣與麵或其他專一結合成份接觸之方法,係為熟諳此 藝者…,並可經選擇,依欲被操作之檢測擬案類型而 定。培養方法亦為標準的,且係為熟諳此藝者所已知。 一詞係意謂本發明之 患中,並使SARM化合 於另一項具體實施例中,&quot;接觸,, SARM化合物係被引進接受治療之病 物與活體内之雄激素受體接觸。 係包括預防以及病症緩解 於本文中使用之π治療”一詞 壓抑,,及&quot;抑制&quot;術語,具 治療。於本文中使用之&quot;降低” 有其一般瞭解之減輕或減退之意義。於本文中使用之&quot;進 展&quot;-詞,係意謂增加範圍或嚴重性,前進、纟長或變得 200307661(52) a selective androgen receptor modulator compound of formula IV and / or its analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, medical products, hydrates or N-oxidation Or any combination thereof in an amount effective to treat dry eye in a patient. According to another embodiment of the present invention, a method for preventing dry eye symptoms in a patient is provided, which comprises the steps of administering to the patient a selective androgen receptor modulator compound of formula IV and / Or its analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides, or any combination thereof, in an amount effective to prevent dry eyes in patients. When defined herein, &quot; contact &quot; means that the sarm compound of the invention is introduced into a sample containing an enzyme, 'placed in a test tube, flask, tissue culture, wafer, p-row, plate, microplate. , Capillaries, or the like +, and cultured at a temperature and time sufficient to allow SARM to bind to the enzyme. The method used to bring the sample into contact with noodles or other specific binding ingredients is familiar to the artist ... and can be selected according to the type of test plan to be operated. The cultivation methods are also standard and known to those skilled in the art. The term means in the context of the present invention that a SARM is compounded in another specific embodiment, &quot; contact, and a SARM compound is introduced into a patient to be treated for contact with an androgen receptor in vivo. Includes prevention and remission of the disease. The term "pi treatment" as used herein, "repression," and "inhibition" term, has treatment. "Reduction" as used herein has its general meaning of reducing or decreasing. The word "progress" used in this article means to increase the scope or severity, advance, grow, or become 200307661

(53) 更壞。於本文中使用之&quot;再發生”一詞,係意謂疾病在緩解 後之回復。 於本文中使用之,,投藥&quot;一詞,係指致使病患與本發明之 SARM化合物接觸。當在本文中使用時,投藥可於活體外 達成,意即在試管中,或活體内,意即在有生命生物體例 如人類之細胞或組織中。於一項具體實施例中,本發明係 涵蓋對病患投予本發明之化合物。 於本文中使用之&quot;性慾&quot;一詞,係意謂性需求。 於本文中使用 &lt; &quot;勃起”一詞,係意謂能夠被直立。勃起 組織為一種組織,其能夠被大為擴張,並藉由其所含有之 許多血管之膨脹而成為堅硬。 &quot;性腺機能減退”為一種其特徵為性腺之異常降低功能活 性且阻滯生長及性發育,或由於其所造成之症狀。”骨質 缺之係指降低骨質之鈣化作用或密度。其係為涵蓋所有 其中發現此種症狀之骨骼系統之術語。 &quot;骨質疏鬆症”係指骨頭隨著骨頭質量之降低而稀化,, 此係由於鈣與骨頭蛋白質之耗乏所致。骨質疏鬆症使人們 易罹患骨折,其經常係為緩慢痊癒且不良痊癒。未受遇止 之骨質疏鬆症可能會導致姿勢改變、身體畸型及減少移動 性。 BPH (良性前列腺增生)’為前列腺之非惡性腫大,且為在 任何内臟器官中所發現之最常見非惡性增生異常,及成人 男性發病之主要原因。BPH係發生在超過75%之50歲以上 男性中’在九十歲期間達到88%感染率。BPH會不斷地造 200307661 (54) 成橫越前列腺之尿道(前列腺尿道)部份之慢慢擠壓。這會 由於膀胱之不完全排空作用及排尿之急切性,而造成病患 經歷不斷催促排尿。尿流動之阻塞亦可能導致排尿上之一 般缺乏控制,包括當需要時,難以引發排尿,以及難以防 止尿流動,因為不能夠自膀胱排空尿液,這是一種被稱為 溢流尿失禁之症狀,其可能會導致尿阻塞及乐衰竭。 &quot;認知力”係指理解之過程,明確言之,為察覺、明瞭、 思考、學習及判斷之過程。認知力係關於心理學、語言學 、計算機科學、神經科學、數學、人種學及哲學之領域。 π心情”一詞係指精神之性情或狀態。正如意欲涵蓋於本文 中者,改變係意謂認知力及/或心情上之任何正面或負面 變化。 &quot;抑鬱”一詞係指涉及身體、心情及思考之疾病,其會影 嚮人們飲食、睡眠之方式,及一個人自我感覺且思考事物 之方式。抑鬱之跡象與徵候包括對活動失去笋趣、失去食 慾或過食、失去感情表達、心情空虛,無望、悲觀、内疚 或無助之感覺,社會脫離、疲勞、睡眠失調,專心、回憶 或作決定有困難’睡不著、刺激性、頭痛、消化病症或慢 性疼痛。 &quot;毛髮掉落&quot;—詞,醫學上稱為禿髮,其係指光禿,如在 男性型式光禿之極常見類型上。丨禿典型上係由頭皮上之 小片塊毛髮掉落開#,而有時進展至完全光禿,且甚至失 去體毛。毛髮掉落會影嚮男性與女性。 ”貧血丨1係指在血液中且有你认τ ^ 3 ^丄 從甲,、耳低於正常紅血球數或低於正常 200307661 (55) 血紅素量之症狀。血液之載氧能力係因此而降低。具有貧 血之人們可能容易感覺疲倦與疲勞,顯得蒼白,發展心悸 ,及經常變得呼吸短促。貧血係因四項基本因素所造成: a)出血(流血);b)紅血球溶解(紅血球之過度破壞);c)紅血 球生產不足;及d)無足夠正常血紅素。貧血有許多形式, 包括再生障礙性貧血、苯中毒、Fanconi貧血、新生兒溶血 疾病、遺傳性球狀血球症、鐵缺乏貧血、骨質石化病、惡 性貧血、鐮狀細胞疾病、地中海貧血症、脊髓發育不良徵 候簇及多種骨髓疾病。正如意欲涵蓋於本文中者,本發明 之SARM化合物可用於預防及/或治療上文列示之任一種或 多種貧血形式。 π肥胖’’係指遠高於一個人正常體重之狀態。傳統上,若 人們超過其理想體重之20百分比,其即被認為是肥胖。肥 胖已更明確地被國家衛生研究所(ΝΙΗ)定義為身體對質量指 數(ΒΜΙ)為30或以上。肥胖經常為多因素的,以遺傳與行為 因素為基礎。由於肥胖所致之過重為對健康問題之一項重 要助長因素。其會增加發展多種疾病之風險,包括:第2 型(成年展開)糖尿病;高血壓(高血壓);中風(腦血管意外 或CVA);心臟病發作(心肌梗塞或ΜΙ);心臟衰竭(營血性心 哀竭)’癌症(某些形式,譬如前列腺之癌症,及結腸與直 腸之癌症);膽結石與膽囊疾病(膽囊炎);痛風與痛風性關 節炎;膝部、髖部及下背部之骨關節炎(變性關節炎);睡 眠窒息(在睡覺期間未能正常呼吸,降低血氧);及pickwic]dan 氏徵候緩(肥胖、紅臉、換氣不足及嗜眠)。正如意欲涵蓋 200307661(53) Worse. The term "recurrence" as used herein means the recovery of the disease after remission. As used herein, the term "administration" refers to bringing a patient into contact with a SARM compound of the invention. When As used herein, administration can be achieved in vitro, meaning in a test tube, or in vivo, meaning in a living organism, such as a cell or tissue of a human. In a specific embodiment, the invention encompasses The compound of the present invention is administered to a patient. The term "sexual desire" as used herein means sexual need. The term "erection" used herein means that it can be erect. An erection tissue is a tissue that can be greatly expanded and become hard by the expansion of many of the blood vessels it contains. &quot; Hypogonadism "is a symptom characterized by abnormality of the gonads that reduces functional activity and retards growth or sexual development, or the symptoms caused by it." Bone deficiency refers to reducing the calcification or density of bone. It is a term covering all skeletal systems in which such symptoms are found. "Osteoporosis" refers to the thinning of bones as bone mass decreases. This is caused by the depletion of calcium and bone proteins. Osteoporosis makes people susceptible to fractures. It is often a slow healing and bad Healed. Untreated osteoporosis may cause posture changes, physical deformities, and reduced mobility. BPH (benign prostatic hyperplasia) is a non-malignant enlargement of the prostate and is the most commonly found in any internal organ Common non-malignant hyperplasias and the main cause of adult men's disease. BPH occurs in more than 75% of men over the age of 50 'and reaches 88% infection rate during the age of 90. BPH will continue to make 200307661 (54) into horizontal The urethra (prostatic urethra) part of the prostate slowly squeezes. This will cause the patient to experience continuous urinating due to the incomplete emptying of the bladder and the urgency of urination. Blocking of urine flow may also cause urination. There is generally a lack of control, including difficulty in inducing urination when needed, and difficulty in preventing urine flow, as the inability to empty urine from the bladder is a condition known as Overflow incontinence of symptoms, which may lead to urinary obstruction and music exhaustion &quot;. Cognition "refers to the process of understanding, clear words, to perceive, understand, think, learn and judge the process. Cognition is the field of psychology, linguistics, computer science, neuroscience, mathematics, ethnography, and philosophy. The term “π mood” refers to the temperament or state of mind. As intended in this context, change means any positive or negative change in cognition and / or mood. &quot; Depression 'refers to physical, The diseases of mood and thinking affect the way people eat, sleep, and the way one feels and thinks about themselves. Signs and symptoms of depression include loss of fun, loss of appetite or overeating, loss of emotional expression, feeling empty, hopeless, pessimistic, feelings of guilt or helplessness, social disengagement, fatigue, sleep disorders, concentration, recall or decision making Difficulty can't sleep, irritating, headache, digestive disorders or chronic pain. &quot; Hair Dropping &quot; —The word, medically called baldness, refers to baldness, as in the very common type of male pattern baldness. The baldness is typically caused by small pieces of hair falling off the scalp, and sometimes progresses to complete baldness, and even loses body hair. Hair fall affects both men and women. "Anemia 1" refers to the symptoms in the blood that you think τ ^ 3 ^ 丄 from the nails, ears are lower than normal red blood cells or lower than the normal 200307661 (55) amount of hemoglobin. The oxygen-carrying capacity of blood is therefore Decreased. People with anemia may easily feel tired and fatigued, appear pale, develop palpitations, and often become short of breath. Anemia is caused by four basic factors: a) bleeding (bleeding); b) red blood cell dissolution (of red blood cells) Excessive destruction); c) insufficient production of red blood cells; and d) insufficient normal hemoglobin. Anemia can take many forms, including aplastic anemia, benzene poisoning, Fanconi anemia, neonatal hemolytic disease, hereditary spherocytosis, iron deficiency Anemia, oste petrochemical disease, malignant anemia, sickle cell disease, thalassemia, spinal dysplasia syndrome and various bone marrow diseases. As intended to be included herein, the SARM compounds of the present invention can be used to prevent and / or treat the above Any one or more of the forms of anemia listed. Π Obesity refers to a state much higher than a person's normal weight. Traditionally, if people exceed their Think about 20% of body weight, which is considered to be obese. Obesity has been more clearly defined by the National Institutes of Health (NI) as a body-to-mass index (BMI) of 30 or more. Obesity is often multifactorial. Behavioural factors-based. Overweight due to obesity is an important contributing factor to health problems. It increases the risk of developing many diseases, including: type 2 (adult onset) diabetes; hypertension (hypertension); stroke (Cerebral vascular accident or CVA); heart attack (myocardial infarction or MI); heart failure (campaign heart failure) 'cancer (some forms, such as prostate cancer, and colon and rectal cancer); gallstones and Gallbladder Disease (Cholecystitis); Gout and Gouty Arthritis; Osteoarthritis of the Knee, Hip, and Lower Back (Degenerative Arthritis); Sleep Apnea (Failure to Breathe Normally While Sleeping, Reduce Blood Oxygen); and Pickwic ] dan's symptoms (obesity, red face, hypoventilation, and sleepiness). As intended to cover 200307661

(56) 於本文中者,&quot;肥胖”一詞係包括任一種上文列示之肥胖相 關症狀與疾病。因此,本發明之SARM化合物可用於預防 及/或治療肥胖及任一種或多種上文列示之肥胖相關症狀 與疾病。 ••前列腺癌”為在美國男性中最常發生之癌症之一,其中 每年係診斷出數以百計數以千計之新病例。已發現超過六 十百分比之新診斷出之前列腺癌病例,於病理學上係被進 展,沒有治癒,及憂鬱之預後。所有超過5〇歲男性中,三 分之一具有潛在形式之前列腺癌,其可被活化成為威脅生 命之臨床如列腺癌形式。潛在前列腺腫瘤之頻率,已註實 會實質上隨著每十年壽命而增加,從5〇歲(5.3-14% )至9〇歲 (40-80% )。具有潛在前列腺癌之人數,越過所有文化、族 群及人種均為相同,而臨床上強勢癌症之頻率卻又顯著地 不同。這暗示環境因素可在活化潛在前列腺癌上,扮演一 項角色。 於一項具體實施例中,本發明方法包括以單獨活性成份 投予SARM化合物。但是,亦涵蓋在本發明範圍内者為關 於激素治療、關於治療前列腺癌、關於延遲前列腺癌之進 展及關於預防及/或治療前列腺癌再發生之方法,其包括 投予SARM化合物,且併用一或多種治療劑。此等藥劑包 括但不限於:LHRH類似物、可逆抗雄激素、抗雌激素、抗 癌藥、5- α還原酶抑制劑、芳香酶抑制劑、黃體製劑、經 過其他核激素受體發生作用之藥劑、選擇性雌激素受體調 節劑(SERM)、黃體酮、雌激素、PDE5抑制劑、阿樸嗎啡、 (57) (57)200307661(56) As used herein, the term "obesity" includes any of the obesity-related symptoms and diseases listed above. Therefore, the SARM compounds of the present invention can be used to prevent and / or treat obesity and any one or more of them. The obesity-related symptoms and diseases listed here are: • Prostate cancer ”is one of the most common cancers among men in the United States, with hundreds of thousands of new cases diagnosed each year. It has been found that more than sixty percent of newly diagnosed prostate cancer cases have been pathologically progressed without cure and prognosis for depression. One-third of all men over 50 years of age have a potential form of prostate cancer that can be activated into a life-threatening clinical form such as prostate cancer. The frequency of potential prostate tumors has been shown to increase substantially with every ten years of life, from 50 years (5.3-14%) to 90 years (40-80%). The number of people with potential prostate cancer is the same across all cultures, ethnic groups, and races, but the frequency of clinically strong cancers is significantly different. This suggests that environmental factors can play a role in activating potential prostate cancer. In a specific embodiment, the method of the invention comprises administering the SARM compound as a separate active ingredient. However, it is also encompassed within the scope of the present invention are methods relating to hormone therapy, to treating prostate cancer, to delaying the progression of prostate cancer, and to preventing and / or treating the recurrence of prostate cancer, which include administering a SARM compound and using a combination of Or multiple therapeutic agents. These agents include, but are not limited to: LHRH analogs, reversible antiandrogens, antiestrogens, anticancer drugs, 5-alpha reductase inhibitors, aromatase inhibitors, lutein preparations, and other nuclear hormone receptors Agents, selective estrogen receptor modulators (SERM), progesterone, estrogen, PDE5 inhibitors, apomorphine, (57) (57) 200307661

雙膦酸鹽及一或多種其他SARM。 因此於項具體實施例中,本發明方法係包括投予選 擇性雄激素受體調節劑化合物,且併用lhrh類似物。於另 一項具體實施例中,本發明方法係包括投予選擇性雄激素 文體調節劑化合物,且併用可逆抗雄激素。於另一項具體 貫私例中,本發明方法係包括投予選擇性雄激素受體調節 劑化合物,且併用抗雌激素。於另一項具體實施例中,本 發明方法係包括投予選擇性雄激素受體調節劑化合物,且 併用抗癌藥物。於另一項具體實施例中,本發明方法係包 括投予選擇性雄激素受體調節劑化合物,且併用5_“還原 酶抑制劑。於另一項具體實施例中,本發明方法係包括投 予選擇性雄激素受體調節劑化合物,且併用芳香酶抑制劑 。於另一項具體實施例中,本發明方法係包括投予選擇性 雄激素受體調節劑化合物,且併用黃體酮。於另一項具體 實施例中,本發明方法係包括投予選擇性雄激素受體調節 劑化合物,且併用一種經過其他核激素受體發生作用之藥 劑。於另一項具體實施例中,本發明方法係包括投予選擇 性雄激素受體調節劑化合物,且併用選擇性雌激素受體調 節劑(SERM)。於另一項具體實施例中,本發明方法係包括 投予選擇性雄激素受體調節劑化合物,且併用黃體§同。於 另一項具體實施例中,本發明方法係包括投予選擇性雄激 素受體調節劑化合物,且併用雌激素。於另一項具體實施 例中’本發明方法係包括投予選擇性雄激素受體調節劑化 合物,且併用PDE5抑制劑。於另一項具體實施例中,本發 200307661 (58)Bisphosphonates and one or more other SARMs. Therefore, in a specific embodiment, the method of the present invention comprises administering a selective androgen receptor modulator compound, and using 1hrh analogs in combination. In another embodiment, the method of the present invention comprises administering a selective androgen stylistic modulator compound and using a reversible antiandrogen. In another specific embodiment, the method of the present invention comprises administering a selective androgen receptor modulator compound and using an anti-estrogen. In another embodiment, the method of the present invention comprises administering a selective androgen receptor modulator compound and using an anticancer drug in combination. In another embodiment, the method of the present invention comprises administering a selective androgen receptor modulator compound, and using a 5- "reductase inhibitor. In another embodiment, the method of the present invention comprises administering A selective androgen receptor modulator compound is used in combination with an aromatase inhibitor. In another embodiment, the method of the present invention comprises administering a selective androgen receptor modulator compound and used progesterone in combination. In another embodiment, the method of the present invention comprises administering a selective androgen receptor modulator compound and using an agent that acts through other nuclear hormone receptors. In another specific embodiment, the present invention The method comprises administering a selective androgen receptor modulator compound in combination with a selective estrogen receptor modulator (SERM). In another embodiment, the method of the invention comprises administering a selective androgen receptor modulator Body modulator compounds, and the same use of the corpus luteum §. In another embodiment, the method of the present invention comprises administering a selective androgen receptor modulator compound, and Concomitant use of estrogen. In another embodiment, the method of the present invention includes administering a selective androgen receptor modulator compound in combination with a PDE5 inhibitor. In another embodiment, the present invention 200307661 (58 )

明方法係包括投予選擇性雄激素受體調節劑化合物,且併 用阿樸嗎啡。於另一項具體實施例中,本發明方法係包括 才又丁選擇性雄激素受體調節劑化合物,且併用雙膦酸鹽。 於另一項具體實施例中,本發明方法係包括投予選擇性雄 激素受體調節劑化合物,且併用一或多種其他SARM。 於一項具體實施例中,本發明係提供一種組合物與一種 醫藥組合物,其包含任何式〖Λα之選擇性雄激素受體調節 劑化合物,及/或其類似物、衍生物、異構物、新陳代謝 產物蕖子上可接受之鹽、醫藥產物、水合物或Ν-氧化物 或其任何組合;及適當載劑或稀釋劑。 於本文中使用之”醫藥組合物&quot;係意謂治療上有效量之 SARM,伴隨著適當稀釋劑、防腐劑、增溶劑、乳化劑、 佐劑及/或載劑。於本文中使用之&quot;治療上有效量”係指對 特定症狀與投藥服用法提供治療效果之量。此種組合物係 為液體或經凍乾或以其他方式乾燥之配方,且包含各種緩 衝含量之稀釋劑(例如Tris-HCl、醋酸鹽、磷酸鹽),ρΗ與離 子強度添加劑,譬如白蛋白或明膠,以防止吸收至表面, 清潔劑(例如 Tween 20、Tween 80、Pluronic F68、膽汁酸鹽)、促 溶劑(例如甘油、聚乙烯甘油)、抗氧化劑(例如抗壞血酸 、偏亞硫酸氫鈉)、防腐劑(例如硫柳汞、芊醇、對經基苯 甲酸酯類)、膨鬆化物質或滲透性改質劑(例如乳糖、甘露 醇)’聚合體譬如聚乙二醇對蛋白質之共價連接,與金屬 離子之錯合,或摻入此物質至聚合體化合物譬如聚乳酸、 聚乙醇酸、水凝膠等之微粒子製劑中或於其上,或於微脂 200307661 (59) 粒、微乳化液、微胞、單層狀或多層狀泡囊、假紅血球或 球狀體上。此種組合物將影嚮物理狀態、溶解度、安定性 、活體内釋出速率及活體内清除速率。受控或持續釋出組 合物包括在親脂性積貯(例如脂肪酸類、蠟類、油類)中之 配方。 亦被本發明所包括者係為已塗覆聚合體(例如聚&amp; ^ (poloxamer)或聚氧胺(poloxamine))之微粒子組合物。本發明組人 物之其他具體實施例係摻入微粒子形式之保護塗層,蛋白 酶抑制劑或滲透增強劑,供各種投藥途徑使用,包括非_ 腸、肺、鼻及口腔。於一項具體實施例中,此醫藥組合物 係以非經腸、抗癌、經黏膜、經皮、肌内、靜脈内、皮内 、皮下、陰道内、腹膜腔内、室内、顱内或腫瘤内方式投 諳 一人〜私削,係為; 此藝者所習知,且包括但不限於〇 〇1_〇1M,而較佳為⑽$ 之磷酸鹽緩衝劑,或〇·8%鹽水。此外,此種藥學上可接 (載劑可為水性或非水性溶液、懸浮液及乳化: 洛劑 &lt; 實例為丙二醇、聚 醇, 伹物'由,譬如椒與、丄 及可注射有機酯類,嬖 見,The method involves administering a selective androgen receptor modulator compound and using apomorphine in combination. In another embodiment, the method of the present invention comprises a selective androgen receptor modulator compound and a bisphosphonate. In another specific embodiment, the method of the invention comprises administering a selective androgen receptor modulator compound and using one or more other SARMs. In a specific embodiment, the present invention provides a composition and a pharmaceutical composition comprising any selective androgen receptor modulator compound of the formula [Λα], and / or its analogs, derivatives, isomers Acceptable salts, pharmaceutical products, hydrates or N-oxides or any combination thereof; and appropriate carriers or diluents. "Pharmaceutical composition" as used herein means a therapeutically effective amount of SARM, accompanied by appropriate diluents, preservatives, solubilizers, emulsifiers, adjuvants and / or carriers. &Quot; Used herein &quot; "Therapeutically effective amount" means an amount that provides a therapeutic effect on a specific symptom and administration of a medication. This composition is a liquid or lyophilized or otherwise dried formulation and contains various buffering diluents (such as Tris-HCl, acetate, phosphate), ρΗ and ionic strength additives, such as albumin or Gelatin to prevent absorption to the surface, cleaners (such as Tween 20, Tween 80, Pluronic F68, bile acid salts), solubilizers (such as glycerol, polyvinyl glycerol), antioxidants (such as ascorbic acid, sodium metabisulfite), Preservatives (such as thimerosal, methyl alcohol, parabens), bulking substances or osmotic modifiers (such as lactose, mannitol) 'polymers such as polyethylene glycol covalently linked to proteins, Incorporation with metal ions, or incorporation of this substance into or on microparticle formulations of polymer compounds such as polylactic acid, polyglycolic acid, hydrogel, etc., or in microfat 200307661 (59) particles, microemulsions , Cells, monolayer or multilayer vesicles, pseudo red blood cells or spheroids. Such a composition will affect the physical state, solubility, stability, release rate in vivo and clearance rate in vivo. Controlled or sustained release compositions include formulations in lipophilic reservoirs (eg fatty acids, waxes, oils). Also encompassed by the present invention are microparticle compositions that have been coated with a polymer, such as poly (poloxamer) or polyoxamine. Other specific embodiments of the human group of the present invention incorporate protective coatings in the form of microparticles, protease inhibitors or penetration enhancers for various administration routes, including non-intestinal, lung, nasal and oral cavity. In a specific embodiment, the pharmaceutical composition is parenteral, anticancer, transmucosal, transdermal, intramuscular, intravenous, intradermal, subcutaneous, intravaginal, intraperitoneal, indoor, intracranial or Intratumoral methods are used for one person to privatize, which is known to the artist, and includes but is not limited to 〇001_〇1M, and preferably a phosphate buffer of ⑽ $, or 0.8% saline . In addition, such pharmacologically acceptable (carriers can be aqueous or non-aqueous solutions, suspensions and emulsifications: lozenges &lt; examples are propylene glycol, polyalcohols, phospholipids, such as pepper, hydrazone and injectable organic ester See you,

性/水性一 , 9水性載劑包括水、I /水性洛液、乳化液或懸浮液,包括睡 非經胳^甘β A Λ β 1水與緩衝媒質。 駘媒剑C括乳化鈉溶液、林袼 氯化麵、乳酸化$蚨&amp; &lt; '石旋糖、右旋糖: 、… 林格氏液及不揮發油。靜脈…h 流體與營糸满古你 爾脈内媒劑包彳 呂養補无物,電解質補充物,嬖 為基蹲者,芬使 &quot; ^林袼氏右旋i 及,、肩似物。防腐劑及其 升他添加劑亦可存在 200307661 () 例如抗微生物劑、抗氧化劑、收集劑、惰性氣體等。 文控或持續釋出組合物包括在親脂性積貯(例如脂肪酸 類、蠟類、油類)中之配方。亦被本發明所包括者係為已 塗覆聚合體(例如聚氧體或聚氧胺)之微粒子組合物,及偶 合至針對組織專一受體、配位體或抗原之抗體,或偶合至 組織專一受體之配位體之化合物。 本發明組合物之其他具體實施例,係摻入微粒子形式、 保護性塗層、蛋白酶抑制劑或滲透增強劑,供各種投藥途 4二使用’包括非經腸、肺、鼻及口腔。 已知藉由水溶性聚合體譬如聚乙二醇、聚乙二醇與聚丙 二醇之共聚物、羧甲基纖維素、葡聚醣、聚乙烯醇、聚乙 晞基四氫峨嘻嗣或聚脯胺酸之共價連接所改質之化合物, 於靜脈内注射之後,與其相應未經改質之化合物相較,會 在血液中顯示實質上較長半生期(Abuchowski等人,1981; Newmark 等人,1982,及Katre等人,1987)。此種改質亦可增加化合物在 水溶液中之溶解度,排除聚集作用,提高化合物之物理與 化學士足性’及大為降低化合物之致免疫性與反應性。因 此’所要之活體内生物學活性,與使用未改質之化合物相 較’可以較不頻繁或以較低劑量,藉由投予此種聚合體_ 化合物加成物達成。 於又另一項具體實施例中,醫藥組合物可以受控釋出系 統傳輸。例如’此藥劑可使用靜脈内灌注、可植入滲透泵 、經皮貼藥、微脂粒或其他投藥模式投藥。於一項具體實 施例中’可使用泵(參閱Langer,同前文出處;Sefton,CRC Crit. Ref. 200307661Aqueous / water-based, 9 aqueous vehicles include water, I / aqueous solution, emulsions, or suspensions, including non-menstrual β A β β 1 water and buffered media. The medium sword C includes emulsified sodium solution, lindrin chloride, lactic acid 蚨 &amp; &lt; 'stone dextrose, dextrose:, ... Ringer's solution and non-volatile oil. The veins ... h fluids and camps. Mangu's veins. Intravenous media packs: Lv Yangbuwu, electrolyte supplements, 嬖 are basic squats, Fenshi &quot; Preservatives and other additives can also be present 200307661 () such as antimicrobials, antioxidants, collectors, inert gases, etc. Controlled or sustained release compositions include formulations in lipophilic reservoirs (eg fatty acids, waxes, oils). Also encompassed by the present invention are microparticle compositions that have been coated with a polymer (such as polyoxygen or polyoxyamine), and antibodies coupled to a tissue-specific receptor, ligand, or antigen, or coupled to tissue A compound that is a ligand for a specific receptor. Other specific embodiments of the composition of the present invention are incorporated in the form of microparticles, protective coatings, protease inhibitors or penetration enhancers for various routes of administration, including parenteral, pulmonary, nasal and oral cavity. It is known to use water-soluble polymers such as polyethylene glycol, copolymers of polyethylene glycol and polypropylene glycol, carboxymethyl cellulose, dextran, polyvinyl alcohol, polyethylene tetrahydroe The modified compound covalently linked to proline after intravenous injection will show a substantially longer half-life in blood compared to its corresponding unmodified compound (Abuchowski et al., 1981; Newmark et al. (1982, and Katre et al., 1987). Such modification can also increase the solubility of the compound in the aqueous solution, eliminate the aggregation effect, improve the physical and chemical footing of the compound 'and greatly reduce the immunogenicity and reactivity of the compound. Therefore, 'the desired biological activity in vivo can be achieved less frequently or at lower doses compared to the use of unmodified compounds' by administering such polymer_ compound adducts. In yet another embodiment, the pharmaceutical composition can be delivered in a controlled release system. For example, 'the drug can be administered using intravenous infusion, implantable osmotic pumps, transdermal patches, microlipids, or other modes of administration. In a specific embodiment, the pump can be used (see Langer, supra; Sefton, CRC Crit. Ref. 200307661

(61)(61)

Biomed.Eng. 14: 201 (1987); Buchwald等人,Surgery 88: 507(1980); Saudek 等人,N· Engl· J. Med. 321 : 574 (1989))。於另一項具體實施例中, 可使用聚合物質。於又另一項具體實施例中,可將受控釋 出系統放置在治療標的(意即腦部)附近,因此僅需要一部 份系統劑量(參閱,例如Goodson,受控釋出之醫療應用,同前 文出處,第2卷,第115-138頁(1984))。其他受控釋出系統係討 論於 Langer之回顧中(Science,249 : 1527-1533 (1990))。 醫藥製劑可單獨包含SARM劑,或可進一步包含藥學上可 接受之載劑,並可呈固體或液體形式,譬如片劑、粉末、 膠囊、柱粒、溶液、懸浮液、舰劑、乳化液、凝膠、乳膏 或栓劑,包括直腸與尿道栓劑。藥學上可接受之載劑包括 膠質、澱粉、糖類、纖維素物質,及其混合物。含有SARM 劑之醫藥製劑,可藉由例如皮下植入柱粒,投予病患;於 進一步具體實施例中,此柱粒係提供SARM劑之受控釋出 ,歷經-段時間。此製劑亦可藉由液體製剩之靜脈内、動 脈内或肌内注射,液體或固體製劑之口服投藥,或藉由局 部塗敷進行投樂。投藥亦可南丨爾古胆^ 1 仪果奶j利用直知栓劑或尿道栓劑達成。 本發明之醫藥製密丨丨可0 4 、、、^^ I禾表Μ 了猎由已知〈落解、混合、粒化或片Biomed. Eng. 14: 201 (1987); Buchwald et al., Surgery 88: 507 (1980); Saudek et al., N. Engl. J. Med. 321: 574 (1989)). In another embodiment, a polymeric substance may be used. In yet another embodiment, the controlled release system can be placed near the target of treatment (meaning the brain), so only a portion of the system dose is required (see, for example, Goodson, Controlled Release Medical Applications) , Ibid., Vol. 2, pp. 115-138 (1984)). Other controlled release systems are discussed in Langer's review (Science, 249: 1527-1533 (1990)). The pharmaceutical preparation may contain a SARM agent alone, or may further include a pharmaceutically acceptable carrier, and may be in a solid or liquid form such as a tablet, powder, capsule, column, solution, suspension, naval agent, emulsion, Gels, creams or suppositories, including rectal and urethral suppositories. Pharmaceutically acceptable carriers include gums, starches, sugars, cellulosic materials, and mixtures thereof. A pharmaceutical preparation containing a SARM agent can be administered to a patient by, for example, subcutaneous implantation of spherules. In a further specific embodiment, this stem particle provides controlled release of the SARM agent over a period of time. This preparation can also be administered intravenously, intra-arterially or intramuscularly from liquid leftovers, orally administered liquid or solid preparations, or by local application. The administration can also be achieved by using guzhi suppositories or urethral suppositories. The medicinal preparation of the present invention can be 0 4,,, ^^ I and Table M. It can be obtained from the known <degradation, mixing, granulation or tablets

劑形成方法製成。對口 沪銥 ..^ OA 了口服技樂,係將SARM劑或其生理學 上容許之衍生物,嬖如躏龆、糾細 χτ ^ 、 -戈皿頰酉日類、Ν-虱化物等,盥習用 於此項目的之添加劑混合,譬如媒劑、安定劑或惰性稀釋 劑,並精習用方法轉化成適當投藥形&lt;,譬如片劑、塗層Agent formation method. The counterpart Shanghai iridium .. ^ OA has oral gambling, which is based on the SARM agent or its physiologically acceptable derivative, such as 躏 龆, fine χτ ^, -Ge dish cheek 酉 day class, N-lice compounds, etc. Additive blends used in this project, such as vehicles, stabilizers or inert diluents, and refined methods to convert into appropriate dosage forms such as tablets, coatings

片劑、硬或軟明膠膨壹,^ a _ R 膠膠囊,水性、醉性或油性溶液。適當惰 性媒劑《實例為習用片劑基,^ ^ ^ ^ ^ ^ ^ 0 7孔糖、庶糖或玉米澱 200307661 (62)Tablets, hard or soft gelatin swelled, ^ a _ R gelatin capsules, aqueous, drunk or oily solution. Appropriate inert vehicle "example is a conventional tablet base, ^ ^ ^ ^ ^ ^ ^ 0 7-hole sugar, sugar or corn starch 200307661 (62)

粉,且’併用 隨著崩解劑 隨著潤滑劑 適當油性 花油或魚肝 投藥(皮下’ 其生理學上 ,轉化成溶 合此項目的 菌液體,譬 他藥學上可 或合成來源 言,水、鹽 ,譬如丙二 可注射溶液 含有活性, 為明瞭的。 被傳輸至鼻 懸浮液;但 液體中之固 成份與賦形 活性成份相 油、乙醇或 此外,組1 黏合劑,譬如阿拉伯膠、玉米澱粉、明膠,伴 ,譬如玉米凝粉、馬铃薯凝粉、海藻酸,或伴 ,譬如硬脂酸或硬脂酸鎂。 媒劑或溶劑之實例為植物或動物油類,譬如葵 油。製劑可以乾燥與潮濕顆粒達成。對非經腸 靜脈内、動脈内或肌内注射),可將SARM劑或 容許之衍生物,譬如鹽類、酯類、N_氧化物等 液、懸浮液或乳化液,若需要則使用習用且適 之物質,例如增溶劑或其他輔助劑。實例為無 士 K人/由類’添加或未添加界面活性劑,及其 接受之佐劑。說明性油類為石油、動物、植物 之/由類例如花生油、大豆油或礦油。一般而 水、右旋糖水溶液及相關糖溶液,以及二醇類 醇或聚乙二醇,係為較佳液體載劑,特別是供 用。 成份之醫藥組合物之製備,係為此項技藝中極 典型上,此種組合物係被製成多肽之氣溶膠, 咽,或作成可注射劑,無論是作成液體溶液或 是’亦可製備適合在注狀前溶解於或懸浮於 體形式。此製劑亦可被乳化 '經常將活性治療 劍混合,該賦形劑係為藥學上可接受,並可與 容。適當贼形劑為例如水、鹽水、右旋糖、甘 類似物,或其任何組合。 物可含有少量辅助物質,譬如潤濕或乳化劑 200307661Powder, and 'combined with the disintegrant and lubricant suitable oily flower oil or cod liver (subcutaneous'), physiologically, it is transformed into a bacterial liquid that dissolves this item, for example, he can be pharmacologically or synthetically, Water, salts, such as propylene glycol injectable solutions, are active, and are clear. They are transferred to nasal suspensions; but the solids and liquid active ingredients in the liquid are oil, ethanol, or, in addition, group 1 adhesives, such as gum arabic , Corn starch, gelatin, such as corn curd, potato curd, alginic acid, or companion, such as stearic acid or magnesium stearate. Examples of vehicles or solvents are vegetable or animal oils, such as sunflower oil . The formulation can be achieved with dry and moist granules. For parenteral intravenous, intra-arterial or intramuscular injection), SARM agents or permitted derivatives such as salts, esters, N_oxide and other liquids and suspensions can be used. Or emulsion, if necessary, use conventional and suitable substances, such as solubilizers or other adjuvants. Examples are non-K people / with or without added surfactants, and adjuvants that they accept. Illustrative oils are petroleum / animal / vegetables such as peanut oil, soybean oil or mineral oil. Generally, water, aqueous dextrose and related sugar solutions, and glycol alcohols or polyethylene glycols are the preferred liquid carriers, especially for use. The preparation of a pharmaceutical composition of ingredients is very typical in this technology. This composition is made into an aerosol of a polypeptide, a pharynx, or an injectable, whether it is a liquid solution or a 'suitable preparation. Dissolve or suspend in bulk form before injection. This formulation can also be emulsified 'the active therapeutic sword is often mixed and the excipient is pharmaceutically acceptable and compatible. Suitable thieves are, for example, water, saline, dextrose, analogues, or any combination thereof. May contain small amounts of auxiliary substances, such as wetting or emulsifying agents 200307661

(63) ’ pH緩衝劑,其會加強活性成份之有效性。 可將活性成份以已中和之藥學上可接受鹽形式,調配至 組合物中。藥學上可接受之鹽,包括酸加成鹽(與多肽或 抗體分子之自由態胺基形成),其係與無機酸,例如鹽酸 或磷酸,或有機酸,譬如醋酸、草酸、酒石酸、苯乙醇酸 等一起形成。從自由態羧基形成之鹽,亦可衍生自無機驗 ,例如鈉、鉀、銨、鈣或鐵氫氧化物,及有機鹼,譬如異 丙胺、三甲胺、2-乙胺基乙醇、組胺酸、普魯卡因等。 關於使用例如乳膏、凝膠、滴劑等以局部投藥至身體表 面而言,係將SARM劑或其生理學上容許之衍生物,譬如 鹽類、酯類、N-氧化物等,在生理學上可接受之稀釋劑中 ,使用或未使用醫藥載劑,以溶液、懸浮液或乳化液製備 與施用。 於另一項具體實施例中,活性化合物可以泡囊,特別是 微脂粒,進行傳輸(參閱 Langer,Science 249 : 1527-15;33 (1990) ; Treat 等人,於傳染病與癌症治療上之微脂粒,Lopez-Berestein與Fidler ( 編著),Liss,NewYork,第 353_365 頁(1989) ; Lopez-Berestein,同前出處, 第317-327頁;一般性地參閱同前出處)。 對於在醫藥上之用途而言,SARM之鹽係為藥學上可接受 之鹽。但是,其他鹽可用於製備根據本發明之化合物或其 藥學上可接受之鹽。本發明化合物之適當藥學上可接受之 鹽類,包括酸加成鹽,其可藉由例如將根據本發明化合物 之溶液與藥學上可接受酸之溶液混合而形成,該酸譬如鹽 酸、硫酸、甲烷磺酸、反丁烯二酸、順丁烯二酸、琥珀酸 200307661(63) 'pH buffering agent, which enhances the effectiveness of the active ingredient. The active ingredient can be formulated into the composition in the form of a neutralized pharmaceutically acceptable salt. Pharmaceutically acceptable salts, including acid addition salts (formed with the free-state amine groups of a polypeptide or antibody molecule), with inorganic acids, such as hydrochloric acid or phosphoric acid, or organic acids, such as acetic acid, oxalic acid, tartaric acid, phenylethanol Acids are formed together. Salts formed from free-state carboxyl groups can also be derived from inorganic compounds such as sodium, potassium, ammonium, calcium, or iron hydroxides, and organic bases such as isopropylamine, trimethylamine, 2-ethylaminoethanol, and histamine , Procaine, etc. For the topical administration of body creams such as creams, gels, drops, etc., SARMs or their physiologically acceptable derivatives, such as salts, esters, N-oxides, etc. The scientifically acceptable diluent is prepared and administered as a solution, suspension or emulsion with or without a pharmaceutical carrier. In another embodiment, the active compound can be delivered via vesicles, particularly microlipids (see Langer, Science 249: 1527-15; 33 (1990); Treat et al., For the treatment of infectious diseases and cancer Lipids, Lopez-Berestein and Fidler (eds.), Liss, New York, pp. 353_365 (1989); Lopez-Berestein, supra, pp. 317-327; see cit. For pharmaceutical use, SARM salts are pharmaceutically acceptable salts. However, other salts can be used to prepare the compound according to the present invention or a pharmaceutically acceptable salt thereof. Suitable pharmaceutically acceptable salts of the compounds of the present invention include acid addition salts, which can be formed, for example, by mixing a solution of a compound according to the present invention with a solution of a pharmaceutically acceptable acid, such as hydrochloric acid, sulfuric acid, Methanesulfonic acid, fumaric acid, maleic acid, succinic acid 200307661

(64) 、醋酸、苯甲酸、草酸、檸檬酸、酒石酸、碳酸或磷酸。 實施方式 提出下述實例,以更充分地說明本發明之較佳具體實施 例。但是,絕不應將其解釋為限制本發明之廣義範圍。 實驗細節段落 會例1-結合親和力 結合親和力係按He等人,Eur. J· Med· Chem· (2002),619-634中所述 ;與按 Mukheijee 等人,Xenobiotica(1996),26,117-122 中所述測得。 識別 號 分子重量 結構 Ki _ RBA (%) 1 420.29 3.4±0.56 17.6 2 CnHi〇FgN2〇5 474.26 1.37士 0.34 13.3 3 C17H12F6N2O5 438.28 :;〇Ac。奋· 11.3 土 1.1 3.1 4 Cl7Hl6F4N205 418.3 6.〇i〇.7 5.8 5 C17H13F5N2O3 420.29 3.2±0.3 10.9 6 Ci7Hi2F6N2〇5 438*28 :;〇^。泰 9.1±0.6 3.4 7 C17H13C1F4N205 436.74 ^OJUOC1 / OH 4·9±0.3 9.1 8 C17H13C1F4N205 436.74 10.3±2.0 4.3 200307661(64), acetic acid, benzoic acid, oxalic acid, citric acid, tartaric acid, carbonic acid or phosphoric acid. Embodiments The following examples are presented to more fully illustrate preferred specific embodiments of the present invention. However, it should never be interpreted as limiting the broad scope of the invention. Experimental Details Paragraph Example 1-Binding Affinity Binding Affinity is as described in He et al., Eur. J. Med. Chem. (2002), 619-634; Measured as described. Identification number Molecular weight Structure Ki _ RBA (%) 1 420.29 3.4 ± 0.56 17.6 2 CnHi〇FgN2〇5 474.26 1.37 ± 0.34 13.3 3 C17H12F6N2O5 438.28:; Ac. Fen · 11.3 Soil 1.1 3.1 4 Cl7H16F4N205 418.3 6.〇i0.7 7 5.8 5 C17H13F5N2O3 420.29 3.2 ± 0.3 10.9 6 Ci7Hi2F6N2 05 5 438 * 28 :; ^^. Thai 9.1 ± 0.6 3.4 7 C17H13C1F4N205 436.74 ^ OJUOC1 / OH 4.9 ± 0.3 9.1 8 C17H13C1F4N205 436.74 10.3 ± 2.0 4.3 200307661

(65) 9 C17H J3CI2F3N2O5 453.2 1.0i0.09 20.2 10 Cl7Hl4F4N205 402.3 3.4±0.34 5.9 11 Ci7Hi2F5N2〇5 438.28 〇2N&quot;T^i 0 &quot;ΥΎ 10.3 土2.0 5.0 12 C17H10ClF7N2O5 490.71 ΝΑ 實驗方法 動物、未長成之雄性史泊格多利(Sprague-Dawley)大白鼠, 體重90至100克,係購自Harlan生物科技(Indianapolis,IN)。將動 物保持在12小時亮-暗循環中,而食物與水可無限制地取 用。此動物擬案係由公共團體實驗室動物呆護與使用委員 會所回顧與核准。 砑究謗將大白鼠隨機地分配成數個治療組群。在藥 物治療開始之前一天,將動物個別移離籠子,稱重,並以 腹膜腔内劑量之氯胺酮/甲苯嘍畊(87/13毫克/公斤;每公 斤大約1毫升)使其麻醉。在適當麻醉(意即對腳趾捏擰沒 有回應)時,將動物之耳朵作記號以供識別之目的。然後 ,將動物置於無菌墊片上,並將其腹部與陰囊以貝達汀 (betadine)及70%醇洗滌。經由中線陰囊切開術移除睪丸,其 中係在手術移除各睪丸之前,使用無菌缝合線以結紮上睪 200307661(65) 9 C17H J3CI2F3N2O5 453.2 1.0i0.09 20.2 10 Cl7Hl4F4N205 402.3 3.4 ± 0.34 5.9 11 Ci7Hi2F5N2〇5 438.28 〇2N &quot; T ^ i 0 &quot; ΥΎ 10.3 soil 2.0 5.0 12 C17H10ClF7N2O5 490.71 NR experimental method Male Sprague-Dawley rats, weighing 90 to 100 grams, were purchased from Harlan Biotechnology (Indianapolis, IN). Keep the animals in a 12-hour light-dark cycle, with unlimited food and water access. This animal proposal was reviewed and approved by the Public Animal Laboratory Animal Care and Use Committee. Researchers randomly assigned rats into several treatment groups. One day before the start of drug treatment, the animals were individually removed from the cages, weighed, and anesthetized with an intraperitoneal dose of ketamine / toluene (87/13 mg / kg; approximately 1 ml per kg). When properly anesthetized (meaning there is no response to toe pinch), the animal's ears are marked for identification purposes. The animals were then placed on sterile pads and their abdomen and scrotum were washed with betadine and 70% alcohol. The testicles were removed via midline scrotal incision, in which the sutures were ligated with a sterile suture before surgical removal of each testicle 200307661

(66) 丸組織。將手術傷口位置以無菌不銹鋼傷口央閉合,並將 此位置以貝達汀清理。使動物在無菌墊片上復原(直到能 夠站立)’然後將其放回籠子。 二十四小時後,將動物以氯胺酮/甲苯噻畊再麻醉,並 將Alzet滲透泵(2002型)以皮下方式置於肩胛區域中。在此情 況中’係將肩狎區域刮毛並清理(貝達汀與醇),及使用無 菌解剖刀施行小切開術(1公分)^將滲透泵插入,並將傷 口以無菌不銹鋼傷口夾閉合。允許動物復原,並將其放回 蘢子°滲透泵含有已溶於聚乙二醇3〇〇 (PEG 3〇〇)中之適當治 療藥物。滲透泵係在植入前一天,充填適當溶液。每日監 視動物關於對藥物治療之急性毒性跡象(例如迷睡、粗糙 外膜)。 在藥物治療14天後,以氯胺酮/甲苯噻畊使大白鼠麻醉 。然後,於麻醉下,藉由放血使動物犧牲。藉由腹主動脈 之靜脈穿刺,收集血液試樣,並委由完全血球分析。將一 部份血液置於個別試管中,在12,〇〇〇克下離分鐘,並移 除血漿層,且於-2(TC下冷凍^將腹面前列腺、精囊、提肛 門肌、肝臟、腎臟、脾臟、肺臟及心臟移除,去除外組織 ’稱重,ϋ置於含有·中性緩衝福馬林之小玻瓶中。將 已保存之組織送至GTx公司作組織病理學分析。 為,行數據分析,所有器官之重量均經正規化成體重, 並藉由單因數ANOVA ’分析任何統計上有意義之差異。前 列腺與精囊之重量係作為雄激辛性評 ^ 狡京^ f汁估用之指數使用, 而扣肛門肌重量係用以評估合成代謝活性。 200307661(66) Pill tissue. The surgical wound site was closed with a sterile stainless steel wound center, and this site was cleaned with Bedatin. Return the animal to a sterile pad (until it is able to stand) ’and return it to the cage. Twenty-four hours later, the animals were reanaesthetized with ketamine / toxidine, and the Alzet osmotic pump (type 2002) was placed subcutaneously in the scapular area. In this case ’, the scapular area was shaved and cleaned (Bedatin and alcohol), and a small incision (1 cm) was performed using a sterile scalpel ^ The osmotic pump was inserted and the wound was closed with a sterile stainless steel wound clip. The animal was allowed to recover and returned to the gardenia. The osmotic pump contained the appropriate therapeutic drug which had been dissolved in polyethylene glycol 300 (PEG 300). The osmotic pump is filled with the appropriate solution one day before implantation. Monitor animals daily for signs of acute toxicity to medication (eg, sleepiness, rough outer membranes). Fourteen days after drug treatment, rats were anesthetized with ketamine / toxidine. The animals were then sacrificed by exsanguination under anesthesia. Blood samples were collected by venipuncture of the abdominal aorta and subjected to complete blood cell analysis. Place a portion of the blood in individual test tubes, leave for 1 minute at 12,000 grams, remove the plasma layer, and freeze at -2 ° C. ^ The abdominal prostate, seminal vesicles, anus muscle, liver, kidney Remove the spleen, lungs, and heart, remove the external tissues, weigh them, place them in a vial containing neutral buffered formalin, and send the saved tissues to GTx for histopathological analysis. Data analysis, the weight of all organs are normalized into body weight, and any statistically significant difference is analyzed by single factor ANOVA '. The weight of the prostate and seminal vesicles is used as an index of male and female evaluation ^ 京 ^ f juice evaluation index The weight of the anal muscle is used to evaluate anabolic activity. 200307661

結果 化合物1 化口物1與2之雄激素與合成代謝活性,係在投藥14天之 後於已去勢之大白鼠模式中檢驗。保持原狀之對照組( 未被去勢,未經治療)與已去勢之對照組(經去勢,未經治 療)係作為對照組使用。 如表1與圖1中所示,前列腺、精囊及提肛門肌之重量, 在已去勢 &lt; 大白鼠中,係顯著地降低,此係由於内源雄激 素製造 &lt; 消除所致。以1毫克/天之化合物丨與2之治療, 曰、成h列腺、精囊及^肛門肌重量之增加。化合物1與2 在增加前列腺與精囊之重量上,顯示較低功效與内在活性 ,但在增加提肛門肌之重量上,顯示較大功效與内在活性 。特疋言之’化合物1能夠保持經去勢動物之提肛門肌重 I ’在與保持原狀動物之相同程度下。因此,化合物1為 有效非類固醇合成代謝劑。此係為優於先前化合物之一項 顯著改善’這是由於此化合物會選擇性地刺激肌肉生長及 其他合成代謝作用,同時對前列腺與精囊具有較少作用。 這在具有關於前列腺癌之發展或進展顧慮之老化男性中, 可為特別適切的。 表1 保持原狀 經去勢 化合物1 (泵送) 化合物1 (每日注射) 化合物2 (每日注射) 前列腺 100 ± 14.3 6.2 ± 2.5 40.3 ± 10.0 33.1 ± 8.5 7.2 ± 1.4 精囊 101+26.8 8.1 + 1.8 30.9 + 5.7 23.6 ± 8.8 7.2 ± 0.9 ^門肌 102 ± 8.1 40.9 ± 9.4 122.5 ± 10.4 112.8 ±9.4 55.83 ± 2.84 200307661Results The androgenic and anabolic activities of compounds 1 and 1 and 2 were tested in castrated rat model 14 days after administration. The original control group (uncasted, untreated) and the castrated control group (castrated, untreated) were used as control groups. As shown in Table 1 and Figure 1, the weights of the prostate, seminal vesicles, and anal muscles were significantly reduced in castrated &lt; rats due to endogenous androgen production &lt; elimination. Treatment with 1 mg / day of compounds 丨 and 2 increased the weight of the gonioblasts, seminal vesicles, and seminal vesicles. Compounds 1 and 2 showed lower efficacy and intrinsic activity in increasing the weight of the prostate and seminal vesicles, but showed greater efficacy and intrinsic activity in increasing the weight of the anal muscle. In particular, 'Compound 1 is able to maintain the anal muscle weight I of castrated animals to the same extent as the original animals. Therefore, Compound 1 is an effective non-steroidal anabolic agent. This is a significant improvement over previous compounds' because this compound selectively stimulates muscle growth and other anabolic effects, while having less effect on the prostate and seminal vesicles. This may be particularly relevant in aging men with concerns about the development or progression of prostate cancer. Table 1 Castrated compound 1 (pumped) Compound 1 (daily injection) Compound 2 (daily injection) Prostate 100 ± 14.3 6.2 ± 2.5 40.3 ± 10.0 33.1 ± 8.5 7.2 ± 1.4 Seminal vesicle 101 + 26.8 8.1 + 1.8 30.9 + 5.7 23.6 ± 8.8 7.2 ± 0.9 ^ portal muscle 102 ± 8.1 40.9 ± 9.4 122.5 ± 10.4 112.8 ± 9.4 55.83 ± 2.84 200307661

(68) *參考組係經由滲透泵,以1亳克/天之化合物1治療。 化合#j; 化合物7之雄激素與合成代謝活性係在已去勢之大白鼠 模式中,於投藥14天後檢驗。保持原狀之對照組(未被去 勢,未經治療)與已去勢之對照組(經去勢,未經治療)係 作為對照組使用。將大白鼠於第〇天去勢,且每日接受皮 下劑量(0·05至3毫克/天)之化合物7,在DMSO/PEG之媒劑中 。於最後一天,使大白鼠犧牲,並測定雄激素(前列腺與 精囊)與合成代謝(提肛門)器官之濕重。 如圖2中所示,以漸增劑量之化合物7治療,會造成前列 腺、精囊及提肛門肌重量,以劑量依賴方式增加。化合物 7在增加前列腺與精囊之重量上,顯示較低功效與内在活 性,但在增加提肛門肌之重量上,顯示較大功效與内在活 性0 Β忒筋箪說骑_ 本發明係自上文詳述,並搭配附圖,而更充分地明白與 瞭解,其中: 圖1 :化合物1與2在大白鼠中之雄激素與合成代謝活性 。大白鼠係被留置未經處理(保持原狀之對照組)、去勢( 去勢之對照組)、以1.0毫克/天之化合物1處理或以1.0毫克 /天之化合物II處理,並測定雄激素回應組織(前列腺、精 囊及提肛門肌)之重量。 圖2 :化合物7在大白鼠中之雄激素與合成代謝活性。將 大白鼠於第〇天去勢,且每日接受皮下劑量(〇·〇5至3毫克/ 200307661 (69) 天)之化合物7,在DMSO/PEG媒劑中。於最後一天使大白鼠 犧牲,並測定雄激素(前列腺與精囊)與合成代謝(提肛門) 器官之濕重。 熟諳此藝者應明瞭的是,本發明並不受限於已特別於上 文說明與描述者。而是,本發明之範圍係被下述申請專利 範圍所界定:(68) * Reference group was treated with 1 mg / day of Compound 1 via an osmotic pump. The androgenic and anabolic activities of the compound #j; compound 7 are in castrated rat mode and examined 14 days after administration. The original control group (uncasted, untreated) and the castrated control group (castrated, untreated) were used as control groups. Rats were castrated on day 0 and received daily subcutaneous doses (0.05 to 3 mg / day) of compound 7 in a DMSO / PEG vehicle. On the last day, rats were sacrificed, and the wet weights of androgen (prostate and seminal vesicles) and anabolic (anal lifting) organs were measured. As shown in Figure 2, treatment with increasing doses of Compound 7 caused the prostatic glands, seminal vesicles, and anal muscle weight to increase in a dose-dependent manner. Compound 7 shows lower efficacy and intrinsic activity in increasing the weight of the prostate and seminal vesicles, but shows greater efficacy and intrinsic activity in increasing the weight of the anus muscle. Detailed description, and accompanying drawings, to understand and understand more fully, wherein: Figure 1: Compounds 1 and 2 androgen and anabolic activity in rats. Rats were left untreated (control group intact), castrated (control group), treated with 1.0 mg / day of compound 1 or 1.0 mg / day of compound II, and measured androgen-responsive tissues (Prostate, seminal vesicles, and anal muscles). Figure 2: Androgen and anabolic activity of compound 7 in rats. Rats were castrated on day 0 and received daily subcutaneous doses (0.05 to 3 mg / 200307661 (69) days) of compound 7 in DMSO / PEG vehicle. Rats were sacrificed on the last day, and the wet weights of androgens (prostate and seminal vesicles) and anabolic (anal lifting) organs were measured. It should be clear to those skilled in the art that the present invention is not limited to those specifically described and described above. Instead, the scope of the invention is defined by the scope of the following patent applications:

Claims (1)

200307661 拾、申請專利範圍 1· 一種選擇性雄激素受體調節劑(SARM)化合物,其係以式 I結構表不·200307661 Patent application scope 1. A selective androgen receptor modulator (SARM) compound, which is represented by the structure of Formula I 其中 X 為一個鍵結、Ο、CH2、NH、Se、PR、NO 或 NR ; G為Ο或S ; T 為 OH、OR、-NHCOCH3 或 NHCOR ; R為烷基、鹵烷基、二鹵烷基、三鹵烷基、CH2F、 CHF2、CF3、CF2CF3 ;芳基、苯基、自素、婦基或OH; 心為 CH3、CH2F、CHF2、CF3、CH2CH3 或 CF2CF3 ; R2 為 F、cn、Br、I、CH3、CF3、OH、CN、N02、NHCOCH3 、NHCOCF3、NHCOR、烷基、芳烷基、OR、NH2、NHR 、NR2、SR ; R3 為 F、Cl、Br、I、CN、N02、COR、COOH、CONHR 、CF3、SnR3,或R3與其所連接之苯環一起形成一個 稠合環系統,以下列結構表示:Where X is a bond, 0, CH2, NH, Se, PR, NO or NR; G is 0 or S; T is OH, OR, -NHCOCH3 or NHCOR; R is an alkyl, haloalkyl, dihaloalkane Base, trihaloalkyl, CH2F, CHF2, CF3, CF2CF3; aryl, phenyl, autogen, feminyl or OH; heart is CH3, CH2F, CHF2, CF3, CH2CH3 or CF2CF3; R2 is F, cn, Br , I, CH3, CF3, OH, CN, N02, NHCOCH3, NHCOCF3, NHCOR, alkyl, aralkyl, OR, NH2, NHR, NR2, SR; R3 is F, Cl, Br, I, CN, N02, COR, COOH, CONHR, CF3, SnR3, or R3 forms a fused ring system with the benzene ring to which it is connected, and is represented by the following structure: Z 為 N〇2、CN、COR、COOH 或 CONHR ; 200307661Z is N〇2, CN, COR, COOH or CONHR; 200307661 Y 為 CF3、F、Br、Cl、I、CN 或 SnR3 ; Q 為 H、烷基、鹵素、CF3、CN、CR3、SnR3、NR2、 NHCOCH3、NHCOCF3、NHCOR、NHCONHR、NHCOOR、OCONHR 、CONHR、NHCSCH3、NHCSCF3、NHCSR、NHS02CH3、NHS02R 、OH、OR、COR、OCOR、0S02R、S02R、SR;或 Q與 其所連接之苯環一起為一個稠合環系統,以結構A、 B或C表示:Y is CF3, F, Br, Cl, I, CN or SnR3; Q is H, alkyl, halogen, CF3, CN, CR3, SnR3, NR2, NHCOCH3, NHCOCF3, NHCOR, NHCONHR, NHCOOR, OCONHR, CONHR, NHCSCH3 , NHCSCF3, NHCSR, NHS02CH3, NHS02R, OH, OR, COR, OCOR, OS02R, S02R, SR; or Q together with the benzene ring to which it is connected is a fused ring system, represented by the structure A, B or C: η為1-4之整數;及 m為1-3之整數。 2· —種選擇性雄激素受體調節劑(SARM)化合物,其係以式 I結構表示:n is an integer of 1-4; and m is an integer of 1-3. 2. · A selective androgen receptor modulator (SARM) compound, which is represented by the structure of formula I: 其中 X 為一個键結、0、CH2、NH、Se、PR、NO 或 NR ; G為Ο或S ; T 為 OH、OR、-NHCOCH3 或 NHCOR ; R為烷基、i烷基、二自烷基、三函烷基、ch2f、 CHF2、CF3、CF2CF3 ;芳基、苯基、鹵素、婦基或OH; 〜為 CH3、CH2F、CHF2、CF3、CH2CH3 或 CF2CF3 ; 200307661Where X is a bond, 0, CH2, NH, Se, PR, NO, or NR; G is 0 or S; T is OH, OR, -NHCOCH3, or NHCOR; R is an alkyl, ialkyl, or dioxane Base, tri-functional alkyl, ch2f, CHF2, CF3, CF2CF3; aryl, phenyl, halogen, feminyl, or OH; ~ CH3, CH2F, CHF2, CF3, CH2CH3, or CF2CF3; 200307661 R2 為 F、α、Br、I、CH3、CF3 &lt; OH、CN、N02、NHCOCH3 、NHCOCF3、NHCOR、烷基、芳烷基、OR、NH2、NHR 、NR2、SR ; R3 為 F、Cl、Br、I、CN、N02、COR、COOH、CONHR 、CF3、SnR3,或R3與其所連接之苯環一起形成一個 稠合環系統,以下列結構表示:R2 is F, α, Br, I, CH3, CF3 &lt; OH, CN, N02, NHCOCH3, NHCOCF3, NHCOR, alkyl, aralkyl, OR, NH2, NHR, NR2, SR; R3 is F, Cl, Br, I, CN, N02, COR, COOH, CONHR, CF3, SnR3, or R3 together with the benzene ring to which they are connected form a fused ring system, which is represented by the following structure: Z 為 N02、CN、COR、COOH 或 CONHR ; Y 為 CF3、F、Br、Cl、I、CN 或 SnR3 ; Q 為 Η、烷基、鹵素、CF3、CN、CR3、SnR3、NR2、 NHCOCH3、NHCOCF3、NHCOR、NHCONHR、NHCOOR、OCONHR 、CONHR、NHCSCH3、NHCSCF3、NHCSR、NHS02CH3、NHS02R 、OH、OR、COR、OCOR、0S02R、S02R、SR ;或 Q 與 其所連接之苯環一起為一個稠合環系統,以結構A、 B或C表示:Z is N02, CN, COR, COOH or CONHR; Y is CF3, F, Br, Cl, I, CN or SnR3; Q is fluorene, alkyl, halogen, CF3, CN, CR3, SnR3, NR2, NHCOCH3, NHCOCF3 , NHCOR, NHCONHR, NHCOOR, OCONHR, CONHR, NHCSCH3, NHCSCF3, NHCSR, NHS02CH3, NHS02R, OH, OR, COR, OCOR, OS02R, S02R, SR; or Q together with the benzene ring connected to it is a fused ring system , Represented by structure A, B or C: η為14之整數;及 m為1-3之整數; 或其類似物、異構物、新陳代謝產物、衍生物、藥 學上可接受之鹽、醫藥產物、N·氧化物、水合物或其任 200307661η is an integer of 14; and m is an integer of 1-3; or an analog, isomer, metabolite, derivative, pharmaceutically acceptable salt, pharmaceutical product, N · oxide, hydrate, or any one thereof 200307661 何組合。 3·根據申請專利範圍第1項之選擇性雄激素受體調節劑化 合物,其中G為Ο。 4·根據申請專利範圍第1項之選擇性雄激素受體調節劑化 合物,其中T為OH。 5·根據申請專利範圍第1項之選擇性雄激素受體調節劑化 合物,其中Ri為CH3。 6. 根據申請專利範圍第1項之選擇性雄激素受體調節劑化 合物,其中X為Ο。 7. 根據申請專利範圍第1項之選擇性雄激素受體調節劑化 合物,其中z為no2。 8. 根據申請專利範圍第1項之選擇性雄激素受體調節劑化 合物,其中Z為CN。 9. 根據申請專利範圍第1項之選擇性雄激素受體調節劑化 合物,其中Y為CF3。 10. 根據申請專利範圍第1項之選擇性雄激素受體調節劑化 合物,其中Q為nhcoch3。 11. 根據申請專利範圍第1項之選擇性雄激素受體調節劑化 合物,其中Q為F。 12. 根據申請專利範圍第1項之選擇性雄激素受體調節劑化 合物,其中Q為F,且心為C1。 13. 根據申請專利範圍第1項之選擇性雄激素受體調節劑化 合物,其係以下列結構表示··Any combination. 3. A selective androgen receptor modulator compound according to item 1 of the scope of patent application, wherein G is 0. 4. A selective androgen receptor modulator compound according to item 1 of the application, wherein T is OH. 5. A selective androgen receptor modulator compound according to item 1 of the scope of patent application, wherein Ri is CH3. 6. A selective androgen receptor modulator compound according to item 1 of the patent application, wherein X is 0. 7. The selective androgen receptor modulator compound according to item 1 of the application, wherein z is no2. 8. A selective androgen receptor modulator compound according to item 1 of the application, wherein Z is CN. 9. A selective androgen receptor modulator compound according to item 1 of the patent application, wherein Y is CF3. 10. The selective androgen receptor modulator compound according to item 1 of the application, wherein Q is nhcoch3. 11. A selective androgen receptor modulator compound according to item 1 of the application, wherein Q is F. 12. A selective androgen receptor modulator compound according to item 1 of the patent application, wherein Q is F and heart is C1. 13. The selective androgen receptor modulator compound according to item 1 of the patent application scope, which is represented by the following structure ... 200307661 14.根據申請專利範圍第1項之選擇性雄激素受體調節劑化 合物,其係以式II結構表示:200307661 14. The selective androgen receptor modulator compound according to item 1 of the scope of patent application, which is represented by the structure of formula II: 其中p為2-5之整數。 15. 根據申請專利範圍第14項之選擇性雄激素受體調節劑化 合物,其中P為5。 16. 根據申請專利範圍第14項之選擇性雄激素受體調節劑化 合物,其係以下列結構表示:Where p is an integer from 2-5. 15. A selective androgen receptor modulator compound according to item 14 of the application, wherein P is 5. 16. The selective androgen receptor modulator compound according to item 14 of the application, which is represented by the following structure: 17. 根據申請專利範圍第1項之選擇性雄激素受體調節劑化 合物,其中該化合物為雄激素受體拮抗劑。 18. 根據申請專利範圍第1項之選擇性雄激素受體調節劑化 合物,其中該化合物為雄激素受體催動劑。 19. 根據申請專利範圍第1項之選擇性雄激素受體調節劑化 合物,其中該化合物係不可逆地結合至雄激素受體。 20. 根據申請專利範圍第1項之選擇性雄激素受體調節劑化 合物,其中該化合物係可逆地結合至雄激素受體。 21. —種組合物,其包含根據申請專利範圍第1項之選擇性 雄激素受體調節劑化合物,及/或其類似物、衍生物、 異構物、新陳代謝產物、藥學上可接受之鹽、醫藥產物 、水合物或N-氧化物或其任何組合;及適當載劑或稀釋 20030766117. A selective androgen receptor modulator compound according to item 1 of the application, wherein the compound is an androgen receptor antagonist. 18. A selective androgen receptor modulator compound according to item 1 of the application, wherein the compound is an androgen receptor activator. 19. A selective androgen receptor modulator compound according to item 1 of the application, wherein the compound is irreversibly bound to the androgen receptor. 20. A selective androgen receptor modulator compound according to item 1 of the application, wherein the compound is reversibly bound to the androgen receptor. 21. A composition comprising a selective androgen receptor modulator compound according to item 1 of the patent application scope, and / or its analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts , Pharmaceutical products, hydrates or N-oxides or any combination thereof; and a suitable carrier or dilution 200307661 22_ —種醫藥組合物,其包含有效量之根據申請專利範圍第 1項之選擇性雄激素受體調節劑化合物,及/或其類似 物、衍生物、異構物、新陳代謝產物、藥學上可接受之 鹽、醫藥產物、水合物或N-氧化物或其任何組合·,及藥 學上可接受之載劑、稀釋劑或鹽。 23· —種結合選擇性雄激素受體調節劑化合物至雄激素受體 之方法,其包括以下步騾,使雄激素受體與根據申請專 利範圍第1項之選擇性雄激素受體調節劑化合物,及/ 或其類似物、衍生物、異構物、新陳代謝產物、藥學上 可接受之鹽、醫藥產物、水合物或N-氧化物或其任何組 合接觸,其量可有效結合選擇性雄激素受體調節劑化合 物至雄激素受體。 24· —種在病患中抑制精子發生之方法,其包括使病患之雄 激素受體與根據申請專利範圍第1項之選擇性雄激素受 體調節劑化合物’及/或其類似物、衍生物、異構物、 新陳代謝產物、藥學上可接受之鹽、醫藥產物、水合物 或N-氧化物或其任何組合接觸,其量可有效抑制精子製 造。 25· —種在男性病患中避孕之方法,其包括以下步驟,對該 病患投予根據申請專利範圍第1項之選擇性雄激素受體 調節劑化合物,及/或其類似物、衍生物、異構物、新 陳代謝產物、藥學上可接受之鹽、醫藥產物、水合物或 N-氧化物或其任何組合,其量可在該病患中有效抑制精 20030766122_ —a pharmaceutical composition comprising an effective amount of a selective androgen receptor modulator compound according to item 1 of the scope of patent application, and / or its analogs, derivatives, isomers, metabolites, pharmaceutically acceptable Accepted salts, pharmaceutical products, hydrates or N-oxides or any combination thereof, and pharmaceutically acceptable carriers, diluents or salts. 23. · A method for binding a selective androgen receptor modulator compound to an androgen receptor, comprising the steps of combining an androgen receptor with a selective androgen receptor modulator according to item 1 of the scope of patent application Compounds, and / or their analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates, or N-oxides, or any combination thereof, are contacted in an amount effective to bind a selective male compound Hormone receptor modulator compounds to androgen receptors. 24. —A method for inhibiting spermatogenesis in a patient, comprising combining a patient's androgen receptor with a selective androgen receptor modulator compound according to item 1 of the scope of the patent application, and / or its analogs, derivatives Contact with a substance, isomer, metabolite, pharmaceutically acceptable salt, pharmaceutical product, hydrate or N-oxide, or any combination thereof, in an amount effective to inhibit sperm production. 25 · —A method of contraception in a male patient, comprising the steps of administering to the patient a selective androgen receptor modulator compound according to item 1 of the scope of patent application, and / or an analogue, derivative thereof Substances, isomers, metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides, or any combination thereof, in an amount effective to inhibit sperm in the patient 200307661 26. 子製造’藉以達成讀 一種激素治療之方法 素受體與根據申請專 調節劑化合物,及/ 陳代謝產物、藥學上 N-氧化物或其任何矣且 賴性症狀中之變化。 27. —種激 雄激素 受體調 、新陳 物或Ν-素依賴 28. —種治 步驟, 雄激素 異構物 、水合 激素依 29. —種治 ,對該 素受體 物、新 合物或 病患之避孕。 ’其包括以下步驟,使病患之雄激 利範圍第1項之選擇性雄激素受體 或其類似物、衍生物、異構物、新 ~Γ接受之鹽、醫藥產物、水合物或 合接觸,其量可有效達成雄激素依 素替補治療之方法,其包括以下步驟 受體與根據申請專利範圍第1項之選 節劑化合物,及/或其類似物、衍生 代謝產物、藥學上可接受之鹽、醫藥 氧化物或其任何組合接觸,其量可有 性症狀中之變化。 療具有激素相關症狀之病患之方法, 對該病患投予根據申請專利範圍第Ϊ 文體調即劑化合物,及/或其類似物 、新陳代謝產物、藥學上可接受之鹽 物或Ν-氧化物或其任何組合,其量可 賴性症狀中之變化。 療患有前列腺癌之病患之方法,其包 病患投予根據申請專利範圍第1項之 調節劑化合物,及/或其類似物、衍 陳代謝產物、藥學上可接受之鹽、醫 Ν-氧化物或其任何組合,其量可在該 ,使病患之 擇性雄激素 物、異構物 產物、水合 效達成雄激 其包括以下 項之選擇性 、衍生物、 、醫藥產物 有效達成雄 括以下步驟 選擇性雄激 生物、異構 藥產物、水 病患中有效 20030766126. Submanufacturing ’to achieve a method of hormonal therapy. Changes in hormone receptors and modulator compounds, and / or metabolites, pharmacological N-oxides, or any of their symptoms depending on the application. 27.-Stimulation of androgen receptors, metabolism or N- hormone dependence 28.-Seed treatment steps, androgen isomers, hydrated hormones according to 29.-Seed treatment, the hormone receptors, Xinhe Contraceptives to patients or patients. 'It includes the following steps to bring the selective androgen receptor or its analogs, derivatives, isomers, neo-Γ accepting salts, pharmaceutical products, hydrates or synthases to the patient's androgenic range item 1. The amount of which is effective to achieve a method of androgen esoxo replacement therapy, which includes the following steps: the receptor and the excipient compound according to item 1 of the scope of the patent application, and / or its analogs, derived metabolites, pharmaceutically acceptable The amount of salt, medicinal oxide, or any combination thereof may vary in sexual symptoms. A method for treating a patient with hormone-related symptoms, and administering to the patient an instant compound according to the scope of the patent application, and / or its analog, a metabolite, a pharmaceutically acceptable salt, or N-oxidation Or any combination thereof, the amount of which depends on the change in symptoms. A method for treating a patient with prostate cancer, which comprises administering a modulator compound and / or an analogue thereof, a derivative metabolite, a pharmaceutically acceptable salt, a medical agent according to item 1 of the scope of the patent application. -Oxide or any combination thereof, the amount of which can make the patient's selective androgen, isomer product, hydration effect androgenic. It includes the following items of selectivity, derivative, and medicinal product. The following steps are effective in selective androgenic organisms, isomeric drug products, and water diseases. 治療前列腺癌。 30· —種在病患中預防前列腺癌之方法,其包括以下步騾, 對該病患投予根據申請專利範圍第1項之選擇性雄激素 受體調節劑化合物,及/或其類似物、衍生物、異構物 、新陳代謝產物、藥學上可接受之鹽、醫藥產物、水合 物或N-氧化物或其任何組合,其量可在該病患中有效預 防前列腺癌。 31. —種在患有前列腺癌之病患中延遲前列腺癌進展之方法 ,其包括以下步驟,對該病患投予根據申請專利範圍第 1項之選擇性雄激素受體調節劑化合物,及/或其類似 物、衍生物、異構物、新陳代謝產物、藥學上可接受之 鹽、醫藥產物、水合物或N-氧化物或其任何組合,其量 可在該病患中有效延遲前列腺癌之進展。 32· —種在患有前列腺癌之病患中預防前列腺癌再發生之方 法,其包括以下步騾,對該病患投予根據申請專利範圍 第1項之選擇性雄激素受體調節劑化合物,及/或其類 似物、衍生物、異構物、新陳代謝產物、藥學上可接受 之鹽、醫藥產物、水合物或N—氧化物或其任何組合,其 量可在該病患中有效預防前列腺癌之再發生。 33· —種在患有前列腺癌之病患中治療前列腺癌再發生之方 法,其包括以下步騾,對該病患投予根據申請專利範園 第1項之選擇性雄激素受體調節劑化合物,及/或其類 似物、衍生物、異構物、新陳代謝產物、藥學上可接受 之鹽、醫藥產物、水合物或N-氧化物或其任何組合,其 200307661Treatment of prostate cancer. 30 · A method for preventing prostate cancer in a patient, comprising the steps of administering to the patient a selective androgen receptor modulator compound according to item 1 of the scope of patent application, and / or an analog thereof , Derivatives, isomers, metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides, or any combination thereof, in an amount effective to prevent prostate cancer in the patient. 31. A method of delaying the progression of prostate cancer in a patient with prostate cancer, comprising the steps of administering to the patient a selective androgen receptor modulator compound according to item 1 of the patent application scope, and / Or its analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides, or any combination thereof, in an amount effective to delay prostate cancer in the patient Progress. 32 · A method for preventing the recurrence of prostate cancer in a patient with prostate cancer, comprising the steps of administering to the patient a selective androgen receptor modulator compound according to item 1 of the scope of patent application And / or its analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides, or any combination thereof, in an amount effective to prevent the disease Recurrence of prostate cancer. 33 · A method for treating recurrence of prostate cancer in a patient with prostate cancer, comprising the steps of administering to the patient a selective androgen receptor modulator according to item 1 of the patent application park Compounds, and / or their analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides or any combination thereof, 200307661 量可在該病患中有效治療前列腺癌之再發生。 34· —種在患有乾眼之病患中治療乾眼症狀之方法,其包括 以下步騾,對該病患投予根據申請專利範圍第丨項之選 擇性雄激素受體調節劑化合物,及/或其類似物、衍生 物、異構物、新陳代謝產物、藥學上可接受之鹽、醫藥 產物、水合物或N-氧化物或其任何組合,其量可在病串 中有效治療乾眼。 35. —種在病患中預防乾眼症狀之方法,其包括以下步驟, 對該病患投予根據申請專利範圍第1項之選擇性雄激素 受體調節劑化合物,及/或其類似物、衍生物、異構物 、新陳代謝產物、藥學上可接受之鹽、醫藥產物、水合 物或N-氧化物或其任何組合,其量可在病患中有效預防 乾眼。 36. —種選擇性雄激素受體調節劑(SARM)化合物,其係以式 V結構表示:The amount can effectively treat the recurrence of prostate cancer in the patient. 34. A method of treating dry eye symptoms in a patient with dry eye, comprising the steps of administering to the patient a selective androgen receptor modulator compound according to item 丨 of the patent application scope, And / or its analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, medicinal products, hydrates or N-oxides, or any combination thereof, in an amount effective to treat dry eyes in the disease string . 35. A method for preventing dry eye symptoms in a patient, comprising the steps of administering to the patient a selective androgen receptor modulator compound according to item 1 of the scope of patent application, and / or an analog thereof , Derivatives, isomers, metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides, or any combination thereof, in amounts effective to prevent dry eyes in patients. 36. A selective androgen receptor modulator (SARM) compound, which is represented by the structure of formula V: 化2 為 F、Cl、Br、I、CH3、CF3、OH、CN、N〇2、NHCOCH3 、NHCOCF3、NHCOR、烷基、芳烷基、0R、Nh2、NHR 、NR2、SR ; R3 為 F、Cl、Br、I、CN、N02、COR、COOH、CONHR 200307661Chemical 2 is F, Cl, Br, I, CH3, CF3, OH, CN, No2, NHCOCH3, NHCOCF3, NHCOR, alkyl, aralkyl, OR, Nh2, NHR, NR2, SR; R3 is F, Cl, Br, I, CN, N02, COR, COOH, CONHR 200307661 、CF3、SnR3,或R3與其所連接之苯環一起形成一個 稠合環系統,以下列結構表示:, CF3, SnR3, or R3 together with the benzene ring to which they are connected form a fused ring system, which is represented by the following structure: Y ~ YY ~ Y R為烷基、卣烷基、二函烷基、三齒烷基、CH2F、 CHF2、CF3、CF2 CF3 ;芳基、苯基、自素、晞基或OH ; Z 為 N02、CN、COR、COOH 或 CONHR ; Y 為 CF3、F、Br、Cl、I、CN 或 SnR3 ; Q 為 Η、烷基、鹵素、CF3、CN、CR3、SnR3、NR2、 NHCOCH3、NHCOCF3、NHCOR、NHCONHR、NHCOOR、OCONHR 、CONHR、NHCSCH3、NHCSCF3、NHCSR、NHS02CH3、NHS02R 、OH、OR、COR、OCOR、0S02R、S02R、SR;或 Q與 其所連接之苯環一起為一個稠合環系統,以結構A、 B或C表示:R is alkyl, fluorenyl, dialkyl, tridentyl, CH2F, CHF2, CF3, CF2 CF3; aryl, phenyl, autogen, fluorenyl, or OH; Z is N02, CN, COR, COOH or CONHR; Y is CF3, F, Br, Cl, I, CN, or SnR3; Q is fluorene, alkyl, halogen, CF3, CN, CR3, SnR3, NR2, NHCOCH3, NHCOCF3, NHCOR, NHCONHR, NHCOOR, OCONHR , CONHR, NHCSCH3, NHCSCF3, NHCSR, NHS02CH3, NHS02R, OH, OR, COR, OCOR, OS02R, S02R, SR; or Q together with the benzene ring to which it is connected is a fused ring system with structure A, B or C Means: A NHA NH η為1-4之整數;及 m為1-3之整數。 37. —種選擇性雄激素受體調節劑(SARM)化合物,其係以式 V結構表示:n is an integer of 1-4; and m is an integer of 1-3. 37. A selective androgen receptor modulator (SARM) compound, which is represented by the structure of formula V: -10- 200307661-10- 200307661 其中 R2 為 F、C卜 Br、I、CH3、CF3、OH、CN、N02、NHCOCH3 、NHCOCF3、NHCOR、烷基、芳烷基、OR、NH2、NHR λ NR〗~ SR &gt; R3 為 F、Cl、Br、I、CN、N02、COR、COOH、CONHR 、CF3、SnR3,或R3與其所連接之苯環一起形成一個 稠合環系統,以下列結構表示:Where R2 is F, C, Br, I, CH3, CF3, OH, CN, N02, NHCOCH3, NHCOCF3, NHCOR, alkyl, aralkyl, OR, NH2, NHR λ NR〗 ~ SR &gt; R3 is F, Cl, Br, I, CN, N02, COR, COOH, CONHR, CF3, SnR3, or R3 together with the benzene ring to which they are connected form a fused ring system, which is represented by the following structure: Y Y R為烷基、齒烷基、二自烷基、三函烷基、CH2F、 CHF2、CF3、CF2CF3 ;芳基、苯基、齒素、晞基或OH; Z 為 N〇2、CN、COR、COOH 或 CONHR ;YYR is alkyl, haloalkyl, dialkyl, tri-functional alkyl, CH2F, CHF2, CF3, CF2CF3; aryl, phenyl, halide, fluorenyl, or OH; Z is No2, CN, COR , COOH or CONHR; Y 為 CF3、F、Br、Cl、I、CN 或 SnR3 _ ; Q 為 H、烷基、鹵素、CF3、CN、CR3、SnR3、NR2、 NHCOCH3、NHCOCF3、NHCOR、NHCONHR、NHCOOR、OCONHR 、CONHR、NHCSCH3、NHCSCF3、NHCSR、NHS02CH3、NHS02R 、OH、OR、COR、OCOR、0S02R、S02R、SR ;或 Q 與 其所連接之苯環一起為一個稠合環系統,以結構A、 B或C表示:Y is CF3, F, Br, Cl, I, CN or SnR3 _; Q is H, alkyl, halogen, CF3, CN, CR3, SnR3, NR2, NHCOCH3, NHCOCF3, NHCOR, NHCONHR, NHCOOR, OCONHR, CONHR, NHCSCH3, NHCSCF3, NHCSR, NHS02CH3, NHS02R, OH, OR, COR, OCOR, OS02R, S02R, SR; or Q together with the benzene ring to which it is connected is a fused ring system, represented by the structure A, B or C: -11 - 200307661-11-200307661 η為1-4之整數;及 m為1-3之整數; 或其類似物、異構物、新陳代謝產物、衍生物、 藥學上可接受之鹽、N-氧化物、水合物或其任何組 合0 38. 根據申請專利範圍第36項之選擇性雄激素受體調節劑化 合物,其中Z為N02。 39. 根據申請專利範圍第36項之選擇性雄激素受體調節劑化 合物,其中Z為CN。 40. 根據申請專利範圍第36項之選擇性雄激素受體調節劑化 合物,其中Y為CF3。 41. 根據申請專利範圍第36項之選擇性雄激素受體調節劑化 合物,其中Q為nhcoch3。 42. 根據申請專利範圍第36項之選擇性雄激素受體調節劑化 合物,其中Q為F。 43. 根據申請專利範圍第36項之選擇性雄激素受體調節劑化 合物,其中Q為F,且R2為C1。 44. 根據申請專利範圍第36項之選擇性雄激素受體調節劑化 合物,其係以式VI結構表示:η is an integer from 1-4; and m is an integer from 1-3; or an analog, isomer, metabolite, derivative, pharmaceutically acceptable salt, N-oxide, hydrate, or any combination thereof 0 38. A selective androgen receptor modulator compound according to item 36 of the application, wherein Z is NO. 39. A selective androgen receptor modulator compound according to item 36 of the application, wherein Z is CN. 40. A selective androgen receptor modulator compound according to item 36 of the application, wherein Y is CF3. 41. A selective androgen receptor modulator compound according to item 36 of the application, wherein Q is nhcoch3. 42. A selective androgen receptor modulator compound according to item 36 of the application, wherein Q is F. 43. The selective androgen receptor modulator compound according to item 36 of the application, wherein Q is F and R2 is C1. 44. The selective androgen receptor modulator compound according to item 36 of the application, which is represented by the structure of Formula VI: 其中Θ為1-4之整數 200307661 45.根據申請專利範圍第36項之選擇性雄激素受體調節劑化 合物,其中Q為F,且p’為4。 46·根據申請專利範圍第36項之選擇性雄激素受體調節劑化 合物’其中該化合物為雄激素受體拮抗劑。 47. 根據申請專利範圍第36項之選擇性雄激素受體調節劑化 合物’其中該化合物為雄激素受體催動劑。 48. 根據申請專利範圍第36項之選擇性雄激素受體調節劑化 合物,其中該化合物係不可逆地結合至雄激素受體。 49. 根據申請專利範圍第36項之選擇性雄激素受體調節劑化 合物,其中孩化合物係可逆地結合至雄激素受體。 5〇• —種組合物,其包含根據申請專利範園第%項之選擇性 雄激素受體調節劑化合物,及/或其類似物、衍生物、 異構物、新陳代謝產物、藥學上可接受之鹽、醫藥產物 、水合物或N-氧化物或其任何組合;及適當載劑或稀釋 劑。 51,種醫藥組合物,其包含有效量之根據申請專利範圍第 36項 &lt; 選擇性雄激素受體調節劑化合物,及,或其類似 物、衍生物、異構物、新陳代謝產物、藥學上可接受之 鹽醫藥產物、水合物或N-氧化物或其任何組合;及藥 學上可接受之載劑、稀釋劑或鹽。 52· /種結合選擇性雄激素受體調節劑化合物至雄激素受體 之方法,其包括以下步驟,使雄激素受體與根據申請專 利範園第36項之選擇性雄激素受體調節劑化合物,及/ 或其類似#、衍生物、異構物、新陳代謝產#、藥學上 200307661Wherein Θ is an integer of 1-4 200307661 45. The selective androgen receptor modulator compound according to item 36 of the application, wherein Q is F and p 'is 4. 46. A selective androgen receptor modulator compound 'according to item 36 of the application, wherein the compound is an androgen receptor antagonist. 47. A selective androgen receptor modulator compound &apos; according to item 36 of the application, wherein the compound is an androgen receptor activator. 48. A selective androgen receptor modulator compound according to item 36 of the application, wherein the compound is irreversibly bound to the androgen receptor. 49. A selective androgen receptor modulator compound according to item 36 of the application, wherein the compound is reversibly bound to the androgen receptor. 50. A composition comprising a selective androgen receptor modulator compound and / or its analog, derivative, isomer, metabolism product, pharmaceutically acceptable Salts, pharmaceutical products, hydrates or N-oxides, or any combination thereof; and appropriate carriers or diluents. 51. A pharmaceutical composition comprising an effective amount of a selective androgen receptor modulator compound according to item 36 of the scope of the patent application, and, or an analog, derivative, isomer, metabolite, pharmacologically Acceptable salts Pharmaceutical products, hydrates or N-oxides or any combination thereof; and pharmaceutically acceptable carriers, diluents or salts. 52 · / A method for binding a selective androgen receptor modulator compound to an androgen receptor, comprising the steps of combining an androgen receptor with a selective androgen receptor modulator according to item 36 of the patent application patent garden Compounds, and / or their analogs #, derivatives, isomers, metabolic products #, pharmacy 200307661 可接受之鹽、醫蘊念… A . 物、水合物或N-氧化物或其任何組 合接觸,其量可者# ^ λ Λ, 5 ^ ^ 〜口選擇性雄激素受體調節劑化合 物至雄激素文體。 53. 一種在病患中抑制 激素受體與根據中 體調節劑化合物, 新陳代謝產物、g 或N-氧化物或其任 造。 精子發生之方法, 請專利範圍第36項 及/或其類似物、 學上可接受之鹽、 何組合接觸,其量 其包括使病患之雄 之選擇性雄激素受 衍生物、異構物、 醫藥產物、水合物 可有效抑制精子製 54· —種在男性病患中避孕之方法,其包括以下步騾,對該 病患投予根據申請專利範圍第36項之選擇性雄激素受體 調節劑化合物,及/或其類似物、衍生物、異構物、新 陳代謝產物、藥學上可接受之鹽、醫藥產物、水合物或 N-氧化物或其任何組合,其量可在該病患中有效抑制精 子製造,藉以達成該病患之避孕。 55. —種激素治療之方法,其包括以下步驟,使病患之雄激 素受體與根據申請專利範圍第36項之選擇性雄激素受體 調節劑化合物,及/或其類似物、衍生物、異構物、新 陳代謝產物、藥學上可接受之鹽、醫藥產物、水合物或 N-氧化物或其任何組合接觸,其量可有效達成雄激素依 賴性症狀中之變化。 56. —種激素替補治療之方法,其包括以下步驟,使病患之 雄激素受體與根據申請專利範圍第36項之選擇性雄激素 受體調節劑化合物,及/或其類似物、衍生物、異構物 200307661Acceptable salts, medical connotations ... A. substances, hydrates, or N-oxides, or any combination thereof, in an amount that can be # ^ λ Λ, 5 ^ ^ ~ orally selective androgen receptor modulator compounds to Androgen style. 53. An inhibitor of a hormone receptor in a patient with a mediator modulator compound, a metabolite, g or N-oxide or any of its compounds. The method of spermatogenesis, please contact item 36 of the patent scope and / or its analogues, scientifically acceptable salts, and any combination, the amount of which includes the selective androgen receptor derivatives, isomers, Pharmaceutical products and hydrates can effectively inhibit sperm production. 54. A method of contraception in male patients, which includes the following steps. The patient is administered with selective androgen receptor regulation according to item 36 of the scope of patent application Agent compounds, and / or their analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides, or any combination thereof, in amounts that can be in the patient Effectively inhibit sperm production to achieve contraception in this patient. 55. A method of hormonal therapy, comprising the steps of bringing a patient's androgen receptor and a selective androgen receptor modulator compound according to item 36 of the patent application scope, and / or its analogs, derivatives, Contacting an isomer, a metabolite, a pharmaceutically acceptable salt, a medicinal product, a hydrate, or an N-oxide, or any combination thereof, in an amount effective to achieve a change in androgen-dependent symptoms. 56. A method of hormonal replacement therapy, comprising the steps of combining a patient's androgen receptor with a selective androgen receptor modulator compound according to item 36 of the patent application scope, and / or an analog or derivative thereof Isomers 、新陳代謝產物、藥學上可接受之鹽、醫藥產物、水合 物或N-氧化物或其任何組合接觸,其量可有效達成雄激 素依賴性症狀中之變化。 57. —種治療具有激素相關症妝 丨荆症狀义媽患之方法,其包栝以下 步騾,對該病患投予根攄由&amp; ▲ _ μ 很蘇申清專利範圍第36項之選擇性 雄激素受體調節劑化合物,$ / 口物,及/或其類似物、衍生物、 異構物、新陳代謝產物、藥與 ^ 头學上可接受之鹽、醫藥產物 、水合物或N-氧化物或袁杜彳 X具任何組合,其量可有效達成雄 激素依賴性症狀中之變化。 58. -種治療患有前列腺癌之病患之方法,纟包括以下步驟 ,對該病患投予根據申請專利範圍第允項之選擇性雄激 素受體調節劑化合物,及/或其類似物、衍生物、異構 物、新陳代謝產物、藥學上可接受之鹽、醫藥產物、水 合物或N-氧化物或其任何組合,其量可在該病患中有效 治療前列腺癌。 59. —種在病患中預防前列腺癌之方法,其包栝以下步騾, 對該病患投予根據申請專利範圍第36項之選擇性雄激素 受體調節劑化合物,及/或其類似物、衍生物、異構物 、新陳代謝產物、藥學上可接受之鹽、醫藥產物、水合 物或N-氧化物或其任何組合,其量可在該病患中有效預 防前列腺癌。 60· —種在患有前列腺癌之病患中延遲前列腺癌進展之方法 ’其包括以下步驟,對該病患投予根據申請專利範圍第 36項之選擇性雄激素受體調節劑化合物,及/或其類似 200307661, Metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides or any combination thereof in an amount effective to achieve changes in androgen-dependent symptoms. 57. — A method for treating hormonal-related symptoms and symptoms of dysentery, including the following steps, and administering the disease to the patient: &amp; ▲ _ μ Very selective in the scope of patent application of item 36 Androgen receptor modulator compounds, $ / oral compounds, and / or their analogs, derivatives, isomers, metabolites, drugs, and cephalically acceptable salts, medicinal products, hydrates, or N-oxidation Or any combination of Yuan Duyi X, the amount of which can effectively achieve changes in androgen-dependent symptoms. 58. A method for treating a patient with prostate cancer, comprising the steps of administering to the patient a selective androgen receptor modulator compound and / or an analog thereof in accordance with the allowable term of the scope of patent application. , Derivatives, isomers, metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides, or any combination thereof, in an amount effective to treat prostate cancer in the patient. 59. A method for preventing prostate cancer in a patient, comprising the following steps: administering to the patient a selective androgen receptor modulator compound according to item 36 of the scope of patent application, and / or the like Substances, derivatives, isomers, metabolites, pharmaceutically acceptable salts, medicinal products, hydrates or N-oxides, or any combination thereof, in an amount effective to prevent prostate cancer in the patient. 60 · —A method for delaying the progression of prostate cancer in a patient with prostate cancer ', comprising the step of administering to the patient a selective androgen receptor modulator compound according to item 36 of the patent application scope, and / Or similar to 200307661 物、衍生物、異構物、新陳代謝產物、藥學上可接受之 鹽、醫藥產物、水合物或N-氧化物或其任何組合,其量 可在該病患中有效延遲前列腺癌之進展。 61· —種在患有前列腺癌之病患中預防前列腺癌再發生之方 法,其包括以下步驟,對該病患投予根據申請專利範圍 第36項之選擇性雄激素受體調節劑化合物,及/或其類 似物、衍生物、異構物、新陳代謝產物、藥學上可接受 之鹽、醫藥產物、水合物或N-氧化物或其任何組合,其 量可在該病患中有效預防前列腺癌之再發生。 62· —種在患有蓟列腺癌之病患中治療前列腺癌再發生之方 法,其包括以下步驟,對該病患投予根據申請專利範園 第36項之選擇性雄激素受體調節劑化合物,及/或其類 似物、衍生物、異構物、新陳代謝產物、藥學上可接受 之鹽、醫藥產物、水合物或N-氧化物或其任何組合,其 量可在該病患中有效治療前列腺癌之再發生。 63· —種在患有乾眼之病患中治療乾眼症狀之方法,其包括 以下步驟,對該病患投予根據申請專利範圍第36,之選 擇性雄激素受體調節劑化合物,及/或其類似物、衍生 物、異構物、新陳代謝產物、藥學上可接受之鹽、醫藥 產物、水合物或N-氧化物或其任何組合,其量可在病串 中有效治療乾眼。 64· —種在病患中預防乾眼症狀之方法,其包括以下步驟, 對該病患投予根據申請專利範園第36項之選擇性雄激素 受體調節劑化合物’及/或其類似物、衍生物、異構物 200307661Substances, derivatives, isomers, metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides, or any combination thereof, in an amount effective to delay the progression of prostate cancer in the patient. 61 · —A method for preventing the recurrence of prostate cancer in a patient with prostate cancer, comprising the steps of administering to the patient a selective androgen receptor modulator compound according to item 36 of the patent application scope, And / or its analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides, or any combination thereof, in an amount effective to prevent prostate in the patient The recurrence of cancer. 62 · —A method for treating recurrence of prostate cancer in a patient with thistle adenocarcinoma, comprising the steps of administering to the patient a selective androgen receptor modulation according to item 36 of the patent application park Agent compounds, and / or their analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides, or any combination thereof, in amounts that can be in the patient Effective treatment of recurrence of prostate cancer. 63 · —A method for treating dry eye symptoms in a patient with dry eye, comprising the steps of administering to the patient a selective androgen receptor modulator compound according to claim 36, and / Or its analogs, derivatives, isomers, metabolites, pharmaceutically acceptable salts, medicinal products, hydrates or N-oxides, or any combination thereof, in an amount effective to treat dry eye in a disease string. 64 · —A method of preventing dry eye symptoms in a patient, comprising the steps of administering to the patient a selective androgen receptor modulator compound according to item 36 of the patent application garden 'and / or the like Compounds, derivatives, isomers 200307661 、新陳代謝產物、藥學上可接受之鹽、醫藥產物、水合 物或N-氧化物或其任何組合,其量可在病患中有效預防 乾眼。 65. —種製備選擇性雄激素受體調節劑(SARM)化合物之方法 ,該化合物係以式I結構表示:, Metabolites, pharmaceutically acceptable salts, pharmaceutical products, hydrates or N-oxides, or any combination thereof, in amounts effective to prevent dry eyes in patients. 65. A method for preparing a selective androgen receptor modulator (SARM) compound, the compound is represented by the structure of formula I: 其中 X 為 Ο、NH、S、Se、PR 或 NR ; G為Ο或S ; T 為 OH、OR、-NHCOCH3 或 NHCOR ;Where X is 0, NH, S, Se, PR or NR; G is 0 or S; T is OH, OR, -NHCOCH3 or NHCOR; R為烷基、函烷基、二卣烷基、三卣烷基、CH2F、 CHF2、CF3、CF2CF3、芳基、苯基、鹵素、烯基或OH ; 1^為 CH3、CH2F、CHF2、CF3、CH2CH3 或 CF2CF3 ; R2 為 F、a、Br、I、CH3、CF3、OH、CN、N02、NHCOCH3 、NHCOCF3、NHCOR、烷基、芳烷基、OR、NH2、NHR 、NR2、SR ; R3 為 F、Cl、Br、I、CN、N02、COR、COOH、CONHR 、CF3、SnR3,或R3與其所連接之苯環一起形成一個 稠合環系統,以下列結構表示:R is alkyl, alkanyl, dialkyl, trialkyl, CH2F, CHF2, CF3, CF2CF3, aryl, phenyl, halogen, alkenyl, or OH; 1 ^ is CH3, CH2F, CHF2, CF3 , CH2CH3 or CF2CF3; R2 is F, a, Br, I, CH3, CF3, OH, CN, N02, NHCOCH3, NHCOCF3, NHCOR, alkyl, aralkyl, OR, NH2, NHR, NR2, SR; R3 is F, Cl, Br, I, CN, N02, COR, COOH, CONHR, CF3, SnR3, or R3 together with the benzene ring to which they are connected form a fused ring system, which is represented by the following structure: 200307661200307661 Z 為 N02、CN、COR、COOH 或 CONHR ; Y 為 CF3、F、Bi*、Cl、I、CN 或 SnR3 ; Q 為 H、烷基、鹵素、CF3、CN、CR3、SnR3、NR2、 NHCOCH3、NHCOCF3、NHCOR、NHCONHR、NHCOOR、OCONHR 、CONHR、NHCSCH3、NHCSCF3、NHCSR、NHS02CH3、NHS02R 、OH、OR、COR、OCOR、0S02R、S02R、SR;或 Q與 其所連接之苯環一起為一個稠合環系統,以結構A、 B或C表示:Z is N02, CN, COR, COOH or CONHR; Y is CF3, F, Bi *, Cl, I, CN or SnR3; Q is H, alkyl, halogen, CF3, CN, CR3, SnR3, NR2, NHCOCH3, NHCOCF3, NHCOR, NHCONHR, NHCOOR, OCONHR, CONHR, NHCSCH3, NHCSCF3, NHCSR, NHS02CH3, NHS02R, OH, OR, COR, OCOR, OS02R, S02R, SR; or Q and the benzene ring to which it is connected is a fused ring System, represented by structure A, B or C: η為1-4之整數;及 m為1-3之整數 該方法包括以下步騾,使式VII化合物:n is an integer of 1-4; and m is an integer of 1-3. The method comprises the following steps: νπ 其中2、丫、0、尺1、丁、113及111均如上文定義,且1^ 為脫離基,與式VIII化合物偶合:νπ where 2, y, 0, chi 1, di, 113, and 111 are as defined above, and 1 ^ is a leaving group, which is coupled to a compound of formula VIII: ,(R2)n 200307661, (R2) n 200307661 其中Q、X、尺2及11均如上文定義。 66. 根據申請專利範圍第65項之方法,其中G為Ο。 67. 根據申請專利範圍第65項之方法,其中T為OH。 68. 根據申請專利範圍第65項之方法,其中R2為CH3。 69. 根據申請專利範圍第65項之方法,其中X為Ο。 70. 根據申請專利範圍第65項之方法,其中Z為N02。 71. 根據申請專利範圍第65項之方法,其中Z為CN。 72. 根據申請專利範圍第65項之方法,其中Y為CF3。 73. 根據申請專利範圍第65項之方法,其中Q為NHCOCH3。 74. 根據申請專利範圍第65項之方法,其中Q為F。 75. 根據申請專利範圍第65項之方法,其中Q為F,且R2為Cl3。 76. 根據申請專利範圍第65項之方法,其中該選擇性雄激素 調節劑化合物係以式II結構表示Q, X, rulers 2 and 11 are as defined above. 66. The method according to item 65 of the application, wherein G is 0. 67. The method according to item 65 of the application, wherein T is OH. 68. The method according to item 65 of the patent application, wherein R2 is CH3. 69. The method according to item 65 of the application, wherein X is 0. 70. The method according to item 65 of the patent application, wherein Z is N02. 71. The method according to item 65 of the patent application, wherein Z is CN. 72. The method according to item 65 of the patent application, wherein Y is CF3. 73. The method according to item 65 of the patent application, wherein Q is NHCOCH3. 74. The method according to item 65 of the patent application, wherein Q is F. 75. The method according to item 65 of the patent application, wherein Q is F and R2 is Cl3. 76. The method according to claim 65, wherein the selective androgen modulator compound is represented by the structure of formula II 其中p為2-5之整數。 77.根據申請專利範圍第65項之方法,其中該選擇性雄激素 調節劑化合物係以式III結構表示。Where p is an integer from 2-5. 77. The method according to claim 65, wherein the selective androgen modulator compound is represented by the structure of formula III. ΙΠ 200307661ΙΠ 200307661 78.根據申請專利範圍第65項之方法,其中該選擇性雄激素 調節劑化合物係以式IV結構表示78. The method according to claim 65, wherein the selective androgen modulator compound is represented by the structure of formula IV -(F)P1 其中p’為1-4之整數。 79.根據申請專利範圍第65項之方法,其中該選擇性雄激素 調節劑化合物係以式V結構表示。-(F) P1 where p 'is an integer from 1-4. 79. The method according to claim 65, wherein the selective androgen modulator compound is represented by the structure of formula V. 80_根據申請專利範圍第65項之方法,其中該選擇性雄激素 調節劑化合物係以式VI結構表示80_ The method according to item 65 of the claims, wherein the selective androgen modulator compound is represented by the structure of formula VI 其中pf為1-4之整數。 81·根據申請專利範圍第65項之方法,其中該偶合步騾係於 驗存在下進行。 82. 根據申請專利範圍第65項之方法,其中脫離基L為Br。 83. 根據申請專利範圍第65項之方法,其中式VII化合物係 200307661Where pf is an integer from 1-4. 81. The method according to item 65 of the scope of patent application, wherein the coupling step is carried out in the presence of experience. 82. The method according to item 65 of the claims, wherein the leaving group L is Br. 83. The method according to item 65 of the claims, wherein the compound of formula VII is 200307661 以下述方式製成 a)藉由式X環狀化合物之開環作用,製備式汉化合物Prepared in the following way a) By the ring-opening action of a cyclic compound of formula X, a compound of formula han X κ 其中L、心、G及T均如上文定義,且丁1為〇或nh;及 b)使式XI胺:X κ wherein L, Xin, G, and T are as defined above, and D 1 is 0 or nh; and b) the amine of formula XI: 其中Z、Y、&amp;及m均如上文定義,於偶合試劑存在 下,與式IX化合物反應,以製造式VO化合物。Wherein Z, Y, &amp; and m are as defined above, and react with a compound of formula IX in the presence of a coupling reagent to produce a compound of formula VO. 84.根據申請專利範圍第仍項之方法,其進一步包括使該選 擇性雄激素受體調節劑(SARM)化合物轉化成其類似物、 異構物、新陳代謝產物 醫藥產物、队氧化物、 、衍生物、藥學上可接受之鹽 水合物或其任何組合之步驟。84. The method according to item 1 of the scope of patent application, further comprising converting the selective androgen receptor modulator (SARM) compound into its analog, isomer, metabolite pharmaceutical product, team oxide, derivatization Of a drug, a pharmaceutically acceptable salt hydrate, or any combination thereof.
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