IP Library Granted Patent US 9,622,992
Granted Patent B2
US 9,622,992 · App. 14/293,632 · Granted Apr 18, 2017

Method of treating androgen receptor (AR)-positive breast cancers with selective androgen receptor modulator (SARMs)

Inventors: James T. Dalton (Lakeland, TN); Mitchell S. Steiner (Germantown, TN); Ramesh Narayanan (Cordova, TN); Sunjoo Ahn (Daejeon, KR)
Assignee: GTX, INC.
A61K31/167
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Quick Facts
Patent No.
US 9,622,992
App. No.
14/293,632
Granted
Apr 18, 2017
Kind
B2
Abstract

This invention relates to the treatment of breast cancer in a subject, for example a female subject. Including methods of: treating metastatic breast cancer; refractory breast cancer; AR-positive breast cancer; AR-positive refractory breast cancer; AR-positive metastatic breast cancer; AR-positive and ER-positive breast cancer; triple negative breast cancer advanced breast cancer; breast cancer that has failed SERM (tamoxifen, toremifene), aromatase inhibitor, trastuzumab (Herceptin, ado-trastuzumab emtansine), pertuzumab (Perjeta), lapatinib, exemestane (Aromasin), bevacizumab (Avastin), and/or fulvestrant treatments; metastasis in a subject suffering from breast cancer; comprising administering to the subject a therapeutically effective amount of a selective androgen receptor modulator (SARM) compound.

Claims (95)

1. A method of treating, reducing, suppressing the severity of or inhibiting AR-positive breast cancer in a subject with AR-positive breast cancer, comprising administering to said subject a selective androgen receptor modulator (SARM) compound represented by a structure of formula I:

X is O;

G is O;

T is OH, OR, —NHCOCH 3 , or NHCOR;

R is alkyl, dihaloalkyl, trihaloalkyl, CH 2 F, CHF 2 , CF 3 , CF 2 CF 3 , aryl, alkenyl or OH;

R 1 is CH 3 , CH 2 F, CHF 2 , CF 3 , CH 2 CH 3 , or CF 2 CF 3 ;

R 2 is H, F, Cl, Br, I, CH 3 , CF 3 , OH, CN, NO 2 , NHCOCH 3 , NHCOCF 3 , NHCOR, alkyl, arylalkyl, OR, NH 2 , NHR, N(R) 2 , or SR;

R 3 is H, F, Cl, Br, I, CN, NO 2 , COR, COOH, CONHR, CF 3 , or Sn(R) 3 ;

Z is NO 2 , CN, COR, COOH, or CONHR;

Y is CF 3 , F, Br, Cl, I, CN, or Sn(R) 3 ;

Q is CN, alkyl, halogen, N(R) 2 , NHCOCH 3 , NHCOCF 3 , NHCOR, NHCONHR, NHCOOR, OCONHR, CONHR, NHCSCH 3 , NHCSCF 3 , NHCSR, NHSO 2 CH 3 , NHSO 2 R, OR, COR, OCOR, OSO 2 R, SO 2 R or SR;

n is an integer of 1-4; and

m is an integer of 1-3,

wherein said treating does not include preventing.

2. The method of claim 1 , wherein said SARM compound is represented by a structure of formula XIII:

or formula XIV:

3. The method of claim 1 , wherein said SARM compound is represented by a structure of formula II:

wherein X is O;

G is O;

T is OH, OR, —NHCOCH 3 , or NHCOR;

Z is NO 2 , CN, COR, COOH or CONHR;

Y is I, CF 3 , Br, Cl, or Sn(R) 3 ;

Q is CN, alkyl, halogen, N(R) 2 , NHCOCH 3 , NHCOCF 3 , NHCOR, NHCONHR, NHCOOR, OCONHR, CONHR, NHCSCH 3 , NHCSCF 3 , NHCSR, NHSO 2 CH 3 , NHSO 2 R, OR, COR, OCOR, OSO 2 R, SO 2 R or SR;

R is a C 1 -C 4 alkyl, aryl, alkenyl, or hydroxyl; and

R 1 is CH 3 , CF 3 , CH 2 CH 3 , or CF 2 CF 3 .

4. The method of claim 3 , wherein said SARM compound is represented by a structure of formula:

5. The method of claim 1 , wherein said breast cancer is a breast cancer that has failed selective estrogen receptor modulator (tamoxifen, toremifene), aromatase inhibitor, trastuzumab, ado-trastuzumab emtansine, pertuzumab, lapatinib, exemestane, bevacizumab, and/or fulvestrant treatments.

6. A method of treating, reducing, suppressing the severity of or inhibiting metastatic or advanced AR-positive breast cancer in a subject with metastatic AR-positive breast cancer or advanced AR-positive breast cancer, comprising administering to said subject a selective androgen receptor modulator (SARM) compound represented by a structure of formula I:

X is O;

G is O;

T is OH, OR, —NHCOCH 3 , or NHCOR;

R is alkyl, dihaloalkyl, trihaloalkyl, CH 2 F, CHF 2 , CF 3 , CF 2 CF 3 , aryl, alkenyl or OH;

R 1 is CH 3 , CH 2 F, CHF 2 , CF 3 , CH 2 CH 3 , or CF 2 CF 3 ;

R 2 is H, F, Cl, Br, I, CH 3 , CF 3 , OH, CN, NO 2 , NHCOCH 3 , NHCOCF 3 , NHCOR, alkyl, arylalkyl, OR, NH 2 , NHR, N(R) 2 , or SR;

R 3 is H, F, Cl, Br, I, CN, NO 2 , COR, COOH, CONHR, CF 3 , or Sn(R) 3 ;

Z is NO 2 , CN, COR, COOH, or CONHR;

Y is CF 3 , F, Br, Cl, I, CN, or Sn(R) 3 ;

Q is CN, alkyl, halogen, N(R) 2 , NHCOCH 3 , NHCOCF 3 , NHCOR, NHCONHR, NHCOOR, OCONHR, CONHR, NHCSCH 3 , NHCSCF 3 , NHCSR, NHSO 2 CH 3 , NHSO 2 R, OR, COR, OCOR, OSO 2 R, SO 2 R or SR;

n is an integer of 1-4; and

m is an integer of 1-3,

wherein said treating does not include preventing.

7. The method of claim 6 , wherein said SARM compound is represented by a structure of formula XIII.

or formula XIV:

8. The method of claim 6 , wherein said SARM compound is represented by a structure of formula II:

wherein X is O;

G is O;

T is OH, OR, —NHCOCH 3 , or NHCOR;

Z is NO 2 , CN, COR, COOH or CONHR;

Y is I, CF 3 , Br, Cl, or Sn(R) 3 ;

Q is CN, alkyl, halogen, N(R) 2 , NHCOCH 3 , NHCOCF 3 , NHCOR, NHCONHR, NHCOOR, OCONHR, CONHR, NHCSCH 3 , NHCSCF 3 , NHCSR, NHSO 2 CH 3 , NHSO 2 R, OR, COR, OCOR, OSO 2 R, SO 2 R or SR;

R is a C 1 -C 4 alkyl, aryl, phenyl, alkenyl, or hydroxyl; and

R 1 is CH 3 , CF 3 , CH 2 CH 3 , or CF 2 CF 3 .

9. The method of claim 8 , wherein said SARM compound is represented by a structure of formula:

10. The method of claim 6 , wherein said metastatic or advanced breast cancer is AR-positive ER-positive metastatic or advanced breast cancer.

11. A method of treating, reducing, suppressing the severity of, or inhibiting refractory AR-positive breast cancer in a subject with refractory AR-positive breast cancer, comprising administering to said subject a selective androgen receptor modulator (SARM) compound represented by a structure of formula I:

X is O;

G is O;

T is OH, OR, —NHCOCH 3 , or NHCOR;

R is alkyl, dihaloalkyl, trihaloalkyl, CH 2 F, CHF 2 , CF 3 , CF 2 CF 3 , aryl, alkenyl or OH;

R 1 is CH 3 , CH 2 F, CHF 2 , CF 3 , CH 2 CH 3 , or CF 2 CF 3 ;

R 2 is H, F, Cl, Br, I, CH 3 , CF 3 , OH, CN, NO 2 , NHCOCH 3 , NHCOCF 3 , NHCOR, alkyl, arylalkyl, OR, NH 2 , NHR, N(R) 2 , or SR;

R 3 is H, F, Cl, Br, I, CN, NO 2 , COR, COOH, CONHR, CF 3 , or Sn(R) 3 ,

Z is NO 2 , CN, COR, COOH, or CONHR;

Y is CF 3 , F, Br, Cl, I, CN, or Sn(R) 3 ;

Q is CN, alkyl, halogen, N(R) 2 , NHCOCH 3 , NHCOCF 3 , NHCOR, NHCONHR, NHCOOR, OCONHR, CONHR, NHCSCH 3 , NHCSCF 3 , NHCSR, NHSO 2 CH 3 , NHSO 2 R, OR, COR, OCOR, OSO 2 R, SO 2 R or SR;

n is an integer of 1-4; and

m is an integer of 1-3,

wherein said treating does not include preventing.

12. The method of claim 11 , wherein said SARM compound is represented by a structure of formula XIII:

or formula XIV:

13. The method of claim 11 , wherein said SARM compound is represented by a structure of formula II:

wherein X is O;

G is O;

T is OH, OR, —NHCOCH 3 , or NHCOR;

Z is NO 2 , CN, COR, COOH or CONHR;

Y is I, CF 3 , Br, Cl, or Sn(R) 3 ;

Q is CN, alkyl, halogen, N(R) 2 , NHCOCH 3 , NHCOCF 3 , NHCOR, NHCONHR, NHCOOR, OCONHR, CONHR, NHCSCH 3 , NHCSCF 3 , NHCSR, NHSO 2 CH 3 , NHSO 2 R, OR, COR, OCOR, OSO 2 R, SO 2 R or SR;

R is a C 1 -C 4 alkyl, aryl, phenyl, alkenyl, or hydroxyl; and

R 1 is CH 3 , CF 3 , CH 2 CH 3 , or CF 2 CF 3 .

14. The method of claim 13 , wherein said SARM compound is represented by a structure of formula:

15. The method of claim 11 , wherein said refractory AR-positive breast cancer is AR-positive ER-positive refractory breast cancer.

16. The method of claim 1 , wherein said AR-positive breast cancer is AR-positive ER-positive breast cancer.

17. The method of claim 1 , wherein said AR-positive breast cancer is ER-negative PR-negative and HER2-negative.

18. The method of claim 1 , wherein said AR-positive breast cancer is ER-negative PR-negative and HER2-positive.

19. The method of claim 1 , wherein said AR-positive breast cancer is ER-negative PR-positive and HER2-negative.

20. The method of claim 1 , wherein said AR-positive breast cancer is ER-positive, PR-positive and HER2-positive.

21. The method of claim 1 , wherein said AR-positive breast cancer is ER-positive, PR-negative and HER2-positive.

22. The method of claim 1 , wherein said AR-positive breast cancer is ER-positive, PR-positive and HER2-negative.

23. The method of claim 6 , wherein said AR-positive breast cancer is ER-positive, PR-positive and HER2-negative.

24. The method of claim 11 , wherein said AR-positive breast cancer is ER-positive, PR-positive and HER2-negative.

25. The method of claim 1 , comprising administering a racemic mixture of said SARM compound, or an isomer, a metabolite, pharmaceutically acceptable salt, pharmaceutical product, hydrate, N-oxide, or crystal of said selective androgen receptor modulator, or any combination thereof.

26. The method of claim 25 , wherein said administering comprises intravenously, intraarterially, or intramuscularly injecting to said subject said pharmaceutical product in liquid form; subcutaneously implanting in said subject a pellet containing said pharmaceutical product; orally administering to said subject said pharmaceutical product in a liquid or solid form; or topically applying to said subject said pharmaceutical product.

27. The method of claim 26 , wherein said pharmaceutical product is a pellet, a tablet, a capsule, a solution, a suspension, an emulsion, an elixir, a gel, a cream, a suppository or a parenteral formulation.

28. The method of claim 6 , comprising administering a racemic mixture of said SARM compound, or an isomer, a metabolite, pharmaceutically acceptable salt, pharmaceutical product, hydrate, N-oxide, or crystal of said selective androgen receptor modulator, or any combination thereof.

29. The method of claim 11 , comprising administering a racemic mixture of said SARM compound, or an isomer, a metabolite, pharmaceutically acceptable salt, pharmaceutical product, hydrate, N-oxide, or crystal of said selective androgen receptor modulator, or any combination thereof.

Assignments (3)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Nov 9, 2020
From: ONCTERNAL THERAPEUTICS, INC.
To: UNIVERSITY OF TENNESSEE RESEARCH FOUNDATION
Reel/Frame 054318/0958 →
CHANGE OF NAME Recorded Jul 4, 2019
From: GTX, INC.
To: ONCTERNAL THERAPEUTICS, INC
Reel/Frame 049679/0298 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Nov 25, 2014
From: DALTON, JAMES T.; STEINER, MITCHELL S.; NARAYANAN, RAMESH; AHN, SUNJOO
To: GTX, INC.
Reel/Frame 034263/0931 →
Continuity (5)
Continuation In Part 13953492 · Jul 29, 2013
Continuation In Part 13789005 · Mar 7, 2013
Provisional Application 61671366 · Jul 13, 2012
Provisional Application 61726274 · Nov 14, 2012
Related Publication 20140350102A1 · Nov 27, 2014