IP Library Granted Patent US 9,744,149
Granted Patent B2
US 9,744,149 · App. 14/798,208 · Granted Aug 29, 2017

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

Inventors: James T. Dalton (Ann Arbor, MI); Mitchell S. Steiner (Germantown, TN); Ramesh Narayanan (Cordova, TN); Sunjoo Ahn (Daejeon, KR)
Assignee: GTX, INC.
A61K31/277A61K9/4808A61K9/50A61K31/167
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Quick Facts
Patent No.
US 9,744,149
App. No.
14/798,208
Granted
Aug 29, 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 (34)

1. A method of treating, inhibiting, or reducing the severity of ER-(+) AR-(+) metastatic breast cancer in a subject suffering from ER-(+) AR-(+) metastatic breast cancer, wherein said breast cancer has been previously treated with at least one prior hormone therapy, the method 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; and

wherein said treating does not include preventing.

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

3. The method of claim 2 , 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.

4. The method of claim 3 , 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.

5. The method of claim 2 , wherein said pharmaceutical product comprises a 9 mg or an 18 mg dosage of said SARM compound.

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

or Formula XIV:

7. 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, phenyl, alkenyl, or hydroxyl and

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

8. The method of claim 7 , comprising administering an isomer, a racemic mixture containing a SARM compound, a metabolite, pharmaceutically acceptable salt, pharmaceutical product, hydrate, N-oxide, or crystal of said selective androgen receptor modulator, or any combination thereof.

9. The method of claim 7 , wherein said SARM compound is represented by a structure of Formula:

10. The method of claim 1 , wherein said ER-(+) metastatic breast cancer is refractory.

11. The method of claim 1 , wherein said prior hormone therapy is a selective estrogen receptor modulator, aromatase inhibitor, and/or a selective estrogen receptor degrader.

12. The methods of claim 11 , wherein said selective estrogen receptor modulator, aromatase inhibitor, and/or selective estrogen receptor degrader is less than or equal to any three of tamoxifen, toremifene, letrozole, vorozole, fadrozole, anastrozole, exemestane, formestane, or fulvestrant.

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 Jul 19, 2017
From: DALTON, JAMES T.; STEINER, MITCHELL S.; NARAYANAN, RAMESH; AHN, SUNJOO
To: GTX, INC.
Reel/Frame 043048/0714 →
Continuity (6)
Continuation In Part 14293632 · Jun 2, 2014
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 20160128968A1 · May 12, 2016