IP Library Granted Patent US 12,433,882
Granted Patent B2
US 12,433,882 · App. 18/496,134 · Granted Oct 7, 2025

Treatments for amyotrophic lateral sclerosis using dazucorilant

Inventors: Grace Mann (Menlo Park, CA); Iulia Cristina Tudor (Menlo Park, CA); William Guyer (Menlo Park, CA); Hazel Hunt (West Sussex, GB); Joseph Custodio (Menlo Park, CA)
Assignee: Corcept Therapeutics Incorporated
A61K31/4738A61K31/4152A61K31/428A61P25/28
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Quick Facts
Patent No.
US 12,433,882
App. No.
18/496,134
Granted
Oct 7, 2025
Kind
B2
Abstract

Applicant discloses methods and compositions for treating a patient suffering from amyotrophic lateral sclerosis (ALS) comprising administration of a heteroaryl ketone fused azadecalin compound. In embodiments, the heteroaryl ketone fused azadecalin compound is dazucorilant: (R)-(1-(4-fluorophenyl)-6-((4-(trifluoromethyl)phenyl) sulfonyl)-4, 4a, 5,6,7,8-hexahydro-1-H-pyrazolo[3,4-g]isoquinolin-4a-yl) (pyridin-2-yl)methanone, having the chemical structure illustrated as Suitable doses include daily administration of 150 milligrams and 300 milligrams of dazucorilant. Suitable doses include daily administration of dazucorilant with food, or with water, or with food and water. Daily administration of dazucorilant is effective to increase dazucorilant exposure up to about 2-fold when continued for seven days or more. Administration of such a heteroaryl ketone fused azadecalin compound may comprise oral administration, enteral administration, or other administration. Pharmaceutical compositions comprising dazucorilant are useful in the treatment of patients suffering from ALS. Suitable pharmaceutical compositions comprising dazucorilant include, e.g., pharmaceutical compositions for oral administration and pharmaceutical compositions for enteral administration.

Claims (17)

1. A method of treating a subject suffering from amyotrophic lateral sclerosis (ALS) by providing said patient with greater dazucorilant exposure than the fasted dazucorilant exposure for treating ALS, the method comprising administering to the subject, by oral administration with food, an effective amount of 150 milligrams (mg) or 300 mg of dazucorilant, (R)-(1-(4-fluorophenyl)-6-((4-(trifluoromethyl)phenyl) sulfonyl)-4, 4a, 5,6,7,8-hexahydro-1-H-pyrazolo [3,4-g]isoquinolin-4a-yl) (pyridin-2-yl) methanone:

formulated in a LFCS Type IV lipid formulation in a softgel capsule containing dazucorilant, thereby increasing dazucorilant exposure by about 1.3-fold to about 1.7-fold as compared to the dazucorilant exposure of said effective amount of dazucorilant when administered without food to a fasted subject, effective to provide the patient with greater dazucorilant exposure than the fasted dazucorilant exposure for treating said ALS in the patient.

2. The method of claim 1 , wherein said effective amount of dazucorilant is 150 mg of dazucorilant.

3. The method of claim 1 , wherein said effective amount of dazucorilant is 300 mg of dazucorilant.

4. The method of claim 1 , wherein said dazucorilant administration comprises once-daily dazucorilant administration for at least 14 consecutive days.

5. The method of claim 1 , wherein said effective amount of dazucorilant is contained in one or more softgel capsules.

6. The method of claim 1 , further comprising administration of a further therapy for ALS.

7. The method of claim 6 , wherein said further therapy for ALS comprises administration of riluzole or edaravone.

8. The method of claim 7 , wherein said further therapy for ALS comprises administration of riluzole.

9. The method of claim 7 , wherein said further therapy for ALS comprises administration of edaravone.

10. The method of claim 1 , wherein said oral administration of dazucorilant with food comprises at least 7 consecutive days of oral dazucorilant administration with food and treats a symptom associated with ALS is selected from weakness of the upper limbs, weakness of lower limbs, dysarthria, and dysphagia in said patient.

11. The method of claim 10 , wherein said symptom associated with ALS is weakness of the upper limbs or weakness of the lower limbs.

12. The method of claim 1 , wherein said oral administration of dazucorilant is once-daily oral administration of dazucorilant.

13. The method of claim 1 , wherein said oral administration with food is daily administration of dazucorilant continued for at least 7 consecutive days.

14. The method of claim 13 , wherein said daily oral dazucorilant administration with food continued for at least 7 consecutive days is effective to increase dazucorilant plasma levels in the patient by about 1.5-fold as compared to the dazucorilant plasma levels resulting from the first day of said oral dazucorilant administration with food.

15. The method of claim 13 , comprising further daily oral administration of dazucorilant with food on additional days after said 7 consecutive days of daily oral dazucorilant administration with food, effective to achieve a steady-state level of dazucorilant in the plasma of said patient.

16. The method of claim 1 , wherein said softgel capsule contains about 75 milligrams of dazucorilant.

Assignments (1)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Nov 7, 2023
From: MANN, GRACE; TUDOR, IULIA CRISTINA; GUYER, WILLIAM; HUNT, HAZEL; CUSTODIO, JOSEPH
To: CORCEPT THERAPEUTICS INCORPORATED
Reel/Frame 065480/0114 →
Continuity (5)
Provisional Application 63525044 · Jul 5, 2023
Provisional Application 63453989 · Mar 22, 2023
Provisional Application 63427305 · Nov 22, 2022
Provisional Application 63420409 · Oct 28, 2022
Related Publication 20240156806A1 · May 16, 2024
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