IP Library Granted Patent US 50,642
Granted Patent E1
US 50,642 · App. 17/896,658 · Granted Oct 21, 2025

Anti-androgens for the treatment of non-metastatic castrate-resistant prostate cancer

Inventor: Isan Chen (San Diego, CA)
Assignee: Aragon Pharmaceuticals, Inc.
A61K31/4439A61K31/00A61K31/4166
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Quick Facts
Patent No.
US 50,642
App. No.
17/896,658
Granted
Oct 21, 2025
Kind
E1
Abstract

Described herein are methods of treating non-metastatic castrate-resistant prostate cancer with anti-androgens.

Claims (86)

1. A method of treating a male human with non-metastatic castration-resistant prostate cancer, the method comprising administering an anti-androgen at a dose of about 30 mg per day to about 480 mg per day to a male human in need of such treatment, wherein the anti-androgen is:

4-[7-(6-cyano-5-trifluoromethylpyridin-3-yl)-8-oxo-6-thioxo-5,7-diazaspiro[3.4]oct-5-yl]-2 fluoro-N-methylbenzamide,

4-(3-(4-cyano-3-(trifluoromethyl)phenyl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)-2-fluoro-N-methylbenzamide, or

4-[7-[4-cyano-3-(trifluoromethyl)phenyl]-8-oxo-6-thioxo-5,7-diazaspiro[3.4]oct-5-yl]-2-fluoro-N-methylbenzamide;

wherein said method further comprises administering a gonadotropin releasing hormone (GnRH) agonist.

2. The method of claim 1 , wherein the non-metastatic castration-resistant prostate cancer is a high risk non-metastatic castration-resistant prostate cancer.

3. The method of claim 1 , wherein the anti-androgen is 4-[7-(6-cyano-5-trifluoromethylpyridin-3-yl)-8-oxo-6-thioxo-5,7-diazaspiro[3.4]oct-5-yl]-2-fluoro-N-methylbenzamide.

4. The method of claim 3 , wherein 4-[7-(6-cyano-5-trifluoromethylpyridin-3-yl)-8-oxo-6-thioxo-5,7-diazaspiro[3.4]oct-5-yl]-2-fluoro-N-methylbenzamide is administered daily to the male human.

5. The method of claim 3 , wherein 4-[7-(6-cyano-5-trifluoromethylpyridin-3-yl)-8-oxo-6-thioxo-5, 7-diazaspiro[3.4]oct-5-yl]-2-fluoro-N-methylbenzamide (ARN-509) is administered orally to the male human at a dose of about 180 mg per day to about 480 mg per day.

6. The method of claim 3 , wherein 4-[7-(6-cyano-5-trifluoromethylpyridin-3-yl)-8-oxo-6-thioxo-5,7-diazaspiro[3.4]oct-5-yl]-2-fluoro-N-methylbenzamide (ARN-509) is administered orally to the male human at a dose of:

(a) about 30 mg per day;

(b) about 60 mg per day;

(c) about 90 mg per day;

(d) about 120 mg per day; or

(e) about 240 mg per day.

7. The method of claim 3 , wherein 4-[7-(6-cyano-5-trifluoromethylpyridin-3-yl)-8-oxo-6-thioxo-5,7-diazaspiro[3.4]oct-5-yl]-2-fluoro-N-methylbenzamide is administered orally to the male human on a continuous daily dosage schedule.

8. The method of claim 3 , wherein the GnRH agonist is leuprolide, buserelin, naferelin, histrelin, goserelin or deslorelin.

9. The method of claim 1 , wherein the anti-androgen is 4-(3-(4-cyano-3-(trifluoromethyl)phenyl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)-2-fluoro-N-methylbenzamide.

10. The method of claim 9 , wherein the GnRH agonist is leuprolide, buserelin, naferelin, histrelin, goserelin or deslorelin.

11. The method of claim 1 , wherein the anti-androgen is 4-[7-[4-cyano-3-(trifluoromethyl)phenyl]-8-oxo-6-thioxo-5,7-diazaspiro[3.4]oct-5-yl]-2-fluoro-N-methylbenzamide.

12. The method of claim 11 , wherein the GnRH agonist is leuprolide, buserelin, naferelin, histrelin, goserelin or deslorelin.

13. The method of claim 1 , wherein the anti-androgen is administered orally to the male human.

14. A method of treating a male human with non-metastatic castration-resistant prostate cancer, the method consisting essentially of administering an anti-androgen at a dose of about 30 mg per day to about 480 mg per day to a male human in need of such treatment, wherein the anti-androgen is:

4-[7-(6-cyano-5-trifluoromethylpyridin-3-yl)-8-oxo-6-thioxo-5,7-diazaspiro[3.4]oct-5-yl]-2 fluoro-N-methylbenzamide,

4-(3-(4-cyano-3-(trifluoromethyl)phenyl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)-2-fluoro-N-methylbenzamide, or

4-[7-[4-cyano-3-(trifluoromethyl)phenyl]-8-oxo-6-thioxo-5,7-diazaspiro[3.4]oct-5-yl]-2-fluoro-N-methylbenzamide;

wherein said method further comprises administering a gonadotropin releasing hormone (GnRH) agonist.

15. The method of claim 14 , wherein the anti-androgen is 4-[7-(6-cyano-5-trifluoromethylpyridin-3-yl)-8-oxo-6-thioxo-5,7-diazaspiro[3.4]oct-5-yl]-2-fluoro-N-methylbenzamide.

16. The method of claim 15 , wherein the GnRH agonist is leuprolide, buserelin, naferelin, histrelin, goserelin or deslorelin.

17. The method of claim 15 , wherein 4-[7-(6-cyano-5-trifluoromethylpyridin-3-yl)-8-oxo-6-thioxo-5,7-diazaspiro[3.4]oct-5-yl]-2-fluoro-N-methylbenzamide (ARN-509) is administered orally to the male human at a dose of:

(a) about 30 mg per day;

(b) about 60 mg per day;

(c) about 90 mg per day;

(d) about 120 mg per day; or

(e) about 240 mg per day.

18. The method of claim 9 , wherein the 4-(3-(4-cyano-3-(trifluoromethyl)phenyl)-5,5-dimethyl-4-oxo-2-thioxoimidazolidin-1-yl)-2-fluoro-N-methylbenzamide is administered orally to the male human at a dose of about 160 mg per day.

19. The method of claim 3 , wherein 4-[7-(6-cyano-5-trifluoromethylpyridin-3-yl)-8-oxo-6-thioxo-5,7-diazaspiro[3.4]oct-5-yl]-2-fluoro-N-methylbenzamide is administered orally to the male human at a dose of about 240 mg per day.

20. The method of claim 3 , wherein the GnRH agonist is leuprolide.

21. The method of claim 3 , wherein the GnRH agonist is buserelin.

22. The method of claim 3 , wherein the GnRH agonist is naferelin.

23. The method of claim 3 , wherein the GnRH agonist is histrelin.

24. The method of claim 3 , wherein the GnRH agonist is goserelin.

25. The method of claim 3 , wherein the GnRH agonist is deslorelin.

26. A method of treating non-metastatic castration-resistant prostate cancer in a male human comprising administering a therapeutically effective amount of an anti-androgen to a male human with a non-metastatic castration-resistant prostate cancer;

wherein the anti-androgen is 4-[7-(6-cyano-5-trifluoromethylpyridin-3-yl)-8-oxo-6-thioxo-5,7-diazaspiro [3.4]oct-5-yl]-2-fluoro-N-methylbenzamide;

wherein the anti-androgen is administered in an amount of about 180 mg per day or 120 mg per day;

and wherein said method further comprises administering a gonadotropin releasing hormone (GnRH) agonist.

27. The method of claim 26 , wherein the anti-androgen is administered in an amount of about 180 mg per day.

28. The method of claim 26 , wherein the anti-androgen is administered in an amount of about 120 mg per day.

29. The method of claim 26 , wherein the male human was previously treated at 240 mg per day and required dose reduction.

30. The method of claim 26 , wherein the male human was previously treated at 240 mg per day and required dose interruption.

31. The method of claim 26 , wherein the non-metastatic castration-resistant prostate cancer is a high risk non-metastatic castration-resistant prostate cancer.

32. The method of claim 31 , wherein the male human with the high risk non-metastatic castration-resistant prostate cancer has a prostate-specific antigen doubling time (PSADT) that is less than or equal to 10 months.

33. The method of claim 28 , wherein the male human has experienced 3 consecutive rises of PSA, 1 week apart, resulting in two 50% increases over the nadir, with the last PSA>2 ng/ml.

34. The method of claim 26 , wherein the male human is further treated to maintain castrate levels of testosterone of less than 50 ng/dL.

35. The method of claim 26 , wherein the anti-androgen is administered daily to the male human.

36. The method of claim 26 , wherein the anti-androgen is administered orally to the male human.

37. The method of claim 26 , wherein the anti-androgen is administered to the male human orally and on a continuous daily dosing schedule.

38. The method of claim 26 , wherein the male human has previously been treated with either orchiectomy or continuous androgen deprivation therapy (ADT).

39. The method of claim 38 , wherein the continuous androgen deprivation therapy comprises administration of a gonadotropin-releasing hormone (GnRH) agonist or antagonist.

40. The method of claim 39 , wherein the continuous androgen deprivation therapy comprises administration of a gonadotropin-releasing hormone agonist; and wherein the gonadotropin-releasing hormone is leuprolide, buserelin, nafarelin, histrelin, goserelin, or deslorelin.

41. A method of treating non-metastatic castration-resistant prostate cancer in a male human consisting essentially of administering a therapeutically effective amount of an anti-androgen to a male human with a non-metastatic castration-resistant prostate cancer;

wherein the anti-androgen is 4-[7-(6-cyano-5-trifluoromethylpyridin-3-yl)-8-oxo-6-thioxo-5,7-diazaspiro[3.4]oct-5-yl]-2-fluoro-N-methylbenzamide;

wherein the anti-androgen is administered in an amount of about 180 mg per day or 120 mg per day;

and wherein said method further comprises administering a gonadotropin releasing hormone (GnRH) agonist.

42. The method of claim 41 , wherein the anti-androgen is administered in an amount of about 180 mg per day.

43. The method of claim 41 , wherein the anti-androgen is administered in an amount of about 120 mg per day.

44. The method of claim 41 , wherein the male human was previously treated at 240 mg per day and required dose reduction.

45. The method of claim 41 , wherein the non-metastatic castration-resistant prostate cancer is a high risk non-metastatic castration-resistant prostate cancer.

46. The method of claim 45 , wherein the male human with the high risk non-metastatic castration-resistant prostate cancer has a prostate-specific antigen doubling time (PSADT) that is less than or equal to 10 months.

47. The method of claim 45 , wherein the male human has experienced 3 consecutive rises of PSA, 1 week apart, resulting in two 50% increases over the nadir, with the last PSA>2 ng/mL.

48. The method of claim 41 , wherein the male human is further treated to maintain castrate levels of testosterone of less than 50 ng/dL.

49. The method of claim 41 , wherein the anti-androgen is administered daily to the male human.

50. The method of claim 41 , wherein the anti-androgen is administered orally to the male human.

51. The method of claim 41 , wherein the anti-androgen is administered to the male human orally and on a continuous daily dosing schedule.

52. The method of claim 41 , wherein the male human has previously been treated with either orchiectomy or continuous androgen deprivation therapy (ADT).

53. The method of claim 52 , wherein the continuous androgen deprivation therapy comprises administration of a gonadotropin-releasing hormone (GnRH) agonist or antagonist.

54. The method of claim 53 , wherein the continuous androgen deprivation therapy comprises administration of a gonadotropin-releasing hormone agonist; and wherein the gonadotropin-releasing hormone is leuprolide, buserelin, nafarelin, histrelin, goserelin, or deslorelin.

55. A method of treating non-metastatic castration-resistant prostate cancer in a male human comprising administering a therapeutically effective amount of an anti-androgen to a male human with a non-metastatic castration-resistant prostate cancer;

wherein the anti-androgen is 4-[7-(6-cyano-5-trifluoromethylpyridin-3-yl)-8-oxo-6-thioxo-5,7-diazaspiro[3.4]oct-5-yl]-2-fluoro-N-methylbenzamide;

wherein the anti-androgen is administered in an amount of about 180 mg per day;

and wherein said method further comprises administering a gonadotropin releasing hormone (GnRH) agonist.

56. A method of treating non-metastatic castration-resistant prostate cancer in a male human consisting essentially of administering a therapeutically effective amount of an anti-androgen to a male human with a non-metastatic castration-resistant prostate cancer;

wherein the anti-androgen is 4-[7-(6-cyano-5-trifluoromethylpyridin-3-yl)-8-oxo-6-thioxo-5,7-diazaspiro[3.4]oct-5-yl]-2-fluoro-N-methylbenzamide;

wherein the anti-androgen is administered in an amount of about 180 mg per day;

and wherein said method further comprises administering a gonadotropin releasing hormone (GnRH) agonist.

Continuity (5)
Continuation 16998683 · Aug 20, 2020
Reissue 15851444 · Dec 21, 2017
Continuation 14034460 · Sep 23, 2013
Provisional Application 61705900 · Sep 26, 2012
Reissue 15851444 · Dec 21, 2017
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