|
Methods of treating androgenic alopecia with finasteride |
| United States Patent | 5,571,817 |
| Rasmusson, et. al. | Nov. 5, 1996 |
Methods of treating androgenic alopecia with finasteride [17.beta.-N-mono-substituted-carbamoyl-4-aza-5-.alpha.-androst-1-en-ones]
| Inventors: | Rasmusson; Gary H. (Watchung, NJ); Reynolds; Glenn F. (Westfield, NJ). |
| Assignee: | Merck & Co., Inc. (Rahway, NJ). |
| Appl. No.: | 94,815 |
| Filed: | Jul. 20, 1993 |
Related U.S. Application Data
| Continuation of (including streamline cont.) Ser. No. 16,476, Feb. 10, 1993, abandoned, which is a continuation of Ser. No. 927,256, Aug. 7, 1992, abandoned, which is a continuation of Ser. No. 698,374, May 9, 1991, abandoned, which is a continuation of Ser. No. 545,676, Jun. 28, 1990, abandoned, which is a continuation of Ser. No. 370,142, Jun. 21, 1989, abandoned, which is a continuation of Ser. No. 198,708, May 19, 1988, abandoned, which is a continuation of Ser. No. 34,806, Apr. 3, 1987, abandoned, which is a continuation-in-part of Ser. No. 800,623, Nov. 21, 1985, Pat. No. 4,760,071, which is a continuation of Ser. No. 584,062, Feb. 27, 1984, abandoned. |
| Intl. Cl. : | A61K 31/44 |
| Current U.S. Cl.: | 514/284; 546/77 |
| Field of Search: | 546/77; 514/284 |
References Cited | [Referenced By:]
U.S. Patent Documents
| 2,227,876 | Jan., 1941 | Bolt | 260/269 |
| 3,239,417 | Mar., 1966 | Tullio et al. | 167/65 |
| 3,264,301 | Aug., 1966 | Doorenbos et al. | 260/286 |
| 3,285,918 | Nov., 1966 | Doorenbos et al. | 260/251 |
| 4,139,619 | Feb., 1979 | Chidsey, III | 424/45 |
| 4,220,775 | Sept., 1980 | Rasmusson et al. | 546/77 |
| 4,317,817 | Mar., 1982 | Blohm et al. | 424/226 |
| 4,377,584 | Mar., 1983 | Rasmusson et al. | 424/258 |
| 4,396,615 | Aug., 1983 | Petrow et al. | 424/242 |
| 4,596,812 | Jun., 1986 | Chidsey, III et al. | 514/256 |
| 4,689,345 | Aug., 1987 | Kasha et al. | 514/546 |
| 4,732,897 | Mar., 1988 | Cainelli et al. | 514/222 |
| 4,760,071 | Jul., 1988 | Rasmusson et al. | 514/284 |
| 4,845,104 | Jul., 1989 | Carlin et al. | 514/284 |
| 4,859,681 | Aug., 1989 | Rasmusson et al. | 514/284 |
| 4,882,319 | Nov., 1989 | Holt et al. | 514/119 |
| 4,888,336 | Dec., 1989 | Holt et al. | 514/278 |
| 4,910,226 | Mar., 1990 | Holt et al. | 514/573 |
| 5,021,575 | Jun., 1991 | King et al. | 546/77 |
| 5,049,562 | Sept., 1991 | Rasmusson et al. | 514/284 |
| 5,061,802 | Oct., 1991 | Steinberg et al. | 546/77 |
| 5,075,450 | Dec., 1991 | Rasmusson et al. | 546/285 |
| 5,084,574 | Jan., 1992 | Bhattacharya et al. | 546/77 |
| 5,091,380 | Feb., 1992 | Rasmusson et al. | 514/169 |
| 5,120,729 | Jun., 1992 | Chabala et al. | 514/210 |
| 5,120,742 | Jun., 1992 | Rasmusson et al. | 514/284 |
| 5,138,063 | Aug., 1992 | Rasmusson et al. | 546/77 |
| 5,151,429 | Sept., 1992 | Rasmusson et al. | 514/284 |
| 5,151,430 | Sept., 1992 | Steinberg et al. | 514/284 |
| 5,162,332 | Nov., 1992 | Steinberg et al. | 514/284 |
| 5,175,155 | Dec., 1992 | Juniewicz et al. | 514/176 |
| 5,196,411 | Mar., 1993 | Rasmusson et al. | 514/169 |
Foreign Patent Documents
| 970692 | Jul., 1975 | CA | |
| 0004949 | Oct., 1979 | EP | |
| 0155096 | Sept., 1985 | EP | |
| 0277002 | Aug., 1988 | EP | |
| 0289327 | Nov., 1988 | EP | |
| 0314199 | May, 1989 | EP | |
| 0343954 | Nov., 1989 | EP | |
| 0375347 | Jun., 1990 | EP | |
| 0375349 | Jun., 1990 | EP | |
| 0375345 | Jun., 1990 | EP | |
| 0375344 | Jun., 1990 | EP | |
| 0463638 | Jan., 1992 | EP | |
| 1465544 | Nov., 1965 | FR | |
| 59-13719 | Jan., 1984 | JP | |
| 60-116657 | Jun., 1985 | JP | |
| 60-126218 | Jul., 1988 | JP | |
| 83/7859 | Nov., 1984 | ZA | |
| WO85/05272 | Dec., 1985 | WO | |
| WO85/05270 | Dec., 1985 | WO |
Questel. Orbit, JAPIO file (abstract), accession No. 84-013719 (1984).
Derwent WPAT file (abstract), accession No. 85-200306/33 (1985).
Questel. Orbit, JAPIO file (abstract), accession No. 85-116657 (1985).
Neri, et al., "A Biological Profile of Nonsteroidal Antiandrogen, SCH 13521", Endo., vol. 91, No. 2, pp. 427-437 (1972).
Nayfeh, et al., "Metabolism of Progesterone by Rat Testicular Homogenates", Steroids, vol. 14, pp. 269-283 (1969).
Voigt, et al., Endo., vol. 92, p. 1216.
Doorenbos, et al., "Synthesis and Antimicrobial Properties of 17 Beta-Isopentyloxy . . . ", J. Pharm. Sci., vol. 62, No. 4 pp. 638-640 (1973).
Doorenbos, et al., "4-17 Alpha-Dimethyl-4-Aza-5 Alpha-Androstan-17 Beta-ol-Acetate . . . ", J. Pharm. Sci., vol. 60, No. 8, pp. 1234-1235 (1971).
Doorenbos, et al., "Synthesis and Evaluation of Antimicrobial Properties . . . ", J. Pharm. Sci., vol. 63, No. 4, pp. 620-622 (1974).
Back, et al., "N-Chloroazasteroids: A Novel Class of Reactive Steroid Analogues", J. Org. Chem., vol. 54, pp. 1904-1910 (1989).
Liang, et al., "Inhibition of 5 Alpha-Reductase, Receptor Binding and Nuclear Uptake of Androgens . . . ", Chem. Abs., vol. 95, No. 13, p. 99, AB #109055j (1981).
Brooks, et al., "Prostatic Effects Induced in Dogs by Chronic or Acute Oral Administration . . . ", The Prostate, vol. 9, pp. 65-75 (1986).
Kadohama, et al., "Retardation of Prostate Tumor Progression in Nobel Rat . . .", J NCI, vol. 74, No. 2, pp. 475-486 (1985).
Andriole, et al., "The Effect of 4MA, a Potent Inhibitor of 5 Alpha-Reductase . . . ", The Prostate, vol. 10, pp. 189-197 (1987).
Bingham, et al., "The Metabolism of Testosterone By Human Male Scalp Skin", J. Endocr. (England), vol. 57, pp. 111-121 (1973).
Kedderis, et al., "Studies with Nitrogen-Containing Steroids and Freshly Isolated Rat Hepatocytes", Tox. Appl. Pharm., vol. 93, pp. 403-412 (1988).
Liang, et al. "Species Differences in Prostatic Steroid 5-Alpha Reductases . . . ", Endocrinology, vol. 117, pp. 571-579 (1985).
Stone, et al., "Estrogen Formation in Human Prostatic Tissue from Patients . . .", The Prostate, vol. 9, pp. 311-318 (1986).
Brooks, et al., "5 Alpha Reductase Inhibitory and Anti-Androgenic Activities . . . ", Steroids, vol. 47, pp. 1-19 (1986).
Labrie, et al., "Combination Therapy in Prostate Cancer", Lancet, vol. 2, #8515, pp. 1095-1096 (1986).
Rasmusson, et al., "Azasteroids: Structure-Activity Relationships for Inhibition . . . ", J. Med. Chem., vol. 29, pp. 2298-2315 (1986).
Rasmusson, et al., "Azasteroids as Inhibitors of Rat Prostatic 5-Alpha Reductase", J. Med. Chem., vol. 27, pp. 1690-1701 (1984).
Rittmaster, et al., "The Effects of N,N-Diethyl-4-Methyl-3-Oxo-4-Aza-5-Alpha Androstane . . . " J. Clin. Endo. & Metab., vol. 65, pp. 188-193 (1987).
Metcalf, et al., "Potent Inhibition of Human Steroid 5 Alpha-Reductase . . . ", Bioorganic Chem., vol. 17, pp. 372-376 (1986).
Levy, et al., "Inhibition of Rat Liver Steroid 5 Alpha-Reductase by 3-Androstene . . . ", Biochemistry, vol. 29, pp. 2815-2824 (1990).
Holt, et al., "Steroidal A Ring Aryl Carboxylic Acids . . . ", J. Med. Ch vol. 33, pp. 937-942 (1990).
Levy, et al., "Interaction Between Rat Prostatic Steroid 5 Alpha Reductase . . . ", J. Steroid Biochem, vol., 34, pp. 571-575 (1989).
Holt, et al., "Inhibition of Steroid 5 Alpha-Reductase by Unsaturated.", J. Med. Chem., vol. 33, pp. 943-950 (1990).
Metcalf, et al., "Inhibitors of Steroid 5 Alpha Reductase in Benign . . . ", TIPS, vol. 10, pp. 491-495 (1989).
Murphy, et al., "The Effect of Estradiol on a 25-Hydroxycholecalciferol Binding Protein . . . ", Steroids, vol. 35, pp. 1-7 (1980).
Diani, et al., "Hair Growth Effects of Oral Administration of Finasteride, a Steroid . . . ", J. Clin. Endo. & Metab., vol. 74, pp. 345-350 (1992).
Presti, Jr., et al., "Multicenter, Randomized, Double-Blind, Placebo Controlled Study . . . ", J. Urology.
Gormley, et al., "A Placebo Controlled Study of Finasteride (MK-906) on Stage D Prostate Cancer", Abst. of talk at Amer. Urol. Assoc. Mtg. in Canada (1991).
Gormley, et al., "Role of 5 Alpha Reductase Inhibitors in Treatment of Advanced Prostatic Carcinoma", Urol. Clinics of N. Amer., vol. 18, pp. 93-98 (1991).
Gormley, et al., "Effect of Finasteride on Serum PSA Levels in Men w/Prostate Cancer", 2nd Intnl. (Jan. 18, 1992).
Huggins, et al., "Studies on Prostatic Cancer", Cancer Research, pp. 293-297 (1941).
Rainwater, et al., "Prostate-Specific Antigen Testing in Untreated & Treated . . . ", Mayo Clinic Proc., vol. 65, pp. 1118-1126 (1990).
Arai, et al., "Prognostic Significance of Prostate Specific Antigen in Endocrine . . . ", J. of Urol., vol. 144, pp. 1415-1419 (1990).
Hudson, et al., "Clinical Use of Prostate Specific Antigen in Patients with Prostate Cancer", J. of Urol., vol. 142, pp. 1011-1017 (1989).
Brawer, et al., "Prostate-Specific Antigen in Management of Prostatic Carcinoma", Supp. to Urology, vol. 33, pp. 11-16 (1989).
Stamey, et al., "Prostate-Specific Antigen as a Serum Marker for Adenocarcinoma . . . ", N. E. Jour. Med., vol. 317, pp. 909-916 (1987).
Walsh, et al., "The Value of Prostate-Specific Antigen in the Management . . . ", Ther. Prog. Urol. Can., pp. 27-33 (1989).
Stamey, et al., "Prostate Specific Antigen in the Diagnosis and Treatment of Adenocarcinoma . . . ", J. of Urology, vol. 141, pp. 1070-1075 (1989).
Lange, et al., "The Value of Serum Prostate Specific Antigen Determinations . . . ", J. of Urol., vol. 141, pp. 873-879 (1989).
Hoehn, et al., "Human Prostatic Adenocarcinoma", The Prostate I, pp. 95-104 (1980).
Helliker, "Alopecia Sufferers Seek to Suffer Less . . . ", Wall Street Journal pp. A1-A7 (1991).
Chemical Engineering News, pp. 7-8 (29 Jun. 1992).
Allen & Hanburys Limited (Hayes') Appl (1977) RPC 113.
Television Transcript, News 4 New York Live at Five, WNBC-TV, NY, S. Simmons and M. Gomez (Nov. 29, 1993).
Primary Examiner: O'Sullivan; Peter
Attorney, Agent or Firm: Quagliato; Carol S., Winokur; Melvin, North; Robert J.
Abstract
17.beta.-N-monosubstituted-carbamoyl-4-5.alpha.-androst-1-en-3-ones of the formula ##STR1## wherein R(^1) is selected from hydrogen, methyl and ethyl and R(^2) is a branched chain alkyl of from 3-12 carbons, and R', R", R'" are hydrogen or methyl are active as testosterone 5.alpha.-reductase inhibitors and thus are useful topically for treatment of androgenic alopecia.
2 Claims, No Drawings
