This invention relates to cyclic combination therapies and regimens
utilizing substituted indoline derivative compounds which are antagonists
of the progesterone receptor having the general structure:
##STR1##
wherein:
A is O, S, or NR.sup.4 ;
B is a bond between A and C.dbd.Q, or the moiety CR.sup.5 R.sup.6 ;
R.sup.4, R.sup.5, R.sup.6 are independently selected from H or optionally
substituted C.sub.1 to C.sub.6 alkyl, C.sub.2 to C.sub.6 alkenyl, C.sub.2
to C.sub.6 alkynyl, C.sub.3 to C.sub.8 cycloalkyl, substituted C.sub.3 to
C.sub.8 cycloalkyl, aryl, or heterocyclic groups, or cyclic alkyl
constructed by fusing R.sup.4 and R.sup.5 to from a 5 to 7 membered ring;
R.sup.1 is selected from H, OH, NH.sub.2, C.sub.1 to C.sub.6 alkyl,
substituted C.sub.1 to C.sub.6 alkyl, C.sub.3 to C.sub.6 alkenyl,
substituted C.sub.1 to C.sub.6 alkenyl, alkynyl, substituted alkynyl,
--COH, or optionally substituted --CO(C.sub.1 to C.sub.3 alkyl),
--CO(aryl), --CO(C.sub.1 to C.sub.3 alkoxy), or --CO(C.sub.1 to C.sub.3
aminoalkyl) groups; R.sup.2 is selected from H, halogen, CN, NO.sub.2, or
optionally substituted C.sub.1 to C.sub.6 alkyl C.sub.1 to C.sub.6 alkoxy,
or C.sub.1 to C.sub.6 aminoalkyl groups; R.sup.3 is selected from a
trisubstituted benzene ring; or a 5- or 6-membered heteroaromnatic ring
containing 1 or 2 substituents; or a pharmaceutically acceptable salt
thereof, in combination with a progestational agent, an estrogen, or both
or for the treatment and/or prevention of secondary amenorrhea,
dysfunctional bleeding, uterine leiomyomata, endometriosis; polycystic
ovary syndrome, carcinomas and adenocarcinomas of the endometrium, ovary,
breast, colon, prostate. These combinations may also be used to in methods
of contraception, to stimulate food intake or for minimization of side
effects or cyclic menstrual bleeding.