Spiroindoline derivatives, processes for their preparation and pharmaceutical compositions thereof, their use for the treatment of diseases, and their use for the manufacture of medicaments for the treatment of diseases, especially sex-
hormone-related diseases in both men and women, in particularly those selected from the group of
endometriosis,
uterine leiomyoma (fibroids), polycystic ovarian
disease, menorrhagia, dysmenorrhea,
hirsutism,
precocious puberty, gonadal
steroid-dependent neoplasia such as cancers of the
prostate, breast and
ovary, gonadotrope pituitary adenomas,
sleep apnea,
irritable bowel syndrome, premenstrual syndrome, benign prostatic hypertrophy, contraception,
infertility and assisted reproductive therapy such as
in vitro fertilization. The present application relates in particular to spiroindoline derivatives as
gonadotropin-releasing
hormone (GnRH)
receptor antagonists.