Applicants disclose methods, uses, and compositions for treating patients suffering from Cushing Syndrome or Cushing
Disease (collectively referred to as' CS ') without causing a significant
QT interval extension (e.g., the difference of the
QT interval after administration from the baseline
QT interval by no more than about 10 milliseconds). The therapeutic amount of the heteroaryl
ketone fused aza-naphthane compound may be from about 50 mg / day (mg / day) to up to about 500 mg / day, in embodiments, up to about 800 mg / day. The methods, uses, and compositions can shorten QT intervals, and can be used to treat QT
prolongation in patients, including CS patients. The treatment may be a treatment administered orally to a fasting patient or an eating patient. The heteroaryl
ketone fused aza-naphthane compounds can be administered with meals. The heteroaryl
ketone fused aza-naphthane compound may be reracolan, which is (R)-(1-(4-fluorophenyl)-6-((1-methyl-1H-pyrazol-4-yl)
sulfonyl)-4, 4a, 5, 6, 7, 8-hexahydro-1H-pyrazolo [3, 4-g] isoquinolin-4a-yl) (4-(
trifluoromethyl) pyridin-2-yl) methanone having the following structure (I) # imgabs 0 #