The present invention relates to novel N-substituted
azetidine derivatives < of the formula (I); wherein SERMF is a Selective
Estrogen Receptor Modilator fragment; X is no atom, O, S, CH2, carbonyl, N—R5; R1 is H, (C1-8)
alkyl, (C3-8)cycloalkyl, (C3-6)heterocycloalkyl, (C2-6)alkenyl, (C2-6)alkynyl, (C1-4)alkylcarbonyl, (C1-4)alkoxy(C2-4)
alkyl, (C3-6)cycloalkyl(C1-3)-
alkyl, (C3-6)heterocycloalkyl(C1-3)alkyl, each independently optionally substituted with one or more
halogen,
nitrile, hydroxyl or (C1-2)alkyl; R5 is H, (C1-3)alkyl, optionally substituted with one or more
fluorine; R17, R18 and R19 are independently of each other H,
fluorine,
nitrile or (C1-3)-alkyl, optionally substituted with one or more
fluorine; or a
prodrug, isotopically-labelled derivative or pharmaceutically acceptable salt thereof, > to pharmaceutical compositions comprising these compounds and to their use in therapy, in particular to their use for the prevention or treatment of ovulatory dysfunction,
uterine cancer,
endometrium cancer,
ovarian cancer,
endometriosis,
osteoporosis,
prostate cancer, benign prostatic hypertrophy, and
breast cancer, in particular ER-positive
breast cancer, more in particular ER-positive,
hormone treatment-resistant
breast cancer. Said N-substituted
azetidine derivatives have
estrogen receptor alpha (ERa) antagonistic and—in certain embodiments—selective
estrogen receptor downregulating (SERD) activity in ER-positive
breast cancer cells.