EP0000609B1 - Novel 19-nor-pregnahexaenes, process for the preparation thereof, and pharmaceutical compositions containing them - Google Patents
Novel 19-nor-pregnahexaenes, process for the preparation thereof, and pharmaceutical compositions containing them Download PDFInfo
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- EP0000609B1 EP0000609B1 EP78200112A EP78200112A EP0000609B1 EP 0000609 B1 EP0000609 B1 EP 0000609B1 EP 78200112 A EP78200112 A EP 78200112A EP 78200112 A EP78200112 A EP 78200112A EP 0000609 B1 EP0000609 B1 EP 0000609B1
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- Prior art keywords
- pregna
- methyl
- hexaene
- triol
- acetate
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07J—STEROIDS
- C07J5/00—Normal steroids containing carbon, hydrogen, halogen or oxygen, substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane and substituted in position 21 by only one singly bound oxygen atom, i.e. only one oxygen bound to position 21 by a single bond
- C07J5/0046—Normal steroids containing carbon, hydrogen, halogen or oxygen, substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane and substituted in position 21 by only one singly bound oxygen atom, i.e. only one oxygen bound to position 21 by a single bond substituted in position 17 alfa
- C07J5/0053—Normal steroids containing carbon, hydrogen, halogen or oxygen, substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane and substituted in position 21 by only one singly bound oxygen atom, i.e. only one oxygen bound to position 21 by a single bond substituted in position 17 alfa not substituted in position 16
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P17/00—Drugs for dermatological disorders
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07J—STEROIDS
- C07J21/00—Normal steroids containing carbon, hydrogen, halogen or oxygen having an oxygen-containing hetero ring spiro-condensed with the cyclopenta(a)hydrophenanthrene skeleton
- C07J21/005—Ketals
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07J—STEROIDS
- C07J5/00—Normal steroids containing carbon, hydrogen, halogen or oxygen, substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane and substituted in position 21 by only one singly bound oxygen atom, i.e. only one oxygen bound to position 21 by a single bond
- C07J5/0046—Normal steroids containing carbon, hydrogen, halogen or oxygen, substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane and substituted in position 21 by only one singly bound oxygen atom, i.e. only one oxygen bound to position 21 by a single bond substituted in position 17 alfa
- C07J5/0061—Normal steroids containing carbon, hydrogen, halogen or oxygen, substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane and substituted in position 21 by only one singly bound oxygen atom, i.e. only one oxygen bound to position 21 by a single bond substituted in position 17 alfa substituted in position 16
- C07J5/0069—Normal steroids containing carbon, hydrogen, halogen or oxygen, substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane and substituted in position 21 by only one singly bound oxygen atom, i.e. only one oxygen bound to position 21 by a single bond substituted in position 17 alfa substituted in position 16 by a saturated or unsaturated hydrocarbon group
- C07J5/0076—Normal steroids containing carbon, hydrogen, halogen or oxygen, substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane and substituted in position 21 by only one singly bound oxygen atom, i.e. only one oxygen bound to position 21 by a single bond substituted in position 17 alfa substituted in position 16 by a saturated or unsaturated hydrocarbon group by an alkyl group
Definitions
- This invention relates to 19-nor-pregna-1,3,5(10),6,8,14-hexaene-20-ones, to a process for their preparation, and to pharmaceutical compositions containing them.
- the invention is based upon the observation that certain 19-nor-pregna-1,3,5(10),6,8,14-hexaene-20-ones, which can be defined by the general formula (I) as set forth hereinbelow, possess anti-mitotic activity with minimal or no hormonal side effects and are, thus, useful in the treatment of diseases characterized by rapid and/or abnormal cell proliferation, particularly in the treatment and control of psoriasis.
- the compounds of formula (I) are novel compounds, although at least one compound embraced by such formula, viz. 19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17 ⁇ ,21-triol-20-one 3,21- diacetate [and possibly, by implication, its 3-(free hydroxy) analog], is described in the prior art [Heller et al., J. Am. Chem. Soc. 89, 1919 et sequ. (1967)]. The therapeutic activity thereof, or of related compounds, is, however, neither disclosed nor suggested by the prior art.
- Claimed as per-se compounds of the invention are the compounds of general formula (I) with the exception of the 21-acetate and 3,21-diacetate of 19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17 ⁇ ,21-triol-20-one.
- Lower alkyl groups included within the definitions of A, R, and W are preferably those having up to four carbon atoms such as methyl, ethyl, n-propyl, isopropyl, n-butyl, sec.-butyl, and tert.-butyl, although higher homologs such as pentyl and hexyl fall within the scope of this invention.
- acyl radicals of carboxylic acids having up to twelve carbon atoms included within the definitions of R 1 , R 2 , R 3 and R 4 may be saturated or unsaturated, straight-chain or branched-chain aliphatic, cycloaliphatic or cycloaliphatic-aliphatic, aromatic, aryl-aliphatic, or alkyl-aromatic, and may be substituted, e.g., by hydroxy, aryloxy, alkoxy containing from 1 to 5 carbon atoms or halogen.
- Typical ester groups of the 19-nor-pregnahexaenes of the formulations of our invention are thus derived from carboxylic acids such as alkanoic acids exemplified by acetic, propionic, trimethylacetic, butyric, isobutyric, valeric, isovaleric, caproic, tert.-butylacetic, enanthic, caprylic, capric, cyclopentylpropionic, undecylic, lauric, and adamantanecarboxylic acids; substituted alkanoic acids such as phenoxyacetic, trifluoroacetic, and ⁇ -chloropropionic and ⁇ -benzoylaminoisobu.tyric acids; from aromatic acids including benzoic, toluic, p-chlorobenzoic, p-fluorobenzoic, p-methoxybenzoic, and 3',5'-dimethylbenzoic acids; aryl-alkano
- Preferred acyl radicals as defined by R 1 , R 2' R 3 and R 4 in formula (1) are those derived from lower alkanoic acids, having preferably up to 8 carbon atoms, such as radicals obtained from acetic, propionic, butyric, valeric, caprylic, caproic, tert.-butylacetic acid and the like, as well as acyl radicals derived from aromatic carboxylic acids having up to 8 carbon atoms, preferably from benzoic acid.
- alkylidene groups contemplated in the compounds of our invention are preferably lower alkylidenes, i.e. hydrocarbon radicals having preferably up to 4 carbon atoms including radicals such as methylene, ethylidene, n-propylidene, isopropylidene, n-butylidene, and sec.-butylidene.
- hydrocarbon radicals having preferably up to 4 carbon atoms including radicals such as methylene, ethylidene, n-propylidene, isopropylidene, n-butylidene, and sec.-butylidene.
- the 19-nor-pregnahexaene-20-ones of this invention are crystalline solids, usually white to off- white in color, which are insoluble in water and soluble in most organic solvents, particularly in acetone, dioxane, dimethylformamide, and dimethylsulfoxide, although of limited solubility in non-polar solvents such as dialkylethers and alkylhydrocarbons.
- the 19-nor-pregnahexaene-20-ones of formula (1) exhibit anti-mitotic activity and, in particular, are useful in the treatment and control of psoriasis.
- Useful 19-nor-pregnahexaene-20-ones of formula (I) include 16a-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17a,21-triol-20-one 21-acetate and the 6-methyl, 6-fluoro, 6-difluoromethyl and 6-trifluoro derivatives thereof, as well as the 16-desmethyl analogs and the 16 ⁇ -methyl epimers thereof; 16o;-hydroxy-substituted compounds of formula (l) and ester and 16 ⁇ ,17 ⁇ -alkylidenedioxy derivatives thereof such as 19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,16 ⁇ ,17 ⁇ ,21- tetrol-20-one 16,21-diacetate and 16 ⁇ ,17 ⁇ -isopropylidenedioxy-19-nor-pregna-1,3,5,(10),6,8,14-hexaene-3,21-diol-20-one 21-acetate; 16
- 16 ⁇ -alkylsubstituted compounds i.e. compounds of formula (I) wherein W is (H, ⁇ -alkyl)
- preferred compounds being the 16 ⁇ -methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-20-ones of the general formula wherein
- particularly useful anti-psoriatic agents are those wherein R 4 is hydrogen and, of these, especially those wherein R 3 is hydrogen or acetyl.
- R 4 is hydrogen
- R 3 is hydrogen or acetyl.
- a particularly preferred species is 16 ⁇ -methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17 ⁇ ,21-triol-20-one 21-acetate, which exhibits superior anti-mitotic activity at topical doses as low as 20 micrograms when administered topically to mice in which epidermal mitosis has been stimulated by prior application of croton oil.
- Further preferred compounds of formula II include the 3-acetate and 3-benzoate ester and the 3-methyl ether derivatives of the former; 16a-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17a,21-triol-20-one; and the 21-propionate, 17-propionate and 17,21-di-n-butyrate ester derivatives of the latter.
- the 19-nor-pregnahexaene-20-ones of formula I are conveniently prepared from the corresponding 19-nor-pregna-1,3,5(10),6,8-pentaene-20-ones by dehydrogenation in position 14, most suitably by reaction with a molar equivalent of 2,3-dichloro-5,6-dicyanobenzoquinone (DDQ) in an aprotic solvent (usually dioxane) in an essentially neutral medium.
- DDQ 2,3-dichloro-5,6-dicyanobenzoquinone
- aprotic solvent usually dioxane
- an appropriate 11-unsubstituted pregna-1,4,6,8,14-pentaene-3-one can be subjected to aromatization - e.g.
- an appropriate 9 ⁇ ,11 ⁇ -dihalogeno-pregna-1,4,6-triene-3-one can be subjected to concomitant didehydrohalogenation and aromatization (a specific embodiment being concomitant 6-dehydrogenation, didehydrochlorination and aromatization of an appropriate 9 ⁇ ,11 ⁇ -dichloro-pregna-1,4-diene-3-one, suitably in situ, at elevated temperatures, by means of DDQ as dehydrogenating agent and in the presence of an acid in an aprotic solvent).
- - Isolation of the respective 19-nor-pregnahexaene-20- ones is then effected by methods well known in the steroid art.
- reaction of 16a-methyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17 ⁇ ,21-triol-20-one 21-acetate in dioxane with at least a molar equivalent of hydrogen chloride and with about two molar equivalents of DDQ yields 15-chloro-16a-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17a,21-triol-20-one 21-acetate, having anti-mitotic activity.
- hydrogen bromide for hydrogen chloride, the respective 15-bromo compounds are obtained.
- a 15-chloro or -bromo substituent may be introduced by reacting the respective 15-unsubstituted 1,3,5(10),6,8,14-hexaene with halogenating agents such as molecular chlorine or bromine, or N-halo-imides (e.g. N-halosuccinimide), or hydrogen halide in the presence of DDQ.
- halogenating agents such as molecular chlorine or bromine, or N-halo-imides (e.g. N-halosuccinimide), or hydrogen halide in the presence of DDQ.
- the foregoing process utilizing hydrogen chloride and DDQ for preparing the 15-chloro- substituted compounds of this invention is preferably carried out at room temperature (although temperatures in the range of from about 0° to 100°C may be employed) and in dioxane (although other aprotic solvents may be used, particularly ethers such as tetrahydrofuran, diethylether and diglyme).
- room temperature temperatures in the range of from about 0° to 100°C may be employed
- dioxane although other aprotic solvents may be used, particularly ethers such as tetrahydrofuran, diethylether and diglyme.
- the reaction is usually complete in 30 minutes as determined by thin layer chromatography, although at lower temperatures it may take up to 24 hours before complete conversion of a 19-nor-pregna-1,3,5(10),6,8-pentaene-20-one to the corresponding 15-chloro-14-dehydro compound has been effected.
- Weak bases useful in this process are pyridine, collidine, lutidine and, preferably, dimethylformamide.
- Other 19-nor-pregnapentaene-20-one intermediates may also be prepared from the corresponding 9 ⁇ ,11 ⁇ -dichloro-1,4-pregnadiene-3,20-diones in similar manner.
- the 9 ⁇ ,11 ⁇ -dichloro-1,4-pregnadiene-17 ⁇ ,21-diol-3,20-dione precursors to the 19-nor-pregna-1,3,5(10),6,8-pentaene-20-one intermediates are also known in the art and may be prepared from the corresponding 9(11)-dehydro derivatives according to procedures such as described in U.S. Patents Nos. 3,894,963 and 3,009,933.
- the corresponding 9 ⁇ ,11 ⁇ -dichloro derivative of the 17 ⁇ -hydroxy-protected derivative of a 16-methylene-1,4,9(l 11)-pregnatriene-3,20-dione e.g.
- a 17-mono-lower alkanoate ester derivative of a 3-(free hydroxy)-19-nor-pregnahexaene-20-one of formula (I) may be prepared by reaction of the respective 17-free-hydroxy compound [e.g. 16a-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17 ⁇ ,21-triol-20-one] in an aprotic solvent (e.g. dimethylsulfoxide) with at least one molar equivalent of a tri-lower alkyl orthoester (e.g. triethylortho- propionate) in the presence of a strong acid (e.g.
- an aprotic solvent e.g. dimethylsulfoxide
- a tri-lower alkyl orthoester e.g. triethylortho- propionate
- a 3,17-diester derivative of formula (I) is conveniently prepared from a corresponding 3-(free-hydroxy)-17a,21-orthoester (obtainable as described hereinabove) by reaction thereof with an acid anhydride or acid halide in pyridine (e.g. acetic anhydride in pyridine) to form the corresponding 3-(esterified-hydroxy)-17a,21-orthoester, which, after hydrolytic cleavage of the 17a - 21-orthoester group by means of aqueous acetic acid, yields a 3,17-diester of formula (I).
- pyridine e.g. acetic anhydride in pyridine
- the 3,21-diester derivatives of formula (I) are conveniently prepared from the corresponding 21- monoesters; the 3,17 ⁇ ,21-triesters may be prepared from the corresponding 17 ⁇ ,21- or 3,17a-diesters utilizing conventional esterification techniques.
- the 3-alkoxy derivatives of formula (I) are conveniently prepared via known etherification techniques such as those utilizing a diazoalkane (e.g. diazomethane in ether).
- a 3-alkoxy-21- monoester or a 3-alkoxy-17,21 diester derivative is prepared from the corresponding 3-hydroxy-21- monoester or 3-hydroxy-17,21-diester derivative, respectively, by reaction with a diazoalkane in ether.
- a derivative of formula (I) having a 3-alkoxy group and free hydroxyl functions at 17 and 21 may be conveniently obtained from a 3-alkoxy-21-monoester derivative via hydrolysis such as with aqueous sodium bicarbonate in methanol.
- a 3-alkoxy-17-monoester derivative of a compound of formula (I) [e.g. 16 ⁇ -methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17 ⁇ ,21-triol-20-one 17-acetate 3-methyl ether] it is preferable to first prepare a 17 ⁇ ,21-orthoester derivative of a 3,17 ⁇ ,21-triol of formula (I) according to procedures described hereinabove, followed by reaction thereof with a diazoalkane (e.g.
- the 16 ⁇ ,17 ⁇ -alkylidenedioxy function may be introduced into the molecule after preparation of the corresponding 16 ⁇ ,17 ⁇ -di-(free-hydroxy)-19-nor-pregna-1,3,5(10),6,8,14-hexaene-20-one or at an earlier stage of the synthesis; however, a 17a,21-alkylidenedioxy grouping is preferably introduced after preparation of the corresponding 17 ⁇ ,21-di-(free-hydroxy)-19-nor-pregna-1,3,5(10),6,8,14-hexaene-20-one.
- Both, the 16 ⁇ ,17 ⁇ - and the 17 ⁇ ,21-alkylidenedioxy derivatives of the 19-nor-pregna-1,3,5(10),6,8,14-hexaene-20-ones of formula (I) may be prepared from the corresponding 16a,17a-di-(free-hydroxy)- or l7 ⁇ ,21-di(free-hydroxy)-steroids upon reaction with a ketone or aldehyde (e.g. acetone, acetaldehyde, acetophenone) in the presence of a mineral acid (e.g. hydrochloric acid).
- a ketone or aldehyde e.g. acetone, acetaldehyde, acetophenone
- the 17 ⁇ ,20; 20,21- bismethylenedioxy function can be introduced prior to or after introduction of the 19-nor-pregna- pentaene or 19-nor-pregnahexaene system by known reactions such as that utilizing formaldehyde in the presence of acid.
- Example 2A In a manner similar to that described in Example 1B, treat each of the 19-nor-pregna-1,3,5(10),6,8-pentaenes obtainable from Example 2A with DDQ in dioxane and isolate and purify each of the resultant products in a manner similar to that described, to obtain, respectively,
- Example 5A By subjecting 16 ⁇ -methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17 ⁇ ,21-triol-11,20-dione (100 mg) to substantially the conditions of Example 5A, there are obtained respectively, 16 ⁇ -methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17 ⁇ ,21-triol-11,20-dione 21-propionate (25 mg; the residue from the least polar band), and 16 ⁇ -methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17 ⁇ ,21-triol-11,20-dione 17-propionate (25 mg; the residue from the most polar band).
- Example 13C In a manner similar to that described in Example 13C, treat 16 ⁇ -methyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17a,21-triol-11,20-dione 21-acetate with DDQ in dioxane and isolate the resultant product in a manner similar to that described, to obtain 16 ⁇ -methyl-19-nor-pregna-1,3,5( 10),6,8,14-hexaene-3,17 ⁇ ,21 -trioi-11,20-dione 21-acetate.
- Example 1A In a manner similar to that described in Example 1A, treat each of the following 9 ⁇ ,11 ⁇ -dihalogeno-1,4-pregnadienes with lithium chloride in dimethylformamide.
- Example 8B In a manner similar to that described in Example 1B, treat each of the 19-nor-pregna-1,3,5(10),6,8-pentaenes obtainable from Example 8A with DDQ in dioxane and isolate and purify each of the resultant products, to obtain, respectively,
- the method-of-use aspect of this invention resides in eliciting a mitotic inhibitory response in a warm-blooded animal having a disease characterized by rapid cell proliferation, which comprises administering to said animal a non-toxic, mitotic-inhibitory effective amount of a 19-nor-pregnahexaene-20-one of formula (I) defined hereinabove, usually together with a non-toxic, pharmaceutically acceptable carrier, particularly in the treatment and control of proliferative skin diseases, primarily for the treatment of psoriasis via the topical route.
- Psoriasis is characterized by increased epidermipoiesis associated with a high mitotic rate, rapid cell turnover and altered keratinization.
- the psoriatic epidermis can be normalized by slowing down cell growth through inhibiting mitosis.
- All drugs currently used in psoriasis therapy are known to directly or indirectly reduce epidermal mitotic activity. Although there is no animal model for psoriasis, many of these same drugs have been reported to have a similar effect in models of epidermal hyperplasia which simulate psoriasis in laboratory animals.
- Topically effective anti-psoriatic drugs including corticosteroids, anthralin, coal tar and 5-fluoroacil, while relatively free of systemic side effects, cause local adverse reactions.
- corticosteroid therapy causes skin atrophy, telangiectasia and the formation of striae, while anthralin and 5-fluorouracil are skin irritants and require close clinical supervision for optimal therapeutic benefit.
- Anthralin can also cause staining of the skin.
- the 19-nor-pregnahexaene-20-ones of this invention when treated by a procedure modified from S. Belman and W. Troll, Cancer Research 32:450-454 (1972), the 19-nor-pregnahexaene-20-ones of this invention, particularly the 16a-methyl derivatives of formula (II), reduce croton-oil stimulated epidermal mitosis in mice when applied topically. Moreover, they are non-irritating without causing hormonal side effects, which is surprising in view of the 19-nor-pregnahexaene-20-one structure containing an aromatic A-ring such as in many estrogens, and a corticoid side chain such as in potent topical anti-inflammatory agents.
- an aromatic A-ring such as in many estrogens
- a corticoid side chain such as in potent topical anti-inflammatory agents.
- croton-oil is applied topically to shaved mice, thus accelerating mitosis.
- a 19-nor-pregna-1,3,5( 10),6,8,14-hexaene.-3,17 ⁇ -,21 -trioi-20-one of this invention is applied topically to the stimulated site, then 24 hours later portions of the treated skin are excised for histologic processing, mitotic figures per thousand basal interfollicular epidermal cells being counted in a light microscope. Epidermal mitotic counts from treated mice are compared to counts from lesion controls for statistically significant differences with an analysis of variance.
- the mitotic count for each compound tested is expressed as percent reduction of mitoses compared with the number of mitoses on the skin of mice treated with croton-oil alone.
- the 19-nor-pregnahexaene-20-ones of this invention significantly reduce croton-oil stimulated epidermal mitosis.
- the 16a-methyl-19-nor-pregnahexaene-20-one of formula (II) usually exhibit over 60% inhibitions of mitoses at a 2 mg topical dose.
- 16 ⁇ -Methyl-19-nor-pregna-1,3,5(10),6,8;14-hexaene-3,17 ⁇ ,21-triol-20-one 21-acetate exhibits about 80% reduction of mitosis (even at a topical dose as low as 0.2 mg) which is approximately 10 times greater than the mitotic reduction exhibited by an equal quantity (i.e. 0.2 mg) of betamethasone dipropionate (a known anti-psoriatic agent) in the same animal model.
- mice whereby increased epidermal mitosis is produced by ultraviolet irradiation according to procedures modified from A. DuVivier and R. B. Stoughton, J. investigative Dermatology, 65:233-237 (1975).
- the 19-nor-pregnahexaene-20-ones of this invention significantly reduce epidermal mitotic rate following 1, 5 or 9 topical applications (each with 0.02 mg, 0.10 mg, and 0.5 mg doses) to ultraviolet stimulated hairless mouse epidermis, advantageously causing an epidermal thinning effect after multiple applications when the effect became equivalent to that demonstrated by steroidal anti-psoriatic agents such as betamethasone valerate.
- the foregoing mode of anti-psoriatic activity of the 19-nor-pregnahexaene-20-ones of this invention is different from that demonstrated by known steroidal anti-psoriatic agents such as betamethasone valerate which, when applied topically to ultraviolet stimulated hairless mouse epidermis at doses equal to those of our 19-nor-pregnahexaene-20-ones [e.g. 16 ⁇ -methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17 ⁇ ,21-triol-20-one-21-acetate] first cause an epidermal thinning without reduction of mitoses.
- known steroidal anti-psoriatic agents such as betamethasone valerate which, when applied topically to ultraviolet stimulated hairless mouse epidermis at doses equal to those of our 19-nor-pregnahexaene-20-ones [e.g. 16 ⁇ -methyl-19-nor-pregna-1,3,5(10),6,8,
- the 19-nor-pregnahexaene-20-ones of this invention have also been found to exhibit anti-mitotic activity when administered orally or parenterally to mice, without causing significant local or systemic hormonal or toxic effects.
- the invention includes the concept of treating and controlling psoriasis which comprises applying topically to the affected area, in a concentration effective for the treatment of psoriasis, a 19-nor-pregnahexaene-20-one of formula (I), usefully together with a non-toxic pharmaceutically acceptable carrier.
- Preferred anti-psoriatic agents of this invention are the 16-methyl-19-nor-pregnahexaene-20-ones, especially the 16 ⁇ -methyl compounds of formula (II), particularly 16a-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17 ⁇ ,21-triol-20-one 21-acetate and the 3-acetate, 3-benzoate and 15 chloro derivatives thereof.
- topically applying applications onto the skin surface whereby the compounds of the invention are effective in the treatment and control of skin diseases characterized by rapid and/or abnormal cell proliferation, e.g. psoriasis; aerosol application; and subcutaneous injection application whereby they are effective in the treatment of local epidermal disorders.
- skin diseases characterized by rapid and/or abnormal cell proliferation, e.g. psoriasis; aerosol application; and subcutaneous injection application whereby they are effective in the treatment of local epidermal disorders.
- a pharmaceutical formulation comprising a 19-nor-pregnahexaene-20-one of formula (I), preferably a 16a-methyl compound of formula (II), such as 16 ⁇ -methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17 ⁇ ,21-triol-20-one 21-acetate, in a non-toxic pharmaceutically acceptable carrier, usually in concentrations from about 0.0001 percent to about 5 percent, preferably from about 0.1 percent to about one percent, is applied several times daily to skin affected by psoriasis until the psoriatic condition has improved. Topical applications may then be continued at less frequent intervals (e.g.
- application is in any topical form including creams, lotions, aerosols and ointments, prepared by combining the active ingredient with conventional pharmaceutical diluents and carriers as used in topical formulations comprising steroids; conveniently in a liquid solvent, preferably in a water-miscible liquid carrier made up of hydrophylic liquids having a high solvating action, e.g. a solution of 16 ⁇ -methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17 ⁇ ,21-triol-20-one 21-acetate in polyethyleneglycol.
- the pharmaceutical formulation aspect of this invention resides in the concept of a pharmaceutical composition, preferably for topical application, comprising an anti-psoriatically effective amount of a 19-nor-pregnahexaene-20-one of formula (I) together with a non-toxic pharmaceutically acceptable carrier.
- a pharmaceutical composition preferably for topical application, comprising an anti-psoriatically effective amount of a 19-nor-pregnahexaene-20-one of formula (I) together with a non-toxic pharmaceutically acceptable carrier.
- topical formulations comprising 16 ⁇ -methyl-19-nor-pregnahexaene-20-ones of formula (II), particularly 16a-methyl derivatives thereof having a free hydroxyl function at C-17, pharmaceutical formulations comprising 16a-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17 ⁇ -21;triol-20-one 21-acetate being particularly valuable.
- Typical formulations include ointments, lotions, creams, sprays, powders, drops (e.g. ear drops), suppositories, and aerosols.
- Ointments and creams may, for example, be formulated with an aqueous or oily base with the addition of suitable thickening and/or gelling agents.
- bases may, thus, for example, include water and/or an oil (such as liquid paraffin) or a vegetable oil (such as peanut oil or castor oil).
- Thickening agents which may be used according to the nature of the base include soft paraffin, aluminium stearate, cetostearyl-alcohol, polyethyleneglycols, woolfat, hydrogenated lanolin, beeswax, etc.
- Lotions may be formulated with an aqueous or oily base and will, in general, also include one or more of the following, namely, stabilizing agents, emulsifying agents, dispersing agents, suspending agents, thickening agents, coloring agents, perfumes and the like.
- Powders may be formed with the aid of any suitable powder base, e.g. talc, lactose, starch, etc.
- Drops may be formulated with an aqueous base or non-aqueous base, also comprising one or more dispersing agents, suspending agents, solubilizing agents, etc.
- the topical pharmaceutical compositions according to the invention may also include one or more preservatives or bacteriostatic agents, e.g. methyl hydroxybenzoate, propyl hydroxybenzoate, chlorocresol, benzalkonium chloride, etc. They may also contain other active ingredients such as antimicrobial agents, particularly antibiotics.
- preservatives or bacteriostatic agents e.g. methyl hydroxybenzoate, propyl hydroxybenzoate, chlorocresol, benzalkonium chloride, etc.
- bacteriostatic agents e.g. methyl hydroxybenzoate, propyl hydroxybenzoate, chlorocresol, benzalkonium chloride, etc.
- active ingredients such as antimicrobial agents, particularly antibiotics.
- inventive concept also includes pharmaceutical formulations for oral or parenteral administration, obtainable by standard procedures and comprising an anti-mitotic amount of a 19-nor-pregna-1,3,5(10),6,8,14-hexaene-20-one of formula (I) together with a non-toxic, pharmaceutically acceptable carrier.
- the proportion of active steroid in the topical compositions according to the invention depends on the precise type of formulations to be prepared, but will generally be within the range of from 0.0001 %d to 5% by weight. Generally, however, for most types of topical preparations the proportions of active steroid used will be within the range of from 0.1 to 3% and preferably 0.1 to 1 %. Based upon studies in mice, when administered systemically, preferably parenterally, the dosage necessary to produce an anti-mitotic response is in the range of from about 1 to about 100 mg per kilogram body weight.
- Formulations exemplify some of the dosage forms in which the anti-mitotic agents of our invention may be employed.
- the active ingredient is l6 ⁇ -methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17a,21-triol-20-one 21-acetate. It will be appreciated, however, that this compound is but a representative example and may be replaced by equivalent quantities of other active compounds of this invention, e.g. by its 3-acetate, 3-benzoate or 1 5-chloro derivative.
- the other ingredients are dissolved in sesame oil and brought to a total volume of 1 ml.
- the other ingredients are dissolved in water and brought to a total volume of 1 ml.
Description
- This invention relates to 19-nor-pregna-1,3,5(10),6,8,14-hexaene-20-ones, to a process for their preparation, and to pharmaceutical compositions containing them.
- The invention is based upon the observation that certain 19-nor-pregna-1,3,5(10),6,8,14-hexaene-20-ones, which can be defined by the general formula (I) as set forth hereinbelow, possess anti-mitotic activity with minimal or no hormonal side effects and are, thus, useful in the treatment of diseases characterized by rapid and/or abnormal cell proliferation, particularly in the treatment and control of psoriasis.
- In general, the compounds of formula (I) are novel compounds, although at least one compound embraced by such formula, viz. 19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 3,21- diacetate [and possibly, by implication, its 3-(free hydroxy) analog], is described in the prior art [Heller et al., J. Am. Chem. Soc. 89, 1919 et sequ. (1967)]. The therapeutic activity thereof, or of related compounds, is, however, neither disclosed nor suggested by the prior art.
-
- A is hydrogen, lower alkyl, fluoro or fluoro-substituted methyl;
- R, is hydrogen, lower alkyl, or an acyl radical of a carboxylic acid having up to 12 carbon atoms;
- W is (H,H); (H, lower alkyl); (H, α-OR2), with R2 being hydrogen or an acyl radical of a carboxylic acid having up to 12 carbon atoms; or =CHT, with T being hydrogen, lower alkyl, fluorine, or chlorine;
- Q is OR4 (with R4 being hydrogen or an acyl radical of a carboxylic acid having up to 12 carbon atoms); hydrogen, provided W is (H,H), or (H, lower alkyl); or together with W represents a 16α,17α-lower alkylidenedioxy grouping;
- Y is (H,H), (H,OH), or oxygen;
- Z is hydrogen, chlorine or bromine;
- R3 is hydrogen or an acyl radical of a carboxylic acid having up to 12 carbon atoms; or OR3 together with Q represents an alkylidenedioxy or alkylorthoalkanoate grouping; and when Q is hydroxy and R3 is hydrogen, the 17α, 20; 20, 21-bismethylenedioxy derivatives thereof.
- Claimed as per-se compounds of the invention are the compounds of general formula (I) with the exception of the 21-acetate and 3,21-diacetate of 19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one.
- Lower alkyl groups included within the definitions of A, R, and W are preferably those having up to four carbon atoms such as methyl, ethyl, n-propyl, isopropyl, n-butyl, sec.-butyl, and tert.-butyl, although higher homologs such as pentyl and hexyl fall within the scope of this invention.
- The acyl radicals of carboxylic acids having up to twelve carbon atoms included within the definitions of R1, R2, R3 and R4 may be saturated or unsaturated, straight-chain or branched-chain aliphatic, cycloaliphatic or cycloaliphatic-aliphatic, aromatic, aryl-aliphatic, or alkyl-aromatic, and may be substituted, e.g., by hydroxy, aryloxy, alkoxy containing from 1 to 5 carbon atoms or halogen. Typical ester groups of the 19-nor-pregnahexaenes of the formulations of our invention are thus derived from carboxylic acids such as alkanoic acids exemplified by acetic, propionic, trimethylacetic, butyric, isobutyric, valeric, isovaleric, caproic, tert.-butylacetic, enanthic, caprylic, capric, cyclopentylpropionic, undecylic, lauric, and adamantanecarboxylic acids; substituted alkanoic acids such as phenoxyacetic, trifluoroacetic, and β-chloropropionic and β-benzoylaminoisobu.tyric acids; from aromatic acids including benzoic, toluic, p-chlorobenzoic, p-fluorobenzoic, p-methoxybenzoic, and 3',5'-dimethylbenzoic acids; aryl-alkanoic acids such as phenylacetic and phenylpropionic acids; unsaturated acids such as acrylic and sorbic acids; and dibasic acids such as succinic, tartaric and phthalic acids.
- Preferred acyl radicals as defined by R1, R2' R3 and R4 in formula (1) are those derived from lower alkanoic acids, having preferably up to 8 carbon atoms, such as radicals obtained from acetic, propionic, butyric, valeric, caprylic, caproic, tert.-butylacetic acid and the like, as well as acyl radicals derived from aromatic carboxylic acids having up to 8 carbon atoms, preferably from benzoic acid.
- The alkylidene groups contemplated in the compounds of our invention are preferably lower alkylidenes, i.e. hydrocarbon radicals having preferably up to 4 carbon atoms including radicals such as methylene, ethylidene, n-propylidene, isopropylidene, n-butylidene, and sec.-butylidene.
- The 19-nor-pregnahexaene-20-ones of this invention are crystalline solids, usually white to off- white in color, which are insoluble in water and soluble in most organic solvents, particularly in acetone, dioxane, dimethylformamide, and dimethylsulfoxide, although of limited solubility in non-polar solvents such as dialkylethers and alkylhydrocarbons.
- The 19-nor-pregnahexaene-20-ones of formula (1) exhibit anti-mitotic activity and, in particular, are useful in the treatment and control of psoriasis.
- Useful 19-nor-pregnahexaene-20-ones of formula (I) include 16a-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17a,21-triol-20-one 21-acetate and the 6-methyl, 6-fluoro, 6-difluoromethyl and 6-trifluoro derivatives thereof, as well as the 16-desmethyl analogs and the 16β-methyl epimers thereof; 16o;-hydroxy-substituted compounds of formula (l) and ester and 16α,17α-alkylidenedioxy derivatives thereof such as 19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,16α,17α,21- tetrol-20-one 16,21-diacetate and 16α,17α-isopropylidenedioxy-19-nor-pregna-1,3,5,(10),6,8,14-hexaene-3,21-diol-20-one 21-acetate; 16-alkylidene-substituted compounds of formula I such as 16-methylene-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17a,21-triof-20-one 21-acetate and the 3-acetate and 3-methyl ether derivatives thereof; and the 15-chloro derivatives of the foregoing.
-
- R1, R3 and R4 are as defined above for formula (I).
- Among the compounds of formula (II), particularly useful anti-psoriatic agents are those wherein R4 is hydrogen and, of these, especially those wherein R3 is hydrogen or acetyl. Of the foregoing, a particularly preferred species is 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate, which exhibits superior anti-mitotic activity at topical doses as low as 20 micrograms when administered topically to mice in which epidermal mitosis has been stimulated by prior application of croton oil. Further preferred compounds of formula II include the 3-acetate and 3-benzoate ester and the 3-methyl ether derivatives of the former; 16a-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17a,21-triol-20-one; and the 21-propionate, 17-propionate and 17,21-di-n-butyrate ester derivatives of the latter.
- The 19-nor-pregnahexaene-20-ones of formula I are conveniently prepared from the corresponding 19-nor-pregna-1,3,5(10),6,8-pentaene-20-ones by dehydrogenation in position 14, most suitably by reaction with a molar equivalent of 2,3-dichloro-5,6-dicyanobenzoquinone (DDQ) in an aprotic solvent (usually dioxane) in an essentially neutral medium. - Alternatively, an appropriate 11-unsubstituted pregna-1,4,6,8,14-pentaene-3-one can be subjected to aromatization - e.g. by means of a weak base, desirably in the presence of a soluble halide salt such as lithium chloride -, or an appropriate 9α,11β-dihalogeno-pregna-1,4,6-triene-3-one can be subjected to concomitant didehydrohalogenation and aromatization (a specific embodiment being concomitant 6-dehydrogenation, didehydrochlorination and aromatization of an appropriate 9α,11β-dichloro-pregna-1,4-diene-3-one, suitably in situ, at elevated temperatures, by means of DDQ as dehydrogenating agent and in the presence of an acid in an aprotic solvent). - Isolation of the respective 19-nor-pregnahexaene-20- ones is then effected by methods well known in the steroid art.
- When the above 14-dehydrogenation of a 19-nor-pregna-1,3,5(10),6,8-pentaene-20-one precursor is carried out in the presence of at least a molar equivalent of hydrogen chloride and with about two molar equivalents of DDQ, there are formed the respective 15-chloro-19-nor-pregnahexaene-20-ones of formula (I). Thus, for example, reaction of 16a-methyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17α,21-triol-20-one 21-acetate in dioxane with at least a molar equivalent of hydrogen chloride and with about two molar equivalents of DDQ yields 15-chloro-16a-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17a,21-triol-20-one 21-acetate, having anti-mitotic activity. - Similarly, by substituting hydrogen bromide for hydrogen chloride, the respective 15-bromo compounds are obtained. - Alternatively, a 15-chloro or -bromo substituent may be introduced by reacting the respective 15-unsubstituted 1,3,5(10),6,8,14-hexaene with halogenating agents such as molecular chlorine or bromine, or N-halo-imides (e.g. N-halosuccinimide), or hydrogen halide in the presence of DDQ.
- The foregoing process utilizing hydrogen chloride and DDQ for preparing the 15-chloro- substituted compounds of this invention is preferably carried out at room temperature (although temperatures in the range of from about 0° to 100°C may be employed) and in dioxane (although other aprotic solvents may be used, particularly ethers such as tetrahydrofuran, diethylether and diglyme). When carried out at room temperature, the reaction is usually complete in 30 minutes as determined by thin layer chromatography, although at lower temperatures it may take up to 24 hours before complete conversion of a 19-nor-pregna-1,3,5(10),6,8-pentaene-20-one to the corresponding 15-chloro-14-dehydro compound has been effected. Although, in our process, only a molar equivalent of hydrogen chloride is required per mole of the pregnapentaene-20-one starting compound, we prefer to use large excesses of hydrogen chloride (e.g. a saturated solution of hydrogen chloride in dioxane) since the rate of reaction is thereby increased and the process is completed in thirty minutes or less.
- Many of the 19-nor-pregna-1,3,5(10),6,8-pentaene-20-one intermediates from which the 19-nor-pregnahexaene-20-ones of this invention may be obtained are known in the art (e.g. described in U.S. Patent Specifications Nos. 3,182,057 and 3,182,075) and have been prepared by reaction of a 9α-11β-dichloro-1,4-pregnadiene-17α,21-diol-3,20-dione 21-alkanoate (e.g. 16α-methyl-9α-11β-dichloro-1,4-pregnadiene-l7α,21-diol-3,20-dione 21-acetate) with a weak base, preferably in the presence of lithium chloride. Weak bases useful in this process are pyridine, collidine, lutidine and, preferably, dimethylformamide. Other 19-nor-pregnapentaene-20-one intermediates may also be prepared from the corresponding 9α,11β-dichloro-1,4-pregnadiene-3,20-diones in similar manner.
- The 9α,11β-dichloro-1,4-pregnadiene-17α,21-diol-3,20-dione precursors to the 19-nor-pregna-1,3,5(10),6,8-pentaene-20-one intermediates are also known in the art and may be prepared from the corresponding 9(11)-dehydro derivatives according to procedures such as described in U.S. Patents Nos. 3,894,963 and 3,009,933.
- When preparing a 16-alkylidene compound of formula (I) (i.e. a compound wherein W is =CHT), one may start with a 9α,11β-dichloro-16-alkylidene-1,4-pregnadiene-17α,21-diol-3,20-dione 21- lower alkanoate precursor and convert it to a 16-alkylidene-19-nor-pregna-1,3,5( 10),6,8-pentaene and thence to the 14-dehydro analog of formula (I) according to the process described hereinabove. - Alternatively, to minimize side reactions which occur when halogenating a 16-methylene-l7α-hydroxy-1,4,9(1 )-pregnatriene-3,20-dione, one may protect the 17α-hydroxyl function thereof, e.g. by esterification, after introduction of the 9(1 1)-double bond. After preparing the corresponding 9α,11β-dichloro derivative of the 17α-hydroxy-protected derivative of a 16-methylene-1,4,9(l 11)-pregnatriene-3,20-dione (e.g. 16-methylene-9α,11β-dichloro-1,4-pregnadiene-17α,21-diol-3,20-dione 17,21- diacetate) and thence conversion thereof to a 16-alkylidene-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3-ol of formula (I) [e.g. 16-methylene-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 17,21-diacetate], the 17a-hydroxy protecting groups may be easily removed via known techniques (e.g. by means of aqueous sodium bicarbonate in methanol), to obtain a 16-alkylidene-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one of this invention [e.g. 16-methylene-19-nor-pregna-1,3,5( 10),6,8,14-hexaene-3,17α,21-triol-20-one].
- When converting a 19-nor-pregna-1,3,5(10),6,8-pentaene-20-one to the corresponding 19-nor-pregna-1,3,5(10),6,8,14-hexaene-20-one by reaction with DDQ as described hereinabove, it is often necessary that the 21-hydroxyl group and any 16-hydroxyl group which may be present be protected, such as by an acyl function. It is preferred to utilize lower alkanoate ester derivatives (usually acetates) of the 19-nor-pregna-pentaene-20-one intermediates, thereby producing the 19-nor-pregnahexaene-20-ones of formulae (I) and (II) as 21-alkanoates, usually 21-acetates; the corresponding 21-free-hydroxy compound is then easily obtained from the 21-alkanoate via known hydrolytic procedures, such as with aqueous sodium bicarbonate in methanol or by utilizing diastase enzyme of malt in aqueous ethanol using known procedures.
- In general, when a 21-mono-lower alkanoate or a 17,21-dilower alkanoate derivative of a 3-(free-hydroxy)-19-nor-pregna-hexaene-20-one of formula (I) is desired, it is preferable to use as starting compound a 19-nor-pregna-1,3,5(10),6,8-pentaene-20-one intermediate containing the desired 21- monoalkanoate or 17,21-di-alkanoate ester function prior to reaction with DDQ.
- A 17-mono-lower alkanoate ester derivative of a 3-(free hydroxy)-19-nor-pregnahexaene-20-one of formula (I) may be prepared by reaction of the respective 17-free-hydroxy compound [e.g. 16a-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one] in an aprotic solvent (e.g. dimethylsulfoxide) with at least one molar equivalent of a tri-lower alkyl orthoester (e.g. triethylortho- propionate) in the presence of a strong acid (e.g. p-toluenesulfonic acid) followed by hydrolytic cleavage of the resulting 17α,21-orthoester by means of aqueous acid (e.g. aqueous acetic acid), thence separation and isolation of the 17-mono-ester using known techniques, usually including chromatographic methods, whereby there is obtained a 17-mono-alkanoate (e.g. the 17-propionate). By this procedure, there is usually also produced some of the corresponding 21-mono-alkanoate derivatives (e.g. the 21-propionate) which may also be isolated via chromatographic techniques.
- A 3,17-diester derivative of formula (I) is conveniently prepared from a corresponding 3-(free-hydroxy)-17a,21-orthoester (obtainable as described hereinabove) by reaction thereof with an acid anhydride or acid halide in pyridine (e.g. acetic anhydride in pyridine) to form the corresponding 3-(esterified-hydroxy)-17a,21-orthoester, which, after hydrolytic cleavage of the 17a-21-orthoester group by means of aqueous acetic acid, yields a 3,17-diester of formula (I).
- The 3,21-diester derivatives of formula (I) are conveniently prepared from the corresponding 21- monoesters; the 3,17α,21-triesters may be prepared from the corresponding 17α,21- or 3,17a-diesters utilizing conventional esterification techniques.
- To prepare a 3-monoester derivative of formula (I) it is often necessary to protect the 21-hydroxyl group (e.g. by an ether derivative such as the 21-methoxyethoxymethyl ether) in the 9cα,1 1β-dichloro-1,4-pregnadiene-3,21-dione precursor (e.g. by reaction of 16α-methyl-9α,11β-dichloro-1,4- pregnadiene-17α,21-diol-3,20-dione with N,N,N-triethyl-N-methoxyethoxymethyl-ammonium chloride in acetonitrile) prior to reaction thereof with a weak base in the presence of lithium chloride to produce the corresponding 3-(free-hydroxy)-19-nor-pregna-1,3,5(10),6,8-pentaene-20-one [e.g. 16α-methyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17α,21-triol-20-one 21-methoxyethoxymethyi ether]. Reaction of such 21-protected 19-nor-pregna-1,3,5(10),6,8-pentaene-20-one with DDQ yields the corresponding 19-nor-pregna-1,3,5(10),6,8,14-hexaene-20-one [e.g. 16a-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-methoxyethoxymethyl ether], which, upon treatment thereof according to standard esterification procedures (e.g. by reaction with acetic anhydride in pyridine), yields the corresponding 3-monoester derivative. Upon deprotection of the 21- position (e.g. cleavage of the 21-ether function by means of zinc bromide in methylene-chloride), there is then produced the desired 3-monoester of formula (I) [e.g. 16α-methyl-19-nor-pregna-.1,3-5(10)-6,8,14-hexaene-3,17a,21-triol-20-one 3-acetate].
- The 3-alkoxy derivatives of formula (I) are conveniently prepared via known etherification techniques such as those utilizing a diazoalkane (e.g. diazomethane in ether). Thus, a 3-alkoxy-21- monoester or a 3-alkoxy-17,21 diester derivative is prepared from the corresponding 3-hydroxy-21- monoester or 3-hydroxy-17,21-diester derivative, respectively, by reaction with a diazoalkane in ether. - A derivative of formula (I) having a 3-alkoxy group and free hydroxyl functions at 17 and 21 may be conveniently obtained from a 3-alkoxy-21-monoester derivative via hydrolysis such as with aqueous sodium bicarbonate in methanol. - In order to prepare a 3-alkoxy-17-monoester derivative of a compound of formula (I) [e.g. 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 17-acetate 3-methyl ether] it is preferable to first prepare a 17α,21-orthoester derivative of a 3,17α,21-triol of formula (I) according to procedures described hereinabove, followed by reaction thereof with a diazoalkane (e.g. diazomethane) to produce the corresponding 3-alkoxy-17α,21- orthoester derivative, followed by cleavage of the 17α,21 -orthoester grouping by means of dilute acid to obtain the desired 3-alkoxy-17-monoester derivative of formula (I).
- When preparing a 16α,17α-alkylidenedioxy derivative of formula (I), the 16α,17α-alkylidenedioxy function may be introduced into the molecule after preparation of the corresponding 16α,17α-di-(free-hydroxy)-19-nor-pregna-1,3,5(10),6,8,14-hexaene-20-one or at an earlier stage of the synthesis; however, a 17a,21-alkylidenedioxy grouping is preferably introduced after preparation of the corresponding 17α,21-di-(free-hydroxy)-19-nor-pregna-1,3,5(10),6,8,14-hexaene-20-one. Both, the 16α,17α- and the 17α,21-alkylidenedioxy derivatives of the 19-nor-pregna-1,3,5(10),6,8,14-hexaene-20-ones of formula (I) may be prepared from the corresponding 16a,17a-di-(free-hydroxy)- or l7α,21-di(free-hydroxy)-steroids upon reaction with a ketone or aldehyde (e.g. acetone, acetaldehyde, acetophenone) in the presence of a mineral acid (e.g. hydrochloric acid). The 17α,20; 20,21- bismethylenedioxy function can be introduced prior to or after introduction of the 19-nor-pregna- pentaene or 19-nor-pregnahexaene system by known reactions such as that utilizing formaldehyde in the presence of acid.
- The following Examples illustrate the invention:
- To a refluxing solution of lithium chloride (120 g) and concentrated hydrochloric acid (1.8 ml) in dimethylformamide (750 ml), add 9α,11β-dichloro-16α-methyl-1,4-pregna-diene-17α,21-diol-3,20-dione 21-acetate (30 g). Heat the reaction mixture at reflux temperature for 15 minutes, then pour into water/ice (6 liters). Extract the aqueous mixture with ethyl acetate, wash the combined extracts with water, then evaporate to a volume of about 350 ml. Separate the resultant crystalline precipitate by filtration, wash the precipitate with ethyl acetate and air dry, to obtain 16α-methyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17α,21-trioi-20-one 21-acetate (yield 9.6 g); m.p. = 235-240°C;
- To a solution of 16α-methyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17α,21-triol-20-one 21-acetate (14.0 g) in dioxane (2 liters), add 2,3-dichloro-5,6-dicyanobenzoquinone (9.98 g = 1.2 equivalents) and stir the reaction mixture at room temperature for 4 1/2 hours. Separate the precipitated solids by filtration and wash the precipitate with dioxane. Combine the filtrate and washings and evaporate to a small volume. Dissolve the residue in ethyl acetate, wash the ethyl acetate solution with water, then with aqueous sodium bicarbonate solution, thereafter with saturated sodium chloride solution, and then again with water. Evaporate the ethyl acetate solution in vacuo to a small volume and separate the resultant precipitate by filtration, to obtain 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate (yield 6.48 g). Concentrate the filtrate to dryness, triturate the resultant residue with ether and filter, to obtain an additional 4.47 g of 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate; [α]26 D = -95° (dioxane), m.p. = 218-221 °C;
- In a manner similar to that described in Example 1A, treat each of the following 9α,11β-dihalogeno-1,4-pregna-dienes with lithium chloride in dimethylformamide:
- 1) 9α,11β-dichloro-16α-methyl-1,4-pregnadiene-17α,21-diol-3,20-dione 21-acetate;
- 2) 9α,11β-dichloro-16α-methyl-1,4-pregnadiene-17α,21-diol-3,20-dione 17,21-di-n-butyrate;
- 3) 9α,11β-dichloro-1,4-pregnadiene-17α,21-diol-3,20-dione 21-acetate.
- Isolate and purify each of the resultant products in a manner similar to that described in Example 1A, to obtain, respectively.
-
- 1) 16β-methyl-19-nor-pregna-1,3,5( 10),6,8-pentaene-3,17α,21-triol-20-one 21-acetate; m.p. = 182-184°C;
2,700) ; - 2) 16α-methy!-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17α-,21 -triol-20-one 17,21-di-n-butyrate; m.p. = 200-202°C;
- 3) 19-nor-pregna-1,3,5(10),6,8-pentaene-3,17α,21-triol-20-one 21-acetate; m.p. = 185-190°C,
- In a manner similar to that described in Example 1B, treat each of the 19-nor-pregna-1,3,5(10),6,8-pentaenes obtainable from Example 2A with DDQ in dioxane and isolate and purify each of the resultant products in a manner similar to that described, to obtain, respectively,
- 1) 16β-methyi-1 9-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate; m.p. = 177―179°C, [α]26 D = +95° (chloroform); λmethanol max[in nm] = 253 (ε = 51,300), 262 (ε = 51,800), 284 (E = 13,400), 295 (E = 18,100), 306 (E = 16,800, 327 (ε = 2,800), 354 (E = 1,700);
- 2) 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21 -triol-20-one 17,21 -di-n-butyrate; m.p. = 188-1900C,
- 3) 19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate; m.p. = 212-216°C,
- To a solution of 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate (1 g) in ethyl acetate (50 ml), add a solution of diazomethane in ether (molar quantity of diazomethane being greater than that of pregnahexaene). Allow the reaction mixture to stand overnight at room temperature, then distill the excess diazomethane and ether. Purify the resultant residue via chromatography on silica gel preparative plates utilizing as solvent system chloroform:ethyl acetate (4:1). Remove the band containing the desired product (as visualized under ultraviolet light) by extraction with ethyl acetate. Evaporate the ethyl acetate and crystallize the resultant residue from petroleum ether/ether, to obtain 3-methoxy-16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-17α,21-diol-20-one 21-acetate; yield = 230 mg; m.p. = 186-188°C;
- In similar manner, treat each of the 3-(free-hydroxy)-19-nor-pregna-1,3,5(10),6,8,14-hexaenes of Example 2B with diazomethane, to obtain, respectively,
- 1) 3-methoxy-16β-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-17α,21-diol-20-one 21-acetate;
- 2) 3-methoxy-16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-17α,21-diol-20-one 17,21-di-n-butyrate; and
- 3) 3-methoxy-19-nor-pregna-1,3,5( 10),6,8, 14-hexaene-17α,21-diol-20-one 21-acetate.
- Following the procedures of Examples 3A and 3B, but substituting for diazomethane other diazoalkane solutions, e.g. diazoethane, there are obtained the corresponding 3-alkoxy derivatives, e.g. the 3-ethoxy derivatives, corresponding to the 3-methoxy products of Examples 3A and 3B.
- To a solution of 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate (1 g) in methanol (70 ml) under an atmosphere of nitrogen, add aqueous sodium bicarbonate (10%, 5 ml). Heat at reflux temperature for 30 minutes, cool, add dilute acetic acid until the reaction mixture is at about pH 7, pour into water and extract with ethyl acetate. Wash the combined extracts with water, dry over magnesium sulfate, and evaporate. Crystallize the resultant residue from chloroform/ethyl acetate, to obtain 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21- triol-20-one; yield = 697 mg;
- In similar manner, treat each of 16β-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21- triol-20-one 21-acetate and 19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17a,21-triol-20-one 21-acetate with aqueous sodium bicarbonate and isolate and purify the resultant products in the described manner, to obtain, respectively, 16β-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one and 19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one.
-
- (1) To a solution of 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one (697 mg) in dimethylsulfoxide (9.7 ml), add triethyl orthopropionate (0.97 ml) and p-toluenesulfonic acid (97 mg). Stir the reaction mixture at room temperature for 5 hours, then add acetic acid/water (14 ml, 9:1) and stir the mixture at room temperature overnight. Pour the reaction mixture into water, separate the resultant precipitate by filtration and wash it with water, then chromatograph the precipitate over silica gel, eluting with methylene-chloride/ether (19:1). Combine the like early fractions as determined by thin-layer chromatography, evaporate, crystallize the resultant residue from ether, and filter to obtain 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-propionate; yield = 138 mg; m.p. = 218-222°C;
- (2) Continue eluting with the same solvent and combine the like later fractions as determined by thin-layer chromatography, evaporate, crystallize the resultant precipitate from ether/petroleum ether and filter, to obtain 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17cr,21-triol-20-one 17 propionate; yield = 41 mg; m.p. = 115-120°C; [α]D 26 = -212° (chloroform).
- In similar manner, treat each of 16β-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17a,21- triol-20-one and 19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17a,21-triol-20-one with triethyl orthopropionate and p-toluene-sulfonic acid, followed by treatment with aqueous acetic acid, and isolate and purify each of the resultant products in a manner similar to that described hereinabove, to obtain, respectively, 16β-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17cr,21-triol-20-one 21-propionate and 16β-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17a,21-triol-20-one 17-propionate, 19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17a, 21-triol-20-one 21-propionate and 19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17a,21-triol-20-one 17-propionate.
- To a saturated solution of hydrogen chloride gas in dioxane (50 ml), add 16α-methyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17α,21-triol-20-one 21-acetate (382 mg), warm slightly to dissolve. To the resulting solution add 2,3-dichloro-5,6-dicyanobenzoquinone (454 mg) and stir the reaction mixture at room temperature for 30 minutes. Evaporate the dioxane at room temperature for 30 minutes. Evaporate the dioxane, dissolve the resultant residue in ether and percolate the ether solution through an alumina column. Evaporate the combined eluates and chromatograph the resultant residue over silica gel eluting with petroleum ether/ether gradient elution. Combine the like fractions containing the desired product as determined by thin-layer chromatography and evaporate the combined eluates. Recrystallize the resultant residue from ether/petroleum ether and filter the resultant precipitate, to give 15-chloro-l6α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate; yield = 131 mg; m.p. = 225-258°C; [α]D 26 = -185° (chloroform); [in nm] = 258 (E = 44,700), 266 (e = 49,200), 290 (E = 12,500), 303 (E = 15,000), 315 (E = 14,600), 336 (E = 3,900), 354 (∈ = 2,900).
- In similar manner, treat each of the 19-nor-pregnapentaenes obtainable from Example 2A with DDQ and hydrogen chloride, and isolate and purify each of the resultant products in a manner similar to that described hereinabove, to obtain, respectively,
- 1) 15-chloro-16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate;
- 2) 15-chloro-16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 17, 21-di-in-butyrate;
- 3) 15-chloro-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate.
- To a solution of 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate (450 mg) in pyridine (2 ml), add acetic anhydride (1 ml) and allow the reaction mixture to stand at room temperature overnight. Pour the reaction mixture into dilute hydrochloric acid, separate the resultant precipitate by filtration, wash it with water, dry and crystallize from ether, to obtain 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 3,21-diacetate; yield = 232 mg; m.p. = 153-157°C, = -93° (chloroform); [in nm] = 388 (E = 29,300), 246 (E = 32,600), 255 (∈= 41,360), 264 (E = 41,600), 283 (E = 14,500), 293 (E = 18,000), 306 (E = 16,700), 330 (E = 600).
- In the procedure of Example 7A, by substituting for acetic anhydride an equivalent quantity of benzoyl chloride, there is obtained 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21- triol-20-one 3-benzoate 21-acetate; m.p. = 197-202°C; = -68° (chloroform); [in nm] = 238 (E = 39,300), 256 (∈ = 44,800), 265 (E = 45,500), 283 (E = 16,000), 295 (∈ = 17,900), 307 (∈ = 17,000).
-
- (1) In similar manner treat each of the 3-(free-hydroxy)- or 3,21-di-(free-hydroxy)-19-nor-pregna-1,3,5(10,6,8,14-hexaene compounds obtainable from Examples 2B, 5 and 6 (possibly containing a further free hydroxy group in position 17) with acetic anhydride in pyridine or benzoyl chloride in pyridine, to obtain the corresponding 3-acetate or 3-benzoate ester thereof, or the corresponding 3,21- diacetate or 3,21-dibenzoate respectively.
- (2) Treat each of the 3,17a,21-tri-(free-hydroxy)-19-nor-pregna-1,3,5(10),6,8,14-hexaenes prepared in Example 4 with acetic anhydride in pyridine or benzoyl chloride in pyridine according to procedures of above Examples 7A and 7B, to obtain, respectively,
- 1) 16α-methyt-19-nor-pregna-l ,3,5(10),6,8,14-hexaene-3,17α;,21 -triol-20-one 3,21 -diacetate;
- 2) 16α-methyl-19-nor-pregna-l 1,3,5( 10),6,8,14-hexaene-3,17α;,21 -triol-20-one 3,21 -dibenzoate;
- 3) 16β-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 3,21-diacetate;
- 4) 16β-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 3,21-diben-, zoate;
- 5) 19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 3,21-diacetate;
- 6) 19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 3,21-dibenzoate.
- To a solution of 9α-bromo-16α-methyl-1,4-pregnadiene-17α,21-diol-3,11,20-trione 21-acetate (30 g) in pyridine (240 ml) add benzoyl chloride (60 ml) and heat the reaction mixture at 60°C for 20 hours, cool and pour into dilute hydrochloric acid. Extract the aqueous solution with ethyl acetate, wash the combined extracts with water, and evaporate. Chromatograph the resultant residue over silica gel eluting with petroleum ether/ether gradient. Combine the like fractions containing the desired product as determined by thin-layer chromatography, evaporate, then crystallize the resultant residue from ether, to obtain 16α-methyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17α,21-triol-11,20-dione 3-benzoate 21-acetate (yield 13.1 g); m.p. = 183-184°C; +63° (dioxane); λmaxmethanol [in nm] = 215 (E = 40,600), 237 (E = 38,400), 314 (E = 7,900).
- To a solution of 16α-methyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17α,21-triol-11,20-dione 3-benzoate 21-acetate (10.4 g) in dioxane (500 ml) add DDQ (13.33 g = 2.4 equivalents) and heat the reaction mixture at reflux temperature for 48 hours. Then evaporate in vacuo, dissolve the resultant residue in methylene chloride and percolate through alumina ("activity V", i.e. anhydrous alumina the activity of which has been modified by addition of 15% water). Evaporate the combined eluates to a small volume and chromatograph over silica gel, eluting with petroleum ether/ether gradient. Combine the like fractions containing the desired product as determined by thin-layer chromatography, and evaporate, then recrystallize the resultant residue from ether, to obtain 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-11,20-dione 3-benzoate 21-acetate; m.p. 144-145°C; +1 ° (dioxane); ,a,maXhan° I [in nm] = 234 (∈ = 37,700), 270 (∈ = 42,900), 277 (shoulder) (∈ = 40,400), 312 (E = 9,000), 349 (E = 6,000) 365 (E = 5,300).
- By subjecting 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-11,20-dione 3-benzoate 21-acetate to substantially the conditions of Example 4A, there is obtained 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-11,20-dione; m.p. = 163-165°C; = -107° (dioxane); λmethanol max [in nm] = 236 (ε = 24,100), 276 (E = 34,000), 317 (E = 5,600), 378 (E = 5,700).
- By subjecting 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-11,20-dione (100 mg) to substantially the conditions of Example 5A, there are obtained respectively, 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-11,20-dione 21-propionate (25 mg; the residue from the least polar band), and 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-11,20-dione 17-propionate (25 mg; the residue from the most polar band).
- To a suspension of 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-11,20-dione (2 g) in propionic acid (20 ml) containing p-toluenesulfonic acid (200 mg) at -5°C, add dropwise over a 40-minute period trifluoroacetic anhydride (8 ml). Allow the reaction mixture to warm to room temperature, then stir for 24 hours. Pour the reaction mixture onto ice/water and extract with ethyl acetate. Wash the combined extracts with aqueous sodium bicarbonate, then with water and evaporate in vacuo. Chromatograph the resultant residue over silica gel eluting with petroleum ether/ether gradient. Combine the like fractions containing the desired product as determined by thin-layer chromatography, to obtain 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-11,20-dione 3,17,21-tripropionate; yield 2.04 g; [α]26D = -82° (dioxane); λmethanol max [in nm] = 233 (E = 26,300), 260 (shoulder) (E = 30,700), 269 (E = 36,100), 278 (ε = 34,800), 316 (E= 7,700), 345 (shoulder) (E = 5,400), 364 (E = 4,600).
- Subject 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-11,20-dione to substantially the conditions of Example 7A, to obtain 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-11,20-dione 3,21-diacetate; [α]26D = -1' (dioxane); λmethanol max [in nm] =234 (ε = 25,900), 269 (E = 33,300), 278 (ε = 29,300), 315 (E = 7,800), 348 (E = 5,300), 365 (E = 4,700).
- Following the procedure of Example 10C, by utilizing an equivalent quantity of propionic anhydride instead of acetic anhydride, there is obtained 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-11,20-dione 3,21-dipropionate; m.p. = 135-137°C; [α]26D = +2° (dioxane); λmethanol max nm] = 233 (ε = 24,000), 269 (ε = 32,700), 279 (shoulder) (ε = 28,500), 315 (ε = 7,100), 349 (E = 5,000), 365 (E = 4,300).
- To a solution of 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-11,20-dione 3,17,21-tripropionate (1 g) in tetrahydrofuran/methanol (50 ml 1:1), dried over an alumina column at 0°C, add sodium borohydride (220 mg = 3 equivalents) portionwise over a 5-minute period. Stir the reaction mixture for an additional 10 minutes, then bring to neutrality by adding glacial acetic acid dropwise. Pour the reaction mixture into water, extract with ethyl acetate, wash the combined extracts with water and evaporate. Chromatograph the resultant residue over silica gel GF column, eluting with chloroform/ethyl acetate (9:1). Combine the like fractions as determined by thin-layer chromatography, and evaporate each of the three different combined fractions to residues comprising, respectively,
- 1) 16α - methyl - 19 - nor - pregna - 1,3,5(10),6,8,14 - hexaene - 3,11 α,17α,21 - tetrol - 20 - one 3,17a,21 - tripropionate (yield: 53 mg);
- 2) 16a - methyl - 19 - nor - pregna - 1,3,5(10),6,8,14 - hexaene - 3,11β,17α,21 - tetrol - 20 - one 3,17α,21 - tripropionate (yield: 502 mg). After purification by recrystallization from petroleum ether/ether: [α]26D = -136° (dioxane); λmethanol max [in nm] = 237 (E = 30,200), 244 (E = 34,000), 253 (E = 45,100), 262 (ε = 44,200),281 (ε= 16,200), 291 (E = 20,300), 304 (E = 18,500), 328 (ε = 900), 344 (E = 500);
- 3) 16α-methyl-19-nor-pregna-1,3,5110),6,8,14-hexaene-3,11β, 17α,21-tetrol-20-one 17,21-dipropionate (yield: 93 mg). After purification by recrystallization from petroleum ether/ether: [α]26D= -145° (dioxane); λmethanol max [in nm] = 236 (shoulder) (ε = 28,100), 244 (ε = 33,800), 256 (ε = 40,200), 265 (E = 40,200), 287 (shoulder) (E = 12,600), 297 (E = 16,400), 308 (e = 15,500), 337 (E = 2,700).
- Add 6α-fluoro-9ce,11/β-dichloro-16α-methyl-1,4-pregnadiene-17α,21-diol-3,20-dione 21-acetate (4.2 g) to refluxing dimethylformamide (200 ml) and continue heating at reflux temperature for 30 minutes. Pour the reaction mixture into saturated aqueous sodium chloride solution, separate the resultant precipitate by filtration. Dissolve the precipitate in ethyl acetate, and fractionally crystallize to obtain both, 6α-fluoro-16α-methyl-pregna-1,3,8(14),9(11)-tetraene-17α,21-diol-3,20-dione 21-acetate and 6-fluoro-16α-methyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17α,21-triol-20-one 21-acetate. Further purify the latter compound by crystallization from methylene chloride, yield: 316 mg; [α]26D = +88.0° (dioxane); m.p. = 238-241 °C; λmethanol max [in nm] = 238 (e = 50,500), 270 (E = 5,000), 281 (E = 5,000), 293 (E = 3,400), 315 (shoulder) (ε = 1,700), 330 (ε = 2,400), 344 (E = 2,600).
- Subject 6-fluoro-16α-methyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17α,21-triol-20-one 21-acetate (200 mg) to substantially the conditions of Example 1 B, to obtain 6-fluoro-16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate, yield: 35 mg; m.p. = 200―202°C; λmethanol max [in nm] = 248 (shoulder) (E = 36,300), 255 (E = 48,100), 265 (E = 49,200), 288 (e =13,900), 299 (ε = 19,500), 311 (ε = 18,500), 342 (E = 2,100), 359 (E = 1,500).
- To a mixture of 9α-chloro-16βi-methyl-pregna-1,4,6-triene-11/3,17α,21-triol-3,20-dione 21-acetate (3.44 g) in acetone (700 ml) add potassium acetate (10.3 g) and reflux the reaction mixture with stirring for 48 hours. Filter the reaction mixture, evaporate the filtrate in vacuo to a low volume, pour into water and extract the aqueous mixture with ethyl acetate. Wash the combined organic extracts with water and evaporate to a volume of about 100 ml. Separate the resultant crystalline solid by filtration, and dry, to obtain 16β-methyl-pregna-1,4,6,8-tetraene-11β,17α,21-triol-3,20-dione 21-acetate, yield: 1.96 g; m.p. = 175-180°C; [α]26D = +786° (pyridine); λmethanol max [in nm] = 230 (shoulder) (E = 10,600), 264 (E = 10,000), 388 (E = 6,500).
- To a solution of 16β-rnethyl-pregna-1,4,6,8-tetraene-11β,17α,21-triol-3,20-dione 21-acetate (850 mg) in tetrahydrofuran (200 ml) add 1 N hydrochloric acid (20 ml). Stir the reaction mixture at room temperature for 1 hour, then pour the reaction mixture into 1 liter of saturated aqueous sodium chloride solution and extract with ethyl acetate. Wash the combined ethyl acetate extracts with water and evaporate to a volume of about 25 ml. Separate the resultant crystalline precipitate by filtration and dry, to obtain 16β-methyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,11β 17α,21-tetrol-20-one 21-acetate, yield: 368 mg; m.p. = 203-207°C; [α]26D = +172° (pyridine); λmethanol max [in nm] = 233 (E = 69,100), 267 (ε = 4,800), 278 (E = 5,400), 315 (E = 1,900), 327 (E = 2,300) 340 (E = 2,700).
- Subject 16βi-methyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,11β,17α,21-tetrol-20-one 21-acetate (199 mg) to substantially the conditions of Example 1 B, to obtain 16β-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,11β,17α,21-tetrol-20-one 21-acetate, yield: 91 mg; m.p. = 185-195°C; λmethanol max [in nm] = 244 (ε = 35,100), 254 (ε = 44,000), 263 (ε = 44,000), 285 (shoulder) (E = 12,400), 295 (ε= 16,000), 306 (E = 14,900), 337 (ε = 2,600), 354 (E = 2,200).
- To a solution of 16β-methyl-pregna-1,4,6,8-tetraene-11β,17α,21-triol-3,20-dione 21-acetate (500 mg) in methylene chloride (50 ml) add finely powdered manganese dioxide (5 g), and stir at room temperature for 20 hours. Separate the manganese dioxide by filtration and wash with methylene chloride. Evaporate the combined filtrate and methylene chloride washings and crystallize the resultant residue from ether, to yield 16β-methyl-pregna-1,4,6,8-tetraene-17α,21-diol-3,11,20-trione 21-acetate; m.p. = 185-188°C; [α]26D= +1164° (chloroform).
- Subject 16β-methyl-pregna-1,4,6.8-tetraene-17α,21-diol-3,11,20-trione 21-acetate to substantially the conditions of Example 13B, to obtain 16β-methyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17α,21-triol-11,20-dione 21-acetate.
- In a manner similar to that described in Example 13C, treat 16β-methyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17a,21-triol-11,20-dione 21-acetate with DDQ in dioxane and isolate the resultant product in a manner similar to that described, to obtain 16β-methyl-19-nor-pregna-1,3,5( 10),6,8,14-hexaene-3,17α,21 -trioi-11,20-dione 21-acetate.
- To a solution of 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-11,20-dione (4.3 g) in methylene chloride (200 ml) under an atmosphere of nitrogen, add formaldehyde (200 ml, 37% aqueous solution) and concentrated hydrochloric acid (200 ml). Stir the mixture at room temperature for 4 hours, separate the two layers, extract the aqueous layer with methylene chloride, combine the organic layer and the methylene chloride extracts and wash with aqueous sodium bicarbonate, then with water. Evaporate the organic solution and chromatograph the resultant residue over silica gel, eluting with a petroleum ether/ether gradient. Combine the like fractions containing the desired product as determined by thin-layer chromatography and evaporate and crystallize the resultant residue from ether, to obtain 16α-methyl-17α,20; 20,21-bismethylenedioxy-19-nor-pregna-1,3,5 ( 10),6,8,14-hexaene-3-ol-1 1-one.
- Subject 16α-methyl-17α,20; 20,21-bismethylenedioxy-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3-ol-11-one to substantially the conditions of Example 11, to obtain 16α-methyl-17α,20; 20,21-bismethylenedioxy-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,11a-diol (from the combined early fractions) and 16a-methyl-17a,20; 20,21-bismethylenedioxy-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,11β-diol (from the combined like later fractions). Purify by crystallization from ether.
- Add a suspension of 16α-methyl-17α,20; 20,21-bismethylenedioxy-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,1 1β-diol (990 mg = 2.5 mmol) to aqueous 45% hydrochloric acid (2.5 ml) at 0°C and stir the resulting suspension at 0°C for 1.5 hours. Bring the reaction mixture to neutrality by adding aqueous 5% potassium bicarbonate, then extract with ethyl acetate, wash the combined extracts with water and evaporate to a small volume. Separate the resultant crystals by filtration and dry, to obtain 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,11β,17α,21-tetrol 20-one.
- To a solution of 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,11β3,17a.21-tetrol-20- one 3,17a,21-tripropionate (271 mg) in methanol (25 ml), add sodium bicarbonate (3.0 ml, 5% aqueous solution) and stir overnight at room temperature. Add dilute hydrochloric acid until the reaction mixture is at about pH 7, then remove the methanol in vacuo. Add water to the resultant residue and extract with ether. Wash the combined ether extracts with water, dry over magnesium sulfate and evaporate. Crystallize the resultant residue from methylene chloride/ether to obtain 16a-methyl-19-nor-pregna-1,3,5(10),6,8.14-hexaene-3,11β,17α,21-tetrol-20-one; yield: 44 mg; m.p. = 160-163°C; [α]26D= -161° (dioxane), λmethanol max [in nm] = 263 (shoulder) (e = 24,600), 245 (ε = 31,000), 255 (E = 38,000), 264 (E = 38,700), 286 (shoulder) (ε = 12,800), 296 (E = 16,200), 308 (ε = 15,100), 338 (ε = 2,700).
- In a manner similar to that described in Example 1A, treat each of the following 9α,11β-dihalogeno-1,4-pregnadienes with lithium chloride in dimethylformamide.
- 1) 6α,16α-dimethyl-9α,11β-dichloro-1,4-pregnadiene-17α,21-diol-3,20-dione 21-acetate;
- 2) 6α-fluoro-9α,11β-dichloro-1,4-pregnadiene-17a,21-diol-3,20-dione 21-acetate;
- 3) 6α-fluoromethyl-9α,11β-dichloro-1,4-pregnadiene-17α,21-diol-3,20-dione 21-acetate;
- 4) 6α-difluoromethyl-9α,11β-dichloro-1,4-pregnadiene-17β,21-diol-3,20-dione 21-acetate;
- 5) 6α-trifluoromethyl-9α,11β-difluoro-1,4-pregnadiene-17α,21-diol-3,20-dione 21-acetate;
- 6) 9α,11β-dichloro-1,4-pregnadiene-16α,17α,21-triol-3,20-dione 16,21-diacetate;
- 7) 6α-fluoro-9α,11β-dichloro-16α,17α-isopropylidenedioxy-1,4-pregnadiene-21-ol-3,20-dione 21-acetate;
- 8) 6α-fluoro-9α,11β-dichloro-16cr-methyl-1,4-pregnadiene-17α,21-diol-3,20-dione 21-acetate;
- 9) 6α-methyl-9α,11β-dichloro-1,4-pregnadiene-17α,21-diol-3,20-dione 21-acetate;
- 10) 6α,16β-dimethyl-9α,11β-dichloro-1,4-pregnadiene-17α,21-diol-3,20-dione 21-acetate.
- Isolate and purify each of the resultant products in a manner similar to that described, to obtain, respectively,
- 1) 6,16α-dimethyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17α,21-triol-20-one 21-acetate;
- 2) 6-fluoro-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17a,21-triol-20-one 21-acetate;
- 3) 6-fluoromethyl-19-nor-pregna-1 ,3,5(1 10),6,8-pentaene-3,17α,21 -trioi-20-one 21-acetate;
- 4) 6-difluoromethyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17α,21-triol-20-one 21-acetate;
- 5) 6-trifluoromethyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17α,21-triol-20-one 21-acetate;
- 6) 19-nor-pregna-1,3,5(10),6,8-pentaene-3,16α,17α,21-tetrol-20-one 16,21-diacetate;
- 7) 6-fluoro-16α,17α-isopropylidenedioxy-19-nor-pregna-1,3,5(10),6,8-pentaene-3,21-diol-20- one 21-acetate;
- 8) 6-fluoro-16α-methyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17α,21-triol-20-one 21-acetate;
- 9) 6-methyl-19-nor-pregna-1,3,5(10),6,8-pentaene-3,17α,21-triol-20-one 21-acetate;
- 10) 6,16β-dimethyl-19-nor-pregna-1,3,5(10), 6,8-pentaene-3,17α,21-triol-20-one 21-acetate.
- B. In a manner similar to that described in Example 1B, treat each of the 19-nor-pregna-1,3,5(10),6,8-pentaenes obtainable from Example 8A with DDQ in dioxane and isolate and purify each of the resultant products, to obtain, respectively,
- 1) 6,16α-dimethyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate;
- 2) 6-fluoro-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate;
- 3) 6-fiuoromethy)-19-nor-pregna-l 1,3,5(10),6,8,14 hexaene-3,17α,21-triol-20 one 21-acetate;
- 4) 6-difluoromethyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate;
- 5) 6-trifiuoromethyl-19-nor-pregna-l ,3,5(10),6,8,14-hexaene-3,17α,21-trio)-20-one 21-acetate;
- 6) 19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,16α,17α,21-tetrol-20-one 16,21-diacetate;
- 7) 6-fluoro-16a, 17a-isopropylidenedioxy-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,21-diol-20-one 21-acetate;
- 8. 6-fluoro-16α-methyl-19-nor-pregna-1;3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate;
- 9) 6-methyl-19-nor-pregna-l ,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate;
- 10) 6,16β-dimethyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21 -triol-20-one 21-acetate.
- To a solution of 9α,11β-dichloro-16α-methyl-1,4-pregnadiene-17α,21-diol-3,20-dione 21-acetate (31 g) in dioxane (1.8 liters), add a solution of hydrogen chloride gas (66 g) in dioxane (420 ml) and DDQ (18.75 g). Stir the reaction mixture on a steam bath for 48 hours, then at room temperature for 40 hours. Concentrate the reaction mixture in vacuo to a low volume, then chromatograph the resultant residue over alumina (activity V), eluting with ether. Evaporate the combined eluates and recrystallize the resultant residue from acetone:hexane, to obtain 16α-methyl-19-nor-pregna-1,3,5( 10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate.
- To a solution of 16α-methyl-pregna-1,4,6,8,14-pentaene-17α,21-diol-3,20-dione 21-acetate (0.075 g) and lithium chloride (0.075 g) in dimethylformamide (2 ml), add one drop of concentrated hydrochloric acid and reflux for half hour, then remove the solvent in vacuo, dissolve the residue in a small amount of acetone, and add a large quantity of water. Purify the resulting product by thin-layer chromatography, elution of the least polar band with acetone and removal of the solvent. Treat for 16 hours with pyridine (1 ml) and acetic anhydride (0.5 ml), add water, and recrystallize the resulting precipitate from acetone/hexane, to obtain 16a-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21 -triol-20-one 3,21 -diacetate.
- The method-of-use aspect of this invention resides in eliciting a mitotic inhibitory response in a warm-blooded animal having a disease characterized by rapid cell proliferation, which comprises administering to said animal a non-toxic, mitotic-inhibitory effective amount of a 19-nor-pregnahexaene-20-one of formula (I) defined hereinabove, usually together with a non-toxic, pharmaceutically acceptable carrier, particularly in the treatment and control of proliferative skin diseases, primarily for the treatment of psoriasis via the topical route.
- Psoriasis is characterized by increased epidermipoiesis associated with a high mitotic rate, rapid cell turnover and altered keratinization. The psoriatic epidermis can be normalized by slowing down cell growth through inhibiting mitosis. All drugs currently used in psoriasis therapy are known to directly or indirectly reduce epidermal mitotic activity. Although there is no animal model for psoriasis, many of these same drugs have been reported to have a similar effect in models of epidermal hyperplasia which simulate psoriasis in laboratory animals. Topically effective anti-psoriatic drugs, including corticosteroids, anthralin, coal tar and 5-fluoroacil, while relatively free of systemic side effects, cause local adverse reactions. Thus, corticosteroid therapy causes skin atrophy, telangiectasia and the formation of striae, while anthralin and 5-fluorouracil are skin irritants and require close clinical supervision for optimal therapeutic benefit. Anthralin can also cause staining of the skin.
- It has now been discovered that compounds according to general formula (I) [particularly 16α-methyl-19-nor-pregna-1,3,5( 10),6,8,14-hexaene-3,17α,21 -triot-20-one 21-acetate] reduce epidermal mitotic activity without causing significant local or systemic hormonal or toxic effects when applied topically to the skin of mice in which epidermal mitosis has been stimulated.
- Specifically, when treated by a procedure modified from S. Belman and W. Troll, Cancer Research 32:450-454 (1972), the 19-nor-pregnahexaene-20-ones of this invention, particularly the 16a-methyl derivatives of formula (II), reduce croton-oil stimulated epidermal mitosis in mice when applied topically. Moreover, they are non-irritating without causing hormonal side effects, which is surprising in view of the 19-nor-pregnahexaene-20-one structure containing an aromatic A-ring such as in many estrogens, and a corticoid side chain such as in potent topical anti-inflammatory agents.
- In the foregoing test, croton-oil is applied topically to shaved mice, thus accelerating mitosis. A 19-nor-pregna-1,3,5( 10),6,8,14-hexaene.-3,17α-,21 -trioi-20-one of this invention is applied topically to the stimulated site, then 24 hours later portions of the treated skin are excised for histologic processing, mitotic figures per thousand basal interfollicular epidermal cells being counted in a light microscope. Epidermal mitotic counts from treated mice are compared to counts from lesion controls for statistically significant differences with an analysis of variance. The mitotic count for each compound tested is expressed as percent reduction of mitoses compared with the number of mitoses on the skin of mice treated with croton-oil alone. In general, it was discovered that the 19-nor-pregnahexaene-20-ones of this invention (formula 1) significantly reduce croton-oil stimulated epidermal mitosis. For example, the 16a-methyl-19-nor-pregnahexaene-20-one of formula (II) usually exhibit over 60% inhibitions of mitoses at a 2 mg topical dose. 16α-Methyl-19-nor-pregna-1,3,5(10),6,8;14-hexaene-3,17α,21-triol-20-one 21-acetate (a preferred compound of the invention) exhibits about 80% reduction of mitosis (even at a topical dose as low as 0.2 mg) which is approximately 10 times greater than the mitotic reduction exhibited by an equal quantity (i.e. 0.2 mg) of betamethasone dipropionate (a known anti-psoriatic agent) in the same animal model.
- The anti-mitotic activity is also demonstrated by similar tests in mice whereby increased epidermal mitosis is produced by ultraviolet irradiation according to procedures modified from A. DuVivier and R. B. Stoughton, J. investigative Dermatology, 65:233-237 (1975). In these tests, it was demonstrated that the 19-nor-pregnahexaene-20-ones of this invention, particularly 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17a,21-triol-20-one 21-acetate, significantly reduce epidermal mitotic rate following 1, 5 or 9 topical applications (each with 0.02 mg, 0.10 mg, and 0.5 mg doses) to ultraviolet stimulated hairless mouse epidermis, advantageously causing an epidermal thinning effect after multiple applications when the effect became equivalent to that demonstrated by steroidal anti-psoriatic agents such as betamethasone valerate. Since the compounds of this invention such as defined by formulae (I) and (II) do not cause estrogenic or other hormonal or toxic effects when applied topically as demonstrated by tests in mice, continued applications of a 19-nor-pregnahexaene-20-one of this invention will not cause irritation or staining of the skin or skin atrophy as caused by known anti-psoriatic agents. The foregoing mode of anti-psoriatic activity of the 19-nor-pregnahexaene-20-ones of this invention is different from that demonstrated by known steroidal anti-psoriatic agents such as betamethasone valerate which, when applied topically to ultraviolet stimulated hairless mouse epidermis at doses equal to those of our 19-nor-pregnahexaene-20-ones [e.g. 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one-21-acetate] first cause an epidermal thinning without reduction of mitoses.
- The 19-nor-pregnahexaene-20-ones of this invention, particularly 16a-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17a,21-triol-20-one 21-acetate, have also been found to exhibit anti-mitotic activity when administered orally or parenterally to mice, without causing significant local or systemic hormonal or toxic effects.
- In view of the anti-mitotic and anti-acanthotic (i.e., reduction of epidermal thickening) activity (as tested in mice), of the 19-nor-pregnahexaene-20-ones of this invention, particularly when applied topically, the invention includes the concept of treating and controlling psoriasis which comprises applying topically to the affected area, in a concentration effective for the treatment of psoriasis, a 19-nor-pregnahexaene-20-one of formula (I), usefully together with a non-toxic pharmaceutically acceptable carrier. Preferred anti-psoriatic agents of this invention are the 16-methyl-19-nor-pregnahexaene-20-ones, especially the 16α-methyl compounds of formula (II), particularly 16a-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate and the 3-acetate, 3-benzoate and 15 chloro derivatives thereof.
- Included within the term "topically applying" are applications onto the skin surface whereby the compounds of the invention are effective in the treatment and control of skin diseases characterized by rapid and/or abnormal cell proliferation, e.g. psoriasis; aerosol application; and subcutaneous injection application whereby they are effective in the treatment of local epidermal disorders.
- Conveniently, a pharmaceutical formulation comprising a 19-nor-pregnahexaene-20-one of formula (I), preferably a 16a-methyl compound of formula (II), such as 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate, in a non-toxic pharmaceutically acceptable carrier, usually in concentrations from about 0.0001 percent to about 5 percent, preferably from about 0.1 percent to about one percent, is applied several times daily to skin affected by psoriasis until the psoriatic condition has improved. Topical applications may then be continued at less frequent intervals (e.g. once a day) to control mitoses in order to prevent return of severe psoriatic conditions. In general, application is in any topical form including creams, lotions, aerosols and ointments, prepared by combining the active ingredient with conventional pharmaceutical diluents and carriers as used in topical formulations comprising steroids; conveniently in a liquid solvent, preferably in a water-miscible liquid carrier made up of hydrophylic liquids having a high solvating action, e.g. a solution of 16α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α,21-triol-20-one 21-acetate in polyethyleneglycol.
- Thus, the pharmaceutical formulation aspect of this invention resides in the concept of a pharmaceutical composition, preferably for topical application, comprising an anti-psoriatically effective amount of a 19-nor-pregnahexaene-20-one of formula (I) together with a non-toxic pharmaceutically acceptable carrier. Preferred are topical formulations comprising 16α-methyl-19-nor-pregnahexaene-20-ones of formula (II), particularly 16a-methyl derivatives thereof having a free hydroxyl function at C-17, pharmaceutical formulations comprising 16a-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17α-21;triol-20-one 21-acetate being particularly valuable.
- The pharmaceutical formulations may be made according to known procedures, some of which are described in detail hereinbelow. Typical formulations include ointments, lotions, creams, sprays, powders, drops (e.g. ear drops), suppositories, and aerosols. Ointments and creams may, for example, be formulated with an aqueous or oily base with the addition of suitable thickening and/or gelling agents. Such bases may, thus, for example, include water and/or an oil (such as liquid paraffin) or a vegetable oil (such as peanut oil or castor oil). Thickening agents which may be used according to the nature of the base include soft paraffin, aluminium stearate, cetostearyl-alcohol, polyethyleneglycols, woolfat, hydrogenated lanolin, beeswax, etc. Lotions may be formulated with an aqueous or oily base and will, in general, also include one or more of the following, namely, stabilizing agents, emulsifying agents, dispersing agents, suspending agents, thickening agents, coloring agents, perfumes and the like. Powders may be formed with the aid of any suitable powder base, e.g. talc, lactose, starch, etc. Drops may be formulated with an aqueous base or non-aqueous base, also comprising one or more dispersing agents, suspending agents, solubilizing agents, etc.
- The topical pharmaceutical compositions according to the invention may also include one or more preservatives or bacteriostatic agents, e.g. methyl hydroxybenzoate, propyl hydroxybenzoate, chlorocresol, benzalkonium chloride, etc. They may also contain other active ingredients such as antimicrobial agents, particularly antibiotics.
- The inventive concept also includes pharmaceutical formulations for oral or parenteral administration, obtainable by standard procedures and comprising an anti-mitotic amount of a 19-nor-pregna-1,3,5(10),6,8,14-hexaene-20-one of formula (I) together with a non-toxic, pharmaceutically acceptable carrier.
- The proportion of active steroid in the topical compositions according to the invention depends on the precise type of formulations to be prepared, but will generally be within the range of from 0.0001 %d to 5% by weight. Generally, however, for most types of topical preparations the proportions of active steroid used will be within the range of from 0.1 to 3% and preferably 0.1 to 1 %. Based upon studies in mice, when administered systemically, preferably parenterally, the dosage necessary to produce an anti-mitotic response is in the range of from about 1 to about 100 mg per kilogram body weight.
- The following Formulations exemplify some of the dosage forms in which the anti-mitotic agents of our invention may be employed. In each Formulation, the active ingredient is l6α-methyl-19-nor-pregna-1,3,5(10),6,8,14-hexaene-3,17a,21-triol-20-one 21-acetate. It will be appreciated, however, that this compound is but a representative example and may be replaced by equivalent quantities of other active compounds of this invention, e.g. by its 3-acetate, 3-benzoate or 1 5-chloro derivative.
-
- Mix and heat to 65°C a weighed quantity of white petrolatum, mineral oil, benzyl alcohol, and cool to 50-55°C with stirring. Disperse active ingredient in a portion of the mineral oil and then add to the above mixture with stirring. Cool to room temperature.
-
- Heat the stearic acid, glyceryl monostearate and polyethylene-sorbitan monopalmitate to 70°C. In a separate vessel, dissolve sorbitol solution, benzyl alcohol, water, and half quantity of propyleneglycol and heat to 70°C. Add the aqueous phase to the oily phase with high-speed stirring, allow resulting emulsion to gradually cool. Dissolve active ingredient in remaining quantity of propyleneglycol and add resulting solution to the above emulsion when the temperature of the latter is 37-40°C. Mix uniformly with stirring and cool to room temperature.
- *) this refers to the requirements of the (U.S.) National Formulary
-
- Prepare a 1% solution of the sodium hydroxide in propyleneglycol and set aside. Separately, mix approximately one-half the remaining propyleneglycol and the polyethyleneglycol 400, then dissolve the butylated hydroxytoluene in this mixture. Disperse the Carbomer 940 in the foregoing mixture with vigorous agitation, then add the sodium hydroxide solution with high-speed agitation to bring the pH of the solution up to 7. Continue stirring until a thick gel forms. Dissolve the active ingredient in the remaining propyleneglycol and add the resulting solution to the gel slowly, with continuous stirring.
-
- Prepare 4% aqueous sodium hydroxide solution and hold. Heat the purified water to 60°C, add Carbomer 940, and mix at high speed until dispersed. Cool dispersion to room temperature and slowly charge sodium hydroxide solution until uniform. Add 80% of the isopropanol to the above with mixing. Dissolve active ingredient in remaining isopropanol and add to mixture with stirring. Adjust pH to 5.0 to 5.5 with further sodium hydroxide, if necessary.
-
- Prepare a slurry consisting of active ingredient, lactose and polyvinylpyrrolidone. Spray dry the slurry. Add the corn starch and magnesium stearate. Mix and compress into tablets.
-
- The other ingredients are dissolved in sesame oil and brought to a total volume of 1 ml.
-
- The other ingredients are dissolved in water and brought to a total volume of 1 ml.
Claims (12)
Applications Claiming Priority (2)
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US81918277A | 1977-07-26 | 1977-07-26 | |
US819182 | 1977-07-26 |
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EP0000609A1 EP0000609A1 (en) | 1979-02-07 |
EP0000609B1 true EP0000609B1 (en) | 1981-09-23 |
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Application Number | Title | Priority Date | Filing Date |
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EP78200112A Expired EP0000609B1 (en) | 1977-07-26 | 1978-07-20 | Novel 19-nor-pregnahexaenes, process for the preparation thereof, and pharmaceutical compositions containing them |
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Country | Link |
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EP (1) | EP0000609B1 (en) |
JP (1) | JPS5424864A (en) |
AT (1) | ATA532778A (en) |
AU (1) | AU518819B2 (en) |
CA (1) | CA1118410A (en) |
DE (1) | DE2861112D1 (en) |
DK (1) | DK326478A (en) |
FI (1) | FI782305A (en) |
GR (1) | GR73119B (en) |
NO (1) | NO782538L (en) |
NZ (1) | NZ187926A (en) |
PT (1) | PT68338A (en) |
ZA (1) | ZA784081B (en) |
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US4897290A (en) * | 1986-09-26 | 1990-01-30 | Konishiroku Photo Industry Co., Ltd. | Method for manufacturing the substrate for liquid crystal display |
Family Cites Families (1)
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US3410879A (en) * | 1967-04-12 | 1968-11-12 | American Home Prod | Process for preparing gonahexaenes |
-
1978
- 1978-07-18 ZA ZA00784081A patent/ZA784081B/en unknown
- 1978-07-20 EP EP78200112A patent/EP0000609B1/en not_active Expired
- 1978-07-20 DE DE7878200112T patent/DE2861112D1/en not_active Expired
- 1978-07-21 FI FI782305A patent/FI782305A/en unknown
- 1978-07-21 PT PT68338A patent/PT68338A/en unknown
- 1978-07-21 GR GR56836A patent/GR73119B/el unknown
- 1978-07-21 CA CA000307894A patent/CA1118410A/en not_active Expired
- 1978-07-21 AU AU38248/78A patent/AU518819B2/en not_active Expired
- 1978-07-21 NZ NZ187926A patent/NZ187926A/en unknown
- 1978-07-21 DK DK326478A patent/DK326478A/en not_active Application Discontinuation
- 1978-07-21 AT AT0532778A patent/ATA532778A/en not_active Application Discontinuation
- 1978-07-24 NO NO782538A patent/NO782538L/en unknown
- 1978-07-24 JP JP9031978A patent/JPS5424864A/en active Pending
Also Published As
Publication number | Publication date |
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ATA532778A (en) | 1982-12-15 |
FI782305A (en) | 1979-01-27 |
ZA784081B (en) | 1979-07-25 |
CA1118410A (en) | 1982-02-16 |
PT68338A (en) | 1978-08-01 |
AU518819B2 (en) | 1981-10-22 |
EP0000609A1 (en) | 1979-02-07 |
AU3824878A (en) | 1980-01-24 |
JPS5424864A (en) | 1979-02-24 |
NO782538L (en) | 1979-01-29 |
DE2861112D1 (en) | 1981-12-10 |
DK326478A (en) | 1979-01-27 |
NZ187926A (en) | 1980-10-08 |
GR73119B (en) | 1984-02-03 |
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