CA2630438A1 - Prodrugs of er.beta-selective substances, process for their production, and pharmaceutical compositions that contain these compounds - Google Patents
Prodrugs of er.beta-selective substances, process for their production, and pharmaceutical compositions that contain these compounds Download PDFInfo
- Publication number
- CA2630438A1 CA2630438A1 CA002630438A CA2630438A CA2630438A1 CA 2630438 A1 CA2630438 A1 CA 2630438A1 CA 002630438 A CA002630438 A CA 002630438A CA 2630438 A CA2630438 A CA 2630438A CA 2630438 A1 CA2630438 A1 CA 2630438A1
- Authority
- CA
- Canada
- Prior art keywords
- beta
- trien
- estra
- group
- sulfamoyl
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
- 150000001875 compounds Chemical class 0.000 title claims abstract description 52
- 238000004519 manufacturing process Methods 0.000 title claims abstract description 11
- 239000008194 pharmaceutical composition Substances 0.000 title claims abstract description 11
- 238000000034 method Methods 0.000 title claims description 6
- 230000008569 process Effects 0.000 title claims description 5
- 239000000651 prodrug Substances 0.000 title abstract description 7
- 229940002612 prodrug Drugs 0.000 title abstract description 7
- 239000000126 substance Substances 0.000 title description 28
- 150000003431 steroids Chemical group 0.000 claims abstract description 7
- 150000002164 estratrienes Chemical class 0.000 claims abstract description 6
- UCAGLBKTLXCODC-UHFFFAOYSA-M 4-sulfamoylbenzoate Chemical compound NS(=O)(=O)C1=CC=C(C([O-])=O)C=C1 UCAGLBKTLXCODC-UHFFFAOYSA-M 0.000 claims description 45
- NAETXYOXMDYNLE-UHFFFAOYSA-N 3-sulfamoylbenzoic acid Chemical compound NS(=O)(=O)C1=CC=CC(C(O)=O)=C1 NAETXYOXMDYNLE-UHFFFAOYSA-N 0.000 claims description 44
- 239000000262 estrogen Substances 0.000 claims description 44
- 229940011871 estrogen Drugs 0.000 claims description 44
- 229910052739 hydrogen Inorganic materials 0.000 claims description 21
- -1 4,4,5,5,5-pentafluoropentyl Chemical group 0.000 claims description 20
- 238000011282 treatment Methods 0.000 claims description 20
- 125000004435 hydrogen atom Chemical group [H]* 0.000 claims description 18
- 238000002560 therapeutic procedure Methods 0.000 claims description 18
- 210000000988 bone and bone Anatomy 0.000 claims description 12
- 125000005843 halogen group Chemical group 0.000 claims description 12
- 230000000694 effects Effects 0.000 claims description 11
- 229910006074 SO2NH2 Inorganic materials 0.000 claims description 10
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 10
- 102000003846 Carbonic anhydrases Human genes 0.000 claims description 8
- 108090000209 Carbonic anhydrases Proteins 0.000 claims description 8
- 229940046836 anti-estrogen Drugs 0.000 claims description 8
- 230000001833 anti-estrogenic effect Effects 0.000 claims description 8
- 125000004432 carbon atom Chemical group C* 0.000 claims description 8
- 239000000328 estrogen antagonist Substances 0.000 claims description 8
- FHQAWINGVCDTTG-UHFFFAOYSA-N 4-chloro-3-sulfamoylbenzoic acid Chemical compound NS(=O)(=O)C1=CC(C(O)=O)=CC=C1Cl FHQAWINGVCDTTG-UHFFFAOYSA-N 0.000 claims description 7
- 125000003118 aryl group Chemical group 0.000 claims description 7
- WPYMKLBDIGXBTP-UHFFFAOYSA-N benzoic acid Chemical compound OC(=O)C1=CC=CC=C1 WPYMKLBDIGXBTP-UHFFFAOYSA-N 0.000 claims description 7
- 201000010099 disease Diseases 0.000 claims description 7
- 229910052731 fluorine Inorganic materials 0.000 claims description 7
- 125000000956 methoxy group Chemical group [H]C([H])([H])O* 0.000 claims description 7
- 239000008177 pharmaceutical agent Substances 0.000 claims description 7
- 229940095743 selective estrogen receptor modulator Drugs 0.000 claims description 7
- 239000000333 selective estrogen receptor modulator Substances 0.000 claims description 7
- 208000024891 symptom Diseases 0.000 claims description 7
- 206010027304 Menopausal symptoms Diseases 0.000 claims description 6
- 239000003886 aromatase inhibitor Substances 0.000 claims description 6
- 229940046844 aromatase inhibitors Drugs 0.000 claims description 6
- 238000002657 hormone replacement therapy Methods 0.000 claims description 6
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 claims description 6
- 125000002560 nitrile group Chemical group 0.000 claims description 6
- 125000000449 nitro group Chemical group [O-][N+](*)=O 0.000 claims description 6
- VOXZDWNPVJITMN-ZBRFXRBCSA-N 17β-estradiol Chemical compound OC1=CC=C2[C@H]3CC[C@](C)([C@H](CC4)O)[C@@H]4[C@@H]3CCC2=C1 VOXZDWNPVJITMN-ZBRFXRBCSA-N 0.000 claims description 5
- 239000000556 agonist Substances 0.000 claims description 5
- 239000001257 hydrogen Substances 0.000 claims description 5
- 238000001727 in vivo Methods 0.000 claims description 5
- 230000005764 inhibitory process Effects 0.000 claims description 5
- 239000000583 progesterone congener Substances 0.000 claims description 5
- 230000003637 steroidlike Effects 0.000 claims description 5
- 125000001424 substituent group Chemical group 0.000 claims description 5
- NKANXQFJJICGDU-QPLCGJKRSA-N Tamoxifen Chemical compound C=1C=CC=CC=1C(/CC)=C(C=1C=CC(OCCN(C)C)=CC=1)/C1=CC=CC=C1 NKANXQFJJICGDU-QPLCGJKRSA-N 0.000 claims description 4
- 238000006243 chemical reaction Methods 0.000 claims description 4
- 229910052801 chlorine Inorganic materials 0.000 claims description 4
- 125000001309 chloro group Chemical group Cl* 0.000 claims description 4
- 125000001495 ethyl group Chemical group [H]C([H])([H])C([H])([H])* 0.000 claims description 4
- 239000011737 fluorine Substances 0.000 claims description 4
- 238000000338 in vitro Methods 0.000 claims description 4
- 208000015124 ovarian disease Diseases 0.000 claims description 4
- 201000004535 ovarian dysfunction Diseases 0.000 claims description 4
- 231100000543 ovarian dysfunction Toxicity 0.000 claims description 4
- 238000011321 prophylaxis Methods 0.000 claims description 4
- 125000004469 siloxy group Chemical group [SiH3]O* 0.000 claims description 4
- JOMQIRBLMOXBAZ-UHFFFAOYSA-N sulfamoyl benzoate Chemical compound NS(=O)(=O)OC(=O)C1=CC=CC=C1 JOMQIRBLMOXBAZ-UHFFFAOYSA-N 0.000 claims description 4
- NMJREATYWWNIKX-UHFFFAOYSA-N GnRH Chemical compound C1CCC(C(=O)NCC(N)=O)N1C(=O)C(CC(C)C)NC(=O)C(CC=1C2=CC=CC=C2NC=1)NC(=O)CNC(=O)C(NC(=O)C(CO)NC(=O)C(CC=1C2=CC=CC=C2NC=1)NC(=O)C(CC=1NC=NC=1)NC(=O)C1NC(=O)CC1)CC1=CC=C(O)C=C1 NMJREATYWWNIKX-UHFFFAOYSA-N 0.000 claims description 3
- 101000857870 Squalus acanthias Gonadoliberin Proteins 0.000 claims description 3
- 125000000217 alkyl group Chemical group 0.000 claims description 3
- 239000005557 antagonist Substances 0.000 claims description 3
- 239000003418 antiprogestin Substances 0.000 claims description 3
- 238000002512 chemotherapy Methods 0.000 claims description 3
- 125000002887 hydroxy group Chemical group [H]O* 0.000 claims description 3
- GZUITABIAKMVPG-UHFFFAOYSA-N raloxifene Chemical compound C1=CC(O)=CC=C1C1=C(C(=O)C=2C=CC(OCCN3CCCCC3)=CC=2)C2=CC=C(O)C=C2S1 GZUITABIAKMVPG-UHFFFAOYSA-N 0.000 claims description 3
- 229960004622 raloxifene Drugs 0.000 claims description 3
- 150000003839 salts Chemical class 0.000 claims description 3
- 125000000391 vinyl group Chemical group [H]C([*])=C([H])[H] 0.000 claims description 3
- 229920002554 vinyl polymer Chemical group 0.000 claims description 3
- VOKXKDMIORTWPF-UHFFFAOYSA-N 5-[4-[5-(4,4,5,5,5-pentafluoropentylsulfinyl)pentyl]phenyl]-6-phenyl-8,9-dihydro-7h-benzo[7]annulen-2-ol Chemical compound C=1C(O)=CC=C(C=2C=3C=CC(CCCCCS(=O)CCCC(F)(F)C(F)(F)F)=CC=3)C=1CCCC=2C1=CC=CC=C1 VOKXKDMIORTWPF-UHFFFAOYSA-N 0.000 claims description 2
- 201000004384 Alopecia Diseases 0.000 claims description 2
- 208000024172 Cardiovascular disease Diseases 0.000 claims description 2
- 208000011231 Crohn disease Diseases 0.000 claims description 2
- 201000009273 Endometriosis Diseases 0.000 claims description 2
- PXGOKWXKJXAPGV-UHFFFAOYSA-N Fluorine Chemical compound FF PXGOKWXKJXAPGV-UHFFFAOYSA-N 0.000 claims description 2
- VWUXBMIQPBEWFH-WCCTWKNTSA-N Fulvestrant Chemical compound OC1=CC=C2[C@H]3CC[C@](C)([C@H](CC4)O)[C@@H]4[C@@H]3[C@H](CCCCCCCCCS(=O)CCCC(F)(F)C(F)(F)F)CC2=C1 VWUXBMIQPBEWFH-WCCTWKNTSA-N 0.000 claims description 2
- 206010030247 Oestrogen deficiency Diseases 0.000 claims description 2
- 208000001132 Osteoporosis Diseases 0.000 claims description 2
- QYSXJUFSXHHAJI-XFEUOLMDSA-N Vitamin D3 Natural products C1(/[C@@H]2CC[C@@H]([C@]2(CCC1)C)[C@H](C)CCCC(C)C)=C/C=C1\C[C@@H](O)CCC1=C QYSXJUFSXHHAJI-XFEUOLMDSA-N 0.000 claims description 2
- 125000003342 alkenyl group Chemical group 0.000 claims description 2
- 231100000360 alopecia Toxicity 0.000 claims description 2
- 125000004397 aminosulfonyl group Chemical group NS(=O)(=O)* 0.000 claims description 2
- 230000002917 arthritic effect Effects 0.000 claims description 2
- GJMNAFGEUJBOCE-MEQIQULJSA-N asoprisnil Chemical compound C1([C@@H]2C3=C4CCC(=O)C=C4CC[C@H]3[C@@H]3CC[C@]([C@]3(C2)C)(COC)OC)=CC=C(\C=N\O)C=C1 GJMNAFGEUJBOCE-MEQIQULJSA-N 0.000 claims description 2
- 229950003620 asoprisnil Drugs 0.000 claims description 2
- 230000037176 bone building Effects 0.000 claims description 2
- 150000001668 calcitriol derivatives Chemical class 0.000 claims description 2
- 229940079593 drug Drugs 0.000 claims description 2
- 239000003814 drug Substances 0.000 claims description 2
- 229960002258 fulvestrant Drugs 0.000 claims description 2
- 239000003862 glucocorticoid Substances 0.000 claims description 2
- 210000000987 immune system Anatomy 0.000 claims description 2
- 208000027866 inflammatory disease Diseases 0.000 claims description 2
- 201000006417 multiple sclerosis Diseases 0.000 claims description 2
- 230000002265 prevention Effects 0.000 claims description 2
- 206010039073 rheumatoid arthritis Diseases 0.000 claims description 2
- 125000000475 sulfinyl group Chemical group [*:2]S([*:1])=O 0.000 claims description 2
- 238000001356 surgical procedure Methods 0.000 claims description 2
- 229940037128 systemic glucocorticoids Drugs 0.000 claims description 2
- 229960001603 tamoxifen Drugs 0.000 claims description 2
- 235000005282 vitamin D3 Nutrition 0.000 claims description 2
- 239000011647 vitamin D3 Substances 0.000 claims description 2
- QYSXJUFSXHHAJI-YRZJJWOYSA-N vitamin D3 Chemical compound C1(/[C@@H]2CC[C@@H]([C@]2(CCC1)C)[C@H](C)CCCC(C)C)=C\C=C1\C[C@@H](O)CCC1=C QYSXJUFSXHHAJI-YRZJJWOYSA-N 0.000 claims description 2
- 229940021056 vitamin d3 Drugs 0.000 claims description 2
- 125000006527 (C1-C5) alkyl group Chemical group 0.000 claims 6
- 206010004446 Benign prostatic hyperplasia Diseases 0.000 claims 4
- 125000004178 (C1-C4) alkyl group Chemical group 0.000 claims 3
- 125000006552 (C3-C8) cycloalkyl group Chemical group 0.000 claims 3
- 101100240526 Caenorhabditis elegans nhr-20 gene Proteins 0.000 claims 3
- 208000007984 Female Infertility Diseases 0.000 claims 2
- 206010021928 Infertility female Diseases 0.000 claims 2
- 208000007466 Male Infertility Diseases 0.000 claims 2
- WWYNJERNGUHSAO-XUDSTZEESA-N (+)-Norgestrel Chemical compound O=C1CC[C@@H]2[C@H]3CC[C@](CC)([C@](CC4)(O)C#C)[C@@H]4[C@@H]3CCC2=C1 WWYNJERNGUHSAO-XUDSTZEESA-N 0.000 claims 1
- IEXUMDBQLIVNHZ-YOUGDJEHSA-N (8s,11r,13r,14s,17s)-11-[4-(dimethylamino)phenyl]-17-hydroxy-17-(3-hydroxypropyl)-13-methyl-1,2,6,7,8,11,12,14,15,16-decahydrocyclopenta[a]phenanthren-3-one Chemical compound C1=CC(N(C)C)=CC=C1[C@@H]1C2=C3CCC(=O)C=C3CC[C@H]2[C@H](CC[C@]2(O)CCCO)[C@@]2(C)C1 IEXUMDBQLIVNHZ-YOUGDJEHSA-N 0.000 claims 1
- KDNIOKSLVIGAAN-UHFFFAOYSA-N 2-sulfamoylbenzoic acid Chemical compound NS(=O)(=O)C1=CC=CC=C1C(O)=O KDNIOKSLVIGAAN-UHFFFAOYSA-N 0.000 claims 1
- UFHFLCQGNIYNRP-UHFFFAOYSA-N Hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 claims 1
- AZFLJNIPTRTECV-FUMNGEBKSA-N dienogest Chemical compound C1CC(=O)C=C2CC[C@@H]([C@H]3[C@@](C)([C@](CC3)(O)CC#N)CC3)C3=C21 AZFLJNIPTRTECV-FUMNGEBKSA-N 0.000 claims 1
- 229960003309 dienogest Drugs 0.000 claims 1
- METQSPRSQINEEU-UHFFFAOYSA-N dihydrospirorenone Natural products CC12CCC(C3(CCC(=O)C=C3C3CC33)C)C3C1C1CC1C21CCC(=O)O1 METQSPRSQINEEU-UHFFFAOYSA-N 0.000 claims 1
- 229960004845 drospirenone Drugs 0.000 claims 1
- METQSPRSQINEEU-HXCATZOESA-N drospirenone Chemical compound C([C@]12[C@H]3C[C@H]3[C@H]3[C@H]4[C@@H]([C@]5(CCC(=O)C=C5[C@@H]5C[C@@H]54)C)CC[C@@]31C)CC(=O)O2 METQSPRSQINEEU-HXCATZOESA-N 0.000 claims 1
- 229960004400 levonorgestrel Drugs 0.000 claims 1
- 229960003248 mifepristone Drugs 0.000 claims 1
- VKHAHZOOUSRJNA-GCNJZUOMSA-N mifepristone Chemical compound C1([C@@H]2C3=C4CCC(=O)C=C4CC[C@H]3[C@@H]3CC[C@@]([C@]3(C2)C)(O)C#CC)=CC=C(N(C)C)C=C1 VKHAHZOOUSRJNA-GCNJZUOMSA-N 0.000 claims 1
- 125000001400 nonyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 claims 1
- 229940053934 norethindrone Drugs 0.000 claims 1
- VIKNJXKGJWUCNN-XGXHKTLJSA-N norethisterone Chemical compound O=C1CC[C@@H]2[C@H]3CC[C@](C)([C@](CC4)(O)C#C)[C@@H]4[C@@H]3CCC2=C1 VIKNJXKGJWUCNN-XGXHKTLJSA-N 0.000 claims 1
- 229950011093 onapristone Drugs 0.000 claims 1
- NVBFHJWHLNUMCV-UHFFFAOYSA-N sulfamide Chemical compound NS(N)(=O)=O NVBFHJWHLNUMCV-UHFFFAOYSA-N 0.000 claims 1
- QAHVHSLSRLSVGS-UHFFFAOYSA-N sulfamoyl chloride Chemical compound NS(Cl)(=O)=O QAHVHSLSRLSVGS-UHFFFAOYSA-N 0.000 claims 1
- FOKNEOPXGZGGBW-UHFFFAOYSA-N sulfamoyl isocyanate Chemical compound NS(=O)(=O)N=C=O FOKNEOPXGZGGBW-UHFFFAOYSA-N 0.000 claims 1
- 102000015694 estrogen receptors Human genes 0.000 abstract description 5
- 108010038795 estrogen receptors Proteins 0.000 abstract description 5
- 102000004190 Enzymes Human genes 0.000 abstract description 2
- 108090000790 Enzymes Proteins 0.000 abstract description 2
- 238000012360 testing method Methods 0.000 description 18
- YMWUJEATGCHHMB-UHFFFAOYSA-N Dichloromethane Chemical compound ClCCl YMWUJEATGCHHMB-UHFFFAOYSA-N 0.000 description 15
- XEKOWRVHYACXOJ-UHFFFAOYSA-N Ethyl acetate Chemical compound CCOC(C)=O XEKOWRVHYACXOJ-UHFFFAOYSA-N 0.000 description 15
- WYURNTSHIVDZCO-UHFFFAOYSA-N Tetrahydrofuran Chemical compound C1CCOC1 WYURNTSHIVDZCO-UHFFFAOYSA-N 0.000 description 12
- 210000003743 erythrocyte Anatomy 0.000 description 12
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 11
- 210000002381 plasma Anatomy 0.000 description 10
- 239000000243 solution Substances 0.000 description 10
- 239000003826 tablet Substances 0.000 description 9
- 150000003254 radicals Chemical class 0.000 description 8
- 241000700159 Rattus Species 0.000 description 7
- 230000009471 action Effects 0.000 description 7
- 238000001704 evaporation Methods 0.000 description 7
- 230000008020 evaporation Effects 0.000 description 7
- WEVYAHXRMPXWCK-UHFFFAOYSA-N Acetonitrile Chemical compound CC#N WEVYAHXRMPXWCK-UHFFFAOYSA-N 0.000 description 6
- 241001465754 Metazoa Species 0.000 description 6
- PMZURENOXWZQFD-UHFFFAOYSA-L Sodium Sulfate Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=O PMZURENOXWZQFD-UHFFFAOYSA-L 0.000 description 6
- HEDRZPFGACZZDS-MICDWDOJSA-N Trichloro(2H)methane Chemical compound [2H]C(Cl)(Cl)Cl HEDRZPFGACZZDS-MICDWDOJSA-N 0.000 description 6
- YXYXCSOJKUAPJI-ZBRFXRBCSA-N [(8r,9s,13s,14s,17s)-17-hydroxy-13-methyl-6,7,8,9,11,12,14,15,16,17-decahydrocyclopenta[a]phenanthren-3-yl] sulfamate Chemical compound NS(=O)(=O)OC1=CC=C2[C@H]3CC[C@](C)([C@H](CC4)O)[C@@H]4[C@@H]3CCC2=C1 YXYXCSOJKUAPJI-ZBRFXRBCSA-N 0.000 description 6
- 210000004369 blood Anatomy 0.000 description 6
- 239000008280 blood Substances 0.000 description 6
- 239000012074 organic phase Substances 0.000 description 6
- 238000002360 preparation method Methods 0.000 description 6
- 229910052938 sodium sulfate Inorganic materials 0.000 description 6
- 235000011152 sodium sulphate Nutrition 0.000 description 6
- YLQBMQCUIZJEEH-UHFFFAOYSA-N tetrahydrofuran Natural products C=1C=COC=1 YLQBMQCUIZJEEH-UHFFFAOYSA-N 0.000 description 6
- 239000003981 vehicle Substances 0.000 description 6
- 238000005160 1H NMR spectroscopy Methods 0.000 description 5
- XDTMQSROBMDMFD-UHFFFAOYSA-N Cyclohexane Chemical compound C1CCCCC1 XDTMQSROBMDMFD-UHFFFAOYSA-N 0.000 description 5
- 108090000723 Insulin-Like Growth Factor I Proteins 0.000 description 5
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 5
- 239000004480 active ingredient Substances 0.000 description 5
- 239000002671 adjuvant Substances 0.000 description 5
- 239000012043 crude product Substances 0.000 description 5
- 229960005309 estradiol Drugs 0.000 description 5
- 230000002440 hepatic effect Effects 0.000 description 5
- 229940088597 hormone Drugs 0.000 description 5
- 239000005556 hormone Substances 0.000 description 5
- 210000004185 liver Anatomy 0.000 description 5
- 239000000741 silica gel Substances 0.000 description 5
- 229910002027 silica gel Inorganic materials 0.000 description 5
- 210000004291 uterus Anatomy 0.000 description 5
- 101150041968 CDC13 gene Proteins 0.000 description 4
- 102000004218 Insulin-Like Growth Factor I Human genes 0.000 description 4
- GDTBXPJZTBHREO-UHFFFAOYSA-N bromine Substances BrBr GDTBXPJZTBHREO-UHFFFAOYSA-N 0.000 description 4
- 229930182833 estradiol Natural products 0.000 description 4
- 230000001076 estrogenic effect Effects 0.000 description 4
- 239000000203 mixture Substances 0.000 description 4
- FPGGTKZVZWFYPV-UHFFFAOYSA-M tetrabutylammonium fluoride Chemical compound [F-].CCCC[N+](CCCC)(CCCC)CCCC FPGGTKZVZWFYPV-UHFFFAOYSA-M 0.000 description 4
- DNXHEGUUPJUMQT-UHFFFAOYSA-N (+)-estrone Natural products OC1=CC=C2C3CCC(C)(C(CC4)=O)C4C3CCC2=C1 DNXHEGUUPJUMQT-UHFFFAOYSA-N 0.000 description 3
- CSCPPACGZOOCGX-UHFFFAOYSA-N Acetone Chemical compound CC(C)=O CSCPPACGZOOCGX-UHFFFAOYSA-N 0.000 description 3
- 102000004881 Angiotensinogen Human genes 0.000 description 3
- 108090001067 Angiotensinogen Proteins 0.000 description 3
- DNXHEGUUPJUMQT-CBZIJGRNSA-N Estrone Chemical compound OC1=CC=C2[C@H]3CC[C@](C)(C(CC4)=O)[C@@H]4[C@@H]3CCC2=C1 DNXHEGUUPJUMQT-CBZIJGRNSA-N 0.000 description 3
- 108010051696 Growth Hormone Proteins 0.000 description 3
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 3
- 102100038803 Somatotropin Human genes 0.000 description 3
- BZKPWHYZMXOIDC-UHFFFAOYSA-N acetazolamide Chemical compound CC(=O)NC1=NN=C(S(N)(=O)=O)S1 BZKPWHYZMXOIDC-UHFFFAOYSA-N 0.000 description 3
- 229960000571 acetazolamide Drugs 0.000 description 3
- 150000005840 aryl radicals Chemical class 0.000 description 3
- 230000015572 biosynthetic process Effects 0.000 description 3
- 229910052794 bromium Inorganic materials 0.000 description 3
- 210000003169 central nervous system Anatomy 0.000 description 3
- 239000000460 chlorine Substances 0.000 description 3
- 238000004440 column chromatography Methods 0.000 description 3
- 208000035475 disorder Diseases 0.000 description 3
- 229960003399 estrone Drugs 0.000 description 3
- 125000002534 ethynyl group Chemical group [H]C#C* 0.000 description 3
- 125000001153 fluoro group Chemical group F* 0.000 description 3
- 239000000122 growth hormone Substances 0.000 description 3
- RAXXELZNTBOGNW-UHFFFAOYSA-N imidazole Natural products C1=CNC=N1 RAXXELZNTBOGNW-UHFFFAOYSA-N 0.000 description 3
- 208000021267 infertility disease Diseases 0.000 description 3
- 230000007935 neutral effect Effects 0.000 description 3
- 210000002307 prostate Anatomy 0.000 description 3
- 235000002639 sodium chloride Nutrition 0.000 description 3
- 235000000346 sugar Nutrition 0.000 description 3
- 125000000999 tert-butyl group Chemical group [H]C([H])([H])C(*)(C([H])([H])[H])C([H])([H])[H] 0.000 description 3
- 230000001225 therapeutic effect Effects 0.000 description 3
- VHYFNPMBLIVWCW-UHFFFAOYSA-N 4-Dimethylaminopyridine Chemical compound CN(C)C1=CC=NC=C1 VHYFNPMBLIVWCW-UHFFFAOYSA-N 0.000 description 2
- QTBSBXVTEAMEQO-UHFFFAOYSA-M Acetate Chemical compound CC([O-])=O QTBSBXVTEAMEQO-UHFFFAOYSA-M 0.000 description 2
- WKBOTKDWSSQWDR-UHFFFAOYSA-N Bromine atom Chemical compound [Br] WKBOTKDWSSQWDR-UHFFFAOYSA-N 0.000 description 2
- ZAMOUSCENKQFHK-UHFFFAOYSA-N Chlorine atom Chemical compound [Cl] ZAMOUSCENKQFHK-UHFFFAOYSA-N 0.000 description 2
- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 description 2
- FBPFZTCFMRRESA-JGWLITMVSA-N D-glucitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-JGWLITMVSA-N 0.000 description 2
- YCKRFDGAMUMZLT-UHFFFAOYSA-N Fluorine atom Chemical compound [F] YCKRFDGAMUMZLT-UHFFFAOYSA-N 0.000 description 2
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 2
- 206010028980 Neoplasm Diseases 0.000 description 2
- XBDQKXXYIPTUBI-UHFFFAOYSA-M Propionate Chemical compound CCC([O-])=O XBDQKXXYIPTUBI-UHFFFAOYSA-M 0.000 description 2
- JUJWROOIHBZHMG-UHFFFAOYSA-N Pyridine Chemical compound C1=CC=NC=C1 JUJWROOIHBZHMG-UHFFFAOYSA-N 0.000 description 2
- 108010087999 Steryl-Sulfatase Proteins 0.000 description 2
- 102100038021 Steryl-sulfatase Human genes 0.000 description 2
- MUMGGOZAMZWBJJ-DYKIIFRCSA-N Testostosterone Chemical compound O=C1CC[C@]2(C)[C@H]3CC[C@](C)([C@H](CC4)O)[C@@H]4[C@@H]3CCC2=C1 MUMGGOZAMZWBJJ-DYKIIFRCSA-N 0.000 description 2
- 239000002775 capsule Substances 0.000 description 2
- 239000003795 chemical substances by application Substances 0.000 description 2
- IJOOHPMOJXWVHK-UHFFFAOYSA-N chlorotrimethylsilane Chemical compound C[Si](C)(C)Cl IJOOHPMOJXWVHK-UHFFFAOYSA-N 0.000 description 2
- 238000011097 chromatography purification Methods 0.000 description 2
- 239000003085 diluting agent Substances 0.000 description 2
- 238000006073 displacement reaction Methods 0.000 description 2
- 201000002595 endometriosis of ovary Diseases 0.000 description 2
- 238000000605 extraction Methods 0.000 description 2
- 238000009472 formulation Methods 0.000 description 2
- 229910052736 halogen Inorganic materials 0.000 description 2
- 150000002367 halogens Chemical class 0.000 description 2
- 239000005457 ice water Substances 0.000 description 2
- 239000003112 inhibitor Substances 0.000 description 2
- 229910052740 iodine Inorganic materials 0.000 description 2
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 description 2
- 238000002156 mixing Methods 0.000 description 2
- VLKZOEOYAKHREP-UHFFFAOYSA-N n-Hexane Chemical compound CCCCCC VLKZOEOYAKHREP-UHFFFAOYSA-N 0.000 description 2
- 208000030747 ovarian endometriosis Diseases 0.000 description 2
- 210000001672 ovary Anatomy 0.000 description 2
- 239000000825 pharmaceutical preparation Substances 0.000 description 2
- 239000012071 phase Substances 0.000 description 2
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 description 2
- 229920000036 polyvinylpyrrolidone Polymers 0.000 description 2
- 239000001267 polyvinylpyrrolidone Substances 0.000 description 2
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 description 2
- 229920006395 saturated elastomer Polymers 0.000 description 2
- 239000000600 sorbitol Substances 0.000 description 2
- 235000010356 sorbitol Nutrition 0.000 description 2
- 239000000725 suspension Substances 0.000 description 2
- 239000000454 talc Substances 0.000 description 2
- 229910052623 talc Inorganic materials 0.000 description 2
- 229940070710 valerate Drugs 0.000 description 2
- NQPDZGIKBAWPEJ-UHFFFAOYSA-N valeric acid Chemical compound CCCCC(O)=O NQPDZGIKBAWPEJ-UHFFFAOYSA-N 0.000 description 2
- JKKFKPJIXZFSSB-UHFFFAOYSA-N 1,3,5(10)-estratrien-17-one 3-sulfate Natural products OS(=O)(=O)OC1=CC=C2C3CCC(C)(C(CC4)=O)C4C3CCC2=C1 JKKFKPJIXZFSSB-UHFFFAOYSA-N 0.000 description 1
- BFPYWIDHMRZLRN-UHFFFAOYSA-N 17alpha-ethynyl estradiol Natural products OC1=CC=C2C3CCC(C)(C(CC4)(O)C#C)C4C3CCC2=C1 BFPYWIDHMRZLRN-UHFFFAOYSA-N 0.000 description 1
- XWEBTVZIZWEJOO-UHFFFAOYSA-N 3-chlorosulfonylbenzoyl chloride Chemical compound ClC(=O)C1=CC=CC(S(Cl)(=O)=O)=C1 XWEBTVZIZWEJOO-UHFFFAOYSA-N 0.000 description 1
- CLPFFLWZZBQMAO-UHFFFAOYSA-N 4-(5,6,7,8-tetrahydroimidazo[1,5-a]pyridin-5-yl)benzonitrile Chemical compound C1=CC(C#N)=CC=C1C1N2C=NC=C2CCC1 CLPFFLWZZBQMAO-UHFFFAOYSA-N 0.000 description 1
- FJKROLUGYXJWQN-UHFFFAOYSA-N 4-hydroxybenzoic acid Chemical class OC(=O)C1=CC=C(O)C=C1 FJKROLUGYXJWQN-UHFFFAOYSA-N 0.000 description 1
- 102000049773 5-HT2A Serotonin Receptor Human genes 0.000 description 1
- ZCYVEMRRCGMTRW-UHFFFAOYSA-N 7553-56-2 Chemical group [I] ZCYVEMRRCGMTRW-UHFFFAOYSA-N 0.000 description 1
- 244000215068 Acacia senegal Species 0.000 description 1
- 208000002874 Acne Vulgaris Diseases 0.000 description 1
- GUBGYTABKSRVRQ-XLOQQCSPSA-N Alpha-Lactose Chemical compound O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-XLOQQCSPSA-N 0.000 description 1
- NLXLAEXVIDQMFP-UHFFFAOYSA-N Ammonium chloride Substances [NH4+].[Cl-] NLXLAEXVIDQMFP-UHFFFAOYSA-N 0.000 description 1
- VHUUQVKOLVNVRT-UHFFFAOYSA-N Ammonium hydroxide Chemical compound [NH4+].[OH-] VHUUQVKOLVNVRT-UHFFFAOYSA-N 0.000 description 1
- 102000014654 Aromatase Human genes 0.000 description 1
- 108010078554 Aromatase Proteins 0.000 description 1
- 206010003210 Arteriosclerosis Diseases 0.000 description 1
- 206010003694 Atrophy Diseases 0.000 description 1
- 208000023275 Autoimmune disease Diseases 0.000 description 1
- 102000015081 Blood Coagulation Factors Human genes 0.000 description 1
- 108010039209 Blood Coagulation Factors Proteins 0.000 description 1
- 108010033547 Carbonic Anhydrase I Proteins 0.000 description 1
- 102100025518 Carbonic anhydrase 1 Human genes 0.000 description 1
- 102100024633 Carbonic anhydrase 2 Human genes 0.000 description 1
- 101710167917 Carbonic anhydrase 2 Proteins 0.000 description 1
- 229920002134 Carboxymethyl cellulose Polymers 0.000 description 1
- 102000014914 Carrier Proteins Human genes 0.000 description 1
- 108010078791 Carrier Proteins Proteins 0.000 description 1
- 229920000623 Cellulose acetate phthalate Polymers 0.000 description 1
- VEXZGXHMUGYJMC-UHFFFAOYSA-M Chloride anion Chemical compound [Cl-] VEXZGXHMUGYJMC-UHFFFAOYSA-M 0.000 description 1
- KZBUYRJDOAKODT-UHFFFAOYSA-N Chlorine Chemical compound ClCl KZBUYRJDOAKODT-UHFFFAOYSA-N 0.000 description 1
- 229920002261 Corn starch Polymers 0.000 description 1
- FBPFZTCFMRRESA-KVTDHHQDSA-N D-Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 description 1
- 208000005171 Dysmenorrhea Diseases 0.000 description 1
- 206010013935 Dysmenorrhoea Diseases 0.000 description 1
- 239000004129 EU approved improving agent Substances 0.000 description 1
- RSEPBGGWRJCQGY-RBRWEJTLSA-N Estradiol valerate Chemical compound C1CC2=CC(O)=CC=C2[C@@H]2[C@@H]1[C@@H]1CC[C@H](OC(=O)CCCC)[C@@]1(C)CC2 RSEPBGGWRJCQGY-RBRWEJTLSA-N 0.000 description 1
- BFPYWIDHMRZLRN-SLHNCBLASA-N Ethinyl estradiol Chemical compound OC1=CC=C2[C@H]3CC[C@](C)([C@](CC4)(O)C#C)[C@@H]4[C@@H]3CCC2=C1 BFPYWIDHMRZLRN-SLHNCBLASA-N 0.000 description 1
- 108010010803 Gelatin Proteins 0.000 description 1
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 1
- 102100020948 Growth hormone receptor Human genes 0.000 description 1
- 229920000084 Gum arabic Polymers 0.000 description 1
- 101150104779 HTR2A gene Proteins 0.000 description 1
- 206010020100 Hip fracture Diseases 0.000 description 1
- 241000282412 Homo Species 0.000 description 1
- 208000033830 Hot Flashes Diseases 0.000 description 1
- 206010060800 Hot flush Diseases 0.000 description 1
- 206010020772 Hypertension Diseases 0.000 description 1
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 1
- 206010021639 Incontinence Diseases 0.000 description 1
- 206010022489 Insulin Resistance Diseases 0.000 description 1
- 206010022998 Irritability Diseases 0.000 description 1
- 108010044467 Isoenzymes Proteins 0.000 description 1
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 1
- 229940124041 Luteinizing hormone releasing hormone (LHRH) antagonist Drugs 0.000 description 1
- 229930195725 Mannitol Natural products 0.000 description 1
- 206010027951 Mood swings Diseases 0.000 description 1
- 206010067572 Oestrogenic effect Diseases 0.000 description 1
- 239000002202 Polyethylene glycol Substances 0.000 description 1
- 206010060862 Prostate cancer Diseases 0.000 description 1
- 208000000236 Prostatic Neoplasms Diseases 0.000 description 1
- 208000025844 Prostatic disease Diseases 0.000 description 1
- 241000700157 Rattus norvegicus Species 0.000 description 1
- 241001000605 Semia Species 0.000 description 1
- 229920001800 Shellac Polymers 0.000 description 1
- KEAYESYHFKHZAL-UHFFFAOYSA-N Sodium Chemical compound [Na] KEAYESYHFKHZAL-UHFFFAOYSA-N 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 102000013275 Somatomedins Human genes 0.000 description 1
- 229920002472 Starch Polymers 0.000 description 1
- 102000005262 Sulfatase Human genes 0.000 description 1
- GWEVSGVZZGPLCZ-UHFFFAOYSA-N Titan oxide Chemical compound O=[Ti]=O GWEVSGVZZGPLCZ-UHFFFAOYSA-N 0.000 description 1
- 244000290333 Vanilla fragrans Species 0.000 description 1
- 235000009499 Vanilla fragrans Nutrition 0.000 description 1
- 235000012036 Vanilla tahitensis Nutrition 0.000 description 1
- 239000000205 acacia gum Substances 0.000 description 1
- 235000010489 acacia gum Nutrition 0.000 description 1
- DPXJVFZANSGRMM-UHFFFAOYSA-N acetic acid;2,3,4,5,6-pentahydroxyhexanal;sodium Chemical compound [Na].CC(O)=O.OCC(O)C(O)C(O)C(O)C=O DPXJVFZANSGRMM-UHFFFAOYSA-N 0.000 description 1
- 206010000496 acne Diseases 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 230000001919 adrenal effect Effects 0.000 description 1
- 229960002478 aldosterone Drugs 0.000 description 1
- 239000000783 alginic acid Substances 0.000 description 1
- 235000010443 alginic acid Nutrition 0.000 description 1
- 229920000615 alginic acid Polymers 0.000 description 1
- 229960001126 alginic acid Drugs 0.000 description 1
- 150000004781 alginic acids Chemical class 0.000 description 1
- 125000005275 alkylenearyl group Chemical group 0.000 description 1
- QGZKDVFQNNGYKY-UHFFFAOYSA-N ammonia Natural products N QGZKDVFQNNGYKY-UHFFFAOYSA-N 0.000 description 1
- 235000011114 ammonium hydroxide Nutrition 0.000 description 1
- 229960002932 anastrozole Drugs 0.000 description 1
- YBBLVLTVTVSKRW-UHFFFAOYSA-N anastrozole Chemical compound N#CC(C)(C)C1=CC(C(C)(C#N)C)=CC(CN2N=CN=C2)=C1 YBBLVLTVTVSKRW-UHFFFAOYSA-N 0.000 description 1
- 239000003098 androgen Substances 0.000 description 1
- 229940030486 androgens Drugs 0.000 description 1
- 238000005899 aromatization reaction Methods 0.000 description 1
- 208000011775 arteriosclerosis disease Diseases 0.000 description 1
- 229950004810 atamestane Drugs 0.000 description 1
- PEPMWUSGRKINHX-TXTPUJOMSA-N atamestane Chemical compound C1C[C@@H]2[C@@]3(C)C(C)=CC(=O)C=C3CC[C@H]2[C@@H]2CCC(=O)[C@]21C PEPMWUSGRKINHX-TXTPUJOMSA-N 0.000 description 1
- 230000037444 atrophy Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 125000001797 benzyl group Chemical group [H]C1=C([H])C([H])=C(C([H])=C1[H])C([H])([H])* 0.000 description 1
- 125000002619 bicyclic group Chemical group 0.000 description 1
- 239000011230 binding agent Substances 0.000 description 1
- 230000033558 biomineral tissue development Effects 0.000 description 1
- 230000008499 blood brain barrier function Effects 0.000 description 1
- 239000003114 blood coagulation factor Substances 0.000 description 1
- 230000036765 blood level Effects 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 210000001218 blood-brain barrier Anatomy 0.000 description 1
- 230000008468 bone growth Effects 0.000 description 1
- 230000004097 bone metabolism Effects 0.000 description 1
- BVKZGUZCCUSVTD-UHFFFAOYSA-N carbonic acid Chemical compound OC(O)=O BVKZGUZCCUSVTD-UHFFFAOYSA-N 0.000 description 1
- 239000001768 carboxy methyl cellulose Substances 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- 229940081734 cellulose acetate phthalate Drugs 0.000 description 1
- 238000003776 cleavage reaction Methods 0.000 description 1
- 239000011248 coating agent Substances 0.000 description 1
- 238000000576 coating method Methods 0.000 description 1
- 230000001143 conditioned effect Effects 0.000 description 1
- 229940035811 conjugated estrogen Drugs 0.000 description 1
- 239000008120 corn starch Substances 0.000 description 1
- 229940109275 cyclamate Drugs 0.000 description 1
- 125000001995 cyclobutyl group Chemical group [H]C1([H])C([H])([H])C([H])(*)C1([H])[H] 0.000 description 1
- 125000000113 cyclohexyl group Chemical group [H]C1([H])C([H])([H])C([H])([H])C([H])(*)C([H])([H])C1([H])[H] 0.000 description 1
- 125000004210 cyclohexylmethyl group Chemical group [H]C([H])(*)C1([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C1([H])[H] 0.000 description 1
- HCAJEUSONLESMK-UHFFFAOYSA-N cyclohexylsulfamic acid Chemical compound OS(=O)(=O)NC1CCCCC1 HCAJEUSONLESMK-UHFFFAOYSA-N 0.000 description 1
- 125000001511 cyclopentyl group Chemical group [H]C1([H])C([H])([H])C([H])([H])C([H])(*)C1([H])[H] 0.000 description 1
- 125000001559 cyclopropyl group Chemical group [H]C1([H])C([H])([H])C1([H])* 0.000 description 1
- 230000002950 deficient Effects 0.000 description 1
- 238000006731 degradation reaction Methods 0.000 description 1
- 230000003111 delayed effect Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000018109 developmental process Effects 0.000 description 1
- 239000008121 dextrose Substances 0.000 description 1
- 238000010494 dissociation reaction Methods 0.000 description 1
- 230000005593 dissociations Effects 0.000 description 1
- 238000009826 distribution Methods 0.000 description 1
- 238000001035 drying Methods 0.000 description 1
- 239000012636 effector Substances 0.000 description 1
- 125000004185 ester group Chemical group 0.000 description 1
- 229960004766 estradiol valerate Drugs 0.000 description 1
- JKKFKPJIXZFSSB-CBZIJGRNSA-N estrone 3-sulfate Chemical compound OS(=O)(=O)OC1=CC=C2[C@H]3CC[C@](C)(C(CC4)=O)[C@@H]4[C@@H]3CCC2=C1 JKKFKPJIXZFSSB-CBZIJGRNSA-N 0.000 description 1
- 150000002167 estrones Chemical class 0.000 description 1
- 229960002568 ethinylestradiol Drugs 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 239000002360 explosive Substances 0.000 description 1
- 229950011548 fadrozole Drugs 0.000 description 1
- 239000003925 fat Substances 0.000 description 1
- 229960004421 formestane Drugs 0.000 description 1
- OSVMTWJCGUFAOD-KZQROQTASA-N formestane Chemical compound O=C1CC[C@]2(C)[C@H]3CC[C@](C)(C(CC4)=O)[C@@H]4[C@@H]3CCC2=C1O OSVMTWJCGUFAOD-KZQROQTASA-N 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 229920000159 gelatin Polymers 0.000 description 1
- 239000007903 gelatin capsule Substances 0.000 description 1
- 235000019322 gelatine Nutrition 0.000 description 1
- 235000011852 gelatine desserts Nutrition 0.000 description 1
- 230000009395 genetic defect Effects 0.000 description 1
- 239000003163 gonadal steroid hormone Substances 0.000 description 1
- 229940121381 gonadotrophin releasing hormone (gnrh) antagonists Drugs 0.000 description 1
- 230000012010 growth Effects 0.000 description 1
- 230000009554 growth spurt Effects 0.000 description 1
- 125000006277 halobenzyl group Chemical group 0.000 description 1
- 125000005059 halophenyl group Chemical group 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 230000003054 hormonal effect Effects 0.000 description 1
- 231100000508 hormonal effect Toxicity 0.000 description 1
- 230000036571 hydration Effects 0.000 description 1
- 238000006703 hydration reaction Methods 0.000 description 1
- 230000007062 hydrolysis Effects 0.000 description 1
- 238000006460 hydrolysis reaction Methods 0.000 description 1
- 206010020718 hyperplasia Diseases 0.000 description 1
- XJFQCYIFOWHHFN-PLKCGDGVSA-N hypertensinogen Chemical compound C([C@@H](C(=O)N[C@@H]([C@@H](C)CC)C(=O)N[C@@H](CC=1NC=NC=1)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H](CC=1NC=NC=1)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](C(C)C)C(=O)N[C@@H](CC=1C=CC(O)=CC=1)C(=O)N[C@@H](CO)C(O)=O)NC(=O)[C@@H](NC(=O)[C@H](CCCNC(N)=N)NC(=O)[C@@H](N)CC(O)=O)C(C)C)C1=CC=C(O)C=C1 XJFQCYIFOWHHFN-PLKCGDGVSA-N 0.000 description 1
- 238000009802 hysterectomy Methods 0.000 description 1
- 239000003701 inert diluent Substances 0.000 description 1
- 230000002401 inhibitory effect Effects 0.000 description 1
- 210000004347 intestinal mucosa Anatomy 0.000 description 1
- 125000000959 isobutyl group Chemical group [H]C([H])([H])C([H])(C([H])([H])[H])C([H])([H])* 0.000 description 1
- 125000001449 isopropyl group Chemical group [H]C([H])([H])C([H])(*)C([H])([H])[H] 0.000 description 1
- 239000008101 lactose Substances 0.000 description 1
- 229960003881 letrozole Drugs 0.000 description 1
- HPJKCIUCZWXJDR-UHFFFAOYSA-N letrozole Chemical compound C1=CC(C#N)=CC=C1C(N1N=CN=C1)C1=CC=C(C#N)C=C1 HPJKCIUCZWXJDR-UHFFFAOYSA-N 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 230000003908 liver function Effects 0.000 description 1
- 239000000314 lubricant Substances 0.000 description 1
- 235000019359 magnesium stearate Nutrition 0.000 description 1
- 210000005075 mammary gland Anatomy 0.000 description 1
- 239000000594 mannitol Substances 0.000 description 1
- 235000010355 mannitol Nutrition 0.000 description 1
- 230000035800 maturation Effects 0.000 description 1
- 230000001404 mediated effect Effects 0.000 description 1
- 230000009245 menopause Effects 0.000 description 1
- 230000002503 metabolic effect Effects 0.000 description 1
- 230000004060 metabolic process Effects 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 125000002950 monocyclic group Chemical group 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 125000004108 n-butyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])C([H])([H])* 0.000 description 1
- 125000000740 n-pentyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])* 0.000 description 1
- 125000004123 n-propyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])* 0.000 description 1
- 125000001624 naphthyl group Chemical group 0.000 description 1
- 125000006501 nitrophenyl group Chemical group 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 238000007911 parenteral administration Methods 0.000 description 1
- 230000003285 pharmacodynamic effect Effects 0.000 description 1
- 230000000144 pharmacologic effect Effects 0.000 description 1
- 230000035479 physiological effects, processes and functions Effects 0.000 description 1
- 239000006187 pill Substances 0.000 description 1
- 210000002826 placenta Anatomy 0.000 description 1
- 230000036470 plasma concentration Effects 0.000 description 1
- 229920001223 polyethylene glycol Polymers 0.000 description 1
- 229920002689 polyvinyl acetate Polymers 0.000 description 1
- 239000011118 polyvinyl acetate Substances 0.000 description 1
- 239000000843 powder Substances 0.000 description 1
- 239000002244 precipitate Substances 0.000 description 1
- 230000035935 pregnancy Effects 0.000 description 1
- 238000004321 preservation Methods 0.000 description 1
- 239000003755 preservative agent Substances 0.000 description 1
- 239000000047 product Substances 0.000 description 1
- 239000002379 progesterone receptor modulator Substances 0.000 description 1
- 230000035755 proliferation Effects 0.000 description 1
- 208000020016 psychiatric disease Diseases 0.000 description 1
- 230000002294 pubertal effect Effects 0.000 description 1
- 230000002685 pulmonary effect Effects 0.000 description 1
- 238000000746 purification Methods 0.000 description 1
- UMJSCPRVCHMLSP-UHFFFAOYSA-N pyridine Natural products COC1=CC=CN=C1 UMJSCPRVCHMLSP-UHFFFAOYSA-N 0.000 description 1
- 239000000376 reactant Substances 0.000 description 1
- 239000011541 reaction mixture Substances 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000029865 regulation of blood pressure Effects 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- CVHZOJJKTDOEJC-UHFFFAOYSA-N saccharin Chemical compound C1=CC=C2C(=O)NS(=O)(=O)C2=C1 CVHZOJJKTDOEJC-UHFFFAOYSA-N 0.000 description 1
- 238000007127 saponification reaction Methods 0.000 description 1
- 230000007017 scission Effects 0.000 description 1
- 230000028327 secretion Effects 0.000 description 1
- 229940095745 sex hormone and modulator of the genital system progesterone receptor modulator Drugs 0.000 description 1
- 230000035938 sexual maturation Effects 0.000 description 1
- ZLGIYFNHBLSMPS-ATJNOEHPSA-N shellac Chemical compound OCCCCCC(O)C(O)CCCCCCCC(O)=O.C1C23[C@H](C(O)=O)CCC2[C@](C)(CO)[C@@H]1C(C(O)=O)=C[C@@H]3O ZLGIYFNHBLSMPS-ATJNOEHPSA-N 0.000 description 1
- 239000004208 shellac Substances 0.000 description 1
- 235000013874 shellac Nutrition 0.000 description 1
- 229940113147 shellac Drugs 0.000 description 1
- 208000019116 sleep disease Diseases 0.000 description 1
- 210000000329 smooth muscle myocyte Anatomy 0.000 description 1
- 239000011734 sodium Substances 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
- 235000019812 sodium carboxymethyl cellulose Nutrition 0.000 description 1
- 229920001027 sodium carboxymethylcellulose Polymers 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 239000012312 sodium hydride Substances 0.000 description 1
- 229910000104 sodium hydride Inorganic materials 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 108010033419 somatotropin-binding protein Proteins 0.000 description 1
- 206010041569 spinal fracture Diseases 0.000 description 1
- 235000019698 starch Nutrition 0.000 description 1
- 239000008107 starch Substances 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- IIACRCGMVDHOTQ-UHFFFAOYSA-M sulfamate Chemical compound NS([O-])(=O)=O IIACRCGMVDHOTQ-UHFFFAOYSA-M 0.000 description 1
- IIACRCGMVDHOTQ-UHFFFAOYSA-N sulfamic acid Chemical class NS(O)(=O)=O IIACRCGMVDHOTQ-UHFFFAOYSA-N 0.000 description 1
- 108060007951 sulfatase Proteins 0.000 description 1
- 239000000829 suppository Substances 0.000 description 1
- 238000003786 synthesis reaction Methods 0.000 description 1
- 230000009885 systemic effect Effects 0.000 description 1
- 239000002700 tablet coating Substances 0.000 description 1
- 238000009492 tablet coating Methods 0.000 description 1
- 235000012222 talc Nutrition 0.000 description 1
- BCNZYOJHNLTNEZ-UHFFFAOYSA-N tert-butyldimethylsilyl chloride Chemical compound CC(C)(C)[Si](C)(C)Cl BCNZYOJHNLTNEZ-UHFFFAOYSA-N 0.000 description 1
- 229960003604 testosterone Drugs 0.000 description 1
- OGIDPMRJRNCKJF-UHFFFAOYSA-N titanium oxide Inorganic materials [Ti]=O OGIDPMRJRNCKJF-UHFFFAOYSA-N 0.000 description 1
- 230000002110 toxicologic effect Effects 0.000 description 1
- 231100000027 toxicology Toxicity 0.000 description 1
- 125000005389 trialkylsiloxy group Chemical group 0.000 description 1
- 208000019553 vascular disease Diseases 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07J—STEROIDS
- C07J41/00—Normal steroids containing one or more nitrogen atoms not belonging to a hetero ring
- C07J41/0033—Normal steroids containing one or more nitrogen atoms not belonging to a hetero ring not covered by C07J41/0005
- C07J41/0072—Normal steroids containing one or more nitrogen atoms not belonging to a hetero ring not covered by C07J41/0005 the A ring of the steroid being aromatic
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07J—STEROIDS
- C07J41/00—Normal steroids containing one or more nitrogen atoms not belonging to a hetero ring
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/56—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
- A61K31/565—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
- A61P1/04—Drugs for disorders of the alimentary tract or the digestive system for ulcers, gastritis or reflux esophagitis, e.g. antacids, inhibitors of acid secretion, mucosal protectants
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P13/00—Drugs for disorders of the urinary system
- A61P13/08—Drugs for disorders of the urinary system of the prostate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P15/00—Drugs for genital or sexual disorders; Contraceptives
- A61P15/08—Drugs for genital or sexual disorders; Contraceptives for gonadal disorders or for enhancing fertility, e.g. inducers of ovulation or of spermatogenesis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P15/00—Drugs for genital or sexual disorders; Contraceptives
- A61P15/12—Drugs for genital or sexual disorders; Contraceptives for climacteric disorders
-
- 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
-
- 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
- A61P17/14—Drugs for dermatological disorders for baldness or alopecia
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P19/00—Drugs for skeletal disorders
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P19/00—Drugs for skeletal disorders
- A61P19/08—Drugs for skeletal disorders for bone diseases, e.g. rachitism, Paget's disease
- A61P19/10—Drugs for skeletal disorders for bone diseases, e.g. rachitism, Paget's disease for osteoporosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P37/00—Drugs for immunological or allergic disorders
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P37/00—Drugs for immunological or allergic disorders
- A61P37/02—Immunomodulators
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P5/00—Drugs for disorders of the endocrine system
- A61P5/24—Drugs for disorders of the endocrine system of the sex hormones
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P5/00—Drugs for disorders of the endocrine system
- A61P5/24—Drugs for disorders of the endocrine system of the sex hormones
- A61P5/30—Oestrogens
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
Landscapes
- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Organic Chemistry (AREA)
- General Health & Medical Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Chemical Kinetics & Catalysis (AREA)
- General Chemical & Material Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Engineering & Computer Science (AREA)
- Physical Education & Sports Medicine (AREA)
- Endocrinology (AREA)
- Reproductive Health (AREA)
- Rheumatology (AREA)
- Immunology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Diabetes (AREA)
- Dermatology (AREA)
- Urology & Nephrology (AREA)
- Cardiology (AREA)
- Neurosurgery (AREA)
- Neurology (AREA)
- Heart & Thoracic Surgery (AREA)
- Gynecology & Obstetrics (AREA)
- Pregnancy & Childbirth (AREA)
- Pain & Pain Management (AREA)
- Biomedical Technology (AREA)
- Epidemiology (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Steroid Compounds (AREA)
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
Abstract
The invention relates to prodrugs of 8-.beta.-substituted estratrienes of general formula (I) in which the Z group is bonded to the steroid, method for production thereof, pharmaceutical compositions comprising said compounds and use thereof. Said compounds of general formula (I) do not bind to .alpha.-and/or .beta.- estrogen receptors, but to carboanhydrases and inhibit said enzymes.
Description
Prodrugs of ER[i-Selective Substances, Process for their Production, and Pharmaceutical Compositions that Contain These Compounds The invention relates to prodrugs of ER13-selective substances of general formula (I), R3 x (HZC n STEROtD-~~~~O Xi R I
O
Gruppe Z
(I) [Group Z]
a process for their production, pharmaceutical compositions that contain these compounds, and their use for the production of pharmaceutical agents.
Estrogens play an important role in the organism in both sexes. In the maturing organism, estrogens are involved in the imprinting of sex characteristics. In both sexes, estrogens control the changes in the organism during sexual maturation, such as growth spurts and then the completion of bone growth. In all phases of life, estrogens play a central role (1, 4) in bone metabolism in both sexes. Their loss results in the degradation of bone substance and involves the risk of an elevated brittleness of the bone.
In women, the estrogens that are secreted by the ovary predominate in the organism.
In pregnancy, the placenta forms large amounts of estrogen. In men, estrogens are produced primarily "peripherally" by the aromatization of testosterone or the adrenal androgens in various effector organs, such as the central nervous system (CNS), the bones or the intestinal epithelium. This adaptation makes possible physiological estrogen effects in men at very low estradiol levels in the blood. In men and women with a genetic defect of the aromatase or the estrogen receptor, the bones are severely disrupted relative to growth and development (2).
While for natural estrogens, the oral administration (10) is problematic owing to its low oral bioavailability, conventional chemically modified estrogens with improved bioavailability (for example ethinyl estradiol) often have the drawback of producing a considerably increased estrogenic action in the liver (3, 9, 10). This hepatic estrogeneity relates to a number of functions, such as transport proteins, lipometabolism, blood pressure regulation and clotting factors (5, 7, 11, 12, 14). Also, the especially important secretion of IGF-I (8) for the preservation of muscles and bones is negatively affected by hepatic estrogenic actions (12, 13, 6).
In WO 01/77139, new 8(3-substituted estratrienes are described, whereby the 8(3-substituent can be a straight-chain or branched-chain, optionally partially or completely halogenated alkyl or alkenyl radical with up to 5 carbon atoms, an ethinyl or a prop- l -inyl radical, which as pharmaceutical active ingredients show a higher in vitro affinity to estrogen receptor preparations of rat prostates than to estrogen receptor preparations of rat uteri and have in vivo a preferential action on bone in comparison to the uterus and/or a pronounced action with respect to the stimulation of the expression of 5HT2a-receptors and -transporters.
These compounds can preferably be used for treating diseases that are caused by an estrogen deficiency.
Drawbacks of these 8p-substituted estratrienes are their deficient oral bioavailability as well as the metabolic instability.
From WO 01/91797, steroidal compounds are known that are bonded via a group -SO2NRtR2 to erythrocytes and accumulate there. The concentration ratio of the compounds between erythrocytes and plasma is 10-1000:1, preferably 30-1000:1, such that a depot formation in the erythrocytes can be mentioned. By the strong bond of the compounds to the erythrocytes, the metabolization is avoided during the liver passage.
Disadvantageously, despite a reduced metabolization with the indicated dosages, no therapy-relevant active ingredient levels are given.
It is therefore the object of this invention to provide prodrugs of ER(3-selective compounds, which make the ER(3-selective compounds orally bioavailable.
This object is achieved by sulfamoyl compounds of 80-substituted estratrienes of general formula (I), in which group Z is bonded to the steroid that is to be released R3 x (H2C n R
STEROID-~~~~O ~ X, Gruppe Z
[Group ZI
in which n can mean a number 0- 4, R1 means a radical -SO2NH2 or -NHSO2NHZ, whereby R2, R3 and X, Xl, independently of one another, stand for a hydrogen atom, a halogen atom, a nitrile group, a nitro group, a C1 _S-alkyl group, a CpFZp+l group with p=1-3, a group OC(O)-R20, COOR20, OR20, C(O)NHRZO or OC(O)NH-R2', whereby R20 and RZ1 are a Ci_5-alkyl group, a C3_g-cycloalkyl group, an aryl group, a C14-alkylene aryl group, a C]4-alkylene-C3_8-cycloalkyl group or a C3_8-cycloalkylene-CI-4-alkyl group, and R20 in addition can mean a hydrogen atom, or R2 can mean a radical -SOZNHZ or -NHSO2NH2, whereby R~, R3 and X, Xl, independently of one another, stand for a hydrogen atom, a halogen atom, a nitrile group, a nitro group, a C1_5-alkyl group, a CFF2p+l group with p=l -3, a group OC(O)-R20, COOR20, ORZO, C(O)NHRZO or OC(O)NH-R21, whereby R20 and Rz1 are a C1_5-alkyl group, a C3_g-cycloalkyl group, an aryl group, a C]4-alkylene aryl group, a C14-alkylene-C3_8-cycloalkyl group or C3_ 8-cycloalkylene-CI_4-alkyl group, and R20 in addition can mean a hydrogen, or R3 can mean a radical -SO2NH2 or -NHSO2NH2, whereby R1, R2 and X, Xl, independently of one another, stand for a hydrogen atom, a halogen atom, a nitrile group, a nitro group, a C1_5-alkyl group, a CpF2p+l group with p=1-3, a group OC(O)-R20, COOR20, OR20, C(O)NHRZO or OC(O)NH-RZ', whereby R20 and R21 are a C1_5-alkyl group, a C3_g-cycloalkyl group, an aryl group, a C1_4=alkylene aryl group, a C1_4-alkylene-C3_g-cycloalkyl group or C3_ g-cycloalkylene-C1_4-alkyl group, and R20 in addition can mean a hydrogen, and STEROID stands for a steroidal ABCD-ring system of formula (A):
R"
11)_R16 ( \
R3 ~ (A) whereby the radicals R3, R8, R16 and R17 have the following meaning:
R3 can be Z and R17 can be an OH group, a tri(Cj-C4-alkyl)silyloxy group or a group OC(O)-R20or R3 can be OH, OMe, a tri(C1-C4-alkyl)silyloxy group, or a group OC(O)-R20 and R17 can be Z
and R 8 can be a branched or straight-chain, optionally partially or completely halogenated alkyl, alkenyl or alkinyl radical with up to 3 carbon atoms, R16 can be a hydrogen atom, a halogen atom, or a methyl group, whereby the substituents R16 and R17 in each case can be both in a- and in j3-position, and their pharmaceutically acceptable salts.
In addition, this invention comprises the new compounds as pharmaceutical active ingredients, their production, their therapeutic application and pharmaceutical dispensing forms that contain the new substances.
The invention relates to estrogen derivatives that themselves cannot bind to the estrogen receptor and from which the contained mother estrogen is released in the body, process for their production, and pharmaceutical compositions that contain these compounds.
The compounds according to the invention are prodrugs that release an ER(3-selective estrogen (mother estrogen) after saponification of the ester group Z.
By absolute and relatively greatly weakened action via the ER a, undesirable estrogen effects of any standard estrogen therapy on the uterus, the mammary glands and the liver are avoided, as they are typical for non-dissociated estrogens. The compounds according to the invention have therapeutically advantageous estrogenic activities if they are mediated by the ER (3, in particular in the central nervous system, in the circulatory system and in the bones.
The substances according to the invention are preferably used for oral therapy.
Compared to their mother estrogens, the compounds according to the invention have a clearly increased oral bioavailability, an increased systemic, but generally reduced hepatic estrogeneity. By this dissociation of desirable and undesirable hormonal effects, simultaneously more therapeutically effective and, in comparison to the prior art, more compatible pharmaceutical agents are made possible.
The substances according to the invention are cleaved enzymatically or hydrolytically in the body, whereby no steroid sulfatases (STS), such as, for example, for cleavage of estradiol-3-sulfamate, are required. Thus, the inhibition of the steroid sulfatase that is typical for estrogen-3-sulfamates and disadvantageous for achieving strong estrogenic effects can also be avoided, which is typical for estrogen sulfamates in humans. In the case of oral therapy with natural estrogens (estradiol, estradiol valerate, estrone sulfate, conjugated estrogens), but also in that with estradiol sulfamate, high levels of estrone dominate in the blood (10). Unlike in the cycle, the concentrations of estradiol in the blood are lower than that of estrone. This is therefore disadvantageous, since estrone is a less effective estrogen than estradiol.
An advantage of the substances according to the invention in comparison to those in the prior art is the preferable release of the respective mother estrogen, thus, for example, 80-ethylestradiol, 8(3-methylestradiol, 8B-vinylestradiol and 8B-difluorovinylestradiol instead of the inactive estrone derivatives.
The compounds of general formula (I) according to the invention or their pharmaceutically accceptable salts can be used as individual components in pharmaceutical preparations or in combination in particular with antiestrogens or gestagens.
The combination with ERa-selective antiestrogens or with antiestrogens that are peripherally-selectively active, i.e., that do not pass through the blood-brain barrier, is especially preferred.
The substances and the pharmaceutical agents containing them are especially suitable for the treatment of perimenopausal and postmenopausal symptoms, in particular hot flashes, sleep disorders, irritability, mood swings, incontinence, vaginal atrophy, and hormone-deficiency-induced mental disorders. The substances are also suitable for hormone substitution and for the treatment of hormone-deficiency-induced symptoms in ovarian dysfunction that is caused by surgery, medication, etc. Prevention of bone mass loss in postmenopausal women and andropausal men, in women who have undergone hysterectomies or in women who were treated with LHRH antagonists or agonists is also part of this.
The prodrugs of ERB-selective agoriists according to the invention can be used alone or in combination with antiestrogens, aromatase inhibitors or selective estrogen receptor modulators (SERM) for the treatment of prostate hyperplasia to avoid estrogen deprivation or to reduce the effects thereof.
As antiestrogen, preferably 7alpha-[9-[(4,4,5,5,5-pentafluoropentyl)sulfinyl]-nonyl]estra-1,3,5(10)-triene-3,17I3-diol (fulvestrant) is used.
As the aromatase inhibitors that are to be used, the following are considered:
anastrozole, atamestane, fadrozole, formestane, and letrozole.
As SERM, compounds that are selected from the following group are considered:
raloxifene, tamoxifen, and 5-(4-{5-[(RS)-(4,4,5,5,5-pentafluoropentyl)sulfinyl]-pentyl } phenyl)-6-phenyl-8,9-dihydro-7H-benzocyclohepten-2-ol (WO 00/03979).
The compounds are also suitable for alleviating symptoms of andropause and menopause, i.e., for male and female hormone replacement therapy (HRT), naniely both for prophylaxis and for treatment, in addition for treating symptoms accompanied by a dysmenorrhea as well as for treating acne.
In addition, the substances can be used for prophylaxis against hormone-deficiency-induced bone mass loss and osteoporosis, for preventing cardiovascular diseases, in particular vascular diseases such as arteriosclerosis, for inhibiting the proliferation of arterial smooth muscle cells, and for treating primary pulmonary high blood pressure.
In addition, the substances can be used for treating inflammatory diseases and diseases of the immune system, in particular autoimmune diseases, such as, e.g., rheumatoid arthritis, multiple sclerosis, Crohn's disease as well as endometriosis.
The compounds can be used in particular according to therapies that result in estrogen deprivation, for example after treatment with aromatase inhibitors or GnRH
antagonists or agonists, for treatment of arthritic symptoms.
In addition, the compounds can be used for treatment of male fertility disorders and prostatic diseases. The compounds according to the invention are suitable for estrogen treatment of prostate cancer.
The compounds can also be used in combination with the natural vitamin D3 or with calcitriol analogs for bone building or as supporting therapies to therapies that cause a bone mass loss (for example, a therapy with glucocorticoids, aromatase inhibitors, GnRH agonists or antagonists (chemotherapy)).
Finally, the compounds of general formula (1) in connection with progesterone receptor modulators, for example mesoprogestins, such as asoprisnil, can be used, specifically especially for use in hormone replacement therapy and for treatment of gynecological disorders.
In addition, the compounds of general formula (I) according to the invention can be used for the treatment of alopecia, caused by, for example, chemotherapy.
A therapeutic product that contains an estrogen and a pure antiestrogen for simultaneous, sequential or separate use for the selective estrogen therapy of perimenopausal or postmenopausal conditions is already described in EP-A 0 346 014.
In terms of this invention, "Cl_5-alkyl group" is defined as a branched or straight-chain alkyl radical with up to 5 carbon atoms, which can be substituted by, for example, halogens, OH, or CN. As examples, methyl, ethyl, n-propyl, i-propyl, n-butyl, i-butyl, tert-butyl or n-pentyl can be mentioned.
The above-mentioned "C3_g-cycloalkyl group" according to the invention means a monocyclic or bicyclic group, which can be substituted by, for example, halogens such as fluorine, chlorine or bromine, OH or CN, such as, for example, a cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl or a hydroxycyclohexyl group.
In terms of this application, the term "aryl group" is defined as a substituted or unsubstituted aryl radical with 6 to 15 carbon atoms, for example a phenyl group, a substituted phenyl group, such as a halophenyl group, or a nitrophenyl group, or a naphthyl group.
In terms of this application, the term "Cl-4-alkylene aryl group" is defined as a di-substituted alkyl radical, which is substituted with at least one aryl radical. Both radicals together have 7 to 15 carbon atoms, whereby the aryl radical can carry additional substituents, such as, for example, a halogen atom. Examples are a benzyl group or a halobenzyl group.
In terms of this application, the term "C1_4-alkylene-C3_8-cycloalkyl group"
is defined as a di-substituted alkyl radical that is substituted with a C3_g-cycloalkyl radical. Both radicals together have 4 to 12 carbon atoms, whereby the cycloalkyl radical can carry additional substituents, such as, for example, a halogen atom. Examples are a cyclopentylethyl, cyclohexylmethyl or cyclohexylethyl group.
In terms of this application, the term "C3_8-cycloalkylene-Ct_4-alkyl group"
is defined as a di-substituted C3_8-cycloalkylene radical that is substituted with a C1_4-alkyl radical.
Both radicals together have 4 to 12 carbon atoms, whereby the group can carry additional substituents, such as, for example, a halogen atom. Examples are a propylcyclohexyl or butylcyclohexyl group.
A trialkylsilyloxy group is, for example, a trimethylsilyloxy group or a tert-butyldimethylsilyloxy group.
Within the scope of this invention, the term "halogen atom" is defined as a fluorine, chlorine, bromine or iodine atom. Fluorine, chlorine and bromine are preferred.
The number "n" is preferably 0, 1 or 2.
Ri preferably means a group -SOzNH2, whereby R2, R3, X' and X, independently of one another, are preferably an H, F, or Cl atom, or an OH or a methoxy group.
RZ preferably means a group -SO2NH2, whereby R~, R3, X~ and X, independently of one another, are preferably an H, F, or Cl atom, or an OH or a methoxy group.
R3 preferably means a group -SO2NH2, whereby R~, R2, X' and X, independently of one another, preferably are an H, F, or Cl atom, or an OH or a methoxy group.
Xj is preferably an H atom.
R8 is preferably methyl, ethyl, vinyl, difluorovinyl, ethinyl or prop-l-inyl.
Methyl, ethyl, vinyl or difluorovinyl are especially preferred for R8.
Y is preferably OH, OMe, a trimethylsilyloxy, a tert-butyldimethylsilyloxy, a benzoate, a sulfamoyl benzoate, acetate, propionate, valerate, butcyclate or cyclopentylpropionate radical.
R17 preferably means an OH, a trimethylsilyloxy, an acetate, propionate, valerate, a benzoate, or an optionally halogenated sulfamoyl benzoate radical.
In terms of this invention, especially preferred compounds are cited below:
1) (3'-Hydroxy-8'(3-methyl-estra-I',3',5'(10')-trien-17'(3-yl) 3-sulfanioyl benzoate 2) (3'-Hydroxy-8'(3-ethyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl benzoate, 3) (3'-Hydroxy-8'p -vinyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl benzoate, 4) (3'-Hydroxy-8'(3-methyl-estra-1',3',5'(I0')-trien-I7'(3-yl) 4-sulfamoyl benzoate, 5) (3'-Hydroxy-8'p -ethyl-estra-1',3',5'(10')-trien-I7'(3-yl) 4-sulfamoyl benzoate, 6) (3'-Hydroxy-8'(3-vinyl-estra-1',3',5'(10')-tri en-17'(3-yl) 4-sulfamoyl benzoate, 7) (3'-Acetoxy-8'p-methyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfarnoyl benzoate, 8) (3'-Acetoxy-8'(3-ethyl-estra-1',3',5'(10')-tri en-17'(3-yl) 3-sulfamoyl benzoate, 9) (3'-Acetoxy-8'0-vinyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl benzoate, 10) (3'-Acetoxy-8'(3-methyl-estra-1',3',5'(10')-trien-17'p-yl) 4-sulfainoyl benzoate, 11) (3'-Acetoxy-8'(3-ethyl-estra-1',3',5'(10')-trien-17'(3-y1) 4-sulfamoyl benzoate, 12) (3'-Acetoxy-8'(3-vinyl-estra-1',3',5'(10')-trien-17'(3-yl) 4-sulfamoyl benzoate, 13) (3'-Benzoyloxy-8'(3-methyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl benzoate, 14) (3'-Benzoyloxy-8'(3-methyl-estra-1',3',5'(10')-trien-17'p-yl) 4-sulfamoyl benzoate, 15) (3'-Benzoyloxy-8'(3-ethyl-estra-1',3',5'(10')-trien-I7'(3-yl) 3-sulfamoyl benzoate, 16) (3'-Benzoyloxy-8'(3-ethyl-estra-1',3',5'(10')-tri en-17'(3-yI) 4-sulfamoyl benzoate, 17) (3'-Benzoyloxy-8'(3-vinyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl benzoate, 18) (3'-Benzoyloxy-8'(3-vinyl-estra-1',3',5'(10')-trien-17'(3-yl) 4-sulfamoyl benzoate, 19) (3'-Hydroxy-8' (3-vinyl-estra-1 ',3',5'(10' )-trien-17' (3-yl) 2-chloro-5-sulfamoyl benzoate, 20) (3'-Hydroxy-8'(3-vinyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl-4-chloro-benzoate, 21) (3'-Hydroxy-8'(3-methyl-estra-1',3',5'(10')-trien-17'(3-yl) 2-chloro-5-sulfamoyl benzoate, 22) (3'-Hydroxy-8'(3-methyl-estra-1',3',5'(10')-trien-17' j3-yl) 3-sulfamoyl-4-chlorobenzoate, 23) (3'-Hydroxy-8'(3-ethyl-estra-1',3',5'(10')-trien-l 7'(3-yl) 2-chloro-5-sulfamoyl benzoate, 24) (3'-Hydroxy-8'(3-ethyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl-4-chloro-benzoate, 25) (17'(3-(n-Pentanoyloxy)-8'(3-vinyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate, 26) (17'(3-(n-Pentanoyloxy)-8'(3-methyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate, 27) (17' (3-(n-Pentanoyloxy)-8' (3-ethyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate, 28) (17'(3-Benzoyloxy-8'(3-vinyl-estra-I',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate, 29) (17' j3-Benzoyloxy-8'(3-methyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate, 30) (17'0-Benzoyloxy-8'0-ethyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate, 31) (17'(3-(n-Pentanoyloxy)-8'(3-vinyl-estra-1,3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate, 32) (17'(3-(n-Pentanoyloxy)-8'(3-methyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate, 33) (17'(3-(n-Pentanoyloxy)-8'(3-ethyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate, 34) (17'0-Benzoyloxy-8'0-vinyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate, 35) (17'0-Benzoyloxy-8'p-methyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate, 36) (17'(3-Benzoyloxy-8'(3-ethyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate, 37) (17'P-Acetoxy-8'(3-vinyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoylbenzoate, 38) (17'(3-Acetoxy-8'(3-ethyl-estra-1',3',5'(10')-tri en-3'-yl) 3-sulfamoyl benzoate, 39) (17'(3-Acetoxy-8'(3-methyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate, 40) (17'(3-Acetoxy-8'(3-vinyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate, 41) (17'(3-Acetoxy-8'(3-ethyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate, 42) (17'(3-Acetoxy-8'(3-methyl-estra-I',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate, 43) (3'-Methoxy-8'(3-vinyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl benzoate, 44) (3'-Methoxy-8'(3-ethyl-estra-1',3',5'(10')-tri en-17'p-yl) 3-sulfamoyl benzoate, 45) (3'-Methoxy-8'(3-methyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl benzoate, 46) (3'-Methoxy-8' J3-vinyl-estra-1',3',5'(10')-trien-17'J3-yl) 4-sulfamoyl benzoate, 47) (3'-Methoxy-8'(3-ethyl-estra-1',3',5'(10')-trien-17'(3-yl) 4-sulfamoyl benzoate, 48) (3'-Methoxy-8'(3-methyl-estra-l',3',5'(10')-trien-17'p-yl) 4-sulfamoyl benzoate.
In-Vivo Tests Principle of the Test and Test Description:
Adult Wistar rats were ovariectomized 14 days after this operation for the study of the substances according to the invention. A treatment extended over 3 days (days 1-3), and on day 4, the animals were sacrificed. Then, the recovery of plasma for hormone-analytical and clinical-chemical determinations and the determination of uterus weights were carried out. In satellite tests, correspondingly conditioned animals were sacrificed and samples were taken of their blood after one-time treatment and at other times (see Figures 1 and 2).
Figure 1 Pharmacokinetics of 8-Vinyl-E2 vs. (3'-Hydroxy-8(3'-vinyl-estra-1',3',5'(10')-trien-17'(3-y1) 3-Sulfamoyl Benzoate (Single p.o. Administration of 1000 g) each point: n= 3 rats J
E = ..~,.=, =.......
~
~ 2000 hours ~-vehicle/p.o. =d= (3'-Hydroxy-8'b-vinyl-estra-1',3' 5'(10')-trien-17'b-yl) 3-sulfamoylbenzoateF ~8-Vin I-E2/ .o.
P.O.
Increase of the 8(3-vinylestra-1,3,5(10)-triene-3,17(3-diol level (8-vinyl-E2) in the plasma of rats after I x oral administration of 1 mg/animal. Considerably greater increase of the 8-vinyl-E2 level after administration of I mg/animal of (3'-hydroxy-8(3'-vinyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl benzoate than after oral administration of 8-vinyl-E2.
Figure 2 Kinetics of 8-Vinyl-E2 vs. (3'-Hydroxy-8'(3-vinylestra-1',3',5'(10')-trien-17'(3-yl) 4-Sulfamoyl Benzoate After p.o. Administration of 1 mg of 8-Vinyl-E2 or Equimolar (3'-Hydroxy-8'p-vinylestra-1',3',5'(10')-trien-17'(3-yl) 4-Sulfamoyl Benzoate 3750 ....... 3500 3250 rn 1750 Q' 1500 = 1000 Time After Application (hl tVehiclepo y8-Vinyl-E2Jp.o. =Q=(3'-Hydroxy-8'b-vinylesira-1',3',5'(10')-trien-17'4-yl)4-sulfamoylbenzoate/p.o.
Increase of the 8p-vinylestra-1,3,5(10)-triene-3,17p-diol level (8-vinyl-E2) in the plasma of rats after a one-time oral administration of I mg/animal. A greater increase of the 8-vinyl-E2 level can be observed clearly after the administration of 1 mg/animal of (3'-hydroxy-8'(3-vinylestra-1',3',5'(10')-trien-17'(3-yl) 4-sulfamoyl benzoate than after oral administration of 8-vinyl-E2.
In in vivo experiments in rats, it was found that after oral administration of the compounds according to the invention, an unexpectedly high increase of the mother estrogen can be noted. This is not the case, for example, in the 17-benzoates and 17-acetates of 8(3-vinyl-estradiol.
Unlike conventional estrogens, the substances according to the invention do not have any action on the uterus, the ovary and the liver.
In-Vitro Tests a) Blood Plasma Concentration Ratio - Test Principle and Test Description:
The SO2-NH2 group of the substances according to the invention can lead to a concentration in erythrocytes by binding to carbonic anhydrases. The displacement of estradiol-3-sulfamate from the erythrocyte bond is measured by test substances.
Test preparation: Human blood is mixed with a mixture that consists of 14C-labeled and unlabeled estradiol sulfamate. At the selected working point, the erythrocytes are saturated, and the distribution in plasma/erythrocytes is 40:60. A second blood sample is mixed with a mixture that consists of 14C-labeled etradiol sulfamate and unlabeled test substance. The relative binding affinity is calculated from the portion of J4C-labeled estradiol sulfamate in the plasma: high proportion = strong displacement of'4C-estradiol sulfamate from the erythrocytes by the test substance = high binding affinity.
In contrast to the results published in WO 01/91797, the concentration ratios of the compounds according to the invention between erythrocytes and plasma do not lie in a range of 10-1000:1, but rather in a range <10:1. In the case of (3'-hydroxy-8(3'-vinyl-estra-1',3',5'(10')-trien-17'P-yl) 3-sulfamoyl benzoate, the ratio is, for example, approximately 1.4:1.
b) Carbonic Anhydrase Inhibition - Test Principle and Test Description:
Carbonic anhydrases catalyze the CO2 hydration.
Test preparation: A constant CO2 stream is directed through a buffer that was mixed with carbonic anhydrase I or carbonic anhydrase II. The measuring parameter is the time that is required to drop the pH within defined limits. This parameter reflects the formation of H2CO3 in the medium. IC50-Inhibiting values are determined by test substances being pipetted into the test preparation. In the concentration areas that are examined, the test substances cause no to complete inhibition of the above-mentioned enzymes.
Table 1: IC50-Inhibiting Values of Human Carbonic Anhydrases I and tt CAI CAII
Inhibitor IC50 (nM) ICso (nM) IC50 (nM) IC50 (nM) Literature Literature Estradiol-3-sulfamate 157 10.6 - 21.6 1.5 -(3'-H yd roxy-8' beta-vi nyl-estra-1',3',5'(10')-trien- 3900 - 570 -17'beta-yI) 3-sulfamoylbenzoat (3'-Hyd roxy-8'beta-vi nyl-estra-1',3',5'(10')-trien- >10000 - >10000 -17'beta- I -benzoat Acetazolamid 1200 1900 60 90 (bekannter CA-Hemmer) iLiterature: C. Landolfi, M. Marchetti, G. Ciocci, and C. Milanese, Journal of Pharmacological and Toxicological Methods 38, 169-172 (1997).
[Key to Table 1:
-benzoat = -benzoate Acetazolamid (bekannter CA-Hemmer) = Acetazolamide (of known CA inhibitors) Despite the low blood-plasma concentration ratios, a binding (inhibition) to the two isoenzymes carbonic anhydrases CA I and CA II in the erythrocytes could be shown in all cases. The binding to erythrocytes induced by affinity to the carbonic anhydrases is important for the properties as estrogen. This binding is essential for a reduced extraction of the orally administered substance in the first liver passage. High or low affinity to the erythrocytic carbonic anhydrases, faster or delayed release from this depot and subsequent hydrolysis determine the therapeutic applicability of the substances according to the invention. The compounds according to the invention thus open up the possibility of achieving higher, shorter-term or uniformly low and longer-lasting hormone levels with an equimolar amount of substance administered. As a result, active strength and duration of action are varied and make possible a therapy adapted to the organism.
These test results open up many possible applications in the compounds of general formula (I) according to the invention for hormone replacement therapy (HRT) and in hormonally-induced diseases in men and women.
Subjects of this invention are therefore also pharmaceutical compositions that contain at least one compound of general formula (1), optionally together with pharmaceutically compatible adjuvants and vehicles.
Compared to their mother estrogens, the substances according to the invention have pharmacologically and pharmacokinetically improved properties that are based on a reduced hepatic extraction and more uniform and longer-lasting blood levels of the released estrogen.
Dosage The Erp-selective compounds of general formula (I) are administered orally for use according to the invention.
Suitable dosages of the compounds according to the invention in human$ for the treatment of perimenopausal and postmenopausal symptoms, hormone-deficiency-induced symptoms, gynecological disorders such as ovarian dysfunction and endometriosis, male and female fertility disorders, hormone-induced tumor diseases as well as for the use in male and female hormone replacement therapy are, depending on indication, 5 g to 2000 mg per day, depending on age and constitution of the patient, whereby the necessary daily dose can be administered one or more times.
For gynecological disorders such as ovarian dysfunction and endometriosis, in this case dosages of between 0.5 and 100 mg are considered; for the treatment of male and female fertility disorders, dosages of 5 g to 50 mg are considered; for hormone-induced tumor diseases, dosages of 5 to 500 mg are considered, and for male or female hormone replacement therapy, dosages of 5 g to 100 mg are considered.
In addition to commonly used vehicles and/or diluents, the pharmaceutical compositions contain at least one compound of general formula I. The substances according to the invention can also be used therapeutically in combination with a gestagen, antigestagen or mesoprogestin. The substances according to the invention are preferably used individually as active ingredients in pharmaceutical preparations.
The pharmaceutical agents of the invention are produced in a known way with the commonly used solid or liquid vehicles or diluents and the commonly used pharmaceutical-technical adjuvants corresponding to the desired type of administration with a suitable dosage. The preferred preparations exist in a form for dispensing that is suitable for oral administration. Such forms for dispensing are, for example, tablets, film tablets, coated tablets, capsules, pills, powders, solutions or suspensions or else depot forms.
Corresponding tablets can be obtained by, for example, mixing active ingredient with known adjuvants, for example inert diluents such as dextrose, sugar, sorbitol, mannitol, polyvinylpyrrolidone, explosives such as corn starch or alginic acid, binders such as starch or gelatins, lubricants such as magnesium stearate or talc and/or agents for achieving a depot effect, such as carboxylpolymethylene, carboxyl methyl cellulose, cellulose acetate phthalate or polyvinyl acetate. The tablets can also consist of several layers.
Coating cores, which are produced analogously to the tablets, with agents that are commonly used in tablet coatings, for example polyvinyl pyrrolidone or shellac, gum Arabic, talc, titanium oxide or sugar, can accordingly produce coated tablets. In this case, the shell of the coated tablet can also consist of several layers, whereby the adjuvants that are mentioned above in the tablets can be used.
Solutions or suspensions with the compounds of general formula I according to the invention can contain additional taste-improving agents such as saccharine, cyclamate or sugar, as well as, e.g., flavoring substances such as vanilla or orange extract. In addition, they can contain suspending adjuvants such as sodium carboxy methyl cellulose or preservatives, such as p-hydroxybenzoates.
The capsules that contain compounds of general formula I can be produced, for example, by the compound(s) of general formula I being mixed with an inert vehicle such as lactose or sorbitol and encapsulated in gelatin capsules.
Suitable suppositories can be produced by, for example, mixing with vehicles that are provided for this purpose, such as neutral fats or polyethylene glycol or derivatives thereof.
The examples below explain this invention without limiting it.
Example 1 (3'-Hydroxy-8'-vinylestra-1 ',3',5'(10')-trien-17'p-y1)-3-sulfamoyl benzoate 3,17 j3-Bis-(tert-butyldimethylsilyloxy)-8-vinyl-estra-1,3,5(10)-triene 1.0 g of 8-vinyl-estra-1,3,5(l0)-tri ene-3,170-diol was added in 18 ml of DMF
and mixed with 2.8 g of imidazole and 3.6 g of tert-butyldimethylchlorosilane. The solution was stirred for 2 hours at room temperature and then extracted with n-hexane. The organic phase was washed with saturated aqueous common salt solution and water, dried on sodium sulfate, and concentrated by evaporation in a vacuum. In this way, 2.0 g of crude 3,17(3-bis-(tert-butyldimethylsilyloxy)-8-vinyl-estra-1,3,5(10)-triene is obtained.
I H-NMR (CDCl3): 0.01, 0.03 (s, 3H, SiMe,t-Bu), 0.17 (s, 6H, SiMe,t-Bu), 0.73 (s, 3H, H-18), 0.88 (s, 9H, SiMe2t-Bu), 0.96 (s, 9H, SiMezt-Bu), 3.54 (t, 1H, H-17), 6.49 (d, 1H, H-4), 6.58 (dd, 1 H, H-2), 7.08 (d, 1 H, H-1).
3-(tert-Butyldimethylsilyloxy)-8-vinylestra-1,3,5(10)-trien-17 j3-o1 Variant 1 3.79 g of crude 3,17(3-bis-(tert-butyldimethylsilyloxy)-8-vinyl-estra-1,3,5(10)-triene from the last stage was dissolved at room temperature in 245 ml of THF and 145 ml of acetonitrile. Then, a solution that consists of 240 ml of acetonitrile, 0.4 ml of water, and 1.2 ml of chlorotrimethylsilane was produced, and 140 ml from this solution was added in drops to the steroid solution. After 21 hours, it was mixed with methylene chloride, washed with water, dried on sodium suflate and concentrated by evaporation in a vacuum.
The thus obtained 2.84 g of crude product was purified by column chromatography on silica gel (cyclohexane/ethyl acetate 8:2). In this way, 640 mg (22%) of 3-(tert-butyldimethyl-silyloxy)-8-vinylestra-1,3,5(10)-trien-17(3-ol was obtained.
'H-NMR (CDC13): 0.17 (s, 6H, SiMet-Bu), 0.78 (s, 3H, H-18), 0.96 (s, 9H, SiMe2t-Bu), 3.63 (t, 1 H, H-17), 6.49 (d, 1 H, H-4), 6.58 (dd, 1 H, H-2), 7.08 (d, IH, H-1).
Variant 2 100 mg of 3,17p-bis-(tert-butyldimethylsilyloxy)-8-vinyl-estra-1,3,5(10)-triene was dissolved in 30 ml of acetone, mixed with 3.5 ml of 5% hydrochloric acid and stirred for 2 hours at room temperature. Then, it was mixed with water and ethyl acetate, the organic phase was separated, washed with water, dried on sodium sulfate and concentrated by evaporation in a rotary evaporator. After chromatographic purification of the crude product on silica gel (cyclohexane/ethyl acetate 9:1), 31 mg (40%) of colorless 3-(tert-butyldimethylsilyloxy)-8-vinylestra-1,3,5(l0)-trien-170-ol was obtained.
(3 '-(tert-Butyldimethylsilyloxy)-8'-vinylestra-1 ',3 ',5 '(10')-trien-17'P-yl)-3-chlorosulfonylbenzoate 300 mg of 3 -(tert-butyl dimethyl silyloxy)- 8 -vinylestra- 1,3,5 (1 0)-trien-17 0 -ol was dissolved in 15 ml of tetrahydrofuran (THF) and mixed with 150 mg of sodium hydride.
Then, a solution that consists of 0.3 ml of 3-(chlorosulfonyl)-benzoyl chloride in 3 ml of THF
was added in drops and refluxed for 4 hours. The cooled reaction solution was poured onto ice water, extracted with methylene chloride, the organic phase was dried on sodium sulfate and concentrated by evaporation in a rotary evaporator. After column-chromatographic purification on silica gel (cyclohexane), 198 mg (44%) of (3'-(tert-butyldimethylsilyloxy)-8'-vinylestra-1',3',5'(10')-trien-17'0-yl)-3-chlorosulfonylbenzoate was obtained in this way.
(3'-(tert-Butyldimethylsilyloxy)-8'-vinylestra-1 ',3',5'(10')-trien-17' p-yl)-3-sulfamoyl benzoate 198 mg of (3'-(tert-butyldimethylsilyloxy)-8'-vinylestra-1 ',3',5'(10')-trien-17'p-yl)-3-chlorosulfonylbenzoate was mixed with 20 ml of inethylene chloride and 20 rnl of 25%
aqueous ammonia solution and stirred at room temperature. After 2 hours, it was mixed with water and methylene chloride, the phases were separated, and the organic phase was washed neutral with water. Affter drying on sodium sulfate, it was concentrated by evaporation in a rotary evaporator. Thus, 144 mg (75%) of (3'-(tert-butyldimethylsilyloxy)-8'-vinylestra-1 ',3',5'(10')-trien-17'P-yl)-3-sulfamoyl benzoate was obtained.
'H-NMR (CDC13): 0.15 (s, 6H, SiMet-Bu), 0.93 (s, 9H, SiMe2t-Bu), 0.93 (s, 3H, H-18), 4.83 (t, 1 H, H-17), 6.47 (d, 1 H, H-4), 6.56 (dd, 1 H, H-2), 7.09 (d, 1 H, H-1).
(3'-Hydroxy-8'-vinylestra-1 ',3',5'(10')-trien-17'0-yl)-3-sulfamoyl benzoate 90 mg of tetrabutylammonium fluoride was added to 144 mg of (3'-(tert-butyldimethylsilyloxy)-8'-vinylestra-1 ',3',5'(10')-trien-17'p-yl)-3-sulfamoyl benzoate in 10 ml of tetrahydrofuran, stirred for 2 hours at room temperature, and then mixed with water and methylene chloride. The organic phase was washed neutral with water, dried on sodium sulfate, and concentrated by evaporation in a rotary evaporator. The foamy crude product was purified by column chromatography on silica gel (cyclohexane/ethyl acetate 8:2). Thus, 36 mg (31%) of (3'-hydroxy-8'-vinylestra-1',3',5'(10')-trien-17'(3-yl)-3-sulfamoyl benzoate was obtained.
'H-NMR (CDC13): 0.92 (s, 3H, H-18), 4.82 (t, 1H, H-17), 6.39 (d, 1H, H-4), 6.48 (dd, 1 H, H-2), 7.00 (d, 1 H, H-1).
Example 2 (3'-Hydroxy-8'-vinylestra-1 ',3',5'(10')-trien-17'(3-yl)-4-sulfamoyl benzoate ((3'-(tert-Butyldimethylsilyloxy)-8'-vinylestra-1 ',3',5' (10')-trien-17'(3-yl)-4-sulfamoyl benzoate 750 mg (2.6 mmol) of 4-sulfamido-benzoyl chloride and 28 mg of 4-dimethylaminopyri dine were added to 300 mg of 3-(tert-butyldimethylsilyloxy)-8-vinylestra-1;3,5(10)-trien-17(3-ol in 4 ml of pyridine and stirred at room temperature for 2 hours. The reaction mixture was poured into ice water, the precipitate was filtered off, and the thus obtained crude product (913 mg) was used without additional purification in the next stage.
(3'-Hydroxy-8'-vinylestra-1 ',3',5'(10')-trien-17'p-yl)-4-sulfamoyl benzoate 278 mg of tetrabutylammonium fluoride was added to 913 mg of crude ((3'-(tert-butyldimethylsilyloxy)-8'-vinylestra-1 ',3',5'(10')-trien-17'P-yl)-4-sulfamoyl benzoate in 30 ml of tetrahydrofuran, and it was stirred at room temperature for 2 hours.
Then, the reaction solution was taken up in methylene chloride and water, the organic phase was washed with water, dried on sodium sulfate and concentrated by evaporation in a vacuum.
The crude product was purified by column chromatography on silica gel (cyclohexane, ethyl acetate 1:1) and recrystallized from methanol. In this way, 147 mg (42%) of (3'-hydroxy-8'-vinylestra-1 ',3',5'(10')-trien-17'(3-yl)-4-sulfamoyl benzoate was obtained.
'H-NMR (CDC13): 0.96 (s, 3H, H-18), 4.87 (t, 1H, H-17), 6.51 (d, 1H, H-4), 6.60 (dd, 1 H, H-2), 7.10 (d, 1 H, H-1).
Without further elaboration, it is believed that one skilled in the art can, using the preceding description, utilize the present invention to its fullest extent.
The following preferred specific embodiments are, therefore, to be construed as merely illustrative, and not limitative of the remainder of the disclosure in any way whatsoever.
In the foregoing and in the following examples, all temperatures are set forth uncorrected in degrees Celsius, and all parts and percentages are by weight, unless otherwise indicated.
The preceding examples can be repeated with similar success by substituting the generically or specifically described reactants and/or operating conditions of this invention for those used in the preceding examples.
From the foregoing description, one skilled in the art can easily ascertain the essential characteristics of this invention and, without departing from the spirit and scope thereof, can make various changes and modifications of the invention to adapt it to various usages and conditions.
References:
l. Cummings, S. R.; Browner, W. S.; Bauer, D.; Stone, K.; Ensrud, K.; Jamal, S. and Ettinger, B. (1998), Endogenous Hormones and the Risk of Hip and Vertebral Fractures Among Older Women. N. Engl. J. Med. 339, 733-38.
2. Frank, G. R. (1995), The Role of Estrogen in Pubertal Skeletal Physiology:
Epiphyseal Maturation and Mineralization of the Skeleton. Acta Paediatr.
84(6), 627-30.
3. Goldzieher, J. W. (1990), Selected Aspects of the Pharmacokinetics and Metabolism of Ethinyl Estrogens and their Clinical Implications. Am. J.
Obstet. Gynecol. 163, 318-22.
4. Gustafsson, J. A. (2000), Novel Aspects of Estrogen Action. J. Soc.
Gynecol. Investig. 7, S8-S9.
5. Helmer, O. M., and Griffith, R.S. (1952), The Effect of the Administration of Estrogens on the Renin-Substrate (Hypertensinogen) Content on Rat Plasma. Endocrinology 51, 421-6.
6. Kelly, J. J.; Rajkovic, I.A.; O'Sullivan, A. J.; Semia, C. and Ho, K. K. Y.
(1993), Effects of Different Oral Estrogen Formulations on Insulin-like Growth Factor-I, Growth Hormone and Growth Hormone Binding Protein in Post-Menopausal Women. Clin. Endocrinol. 39, 561-67.
7. Krattenmacher, R.; Knauthe, R.; Parczyk, K.; Walker, A.; Hilgenfeldt, U.
and Fritzemeier, K.-H. (1994), Estrogen Action on Hepatic Synthesis of Angiotensinogen and IGF-I: Direct and Indirect Estrogen Effects. J.
Steroid. Biochem. Mol. Biol. 48, 207-14.
8. Le Roith and Butler, A. A. (1999), Insulin-like Growth Factors in Pediatric Health and Disease. J. Clin. Endocrinol. Metab. 84, 4355-61.
9. Mandel, F. P.; Geola, F. L.; Lu, J. K. H.; Eggena, P.; Sambhi, M. P.;
Hershman, J. M. and Judd, H. L. (1982), Biologic Effects of Various Doses of Ethinyl Estradiol in Postmenopausal Women. Obstet. Gynecol.
59, 673-9.
10. Mashchak, C. A.; Lobo, R. A.; Dozono-Takano, R.; Eggena, P.; Nakamura, R. M.; Brenner, P. F. and Mishell, D. R., Jr. (1982), Comparison of Pharmacodynamic Properties of Various Estrogen Formulations. Am. J.
Obstet. Gynecol. 144, 511-18.
11. Oelkers, W. K. H. (1996), Effects of Estrogens and Progestagens on the Renin-Aldosterone System and Blood Pressure. Steroids 61, 166-7 1.
12. O'Sullivan, A. J. and Ho, K. K. Y. (1995), A Comparison of the Effects of Oral and Transdermal Estrogen Replacement on Insulin Sensitivity in Postmenopausal Women. J. Clin. Endocrinol. Metab. 80, 1783-8.
13. Span, J. P.T.; Pieters, G. F. F. M.; Sweep, C. G. J.; Herrnus, A. R. M. M.
and Smals, A. G. H. (2000), Gender Difference in Insulin-like Growth Factor I Response to Growth Hormone (GH) Treatment in GH-Deficient Adults: Role of Sex Hormone Replacement. J. Clin. Endocrinol. Metab. 85, 1121-5.
14. von Schoultz, B.; Carlstrom, K.; Coliste, L.; Eriksson, A.; Henriksson, P.;
Pousette, A. and Stege, R. (1989), Estrogen Therapy and Liver Function -Metabolic Effects of Oral and Parenteral Administration. Prostate 14, 389-95.
O
Gruppe Z
(I) [Group Z]
a process for their production, pharmaceutical compositions that contain these compounds, and their use for the production of pharmaceutical agents.
Estrogens play an important role in the organism in both sexes. In the maturing organism, estrogens are involved in the imprinting of sex characteristics. In both sexes, estrogens control the changes in the organism during sexual maturation, such as growth spurts and then the completion of bone growth. In all phases of life, estrogens play a central role (1, 4) in bone metabolism in both sexes. Their loss results in the degradation of bone substance and involves the risk of an elevated brittleness of the bone.
In women, the estrogens that are secreted by the ovary predominate in the organism.
In pregnancy, the placenta forms large amounts of estrogen. In men, estrogens are produced primarily "peripherally" by the aromatization of testosterone or the adrenal androgens in various effector organs, such as the central nervous system (CNS), the bones or the intestinal epithelium. This adaptation makes possible physiological estrogen effects in men at very low estradiol levels in the blood. In men and women with a genetic defect of the aromatase or the estrogen receptor, the bones are severely disrupted relative to growth and development (2).
While for natural estrogens, the oral administration (10) is problematic owing to its low oral bioavailability, conventional chemically modified estrogens with improved bioavailability (for example ethinyl estradiol) often have the drawback of producing a considerably increased estrogenic action in the liver (3, 9, 10). This hepatic estrogeneity relates to a number of functions, such as transport proteins, lipometabolism, blood pressure regulation and clotting factors (5, 7, 11, 12, 14). Also, the especially important secretion of IGF-I (8) for the preservation of muscles and bones is negatively affected by hepatic estrogenic actions (12, 13, 6).
In WO 01/77139, new 8(3-substituted estratrienes are described, whereby the 8(3-substituent can be a straight-chain or branched-chain, optionally partially or completely halogenated alkyl or alkenyl radical with up to 5 carbon atoms, an ethinyl or a prop- l -inyl radical, which as pharmaceutical active ingredients show a higher in vitro affinity to estrogen receptor preparations of rat prostates than to estrogen receptor preparations of rat uteri and have in vivo a preferential action on bone in comparison to the uterus and/or a pronounced action with respect to the stimulation of the expression of 5HT2a-receptors and -transporters.
These compounds can preferably be used for treating diseases that are caused by an estrogen deficiency.
Drawbacks of these 8p-substituted estratrienes are their deficient oral bioavailability as well as the metabolic instability.
From WO 01/91797, steroidal compounds are known that are bonded via a group -SO2NRtR2 to erythrocytes and accumulate there. The concentration ratio of the compounds between erythrocytes and plasma is 10-1000:1, preferably 30-1000:1, such that a depot formation in the erythrocytes can be mentioned. By the strong bond of the compounds to the erythrocytes, the metabolization is avoided during the liver passage.
Disadvantageously, despite a reduced metabolization with the indicated dosages, no therapy-relevant active ingredient levels are given.
It is therefore the object of this invention to provide prodrugs of ER(3-selective compounds, which make the ER(3-selective compounds orally bioavailable.
This object is achieved by sulfamoyl compounds of 80-substituted estratrienes of general formula (I), in which group Z is bonded to the steroid that is to be released R3 x (H2C n R
STEROID-~~~~O ~ X, Gruppe Z
[Group ZI
in which n can mean a number 0- 4, R1 means a radical -SO2NH2 or -NHSO2NHZ, whereby R2, R3 and X, Xl, independently of one another, stand for a hydrogen atom, a halogen atom, a nitrile group, a nitro group, a C1 _S-alkyl group, a CpFZp+l group with p=1-3, a group OC(O)-R20, COOR20, OR20, C(O)NHRZO or OC(O)NH-R2', whereby R20 and RZ1 are a Ci_5-alkyl group, a C3_g-cycloalkyl group, an aryl group, a C14-alkylene aryl group, a C]4-alkylene-C3_8-cycloalkyl group or a C3_8-cycloalkylene-CI-4-alkyl group, and R20 in addition can mean a hydrogen atom, or R2 can mean a radical -SOZNHZ or -NHSO2NH2, whereby R~, R3 and X, Xl, independently of one another, stand for a hydrogen atom, a halogen atom, a nitrile group, a nitro group, a C1_5-alkyl group, a CFF2p+l group with p=l -3, a group OC(O)-R20, COOR20, ORZO, C(O)NHRZO or OC(O)NH-R21, whereby R20 and Rz1 are a C1_5-alkyl group, a C3_g-cycloalkyl group, an aryl group, a C]4-alkylene aryl group, a C14-alkylene-C3_8-cycloalkyl group or C3_ 8-cycloalkylene-CI_4-alkyl group, and R20 in addition can mean a hydrogen, or R3 can mean a radical -SO2NH2 or -NHSO2NH2, whereby R1, R2 and X, Xl, independently of one another, stand for a hydrogen atom, a halogen atom, a nitrile group, a nitro group, a C1_5-alkyl group, a CpF2p+l group with p=1-3, a group OC(O)-R20, COOR20, OR20, C(O)NHRZO or OC(O)NH-RZ', whereby R20 and R21 are a C1_5-alkyl group, a C3_g-cycloalkyl group, an aryl group, a C1_4=alkylene aryl group, a C1_4-alkylene-C3_g-cycloalkyl group or C3_ g-cycloalkylene-C1_4-alkyl group, and R20 in addition can mean a hydrogen, and STEROID stands for a steroidal ABCD-ring system of formula (A):
R"
11)_R16 ( \
R3 ~ (A) whereby the radicals R3, R8, R16 and R17 have the following meaning:
R3 can be Z and R17 can be an OH group, a tri(Cj-C4-alkyl)silyloxy group or a group OC(O)-R20or R3 can be OH, OMe, a tri(C1-C4-alkyl)silyloxy group, or a group OC(O)-R20 and R17 can be Z
and R 8 can be a branched or straight-chain, optionally partially or completely halogenated alkyl, alkenyl or alkinyl radical with up to 3 carbon atoms, R16 can be a hydrogen atom, a halogen atom, or a methyl group, whereby the substituents R16 and R17 in each case can be both in a- and in j3-position, and their pharmaceutically acceptable salts.
In addition, this invention comprises the new compounds as pharmaceutical active ingredients, their production, their therapeutic application and pharmaceutical dispensing forms that contain the new substances.
The invention relates to estrogen derivatives that themselves cannot bind to the estrogen receptor and from which the contained mother estrogen is released in the body, process for their production, and pharmaceutical compositions that contain these compounds.
The compounds according to the invention are prodrugs that release an ER(3-selective estrogen (mother estrogen) after saponification of the ester group Z.
By absolute and relatively greatly weakened action via the ER a, undesirable estrogen effects of any standard estrogen therapy on the uterus, the mammary glands and the liver are avoided, as they are typical for non-dissociated estrogens. The compounds according to the invention have therapeutically advantageous estrogenic activities if they are mediated by the ER (3, in particular in the central nervous system, in the circulatory system and in the bones.
The substances according to the invention are preferably used for oral therapy.
Compared to their mother estrogens, the compounds according to the invention have a clearly increased oral bioavailability, an increased systemic, but generally reduced hepatic estrogeneity. By this dissociation of desirable and undesirable hormonal effects, simultaneously more therapeutically effective and, in comparison to the prior art, more compatible pharmaceutical agents are made possible.
The substances according to the invention are cleaved enzymatically or hydrolytically in the body, whereby no steroid sulfatases (STS), such as, for example, for cleavage of estradiol-3-sulfamate, are required. Thus, the inhibition of the steroid sulfatase that is typical for estrogen-3-sulfamates and disadvantageous for achieving strong estrogenic effects can also be avoided, which is typical for estrogen sulfamates in humans. In the case of oral therapy with natural estrogens (estradiol, estradiol valerate, estrone sulfate, conjugated estrogens), but also in that with estradiol sulfamate, high levels of estrone dominate in the blood (10). Unlike in the cycle, the concentrations of estradiol in the blood are lower than that of estrone. This is therefore disadvantageous, since estrone is a less effective estrogen than estradiol.
An advantage of the substances according to the invention in comparison to those in the prior art is the preferable release of the respective mother estrogen, thus, for example, 80-ethylestradiol, 8(3-methylestradiol, 8B-vinylestradiol and 8B-difluorovinylestradiol instead of the inactive estrone derivatives.
The compounds of general formula (I) according to the invention or their pharmaceutically accceptable salts can be used as individual components in pharmaceutical preparations or in combination in particular with antiestrogens or gestagens.
The combination with ERa-selective antiestrogens or with antiestrogens that are peripherally-selectively active, i.e., that do not pass through the blood-brain barrier, is especially preferred.
The substances and the pharmaceutical agents containing them are especially suitable for the treatment of perimenopausal and postmenopausal symptoms, in particular hot flashes, sleep disorders, irritability, mood swings, incontinence, vaginal atrophy, and hormone-deficiency-induced mental disorders. The substances are also suitable for hormone substitution and for the treatment of hormone-deficiency-induced symptoms in ovarian dysfunction that is caused by surgery, medication, etc. Prevention of bone mass loss in postmenopausal women and andropausal men, in women who have undergone hysterectomies or in women who were treated with LHRH antagonists or agonists is also part of this.
The prodrugs of ERB-selective agoriists according to the invention can be used alone or in combination with antiestrogens, aromatase inhibitors or selective estrogen receptor modulators (SERM) for the treatment of prostate hyperplasia to avoid estrogen deprivation or to reduce the effects thereof.
As antiestrogen, preferably 7alpha-[9-[(4,4,5,5,5-pentafluoropentyl)sulfinyl]-nonyl]estra-1,3,5(10)-triene-3,17I3-diol (fulvestrant) is used.
As the aromatase inhibitors that are to be used, the following are considered:
anastrozole, atamestane, fadrozole, formestane, and letrozole.
As SERM, compounds that are selected from the following group are considered:
raloxifene, tamoxifen, and 5-(4-{5-[(RS)-(4,4,5,5,5-pentafluoropentyl)sulfinyl]-pentyl } phenyl)-6-phenyl-8,9-dihydro-7H-benzocyclohepten-2-ol (WO 00/03979).
The compounds are also suitable for alleviating symptoms of andropause and menopause, i.e., for male and female hormone replacement therapy (HRT), naniely both for prophylaxis and for treatment, in addition for treating symptoms accompanied by a dysmenorrhea as well as for treating acne.
In addition, the substances can be used for prophylaxis against hormone-deficiency-induced bone mass loss and osteoporosis, for preventing cardiovascular diseases, in particular vascular diseases such as arteriosclerosis, for inhibiting the proliferation of arterial smooth muscle cells, and for treating primary pulmonary high blood pressure.
In addition, the substances can be used for treating inflammatory diseases and diseases of the immune system, in particular autoimmune diseases, such as, e.g., rheumatoid arthritis, multiple sclerosis, Crohn's disease as well as endometriosis.
The compounds can be used in particular according to therapies that result in estrogen deprivation, for example after treatment with aromatase inhibitors or GnRH
antagonists or agonists, for treatment of arthritic symptoms.
In addition, the compounds can be used for treatment of male fertility disorders and prostatic diseases. The compounds according to the invention are suitable for estrogen treatment of prostate cancer.
The compounds can also be used in combination with the natural vitamin D3 or with calcitriol analogs for bone building or as supporting therapies to therapies that cause a bone mass loss (for example, a therapy with glucocorticoids, aromatase inhibitors, GnRH agonists or antagonists (chemotherapy)).
Finally, the compounds of general formula (1) in connection with progesterone receptor modulators, for example mesoprogestins, such as asoprisnil, can be used, specifically especially for use in hormone replacement therapy and for treatment of gynecological disorders.
In addition, the compounds of general formula (I) according to the invention can be used for the treatment of alopecia, caused by, for example, chemotherapy.
A therapeutic product that contains an estrogen and a pure antiestrogen for simultaneous, sequential or separate use for the selective estrogen therapy of perimenopausal or postmenopausal conditions is already described in EP-A 0 346 014.
In terms of this invention, "Cl_5-alkyl group" is defined as a branched or straight-chain alkyl radical with up to 5 carbon atoms, which can be substituted by, for example, halogens, OH, or CN. As examples, methyl, ethyl, n-propyl, i-propyl, n-butyl, i-butyl, tert-butyl or n-pentyl can be mentioned.
The above-mentioned "C3_g-cycloalkyl group" according to the invention means a monocyclic or bicyclic group, which can be substituted by, for example, halogens such as fluorine, chlorine or bromine, OH or CN, such as, for example, a cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl or a hydroxycyclohexyl group.
In terms of this application, the term "aryl group" is defined as a substituted or unsubstituted aryl radical with 6 to 15 carbon atoms, for example a phenyl group, a substituted phenyl group, such as a halophenyl group, or a nitrophenyl group, or a naphthyl group.
In terms of this application, the term "Cl-4-alkylene aryl group" is defined as a di-substituted alkyl radical, which is substituted with at least one aryl radical. Both radicals together have 7 to 15 carbon atoms, whereby the aryl radical can carry additional substituents, such as, for example, a halogen atom. Examples are a benzyl group or a halobenzyl group.
In terms of this application, the term "C1_4-alkylene-C3_8-cycloalkyl group"
is defined as a di-substituted alkyl radical that is substituted with a C3_g-cycloalkyl radical. Both radicals together have 4 to 12 carbon atoms, whereby the cycloalkyl radical can carry additional substituents, such as, for example, a halogen atom. Examples are a cyclopentylethyl, cyclohexylmethyl or cyclohexylethyl group.
In terms of this application, the term "C3_8-cycloalkylene-Ct_4-alkyl group"
is defined as a di-substituted C3_8-cycloalkylene radical that is substituted with a C1_4-alkyl radical.
Both radicals together have 4 to 12 carbon atoms, whereby the group can carry additional substituents, such as, for example, a halogen atom. Examples are a propylcyclohexyl or butylcyclohexyl group.
A trialkylsilyloxy group is, for example, a trimethylsilyloxy group or a tert-butyldimethylsilyloxy group.
Within the scope of this invention, the term "halogen atom" is defined as a fluorine, chlorine, bromine or iodine atom. Fluorine, chlorine and bromine are preferred.
The number "n" is preferably 0, 1 or 2.
Ri preferably means a group -SOzNH2, whereby R2, R3, X' and X, independently of one another, are preferably an H, F, or Cl atom, or an OH or a methoxy group.
RZ preferably means a group -SO2NH2, whereby R~, R3, X~ and X, independently of one another, are preferably an H, F, or Cl atom, or an OH or a methoxy group.
R3 preferably means a group -SO2NH2, whereby R~, R2, X' and X, independently of one another, preferably are an H, F, or Cl atom, or an OH or a methoxy group.
Xj is preferably an H atom.
R8 is preferably methyl, ethyl, vinyl, difluorovinyl, ethinyl or prop-l-inyl.
Methyl, ethyl, vinyl or difluorovinyl are especially preferred for R8.
Y is preferably OH, OMe, a trimethylsilyloxy, a tert-butyldimethylsilyloxy, a benzoate, a sulfamoyl benzoate, acetate, propionate, valerate, butcyclate or cyclopentylpropionate radical.
R17 preferably means an OH, a trimethylsilyloxy, an acetate, propionate, valerate, a benzoate, or an optionally halogenated sulfamoyl benzoate radical.
In terms of this invention, especially preferred compounds are cited below:
1) (3'-Hydroxy-8'(3-methyl-estra-I',3',5'(10')-trien-17'(3-yl) 3-sulfanioyl benzoate 2) (3'-Hydroxy-8'(3-ethyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl benzoate, 3) (3'-Hydroxy-8'p -vinyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl benzoate, 4) (3'-Hydroxy-8'(3-methyl-estra-1',3',5'(I0')-trien-I7'(3-yl) 4-sulfamoyl benzoate, 5) (3'-Hydroxy-8'p -ethyl-estra-1',3',5'(10')-trien-I7'(3-yl) 4-sulfamoyl benzoate, 6) (3'-Hydroxy-8'(3-vinyl-estra-1',3',5'(10')-tri en-17'(3-yl) 4-sulfamoyl benzoate, 7) (3'-Acetoxy-8'p-methyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfarnoyl benzoate, 8) (3'-Acetoxy-8'(3-ethyl-estra-1',3',5'(10')-tri en-17'(3-yl) 3-sulfamoyl benzoate, 9) (3'-Acetoxy-8'0-vinyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl benzoate, 10) (3'-Acetoxy-8'(3-methyl-estra-1',3',5'(10')-trien-17'p-yl) 4-sulfainoyl benzoate, 11) (3'-Acetoxy-8'(3-ethyl-estra-1',3',5'(10')-trien-17'(3-y1) 4-sulfamoyl benzoate, 12) (3'-Acetoxy-8'(3-vinyl-estra-1',3',5'(10')-trien-17'(3-yl) 4-sulfamoyl benzoate, 13) (3'-Benzoyloxy-8'(3-methyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl benzoate, 14) (3'-Benzoyloxy-8'(3-methyl-estra-1',3',5'(10')-trien-17'p-yl) 4-sulfamoyl benzoate, 15) (3'-Benzoyloxy-8'(3-ethyl-estra-1',3',5'(10')-trien-I7'(3-yl) 3-sulfamoyl benzoate, 16) (3'-Benzoyloxy-8'(3-ethyl-estra-1',3',5'(10')-tri en-17'(3-yI) 4-sulfamoyl benzoate, 17) (3'-Benzoyloxy-8'(3-vinyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl benzoate, 18) (3'-Benzoyloxy-8'(3-vinyl-estra-1',3',5'(10')-trien-17'(3-yl) 4-sulfamoyl benzoate, 19) (3'-Hydroxy-8' (3-vinyl-estra-1 ',3',5'(10' )-trien-17' (3-yl) 2-chloro-5-sulfamoyl benzoate, 20) (3'-Hydroxy-8'(3-vinyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl-4-chloro-benzoate, 21) (3'-Hydroxy-8'(3-methyl-estra-1',3',5'(10')-trien-17'(3-yl) 2-chloro-5-sulfamoyl benzoate, 22) (3'-Hydroxy-8'(3-methyl-estra-1',3',5'(10')-trien-17' j3-yl) 3-sulfamoyl-4-chlorobenzoate, 23) (3'-Hydroxy-8'(3-ethyl-estra-1',3',5'(10')-trien-l 7'(3-yl) 2-chloro-5-sulfamoyl benzoate, 24) (3'-Hydroxy-8'(3-ethyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl-4-chloro-benzoate, 25) (17'(3-(n-Pentanoyloxy)-8'(3-vinyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate, 26) (17'(3-(n-Pentanoyloxy)-8'(3-methyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate, 27) (17' (3-(n-Pentanoyloxy)-8' (3-ethyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate, 28) (17'(3-Benzoyloxy-8'(3-vinyl-estra-I',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate, 29) (17' j3-Benzoyloxy-8'(3-methyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate, 30) (17'0-Benzoyloxy-8'0-ethyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate, 31) (17'(3-(n-Pentanoyloxy)-8'(3-vinyl-estra-1,3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate, 32) (17'(3-(n-Pentanoyloxy)-8'(3-methyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate, 33) (17'(3-(n-Pentanoyloxy)-8'(3-ethyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate, 34) (17'0-Benzoyloxy-8'0-vinyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate, 35) (17'0-Benzoyloxy-8'p-methyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate, 36) (17'(3-Benzoyloxy-8'(3-ethyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate, 37) (17'P-Acetoxy-8'(3-vinyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoylbenzoate, 38) (17'(3-Acetoxy-8'(3-ethyl-estra-1',3',5'(10')-tri en-3'-yl) 3-sulfamoyl benzoate, 39) (17'(3-Acetoxy-8'(3-methyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate, 40) (17'(3-Acetoxy-8'(3-vinyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate, 41) (17'(3-Acetoxy-8'(3-ethyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate, 42) (17'(3-Acetoxy-8'(3-methyl-estra-I',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate, 43) (3'-Methoxy-8'(3-vinyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl benzoate, 44) (3'-Methoxy-8'(3-ethyl-estra-1',3',5'(10')-tri en-17'p-yl) 3-sulfamoyl benzoate, 45) (3'-Methoxy-8'(3-methyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl benzoate, 46) (3'-Methoxy-8' J3-vinyl-estra-1',3',5'(10')-trien-17'J3-yl) 4-sulfamoyl benzoate, 47) (3'-Methoxy-8'(3-ethyl-estra-1',3',5'(10')-trien-17'(3-yl) 4-sulfamoyl benzoate, 48) (3'-Methoxy-8'(3-methyl-estra-l',3',5'(10')-trien-17'p-yl) 4-sulfamoyl benzoate.
In-Vivo Tests Principle of the Test and Test Description:
Adult Wistar rats were ovariectomized 14 days after this operation for the study of the substances according to the invention. A treatment extended over 3 days (days 1-3), and on day 4, the animals were sacrificed. Then, the recovery of plasma for hormone-analytical and clinical-chemical determinations and the determination of uterus weights were carried out. In satellite tests, correspondingly conditioned animals were sacrificed and samples were taken of their blood after one-time treatment and at other times (see Figures 1 and 2).
Figure 1 Pharmacokinetics of 8-Vinyl-E2 vs. (3'-Hydroxy-8(3'-vinyl-estra-1',3',5'(10')-trien-17'(3-y1) 3-Sulfamoyl Benzoate (Single p.o. Administration of 1000 g) each point: n= 3 rats J
E = ..~,.=, =.......
~
~ 2000 hours ~-vehicle/p.o. =d= (3'-Hydroxy-8'b-vinyl-estra-1',3' 5'(10')-trien-17'b-yl) 3-sulfamoylbenzoateF ~8-Vin I-E2/ .o.
P.O.
Increase of the 8(3-vinylestra-1,3,5(10)-triene-3,17(3-diol level (8-vinyl-E2) in the plasma of rats after I x oral administration of 1 mg/animal. Considerably greater increase of the 8-vinyl-E2 level after administration of I mg/animal of (3'-hydroxy-8(3'-vinyl-estra-1',3',5'(10')-trien-17'(3-yl) 3-sulfamoyl benzoate than after oral administration of 8-vinyl-E2.
Figure 2 Kinetics of 8-Vinyl-E2 vs. (3'-Hydroxy-8'(3-vinylestra-1',3',5'(10')-trien-17'(3-yl) 4-Sulfamoyl Benzoate After p.o. Administration of 1 mg of 8-Vinyl-E2 or Equimolar (3'-Hydroxy-8'p-vinylestra-1',3',5'(10')-trien-17'(3-yl) 4-Sulfamoyl Benzoate 3750 ....... 3500 3250 rn 1750 Q' 1500 = 1000 Time After Application (hl tVehiclepo y8-Vinyl-E2Jp.o. =Q=(3'-Hydroxy-8'b-vinylesira-1',3',5'(10')-trien-17'4-yl)4-sulfamoylbenzoate/p.o.
Increase of the 8p-vinylestra-1,3,5(10)-triene-3,17p-diol level (8-vinyl-E2) in the plasma of rats after a one-time oral administration of I mg/animal. A greater increase of the 8-vinyl-E2 level can be observed clearly after the administration of 1 mg/animal of (3'-hydroxy-8'(3-vinylestra-1',3',5'(10')-trien-17'(3-yl) 4-sulfamoyl benzoate than after oral administration of 8-vinyl-E2.
In in vivo experiments in rats, it was found that after oral administration of the compounds according to the invention, an unexpectedly high increase of the mother estrogen can be noted. This is not the case, for example, in the 17-benzoates and 17-acetates of 8(3-vinyl-estradiol.
Unlike conventional estrogens, the substances according to the invention do not have any action on the uterus, the ovary and the liver.
In-Vitro Tests a) Blood Plasma Concentration Ratio - Test Principle and Test Description:
The SO2-NH2 group of the substances according to the invention can lead to a concentration in erythrocytes by binding to carbonic anhydrases. The displacement of estradiol-3-sulfamate from the erythrocyte bond is measured by test substances.
Test preparation: Human blood is mixed with a mixture that consists of 14C-labeled and unlabeled estradiol sulfamate. At the selected working point, the erythrocytes are saturated, and the distribution in plasma/erythrocytes is 40:60. A second blood sample is mixed with a mixture that consists of 14C-labeled etradiol sulfamate and unlabeled test substance. The relative binding affinity is calculated from the portion of J4C-labeled estradiol sulfamate in the plasma: high proportion = strong displacement of'4C-estradiol sulfamate from the erythrocytes by the test substance = high binding affinity.
In contrast to the results published in WO 01/91797, the concentration ratios of the compounds according to the invention between erythrocytes and plasma do not lie in a range of 10-1000:1, but rather in a range <10:1. In the case of (3'-hydroxy-8(3'-vinyl-estra-1',3',5'(10')-trien-17'P-yl) 3-sulfamoyl benzoate, the ratio is, for example, approximately 1.4:1.
b) Carbonic Anhydrase Inhibition - Test Principle and Test Description:
Carbonic anhydrases catalyze the CO2 hydration.
Test preparation: A constant CO2 stream is directed through a buffer that was mixed with carbonic anhydrase I or carbonic anhydrase II. The measuring parameter is the time that is required to drop the pH within defined limits. This parameter reflects the formation of H2CO3 in the medium. IC50-Inhibiting values are determined by test substances being pipetted into the test preparation. In the concentration areas that are examined, the test substances cause no to complete inhibition of the above-mentioned enzymes.
Table 1: IC50-Inhibiting Values of Human Carbonic Anhydrases I and tt CAI CAII
Inhibitor IC50 (nM) ICso (nM) IC50 (nM) IC50 (nM) Literature Literature Estradiol-3-sulfamate 157 10.6 - 21.6 1.5 -(3'-H yd roxy-8' beta-vi nyl-estra-1',3',5'(10')-trien- 3900 - 570 -17'beta-yI) 3-sulfamoylbenzoat (3'-Hyd roxy-8'beta-vi nyl-estra-1',3',5'(10')-trien- >10000 - >10000 -17'beta- I -benzoat Acetazolamid 1200 1900 60 90 (bekannter CA-Hemmer) iLiterature: C. Landolfi, M. Marchetti, G. Ciocci, and C. Milanese, Journal of Pharmacological and Toxicological Methods 38, 169-172 (1997).
[Key to Table 1:
-benzoat = -benzoate Acetazolamid (bekannter CA-Hemmer) = Acetazolamide (of known CA inhibitors) Despite the low blood-plasma concentration ratios, a binding (inhibition) to the two isoenzymes carbonic anhydrases CA I and CA II in the erythrocytes could be shown in all cases. The binding to erythrocytes induced by affinity to the carbonic anhydrases is important for the properties as estrogen. This binding is essential for a reduced extraction of the orally administered substance in the first liver passage. High or low affinity to the erythrocytic carbonic anhydrases, faster or delayed release from this depot and subsequent hydrolysis determine the therapeutic applicability of the substances according to the invention. The compounds according to the invention thus open up the possibility of achieving higher, shorter-term or uniformly low and longer-lasting hormone levels with an equimolar amount of substance administered. As a result, active strength and duration of action are varied and make possible a therapy adapted to the organism.
These test results open up many possible applications in the compounds of general formula (I) according to the invention for hormone replacement therapy (HRT) and in hormonally-induced diseases in men and women.
Subjects of this invention are therefore also pharmaceutical compositions that contain at least one compound of general formula (1), optionally together with pharmaceutically compatible adjuvants and vehicles.
Compared to their mother estrogens, the substances according to the invention have pharmacologically and pharmacokinetically improved properties that are based on a reduced hepatic extraction and more uniform and longer-lasting blood levels of the released estrogen.
Dosage The Erp-selective compounds of general formula (I) are administered orally for use according to the invention.
Suitable dosages of the compounds according to the invention in human$ for the treatment of perimenopausal and postmenopausal symptoms, hormone-deficiency-induced symptoms, gynecological disorders such as ovarian dysfunction and endometriosis, male and female fertility disorders, hormone-induced tumor diseases as well as for the use in male and female hormone replacement therapy are, depending on indication, 5 g to 2000 mg per day, depending on age and constitution of the patient, whereby the necessary daily dose can be administered one or more times.
For gynecological disorders such as ovarian dysfunction and endometriosis, in this case dosages of between 0.5 and 100 mg are considered; for the treatment of male and female fertility disorders, dosages of 5 g to 50 mg are considered; for hormone-induced tumor diseases, dosages of 5 to 500 mg are considered, and for male or female hormone replacement therapy, dosages of 5 g to 100 mg are considered.
In addition to commonly used vehicles and/or diluents, the pharmaceutical compositions contain at least one compound of general formula I. The substances according to the invention can also be used therapeutically in combination with a gestagen, antigestagen or mesoprogestin. The substances according to the invention are preferably used individually as active ingredients in pharmaceutical preparations.
The pharmaceutical agents of the invention are produced in a known way with the commonly used solid or liquid vehicles or diluents and the commonly used pharmaceutical-technical adjuvants corresponding to the desired type of administration with a suitable dosage. The preferred preparations exist in a form for dispensing that is suitable for oral administration. Such forms for dispensing are, for example, tablets, film tablets, coated tablets, capsules, pills, powders, solutions or suspensions or else depot forms.
Corresponding tablets can be obtained by, for example, mixing active ingredient with known adjuvants, for example inert diluents such as dextrose, sugar, sorbitol, mannitol, polyvinylpyrrolidone, explosives such as corn starch or alginic acid, binders such as starch or gelatins, lubricants such as magnesium stearate or talc and/or agents for achieving a depot effect, such as carboxylpolymethylene, carboxyl methyl cellulose, cellulose acetate phthalate or polyvinyl acetate. The tablets can also consist of several layers.
Coating cores, which are produced analogously to the tablets, with agents that are commonly used in tablet coatings, for example polyvinyl pyrrolidone or shellac, gum Arabic, talc, titanium oxide or sugar, can accordingly produce coated tablets. In this case, the shell of the coated tablet can also consist of several layers, whereby the adjuvants that are mentioned above in the tablets can be used.
Solutions or suspensions with the compounds of general formula I according to the invention can contain additional taste-improving agents such as saccharine, cyclamate or sugar, as well as, e.g., flavoring substances such as vanilla or orange extract. In addition, they can contain suspending adjuvants such as sodium carboxy methyl cellulose or preservatives, such as p-hydroxybenzoates.
The capsules that contain compounds of general formula I can be produced, for example, by the compound(s) of general formula I being mixed with an inert vehicle such as lactose or sorbitol and encapsulated in gelatin capsules.
Suitable suppositories can be produced by, for example, mixing with vehicles that are provided for this purpose, such as neutral fats or polyethylene glycol or derivatives thereof.
The examples below explain this invention without limiting it.
Example 1 (3'-Hydroxy-8'-vinylestra-1 ',3',5'(10')-trien-17'p-y1)-3-sulfamoyl benzoate 3,17 j3-Bis-(tert-butyldimethylsilyloxy)-8-vinyl-estra-1,3,5(10)-triene 1.0 g of 8-vinyl-estra-1,3,5(l0)-tri ene-3,170-diol was added in 18 ml of DMF
and mixed with 2.8 g of imidazole and 3.6 g of tert-butyldimethylchlorosilane. The solution was stirred for 2 hours at room temperature and then extracted with n-hexane. The organic phase was washed with saturated aqueous common salt solution and water, dried on sodium sulfate, and concentrated by evaporation in a vacuum. In this way, 2.0 g of crude 3,17(3-bis-(tert-butyldimethylsilyloxy)-8-vinyl-estra-1,3,5(10)-triene is obtained.
I H-NMR (CDCl3): 0.01, 0.03 (s, 3H, SiMe,t-Bu), 0.17 (s, 6H, SiMe,t-Bu), 0.73 (s, 3H, H-18), 0.88 (s, 9H, SiMe2t-Bu), 0.96 (s, 9H, SiMezt-Bu), 3.54 (t, 1H, H-17), 6.49 (d, 1H, H-4), 6.58 (dd, 1 H, H-2), 7.08 (d, 1 H, H-1).
3-(tert-Butyldimethylsilyloxy)-8-vinylestra-1,3,5(10)-trien-17 j3-o1 Variant 1 3.79 g of crude 3,17(3-bis-(tert-butyldimethylsilyloxy)-8-vinyl-estra-1,3,5(10)-triene from the last stage was dissolved at room temperature in 245 ml of THF and 145 ml of acetonitrile. Then, a solution that consists of 240 ml of acetonitrile, 0.4 ml of water, and 1.2 ml of chlorotrimethylsilane was produced, and 140 ml from this solution was added in drops to the steroid solution. After 21 hours, it was mixed with methylene chloride, washed with water, dried on sodium suflate and concentrated by evaporation in a vacuum.
The thus obtained 2.84 g of crude product was purified by column chromatography on silica gel (cyclohexane/ethyl acetate 8:2). In this way, 640 mg (22%) of 3-(tert-butyldimethyl-silyloxy)-8-vinylestra-1,3,5(10)-trien-17(3-ol was obtained.
'H-NMR (CDC13): 0.17 (s, 6H, SiMet-Bu), 0.78 (s, 3H, H-18), 0.96 (s, 9H, SiMe2t-Bu), 3.63 (t, 1 H, H-17), 6.49 (d, 1 H, H-4), 6.58 (dd, 1 H, H-2), 7.08 (d, IH, H-1).
Variant 2 100 mg of 3,17p-bis-(tert-butyldimethylsilyloxy)-8-vinyl-estra-1,3,5(10)-triene was dissolved in 30 ml of acetone, mixed with 3.5 ml of 5% hydrochloric acid and stirred for 2 hours at room temperature. Then, it was mixed with water and ethyl acetate, the organic phase was separated, washed with water, dried on sodium sulfate and concentrated by evaporation in a rotary evaporator. After chromatographic purification of the crude product on silica gel (cyclohexane/ethyl acetate 9:1), 31 mg (40%) of colorless 3-(tert-butyldimethylsilyloxy)-8-vinylestra-1,3,5(l0)-trien-170-ol was obtained.
(3 '-(tert-Butyldimethylsilyloxy)-8'-vinylestra-1 ',3 ',5 '(10')-trien-17'P-yl)-3-chlorosulfonylbenzoate 300 mg of 3 -(tert-butyl dimethyl silyloxy)- 8 -vinylestra- 1,3,5 (1 0)-trien-17 0 -ol was dissolved in 15 ml of tetrahydrofuran (THF) and mixed with 150 mg of sodium hydride.
Then, a solution that consists of 0.3 ml of 3-(chlorosulfonyl)-benzoyl chloride in 3 ml of THF
was added in drops and refluxed for 4 hours. The cooled reaction solution was poured onto ice water, extracted with methylene chloride, the organic phase was dried on sodium sulfate and concentrated by evaporation in a rotary evaporator. After column-chromatographic purification on silica gel (cyclohexane), 198 mg (44%) of (3'-(tert-butyldimethylsilyloxy)-8'-vinylestra-1',3',5'(10')-trien-17'0-yl)-3-chlorosulfonylbenzoate was obtained in this way.
(3'-(tert-Butyldimethylsilyloxy)-8'-vinylestra-1 ',3',5'(10')-trien-17' p-yl)-3-sulfamoyl benzoate 198 mg of (3'-(tert-butyldimethylsilyloxy)-8'-vinylestra-1 ',3',5'(10')-trien-17'p-yl)-3-chlorosulfonylbenzoate was mixed with 20 ml of inethylene chloride and 20 rnl of 25%
aqueous ammonia solution and stirred at room temperature. After 2 hours, it was mixed with water and methylene chloride, the phases were separated, and the organic phase was washed neutral with water. Affter drying on sodium sulfate, it was concentrated by evaporation in a rotary evaporator. Thus, 144 mg (75%) of (3'-(tert-butyldimethylsilyloxy)-8'-vinylestra-1 ',3',5'(10')-trien-17'P-yl)-3-sulfamoyl benzoate was obtained.
'H-NMR (CDC13): 0.15 (s, 6H, SiMet-Bu), 0.93 (s, 9H, SiMe2t-Bu), 0.93 (s, 3H, H-18), 4.83 (t, 1 H, H-17), 6.47 (d, 1 H, H-4), 6.56 (dd, 1 H, H-2), 7.09 (d, 1 H, H-1).
(3'-Hydroxy-8'-vinylestra-1 ',3',5'(10')-trien-17'0-yl)-3-sulfamoyl benzoate 90 mg of tetrabutylammonium fluoride was added to 144 mg of (3'-(tert-butyldimethylsilyloxy)-8'-vinylestra-1 ',3',5'(10')-trien-17'p-yl)-3-sulfamoyl benzoate in 10 ml of tetrahydrofuran, stirred for 2 hours at room temperature, and then mixed with water and methylene chloride. The organic phase was washed neutral with water, dried on sodium sulfate, and concentrated by evaporation in a rotary evaporator. The foamy crude product was purified by column chromatography on silica gel (cyclohexane/ethyl acetate 8:2). Thus, 36 mg (31%) of (3'-hydroxy-8'-vinylestra-1',3',5'(10')-trien-17'(3-yl)-3-sulfamoyl benzoate was obtained.
'H-NMR (CDC13): 0.92 (s, 3H, H-18), 4.82 (t, 1H, H-17), 6.39 (d, 1H, H-4), 6.48 (dd, 1 H, H-2), 7.00 (d, 1 H, H-1).
Example 2 (3'-Hydroxy-8'-vinylestra-1 ',3',5'(10')-trien-17'(3-yl)-4-sulfamoyl benzoate ((3'-(tert-Butyldimethylsilyloxy)-8'-vinylestra-1 ',3',5' (10')-trien-17'(3-yl)-4-sulfamoyl benzoate 750 mg (2.6 mmol) of 4-sulfamido-benzoyl chloride and 28 mg of 4-dimethylaminopyri dine were added to 300 mg of 3-(tert-butyldimethylsilyloxy)-8-vinylestra-1;3,5(10)-trien-17(3-ol in 4 ml of pyridine and stirred at room temperature for 2 hours. The reaction mixture was poured into ice water, the precipitate was filtered off, and the thus obtained crude product (913 mg) was used without additional purification in the next stage.
(3'-Hydroxy-8'-vinylestra-1 ',3',5'(10')-trien-17'p-yl)-4-sulfamoyl benzoate 278 mg of tetrabutylammonium fluoride was added to 913 mg of crude ((3'-(tert-butyldimethylsilyloxy)-8'-vinylestra-1 ',3',5'(10')-trien-17'P-yl)-4-sulfamoyl benzoate in 30 ml of tetrahydrofuran, and it was stirred at room temperature for 2 hours.
Then, the reaction solution was taken up in methylene chloride and water, the organic phase was washed with water, dried on sodium sulfate and concentrated by evaporation in a vacuum.
The crude product was purified by column chromatography on silica gel (cyclohexane, ethyl acetate 1:1) and recrystallized from methanol. In this way, 147 mg (42%) of (3'-hydroxy-8'-vinylestra-1 ',3',5'(10')-trien-17'(3-yl)-4-sulfamoyl benzoate was obtained.
'H-NMR (CDC13): 0.96 (s, 3H, H-18), 4.87 (t, 1H, H-17), 6.51 (d, 1H, H-4), 6.60 (dd, 1 H, H-2), 7.10 (d, 1 H, H-1).
Without further elaboration, it is believed that one skilled in the art can, using the preceding description, utilize the present invention to its fullest extent.
The following preferred specific embodiments are, therefore, to be construed as merely illustrative, and not limitative of the remainder of the disclosure in any way whatsoever.
In the foregoing and in the following examples, all temperatures are set forth uncorrected in degrees Celsius, and all parts and percentages are by weight, unless otherwise indicated.
The preceding examples can be repeated with similar success by substituting the generically or specifically described reactants and/or operating conditions of this invention for those used in the preceding examples.
From the foregoing description, one skilled in the art can easily ascertain the essential characteristics of this invention and, without departing from the spirit and scope thereof, can make various changes and modifications of the invention to adapt it to various usages and conditions.
References:
l. Cummings, S. R.; Browner, W. S.; Bauer, D.; Stone, K.; Ensrud, K.; Jamal, S. and Ettinger, B. (1998), Endogenous Hormones and the Risk of Hip and Vertebral Fractures Among Older Women. N. Engl. J. Med. 339, 733-38.
2. Frank, G. R. (1995), The Role of Estrogen in Pubertal Skeletal Physiology:
Epiphyseal Maturation and Mineralization of the Skeleton. Acta Paediatr.
84(6), 627-30.
3. Goldzieher, J. W. (1990), Selected Aspects of the Pharmacokinetics and Metabolism of Ethinyl Estrogens and their Clinical Implications. Am. J.
Obstet. Gynecol. 163, 318-22.
4. Gustafsson, J. A. (2000), Novel Aspects of Estrogen Action. J. Soc.
Gynecol. Investig. 7, S8-S9.
5. Helmer, O. M., and Griffith, R.S. (1952), The Effect of the Administration of Estrogens on the Renin-Substrate (Hypertensinogen) Content on Rat Plasma. Endocrinology 51, 421-6.
6. Kelly, J. J.; Rajkovic, I.A.; O'Sullivan, A. J.; Semia, C. and Ho, K. K. Y.
(1993), Effects of Different Oral Estrogen Formulations on Insulin-like Growth Factor-I, Growth Hormone and Growth Hormone Binding Protein in Post-Menopausal Women. Clin. Endocrinol. 39, 561-67.
7. Krattenmacher, R.; Knauthe, R.; Parczyk, K.; Walker, A.; Hilgenfeldt, U.
and Fritzemeier, K.-H. (1994), Estrogen Action on Hepatic Synthesis of Angiotensinogen and IGF-I: Direct and Indirect Estrogen Effects. J.
Steroid. Biochem. Mol. Biol. 48, 207-14.
8. Le Roith and Butler, A. A. (1999), Insulin-like Growth Factors in Pediatric Health and Disease. J. Clin. Endocrinol. Metab. 84, 4355-61.
9. Mandel, F. P.; Geola, F. L.; Lu, J. K. H.; Eggena, P.; Sambhi, M. P.;
Hershman, J. M. and Judd, H. L. (1982), Biologic Effects of Various Doses of Ethinyl Estradiol in Postmenopausal Women. Obstet. Gynecol.
59, 673-9.
10. Mashchak, C. A.; Lobo, R. A.; Dozono-Takano, R.; Eggena, P.; Nakamura, R. M.; Brenner, P. F. and Mishell, D. R., Jr. (1982), Comparison of Pharmacodynamic Properties of Various Estrogen Formulations. Am. J.
Obstet. Gynecol. 144, 511-18.
11. Oelkers, W. K. H. (1996), Effects of Estrogens and Progestagens on the Renin-Aldosterone System and Blood Pressure. Steroids 61, 166-7 1.
12. O'Sullivan, A. J. and Ho, K. K. Y. (1995), A Comparison of the Effects of Oral and Transdermal Estrogen Replacement on Insulin Sensitivity in Postmenopausal Women. J. Clin. Endocrinol. Metab. 80, 1783-8.
13. Span, J. P.T.; Pieters, G. F. F. M.; Sweep, C. G. J.; Herrnus, A. R. M. M.
and Smals, A. G. H. (2000), Gender Difference in Insulin-like Growth Factor I Response to Growth Hormone (GH) Treatment in GH-Deficient Adults: Role of Sex Hormone Replacement. J. Clin. Endocrinol. Metab. 85, 1121-5.
14. von Schoultz, B.; Carlstrom, K.; Coliste, L.; Eriksson, A.; Henriksson, P.;
Pousette, A. and Stege, R. (1989), Estrogen Therapy and Liver Function -Metabolic Effects of Oral and Parenteral Administration. Prostate 14, 389-95.
Claims (48)
1. Sulfamoyl compounds of 8.beta.-substituted estratrienes of general formula (I), in which n can mean a number 0 - 4, R1 means a radical -SO2NH2 or -NHSO2NH2, whereby R2, R3 and X, X1, independently of one another, stand for a hydrogen atom, a halogen atom, a nitrile group, a nitro group, a C1-5-alkyl group, a C p F2p+1 group with p=1-3, a group OC(O)-R20, COOR20, OR20, C(O)NHR20 or OC(O)NH-R21, whereby R20 and R21 are a C1-5-alkyl group, a C3-8-cycloalkyl group, an aryl group, a C1-4-alkylene aryl group, a C1-4-alkylene-C3-8-cycloalkyl group or a C3-8-cycloalkylene-C1-4-alkyl group, and R20 in addition can mean a hydrogen atom, or R2 can mean a radical -SO2NH2 or -NHSO2NH2, whereby R1, R3 and X, X1, independently of one another, stand for a hydrogen atom, a halogen atom, a nitrile group, a nitro group, a C1-5-alkyl group, a C p F2p+1 group with p=1-3, a group OC(O)-R20, COOR20, OR20, C(O)NHR20 or OC(O)NH-R21, whereby R20 and R21 are a C1-5-alkyl group, a C3-8-cycloalkyl group, an aryl group, a C1-4-alkylene aryl group, a C1-4-alkylene-C3-8-cycloalkyl group or C3-8-cycloalkylene-C1-4-alkyl group, and R20 in addition can mean a hydrogen, or R3 can mean a radical -SO2NH2 or -NHSO2NH2, whereby R1, R2 and X, X1, independently of one another, stand for a hydrogen atom, a halogen atom, a nitrile group, a nitro group, a C1-5-alkyl group, a C p F2p+1 group with p=1-3, a group OC(O)-R20, COOR20, OR20, C(O)NHR20 or OC(O)NH-R21, whereby R20 and R21 are a C1-5-alkyl group, a C3-8-cycloalkyl group, an aryl group, a C1-4-alkylene aryl group, a C1-4-alkylene-C3-8-cycloalkyl group or C3-8-cycloalkylene-C1-4-alkyl group, and R20 in addition can mean a hydrogen, and STEROID stands for a steroidal ABCD-ring system of formula (A):
whereby the radicals R3, R8, R16 and R17 have the following meaning:
R3 can be Z and R17 can be an OH group, a tri(C1-C4-alkyl)silyloxy group or a group OC(O)-R20 or R3 can be OH, OMe, a tri(C1-C4-alkyl)silyloxy group, or a group OC(O)-R20 and R17 can be Z
and R8 can be a branched or straight-chain, optionally partially or completely halogenated alkyl, alkenyl or alkinyl radical with up to 3 carbon atoms, R16 can be a hydrogen atom, a halogen atom, or a methyl group, whereby the substituents R16 and R17 in each case can be both in .alpha.- and in .beta.-position, and their pharmaceutically acceptable salts.
whereby the radicals R3, R8, R16 and R17 have the following meaning:
R3 can be Z and R17 can be an OH group, a tri(C1-C4-alkyl)silyloxy group or a group OC(O)-R20 or R3 can be OH, OMe, a tri(C1-C4-alkyl)silyloxy group, or a group OC(O)-R20 and R17 can be Z
and R8 can be a branched or straight-chain, optionally partially or completely halogenated alkyl, alkenyl or alkinyl radical with up to 3 carbon atoms, R16 can be a hydrogen atom, a halogen atom, or a methyl group, whereby the substituents R16 and R17 in each case can be both in .alpha.- and in .beta.-position, and their pharmaceutically acceptable salts.
2. Compounds according to claim 1, characterized in that n is 0, 1 or 2.
3. Compounds according to claim 1 or 2, wherein in each case a radical R1, R2 or R3 represents a group -SO2NH2.
4. Compounds according to one of claims 1 or 2, wherein R1 represents a group -SO2NH-2 or -NHSO2NH2.
5. Compounds according to claim 4, wherein R1 represents a group -SO2NH2.
6. Compounds according to one of claims 1 to 5, wherein if one of the radicals R1, R2, and R3 does not mean -SO2NH2 or -NHSO2NH2, the other two radicals R1, R2, and R3 in each case, as well as X and X1, independently of one another, stand for a hydrogen, fluorine or chlorine atom, a hydroxy group or a methoxy group.
7. Compounds according to one of claims 1 to 6, wherein R8 is a methyl, ethyl, vinyl or difluorovinyl radical.
8. Compounds according to one of claims 1 to 7, 1) (3'-Hydroxy-8'.beta.-methyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 3-sulfamoyl benzoate 2) (3'-Hydroxy-8'.beta.-ethyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 3-sulfamoyl benzoate, 3) (3'-Hydroxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-l7'.beta.-yl) 3-sulfamoyl benzoate, 4) (3'-Hydroxy-8'.beta.-methyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 4-sulfamoyl benzoate, 5) (3'-Hydroxy-8'.beta.-ethyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 4-sulfamoyl benzoate, 6) (3'-Hydroxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 4-sulfamoyl benzoate, 7) (3'-Acetoxy-8'.beta.-methyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 3-sulfamoyl benzoate, 8) (3'-Acetoxy-8'.beta.-ethyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 3-sulfamoyl benzoate,
9) (3'-Acetoxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 3-sulfamoyl benzoate,
10)(3'-Acetoxy-8'.beta.-methyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 4-sulfamoyl benzoate,
11)(3'-Acetoxy-8'.beta.-ethyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 4-sulfamoyl benzoate,
12)(3'-Acetoxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 4-sulfamoyl benzoate,
13)(3'-Benzoyloxy-8'.beta.-methyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 3-sulfamoyl benzoate,
14)(3'-Benzoyloxy-8'.beta.-methyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 4-sulfamoyl benzoate,
15)(3'-Benzoyloxy-8'.beta.-ethyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 3-sulfamoyl benzoate,
16)(3'-Benzoyloxy-8'(3-ethyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 4-sulfamoyl benzoate,
17)(3'-Benzoyloxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-17'.beta.3-yl) 3-sulfamoyl benzoate,
18)(3'-Benzoyloxy-8'.beta.-vinyl-estra-1',3',5(10')-trien-17'.beta.-yl) 4-sulfamoyl benzoate,
19)(3'-Hydroxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-l7'.beta.-yl) 2-chloro-sulfamoyl benzoate,
20)(3'-Hydroxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 3-sulfamoyl-4-chloro-benzoate,
21)(3'-Hydroxy-8'.beta.-methyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 2-chloro-5-sulfarnoyl benzoate,
22)(3'-Hydroxy-8'.beta.-methyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 3-sulfamoyl-4-chlorobenzoate,
23)(3'-Hydroxy-8'.beta.-ethyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 2-chloro-sulfamoyl benzoate,
24)(3'-Hydroxy-8'.beta.-ethyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 3-sulfamoyl-4-chloro-benzoate,
25)(17'.beta.-(n-Pentanoyloxy)-8'.beta.-vinyl-estra-1',3',5'(10')-trien-3'-.yl) 3-sulfanzoyl benzoate,
26)(17'.beta.-(n-Pentanoyloxy)-8'.beta.-methyl-estra-l',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate,
27)(17'.beta.-(n-Pentanoyloxy)-8'.beta.-ethyl-estra-1',3',5'(10')-trien-3'-yl) sulfamoyl benzoate,
28)(17'.beta.-Benzoyloxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate,
29)(17'.beta.-Benzoyloxy-8'.beta.-methyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate,
30)(17'.beta.-Benzoyloxy-8'.beta.-ethyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate,
31)(17'.beta.-(n-Pentanoyloxy)-8'.beta.-vinyl-estra-1',3',5'(10')-trien-3'-yl) sulfamoyl benzoate,
32)(17'.beta.-(n-Pentanoyloxy)-8'.beta.-methyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate,
33)(17'.beta.-(n-Pentanoyloxy)-8'.beta.-ethyl-estra-1',3',5'(10')-trien-3'-yl) sulfamoyl benzoate,
34)(17'.beta.-Benzoyloxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate,
35)(17'.beta.-Benzoyloxy-8'.beta.-methyl-estra-1',3,5'(l0')-trien-3'-yl) 4-sulfamoyl benzoate,
36)(17'.beta.-Benzoyloxy-8'.beta.-ethyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate,
37)(17'.beta.-Acetoxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate,
38)(17'.beta.-Acetoxy-8'.beta.-ethyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate,
39)(17'.beta.-Acetoxy-8'.beta.-methyl-estra-1',3',5'(10')-trien-3'-yl) 3-sulfamoyl benzoate,
40)(17'.beta.-Acetoxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate,
41)(17'.beta.-Acetoxy-8'.beta.-ethyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate,
42)(17'.beta.-Acetoxy-8'.beta.-methyl-estra-1',3',5'(10')-trien-3'-yl) 4-sulfamoyl benzoate,
43)(3'-Methoxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 3-sulfamoyl benzoate,
44)(3'-Methoxy-8'.beta.-ethyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 3-sulfamoyl benzoate,
45)(3'-Methoxy-8'.beta.-methyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 3-sulfamoyl benzoate,
46)(3'-Methoxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 4-sulfamoyl benzoate,
47)(3'-Methoxy-8'.beta.-ethyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 4-sulfamoyl benzoate,
48)(3'-Methoxy-8'.beta.-methyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 4-sulfamoyl benzoate.
9. Pharmaceutical compositions that contain at least one compound according to one of claims 1 to 8 as well as a pharmaceutically compatible vehicle.
10. Pharmaceutical composition according to claim 9, wherein at least one additional steroidal compound is included.
11. Pharmaceutical composition according to claim 10, wherein the additional steroidal compound is a gestagen, an antigestagen or a mesoprogestin.
12. Pharmaceutical composition according to claim 11, wherein the gestagen is drospirenone, dienogest, norethisterone or levonorgestrel, the antigestagen is onapristone or mifepristone or the mesoprogestin is asoprisnil.
13. Use of the compounds according to the invention according to claims 1-8 for the production of a pharmaceutical agent.
14. Use according to claim 13 for treating diseases and conditions in women and in men that are caused by an estrogen deficiency.
15. Use according to claim 13 for treating perimenopausal and postmenopausal symptoms.
16. Use according to claim 13 for the in-vitro treatment of male infertility.
17. Use according to claim 13 for the in-vivo treatment of male infertility.
18. Use according to claim 13 for the in-vitro treatment of female infertility.
19. Use according to claim 13 for the in-vivo treatment of female infertility.
20. Use according to claim 13 for the therapy of hormone-deficiency-induced symptoms in ovarian dysfunction that is caused by surgery, medication, etc.
21. Use according to claim 13 for hormone replacement therapy (HRT).
22. Use according to claim 20 in combination with a selective estrogen receptor modulator (SERM), for example raloxifene.
23. Use according to claim 13 for prophylaxis and therapy of a hormone-deficiency-induced bone mass loss.
24. Use according to claim 13 for prophylaxis and therapy of osteoporosis.
25. Use according to claim 23 in combination with the natural vitamin D3 or with calcitriol analogs for bone building or as supporting therapies to therapies that cause a bone mass loss (for example, a therapy with glucocorticoids, aromatase inhibitors, GnRH agonists or antagonists, or chemotherapy).
26. Use according to claim 13 for prevention against and therapy of cardiovascular diseases.
27. Use according to claim 13 for treating inflammatory diseases and diseases of the immune system.
28. Use according to claim 27 for treating rheumatoid arthritis.
29. Use according to claim 27 for treating multiple sclerosis, Crohn's disease or endometriosis.
30. Use according to claim 13 for preventing and treating benign prostate hyperplasia (BPH).
31. Use according to claim 30 in combination with antiestrogens and selective estrogen receptor modulators for preventing and treating benign prostate hyperplasia (BPH).
32. Use according to claim 31, whereby 7alpha-[9-[(4,4,5,5,5-pentafluoropentyl)sulfinyl]nonyl]estra-1,3,5(10)-triene-3,17.beta.-diol (fulvestrant) is used as antiestrogen or raloxifene, tamoxifen, or 5-(4-{5-[(RS)-(4,4,5,5,5-pentafluoropentyl)-sulfinyl]pentyl}phenyl)-6-phenyl-8,9-dihydro-7H-benzocyclohepten-2-ol is used as SERM.
33. Use according to claim 13 for treating arthritic symptoms, in particular after therapies that result in estrogen deprivation, for example after treatment with aromatase inhibitors or GnRH, antagonists or agonists.
34. Use of compounds according to one of claims 1 to 8 for the production of pharmaceutical agents for treating diseases that can be influenced positively by the inhibition of the carbonic anhydrase activity.
35. Use of compounds according to one of claims 1 to 8 for the production of pharmaceutical agents for treating alopecia.
36. Use of 3'-hydroxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 3-sulfamoyl benzoate, (3'-hydroxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 4-sulfamoyl benzoate, 3'-hydroxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 3-sulfamoyl-4-chlorobenzoate, (3'-methoxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 3-sulfamoyl benzoate and (3'-,methoxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 4-sulfamoyl benzoate according to one of the preceding claims 13-35.
37. Process for the production of compounds of general formula (1) according to one of claims 1 to 8 by reaction of 8.beta.-substituted estratrienes according to formula (A) with corresponding sulfamoylphenylcarboxylic acid or derivatives thereof or by reaction of corresponding compounds with sulfamide, sulfamoyl chloride or aminosulfonyl isocyanate.
9. Pharmaceutical compositions that contain at least one compound according to one of claims 1 to 8 as well as a pharmaceutically compatible vehicle.
10. Pharmaceutical composition according to claim 9, wherein at least one additional steroidal compound is included.
11. Pharmaceutical composition according to claim 10, wherein the additional steroidal compound is a gestagen, an antigestagen or a mesoprogestin.
12. Pharmaceutical composition according to claim 11, wherein the gestagen is drospirenone, dienogest, norethisterone or levonorgestrel, the antigestagen is onapristone or mifepristone or the mesoprogestin is asoprisnil.
13. Use of the compounds according to the invention according to claims 1-8 for the production of a pharmaceutical agent.
14. Use according to claim 13 for treating diseases and conditions in women and in men that are caused by an estrogen deficiency.
15. Use according to claim 13 for treating perimenopausal and postmenopausal symptoms.
16. Use according to claim 13 for the in-vitro treatment of male infertility.
17. Use according to claim 13 for the in-vivo treatment of male infertility.
18. Use according to claim 13 for the in-vitro treatment of female infertility.
19. Use according to claim 13 for the in-vivo treatment of female infertility.
20. Use according to claim 13 for the therapy of hormone-deficiency-induced symptoms in ovarian dysfunction that is caused by surgery, medication, etc.
21. Use according to claim 13 for hormone replacement therapy (HRT).
22. Use according to claim 20 in combination with a selective estrogen receptor modulator (SERM), for example raloxifene.
23. Use according to claim 13 for prophylaxis and therapy of a hormone-deficiency-induced bone mass loss.
24. Use according to claim 13 for prophylaxis and therapy of osteoporosis.
25. Use according to claim 23 in combination with the natural vitamin D3 or with calcitriol analogs for bone building or as supporting therapies to therapies that cause a bone mass loss (for example, a therapy with glucocorticoids, aromatase inhibitors, GnRH agonists or antagonists, or chemotherapy).
26. Use according to claim 13 for prevention against and therapy of cardiovascular diseases.
27. Use according to claim 13 for treating inflammatory diseases and diseases of the immune system.
28. Use according to claim 27 for treating rheumatoid arthritis.
29. Use according to claim 27 for treating multiple sclerosis, Crohn's disease or endometriosis.
30. Use according to claim 13 for preventing and treating benign prostate hyperplasia (BPH).
31. Use according to claim 30 in combination with antiestrogens and selective estrogen receptor modulators for preventing and treating benign prostate hyperplasia (BPH).
32. Use according to claim 31, whereby 7alpha-[9-[(4,4,5,5,5-pentafluoropentyl)sulfinyl]nonyl]estra-1,3,5(10)-triene-3,17.beta.-diol (fulvestrant) is used as antiestrogen or raloxifene, tamoxifen, or 5-(4-{5-[(RS)-(4,4,5,5,5-pentafluoropentyl)-sulfinyl]pentyl}phenyl)-6-phenyl-8,9-dihydro-7H-benzocyclohepten-2-ol is used as SERM.
33. Use according to claim 13 for treating arthritic symptoms, in particular after therapies that result in estrogen deprivation, for example after treatment with aromatase inhibitors or GnRH, antagonists or agonists.
34. Use of compounds according to one of claims 1 to 8 for the production of pharmaceutical agents for treating diseases that can be influenced positively by the inhibition of the carbonic anhydrase activity.
35. Use of compounds according to one of claims 1 to 8 for the production of pharmaceutical agents for treating alopecia.
36. Use of 3'-hydroxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 3-sulfamoyl benzoate, (3'-hydroxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 4-sulfamoyl benzoate, 3'-hydroxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 3-sulfamoyl-4-chlorobenzoate, (3'-methoxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 3-sulfamoyl benzoate and (3'-,methoxy-8'.beta.-vinyl-estra-1',3',5'(10')-trien-17'.beta.-yl) 4-sulfamoyl benzoate according to one of the preceding claims 13-35.
37. Process for the production of compounds of general formula (1) according to one of claims 1 to 8 by reaction of 8.beta.-substituted estratrienes according to formula (A) with corresponding sulfamoylphenylcarboxylic acid or derivatives thereof or by reaction of corresponding compounds with sulfamide, sulfamoyl chloride or aminosulfonyl isocyanate.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE102005057225.1 | 2005-11-29 | ||
DE102005057225A DE102005057225A1 (en) | 2005-11-29 | 2005-11-29 | New 8-beta-substituted estratriene derivatives esterified with a sulfamoylphenyl-substituted acid residue, are prodrugs useful as carboanhydrase inhibitors for treating estrogen deficiency disorders |
PCT/EP2006/011728 WO2007062876A1 (en) | 2005-11-29 | 2006-11-27 | Prodrugs of er-beta-selective substances method for production thereof and pharmaceutical compositions comprising the same |
Publications (1)
Publication Number | Publication Date |
---|---|
CA2630438A1 true CA2630438A1 (en) | 2007-06-07 |
Family
ID=37909446
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002630438A Abandoned CA2630438A1 (en) | 2005-11-29 | 2006-11-27 | Prodrugs of er.beta-selective substances, process for their production, and pharmaceutical compositions that contain these compounds |
Country Status (14)
Country | Link |
---|---|
EP (1) | EP1957514A1 (en) |
JP (1) | JP2009517426A (en) |
KR (1) | KR20080072087A (en) |
CN (1) | CN101316856A (en) |
AU (1) | AU2006319382A1 (en) |
BR (1) | BRPI0619237A2 (en) |
CA (1) | CA2630438A1 (en) |
CR (1) | CR9997A (en) |
DE (1) | DE102005057225A1 (en) |
EA (1) | EA200801272A1 (en) |
EC (1) | ECSP088482A (en) |
NO (1) | NO20082918L (en) |
WO (1) | WO2007062876A1 (en) |
ZA (1) | ZA200805658B (en) |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9974776B2 (en) | 2013-12-05 | 2018-05-22 | Karo Pharma Ab | Estrogen receptor beta agonists for use in treating mesothelioma |
Family Cites Families (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
ATE363487T1 (en) * | 2000-04-12 | 2007-06-15 | Bayer Schering Pharma Ag | 8. BETA.-HYDROCARBYL-SUBSTITUTED ESTRATRIENES AS SELECTIVELY EFFECTIVE ESTROGENS |
DE10027887A1 (en) * | 2000-05-31 | 2001-12-13 | Jenapharm Gmbh | Compounds with a sulfonamide group and pharmaceutical compositions containing these compounds |
US7534780B2 (en) * | 2004-05-21 | 2009-05-19 | Bayer Schering Pharma Aktiengesellschaft | Estradiol prodrugs |
DE102004025966A1 (en) * | 2004-05-21 | 2005-12-15 | Schering Ag | Estradiol prodrugs |
-
2005
- 2005-11-29 DE DE102005057225A patent/DE102005057225A1/en not_active Ceased
-
2006
- 2006-11-27 BR BRPI0619237-8A patent/BRPI0619237A2/en not_active Application Discontinuation
- 2006-11-27 KR KR1020087015777A patent/KR20080072087A/en not_active Application Discontinuation
- 2006-11-27 CA CA002630438A patent/CA2630438A1/en not_active Abandoned
- 2006-11-27 WO PCT/EP2006/011728 patent/WO2007062876A1/en active Application Filing
- 2006-11-27 EP EP06829356A patent/EP1957514A1/en not_active Withdrawn
- 2006-11-27 JP JP2008542680A patent/JP2009517426A/en active Pending
- 2006-11-27 AU AU2006319382A patent/AU2006319382A1/en not_active Abandoned
- 2006-11-27 CN CNA2006800447926A patent/CN101316856A/en active Pending
- 2006-11-27 EA EA200801272A patent/EA200801272A1/en unknown
-
2008
- 2008-05-20 CR CR9997A patent/CR9997A/xx not_active Application Discontinuation
- 2008-05-29 EC EC2008008482A patent/ECSP088482A/en unknown
- 2008-06-27 ZA ZA200805658A patent/ZA200805658B/en unknown
- 2008-06-27 NO NO20082918A patent/NO20082918L/en not_active Application Discontinuation
Also Published As
Publication number | Publication date |
---|---|
KR20080072087A (en) | 2008-08-05 |
EA200801272A1 (en) | 2008-10-30 |
BRPI0619237A2 (en) | 2011-09-20 |
ZA200805658B (en) | 2010-01-27 |
EP1957514A1 (en) | 2008-08-20 |
CR9997A (en) | 2008-09-22 |
AU2006319382A1 (en) | 2007-06-07 |
JP2009517426A (en) | 2009-04-30 |
DE102005057225A1 (en) | 2007-05-31 |
NO20082918L (en) | 2008-06-27 |
ECSP088482A (en) | 2008-06-30 |
WO2007062876A1 (en) | 2007-06-07 |
CN101316856A (en) | 2008-12-03 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US20070197488A1 (en) | Prodrugs of ERbeta-selective substances, process for their production, and pharmaceutical compositions that contain these compounds | |
US7534780B2 (en) | Estradiol prodrugs | |
US5571933A (en) | Derivatives of estra 1,3,5(10)triene-17-one, 3-amino compounds and their use | |
RU2339643C2 (en) | 17 β -OXYESTRATRIENES | |
JP5795312B2 (en) | 17-Hydroxy-17-pentafluoroethyl-estradi-4,9 (10) -dien-11-aryl derivatives, process for producing the same, treatment of various diseases using the derivatives | |
CA2768453A1 (en) | 17-hydroxy-17-pentafluorethyl-estra-4,9(10)-dien-11-acyloxyalkylene phenyl derivatives, methods for the production thereof and use thereof for treating diseases | |
JP2009215317A (en) | Steroid sulfamate, method for producing it, and use thereof | |
PT1272504E (en) | 8beta-hydrocarbyl-substituted estratrienes for use as selective estrogens | |
KR20150118153A (en) | Estra-1,3,5(10),16-tetraene-3-carboxamides for inhibition of 17.beta.-hydroxysteroid dehydrogenase (akr1 c3) | |
US20070123500A1 (en) | Prodrugs of ERbeta-selective substances, processes for their preparation and pharmaceutical compositions comprising these compounds | |
US7550451B2 (en) | Progesterone receptor modulators with increased antigonadotropic activity for female birth control and hormone replacement therapy | |
PL188079B1 (en) | Steroid compounds of contraceptive and antiosteoportic activity, pharmaceutic composition and method of obtaining 16,17-anelated steroids | |
ES2286042T3 (en) | 18-NOR-STEROIDS AS EFFECTIVE STROGENS SELECTIVELY. | |
CA2564963A1 (en) | Steroid prodrugs with androgenic effect | |
JP2007538025A (en) | Estradiol prodrug | |
CA2630438A1 (en) | Prodrugs of er.beta-selective substances, process for their production, and pharmaceutical compositions that contain these compounds | |
JP2007538027A (en) | Estriol and Estetrol prodrugs | |
CA2629587A1 (en) | Prodrug er.beta.-selective substances, methods for the production thereof and pharmaceutical compositions containing said compounds | |
EA008442B1 (en) | 9-alpha-substituted estratrienes as selectively active estrogen | |
UA79073C2 (en) | 8- hydrocarbyl-substituted estratrienes for use as selective estrogens, pharmaceutical composition based thereon | |
US20050282793A1 (en) | Steroid prodrugs with androgenic action | |
MX2008006855A (en) | Prodrugs of er-beta-selective substances method for production thereof and pharmaceutical compositions comprising the same | |
MX2008006856A (en) | Prodrug erî²-selective substances, methods for the production thereof and pharmaceutical compositions containing said compounds | |
KR20070020454A (en) | Steroid Prodrugs with Androgenic Effect | |
GB2195639A (en) | Polyconjugated androstenediones and process for their preparation |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
FZDE | Discontinued |