AU2063700A - Benzopyran-containing compounds and method for their use - Google Patents

Description

AUSTRALIA

Patents Act 1990 COMPLETE SPECIFICATION STANDARD PATENT f ooll oo a a *ftf ft o t ft ft° ft Applicant(s): ENDORECHERCHE, INC.

Invention Title: BENZOPYRAN-CONTAINING COMPOUNDS AND METHOD FOR THEIR USE The following statement is a full description of this invention, including the best method of performing it known to me/us: la BENZOPYRAN-CONTAINING COMPOUNDS

AND

METHOD FOR THEIR USE FIELD OFTHE INVENTION This invention relates to novel inluhibitors of sex steroid activity such .as antiestrogen compounds having effective antagonistic capability while substantially lacking agonistic effects. More particularly, certain preferred embodiments of the invention relate to certain substituted benzopyran compounds, especially certain prodrug species and certain stereospedcific species, and to their use in the treatment of estrogen sensitive diseases.

BACKGROUND OF THE INVENTION During the treatment of certain sex steroid-dependent diseases, it is important to greatly reduce or, if possible, eliminate certain sex steroid-induced effects. For this purpose, it is desirable both to block receptor sites stimulated by sex steroids and also to reduce the amount of sex steroid available to act at these sites. For example, alternative or concurrent therapy to administration of antiestrogens could involve attempts to block the production of estrogens by ovariectomy) such that less is available to activate receptor sites. However, prior art methods for blocking estrogen production insufficiently inhibit estrogen-induced functions. Indeed, it is possible that even in the total absence of sex steroid, some receptors may be activated. See Simard and Labrie, "Keoxifene shows pure antiestrogenic activity in pituitary -2 gonadotrophs", Mol. Cell. Endocrinol. 39: 141-144, (1985), especially page 144.

Hence, antagonists of sex steroids may produce greater therapeutic results than therapy which only inhibits sex steroid production. Prior art antagonists, however, often have insufficient affinity for receptors, and some, although capable of binding the receptors, may themselves act as agonists and undesirably activate the very receptors they are intended to shield from activation. There is, therefore, a need in the art for antiestrogens which effectively block estrogen receptors with minimal or no agonistic effect. The net effectiveness of a compound is affected by both its agonistic (undesirable) and antagonistic (desirable) S.activities. In Wakeling and Bowler, "Steroidal Pure Antioestrogens", J.

Endocrinol. 112: R7-R10 (1987), certain steroid derivatives are said to act as an antiestrogens.

In U.S. Patent 4,094,994, it is disclosed that the use of certain antiestrogens may inhibit certain human breast tumor cells.

H. Mouridsen et al., Cancer Treatm. Rev. 5: 131-141 (1978), discloses that Tamoxifen, an antiestrogen, is effective in remission of advanced breast cancer in about 30 percent of the women patients treated.

The combined use of the antiestrogen Tamoxifen and a luteinizing hormone-releasing hormone agonist, Buserelin, is also known for treatment of breast cancer. See, for instance, Klijn et al. J. Steroid Biochem. 420: no. 6B, 1381 (1984). The objective remission of such cancers, however, remains unacceptably low.

It has been found that certain 7a-substituted derivatives of estradiol, for example a 7a-(CH 2 1 oCONMeBu substitution, possess antiestrogenic activity (Bowler et al., 1985; Eur. Patent Application 0138504; Wakeling and Bowler, J. Steroid Biochem. 30: 141-147 (1988).

S-3 See also US patent 4,659,516. The substitution (CH2)9SOC5H 6

F

5 has also been used (Wakeling et al., Cancer Res. 51: 3867-3873, 1991).

Certain -(CH2)10CONMeBu substituted compounds are also disclused in US Patent 4,732,912 (See e.g. example 5 and 16). See also EP Pat. No.

166 509, EP Pat No. 124 369, EP Pat. No. 160 508, EP Pat. No. 163 416, U.S.

Pat. No. 4,760,061, U.S. Pat. No. 4,751,240 and Wakeling and Bowler, J. Endocrinol. 112: R7-R10 (1987).

Von Angerer et al. discuss other antiestrogens in "l-(aminoalkyl)-2phenylindoles as Novel Pure Estrogen Antagonists", J. Med. Chem.

1990; 33: 2635-2640. In U.S. Patent 4,094,994, where it is said that the use of certain antiestrogens inhibit certain human breast tumor cells. See also DE 3821148.

o. A. Saeed et al., J. Med. Chem. 33: 3210-3216, 1990; A.P. Sharma et al., J.

Med.Chem. 33: 3216-3222 and 3222-3229 (1990) described the synthesis and biological activities of certain 2 3 -diaryl-2H-l-benzopyran analogs having the following molecular structure: *N

O

0 R

R

2 for use as antiestrogens. In N. Durani et al., J. Med. Chem. 32: 1700-1707 (1989), the synthesis and biological activities of benzofuran and triarylfuran analogues as antiestrogens are described.

3a European Patent Publication 0 470 310 (Kapil) discloses certain benzopyran compounds which are allegedly used "in the treatment of an estrogen dependent condition such as breast cancer".

In applicant's grandparent priority application hereto, an international version of which is now published as WO 93/10741, a class of improved estrogen activity inhibitors is disclosed, including the e S* *t -4inhibitor EM-343, i.e. 7-hydroxy-3-(4'-hydroxyphenyl)-4-methyl-2-(4"- 2 "'-piperidinoethoxy)phenyl-2H-benzopyran and its prodrugs. The present invention relates in part to particular types of benzopyran antiestrogens and to certain modified benzopyran antiestrogens, all of which provide further improved characteristics. It has now been found that certain prodrugs of EM-343 provide advantages that are especially efficacious. EM-343 may exert as either of two enantiomers or as a mixture of the two. It has now been discovered that one of the two enantiomers is more effective than the other. That more effective enantiomer and prodrugs thereof are also the subject of the present invention.

Derivatives of active drugs which are, by in vivo enzymatic or spontaneous reactions, transformed into the active drugs are known :(see H. Bundgaard, Design and Application of Prodrugs. In A textbook of Drug Design and Development; Edited by P. Krogsgaard-Larsen and H. Bundgaard; Harwood Academic Publishers GmfH, Chur, Switzerland, 1991, pp. 113-191). In the steroid series, for example, Druzgala et al. Steroid Biochem. Molec. Biol. 38, 149-154, 1991) have described prodrugs of glucocorticoids. Bodor et al. in U.S. Patent Appln. No 4,213,978 and in German Patent Application Publication No DE 29 48 733 disclose the use of thiazolidine derivatives of progesterone as topical drugs. Percutaneous absorption of prodrug derivatives of estrogens and progestins are reported by Friend DR in Critical Reviews in Therapeutic Drug Carrier Systems, vol. 7 pp.

149-186,1990.

OBJECTS OF THE INVENTION It is an object of the invention to provide compounds and compositions for reducing estrogen receptor activation, including certain prodrugs and optically active species.

It is another object to provide a non-steroidal antiestrogen having good affinity for estrogen receptors, but substantially .lacking undesirable agonistic activity regarding these receptors and substantially lacking hormonal activity.

It is another object of the invention to provide therapeutic compounds and compositions useful in the treatment of estrogen-related diseases diseases whose onset or progress is aided by activation of the estrogen receptor). These diseases include, but are not limited to breast cancer, uterine cancer, ovarian cancer, endometriosis, uterine fibroma, precocious puberty and benign prostatic hyperplasia.

It is another object to provide prodrugs that are easy to synthesize and purify, that have good bioavailability, and that have good shelf stability while easily undergoing conversion to a desired active ingredient in vivo.

-6- SUMMARY OF THE INVENTION The above and other objects are provided by the compounds discussed herein, by pharmaceutical compositions thereof, and by utilizing the compounds of the invention (or pharmaceutical compositions containing them) in the treatment of sex steroid dependent diseases.

For example, breast cancer, endometrial cancer and other estrogendependent diseases, whose onset or progress is facilitated by estrogen activity, are believed to respond favorably to treatment with the compounds and compositions of the invention.

In one embodiment, the invention provides a compound or pharmaceutically acceptable salt thereof, said compound having the molecular structure: R2 *CH 6 4 2 j3 1 o 2" 3N

R

3 wherein RI and R 2 are independently selected from the group consisting of hydroxyl and a moiety convertable in vivo to hydroxyl; wherein R3 is -CH 2 or-CH 2

CH

2 and wherein said compound or salt includes more than 50% (by weight relative to all stereoisomers) of stereoisomers that have the following absolute configuration: 6a

R

be .00.

:0,0.

-7metyl2-4"(2'-irroeopetx nyl)2Hbezopyran) has at its number 2 carbon.

In another embodiment, the invention provides a compound or pharmaceutically acceptable further salt thereof, said compound having the molecular structure: **to

H

A-

wherein A- is an anion of a pharmaceutically acceptable acid; wherein RI and R2 are independently selected from the group consisting of hydroxyl and a moiety convertable in viva to hydroxyl; and wherein R3 is or -CH 2

CH

2 -8- In another emdobiment, the invention provides a compound or pharmaceutically acceptable salt thereof, said inhibitor having the molecular structure: R2 4 6 j4 3' 6 3 2' 3 2 2" 1 R 7 3" N R' wherein R3 is -CH 2 or -CH 2

CH

2 and wherein at least one of R1 or R2 is a moiety convertable in vivo to hydroxyl.

In an other embodiment, the invention provides an optically active compound of the following molecular structure:

OH

CH

O

*HO

EM-652

N

or a pharmaceutically acceptable salt thereof.

-9- In an other embodiment, the invention provides an optically active compound of the following molecular structure: EM-661 or a pharmaceutically acceptable salt thereof.

a.

a

C

In an other embodiment, the invention provides an optically active compound of the following molecular structure: CH, O'YT 3 (CH3)3C O O EM-800 or a pharmaceutically acceptable salt thereof.

In an other embodiment, any of the compounds discussed herein are formulated together with a pharmaceutically acceptable diluent or carrier as pharmaceutical compositions containing the active compounds of the invention.

In an other embodiment, any of the compounds or pharmaceutical compositions of the invention are administered to patients as a method of treating breast cancer, endometrial cancer or other estrogen sensitive disease whose onset or progress is caused or enhanced by estrogen activity.

A "moiety converted in vivo into hydroxyl" is a moiety which is cleaved and replaced by a hydroxyl group or the corresponding anion by chemical or enzymatic processes of the body. Many such groups are known in the art (see e.q. Textbook of drug Basics and Development; (Edited by P. Krogrgaard-Garsen and H. Bundgaard), Harwood Academic Publishers, GmfH, Chur, Switzerland, 1991, especially p.

154). Non limitating examples of such groups are alkyloxy, alkenyloxy, aryloxy, alkylcarboxyl, alkoxycarboxyl, dialkylaminocarboxyl and silyloxy which (when positioned as shown in the compounds of the invention) are converted to hydroxyl.

Prodrugs of the racemic version of EM-343 hydroxy-3-(4'- 0 hydroxyphenyl)- 4-methyl-2- piperidinoethoxy)phenyl- 2Hbenzypyran) and especially the dextrorotatory enantiomeric species of EM-343 designated herein as "EM-652", ((+)-7-hydroxy-3-(4'hydroxyphenyl)- 4-methyl- 2 "'-piperidinoethoxy)phenyl- 2Hbenzypyran) are preferred, although the invention is not limited to these species.

SThe invention contemplates salts (including complex salts) and prodrug forms of compounds discussed herein. Except where specificied to the contrary, the following conventions apply to molecular structures and formulae set forth herein. Substituents may o have either R or S stereochemistry. Any moiety of more than two atoms may be straight- or branched-chain unless otherwise specified.

The compounds discussed herein may exist either as racemic mixtures or optically active species except when otherwise specified. The term antiestrogen", when used herein to describe the compounds of the invention, is not intended to imply that the compounds do not provide other beneficial functions besides antagonistic activity inhibition of enzymes as discussed above), and the term also includes both biologically active compounds and prodrug forms thereof that are convertible in vivo to the biologically active species.

-11 Without intending to be bound by theory, it is believed that the novel compounds and pharmaceutical compositions of the invention are useful in the treatment of estrogen-related diseases because of their ability to inhibit activation of the estrogen receptor. It is believed that active forms of the compounds of the invention reduce activation of estrogen receptors by a variety of mechanisms. One likely mechanism is an "antiestrogenic" function wherein the compounds of the invention bind estrogen receptors and block access to those receptors by estrogens. It is also believed that the compounds of the invention substantially lack inherent estrogenic activity. In other words, it is believed that the compounds of the invention have little, if any, inherent ability to activate estrogen receptors to which they bind, and are not easily converted in vivo to compounds having significant *o inherent estrogenic activity. Another mechanism by which many o" compounds of the invention may function is by inhibiting the action of enzymes which produce sex steroids or their precursors. Examples of such enzymes which may be inhibited by the compounds of the invention include but are not limited to aromatase, 17B-hydroxysteroid dehydrogenase, 30-hydroxysteroid dehydrogenase and the like.

006-0 eeee, 00 40 0 0 0 -12- BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 illustrates the comparative inhibitory activity of increasing concentrations of EM-343 CH OH H

O

and its dextrogyric enantiomer EM-652 on estradiol-induced cell proliferation in ZR-75-1 human breast cancer cells. The respective values are calculated at 2.4 x 10- 1 0 M for EM-343 and 1.1x10-10M for EM-652 thus indicating a 2-fold higher activity for EM-652. As used herein, the term "EM-343" (except where specifically described as a racemic mixture) includes any enantiomer having the molecular structure set forth above and includes mixtures thereof including the racemic mixture. The terms "EM-651" and "EM-652" are reserved for 0o.. optically active versions of EM-343 enhanced in the concentration of the levorotatory or dextrorotatory enantiomer, respectively.

S*o Figure 2 illustrates the comparative inhibitory activity of increasing concentrations of a racemic version of EM-612, the dibenzoate of EM-343 having the following structure: CH3 0o 0

O

versus EM-661 (optically active and enriched in the dextrogyric enantiomer of EM-612), and EM-658 (optically active and enriched in the levogyric enantiomer of EM-612) on estradiol-induced cell -13proliferation in ZR-75-1 human breast cancer cells. The respective values are calculated at 5.76x10- 1 0 M for EM -612, 4.37x10-10M for EM 661 and 3.01x10- 8 M for EM-658, thus indicating a 69-fold higher activity for the dextrogyric enantiomer EM-661 compared to the levogyric enantiomer EM-658.

Figure 3 illustrates the comparative inhibitory activity of increasing concentrations of the racemic version of EM-762, the dipivalate of EM-343 having the following structure: CH O C(CH3)3

O

0 (CH3),C

O

0

N

*r versus EM-800 (optically active and enriched the dextrogyric enantiomer of EM-762, and EM-776 (optically active and enriched in the levogyric enantiomer of EM-762) on estradiol-induced cell proliferation in ZR-75-1 human breast cancer cells. The respective IC50 values are calculated at 6.47x10- 1 0 M for EM-762, 4.37x10-10M for EM-800, and 1.9x10-8M for EM-776, thus indicating a 43-fold higher activity for the dextrogyric enantiomer EM-800 compared to the S* levogyric enantiomer EM-776.

Figure 4 likewise illustrates the effect of racemic EM-343 versus its levogyric enantiomer EM-651 and its dextrogyric enantiomer EM-652, administrated once daily in the indicated manner and dosage, on uterine weight (mg) in adult female ovariectomized Balb/C mice treated for 9 days (from day 3 to the day 11 after ovariectomy) in the indicated presence or absence of simultaneous treatment with estrone (0.06 jg, twice daily, from day 6 to day 11 after ovariectomy).

Estrone is a precursor of the potent estrogen estradiol. The data presented is therefore indicative of the compound's ability to block estrogen receptors act as an antiestrogen), and perhaps is also 14indicative of the compound's ability to inhibit conversion of estrone to estradiol.

Figure 5 illustrates the effect of the indicated doses of the racemic version of EM-762, a dipivalate of EM-343 having the following molecular structure: iCH 3 0 O. C(CHa)3

CH

3 gT (CH)3C O 0O '0 No versus its levogyric enantiomer EM-776 and its dextrogyric enantiomer EM-800 orally administrated once daily on uterine weight (mg) in Sadult female ovariectomized Balb/C mice treated for 9 days (from day 3 to day 11) after ovariectomy in the indicated presence or absence of simultaneous treatment with estrone (0.06 Ig, twice daily, from day 6 to day 11 after ovariectomy).

The invention is further illustrated by the detailed description of preferred embodiments which are set forth below by way of illustration only. The invention is not limited to these preferred S"embodiments.

DETAILED DESCRIPTION OFTHE PREFERRED

EMBODIMENTS

Preferred prodrugs of the invention include those wherein at least one of the hydroxy substituents of the benzopyran phenyl groups of the active species the hydroxyl groups of EM-343 or of its dextrorotatory enantiomer, EM-652) is replaced with a substituent that is converted in vivo to hydroxyl. Numerous such moieties convertible to hydroxyl in vivo are known in the art (see page 154 of Bundgaard, "Design and Application of Prodrugs," A Textbook of Drug Design Development, Bundgaard Krogsgaard-Larsen, Ed., (Harwook Academic Publishers GmfH, Chur, Switzerland), 1991.

Prodrugs have now been developed by applicants which have good crystallinity and are therefore easier to synthesize and purify; have good shelf stability yet sufficiently unstable in vivo to desirably be converted to a preferred active compound; good bioavailability (e.g.

ability to pass through membranes or otherwise reach desired S locations after administration); and low toxicity of metabolites.

It has now been discovered by applicants that the prodrug forms which i: provide the best combination of good results under the foregoing parameters are prodrugs wherein one or more of the foregoing of the hydroxyl groups of the active compounds are replaced, in the prodrug form, by acyloxy groups, preferably aliphatic or aromatic acyloxy, and most preferably a hindered branched or alicydic) aliphatic acyloxy, especially pivaloyloxy. In other embodiments, a hydroxyl substituent of an active species may be replaced by inter alia a function selected from the group consisting of: x X o II II

IO

-0-P-OR 5 P R 5 -o-C-OR 4 I

IH

OR

6

OH

-16- -OR 0 7 -0-S-R o 0

-O-S-OR

5 o 0

-O-C-R

7 0

U

-0-S-R 4 0 a.

a a wherein X is sulfur or oxygen;

R

4 is selected from the group consisting of alkyl, alkenyl, alkynyl, and aryl;

R

5 and R 6 are independently selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, aryl and a cation; and

R

1 is selected from the group consisting of amino, alkylamino, aminoalkyl, and alkylsulfanyl.

In one embodiment, the invention provides a compound or pharmaceutically acceptable salt thereof (with or without diluent or carrier), said compound having the molecular structure: CH3 6' 3 2 2" 6 7 ON R 3 -17wherein R 3 is -CH 2 or -CH 2

CH

2 and wherein R' and R 2 are independently selected from the group consisting of hydroxy, acyloxy, 0 -O-C-R and 0 -0-C-OR 4

(R

4 being alkyl, alkenyl, alkynyl, or aryl; and R 7 being amino, alkylamino, aminoalkyl, or alkylsulfanyl), and wherein at least one of R 1 or R 2 is not hydroxy.

When the absolute configuration of molecular structures discussed herein is not specified, those molecular e structures may include one or more stereoiomers resulting from any chiral centers present, may include racemic mixtures, or may be optically active. It has now been found by the inventors that certain enantiomers of the compounds of the invention are more effective than others in the treatment of estrogen-related diseases, and in desirably inhibiting estrogen receptor activation. The present invention contemplates improving effectiveness by selectively enhancing the concentration of the more potent enantiomers relative to the less potent enantiomers, and by -18thus providing optically active products for use in the treatment of estrogen-related diseases. In preferred embodiments, optically active antiestrogens of the invention comprise at least 90% of the more potent enantiomers, and are preferably substantially pure in that enantiomer.

All of the compounds discussed herein have a chiral center at their number two carbon. It has been found that the most potent a 99 9 -19stereoisomers among the antiestrogens of the invention are those that have the same absolute configuration at their chiral number two carbon as does EM-652, the dextrorotatory enantiomer of the following antiestrogen: 3' 11 2' OH

CH

3 O 4' 6 10 3 6" 54 2" HO 7 8 O 3"ot *4 0. N 5 2 (+)-7-hydroxy-3-(4'-hydroxyphenyl)-4-methyl-2-( 4 2 piperidinoethoxy)phenyl)-2H-benzopyran.

Preferred stereoisomers always have the same absolute configuration at their number two carbons as EM-652, but may not necessarily be dextrorotatory when a second chiral center appears somewhere else in their molecular structure. However, where there is only a single chiral center, the preferred enantiomer will be dextrorotary. Preferred prodrug forms that include a second chiral center in a part of the molecular structure that is removed in vivo still have the same preferred absolute configuration at carbon two as has EM-652. Thus, the active forms to which the prodrugs convert in vivo will not include the second chiral center and will be dextrorotatory (even in instances where the prodrug form, due to its temporary second chiral center, might be levorotatory). To verify that a particular optically active species is of the preferred absolute configuration, the species' rotation of a plane of polarized light may be determined by techniques well known in the art. Where there are other chiral centers in a prodrug form of the invention, the prodrugs should first be converted to the active species by a mild technique known in the art not to racemize or invert the remaining chiral center of the active species (see e.g. Example or otherwise freed of chiral centers other than carbon two, before measuring the rotation of polarized light by the resulting active compound. If that .rotation indicates a dextrorotatory active compound (following removal of any second chiral center that may have existed on the prodrug form), then both the prodrug form and the resultant active form are in the preferred absolute configuration at carbon 2.

Compounds of the invention include a nitrogen hetero ring. In some but not all embodiments, salts are contemplated wherein the nitrogen S. of the hetero-ring is a charged quaternary nitrogen associated with a pharmaceutically acceptable acid anion. The invention also contemplates complex salts wherein the nitrogen of the hetero ring is not the only charged "salt" position in the overall molecular structure.

Preferred embodiments are optically active and have EM-652's absolute configuration at carbon 2 (verifyable by extracting the salt under basic conditions, thus arriving at a free base with only one chiral center at carbon 2 whose absolute stereochemistry can then be verified by checking for the desired dextrorotatory optical activity).

When administered systemically, preferred uses of the pharmaceutical compositions and compounds of the invention include but are not limited to treatment of breast cancer, endometrial cancer, uterine cancer, ovarian cancer, endometriosis, uterine fibroma, precocious puberty and benign prostatic hyperplasia. Other estrogen-sensitive diseases whose onset or progress is aided by estrogen activity may respond favorably to treatment in accordance with the invention.

Especially during the early course of treatment, it is preferred to take occasional blood samples and to alter dosage as necessary to maintain serum concentration of the active compound of the invention or sum of the active compounds (where more than one is administered) -21between about 0.2 pg/ml and 10 pg/ml. The attending clinician may elect to alter this target concentration depending upon observed patient response.

Compounds administered in accordance with the invention are preferably administered in a dosage range between 0.01 to 10 mg/kg of body weight per day (preferably 0.05 to 1.0 mg/kg), with 5 mg per day, especially 10 mg per day, in two equally divided doses being preferred for a person of average body weight when orally administered, or in a dosage range between 0.003 to 3.0 mg/kg of body weight per day (preferably 0.015 to 03 mg/nm), with 1.5 rng per day, especially 3.0 mg per day, in two equally divided doses being preferred for a person of average body weight when parentally administered intramuscular, subcutaneous or percutaneous administration). Preferably the compounds are administered together with a pharmaceutically acceptable diluent or carrier as described below.

*Preferred pharmaceutical compositions comprise therapeutically effective amounts of at least one of the compounds discussed herein wherein a pharmaceutically acceptable diluent or carrier is included with the active compound(s). The concentration of the active compound (which term includes the prodrugs discussed herein) in said diluent or carrier will vary in accordance with known techniques depending upon the manner in which the pharmaceutical composition is to be administered.

A composition suitable for oral administration may preferably include at least one inhibitor of sex steroid activity described herein wherein the total concentration of all such inhibitors in said pharmaceutical composition is from about 0.2% to about 95% of the composition (by weight relative to the total), and preferably from about 1% to about A pharmaceutically acceptable diluent, for example, starch or lactose with or without tartrazine, is preferably included.

-22- When prepared for parenteral injection, an inhibitor of sex steroid activity is preferably added at a concentration between about 0.5 mg/ml and about 100 -mg/ml (preferably about 1 mg/ml to about 5 mg/ml) into a carrier preferably comprising at least one of saline, water, aqueous ethanol, aqueous dimethylsulfoxide, and oil.

A composition suitable for continuous parenteral administration preferably contains a carrier and an antiestrogen in accordance with the invention at a concentration sufficient to introduce from about mg to about 500 (preferably 2-5 to 50) mg of the antiestrogen per 50 kg of body weight per day at the volume flow rate used. The volume flow should thus vary with the concentration to achieve the desired result. At higher concentrations, less volume flow is needed and at lower concentrations, more.

In certain alternative embodiments, the pharmaceutical composition of the invention may be formulated for sustained release in accordance with known techniques. These sustained release formulations are preferably prepared in an appropriate manner for either oral, intramuscular, or subcutaneous administration. The compounds may also be administered by transdermal patch in accordance with known techniques. These sustained release formulations, in accordance with the invention, must be formulated to introduce from about 0.5 to 500 mg (preferably 2-5 to 50 mg) of the antiestrogen per 50 kg of body weight per day.

Set forth below are some flow charts, descriptions and illustrations of a number of preferred synthesis schemes for certain preferred compounds in accordance with the invention. The steps set forth below are set forth merely by way of example. Those of skill in the art will readily recognize alternative synthetic pathways and variations capable of producing a variety of compounds useful in accordance with the invention.

-23- EXAMPLES OF SYNTHESES OF PREFERRED SEX STEROID ACTIVITY INHIBITORS Instrumentation The IR spectra herein were taken on a Perkin-Elmer 1600 Series FT-IR spectrophotometer. Proton NMR spectra were recorded on a Brucker AC-F 300 instrument. The following abbreviations have been used: s, singlet; d, doublet; dd, doublet of doublet; t, triplet; q, quadruplet; and m, multiplet. The chemical shifts were referenced to chloroform (7.26 ppm for 1H and 77.00 ppm for 13C) and were expressed in ppm.

Optical rotations were measured at room temperature on a Jasco DIP 360 polarimeter. Mass spectra (MS) were obtained on a V.G. Micromass 16F machine. Thin-layer chromatography (TLC) was performed on 0.25 mm Kieselgel 60F254 plates Merck, Darmstadt, FRG). For flash chromatography, Merck-Kieselgel 60 (230-400 mesh was used. Unless otherwise noted, starting material and reactant were obtained commercially and were used as such or purified by standard means. All solvents and reactants purified and dried were stored S. under argon. Anhydrous reactions were performed under an inert atmosphere, the set-up assembled and cooled under argon. Organic solutions were dried over magnesium sulfate, evaporated on a rotatory evaporator and under reduced pressure.

LIST OF ABBREVIATIONS DHP 3,4-dihydro-2H-pyran EDTA Ethylenediaminetetraacetic acid HPLC High pressure liquid chromatography PTSA p-toluenesulfonic acid THF Tetrahydrofuran THP Tetrahydropyranyl TMS Tetramethylsilyl -24- EXAMPLE 1 Synthesis of 7-hydroxy-3-(4'-hy dIoxyphenyl)-4-methyl-2-(4'-(2"'piperidinoethoxy)phenyl)-2H-benzopyran (EM-343) SYNTHESIS A (This synthesis is described below in Scheme 1) SCHEME 1 9 99 9 9 9 9

OH

HO- HoJYaOH

BF

3 .Et 2

O

100C* HO 0 HoyH DHP OTHP

H

PTSA

CI

O OTHP 1. MeU, THF0 -7OCia (,L 2. AcOH. 1-120. TH P0 0 rD' 0

OH

benzana, refiux

CS

7 CO, H140.

No wAtw.* reftut 6 HCI

.OH

N,-

EM-343 The foregoing synthesis was carried out as follows: Triphenol 3 A suspension of resorcinol 1 (89.2 g, 0.810 mol) and acid 2 (135.4 g, 0.890 mol) (both compounds are available from Aldrich Chemical Company Inc., Milwaukee, Wis.) in boron trifluoride etherate (300 mL) and toluene (240 ml) was heated at 100'C for 3 h and then allowed to cool to room temperature. The resulting suspension was stirred overnight with 12% aaueous sodium acetate (400 m. The resultine oreciDitate was filtered, washed with distilled water (2 x 1L) and 12% aqueous sodium acetate (400 mL). The solid was then stirred with 12% aqueous sodium acetate (1.2 L) overnight. The precipitate was filtered, washed with distilled water (500 mL) and recrystallized (ethanol:water; 0.75:3 L) to yield the triphenol 3 (160.2 g, 81%) which was dried for one week under vacuo (mp. 180-185 0

C).

Ditetrahydropyranyl ether 4 A suspension of triphenol 3 (164 g, 0.672 mol) in 3 ,4-dihydro-2H-pyran (600 mL) (available from Aldrich Chemical Company Inc., Milwaukee, Wis.) was treated with p-toluenesulfonic acid monohydrate (2 x 10 mg) at o The reaction mixture was stirred for 1.5 h at 0°C and then for 1 h after removing the ice bath (the reaction was monitored by TLC; p-toluenesulfonic acid monohydrate was added until starting material and monotetrahydropyranyl ether had disappeared). The mixture was then treated with saturated sodium bicarbonate (250 mL) and ethyl acetate (1 The organic phase was washed with saturated sodium bicarbonate (250 mL) and brine (250 mL), dried over magnesium sulfate and evaporated under reduced pressure. The crude compound was triturated with hexanes (2 L) for 3 h with stirring. The resulting suspension was left to stand at 0 0 C for 5 h and then at -20 0 C for 18 h.

The solid was filtered and treated again with hexanes (1 L) with stirring for 1 h to give compound 4 which was filtered and dried (190 g, mp 109-112 0 C: 1 H-NMR 5 (300 MHz: CDC13), 1.5-2.1 (12H, m, O CH-CH2-CH2C2-H 2 3.55-3.65 (2H, m, O-CH-CH 2

-CH

2

-CH

2

-CH

2 3.75-3.95 (2H, m, O-CH-CH 2

-CH

2

-CH

2

-CH

2 4.16 (2H, s, Ph-CH 2 C=-O),5.40 (1H, t, J=3Hz, O-CH-CH 2

-CH

2

-CH

2

-CH

2 5.49 (1H, t, J=3Hz,

O-CH-CH

2

-CH

2

-CH

2

-CH

2 6.55 (1H, dd, J=2.5Hz and 8.5Hz, CH phenyl), 6.61 (1H, d, J=2.5Hz, CH phenyl), 7.03 and 7.17 (2H, AB system, CH phenyl), 7.77 (1H, d, J=8.5Hz, CH phenyl), 12.60 (1H, s, Ph

OH).

Amine 7 A solution of ditetrahydropyranyl ether 4 (150 g, 0.364 mol), 4 -hydroxybenzaldehyde 5 (46 g, 0.377 mol, available from Aldrich -26- Chemical Company Inc., Milwaukee, Wis.) (4-hydroxybenzaldehyde was treated with charcoal and recrystallized with distilled water) and piperidine (11 mL) in benzene (3.7 L) was stirred and refluxed with a Dean-Stark apparatus for 60h. The solvent was removed under reduced pressure. The crude intermediates, 1-(2-chloroethyl)piperidine monohydrochloride 6 (80 g, 0.435 mol), cesium carbonate (282 g, 0.866 mol) and distilled water (50 mL) in acetone (3.7 L) were mechanically stirred and refluxed for 19 h, and then cooled to room temperature.

The mixture was filtered and washed with acetone (100 mL). The filtrate was then removed under reduced pressure to give the residue which was purified by flash chromatography on silica gel (10 L) (ethyl acetate then ethyl acetate: methanol; 9:1) to yield compound 7 (148 g, EM-343 To a solution of amine 7 (200 g, 0.319 mol) in dry tetrahydrofuran (3 L) was added methyllithium (1.4M solution in ether, 685 mL, 0.959 mol, available from Aldrich Chemical Company Inc., Milwaukee, Wis.) at -78 0 C for 45 min under argon. The cold bath was removed and the reaction mixture was allowed to warm to room temperature over a period of 3 h. The mixture was again cooled to -78 0 C, and treated with saturated ammonium chloride (1 The aqueous solution was extracted with ethyl acetate (2 x 1 The combined organic phase was washed with brine (1 dried over magnesium sulfate and evaporated under reduced pressure. The residue was separated in two portions and treated as follows: The residue was dissolved in a mixture of acetic acid (1.6 L) and distilled water (0.2 L) and heated at 90 0 C for 30 min under a stream of argon after which it was cooled to room temperature, evaporated under reduced pressure to give the residue which was basified with 15% aqueous sodium carbonate (900 mL).

Decantation gave the crude product which was then stirred with a mixture of 15% aqueous sodium carbonate (300 mL) and ethyl acetate (500 mL) for 30 min. The aqueous phase was separated and extracted with ethyl acetate (500 mL). The combined organic Dhase was washed -27twice with 15% aqueous sodium carbonate (300 mL) and brine (500 rnLX dried over magnesium sulfate and evaporated under reduced pressure to give the product which was purified by flash chromatography on silica gel (6 L) (dichloromethane: ethanol; 9:1) to yield EM-343 (7-hydroxy-3-(4'-hydroxyphenyl)-4-methyl-2-(4 2 piperidinoethoxy)phenyl).2H-benzopyran) (44 g, IH NMR CD30D), 1.46 (2H, m, cydo-N-CH2-CH 2

-CH

2 CH2CH 2 1.60 (4H, m, cyco-N-CH2--CH 2

C-CH

2

CH

2

CH

2 2.02 (3H, s, CH 3 2.56 (4H, m, cyc1oN-CH 2

-CH

2

-CH

2

-CH

2

.CH

2 2.76 (2H, t, J=5Hz, O-CH 2

CH

2 4.06 (2H, t, J=5H, O-CH 2

-CH

2 5.77 (1H, s, O-CH-Ph), 6.12 (1H, d, J=2.5Hz, CH Phenyl), 635 (1H, dd, J=2.5Hz, 8Hz, CH Phenyl), 6.70 (2H, d, J=8.5Hz, CH Phenyl), 6.77 (2H, d, J=8.5Hz, CH Phenyl), 6.98 d, J=8.5Hz, CH Phenyl), 7.12 (IH, d, J=8Hz, CH Phenyl), 7.19 (2H, d, CH Phenyl). 13C NMR 8 (75 MHz, CD30D), 160.0, 159.3, 157.5, 154.6, 133.2, 131.6, 130.5, 125.8, 118.7, 116.1, 115.2, 109.2, 104.5, 81.5, 66.1, 58.8, 55.8, 26.3, 24.9, and 14.9; IR (CHC 3 vmax cm- 1 3330, 1607, 1508 and 1231. Mass Spectroscopy: M+ 457.

see&* -28- SYNTHESIS B, An alternative synthesis of EM-343 (This synthesis is described in Schemes 2 and 3 below) The foregoing synthesis was carried out as follows: Aldehyde 9 This preparation is reported below in Scheme 2.

)K

2 C c DMF, 0 60C, 82% 0 8 9

S

A suspension of 4 -hydroxybenzaldehyde 5 (10.0 g, 0.0819 mol), potassium carbonate (22.6 g, 0.164 mol), and 1-(2chloroethyl)piperidine 8 (18.1 g, 0.123 mol) prepared in 65% yield from 100 g of 1-( 2 -chloroethyl)piperidine monohydrochloride 6 in anhydrous DMF (40 mL) was heated at 60 0 C for 16 h. The reaction mixture was allowed to cool to room temperature, poured into distilled water (200 mL), and extracted with ethyl acetate (3 x 150 mL).

The combined organic phase was washed with saturated sodium bicarbonate (2 x 100 mL) and brine (3 x 100 mL) and dried over magnesium sulfate. The crude oil (18 g) was distilled under vacuum [lit (Hugues et al., J. Med. Chem. 7, 511, 1964); bp 147-148 0 C (0.05 mm)] to yield a yellow oil (15.7 g, which became orange after standing.

-29- SCHEME3 OO O OTHP

TO

THPO' 4 0 OpNO 1. piperidine, toluene, reflux 2. NaOAc, MeOH, reflux 97% 7 R=TfP

R=H,THP

1. MeMgBr, THF, -40 0 C to r.t.

D 2. AcOH, H2O, 0 9oC, 60%

OH

HO 0 0 EM-343

O

Mixture of amines 7 and 10 (This preparation is reported above in Scheme 3) A solution of ditetrahydropyranyl ether 4 (5.00 g, 0.0121 mol), aldehyde 9 (2.92 g, 0.0125 mol), and piperidine (0.36 mL, 0.0036 mol) in toluene (120 mL) was stirred and refluxed with a Dean-Stark apparatus for 48 h under argon. The solvent was removed under reduced pressure. The crude intermediates were dissolved in methanol (400 mL), treated with sodium acetate (49 g, 0.60 mol), stirred and refluxed for 18 h, and then cooled to room temperature. The solvent was removed under reduced pressure. The mixture was treated with ethyl acetate (500 mL) and distilled water (500 mL). The aqueous phase was extracted with ethyl acetate (2 x 100 mL), and the combined organic phase was washed with distilled water (2 x 100 rnL), dried over magnesium sulfate, and evaporated under reduced pressure. The crude products were purified by a flash chromatography on silica gel (ethyl acetate then ethyl acetate: methanol; 9:1) to yield a mixture of amines 7 and 10 (6.8 g, 97%) (mp 78-85 0

C).

EM-343 (This preparation is reported above in Scheme 3) To a solution of amines 7 and 10 (73.0 g, 126 mmol) in dry tetrahydrofuran (1.5 L) was added at -40 0 C for 5 min under argon a methylmagnesium bromide solution (3.0 M in ether, 210 mL, 630 mmol) (light precipitate formation). The cold bath was removed and .o the reaction mixture allowed to warm to room temperature over a period of 3 hours. The mixture was again cooled at -40 0 C and treated with saturated ammonium chloride (1 L) and distilled water (500 mL).

The aqueous solution was extracted with ethyl acetate (2 x 1 The combined organic phase was washed with brine (1 dried over magnesium sulfate, and evaporated under reduced pressure. The residue was dissolved in a mixture of acetic acid (1.05 L) and distilled water (117 mL) and heated from 23 0 C to 80°C in 45 min under a stream of argon. The mixture was then cooled at room temperature and evaporated under reduced pressure (one quarter of initial volume) to give the residue, which was treated with saturated aqueous sodium carbonate (550 mL) (gum formation). Decantation gave the crude product, which was then stirred with a mixture of saturated aqueous sodium carbonate (400 mL) and ethyl acetate (600 mL) for 15 min until complete dissolution. The aqueous phase was separated and extracted with ethyl acetate (500 mL). The combined organic phase was washed twice with saturated aqueous sodium carbonate (200 mL) and brine (300 mL), dried over magnesium sulfate, and evaporated under reduced pressure to give the product, which was purified by flash chromatography on silica gel (dichloromethane: ethanol; 9:1) to afford EM-343 in 62.5% yield.

-31- EXAMPLE 2 Isolation of (+--yrx--(1hcrxpe y)4mty-(4"-(2"' piperidinoethoxy)phenyl)2Hbezopan (EM-652).

The separation of enantiomers of EM-343 (209 g) (see Scheme 4 below) was performed in several runs in 10 x 50 cm Daicel Chiralpak®

ADTM

column (available from Chiral Technologies, Inc., Extons, at room temperature. The eluent was hexane/ ethanol/ diethylamine: 80/20/0.02 (by volume). The final products were dried by evaporation *.at 40'C under vacuum. The enantiomeric purity was checked by analytical -FPLC using Daicel Chiralcel ADTM column (available from Chiral Technologies, Inc., Extons, at room temperature and UV :detection at 254 nm. The eluent was hexane /ethanol/ diethylamine: 80/20/0-2, at flow rate of 1.0 mL/min. In order of elution was obtained: Fraction 1 (first eluted fraction) (+)7-hydroxy3(4..hydroxyphenyl)4methyl2(4..( 2 pziprdinothoxyphenl)-2-bnzpyan (EM-652) (92 g, 99.4% ee). 1H NMR 5 (300MHz: DMSO-d 6 1.33 (2H, m, cyclo-N-CH 2

-CH

2

-CH

2

CH

2

CH

2 1.44 m, cydo-N-CH 2

-CH

2

CH

2

CH

2

-CH

2 (3H, s, CH 3 2.35 (411, mn, cyclo-N-CH2-CH 2

-CH

2

CH

2

-CH

2 (2H, t, J=5.8H-z, O-CH-2--CH 2 -N),3.94 (2H, t, J=5.8Hz,

O-CH

2

-CH

2 5.87 (1H, s, 0-CU-Ph), 6.06 (OH, d, J=2.4Hz, CH Phenyl), 6.31 OIH, dd, J=2.4Hz and CH Phenyl), 6.69 (2H, d, J=8.3 Hz, CH Phenyl), 6.77 (2H, d, J=8.6Hz, CH Phenyl), 7.04 (2H, d, J=8.5Hz, CH Phenyl), 7.09 (1H, d, CU Phenyl), 7.17 (2H, d, J=8.6Hz, CH Phenyl); 13C NMR 5 MHz, DMSO-d 6 158.4, 158.1, 156.3, 152.5, 131.0, 130-3, 129.3, 128.9, 128.2, 124.8, 124.4, 116.6, 115.0, 114.3, 108.1, 103.1, 78.7, 65.4,57.3, 54.4,30.6,25.5 and 23.9; IR (CHC1 3 vmax cm- 1 3372, 1609, 1508 and 1238; (Ca]D 28 +1290 1.46 THR) -32- Fraction 2 (-)-7-hydroxy-3-(4'-hydroxyphenyl)-4-methyl-2-(4"-(2'"piperidinoethoxy)phenyl)-2H-benzopyran (EM-651) (96 g, 98.4% ee) [a]D 26 -127* (c 1.08, THF).

SCHEME 4 *3 "OH HO' Chiral separaion 0 EM-652 EM-651 Racemic EM-343 EXAMPLE 3 Separation of enantiomers of EM-343 by-chemical resolution.

A solution of (IS)-(+)-10-camphorsulfonic acid (466 mg, 2.00 mmol) in methanol (20 mL) was added to a solution of EM-343 (918 mg, 2.00 mmol) in methanol (5 mi). The obtained solution was allowed to stand at room temperature for one day and at -20 0 C for two days.

Scratching was done from time to time to aid crystallization. Crystals were filtered, washed with a minimum of methanol, dried and specific rotation measured ([ca]D 25 +410, methanol) to give 507 mg of salt.

Crystals were recrystallized one or two times if needed in a minimum of hot methanol, in the same condition as above, to give 100 mg of salt ([aID 2 5 +990, methanol). Mother liquors gave an extra 129 mg of salt ([a]D 2 5 +1150).

EXAMPLE 4 Synthesis of (+)-7-pivaloyloxy-3-(4'-pivaloyloxyphenyl)A..methy..2 (2"'-pipeidinoethoxy)phenyl)..2H.benzopyran (EM-800).

SCH-EME

(CH

3 3 CCOCI. Et 3 N. CH 0 OYC (C H) ()EM-652 C 2

I

AC

3 3 0 00 0 0 C to IA. QC33 ()EM-800 Th foeon ytei*scare u sflos A so uto of E -5 fo c e e y r x 4 the fregtong sythresi ias arriwed t wasm o oo mertr.oe Aerioluio of EM65 (fTeitrom wschremted 4)t s(aturahedodium (ehyroxypehexyD:1 o hy aetat2.c".("'.ie o id ftery pecnystll)2 beopranl 2 3 .8Q, 67.3 &ml and) trehlmine (23.3 m, 0.165 87.0ol in(ch=rmehn (68 C22) HN5 (300 was: treated with rtacey c.41Horide (18.1 rnL,-C2-)20 0.347 sl available from Alrt Cheica Cyopny IC.,

(CH

2 3

-CH

2 2.72 t, J=6.0 H~z, -N-CHz-CH 2 4.03 (2H, t, J=6.0 Hz,

-N-CH

2

-CH

2 5.85 (1H, s, OCH),.6.48 OH1-, d, J=2..3 Hz, CH phenyl), 6.64 OIH, dd, J=2-2, 8.2 Hz, CH phenyl), 6.75 d, J=8.6Hz, CH phenyl), 6.99 (2H, d, J=8.4 Hz-, CH phenyl), 7.14 (2H, d, J=8.6 Hz, CH phenyl), 7.20 (2H, d, J=8.6 Hz, CH phenyl), 7.28 O1H, d, J=8-2 Hz, CH phenyl); 13C NMR 5 (75 MHz: CDCI 3 177.0, 176.7,159.0, 152.8, 151.6, 150.1, 136.0, 130.8, 130.7, 130.2,129.3,125.8, 124.3, 122.1, 121-3, 114.5, 113.9, 109.9, 80.1, 77.2, 65.9, 57.9, 55.0,39.1,27.1, 26.0, 24.2, 14.7; IR (CHC1 3 vna. Qfl.: 2938, 1746, 1608, 1508, 1125; anal. calcd for C39H 4 7 N0 6 C, 74.85; H, 7-57; N, 2.24; found: C, 74.67; 7.58; N, 2.34.

EXAMPLE Synthesis of 7 -pivaloyloxy-3-(4'-pivaloyloxy phenyl)-4-methy-2(44" (2"'-piperidinoe Lhoxy)phenyl)-2H-benzopyran (EM-762).

The procedure was the same as the synthesis of EM-800, described in Example 4, except that a racemic version of EM-343 was used instead of the optically pure version denoted EM-652.

EXAMPLE 6 Synthesis of 7 -pivaloyloxy-3-(4'-pivaloyloxy phenyl)-4-methyl-2(4" (2"-pyroidinoethoxy)phenyl)2Hbezopyran (EM-Sb0).

The procedure was the same as the synthesis of EM-762, described in Examples I and 5, except that 1-(2-chloroethyl) pyrroli dine moniohyd rochiori de was used instead of compound 6.

EXAMPLE 7 Synthesis of (+)-7-acyloxy-3-(4'-acyloxyphenyl)- 4-methyl-2-(4"-(2" piperidinoethoxy)phenyl)-2H-benzopyran.

The procedure is the same as the synthesis of EM-800, described in Example 4, except that different acyl halides (chosen depending upon the desired 7 and 4'-substituents in the product) were used instead of trimethylacetyl chloride.

it..

EXAMPLE 8 S*Transformation of EM-661 into EM-652 (An example of transforming a prodrug to its active form can, i.e. the form that results in vivo, and the active form can, thereafter, be tested, e.g. by polarimeter, for the proper optical rotation indicative of the desirable absolute configuration at chiral carbon 2).

e.

To a solution of EM-661 (22.5 mg, 0.034 mmol) in anhydrous THF a.

SmL) was added at -78 0 C, under an argon atmosphere, a 1.5 M solution of methyl lithium in diethyl ether (0.155 mL, 0.24 mmol), and the mixture was stirred for 40 min.. The reaction mixture was then treated with saturated NH4Cl (2 mL), allowed to warm to room temperature and treated with water (2 mL) and ethyl acetate (5 mL). The aqueous phase was extracted with ethyl acetate (2X5 mL) and combined organic phase was washed with brine, dried, filtered and evaporated to dryness. The residue was chromatographed on silica gel using mixtures of ethanol and methylene chloride (0:100 to 1:9) as eluent and EM-652 (15.5 mg) was obtained in 100% yield. Other carboxylic ester prodrugs may be transformed in an analogous manner.

-36- EXAMPLE 9 Preparations of monopivalates of EM-343.

These preparations are described in Schemes 6 and 7.

4~*w b @9 ~9b* .9 S.

9 99?.

0. S* 9* 9

S

0 Jl0- No 0--,,No EM-343 0* Ph Ph o 0 Ph Ph Mixture of monopivalates of EM-343.

A suspension of EM-343 (from Scheme 1) (7-hydroxy-3-(4' hydroxyphenyl)-4-methyl-2-(4"-(2"'-piperidinoethoxy)phenyl)-2H benzopyran) (114.4 mg, 0.25 mmol) and triethylamine (43.6, L, 0.313 mmol) in dichloromethane (3.0 mL) was treated with trimethylacetyl chloride (33.9 1l, 0.275 mmol, available from Aldrich Chemical Company Inc., Milwaukee, Wis.) at -78 0 C under argon for 20 min.. The cold bath was then removed and the reaction mixture was allowed to warm to room temperature over a period of 90 min.. The mixture was treated with saturated sodium bicarbonate (5 mL) and dichloromethane (10 mL). The organic phase was washed with saturated sodium bicarbonate (5 mL). The aqueous solution was extracted with ethyl acetate (10 mL). The combined organic phase was washed with a saturated sodium chloride solution (10 mL), dried over magnesium sulfate and evaporated under reduced pressure to give a residue which was purified by flash chromatography on silica gel (pure dichloromethane to 7% methanol in dichloromethane) to yield 52 mg (34% yield) of mixture of compounds 11 and 12.

Silylation of the mixture of monopivalates of EM-343.

A solution of mixture of compounds 11 and 12 (50.2 mg, 0.093 mmol), imidazole (7.6 mg, 0.11 mmol) and t-butyldimethylsilyl chloride (15.4 mg, 0.102 mmol, available from Aldrich Chemical Company Inc., Milwaukee, Wis.) in anhydrous DMF (1.0 mL) was stirred at room temperature under argon. After 3 hours and 20 hours, imidazole (22.9 mg) and t-butyldimethylsilyl chloride (46.2 mg) were added. After 24 hours, the mixture was treated with distilled water (10 mL) and ethyl acetate (10 mL). The aqueous solution was extracted with ethyl acetate mL). The combined organic phase was washed with saturated sodium chloride solution (3x5 mL), dried over magnesium sulfate and evaporated under reduced pressure to give a residue which was purified by flash chromatography on silica gel (pure dichloromethane to 3% methanol in dichloromethane) to yield the mixture of compounds 13 and 14 (50 mg, 82% yield). This mixture was separated -38by preparative HPLC using a C-18 NOVA-PAK column 6 gm, (40x100 mmn, available from Waters, Mississauga, Ont. Canada) and a UV detector at 214 nm. The eluent was a (90:10) mixture of solution A mM ammonium acetate in methanol) and solution B (10 mM ammonium acetate in water) at a flow rate of 13.0 mL/min. The first eluted peak was, after evaporation of the solvent, the compound 14 and the second was the compound 13.

SCHEME 7 Ph CH,)3C 0 (CKLC- 0 0 e.

13 -N--o Ho 00 L 0 c 0, o, N EM-829 EM-829 (This preparation is described above in the Scheme 7) A solution of compound 14 (8.4 mg) in 10% HCI in THF (1 mL) was stirred for 4 hours and the mixture was treated with 10% sodium carbonate solution (4 mL) and ethyl acetate (4 mL). The aqueous solution was extracted with ethyl acetate (4 mL). The combined organic phase was washed with a saturated sodium chloride solution (4 mL), dried over magnesium sulfate and evaporated under reduced pressure to give a residue which was purified by flash chromatography on silica gel (pure dichloromethane to 5% methanol in dichloromethane) to yield EM-829 7 -hydroxy-3-(4pivaloyloxyphenyl)-4methyl2(4"( 2 piperidinoethoxy)phenyl)-2H benzopyran) (2.7 mg); 1H NMR 5 (300 MHz: CD 3 OD): 1.32 (9H, s, t-Bu), 1.47 mn, cyclo-N-(CH 2 2

-CH

2

(CH

2 2 1.61 (4H, m, cyclo-N-CH2-CHrCH 2

-CH

2

-CH

2 2.05 (3H, s, Cl- 3 2.54 (4H, t def, cyclo-N-CH 2

-(C;H

2 3

-CH

2 2.75 (2H, dd, J=5.5 and 5.7 Hz, -N-CHr-CH 2 4.06 (2H, dd, 1=5-5 and 5.7 HU, -N-CH 2

-CH

2 5.82 OIH, s, OCR), 6.13 (1H, d, J=2.5 Hz, CH phenyl), 6-36 OIH, dd, and 8-5 Hz, CH- phenyl), 6.78 (2H, d, J=8.6Hz, CH phenyl), 6.98 (2H, d, Hz, CHi phenyi), 7.18 m, CH phenyl).

EM-830 In a similar manner EM-830 7 -pivaloyloxy-3-(4'-hydroxyphernyl).4- *methyl-2-(4"-(2"'-piperidinoethoxy)phenyl)-2H-.benzopyran) (3 mg) was prepared from the compound 13; 1H NMR 5 (300MI-z- CD 3

OD):.

1.30 (9H, s, t-Bu), 1.47 (2H, m, cydo-N-(CH 2 2

-CH,-(CH

2 2 1.61 (4H, m, cyclo-N-CH 2

-CH

2

-CH

2

-CH

2 2.08 d, J=0.8Hz, Cl- 3 254 (4H, mn, cyclo-N-CH_ 2

-(CH

2 3

-CH

2 2.75 t, J=5.6Hz, -N-CH 2

-CH

2 -O-),4.06 (2H, t, J=5.6Hz, -N-CHZ-CHrO-), 5.87 (1H, s, OCH), 6.37 (IH, d, J=2.1 Hz, CH phenyl), 6.61 (1H, dd, J=2.5 and 8.5 Hz, CH pheniyl), 6.72 (2H, d, J=8.6H-1z, CH phenyl), 6.78 (2H, d, J=8.8 Hz, CH phenyl), 7.02 (2H, d, J=8.6H-iz, CH phenyl), 7.21 (2H, d, J=8.6Hz, CH phenyl), 7.32 (1H, d, J:8.3Hz, CH phenyl).

EXAMPLE Synthesis of 7-ehyloxycarbonyloxy3(4'hyloxyrbonyoyphenyl) 4 -methyl-2-(4"-(2'-piperidinoetox)pheny2Hbenzopran (CS 119).

To a stirred solution of EM-343 (250 mg, 0.55 mmol) in methylene chloride (5 mL) and pyridine (130 jiL) was added dropwise ethylchloroforrnate (120 pL), over a period of 30 min following the known procedure Reber and T. Reichstein, Helv. Chim. Acta, 28, 116.4, 1945). After stirr-ing, for 24 h, ethyl chloroformate (120 and pyridine (130 jil-) was added again to complete the reaction and then the mixture was washed with saturated NaHCO 3 solution and extracted with methylene chloride. The organic phase was washed with brine, dried, and evaporated to dryness. The residue was purified by column silica gel chromatography using a mixture of CH 2 Cl 2 EtOH (9.75: 0.25) as eluent.

EXAMPLE 11 Synthesis of 7-mesyloxy-3-(4'-mesyloxyphenyl)-4-mehy-2-(4-(2" *p iperidinoethoxy)phenyl)-2H-benzopyran (CS-120).

The procedure was the same as the synthesis of EM-800 which is described in the Example 4 except that rnesyl chloride was used instead of trimethylacetyl chloride and racemic EM-343 instead of optically active EM-652.

EXAMPLE 12 Synthesis of 7-hydroxy-3-(4'-ethoxyphenyl)-4-methyl-2-(4"-(2...

p iperidinoethoxy)phenyl)-2H-benzopyran.

The synthesis of this compound is similar to the procedure described in the Example 1 except that 4-ethoxyphenylacetic acid (available from Aldrich Chemical Company Inc., Milwaukee, Wis.) is used instead of acid 2.

-41- EXAMPLE 13 Example of synthesis of salts of the preferred antiestrogenic compounds.

The compounds of the following structure have been synthesized by the method described below: a a.

a a a a. *a Referring to the chart below, a solution of free amine 0I eq) and acid (0 eq) in the solvent indicated was stirred overnight at room temperature. The reaction mixture was evaporated and recrystallized to give the desired salt.

-42a a a a a. Salt Free amine Acid R'l Solvent Concentration Recrystal- Yield (amlount, mg) of amnine ization M% (mnmolfL) solvent EM-769 EM-661 A b acetone 0.050 100 (99.9) C1420 2 EM-767 EM-661 B b acetone 0.050 100 (33.3)

CH

2 Cl 2 (1:1) EM-778 EM-661 C b acetone 0.050 100 (33.3) CH2CI 2 (1:1) EM-792 EM-BO (150) B c acetone 0.034 ethyl 33 acetateI EM-793 EM-BOO (150) C c acetone 0.050 isopropan 27 ol CS-143 EM-652 (150) C a acetone 0.050 ethanol 66 EM-796 EM-652 (150) B a acetone 0.050 100 A (1R)-(--10-camnphorsulfonic acid B L-Tai-taric acid C (IS)-(+)-10-carnphorsulfonic acid a H b C6H 6

CO

c t-BuCO -43- EXAMPLE 14 Synthesis of (+)-7-hydroxy-3-(4'-hydroxyphenyl)-4-methyl-2-(4"-(2'" piperidinoethoxy)phenyl)-2H-benzopyran-4',7-sodium sulfate.

To a solution of sulfur trioxide in pyridine (prepared from 0.4 mL of

SO

3 and 20 mL of pyridine and mixed at -20 0 C) is added at room temperature, under an atmosphere of argon, a solution of EM-652 (1.9 g, 4 mmol) in pyridine (10 mL). The mixture is stirred for 7 hours and then water (0.8 mL) and methanol (45 mL) are added. By addition of a methanolic solution of sodium methylate, pH 10.5 is obtained and the f mixture is then stirred for another 7 hours, neutralized with a solution of HCI in methanol, filtered and evaporated at 55C. The residue is dissolved in pyridine and precipitated with ether to obtain the sodium sulfate derivative of EM-652.

EXAMPLE Synthesis of (+)-7-hydroxy-3-(4'-hydroxyphenyl)-4-methyl-2-(4"-(2"' piperidinoethoxy)phenyl)-2H-benzopyran4',7-disulphamate.

Sodium hydride (9 mmol, 60% dispersion) and sulfamoyl chloride (1g, 9 mmol) are added to a stirred solution of EM-652 4 mmol) in anhydrous DMF at 0°C. The reaction is allowed to warm to room temperature and then, stirred for 24 hours. The reaction mixture is then poured in cold saturated solution of sodium bicarbonate and the compound is extracted with ethyl acetate. The combined organic extracts are dried, filtered and evaporated to dryness. The residue is further purified by silica gel flash chromatography using mixtures of hexane, ethyl acetate and methanol as eluent.

-4-4- EXAMPLE 16 Synthesis of (+--yrx--4-yrxpey)4mty--4-21 piperidinoethoxy)phenyl)-2H-benzopyan-4w7.di(meffiyI phosphonate), sodium salt.

To a stirred solution of EM-652 (1.9 g, 4 rnmol) in anhydrous pyridinemL) is added dropwise methyiphosphonic dichloride (1.2g, 9 mmol) (available from Aldrich Chemical Company Inc., Milwaukee, Wis.) in anhydrous pyridine (20 mL) at 0 0 C under argon. The reaction @0**mixture is allowed to warm to room temperature and stirring is continued for an additional 24 hours. The mixture is then cooled to 0C and water (10 mL) is added dropwise. The reaction mixture is *allowed to warm to ro-om temperature and stirring is continued for an additional 12 hours. By addition of a methanolic solution of sodium hydroxy, pH- 10.5 is obtained and the mixture is then stirred for 7 hours, neutralized with a solution of HCI in methanol, evaporated at The residue is dissolved in pyridine and precipitated with ether to obtain the sodium phosphonate derivative of EM-652.

EXAMPLE 17 Synthesis of 7 -hydroxy-3-(4-.hydroxyphenyl)A4-methyl-2( 4 2 p iperidinoethoxy)phenyl).2H.beopyran-4' 7 di(methylthiophosphonate), sodium salt.

To a stirred solution of EM-652 (1.9 g, 4 mmol) in anhydrous pyridine mL) is added dropwise methylthiophosphonic dichloride (0.94 mL) (available from CN Biochemicals Ltd., High Wycombe, Bucks, in anhydrous pyridine (20 mL) at 0 0 C under argon. The reaction mixture is allowed to warm to room temperature and stir-ring is continued for an additional 24 hours. The mixture is then cooled to 0 0 C and water rnL) is added dropwise. The reactfion mixture is allowed to warr to room temperature and stirring is continued for an additional 12 hours.

By addition of a methanolic solution of sodium hydroxy, pH 10.5 is obtained and the mixture is then stirred for 7 hours, neutralized with a solution of HCI in methanol, evaporated at 55C. The residue is dissolved in pyridine and precipitated with ether to obtain sodium thiophosphonate derivative of EM-652.

Other compounds within the scope of the invention may be synthesized by methods analogous to those described in Examples 1-17, and Examples 1-17 may be modified by techniques that are known in the art, to result in the other compounds within the scope of the invention.

Set forth below, by way of example and not of limitation, are several pharmaceutical compositions utilizing a preferred active compound EM-800. Other compounds of the invention or combination thereof, may be used in place of (or in addition to) EM-800. The concentration and identity of ingredients may be varied over a wide range known in the art.

a.

S* -46- EXAMPLE 18 Ingrec Composition suitable for injection fient Weight 0* a a. a a *a a. as a S

S

a S. a a EM-800 10.4 Ethanol T6A4 NaCl 0.8 Water 91-5 Benzyl alcohol 0.9 EXAMPLE 19 Composition suitable for use as topical lotion Ingredient Weight (by weight of total composition) EM-800 Ethanol 70.0 Propylene glycol 29.0 -47- EXAMPLE Composition suitable for use as topical gel Ingredient Weight %1 (by weight of total composition) EM-800 1 0* 0*e0 0 0e Oe 0 S 0 0S S S 0 *aSS 40 S

S

S.

Ku cel Ethanol 70.0 Propylene glycol 27.5 EXAMPLE 21 Tablet IngreientWeight (by weight of total composition) EM-8001.0 Lactose 67.5 Starch 2.

0G 50 0 0 0

S

-48- EXAMPLE 2-2

S.

S.

S

S.

S

S.

S

S

S

o 0 0 Gelatin capsuile Ingredient Weight (by weight of total composition) EM-8002.

Lactose hydrous 8.

Starch4.

Cellulose miarocrystalline 12.8 Mag-nesiumn stearate 0.4 EXAMPLE 23 Composition suitable for use as topical gel Ingredient Weight weight of total composition) EM-800 Ethanol Polyethylene glycol Gelatin NaCl Beazyl. alcohol Water USP

I

0.9 88.1 EFFICACY OF THE PREFERRED INHIBITORS Antiestrogenic activity of some preferred compounds has been measured using the ZR-75-1 human breast cancer cell line as described in more detail below.

Maintenance of Stock Cell Cultures ZR-75-1 cells (83rd passage) were obtained from the American Type Culture Collection (Rockville, MD) and routinely cultured in phenol red free RPMI 1640 supplemented with 1 nM estradiol ("E 2 2 mM L glutamine, 1 mM sodium pyruvate, 15 mM N-2-hydroxyethyl piperazine-N'-2-ethanesulfonic acid, 100 IU penicillin/ml, 100 ±g streptomycin/ml, and 10% fetal bovine serum (Hyclone, Logan, UT) under a humidified atmosphere of 95% air, 5% CO2, at 37 All media and medium supplements were purchased from Sigma. Cells were subcultured weekly by treatment with a pancreatic solution containing EDTA (0.2 The cell cultures used for the experiments herein described were between passages 89 and 94.

Measurements of Cell Proliferation Cells in their logarithmic growth phase were harvested, briefly centrifuged, and resuspended in RPMI 1640. Cells were then plated in triplicate in LIMBRO 24-well plastic culture plates (2 cm 2 /well). Since plating density influences the effect of hormones on ZR-75-1 cell growth, cells were plated at a density of 1 x 104 cells/well. After 72 h, medium was replaced with fresh medium of identical composition, except containing increasing concentrations of inhibitors EM-343 (as a racemic mixture) and EM-652 in Figure 1; EM-612, EM-658, and EM-661 in Figure 2; and EM-762, EM-800, and EM-776 in Figure 3) as indicated along the X-axis. Control cultures received the ethanol vehicle only. Cells were then allowed to grow at 37°C for 10 days with medium changes (of identical composition) every 2 days. In absence of inhibitors, in 0.1 nM estradiol (E2)-containing medium, ZR-75-1 cells have doubling time of about 48 h.

After E 2 and/or antiestrogen treatment, cells were harvested by addition of 0.5 ml of a pancreatin solution (Sigma) for 5-10 min at 37 "C before addition of 0.5 ml of RPMI 1640 containing 5% dextran coated charcoal-fetal bovine serum in order to block enzymatic action. Cell number (0.10 ml aliquot) was determined by measurement of DNA content as previously described (Simard et al., Endocrinology 126: 3223- 3231, 1990). IC 50 values, which are the concentrations of antiestrogens needed to decrease by 50% the estradiol-stimulated cell growth enhancement, were calculated and are reported herein. Thus the more effective antiestrogen is the lower its ICso. As may be seen from Figure 1, the dextrogyric enantiomer of EM-343, namely EM-652, has a better effectiveness than does racemic EM-343 on the growth of the human ZR-75-1 breast cancer cells, the IC 50 value of EM-652 being 2fold lower than for EM-343 (2.4x10-10M versus 1.1xlO-10M, respectively).

As may be seen from Figure 2, the dextrogyric enantiomer, EM-661, also has a better effectiveness than racernic EM-612 on the growth of the human ZR-75-1 breast cancer cells. The levogyric enantiomer EM- 658 has only a weak effectiveness, the IC 50 from EM-658 being more than 69-fold higher. In figure 3, the dextrogyric enantiomer EM-800 is also more active than the racemic EM-762 and the levogyric enantiomer EM-776 has only a weak effectiveness.

In vivo antiestrogenic activity of preferred antiestrogens was measured as by determining a test compound's ability to inhibit the estradiol-induced stimulation of uterine weight in adult female ovariectomized Balb/c mice (body weight=19-20 g) sacrificed five days after ovariectomy. Preferred antiestrogens dissolved in ethanol were orally administered in the appropriate groups in a solution of sodium chloride (9 gelatin (10 4% ethanol and 4% polyethylene glycol (PEG600) at indicated concentrations. A dosage of 0.2 ml of the foregoing preparation, was administered once daily from -51day 3 to day 11 after ovariectomy. Estrone was injected at a dose of 0.06 jg in 0.2 ml, twice daily, starting on day 6 after ovariectomy for a total of 12 injections. After sacrifice, the uteri were rapidly removed, freed from fat and connective tissue and weighed.

As shown in Figure 4 the antiestrogenic activity of EM-343 (when in racemic form), its dextrogyric enantiomer EM-652 and its levogyric enantiomer EM-651 are reported as the means SEM of groups of 9-10 mice. EM-652 was more effective by a 2-fold magnitude in reducing estradiol-induced uterine weight gain than was racemic EM-343, while the levogyric enantiomer EM-651 had only weak activity.

As shown in Figure 5, the antiestrogenic activity of racemic EM-762, its dextrogyric enantiomer EM-800, and its levogyric enantiomer EM-776 are reported as the means SEM of groups of 9-10 mice. EM-800 was more effective in reducing estradiol-induced uterine weight gain than the racemic EM-762. The levogyric enantiomer EM-776 had only weak activity.

-52- S S. S

S

Additional effectiveness data are set forth below in Table 1 and Table 2.

Percent inhibition is reported for various compounds tested using the foregoing techniques.

TABLE 1 Name of RIR 3

.R

4 (CXD (Temp, Conc. of inhib. on Czxnpounds Solvant) mice uteri rnolfperos, i.d.) EM-612 QI-{5CQ -(CH2)5- cII 62.0 ±63 EM-611 o-MeO4DCO -(CH 2 5 d 1 71.8±8.2 EM-617 o-0CC -(CH 2 5 d 1 63.5 5.2 EM-618 P-ao4CO -(CH2)5- dl1 74.9±6.1 EM-622 o-AcOOCO -(CH 2 5 d 1 66.6±6.6 EM-626 p-MeOVCO -(CH 2 5 dl 655± 43 EM-628 r-MeO4DCO -(CH2)5- di 81.3 ±7.9 EM-753 R-camphor- -(CH 2 5 n/a 6-5± 0.3 sulfota te EM-757 p-NO20CO -(CH 2 5 di 60.8±2.2 EM-758 p-CNOCOC -(CH2)5- dI 65-5±4.9 EM-762 t-BuCO -(CH 2 5 dI 63-5± 3.7 EM-773 CH 3 CO -(CH 2 5 dl n/a EM-770 C2H5SO 2 1.05+±0.04 EM-771 i-C 3 H7CO -(CH 2 5 dI 61.8 ±2.4 EM-772 (CH3)2NCO -CCH 2 5 dl 55.1 2.4 EM-652 H -(CH 2 5 +129* 68.1± (28, lA6, THF) EM-651 H -(CH 2 5 -1270 0 (26, 1.08, THF) EM-658 Q H5CO -(CH2)5- -820 0 EM-661 C6H-5C0 -(CH 2 5 1038.7 (25, 0.14, CHCI 3 CS-1 19 C 2

H

5 OCO -(CH- 2 5 dl1 60.7 ±63 CS-120 CH3SO2 -(CH- 2 5 d 1 1.9 0.1 CS-121 C-H3C0O -CCH 2 d 1 58.4 ±43 CS-1 22 C 2

H

5 SCO -(CH- 2 5 d 1 71-5 EM-800 t-BuCO -(CH 2 5 87 81.1 7.4 1.0, CH2CI 2 EM-776 t-BuCO -(Cl- 2 5 -930 4.5 0.3 (26, 1.0, CH 2

CI

2 EM-775 CF 3 4>CO -(CH 2 5 d 1 73.1 ±5.1 EM-801 cyclo C(CH3)- C2H4CO EM-810 t-BuCO -(CH2) 4 TABLE 2 o *0 09 0 *0 0 0 Where represents the corresponding anion of the acid AH Name of R AH [a]D (Temp., %4 of inhidb. on Comtpounds Coric. Solvant) mice uteri nmoL. per 06, EM-767 C 6

H

5 CO L-tartaric +760 61.9±1.2 (26, 0-2 1, THF) EM-769 C6H5CO R-camphorsulfonic +57.80 78.6 ±3-2 0.8, CH2CI2 EM-778 C6H5CO S-carnphorsutfonic +920 73.1 6.7 (26, 0.48, THF) EM-792 t-BuCO L-tartaric +890 63.6 ±1.6 (26, THF) EM-793. t-BuCO R-camphorsulfonic +88* 77.2 ±4.1 (26,1.17, THF) EM-796 H L-tartaric 75.8±6.

CS-143 H S-camphorsulfonic +1200- 1 (26, 1.0, THF) The terms and descriptions used herein are preferred embodiments set forth by way of illustration only, arnd are not intended as limitations on the many variations which those of skill the art will recognize to be possible in practicing the present invention a-s defined by the claims.

Claims (8)

1. An optically active compound or pharmaceutically acceptable salt thereof (with or without diluent or carrier), said compound having molecular structure I: O-n_ _R2 I: wherein R' and R 2 are independently selected from the group consisting of hydroxyl and a moiety convertable in vivo to hydroxyl; wherein R 3 is -CH 2 CH 2 and wherein said compound is at a purity level sufficiently free of its 2-beta stereoisomer that molecular structure I predominates.

2. An optically active compound of claim 1 selected from the group consisting of: OH' HO OO -56- 0* S. 5 0 S S or a pharmaceuticlly accptble salt Of either of the foregoing.

3. An optically active compound of claim I having the following molecular structure~: 0 04 EM-800 or a pharmnaceutically acce~ptable salt thereof.

4. A compound or pharmaceutically acceptabe further salt thereof (with or without diluent or carrier), said compound having the molecular structure: 5F1 H N+ R A -57- wherein A- is an anion of a pharmaceutically acceptable acid; wherein RI and R2 are independently selected from the group consisting of hydroxyl and a moiety convertable in vivo to hydroxyl; apd wherein R3 is -CH 2 or -CH 2 CH 2 The compound or further salt of claim 4 wherein said compound or salt is optically active and includes more than 50% (by weight relative to all sterecisomers) of stereoisomers that have an absolute configuration at their chiral number 2 carbon identical to EM- 652's absolute configuration at EM-652's chidral number 2 carbon. The optically active compound of claim 5 wherein said compound is selected from the group consisting of: JO 0 0. 0 H *rl *5 *SN+ EM 76. L-02(COH2C2 CH. EM 769 -58-

7. A compound or pharmaceutically acceptable salt thereof (with or without diluent or carrier), said compound having the molecular structure: S *SSS S. S S. *..wherein R 3 is'-CH 2 or -CH 2 CH 2 and wherein R1 and R 2 are independently selected from the group consisting of hydroxy, acyloxy, 0

11.7 -O-C-R and 0 11 -0-C-OR 4 (R 4 being alkyl, alkenyl, alkynyl, or aryl; and R 7 being amino, alkylamino, aminoalkyl, or alkylsulfanyl); and wherein at least one of the R1 or R 2 is not hydroxy. -59- 8. The compound or salt of claim 7 wherein at least one of R' or R 2 is a hindered aliphatic acyloxy. 9. The compound or salt of claim 7, wherein said compound is selected from the group consisting of: 00 E3A612 S. 55 a a a EMh 778 O%~C(CH 3 3 0 *a 0 0 EM 793 00 *ges 79 L*0C(C fIH)C0-,an CH 3 O O H0 0 H EM 796 2 C(CHOH) 2 CO 2 -61- 0 CHCHS 0 0O u 0 0 (CH 3 2 HC O0 EM-771 0 *550 555,4. a 5 0 EIA-772 0--I and pharmaceutically acceptable salts of any of the foregoing compounds. -62- The compound or salt of claim 7 wherein at least one of R' or R 2 is pivaloyloxy. 11. A method for treating an estrogen-sensitive disease comprising administering to a patient in need of such treatment, with or without carrier diluent, a therapeutically effective amount of the compound or salt of any of claims 1 to

12. The method of claim 11 wherein said estrogen- sensitive disease is breast cancer or endometrial cancer. sensitive disease is breast cancer or endometrial cancer. e *g* 63

13. An optically active compound or pharmaceutically acceptable salt thereof (with or without diluent or carrier), said compound having molecular structure I: a a wherein R 1 and R 2 are independently selected from the group consisting of hydroxyl and a moiety convertable in vivo to hydroxyl; wherein R 3 is -CH 2 and wherein said compound is at a purity level sufficiently free of its 2-beta stereoisomer that molecular structure I predominates. Dated this 3rd day of March 2000 ENDORECHERCHE INC. By their Patent Attorney GRIFFITH HACK