CN1292702A - Newcontraceptive kit for monotherapy - Google Patents

Newcontraceptive kit for monotherapy Download PDF

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Publication number
CN1292702A
CN1292702A CN998037710A CN99803771A CN1292702A CN 1292702 A CN1292702 A CN 1292702A CN 998037710 A CN998037710 A CN 998037710A CN 99803771 A CN99803771 A CN 99803771A CN 1292702 A CN1292702 A CN 1292702A
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contraceptive
sterid
formula
medicine box
prodrug
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H·J·克路斯特泊尔
G·H·J·德克斯
J·A·M·哈莫斯马
P·M·威伯斯特
H·J·T·科林格本尼克
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Akzo Nobel NV
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/565Compounds 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/565Compounds 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
    • A61K31/568Compounds 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 substituted in positions 10 and 13 by a chain having at least one carbon atom, e.g. androstanes, e.g. testosterone
    • A61K31/569Compounds 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 substituted in positions 10 and 13 by a chain having at least one carbon atom, e.g. androstanes, e.g. testosterone substituted in position 17 alpha, e.g. ethisterone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/575Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of three or more carbon atoms, e.g. cholane, cholestane, ergosterol, sitosterol
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • A61P15/18Feminine contraceptives

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  • Health & Medical Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Veterinary Medicine (AREA)
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  • General Health & Medical Sciences (AREA)
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  • General Chemical & Material Sciences (AREA)
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  • Endocrinology (AREA)
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Abstract

The invention pertains to a contraceptive kit comprising means for the daily administration of a contraceptive agent, characterised in that the single contraceptive agent is a steroid compound having an activity profile inherently combining progestagenic and estrogenic activity. Within a general class of known steroidal compounds, steroids have been found which possess an outstanding combined profile of biological properties for use in contraception, especially via monotherapy. These steroids are selected from the group consisting of steroids satisfying structural formula (I) and prodrugs thereof, wherein the dotted lines each independently indicate an optional bond.

Description

Newcontraceptive kit for monotherapy
The present invention is hormonal contraceptive method field and the contraceptive medicine box that relates to the device that comprises administration contraception every day reagent.The invention still further relates to some at the sterid that aspect contraception reagent, has outstanding biological property characteristic.More particularly, the present invention relates to have and make its suitable such characterization compound that is used to practise contraception by " single current system method ", that is, be used to prevent to become pregnant required active single-activity material by giving to the women of child-bearing age itself to have.
Many traditional contraceptive medicine boxes are to give two kinds of different reagent to the women of child-bearing age, are generally progestogen and estrogen.Rely on concrete medicine box, can give these reagent by different way and according to different mechanisms.The prevailing medicine box that provides the contraception mechanism of what is called " combination contraceptive " type, wherein will contain progestogen and estrogenic daily dose unit common 21 Consecutive Days of process with single or heterogeneous administration, these be mutually by two kinds of active substances not commensurability and ratio phase region other, in the residue sky in 28 day cycle, give placebo or provide " no pill " at interval simultaneously.
The contraceptive medicine box that the single-activity material is provided is known.These are " only progestogen " type normally.Although this class " only progestogen pill " (POP) has and avoids giving estrogenic advantage, their shortcoming is that periodic Control is often unsatisfactory, from irregular bleeding and intrinsic menstruation this point as can be seen.
Therefore, wish to comprise estrogenic component, often take ethinyl estradiol for this reason.In this technology, several unwanted performance of combination contraceptive (the long-pending and cancer danger of blood stagnation) is mainly owing to this estrogenic component.The purpose of this invention is to provide contraceptive, have the living features unification compound that comprises required progestin and required estrogen activity, make good period control and do not expose above-mentioned unwanted performance by taking.And, an object of the present invention is to provide to have and do not contain ethinyl estradiol, but kept the contraceptive of ethinyl estradiol simultaneously the advantage of the advantageous effects of lipid characteristic.
In this technology, it is relevant with the aromatic A-ring that steroid such as estradiol have often to describe the estrogen receptor combination.Therefore, for example people such as Anstead is at Steroids, and 1997, vol.62, the survey article among the pages 269-303 have described the estrogen receptor combination that external a large amount of this class has the steroid structure of different substituents.The disclosure thing except not relating to the activity in vivo, is not made any prediction to the estrogen receptor combination of other non-aromatic structure yet, only relates separately to the activity of mixed estrin/progestogen simultaneously.
The present invention provides the contraceptive medicine box of the device that comprises the reagent of practising contraception every day now, is characterised in that this single contraception reagent is the sterid with active collection of illustrative plates of progestin and the intrinsic combination of estrogen activity.The present invention also is to have the purposes that the sterid of the active collection of illustrative plates of progestin and the intrinsic combination of estrogen activity is used to produce contraceptive medicament preparation, and wherein said chemical compound is this single contraception reagent.More particularly, the invention reside in use and be selected from the purposes that the acceptable salt of sterid, its prodrug and its medicine be made up of the following steroid of giving that satisfies the structure formula I is produced contraceptive medicament preparation.
The class that the present invention can find by accident particularly has the chemical compound of rare active collection of illustrative plates and realizes that wherein this compounds is progestogen (P) and estrogen (E) simultaneously, and two kinds of activity all are in high relatively level.Therefore, treat that this single contraception reagent that uses in medicine box of the present invention is the sterid of active collection of illustrative plates with intrinsic combination of progestin and estrogen activity, this activity reaches in the Allen-Doisy test that is used for estrogen activity and is used for minimum active dose (MAD) degree of μ g/kg all≤250 of the McPhail test of progestin.Those skilled in the art should know that term " single contraception reagent " do not get rid of described steroid and a small amount of do not have active other progestogen arbitrarily of contraception and/or estrogen is wished mixing of the active collection of illustrative plates degree of fine setting to reach.The reactive compound of the steroid of preferred this mixing collection of illustrative plates for only depositing.
Suitable chemical compound of the present invention comprises those that satisfy following structure formula I:
Figure 9980377100061
Formula I wherein dotted line shows optionally additional key separately respectively.
In one embodiment, the present invention relates to the purposes that these chemical compounds are used to produce a contraceptive medicament preparation.In another embodiment, the present invention is the contraceptive medicine box that comprises the device of the arbitrary above-mentioned steroid that gives conduct contraception reagent every day.In an embodiment again, the invention provides a kind of contraceptive device, comprise the above-mentioned sterid that gives effective dose to the women of child-bearing age.Comprise formula I chemical compound and its prodrug in the present invention, promptly substituent group easily by metabolism to the reactive compound of formula I or be easy to adhere to the related compound on this compounds given.With the most conventional prodrug, therefore the invention provides chemical compound and its pharmaceutical salts of satisfying formula II,
Figure 9980377100071
Formula II wherein dotted line shows optionally additional key separately respectively, Y representative (H, H), (O), (N-OH) or (H, OH); And X representative (H) or (C 2-C 7Acyl group), as-C (=O) CH 3The 3-keto compounds, promptly Y is (O), for preferably.This substituent other probability is that they have main performance of the present invention on No. 3 carbon atoms, so that they are the precursor (prodrug) of this preferred 3-keto compounds.The X substituent group is kept same insight, wherein this optionally ester group be the precursor of this preferred reactive compound, wherein this OX group is OH.In order to clearly demonstrate, describe the present invention according to the reactive compound of formula I below this paper, but intention comprises at least according to the described prodrug of formula II.
In a preferred embodiment, the used chemical compound of the present invention be (11 β, 17 α)-11-ethyl-17-hydroxy-19-nor pregnant-4-alkene-20-alkynes-3-ketone (Org 4060), it has following structure formula III:
Figure 9980377100072
This chemical compound of formula III, learn to be the component of a mixture from US3325520, learn as the medicine of handling the menopause disease from US5710144, learn initial compounds, unexpectedly have and be used to the performance of practising contraception very well as synthetic other steroid from GB1190240.
Another preferred implementation of the present invention is to satisfy the chemical compound of structural formula IV.
Figure 9980377100081
Formula IV
This chemical compound (11 β, 17 α)-11-vinyl-17-hydroxy-19-nor is pregnant-and 4-alkene-20-alkynes-3-ketone (Org 4325) is the sterid that a class is learnt from US4292251 usually.The document has been described one group of chemical compound with possibility performance.The document is not mentioned the chemical compound with specific blend E/P collection of illustrative plates (characteristic), does not mention the contraception of single current system method yet.In this preferred implementation, the present invention provides a kind of chemical compound with the dependency structure of learning from US4292251 to compare now and is demonstrating significantly different chemical compound aspect the biological property collection of illustrative plates.This remarkable difference, promptly beyond thought mixing E/P collection of illustrative plates makes Org 4325, with and prodrug and its pharmaceutical salts be suitable for very much the contraception of single current system method.
According to the present invention, preferred top steroid is used for the contraception of single current system method.But, the remarkable biological property that it will be apparent to one skilled in the art that these steroid of the present invention also can from these steroid one of any with the mixing of another active substance such as progestogen or estrogens sterin obtain.
The present invention also provides a kind of for example 18-30 that gives, and preferred 21-25 days the single-activity material with progestogen performance and estrogen performance, the residue sky in cycle are " no pill " or placebo contraceptive medicine box at interval.In principle, can be any other natural law, but because actual cause, seldom hope is like this.Also can give up no pill or placebo at interval, promptly providing continuously, (day) gives aforementioned mixed estrin/progestogenic compounds.The several advantages that can share top chemical compound like this, but so continuous mechanism will cause inherent amenorrhea, preferably include no pill or placebo at interval.
Medicine box according to the present invention provides by " single current system method " rather than by " contraception with combination of independent active component still comprises estrogenic component, so that the periodic Control that reaches contraceptive effect and can compare with the mixing contraception.No pill or placebo will make has at interval avoided hemorrhage, and this is considered to yearning usually, and wherein because imitate normal cycle so as far as possible, and because it guarantees not conceived.
Can give this steroid in every way.For example, can select to continue releasing device, but preferred doser is Consecutive Days dosage unit form, particularly oral tablet.
The term " dosage " unit " typically refer to the discrete fully unit of suitable human body dosage unit, each contains the active substance of the scheduled volume that produces required effect as calculated, for example tablet, pill, powder, suppository, capsule etc.
Producing the method for this class dosage device and forming is known for a person skilled in the art.For example, the conventional art that preparation contains the tablet of active component and pill is described in people's such as canonical reference Gennaro Reminggton ' s Pharmaceutical Sciences, (18th ed., MackPublishing Company, 1990, especially referring to the 8th part: PharmaceuticalPreparations and Their Manufacture).
With regard to the dosage device of preparation example such as tablet, attempt using conventional additive, for example filler, coloring agent, polymer binder etc.Usually any medicine acceptable additive of interferon activity chemical compound function not can be used in one or more component.
These compositionss that give with appropriate carrier comprise the lactose that uses with Sq, starch, cellulose derivative etc.Lactose is a preferred vector.Also can use carrier mixture.
The method of production medicine box of the present invention comprises that one or more of scheduled volume are had the aforementioned steroid chemical compound of progestin and estrogen activity, optionally with another estrogen or progestogens sterin, with the mixed with excipients of scheduled volume, and this mixture is transformed into dosage device.The gained medicine box can contain the daily dose unit of any amount, but the menstrual cycle of common and certain-length adapts, and has 18-30, and preferred 20-28 daily dose unit.Preferred medicine box is to adapt to the form of human body normal menstrual cycle length and contain 21-25, and most preferably 21 described day successive doses unit optionally also contains the placebo dosage device to form 28-32 daily dose unit altogether.
This mixture is transformed into dosage device and is usually directed to this mixture is molded into tablet, uses the drying composite filled capsules or uses the wet mixture filled capsules.
As mentioned above, the device that gives steroid of the present invention also can be the form except that day tablet, and for example implant or intravaginal thing are as the lasting release device of pessary or another type.
Preparation is known as the method for the lasting release device of implant and pessary in the art.In this respect, with reference to Jorge Heller Drug Delivery in the Plastics Age, in " Innovations in Drug Delivery ", Tom Sam and Jasper Fokkensed., pages 134-145.About preferred contraception implant with reference to EP303306.The many designs that discharge the pessary of two kinds of materials are well known to those skilled in the art.Can be used for preferred annular pharmaceutical delivery system of the present invention and comprise that at least one contains the compartment of thermoplastic polymer core, this core contains the sterid of this mixing collection of illustrative plates, and its amount makes biological aequum directly discharge this chemical compound.
The daily dose of steroid of the present invention can be up to 1mg, usually at 50-500 μ g, preferably at 100-300 μ g.As for the chemical compound of formula III and IV, treat that dosage was preferably 50-250 μ g/ days, more preferably 100-200 μ g/ days.Most preferred daily dose is 140-160 μ g under the situation of single current system method contraception.As for Org 37678, it is that chemical compound and two selectivity additional keys of satisfying formula I all do not have, the typically high 1.5-2 of dosage times, and preferred 200-300 μ g.
The used steroid of the present invention can be according to the routine instruction preparation of US5710144 and US4292251.
According to following examples the present invention is further explained.
Embodiment 1
By (11 β)-11-vinyl female-5-alkene-3,17-diketone ring 3-(1,2-second two acetals) according to be prepared as follows (11 β, 17 α)-11-vinyl-17-hydroxy-19-nor pregnant-4-alkene-20-alkynes-3-ketone:
ⅰ)-and will be freezing to 0 ℃ at the 57.5g potassium tert-butoxide suspension that 585ml does among the THF, then acetylene was passed through this mixture 2 hours, at this moment remove ice bath.Next, drip 15.0g (11 β)-11-vinyl female-5-alkene-3,17-diketone ring 3-(1,2-second two acetals) in 156ml do among the THF solution and at room temperature with acetylene by the gained mixture.After 2 hours, slowly add the saturated aqueous solution of 350ml ammonium chloride and with the gained mixture with twice of the ethyl acetate extraction that contains about 2% pyridine.This mixed extract also uses for twice the saturated aqueous solution (saline) of sodium chloride to wash once with the saturated aqueous solution flushing of sodium bicarbonate, through dried over sodium sulfate, and under reduced pressure concentrate, obtain 16.2g (11 β, 17 α)-and 11-vinyl-17-hydroxy-19-nor is pregnant-5-alkene-20-alkynes-3-ketone ring 3-(1,2-second two acetals).
ⅱ)-to (11 β of the 16.2g in 870ml acetone, 17 α)-and 11-vinyl-17-hydroxy-19-nor is pregnant-5-alkene-20-alkynes-3-ketone ring 3-(1,2-second two acetals) the 4N HCl of interpolation 44ml in the solution stirs the gained mixture 3.5 hours under room temperature and nitrogen environment.Then, this reactant mixture is poured in 3.51 water, it is used ethyl acetate extraction 3 times.This mixed extract uses the saturated aqueous solution of sodium bicarbonate to wash once, and twice of water flushing also uses the saturated aqueous solution (saline) of sodium chloride to wash once, through dried over sodium sulfate, and under reduced pressure concentrated, obtain the rough material of 14.0g.This semifinished product is from the mixture (K of dichloromethane and acetone 1: 1.2g, K 2: crystallization is twice 4.8g).Crystalline mother solution under reduced pressure concentrates for the second time, and residue is by flash chromatography method (toluene: ethyl acetate=8: 2) purify, obtain another 3.8g product.With this material and K 1And K 2Mix and interpolation 50ml ether.With gained suspension returning 4 hours, 5 ℃ of coolings 60 hours down, and these crystallizations, after with the flushing of 3ml cold diethyl ether, filter and collect (9.0g).Because twice this step of repetition do not improve the purity of this product, therefore use flash chromatography method (heptane: acetone=7: 3) as last purification step, thereby obtain pure (11 β, 17 the α)-11-vinyl-17-hydroxy-19-nor of 6.3g pregnant-4-alkene-20-alkynes-3-ketone.M.p.186.8 ℃ of .[α] D 20=+29.5 ° (c=1, ethanol).
Embodiment 2
By (11 β, 17 α)-11-vinyl-17-hydroxy-19-nor pregnant-4-alkene-20-alkynes-3-ketone according to be prepared as follows (11 β, 17 α)-17-acetoxyl group-11-vinyl-19-nor-pregnant-4-alkene-20-alkynes-3-ketone:
-to the 460mg in the 4.6ml acetic anhydride (11 β, 17 α)-11-vinyl-17-hydroxy-19-nor pregnant-add the 156mg p-methyl benzenesulfonic acid in the solution of 4-alkene-20-alkynes-3-ketone, the gained mixture was stirred 4.5 hours under room temperature and nitrogen environment.Then, add the 36%HCl of 0.4ml, this mixture overnight is stirred.Then this crude mixture is poured in the 46ml water, used dichloromethane extraction 4 times.With of saturated aqueous solution (saline) washing of this mixed extract with saturated aqueous solution, water and the sodium chloride of sodium bicarbonate, concentrate down through dried over sodium sulfate and decompression, corresponding 3-acetoxy-3 is still arranged, the crude product that the 5-diene pollutes.
This crude product is dissolved in the mixture of 28ml acetone and 0.2ml36%HCl, at room temperature with gained solution stirring 24 hours (after 3 and 7.5 hours, adding 0.7ml water).Next, add 0.2ml36%HCl again, at room temperature with gained mixture stirred overnight again.At last, this crude mixture is poured in the 275ml water, it is used ethyl acetate extraction three times.This mixed extract, through dried over sodium sulfate and under reduced pressure concentrates with saturated aqueous solution (saline) washing of saturated aqueous solution, water and the sodium chloride of sodium bicarbonate, obtains the 550mg crude product.By the flash chromatography method (toluene: ethyl acetate=4: 6) purify, obtain pure (11 β, 17 the α)-17-acetoxyl group-11-vinyl-19-of 165mg nor-pregnant-4-alkene-20-alkynes-3-ketone amorphous solid.
M.p.141.1-161.1 ℃ of .[α] D 20=-1 ° (c=0.5 , diox).
Embodiment 3
By (11 β, 17 α)-11-vinyl-17-hydroxy-19-nor pregnant-4-alkene-20-alkynes-3-ketone according to be prepared as follows (3E/Z, 11 β, 17 α)-11-vinyl-17-hydroxy-19-nor pregnant-4-alkene-20-alkynes-3-ketoxime:
-to the 500mg in the 2.6ml pyridine (11 β, 17 α)-11-vinyl-17-hydroxy-19-nor pregnant-add 1.18g azanol .HCl in the solution of 4-alkene-20-alkynes-3-ketone, the gained mixture was stirred 1 hour under room temperature and nitrogen environment.Then, this reactant mixture is poured in the 46ml water, used dichloromethane extraction 3 times.With the washing of the saturated aqueous solution (saline) of this mixed extract water and sodium chloride, under reduced pressure concentrate, obtain 480mg (3E/Z, 11 β, 17 α)-11-vinyl-17-hydroxy-19-nor pregnant-4-alkene-20-alkynes-3-ketoxime.
Crystallization from dichloromethane, the mixture of acquisition 85: 15 3E-of 260mg and 3Z-oxime.
M.p.257 ℃ of .[α] D 20=+58.4 ° (c=0.5 , diox).
Embodiment 4
By (11 β, 17 α)-11-vinyl-17-hydroxy-19-nor pregnant-4-alkene-20-alkynes-3-ketone is pregnant-4 according to being prepared as follows (11 β, 17 α)-11-vinyl-17-hydroxy-19-nor, 20-diene-3-ketone:
-in 175mg Lin Dele (Lindlar) catalyst suspension in 25 minutes the 15ml ethanol of hydrogen pretreatment, make an addition to 500mg (11 β in the 5ml ethanol, 17 α)-and 11-vinyl-17-hydroxy-19-nor is pregnant-solution of 4-alkene-20-alkynes-3-ketone, and with gained mixture hydrogenation under atmospheric pressure 1 hour.Then, remove by filter catalyst in the crude mixture through Dai Kalite, filtrate under reduced pressure concentrates.The silicon dioxide that uses the silver nitrate dipping as immobile phase by the flash chromatography method with toluene/ethyl acetate (4/6) this crude product of purifying, obtain pure (11 β of 162mg, 17 α)-11-vinyl-17-hydroxy-19-nor is pregnant-4,20-diene-3-ketone amorphous solid.
M.p.62.9-70.3 ℃ of .[α] D 20=+74.1 ° (c=0.5 , diox).
Embodiment 5
By (11 β, 17 α)-and 11-vinyl-17-hydroxy-19-nor is pregnant-and 4-alkene-20-alkynes-3-ketone is according to being prepared as follows (3 α, 11 β, 17 α)-11-vinyl-19-nor-pregnant-4-alkene-20-alkynes-3,17-two pure and mild (3 β, 11 β, 17 α)-11-vinyl-19-nor-pregnant-4-alkene-20-alkynes-3, the 17-glycol:
-to do at 25ml 2.0g (11 β, 17 α)-11-vinyl-17-hydroxy-19-nor among the THF pregnant-add 3.14g Li (O in the solution of 4-alkene-20-alkynes-3-ketone tBu) 3AlH stirs the gained mixture 2 hours under room temperature and nitrogen environment.Then, this reactant mixture is poured in the saturated aqueous solution of ammonium chloride, used dichloromethane extraction.The saturated aqueous solution of extracting solution water and sodium chloride (saline) washing, under reduced pressure concentrate, use dichloromethane/acetone (95/5) by flash chromatography method this crude mixture of purifying, from diisopropyl ether, after the crystallization, obtain pure (3 α of 100mg, 11 β, 17 α)-11-vinyl-19-nor-pregnant-4-alkene-20-alkynes-3,17-two pure and mild 700mg pure (3 β, 11 β, 17 α)-11-vinyl-19-nor-pregnant-4-alkene-20-alkynes-3, the 17-glycol.
3 alpha-isomers: M.p.178.5-179.1 ℃.
3 β-isomer: M.p.147.6-148.2 ℃.
Embodiment 6
By (11 β)-11-vinyl female-5-alkene-3,17-diketone ring two-(1,2-second two acetals) according to be prepared as follows (11 β, 17 α)-11-ethyl-17-hydroxy-19-nor pregnant-4-alkene-20-alkynes-3-ketone:
ⅰ)-add 5g platinum oxide (IV) to the solution of described two acetals of the 100g in 3.51 dry tetrahydrofurans, at room temperature with this mixture hydrogenation up to no longer absorbing hydrogen.This mixture is through diatomite filtration, and residue under reduced pressure should mix filtrate concentrating with oxolane flushing twice, obtain the rough crystallization of 93g (11 β)-11-ethyl female-5-alkene-3,17-diketone ring two-(1,2-second two acetals) is used it in the following step without further purifying.
ⅱ)-two ketals (10g) in the above-mentioned steps are suspended in the 50ml acetone.Careful 6.7ml water and the vitriolic solution of 3.3ml of adding in this suspension.This mixture was at room temperature stirred 1 hour, pour into then in the solution of the 20g sodium acetate in 100ml water.This mixture cools off in ice bath; The gained sedimentation and filtration is fallen, and residue washes with water up to washings to neutral; Collect residue and dry then, obtain rough (11 the β)-11-ethyl of 7.5g female-4-alkene-3, the 17-diketone is just used it for following steps without further purification.
ⅲ)-with the suspension of the 16.5g potassium tert-butoxide of acetylene gas by in the 100ml dry tetrahydrofuran 2 hours.In this suspension, drip the solution of the diketone in the 10g above-mentioned steps in the 50ml dry tetrahydrofuran.This mixture was at room temperature stirred 2 hours, pass through acetylene simultaneously continuously.Then, the vitriolic solution of the 15ml in 30ml water is added carefully and this mixture was stirred other 2 hours.Afterwards, the solution of the 40g sodium acetate in 250ml water is slowly added, with this mixture 75 ℃ of heating 15 minutes down.Distill organic solvent then and with the residue cool to room temperature.Form precipitation, it is removed by filter and be absorbed in the 600ml toluene.Add active carbon and, filter and under reduced pressure concentrate this mixture heated to 65 ℃.This crude product recrystallize from ethanol/water, obtain 6.5g (11 β, 17 α)-11-ethyl-17-hydroxy-19-nor pregnant-4-alkene-20-alkynes-3-ketone.
M.p.222 ℃ of .[α] D 20=-16.1 ° (c=1 , diox).
Comparative examples
(A) the embodiment II (b) with US4292251 is identical.
(B) the embodiment X III with US4292251 identical (comprising wherein embodiment VI (a) and step (b)).
The example of pharmaceutical preparation
Preparation contains the pharmaceutical composition of steroid of the present invention.As illustration, select the chemical compound (Org 4060) of embodiment 6.With standard method this chemical compound is mixed with other component, and with this mixture granulating.Compositions is as follows, and same preparation is suitable for other chemical compound that comprises Org 4325: Org 4060 (active component) 1-10wt.% corn starch (disintegrate thing) 15wt.% hydroxypropyl cellulose (binding agent) 3wt.% lactose 200M (diluent) is to 100wt.%
Experimental example A
Several steroid according to chemical compound of the present invention and not according to chemical compound of the present invention, carry out the associated biomolecule performance test, i.e. progestin and estrogen activity test.This progestin is by the McPhail test determination, and estrogen activity is by the Allen-Doisy test determination.Two tests all are known in the art, can be described below:
The McPhail test:
Use the progestogenic activity of the in vivo test of rabbit by the differentiation evaluation test chemical compound of Histological evaluation's endometrial tissue.Rabbit caused 8 days with estradiol, then, and oral progestogenic compounds 5 days.With these animal euthanasias (intravenous injection 60mg pentobarbitone/rabbit) and prepare the hematoxylin-eosin-painted cross section of two different pieces of each cornua uteri.Grow and opinion rating 0-4 (Van der Vies J., andDe Visser, J.1983.Endocrinological studies with desogestrel.Drug Res.33:231-236) with this progestogen dependent form endometrium of microscopic evaluation.
The Allen-Doisy test:
The in vivo test of using rat is by estimating the estrogen activity of cornification of vaginal epithelium evaluation test chemical compound to vaginal smear.With the oophorectomize of the female mouse of maturation, afterwards in the 3rd week, with the 1 μ g estradiol initiation (the 1st day) of single dose.Cause after 7 days, at the 8th day with test compound administration 1 time, administration in the 9th day 2 times.In the 10th day afternoon, at the 11st day 2 times with obtained vaginal smear again in the 12nd day morning.With these smears with Giemsa dyeing and measure positive smear quantity (Van der Vies J., and De Visser, J.1983.Endocrinological studies with desogestrel.Drug Res.33:231-236).
The result:
During result of the test is listed in the table below.
Figure 99803771001511
Figure 99803771001611
Experimental example B
The chemical compound of embodiment 6 is used for monkey research.
Use has the ripe female little thick tail monkey (macaque) in the age in 5-20 week that shows regular menstrual cycle.With these monkeys with about 35 female and one vasectomized male be that group lives.Test by ' Animal Use Committee ' (DEC, AEP E97A0801PV E number) checks and approves.To 3 groups of these monkeys with every day 8 μ g/kg dosage give the chemical compound of embodiment 6.First day of menstrual bleeding is considered to the 1st day of this cycle, and these tests are from pretreatment contrast cycle (test the 1st day).The 2nd day in the cycle of processing began to handle (every day) up to the 22nd day.(dosage depends on monkey, i.m.≤10mg/kg) following to the conduit oral administration of compound in the slight anesthesia of using ketamine .Then the administration animal is lived to regain consciousness and to check regurgitation separately.After 2 hours these animals are turned back in this group.After the menstrual bleeding in (wishing the time) processing cycle, begin the post processing cycle.Biweekly (Monday and Thursday) obtains the blood sample that is used to analyze estradiol and progesterone in whole test.Use Vacutainer pipe (Venoject) to obtain blood sample from the vein crureus.Also come monitoring periods by using cotton sharp applicator to obtain vaginal swab every day.Vaginal hemorrhage is divided into main hemorrhage (estimate=+) and secondary hemorrhage (evaluation=±).
All monkeys of accepting the chemical compound of embodiment 6 demonstrate and suppress ovulation; 2/3 demonstrate not hemorrhage; Neither one demonstrates hemorrhage intermittently.It is very suitable to contraceptive that these results demonstrate this mixing E/P chemical compound: very well suppressed ovulation, need not independent estrogen simultaneously, and hemorrhage collection of illustrative plates and periodic Control are good.

Claims (16)

1. the contraceptive medicine box that comprises the device of the reagent of practising contraception every day is characterised in that this single contraception reagent is the sterid with active collection of illustrative plates of progestin and the intrinsic combination of estrogen activity.
2. according to the contraceptive medicine box of claim 1, be characterised in that this sterid is selected from steroid, its prodrug and its pharmaceutical salts that satisfies the structure formula I,
Formula I wherein dotted line shows the selectivity additional key separately respectively.
3. according to the contraceptive medicine box of claim 2, be characterised in that this sterid satisfies the structure formula III,
Figure 9980377100022
Formula III or be its prodrug or its pharmaceutical salts.
4. according to the contraceptive medicine box of claim 2, be characterised in that this sterid satisfies the structure formula IV, Or be its prodrug or its pharmaceutical salts.
5. the contraceptive medicine box arbitrary according to front claim, the device that is characterised in that administration every day is the form of 18-30 Consecutive Days dosage device, each contains this steroid of 100-300 μ g.
6. according to the contraceptive medicine box of claim 5, be characterised in that the unitary quantity of daily dose is 21-25.
7. according to the contraceptive medicine box of claim 6, be characterised in that by comprising the placebo dosage device to constitute total 28-32 daily dose unit.
8. the contraceptive medicine box arbitrary according to claim 5-7 is characterised in that this Consecutive Days dosage device is an oral tablet.
9. have the purposes that the sterid of the active collection of illustrative plates of progestin and the intrinsic combination of estrogen activity is used to produce contraceptive medicament preparation, wherein said chemical compound is single contraception reagent.
10. be selected from the purposes that the sterid of the steroid, its prodrug and its pharmaceutical salts that satisfy structural formula I is used to produce contraceptive medicament preparation,
Figure 9980377100031
Formula I wherein dotted line shows the selectivity additional key separately respectively.
11., be characterised in that this sterid is to satisfy of structure formula II, perhaps its pharmaceutical salts according to the purposes of claim 10:
Formula II wherein dotted line shows the selectivity additional key separately respectively, Y representative (H, H), (O), (N-OH) or (H, OH); And X representative (H) or (C 2-C 7Acyl group).
12., be characterised in that this sterid satisfies the structure formula III according to the purposes of claim 11:
Figure 9980377100041
Formula III or be its prodrug or its pharmaceutical salts.
13., be characterised in that this sterid satisfies the structure formula IV according to the purposes of claim 11:
Figure 9980377100042
Formula IV or be its prodrug or its pharmaceutical salts.
14., be characterised in that this pharmaceutical preparation is single current system method contraceptive according to purposes arbitrary among the claim 10-13.
15. a contraceptive device comprises that giving being selected from of effective dose to the women of child-bearing age satisfies the steroid of structure formula I or the sterid of its prodrug.
16., comprise continuous 21-25 days and give the chemical compound that 100-300 μ g satisfies formula III, then be 3-7 days no pill or placebo interval according to the contraceptive device of claim 15.
CN998037710A 1998-03-09 1999-03-03 Newcontraceptive kit for monotherapy Pending CN1292702A (en)

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WO1999051214A2 (en) * 1998-04-07 1999-10-14 Akzo Nobel N.V. Progestogen-only contraceptive kit
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PL366235A1 (en) 2000-07-28 2005-01-24 Akzo Nobel N.V. 16alpha-methyl or ethyl substituted estrogens
CA2478206A1 (en) * 2002-03-11 2003-09-25 Patrick Michel Caubel Sulfatase inhibiting continuous progestogen contraceptive regimens
AU2003222273A1 (en) * 2002-03-11 2003-09-29 Janssen Pharmaceutica N.V. Sulfatase inhibiting progestogen-only contraceptive regimens
UA89964C2 (en) 2004-09-08 2010-03-25 Н.В. Органон 15beta-substituted steroids having selective estrogenic activity

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