DK171397B1 - 24-Epi-1alpha,25-dihydroxylated vitamin D2 derivatives, and preparations for pharmaceutical use which comprises these derivatives - Google Patents

24-Epi-1alpha,25-dihydroxylated vitamin D2 derivatives, and preparations for pharmaceutical use which comprises these derivatives Download PDF

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DK171397B1
DK171397B1 DK008685A DK8685A DK171397B1 DK 171397 B1 DK171397 B1 DK 171397B1 DK 008685 A DK008685 A DK 008685A DK 8685 A DK8685 A DK 8685A DK 171397 B1 DK171397 B1 DK 171397B1
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vitamin
dihydroxyvitamin
hydroxyvitamin
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dihydroxy
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Hector F Deluca
Heinrich K Schnoes
Rafal R Sicinski
Yoko Tanaka
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Wisconsin Alumni Res Found
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07CACYCLIC OR CARBOCYCLIC COMPOUNDS
    • C07C401/00Irradiation products of cholesterol or its derivatives; Vitamin D derivatives, 9,10-seco cyclopenta[a]phenanthrene or analogues obtained by chemical preparation without irradiation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P13/00Drugs for disorders of the urinary system
    • A61P13/02Drugs for disorders of the urinary system of urine or of the urinary tract, e.g. urine acidifiers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/02Nutrients, e.g. vitamins, minerals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/12Drugs for disorders of the metabolism for electrolyte homeostasis
    • A61P3/14Drugs for disorders of the metabolism for electrolyte homeostasis for calcium homeostasis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D317/00Heterocyclic compounds containing five-membered rings having two oxygen atoms as the only ring hetero atoms
    • C07D317/08Heterocyclic compounds containing five-membered rings having two oxygen atoms as the only ring hetero atoms having the hetero atoms in positions 1 and 3
    • C07D317/10Heterocyclic compounds containing five-membered rings having two oxygen atoms as the only ring hetero atoms having the hetero atoms in positions 1 and 3 not condensed with other rings
    • C07D317/14Heterocyclic compounds containing five-membered rings having two oxygen atoms as the only ring hetero atoms having the hetero atoms in positions 1 and 3 not condensed with other rings with substituted hydrocarbon radicals attached to ring carbon atoms
    • C07D317/18Radicals substituted by singly bound oxygen or sulfur atoms
    • C07D317/24Radicals substituted by singly bound oxygen or sulfur atoms esterified
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07JSTEROIDS
    • C07J71/00Steroids in which the cyclopenta(a)hydrophenanthrene skeleton is condensed with a heterocyclic ring
    • C07J71/0036Nitrogen-containing hetero ring
    • C07J71/0042Nitrogen only

Description

i DK 171397 B1in DK 171397 B1

Den foreliggende opfindelse angår hidtil ukendte 24-epi-la,25-dihydroxylerede vitamin D2-derivater, der er ejendommelige ved, at de har den i krav l's kendetegnende del angivne formel I, præparater til farmaceutisk anvendelse, 5 der er ejendommelige ved det i krav 4's kendetegnende del angivne, samt anvendelse af derivaterne til fremstilling af et præparat til behandling af sygdomme, der kræver regenerering af knoglemasse, eller til at forhindre tab af knoglemasse, fortrinsvis postmenopausal osteoporose, se-10 nil osteoporose eller steroidinduceret osteoporose.The present invention relates to novel 24-epi-1α, 25-dihydroxylated vitamin D 2 derivatives which are characterized in that they have the formula I as set forth in claim 1, pharmaceutical compositions 5 The characterizing part of claim 4, and the use of the derivatives for the preparation of a composition for the treatment of diseases requiring regeneration of bone mass or to prevent loss of bone mass, preferably postmenopausal osteoporosis, senile osteoporosis or steroid-induced osteoporosis.

Betydningen af de hydroxylerede former af vitamin D som regulatorer for calcium og phosphormetabolisme hos dyr og mennesker er velkendt og beskrevet i adskillige patenter 15 og i litteraturen, og som en følge heraf finder disse hy-droxyvitamin D-derivater stadig større klinisk og veterinær anvendelse som lægemidler ved behandlingen af sygelige tilstande inden for calciummetabolismen og hermed forbundne knoglesygdomme. Det er kendt, at vitamin D3 hy-20 droxyleres in vivo til 25-hydroxyvitamin D3 og herefter til la,25-dihydroxyvitamin D3, idet sidstnævnte forbindelse er almindelig accepteret som den aktive hormonale form af vitamin D3. Ligeledes dannes den særdeles kraftige vitamin D2 metabolit la,25-dihydroxyvitamin D2 (la,25-25 (OH) 2^2) ud fra vitamin D2 via 25-hydroxyvitamin D2 (25-OH-D2). Begge disse hydroxylerede vitamin D2 forbindelser er blevet isolerede og identificerede (DeLuca et al., USA patentskrift nr. 3 585 221 og 3 880 894); idet de stammer fra vitamin D2 er disse metabolitter karakte-30 riseret ved (S)-stereokemi ved carbon 24.The importance of the hydroxylated forms of vitamin D as regulators of calcium and phosphorus metabolism in animals and humans is well known and described in several patents 15 and in the literature, and as a result, these hydroxyvitamin D derivatives increasingly find clinical and veterinary use as drugs for the treatment of morbid conditions in calcium metabolism and associated bone disorders. It is known that vitamin D3 is hydroxylated in vivo to 25-hydroxyvitamin D3 and then to 1α, 25-dihydroxyvitamin D3, the latter compound being widely accepted as the active hormonal form of vitamin D3. Also, the extremely potent vitamin D2 metabolite Ia, 25-dihydroxyvitamin D2 (Ia, 25-25 (OH) 2 ^ 2) is formed from vitamin D2 via 25-hydroxyvitamin D2 (25-OH-D2). Both of these hydroxylated vitamin D2 compounds have been isolated and identified (DeLuca et al., U.S. Patent Nos. 3,585,221 and 3,880,894); derived from vitamin D2, these metabolites are characterized by (S) stereochemistry at carbon 24.

Det har overraskende vist sig, at de omhandlede epi-for-bindelser udviser en kraftig vitamin D-lignende virkning. Selvom de særdeles effektivt stimulerer tarm-calcium-35 transport og mineralisering af nye knogler, har de imidlertid minimal virkning på mobilisering af knoglecalcium.Surprisingly, it has been found that the epi-compounds in question exhibit a potent vitamin D-like effect. However, although they very effectively stimulate intestinal calcium-calcium transport and mineralization of new bones, they have minimal effect on the mobilization of bone calcium.

DK 171397 B1 2DK 171397 B1 2

Disse egenskaber åbner derfor muligheden for at kontrollere forskellige vitamin D-afhængige processer på en måde, som det ikke tidligere har været muligt med mere almindelige vitamin D-derivater.These properties therefore open up the possibility of controlling various vitamin D-dependent processes in a way that has not previously been possible with more common vitamin D derivatives.

5 Særlige eksempler på de omhandlede forbindelser er la,25-dihydroxy-24-epivitamin D2, samt de C-25 alkylhomologe af denne forbindelse dvs. forbindelser med ovenfor angivne formel, hvor X betegner ethyl, propyl, isopropyl, butyl 10 eller isobutyl.Particular examples of the subject compounds are 1α, 25-dihydroxy-24-epivitamin D 2, as well as the C-25 alkyl homologues of this compound, i. compounds of the above formula wherein X represents ethyl, propyl, isopropyl, butyl or isobutyl.

Typiske R1, R2 og R3 grupper omfatter alkylcarbonyl som formyl, acetyl, butyryl, isobutyryl og valeryl eller aromatisk carbonyl som f.eks. benzoyl, eller en acylgruppe 15 afledt af en dicarboxylsyre med den almene formel R00C(CH2)nCO eller R00CCH2-0-CH2C0- som f.eks. oxalyl, malonyl, succinoyl, glutaryl, adipyl og diglycolyl.Typical R 1, R 2 and R 3 groups include alkylcarbonyl as formyl, acetyl, butyryl, isobutyryl and valeryl or aromatic carbonyl such as e.g. benzoyl, or an acyl group derived from a dicarboxylic acid of the general formula R00C (CH2) nCO or R00CCH2-0-CH2CO- such as e.g. oxalyl, malonyl, succinoyl, glutaryl, adipyl and diglycolyl.

En udførelsesform for fremstillingen af de omhandlede 20 forbindelser er illustreret i vedlagte reaktionsskema I.An embodiment of the preparation of the subject compounds is illustrated in attached Scheme I.

I den følgende afbildning af denne fremgangsmåde henfører numrene (1, 2, 3 osv.), der betegner de specifikke for bindelser, til de formler, der er nummereret på denne måde i reaktionsskema I.In the following depiction of this process, the numbers (1, 2, 3, etc.), denoting the specific ones for bonds, refer to the formulas numbered in this way in Scheme I.

2525

Et passende udgangsmateriale for fremgangsmåden er vitamin D-ketalderivatet med formlen (1). Det kan være bekvemt at anvende forbindelsen (1) som en blanding af de 24R og S-epimere, idet derivatet med R-konfiguration ved 30 C-24 kan isoleres under et senere trin af processen.A suitable starting material for the process is the vitamin D ketal derivative of formula (1). It may be convenient to use compound (1) as a mixture of the 24R and S epimers, since the R-configuration derivative at 30C-24 can be isolated during a later step of the process.

Imidlertid er den rene 24R-epimer af (1) ligeledes velegnet som udgangsmaterialer til opnåelse af den tilsvarende (24R)-la,25-dihydroxylerede slutforbindelse. 1However, the pure 24R epimer of (1) is also well suited as starting materials to obtain the corresponding (24R) -la, 25-dihydroxylated final compound. 1

Udgangsmaterialet (1) omdannes til den ønskede la,-hydroxylerede form via cyclovitamin D derivaterne (DeLuca DK 171397 B1 3 et al., USA patentskrifterne 4 195 027 og 4 260 549). Behandling af forbindelsen (1) med toluensulfonylchlorid på sædvanlig måde giver således det tilsvarende C-3-tosylat (2) , der solvolyseres i et alkoholisk substrat til opnå-5 else af det hidtil ukendte 3,5-cyclovitamin D derivat (3) . Solvolyse i methanol giver cyclovitaminet med formlen (3), hvor Z = methyl, medens anvendelsen af andre alkoholer som f.eks. ethanol, 2-propanol eller butanol ved denne omsætning giver de analoge cyclovitamin D forbin- 10 delser (3), hvor Z betegner en alkylgruppe, der stammer fra alkoholen f.eks. ethyl, isopropyl eller butyl. Allyl-oxidation af mellemproduktet (3) med selendioxid og et hydroperoxid giver den Ια-hydroxy-analoge med formlen (4) . Efterfølgende acetylering af forbindelsen (4) giver 15 1-acetatet med formlen (5, Ri = acetyl). Eventuelt fremstilles andre 1-0-acylater (formlen 5, hvori Ri = acetyl f.eks. formiatet, propionatet, butyratet eller benzoatet) ved analoge almindelige acyleringer. 1-0-acylderivatet underkastes herefter syrekatalyseret solvolyse. Dersom 20 denne solvolyse udføres i et opløsningsmiddel indeholdende vand, fås 5,6-cis-vitamin D mellemproduktet med formlen (6, Ri = acyl, R2 = H) og den tilsvarende 5,6-trans-forbindelse (formel 7, Ri * acyl, R2 = H) i et forhold på 3-4:1. Disse 5,6-cis og 5,6-trans-isomere kan adskilles 25 på dette trin f.eks. ved hjælp af væskekromatografi med stor kapacitet. Om ønsket kan C-1-0-acylgruppen fjernes ved basehydrolyse til opnåelse af forbindelserne (6) og (7), hvori Ri og R2 = H. Eventuelt kan disse 1-0-mono-acylater også yderligere acyleres ved C-3-hydroxygrupper-30 ne under anvendelse af almindelige acyleringsbetingelser til opnåelse af de tilsvarende l,3-di-0-acylater med formlen (6) og (7), hvori Ri og R2, der kan være ens eller forskellige, betegner acylgrupper. Alternativt kan hydroxycyclovitaminet roed formlen (4) underkastes syreka-35 talyseret solvolyse i et substrat, der indeholder en lav-molekylær organisk syre til opnåelse af 5,6-cis og trans- DK 171397 B1 4 forbindelser med formlerne (6) og (7) hvori Ri = H og R2 = acyl, hvor acylgruppen stammer fra den syre, der anvendes ved solvolysen.The starting material (1) is converted to the desired 1α, hydroxylated form via the cyclovitamin D derivatives (DeLuca DK 171397 B1 3 et al., U.S. Patents 4,195,027 and 4,260,549). Thus, treatment of the compound (1) with toluene sulfonyl chloride in the usual manner gives the corresponding C-3 tosylate (2), which is solvolysed in an alcoholic substrate to obtain the novel 3,5-cyclovitamin D derivative (3). Solvolysis in methanol gives the cyclovitamin of formula (3) where Z = methyl, while the use of other alcohols such as e.g. ethanol, 2-propanol or butanol in this reaction give the analogous cyclovitamin D compounds (3) wherein Z represents an alkyl group derived from the alcohol e.g. ethyl, isopropyl or butyl. Allyl oxidation of the intermediate (3) with selenium dioxide and a hydroperoxide gives the Ια-hydroxy analog of formula (4). Subsequent acetylation of the compound (4) gives the 1-acetate of formula (5, R 1 = acetyl). Optionally, other 1-O acylates (formula 5 wherein R 1 = acetyl, for example, the formate, propionate, butyrate or benzoate) are prepared by analogous ordinary acylations. The 1-O-acyl derivative is then subjected to acid-catalyzed solvolysis. If this solvolysis is carried out in a solvent containing water, the 5,6-cis-vitamin D intermediate of formula (6, R 1 = acyl, R 2 = H) and the corresponding 5,6-trans compound (formula 7, R 1 acyl, R2 = H) in a ratio of 3-4: 1. These 5,6-cis and 5,6-trans isomers can be separated at this stage e.g. using high capacity liquid chromatography. If desired, the C-1-O acyl group can be removed by base hydrolysis to give compounds (6) and (7), wherein R 1 and R 2 = H. Optionally, these 1-O monoacylates can also be further acylated at C-3 hydroxy groups using ordinary acylation conditions to obtain the corresponding 1,3-di-0-acylates of formulas (6) and (7), wherein R 1 and R 2, which may be the same or different, represent acyl groups. Alternatively, the hydroxycyclovitamin red formula (4) may be subjected to acid-catalyzed solvolysis in a substrate containing a low molecular weight organic acid to give 5,6-cis and trans-compounds of formulas (6) and (7). ) wherein R 1 = H and R 2 = acyl, wherein the acyl group is derived from the acid used in the solvolysis.

5 Næste trin i fremgangsmåden omfatter fjernelse af den ke-talbeskyttende gruppe til fremstilling af den tilsvarende 25-keton. Dette trin er kritisk, da omdannelsen af keta-len til ketonen må udføres uden samtidig isomerisering af 22-(23)-dobbeltbindingen til den konjugerede 23(24)-posi-10 tion, der kan forekomme under de sure betingelser, der er nødvendige for hydrolyse af ketal. Yderligere må betingelserne udvælges således, at man undgår fjernelse af den følsomme allyl C-l-oxygenfunktion. Omdannelsen udføres med held ved forsigtig hydrolyse ved moderate temperatu-15 rer under anvendelse af organisk syrekatalyse. Behandling af 5,6-cis-forbindelsen (6) i vandig alkohol med p-tolu-en-sulfonsyre giver således den tilsvarende keton (8).The next step of the process comprises removing the metal protecting group to prepare the corresponding 25 ketone. This step is critical as the conversion of the ketone to the ketone must be accomplished without simultaneous isomerization of the 22 (23) double bond to the conjugated 23 (24) position which may occur under the acidic conditions required for ketal hydrolysis. Further, the conditions must be selected so as to avoid the removal of the sensitive allyl C-1 oxygen function. The conversion is successfully carried out by gentle hydrolysis at moderate temperatures using organic acid catalysis. Thus, treatment of the 5,6-cis compound (6) in aqueous alcohol with p-toluene-sulfonic acid gives the corresponding ketone (8).

For at undgå uønsket fjernelse af C-l-oxygenfunktionen under omsætningen er det en fordel, at C-l-hydroxygruppen 20 i forbindelsen (6) beskyttes (f.eks. Ri - acyl, R2 = acyl, R2 = hydrogen eller acyl).In order to avoid unwanted removal of the C-1 oxygen function during the reaction, it is advantageous to protect the C-1-hydroxy group 20 in the compound (6) (eg R 1 - acyl, R 2 = acyl, R 2 = hydrogen or acyl).

Efterfølgende omsætning af keton (8) med et methyl-Grig-nard-reagens giver herefter den ønskede la,25-dihydroxy-25 vitamin D2 forbindelse med formlen (9). Dersom udgangsmaterialet, forbindelse (1), der anvendes ved ovennævnte fremgangsmåde, er en blanding af de to C-24-epimere, så vil forbindelsen (9) opnås som en blanding af de 24-S og R-epimere (henholdsvis 9a og 9b). Adskillelsen af denne 30 epimere blanding kan opnås ved kromatografiske metoder, hvorved der fås la,25-dihydroxyvitamin D2 (formel 9a, 24S-stereokemi) og dennes 24R-epimere, la,25-dihydroxy- 24-epivitamin D2 med formlen 9b, idet begge forbindelser fås i ren form. En sådan adskillelse af de epimere er na-35 turligvis ikke nødvendig, dersom forbindelserne skal anvendes i form af en blanding. 5,6-trans-25-ketalmellem- DK 171397 B1 5 produktet med formlen (7) underkastet ketalhydrolyse på lignende måde vil give 5,6-transketonmellemproduktet med formlen (10), der via en Grignard-reaktion med methylmag-nesiumbromid eller et analogt reagens giver 5,6-trans-5 la,25-dihydroxyvitamin Dz forbindelserne med formlen (11), som den 24S eller 24R-epimere, eller som en blanding af begge epimere afhængig af arten af udgangsmaterialet (1), der anvendes ved fremgangsmåden. Dersom de opnås som en epimer blanding kan de epimere adskilles ved 10 kromatografi til opnåelse af 5,6-trans-la,25-dihydroxyvitamin Oz (Ha) og dennes 24R-epimere 5,6-trans-la,25-dihydroxy-24-epivitamin D2 med formlen (11b). Disse reaktioner, der anvender 5,6-trans-raellemprodukterne, udføres på en måde, der er fuldstændig analog med de, der anven-15 des til 5,6-cis-forbindelserne beskrevet ovenfor.Subsequent reaction of ketone (8) with a methyl Grig-nard reagent then gives the desired 1α, 25-dihydroxy-vitamin D 2 compound of formula (9). If the starting material, compound (1) used in the above process is a mixture of the two C-24 epimers, then the compound (9) will be obtained as a mixture of the 24-S and R epimers (9a and 9b, respectively). ). The separation of this epimeric mixture can be obtained by chromatographic methods to obtain 1α, 25-dihydroxyvitamin D2 (formula 9a, 24S stereochemistry) and its 24R epimer, 1α, 25-dihydroxy-24-epivitamin D2 of formula 9b, both compounds are available in pure form. Of course, such separation of the epimers is not necessary if the compounds are to be used in the form of a mixture. The 5,6-trans-25-ketal intermediate of the product of formula (7) is similarly subjected to ketal hydrolysis to yield the 5,6-transketone intermediate of formula (10) which, via a Grignard reaction with methyl magnesium bromide or a by analogy, 5,6-trans-5α, 25-dihydroxyvitamin Dz gives the compounds of formula (11) as the 24S or 24R epimer, or as a mixture of both epimers depending on the nature of the starting material (1) used in method. If obtained as an epimeric mixture, the epimers can be separated by chromatography to give 5,6-trans-1α, 25-dihydroxyvitamin Oz (Ha) and its 24R epimer 5,6-trans-1α, 25-dihydroxy-24 -epivitamin D2 of formula (11b). These reactions using the 5,6-trans-intermediates are carried out in a manner completely analogous to those used for the 5,6-cis compounds described above.

De hidtil ukendte sidekæde ketoner med formlerne (8) eller (10) er de mest værdifulde og let omdannelige mellemprodukter, fordi de kan anvendes til at fremstille en hel 20 række la,25-dihydroxyvitamin D2~sidekædeanaloge. Specielt kan disse keto-mellemprodukter tjene til fremstillingen af 5,6-cis- eller 5,6-trans-la,25-dihydroxyvitamin D2 analoge med den almene sidekæde formel angivet nedenforThe novel side chain ketones of formulas (8) or (10) are the most valuable and easily convertible intermediates because they can be used to prepare a full 20 series of 1α, 25-dihydroxyvitamin D2 side chain analogs. Specifically, these keto intermediates may serve to prepare 5,6-cis or 5,6-trans-1α, 25-dihydroxyvitamin D2 analogs of the general side chain formula set forth below.

✓ν» X✓ν »X

hvori X betegner en alkylgruppe.wherein X represents an alkyl group.

30 F.eks. giver behandling af ketonen (8) med ethylmagnesi-umbromid den tilsvarende hydroxyvitamin D2 analoge, der har ovennævnte sidekædeformel, hvori X betegner en ethyl-gruppe. På samme måde giver behandling af (8) med propyl, butyl eller isopropylmagnesiumbromid de sidekæde-analoge, 35 hvor X betegner henholdsvis propyl, butyl eller isopropyl. Analog behandling af 5,6-trans-25-keton mellempro- DK 171397 Bl 6 duktet med formlen (10) med alkyl-Grignard-reagenser giver den 5,6-trans-vitamin D2 analoge, der har ovennævnte sidekæde, hvori X betegner alkyl indført ved hjælp af det anvendte Grignard-reagens.For example, treatment of the ketone (8) with ethylmagnesium bromide gives the corresponding hydroxyvitamin D2 analog having the above side chain formula, wherein X represents an ethyl group. Similarly, treatment of (8) with propyl, butyl or isopropylmagnesium bromide gives the side chain analogs where X represents propyl, butyl or isopropyl, respectively. Analogous treatment of the 5,6-trans-25-ketone intermediate of formula (10) with alkyl-Grignard reagents yields the 5,6-trans-vitamin D2 analog having the above side chain, wherein X represents alkyl introduced by the Grignard reagent used.

55

Ovennævnte alkylhomologe af 5,6-cis- eller trans-la,25-dihydroxyvitamin D2 er værdifulde substitutter for stam-forbindelserne i de situationer, hvor der ønskes en større fedtopløselighed.The above alkyl homologue of 5,6-cis- or trans-1α, 25-dihydroxyvitamin D2 is valuable substitutes for the parent compounds in situations where greater fat solubility is desired.

1010

Skønt den fri hydroxyforbindelse med formlen I ovenfor (hvori Ri, R2 og R3 = H) yderligere sædvanligvis anvendes til terapeutiske formål, kan det i visse tilfælde være en fordel at anvende det tilsvarende hydroxybeskyttende de-15 rivat. Dette hydroxybeskyttede derivat er f.eks. de acy-lerede forbindelser med den almene formel I ovenfor, hvori en eller flere af Ri, R2 og R3 betegner en acyl-gruppe. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16Although the free hydroxy compound of formula I above (wherein R 1, R 2 and R 3 = H) is further usually used for therapeutic purposes, it may in some cases be advantageous to use the corresponding hydroxy protective derivative. This hydroxy protected derivative is e.g. the acylated compounds of general formula I above, wherein one or more of R 1, R 2 and R 3 represents an acyl group. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Disse acylderivater fremstilles bekvemt ud fra den fri 2 hydroxyforbindelse ved almindelige acyleringsmetoder dvs.These acyl derivatives are conveniently prepared from the free hydroxy compound by ordinary acylation methods, i.e.

3 behandling af en vilkårlig af hydroxyvitamin D2 slutfor- 4 bindelserne med et acylhalogenid eller syreanhydrid i et 5 passende opløsningsmiddel som f.eks. pyridin eller en al- 6 kylpyridin. Ved passende udvælgelse af reaktionstid, acy- 7 leringsmiddel, temperatur og opløsningsmiddel, der er 8 velkendt inden for fagområdet, fås de delvist eller fuld 9 stændigt acylerede derivater med de ovenfor angivne form 10 ler I. F.eks. giver behandling af la,25-dihydroxyvitamin 11 D2 (9a) i pyridinopløsningsmiddel med eddikesyreanhydrid 12 ved stuetemperatur 1,3-diacetatet, medens samme reaktion 13 udført ved forhøjet temperatur giver det tilsvarende 14 1,3,25-triacetat. 1,3-diacetatet kan yderligere acyleres 15 ved C-25 med en anden acylgruppe f.eks. ved behandling 16 med benzoylchlorid eller ravsyreanhydrid, hvorved der fås henholdsvis 1,3-diacetyl-25-benzoyl- eller 1,3-diacetyl- DK 171397 B1 7 25-succinoyl-derivatet. 1,3,25-triacylderivatet kan se lektivt hydrolyseres i mild base til opnåelse af 1,3-di-hydroxy-25-O-acylforbindelsen, hvis frie hydroxygrupper atter kan acyleres eventuelt med andre acylgrupper. På 5 samme måde kan 1,3-diacylderivatet underkastes delvis acylhydrolyse til opnåelse af 1-0-acyl og 3-0-acylforbin-delserne, der for deres vedkommende atter kan acyleres med andre acylgrupper. Lignende behandling af en vilkårlig af de andre hydroxyvitamin D2 slutprodukter (f.eks.3 treating any of the hydroxyvitamin D 2 final compounds with an acyl halide or acid anhydride in a suitable solvent such as e.g. pyridine or an alkyl pyridine. By appropriate selection of reaction time, acylating agent, temperature and solvent well known in the art, the partially or fully 9 permanently acylated derivatives of the above form are obtained in clay 10, e.g. gives treatment of 1α, 25-dihydroxyvitamin 11 D2 (9a) in pyridine solvent with acetic anhydride 12 at room temperature the 1,3-diacetate, while the same reaction 13 carried out at elevated temperature gives the corresponding 14 1,3,25-triacetate. The 1,3-diacetate can be further acylated at C-25 with another acyl group e.g. by treatment 16 with benzoyl chloride or succinic anhydride to give the 1,3-diacetyl-25-benzoyl or 1,3-diacetyl-25-succinoyl derivative, respectively. The 1,3,25-triacyl derivative can be seen to be selectively hydrolyzed in the mild base to give the 1,3-dihydroxy-25-O-acyl compound, the free hydroxy groups of which can be acylated again optionally with other acyl groups. Similarly, the 1,3-diacyl derivative may be partially subjected to acyl hydrolysis to obtain the 1-O-acyl and the 3-O-acyl compounds, which in turn can be acylated with other acyl groups. Similar treatment of any of the other hydroxyvitamin D2 end products (e.g.

10 9b, lla/b eller deres tilsvarende 25-alkyl analoge) giver de tilsvarende acylderivater med formlen I, hvor en vilkårlig eller alle af Ri, R2 og R3 betegner acyl.9b, 11a / b or their corresponding 25-alkyl analogs) give the corresponding acyl derivatives of formula I wherein any or all of R 1, R 2 and R 3 represent acyl.

Ligesom den tidligere kendte vitamin D2 metabolit la,25-15 dihydroxyvitamin D2 (9a), udviser de omhandlede forbindelser udpræget vitamin D-lignende virkning, og de er således velegnede substitutter for de kendte vitamin D2 eller D3 metabolitter til en hel række terapeutiske eller veterinære formål. Særligt foretrukkent med hensyn til 20 dette er s lut forbindelserne med formlerne 9b og 11a og 11b og deres acylerede derivater. De omhandlede forbindelser kan anvendes til at genoprette eller forbedre en hel række calcium og phosphat ubalancer, der skyldes en hel række sygdomme som f.eks. vitamin D-resistent raki-25 tis, osteomalacia, hypoparathyroidisme, osteodystrofi, pseudohypoparatyroidisme, osteoporose, Paget's-sygdom og lignende knogle- og mineralafhængige sygelige tilstande, der er velkendte inden for den medicinske praksis. Forbindelserne kan også anvendes ved behandlingen af mine-30 ralubalancer hos dyr f.eks. kælvningsfeber, svaghed i benene hos fjerkræ eller til at forbedre æggeskalskvaliteten hos fjerkræ. Deres anvendelse ved behandlingen af osteoporose er specielt bemærkelsesværdig. 1Like the prior art vitamin D2 metabolite Ia, 25-15 dihydroxyvitamin D2 (9a), the compounds of this invention exhibit pronounced vitamin D-like activity and are thus suitable substitutes for the known vitamin D2 or D3 metabolites for a variety of therapeutic or veterinary purpose. Particularly preferred for this is the compounds of formulas 9b and 11a and 11b and their acylated derivatives. The present compounds can be used to repair or improve a whole range of calcium and phosphate imbalances caused by a variety of diseases such as Vitamin D-resistant rakis, osteomalacia, hypoparathyroidism, osteodystrophy, pseudohypoparathyroidism, osteoporosis, Paget's disease and similar bone and mineral dependent medical conditions well known in the medical practice. The compounds may also be used in the treatment of mineral imbalances in animals e.g. calving fever, weakness in the legs of poultry or to improve the eggshell quality of poultry. Their use in the treatment of osteoporosis is particularly noteworthy. 1

Det er velkendt, at kvinder omkring menopausen lider af et udpræget tab af knoglemasse, hvilket til sidst kan DK 171397 B1 8 give osteopenia, der for sit vedkommende forårsager spontane frakturer af vertebra og frakturer i de lange knogler. Denne sygdom er almindeligvis betegnet postmenopausal osteoporose og er et betydeligt medicinsk problem i 5 de lande, hvor kvinders levetid er omkring 60-70 år. Sædvanligvis diagnostiseres denne sygdom, der ofte er ledsaget af smerte i knoglerne og nedsat fysisk aktivitet, ved hjælp af en eller to vertebrale frakturer, hvor røntgenundersøgelse klarlægger, at der er en formindsket knogle-10 masse. Det er velkendt, at denne sygdom er ledsaget af formindsket evne til at absorbere calcium, nedsatte mængder kønshormomer, specielt østrogen og androgen og en negativ calciumbalance.It is well known that women around the menopause suffer from a marked loss of bone mass, which can eventually cause osteopenia, which in turn causes spontaneous vertebra fractures and long bone fractures. This disease is commonly referred to as postmenopausal osteoporosis and is a significant medical problem in 5 countries where women's lifespan is around 60-70 years. Usually, this disease, often accompanied by bone pain and decreased physical activity, is diagnosed by one or two vertebral fractures, with an X-ray finding that there is a diminished bone mass. It is well known that this disease is accompanied by diminished ability to absorb calcium, reduced levels of sex hormones, especially estrogen and androgen and a negative calcium balance.

15 Metoder til at behandle denne sygdom har varieret i betydelig grad. F.eks. har calciumtilskuddet i sig selv ikke været i stand til at forhindre eller kurere sygdommen, og indsprøjtningen af kønshormoner, specielt østrogen, der er blevet angivet som effektivt til at forhindre det hur-20 tige tab af knoglemasse, der ses hos postmenopausale kvinder, har været ledsaget af frygten for østrogenets mulige carcinogene virkning. Andre behandlinger, for hvilke, der atter har været angivet forskellige resultater, har inkluderet en kombination af vitamin D i store 25 doser med calcium og fluorid. Det primære problem med denne løsning er, at fluorid inducerer strukturelt usunde knogler, kaldet åbenstrukturerede knogler, og herudover frembringer en række virkninger som f.eks. forøgede tilfælde af frakturer og gastrointestinale reaktioner over 30 for store mængder tildelt fluorid.15 Methods for treating this disease have varied considerably. For example. the calcium supplement itself has not been able to prevent or cure the disease, and the injection of sex hormones, especially estrogen, which has been reported to be effective in preventing the rapid loss of bone mass seen in postmenopausal women has been accompanied by the fear of the possible carcinogenic effect of estrogen. Other treatments for which different results have been reported again have included a combination of vitamin D in large doses of calcium and fluoride. The primary problem with this solution is that fluoride induces structurally unhealthy bones, called open structured bones, and in addition produces a variety of effects such as increased cases of fractures and gastrointestinal reactions over 30 excessive amounts of fluoride.

Lignende symptomer karakteriserer senilosteoporose og steroidinduceret osteoporose, idet sidstnævnte anerkendes som et resultat af langtidsglucocorticoid (corticostero-35 id) terapi over for visse sygelige tilstande.Similar symptoms characterize senile osteoporosis and steroid-induced osteoporosis, the latter being recognized as a result of long-term glucocorticoid (corticosteroid) therapy for certain morbid conditions.

DK 171397 B1 9DK 171397 B1 9

Medens forskellige metabolitter af vitamin D3 forøger calciumabsorption og -tilbageholdelse i pattedyrs legemer, der viser tegn på eller har fysiologisk tendens til tab af knoglemasse, er de også karakteriseret ved den 5 komplementære vitamin D-lignende egenskab i form af at mobilisere calciumet i knoglerne som svar på fysiologiske behov. Det har nu vist sig, at de omhandlede epi-forbin-delser, speciel 24-epi-la,25-dihydroxyvitamin D2 (24-epi- 1.25- (OH)2D2) er bemærkelsesværdig velegnede til at for-10 hindre eller behandle fysiologiske sygelige tilstande hos pattedyr, der er karakteriseret ved tab af knoglemasse, fordi de, skønt de er i besiddelse af visse af de anerkendte vitamin D-lignende egenskaber, der påvirker calciummetabolismen som f.eks. forøget tarmcalciumtransport, 15 og påvirker knoglemineralisering, ikke forøger serumcal-ciumniveauerne selv ved høje doser. Denne observerede egenskab peger på, at forbindelserne ikke mobiliserer knogler ved administrering. Denne kendsgerning sammen med forbindelsernes evne til ved administrering at minerali-20 sere knoglen indicerer, at de er ideelle forbindelser til at forhindre eller behandle udbredte sygelige calaium-t il s tande, som ses ved tab af knoglemasse som f.eks. postmenopausalosteoporose, senil osteoporose og steroidinduceret osteoporose. Det er klart, at forbindelserne 25 let vil finde anvendelse ved profylakse eller behandling af andre sygelige tilstande, hvor tab af knoglemasse observeres f.eks. ved behandling af patienter, der er under nyredialysebehandling, hvor tab af knoglemasse, som en konsekvens af dialysen, kan forekomme.While various metabolites of vitamin D3 enhance calcium absorption and retention in mammalian bodies showing signs or physiological tendency for bone loss, they are also characterized by the complementary vitamin D-like property in the form of mobilizing calcium in the bones as answers to physiological needs. It has now been found that the epi compounds, in particular 24-epi-1α, 25-dihydroxyvitamin D2 (24-epi-1.25- (OH) 2D2), are remarkably well suited to prevent or treat physiological morbid conditions in mammals characterized by loss of bone mass because, although they possess some of the recognized vitamin D-like properties that affect calcium metabolism such as increased intestinal calcium transport, and affects bone mineralization, does not increase serum calcium levels even at high doses. This observed property indicates that the compounds do not mobilize bone upon administration. This fact, together with the ability of the compounds to mineralize bone upon administration, indicates that they are ideal compounds for preventing or treating widespread morbid potassium teeth seen in the loss of bone mass, e.g. postmenopausal osteoporosis, senile osteoporosis, and steroid-induced osteoporosis. It is to be understood that the compounds 25 will readily be used in the prophylaxis or treatment of other morbid conditions where bone loss is observed e.g. in the treatment of patients undergoing renal dialysis where loss of bone mass as a consequence of the dialysis may occur.

30 Følgende eksempler illustrerer egenskaberne ved 24-epi- 1.25- (OH)2D2, som viser denne forbindelses glimrende evne til at forhindre eller behandle sygelige tilstande, hvor tab af knoglemasse forekommer.The following examples illustrate the properties of 24-epi-1.25- (OH) 2D2, which demonstrate the excellent ability of this compound to prevent or treat morbid conditions in which bone loss occurs.

35 DK 171397 B1 10 EKSEMPEL 1EXAMPLE 1

Fravænnede hanrotter blev fodret med den vitamin D manglende diæt beskrevet af Suda et al., Journal of Nutrition 5 100, 1049-1052 (1970), der var modificeret til at inde holde 0,02% calcium og 0,3% phosphor. Efter 2 uger på denne diæt fik dyrene enten 1,25-dihydroxyvitamin D2 eller 24-epi-l,25-dihydroxyvitamin D2 dagligt ved subkutan injektion i 0,1 ml 5% ethanol i propandiol. 12 timer 10 efter sidste dosis aflivedes dyrene, og blodcalcium- og tarmealciumtransporten måltes. Resultaterne af disse målinger for de angivne niveauer af de administrerede forbindelser er angivet i fig. 1 og 2. Tarmcalciumtransport-målingerne vist i fig. 2 udførtes således som beskrevet 15 af Martin og DeLuca, American Journal of Physiology 216, 1351-1359 (1969).Weaned male rats were fed the vitamin D deficient diet described by Suda et al., Journal of Nutrition 5 100, 1049-1052 (1970), modified to contain 0.02% calcium and 0.3% phosphorus. After 2 weeks on this diet, the animals received either 1,25-dihydroxyvitamin D2 or 24-epi-1,25-dihydroxyvitamin D2 daily by subcutaneous injection in 0.1 ml of 5% ethanol in propanediol. 12 hours 10 after the last dose, the animals were sacrificed and blood calcium and intestinal calcium transport were measured. The results of these measurements for the indicated levels of the administered compounds are given in FIG. 1 and 2. The intestinal calcium transport measurements shown in FIG. 2 was performed as described 15 by Martin and DeLuca, American Journal of Physiology 216, 1351-1359 (1969).

EKSEMPEL 2 20 Fravænnede hanrotter blev fodret med en højcalcium (1,2% calcium) og lavphosphorholdig (0,1% phosphor) diæt beskrevet af Suda et al., (se ovenfor). Rotterne blev fodret med denne diæt i 3 uger, på hvilket tidspunkt de opdeltes i to grupper. En gruppe blev tildelt 1,25 (0H)2D2, 25 mens den anden gruppe blev tildelt 24-epi-l,25 (OH)2D2, begge i 0,1 ml 5% ethanol i propandiol subkutant i de dosismængder af forbindelserne, der er angivet ved punkterne i fig. 3. Disse doser blev fortsat dagligt igennem 7 dage, på hvilket tidspunkt dyrene blev aflivet og det 30 uorganiske phosphor i serum bestemt. Resultaterne er angivet i fig. 3.Example 2 Weaned male rats were fed a high calcium (1.2% calcium) and low phosphorus (0.1% phosphorus) diet described by Suda et al. (See above). The rats were fed this diet for 3 weeks, at which time they were divided into two groups. One group was assigned 1.25 (OH) 2D2, while the other group was assigned 24-epi-1.25 (OH) 2D2, both in 0.1 ml of 5% ethanol in propanediol subcutaneously in the dosage amounts of the compounds which is indicated by the points in FIG. 3. These doses were continued daily for 7 days, at which time the animals were sacrificed and the serum inorganic phosphorus determined. The results are shown in FIG. Third

Knogleaske blev bestemt ved at fjerne lårbensknoglen fra rotterne. Knoglerne blev dissekeret fri for vedhængende 35 bindevæv, ekstraheret 24 timer i absolut ethanol og 24 timer i diethylether under anvendelse af en Soxhlet eks- DK 171397 B1 11 traktor. Knoglerne blev forasket ved ca. 315 °C i 24 timer. Askevægten blev bestemt ved at veje indtil konstant vægt. Resultaterne er angivet i fig. 4.Bone ash was determined by removing the femur from the rats. The bones were dissected free of adherent connective tissue, extracted 24 hours in absolute ethanol and 24 hours in diethyl ether using a Soxhlet ex-171797 B1 11 tractor. The bones were ashed at ca. 315 ° C for 24 hours. The ash weight was determined by weighing until constant weight. The results are shown in FIG. 4th

5 Resultaterne af de to undersøgelser beskrevet i eksempel 1 og 2 ovenfor viser, at 24-epi-l,25-(OH)2D2 er omtrent lige så kraftig i virkning som la,25-dihydroxyvitamin D3 (l,25-(OH)2D3) til at udvirke mineralisering af knoglen og til at stimulere tarmcalciumtransport. Kort sagt der 10 er ingen signifikant forskel mellem de to grupper i fig.The results of the two studies described in Examples 1 and 2 above show that 24-epi-1,25- (OH) 2D2 is about as potent in effect as Ia, 25-dihydroxyvitamin D3 (1,2,25- (OH)). 2D3) to effect bone mineralization and to stimulate intestinal calcium transport. In short, there is no significant difference between the two groups in FIG.

2 og fig. 4. På den anden side er forøgelsen af det uorganiske phosphor i serum, der stammer fra mobilisering af knoglen, når det drejer sig om den lave phosphordiæt, særdeles udpræget påvirket af l,25-(OH)2D3/D2, men knap 15 nok stimuleret med 24-epi-l,25(OH)2D2. Ligeledes havde 24-epi-forbindelsen ved mobiliseringen af calcium fra knoglen angivet som serumcalciumniveauerne (fig. 1) selv ved ekstrem høje doser på ca. 750 pmol/dag ingen virkning, medens den mobiliserende virkning er tydelig ved 20 betydelig lavere doser af 1,25-dihydroxyvitamin D2· Da stigningen i serumcalcium hos rotter på en lav calciumdiæt er et udtryk for evnen til at mobilisere knoglen, og da forøgelsen af blodphosphoret hos dyr på en lav phosphordiæt også er en indikation på knoglemobilisering, 25 viser disse resultater, at 24-epi-l,25-(OH)2D2 udviser en uventet egenskab, nemlig at den har særdeles ringe evne til at mobilisere knoglecalcium, mens den er fuldstændig i stand til at stimulere tarmcalciumtransporten og mineral iser ingen af nye knogler, egenskaber, der gør denne 30 forbindelse særdeles velegnet til behandling af de sygelige tilstande, der viser sig ved knogletab.2 and FIG. 4. On the other hand, the increase of the inorganic phosphorus in serum arising from the mobilization of the bone in the case of the low phosphorus diet is very markedly affected by 1,25- (OH) 2D3 / D2, but barely 15 stimulated with 24-epi-1.25 (OH) 2D2. Likewise, at the mobilization of calcium from the bone, the 24-epi compound had been indicated as the serum calcium levels (Fig. 1) even at extremely high doses of ca. 750 pmol / day no effect, while the mobilizing effect is evident at 20 significantly lower doses of 1,25-dihydroxyvitamin D2 · As the increase in serum calcium in rats on a low calcium diet is an expression of the ability to mobilize the bone and then increase the blood phosphorus in animals on a low phosphorus diet is also an indication of bone mobilization, 25 these results show that 24-epi-1,25- (OH) 2D2 exhibits an unexpected property, namely that it has very little ability to mobilize bone calcium, whereas it is completely capable of stimulating intestinal calcium transport and mineral iron none of the new bones, properties that make this compound particularly suitable for treating the morbid conditions that appear in bone loss.

De enestående egenskaber ved 24-epi-l,25-(OH)2D2 angivet ovenfor frembyder den sjældne mulighed for at kontrollere 35 forskellige vitamin D-afhængige processer (tarmcalciumtransport, knoglemineralmobilisering og knogleminerali- DK 171397 B1 12 sering) på en måde og i udstrækning, der hidtil ikke har været mulig. Denne mulighed skyldes den kendsgerning, at den omhandlede 24-epi-forbindelse kan administreres til pattedyr enten alene (med passende og acceptable hjælpe-5 stoffer) eller sammen med andre vitamin D-derivater, der udviser det fulde spektrum af vitamin D-lignende virkning. På grund af dette, er det derfor muligt at kombinere (afhængig af hvor stor grad man ønsker) den specifikke virkning af den 24-epi-analoge med den almene virkning af 10 andre vitamin D metabolitter eller analoge. Administrering af 24-epi-l,25-(OH)2D2 alene vil, som angivet ovenfor, stimulere tarmcalciumtransport og knoglemineralise-ring med ingen eller minimal knoglemineralmobilisering, men sidstnævnte virkning kan induceres ved samtidig admi-15 nistrering af en eller flere af de kendte vitamin D derivater (f.eks. l,25-(OH)2D3, la,25-(OH)2D2, I01-OH-D3 og beslægtede analoge). Ved at indstille de relative mængder af de administrerede forbindelser, kan man få en grad af kontrol over de relative størrelser af processerne ved 20 knoglecalciumabsorption i forhold til knoglemineralmobilisering på en måde, der ikke er mulig med de hidtil kendte vitamin D derivater. Samtidig administrering af 24-epi-forbindelsen og andre vitamin D forbindelser med knoglemobiliserende virkning kan være speciel fordelagtig 25 i den situation, hvor der ønskes en vis grad af knoglemobilisering. F.eks. antages det, at i visse tilfælde må knoglen først mobiliseres før en ny knogle kan dannes. I disse situationer vil behandling med vitamin D eller et vitamin D derivat, der vil inducere knoglemobilisering 30 som f.eks. la,25-dihydroxyvitamin D3 eller -D2, 25-hydro-xyvitamin D3 eller -D2, 24,24-difluor-25-hydroxy-vitamin D3, 24,24-difluor-ΐα,25-dihydroxyvitamin D3, 24-fluor-25-hydroxyvitamin D3, 24-fluor-la,25-dihydroxyvitamin D3, 2p-fluor-la-hydroxyvitamin D3,2β-ίluor-25-hydroxyvitamin 35 D3, 2p-fluor-la,25-dihydroxyvitamin D3, 26,26,26,27,27,- 27-hexafluor-ΐα,25-dihydroxyvitamin D3, 26,26,26,27,27,- DK 171397 B1 13 27-hexafluor-25-hydroxyvitainin D3, 24,25-dihydroxyvitamin D3, la,24,25-trihydroxyvitamin D3, 25,26-dihydroxyvitamin D3, la,25,26-trihydroxyvitamin D3 i kombination med 24-epi-l,25(OH)2D2 ved indstilling af forholdene mellem 24-5 epi forbindelsen og den knoglemobiliserende vitamin D forbindelse inden for behandlingsområdet, muliggøre, at hastigheden for mineralisering af knoglen kan justeres til opnåelse af de ønskede medicinske og fysiologiske slutresultater. Passende og effektive blandinger er 10 f.eks. kombinationen af la,25-dihydroxyvitamin D2 og la,- 25-dihydroxy-24-epivitamin D2 (9a og 9b) eller blandinger af de tilsvarende 5,6-trans-forbindelser (11a og 11b) eller en hvilken som helst anden kombination af disse fire slutforbindelser, som de fri hydroxyforbindelser eller i 15 deres acylerede former.The unique properties of the 24-epi-1,25- (OH) 2D2 listed above offer the rare opportunity to control 35 different vitamin D-dependent processes (intestinal calcium transport, bone mineral mobilization and bone mineralization) in a manner and in extent that so far has not been possible. This possibility is due to the fact that the subject 24-epi compound can be administered to mammals either alone (with appropriate and acceptable adjuvants) or together with other vitamin D derivatives exhibiting the full spectrum of vitamin D-like effect. . Because of this, it is therefore possible to combine (depending on the degree to which you want) the specific effect of the 24-epi analog with the general effect of 10 other vitamin D metabolites or analogs. Administration of 24-epi-1,25- (OH) 2D2 alone will, as indicated above, stimulate intestinal calcium transport and bone mineralization with no or minimal bone mineral mobilization, but the latter effect may be induced by co-administration of one or more of the known vitamin D derivatives (e.g., 1,25- (OH) 2D3, Ia, 25- (OH) 2D2, I01-OH-D3 and related analogues). By adjusting the relative amounts of the administered compounds, one can gain a degree of control over the relative magnitudes of the processes of bone calcium absorption relative to bone mineral mobilization in a manner not possible with the known vitamin D derivatives. Co-administration of the 24-epi compound and other vitamin D compounds with bone mobilizing activity may be particularly advantageous in the situation where some degree of bone mobilization is desired. For example. it is believed that in some cases the bone must first be mobilized before a new bone can be formed. In these situations, treatment with vitamin D or a vitamin D derivative will induce bone mobilization such as e.g. 1α, 25-dihydroxyvitamin D3 or -D2, 25-hydroxyvitamin D3 or -D2, 24,24-difluoro-25-hydroxy vitamin D3, 24,24-difluoro-ΐα, 25-dihydroxyvitamin D3, 24-fluoro 25-hydroxyvitamin D3, 24-fluoro-1α, 25-dihydroxyvitamin D3, 2β-fluoro-1α-hydroxyvitamin D3,2β-isluoro-25-hydroxyvitamin D3, 2β-fluoro-1α, 25-dihydroxyvitamin D3, 26,26, 26,27,27,27-hexafluoro-ΐα, 25-dihydroxyvitamin D3, 26,26,26,27,27, - DK 171397 B1 13 27-hexafluoro-25-hydroxyvitaminin D3, 24,25-dihydroxyvitamin D3, la , 24,25-trihydroxyvitamin D3, 25,26-dihydroxyvitamin D3, Ia, 25,26-trihydroxyvitamin D3 in combination with 24-epi-1,25 (OH) 2D2 by adjusting the ratios of the 24-5 epi compound to the bone mobilizing agent Vitamin D compounds within the treatment area allow the rate of bone mineralization to be adjusted to achieve the desired medical and physiological end results. Suitable and effective mixtures are e.g. the combination of Ia, 25-dihydroxyvitamin D2 and Ia, - 25-dihydroxy-24-epivitamin D2 (9a and 9b) or mixtures of the corresponding 5,6-trans compounds (11a and 11b) or any other combination of these four final compounds as the free hydroxy compounds or in their acylated forms.

De omhandlede forbindelser eller kombinationer heraf sammen med andre vitamin D derivater eller andre terapeutiske midler kan let administreres som sterile parentera-20 le opløsninger ved injektion eller intravenøst eller peroralt i form af orale doser eller transdermalt eller ved hjælp af suppositorier. Fordelagtigt administreres forbindelserne i doser, der går fra 0,1 til 100 mikrogram pr. dag. Ved osteoporose er doser på fra 0,5 til 25 mi-25 krogram pr. dag sædvanligvis effektive. Forbindelserne kan administreres enten alene eller sammen med andre vitamin D derivater, idet mængden af hver forbindelse i kombinationen er afhængig af den pågældende sygdomstilstand, der skal behandles, og af den ønskede grad af 30 knoglemineralisering og/eller knoglemobilisering. Ved behandlingen af osteoporose, hvor den foretrukne forbindelse er 24-epi-la,25-(OH)2D2 er den aktuelle mængde af den anvendte 24-epi-forbindelse ikke kritisk. Det er i alle tilfælde tilstrækkeligt, at forbindelsen anvendes 35 til inducering af knoglemineraliseringen. Mængder over ca. 25 mikrogram pr. dag af 24-epi-forbindelsen eller DK 171397 B1 14 kombinationen af denne forbindelse med knoglemobiliserings -inducerende vitamin D derivater er sædvanligvis unødvendige for at opnå de ønskede resultater og er ikke relevante rent økonomisk set. I praksis anvendes højere 5 doser af forbindelserne, hvor terapeutisk behandling af en sygelig tilstand er det ønskede mål, medens de lavere doser sædvanligvis anvendes til profylaktiske formål, idet det er klart, at den pågældende administrerede dosis i hvert enkelt tilfælde justeres i overensstemmelse med 10 den pågældende forbindelse, der administreres, afhængigt af den sygdom, der skal behandles, og af patientens tilstand og andre relevante medicinske kendsgerninger, der kan have indflydelse på lægemidlets aktivitet eller patientens respons, således som det er velkendt af fagman-15 den.The present compounds or combinations thereof with other vitamin D derivatives or other therapeutic agents can be readily administered as sterile parenteral solutions by injection or intravenously or orally in the form of oral doses or transdermally or by suppositories. Advantageously, the compounds are administered in doses ranging from 0.1 to 100 micrograms per day. day. For osteoporosis, doses of 0.5 to 25 mi-25 hook-grams per day usually effective. The compounds can be administered either alone or with other vitamin D derivatives, the amount of each compound in the combination being dependent on the disease state to be treated and on the desired degree of bone mineralization and / or bone mobilization. In the treatment of osteoporosis, where the preferred compound is 24-epi-1α, 25- (OH) 2D2, the actual amount of the 24-epi compound used is not critical. In all cases, it is sufficient for the compound to be used to induce bone mineralization. Quantities over approx. 25 micrograms per day of the 24-epi compound or the combination of this compound with bone mobilization-inducing vitamin D derivatives are usually unnecessary to achieve the desired results and are not relevant economically. In practice, higher doses of the compounds are used, with therapeutic treatment of a diseased condition being the desired target, while the lower doses are usually used for prophylactic purposes, as it is clear that the dose administered in each case is adjusted according to 10 the particular compound being administered, depending on the disease to be treated, and on the patient's condition and other relevant medical facts that may influence the activity of the drug or the patient's response, as is well known to those skilled in the art.

Dosisformer af forbindelserne kan fremstilles ved at kombinere disse med ikke-toxiske farmaceutisk acceptable bærestoffer, der er velkendt inden for fagområdet. Sådanne 20 bærestoffer kan være enten faste eller flydende som f.eks. majsstivelse, lactose, sacchrose, jordnøddeolie, olivenolie, sesamolie og propylenglycol. Dersom et fast bærestof anvendes kan dosisformen for forbindelserne være tabletter, kapsler, pulvere, dragéer eller sugetabletter.Dosage forms of the compounds can be prepared by combining these with non-toxic pharmaceutically acceptable carriers well known in the art. Such carriers may be either solid or liquid, e.g. corn starch, lactose, sucrose, peanut oil, olive oil, sesame oil and propylene glycol. If a solid carrier is used, the dosage form of the compounds may be tablets, capsules, powders, dragees or lozenges.

25 Dersom et flydende bærestof anvendes kan dosisformen være bløde gelatinekapsler eller sirupper eller flydende suspensioner, emulsioner eller opløsninger. Dosisformerne kan også indeholde adjuvanser som f.eks. konserveringsmidler, stabiliseringsmidler, befugtningsmidler eller 30 emulgatorer, opløsningsfremmere og lignende. De kan også indeholde andre terapeutiske værdifulde forbindelser som f.eks. andre vitaminer, salte, sukkerarter, proteiner, hormoner eller andre medicinske forbindelser. 1If a liquid carrier is used, the dosage form may be soft gelatin capsules or syrups or liquid suspensions, emulsions or solutions. The dosage forms may also contain adjuvants, e.g. preservatives, stabilizers, wetting agents or emulsifiers, solvents and the like. They may also contain other therapeutically valuable compounds, e.g. other vitamins, salts, sugars, proteins, hormones or other medical compounds. 1

Fremstillingen af de omhandlede forbindelser beskrives nærmere i eksemplerne 3-8 nedenfor. I disse eksempler er DK 171397 B1 15 betegnelsen for de enkelte slutprodukter angivet som forbindelse 1, 2 og 3 som svarer til numrene, der er angivet i reaktionsskema I.The preparation of the subject compounds is described in more detail in Examples 3-8 below. In these examples, DK 171397 B1 15 designates the individual end products as compounds 1, 2 and 3 which correspond to the numbers given in Scheme I.

5 EKSEMPEL 3 la-hydroxy-3,5-cyclovitamin D (4, Z - methyl).EXAMPLE 3 1a-Hydroxy-3,5-cyclovitamin D (4, Z - methyl).

En opløsning af forbindelse (1) (50 mg) (som en blanding 10 af 24 R og S epimere) i tør pyridin (300 μΐ) behandles med 50 mg p-toluensulfonylchlorid i 30 timer ved 4 °C Blandingen udhældes over is/mættet NaHCC>3 under omrøring, og forbindelsen ekstraheres med benzen. De forenede organiske faser vaskes med vandig NaH0C3, H2O, vandig CuSO*, 15 og vand, tørres over MgS(>4 og inddampes.A solution of compound (1) (50 mg) (as a mixture 10 of 24 R and S epimers) in dry pyridine (300 μΐ) is treated with 50 mg of p-toluenesulfonyl chloride for 30 hours at 4 ° C. The mixture is poured over ice / saturated NaHCC> 3 with stirring and the compound is extracted with benzene. The combined organic phases are washed with aqueous NaHOCl3, H2O, aqueous CuSO4, 15 and water, dried over MgS (> 4 and evaporated).

Det urensede 3-tosylderivat (2) solvolyseres direkte i vandfrit methanol (10 ml) og NaH0C3 (150 mg) ved at opvarmes 8,5 time under omrøring ved 55 °C. Herefter afkø-20 les reaktionsblandingen til stuetemperatur og koncentreres til omtrent 2 ml i vakuum. Benzen (80 ml) tilsættes herefter, og det organiske lag vaskes med vand, tørres og inddampes. Det fremstillede cyclovitamin (3, Z - methyl) kan anvendes ved den efterfølgende oxidering uden yderli-25 gere rensning.The crude 3-tosyl derivative (2) is directly solvated in anhydrous methanol (10 ml) and NaHOC3 (150 mg) by heating 8.5 hours with stirring at 55 ° C. The reaction mixture is then cooled to room temperature and concentrated to about 2 ml in vacuo. Benzene (80 ml) is then added and the organic layer is washed with water, dried and evaporated. The cyclovitamine (3, Z - methyl) produced can be used in the subsequent oxidation without further purification.

Den urensede forbindelse (3) i CH2CI2 (4,5 ml) sættes til en isafkølet opløsning af Se02 (5,05 mg) og t-BuOOH (16,5 μΐ) i CH2CI2 (8 ml) indeholdende vandfrit pyridin (50 30 μΐ)· Efter omrøring ved 0 °C i 15 minutter lader man reaktionsblandingens temperatur stige til stuetemperatur. Efter yderligere 30 minutter overføres blandingen til en skilletragt, og der rystes med 10% NaOH (30 ml). Ether (150 ml) tilsættes, og den fraskilte organiske fase vas-35 kes med 10% NaOH, vand, tørres og inddampes. Den olieag-tige remanens renses på silicagel tyndtlagsplader (20 x DK 171397 B1 16 20 cm plader, AcOEt/hexan 4:6) til opnåelse af 20 mg af Ια-hydroxyderivatet (4, Z = methyl): massespektrum, m/e: 470 (M;, 5), 438 (20), 87 (100); NMR (CDCI3) δ 0,53 (3H, s, I8-H3), 0,63 (IH, m, 3-H), 4,19 (IH, d, j = 9,5 Hz, 6-5 H), 4,2 (IH, m, 1-H), 4,95 (IH, d, J = 9,5 Hz, 7-H), 5,17 og 5,25 (2H hvert m, 19-H2), 5,35 (2H, m, 22-H og 23-H).The crude compound (3) in CH 2 Cl 2 (4.5 mL) is added to an ice-cooled solution of SeO 2 (5.05 mg) and t-BuOOH (16.5 μΐ) in CH 2 Cl 2 (8 mL) containing anhydrous pyridine (50 30 μΐ). After stirring at 0 ° C for 15 minutes, allow the reaction mixture to rise to room temperature. After an additional 30 minutes, transfer the mixture to a separatory funnel and shake with 10% NaOH (30 ml). Ether (150 ml) is added and the separated organic phase is washed with 10% NaOH, water, dried and evaporated. The oily residue is purified on silica gel thin-layer plates (20 x DK 171397 B1 16 20 cm plates, AcOEt / hexane 4: 6) to give 20 mg of the Ια-hydroxy derivative (4, Z = methyl): mass spectrum, m / e: 470 (M; 5), 438 (20), 87 (100); NMR (CDCl 3) δ 0.53 (3H, s, 18-H3), 0.63 (1H, m, 3-H), 4.19 (1H, d, j = 9.5 Hz, 6-5 H ), 4.2 (1H, m, 1-H), 4.95 (1H, d, J = 9.5 Hz, 7-H), 5.17 and 5.25 (2H each m, 19-H2 ), 5.35 (2H, m, 22-H and 23-H).

EKSEMPEL 4 10 Acetylering af forbindelse (4).EXAMPLE 4 Acetylation of Compound (4).

En opløsning af cyclovitamin (4, Z = methyl) (18 mg) i pyridin (1 ml) og eddikesyreanhydrid (0,33 ml) opvarmes 2 timer ved 55 °C. Blandingen udhældes i iskold mættet 15 NaHC03 og ekstraheres med benzen og ether. De forenede organiske ekstrakter vaskes med vand, mættede CuSO^- og vandige NaHC03-opløsninger, tørres og inddampes til opnåelse af 1-acetoxyderivatet (5, Z = methyl, acyl = acetyl) (19 mg): massespektrum, m/e: 512 (M+, 5) 420 (5), 87 20 (100); NMR (CDCI3) δ 0,53 (3H, s, I8-H3) 4,18 (IH, d, J = 9,5 Hz, 6-H), 4,97 (2H, m, 7-H og 19-H), 5,24 (2H, m, 1-H og 19-H), 5,35 (2H, m, 22-H og 23-H).A solution of cyclovitamine (4, Z = methyl) (18 mg) in pyridine (1 ml) and acetic anhydride (0.33 ml) is heated at 55 ° C for 2 hours. The mixture is poured into ice-cold saturated NaHCO 3 and extracted with benzene and ether. The combined organic extracts are washed with water, saturated CuSO4 and aqueous NaHCO3 solutions, dried and evaporated to give the 1-acetoxy derivative (5, Z = methyl, acyl = acetyl) (19 mg): mass spectrum, m / e: 512 (M +, 5) 420 (5), 87 (100); NMR (CDCl 3) δ 0.53 (3H, s, 18-H3) 4.18 (1H, d, J = 9.5 Hz, 6-H), 4.97 (2H, m, 7-H and 19 -H), 5.24 (2H, m, 1-H and 19-H), 5.35 (2H, m, 22-H and 23-H).

EKSEMPEL 5 25EXAMPLE 5 25

Solvolyse af la-acetoxy-3,5-cyclovitamin (5) (Ri = acetyl)Solvolysis of 1α-acetoxy-3,5-cyclovitamine (5) (R 1 = acetyl)

En opløsning af cyclovitamin (5) (4,5 mg) i en 3:1 blan-30 ding af dioxan/H20 (1,5 ml) opvarmes ved 55 °C. Herefter tilsættes p-toluensulfonsyre (1 mg i 20 ml vand), og opvarmningen fortsættes i 15 minutter. Blandingen udhældes i mættet NaHC03/is og ekstraheres med benzen og ether.A solution of cyclovitamine (5) (4.5 mg) in a 3: 1 mixture of dioxane / H 2 O (1.5 ml) is heated at 55 ° C. Then p-toluenesulfonic acid (1 mg in 20 ml of water) is added and heating is continued for 15 minutes. The mixture is poured into saturated NaHCO 3 / ice and extracted with benzene and ether.

Den organiske fase vaskes med NaHC03 og vand og tørres 35 over MgS04· Afdampning af opløsningsmidlerne giver en remanens, der indeholder forbindelserne (6) (hvori Ri = DK 171397 B1 17 acetyl, R2 = H) og (7) (hvori Ri = acetyl og R2 = H), der adskilles ved kromatografi på HPLC (6,2 mm x 25 cm "Zor-bax-Sil") under anvendelse af 2% 2-propanol i hexan som elueringsmiddel. Eventuelt kan slutforbindelserne yderli-5 gere renses ved gentagen kromatografi.The organic phase is washed with NaHCO 3 and water and dried over MgSO 4. Evaporation of the solvents gives a residue containing compounds (6) (wherein R 1 = acetyl, R 2 = H) and (7) (wherein R 1 = acetyl and R 2 = H) which is separated by chromatography on HPLC (6.2 mm x 25 cm "Zor-bax-Sil") using 2% 2-propanol in hexane as eluant. Optionally, the final compounds can be further purified by repeated chromatography.

gyS3MREL,.fgyS3MREL, .f

Ketalhydrolyse i forbindelse (6) til opnåelse af ketonen 10 (8).Ketal hydrolysis of compound (6) to give the ketone 10 (8).

Til opløsningen af ketalen (6, Ri = acetyl, R2 = H) (1,35 mg) i ethanol (1,5 ml) sættes p-toluensulfonsyre (0,34 mg i 45 μΐ vand), og blandingen opvarmes 30 minutter med 15 tilbagesvaling. Reaktionsblandingen udhældes i fortyndet NaHC03, og der ekstraheres med benzen og ether. De forenede organiske ekstrakter vaskes med vand, tørres over MgSO^ og inddampes. Højtryksvæskekromatografi af den urensede blanding (4% 2-propanol/hexan, 6,2 mm x 25 cm 20 "Zorbax-Sil") giver uomsat ketal (6) (0,12 mg, indsamlet ved 48 ml) og den ønskede keton (8, Ri = acetyl, R2 = H) (0,36 mg, indsamlet ved 52 ml), der er karakteriseret ved følgende resultater: massespektrum m/e: 454 (M+, 9), 394 (17), 376 (10), 134 (23), 43 (100); NMR (CDCI3) δ 0,53 25 (3H, s, I8-H3), 1,03 (3H, d, J = 6,5 Hz, 21-H3), 1,13 (3H, d, J = 7,0 Hz, 28-H3), 2,03 (3H, s, CH3COO), 2,12 (3H, s, CH3CO), 4,19 (IH, m, 3-H), 5,03 (IH, m, 19-H), 5,33 (3H, bred m, 19-H, 22-H og 23-H), 5,49 (IH, m, IH), 5,93 (IH, d, J = 11 Hz, 7-H), 6,37 (IH, d, J 11 Hz, 6-30 H); UV (EtOH λ^χ 266 nm, 250 nm, λ^η 225 run.To the solution of the ketal (6, R 1 = acetyl, R 2 = H) (1.35 mg) in ethanol (1.5 ml) is added p-toluenesulfonic acid (0.34 mg in 45 μΐ water) and the mixture is heated for 30 minutes with 15 reflux. The reaction mixture is poured into dilute NaHCO 3 and extracted with benzene and ether. The combined organic extracts are washed with water, dried over MgSO 4 and evaporated. High pressure liquid chromatography of the crude mixture (4% 2-propanol / hexane, 6.2 mm x 25 cm 20 "Zorbax-Sil") gives unreacted ketone (6) (0.12 mg, collected at 48 ml) and the desired ketone ( 8, R 1 = acetyl, R 2 = H) (0.36 mg, collected at 52 ml), characterized by the following results: mass spectrum m / e: 454 (M +, 9), 394 (17), 376 (10) , 134 (23), 43 (100); NMR (CDCl 3) δ 0.53 (3H, s, 18-H3), 1.03 (3H, d, J = 6.5 Hz, 21-H3), 1.13 (3H, d, J = 7 2.0 Hz, 28-H3), 2.03 (3H, s, CH3COO), 2.12 (3H, s, CH3CO), 4.19 (1H, m, 3-H), 5.03 (1H, m, 19-H), 5.33 (3H, wide m, 19-H, 22-H and 23-H), 5.49 (1H, m, 1H), 5.93 (1H, d, J = 11 Hz, 7-H), 6.37 (1H, d, J 11 Hz, 6-30 H); UV (EtOH λ ^ χ 266 nm, 250 nm, λ ^ η 225 run.

DK 171397 B1 18 EKSEMPEL 7Example 17

Omsætning af keton (8) med methylmagnesiumbromid til fremstilling af forbindelserne (9a) og (9b).Reaction of ketone (8) with methyl magnesium bromide to prepare compounds (9a) and (9b).

55

Keton (8, Ri = acetyl, R2 = H) i vandfrit ether behandles med overskud af CH3MgBr (2,85 M opløsning i ether). Reaktionsblandingen omrøres 30 minutter ved stuetemperatur, afbrydes herefter med vandig NH4CI, ekstraheres med ben-10 zen, ether og CH2CI2· De organiske faser vaskes med fortyndet NaHC03, tørres over MgS04 og inddampes. Blandingen af (9a) og (9b) fremstillet på denne måde adskilles ved højtryksvæskekromatografi (6% 2-propanol/hexan, 4,5 mm x 25 cm "Zorbaz-Sil") til opnåelse efter eluering af efter 15 hinanden de rene epimere (9a) og (9b). la,25-dihydroxy-vitamin D2 (9a); UV (EtOH) λ^χ 265,5 nm, 227,5 nm; massespektrum, m/e 428 (M+, 6) 410 (4), 352 (4), 287 (6), 269 (10), 251 (10), 152 (42), 134 (100), 59 (99); NMR (CDCI3) δ 0,56 (3H, s, I8-H3), 1,01 (3H, d, J = 6,5 Hz, 20 28-H3), 1,03 (3H, d, J = 6,5 Hz, 21-H3), 1,14 og 1,18 (6H, hver s, 26-H3 og 27-H3), 4,24 (IH, m, 3-H), 4,43 (IH, m, 1-H), 5,01 (IH, m, 19-H), ~5,34 (3H, bred m, 19-H, 22-H og 23-H), 6,02 (IH, d, J = 11 Hz, 7-H), 6,39 (IH, d, J = 11 Hz, 6-H).Ketone (8, R 1 = acetyl, R 2 = H) in anhydrous ether is treated with excess CH 3 MgBr (2.85 M solution in ether). The reaction mixture is stirred for 30 minutes at room temperature, then quenched with aqueous NH 4 Cl, extracted with benzene, ether and CH 2 Cl 2 · The organic phases are washed with dilute NaHCO 3, dried over MgSO 4 and evaporated. The mixture of (9a) and (9b) prepared in this way is separated by high-pressure liquid chromatography (6% 2-propanol / hexane, 4.5 mm x 25 cm "Zorbaz-Sil") to obtain, after elution, the pure epimers ( 9a) and (9b). 1α, 25-dihydroxy vitamin D 2 (9a); UV (EtOH) λ 2 χ 265.5 nm, 227.5 nm; mass spectrum, m / e 428 (M +, 6) 410 (4), 352 (4), 287 (6), 269 (10), 251 (10), 152 (42), 134 (100), 59 (99) ; NMR (CDCl 3) δ 0.56 (3H, s, 18-H3), 1.01 (3H, d, J = 6.5 Hz, 28-H3), 1.03 (3H, d, J = 6 , 5 Hz, 21-H3), 1.14 and 1.18 (6H, each s, 26-H3 and 27-H3), 4.24 (1H, m, 3-H), 4.43 (1H, m, 1-H), 5.01 (1H, m, 19-H), ~ 5.34 (3H, wide m, 19-H, 22-H and 23-H), 6.02 (1H, d , J = 11 Hz, 7-H), 6.39 (1H, d, J = 11 Hz, 6-H).

25 la,25-dihydroxy-25-epivitamin D2 (9b): UV (EtOH) Xmax 265,5 nm, 227,5 nm; massespektrum, m/e 428 (M+, 13), 410 (9), 352 (7), 287 (11), 269 (15), 251 (13), 152 (52), 134 (100), 59 (97).25a, 25-dihydroxy-25-epivitamin D2 (9b): UV (EtOH) λmax 265.5 nm, 227.5 nm; mass spectrum, m / e 428 (M +, 13), 410 (9), 352 (7), 287 (11), 269 (15), 251 (13), 152 (52), 134 (100), 59 (97) ).

30 DK 171397 B1 19 EKSEMPEL 8EXAMPLE 8

Omdannelse af forbindelse (7) til 5,6-trans-la,25-dihy-droxyvitamin Όι forbindelserne (11a) og (11b).Conversion of compound (7) to 5,6-trans-1α, 25-dihydroxyvitamin Όι compounds (11a) and (11b).

55

Hydrolyse af ketal-mellemproduktet (7, Ri = acetyl, R2 = H) under de i eksempel 4 angivne betingelser giver den tilsvarende 5,6-trans-25-keton med formlen (10, Ri = ace-tyl, R2 = H) og efterfølgende omsætning af denne keton 10 med methylmagnesiumbromid under anvendelse af betingelser, der er analoge med de i eksempel 5 angivne, giver en blanding af de epimere forbindelser (11a) og (11b), der adskilles ved hjælp af højtryksvæskekromatografi (HPLC) til opnåelse af det rene la,25-dihydroxy-5,6-trans-vi-15 tamin D2 (Ha) og la,25-dihydroxy-5,6-trans-24-epi-vi- tamin D2 (11b). Om ønsket kan formlen konfimeres ved hjælp af isomerisering til de respektive 5,6-cis-forbin-delser (9a, 9b) ved velkendte metoder.Hydrolysis of the ketal intermediate (7, R 1 = acetyl, R 2 = H) under the conditions of Example 4 gives the corresponding 5,6-trans-25 ketone of formula (10, R 1 = acetyl, R 2 = H) and subsequent reaction of this ketone 10 with methyl magnesium bromide using conditions analogous to those set forth in Example 5 yields a mixture of the epimeric compounds (11a) and (11b) which are separated by high pressure liquid chromatography (HPLC) to give of the pure 1α, 25-dihydroxy-5,6-trans-vitamin-D2 (Ha) and 1α, 25-dihydroxy-5,6-trans-24-epi-vitamin D2 (11b). If desired, the formula can be configured by isomerization to the respective 5,6-cis compounds (9a, 9b) by well known methods.

20 5,6-trans-la,25-dihydroxyvitamin D2 (11a); UV (EtOH) Xmax 273,5 nm, λ,ηΐη 230 nm, massespektrum, m/e 428 (M+, 8), 410 (3), 287 (3), 269 (7), 251 (7), 152 (34), 134 (100), 59 (78).5,6-trans-1α, 25-dihydroxyvitamin D2 (11a); UV (EtOH) λmax 273.5 nm, λ, ηΐη 230 nm, mass spectrum, m / e 428 (M +, 8), 410 (3), 287 (3), 269 (7), 251 (7), 152 ( 34), 134 (100), 59 (78).

25 5,6-trans-la,25-dihydroxy-24-epi-vitamin D2 (11b); UV5,6-trans-1α, 25-dihydroxy-24-epi-vitamin D2 (11b); UV

(EtOH) Arøax 273,5 nm, λ,ηΐη 230 nm, massespektrum, m/e 428 (M+, 10), 410 (4), 352 (4), 287 (5), 269 (9), 251 (8), 152 (37), 134 (100), 59 (82). 1 2 3 4 5 6(EtOH) Araax 273.5 nm, λ, ηΐη 230 nm, mass spectrum, m / e 428 (M +, 10), 410 (4), 352 (4), 287 (5), 269 (9), 251 (8 ), 152 (37), 134 (100), 59 (82). 1 2 3 4 5 6

Et passende udgangsmateriale for de omhandlede forbindel 2 ser er vitamin-D-ketalderivatet med formlen (1), der kan 3 fås ved at arbejde som beskrevet i reaktionsskema II og 4 III som beskrevet i engelsk patent nr. 2 127 023 eller 5 amerikansk patent nr. 4 448 721. Det er sædvanligvis be- 6 kvemt (f.eks. dersom begge C-24-epimere ønskes) at anvende forbindelsen (1) som en blanding af 24R og 24S-epime- DK 171397 B1 20 re, idet adskillelsen af de enkelte 24R og 24S-epimere kan udføres senere. Imidlertid er den rene 24S- eller den rene 24R-epimer af (1) velegnet, idet den førstnævnte forbindelse giver 24S,la,25-dihydroxyslutforbindelsen og 5 den sidstnævnte forbindelse den tilsvarende 24R-slutfor-bindelse.A suitable starting material for the compounds of the present invention is the vitamin D ketal derivative of formula (1), which can be obtained by working as described in Reaction Schemes II and 4 III as disclosed in English Patent No. 2 127 023 or US Patent 5 No. 4,448,721. It is usually convenient (e.g., if both C-24 epimers are desired) to use compound (1) as a mixture of 24R and 24S epimers, since the separation of the individual 24R and 24S epimers can be performed later. However, the pure 24S or pure 24R epimer of (1) is suitable, with the former providing the 24S, Ia, 25-dihydroxy final compound and the latter compound the corresponding 24R final compound.

REAKTIONSSKEMA ISCHEME OF REACTION I

DK 171397 B1 21 5 /Ja o o .aA o o o o f j i i_i . r j ] i_i r j ] i_iDK 171397 B1 21 5 / Yes o o .aA o o o o f j i i_i. r j] i_i r j] i_i

JJ zo... Jf zo·.. JTJJ so ... Jf so · .. JT

10 ROV^ 's/^v'OR|10 ROV ^ 's / ^ v'OR |

I : R = H 3 4: R,= HI: R = H 3 4: R, = H

5: R,= Acyl5: R f = Acyl

>νΑ o o ^ X O JL »OH> νΑ o o ^ X O JL »OH

R20**‘kv^0R, R20**‘^Av0R| ΗΟ·''^"ΌΗR20 ** "kv ^ 0R, R20 **" ^ Av0R | ΗΟ · '' ^ "ΌΗ

6' 8 9o: 24 S6 '8 9o: 24 p

b · 24Rb · 24R

25 fl ”" - jl b> fj r,ov''^or2 r, ov'^A"or2 hovvVv^^oh25 fl "" - jl b> fj r, ov '' ^ or2 r, ov '^ A "or2 hovvVv ^^ oh

7 10 IIo : 24 S7 10 IIo: 24 S

35 t>: 24R35 h>: 24R

DK 171397 B1 22DK 171397 B1 22

REAKTIONSSKEMA IISCHEME OF REACTION II

γαΗ° "γΓ~ΗΟ O * O V tt «γαΗ ° "γΓ ~ ΗΟ O * O V tt«

</) I * «1^ W</) I * «1 ^ W

1° X Satf-οΐΓ^Λ J 2^ v «o ^1 ° X Satf-οΐΓ ^ Λ J 2 ^ v «o ^

OØO Yp'iTOØO Yp'iT

is >< vi' V' WO T .is> <vi 'V' WO T.

ocri ° Va 3 ^ 2 s 1 * ^_ ,r^ ^ I /lCi Oo.) λΑ 1—1 J^oo 30 UA7 _^ * rt_| ^ jj (?) Jl »/p, (<?) 35 DK 171397 B1 23ocri ° Va 3 ^ 2 s 1 * ^ _, r ^ ^ I / lCi Oo.) λΑ 1—1 J ^ oo 30 UA7 _ ^ * rt_ | ^ jj (?) Jl »/ p, (<?) 35 DK 171397 B1 23

REAKTIONSSKEMA IIISCHEME OF REACTION III

5 -> Ts0^—Pl> ~S S^Y'5 -> Ts0 ^ —Pl> ~ S S ^ Y '

o O Oo O O

l n-L·^ *— 10 II o o o o o l—I i tl n-L · ^ * - 10 II o o o o o l — I i t

suffotf Asuffotf A

15 20 25 1 3515 20 25 1 35

Claims (8)

15 I med R-konfiguration ved C-24, og hvori hver af R^, R2 og R3, der er ens eller forskellige, betegner hydrogen, al-kylcarbonyl med 1-6 carbonatomer, arylcarbonyl eller en 20 acylgruppe med formlen: ROOC(CH2)nCO- eller ROOCCH2-0-CH2CO- hvor n er et helt tal fra 0 til 4, og R betegner en al-25 kylgruppe med 1-6 carbonatomer, og X betegner alkyl med 1-4 c arbonatomer.15 I having R configuration at C-24, wherein each of R 1, R 2 and R 3, which are the same or different, represents hydrogen, alkylcarbonyl of 1-6 carbon atoms, arylcarbonyl or an acyl group of the formula: ROOC ( CH2) nCO- or ROOCCH2-0-CH2CO- where n is an integer from 0 to 4 and R represents an alkyl group of 1-6 carbon atoms and X represents alkyl of 1-4 carbon atoms. 2. Derivat ifølge krav 1, kendetegnet ved, at det er la,25-dihydroxy-24-epivitamin D2. 30Derivative according to claim 1, characterized in that it is 1α, 25-dihydroxy-24-epivitamin D2. 30 3. Præparat til farmaceutisk anvendelse, kendetegnet ved, at det omfatter mindst et derivat ifølge krav 1 eller 2 og et farmaceutisk acceptabelt hjælpestof. 35 DK 171397 B1A composition for pharmaceutical use, characterized in that it comprises at least one derivative according to claim 1 or 2 and a pharmaceutically acceptable excipient. 35 DK 171397 B1 4. Præparat ifølge krav 3, kendetegnet ved, at det omfatter la,25-dihydroxyvitamin D2, la,25-dihydro-xy-24-epi-vitamin D2, la,25-dihydroxy-5,6-trans-vitamin D2 og la,25-dihydroxy-5,6-trans-24-epi-vitamin D2. 5Composition according to claim 3, characterized in that it comprises Ia, 25-dihydroxyvitamin D2, Ia, 25-dihydro-xy-24-epi-vitamin D2, Ia, 25-dihydroxy-5,6-trans-vitamin D2 and 1α, 25-dihydroxy-5,6-trans-24-epi-vitamin D2. 5 5. Præparat ifølge krav 3, kendetegnet ved, at det omfatter la,25-dihydroxyvitamin D2 og la,25-dihy-droxy-24-epi-vitamin D2.Composition according to claim 3, characterized in that it comprises Ia, 25-dihydroxyvitamin D2 and Ia, 25-dihydroxy-24-epi-vitamin D2. 6. Præparat ifølge krav 3, kendetegnet ved, at det omfatter la,25-dihydroxy-5,6-trans-vitamin D2 og la,25-dihydroxy-24-epi-vitamin D2·Composition according to claim 3, characterized in that it comprises Ia, 25-dihydroxy-5,6-trans vitamin D2 and Ia, 25-dihydroxy-24-epi-vitamin D2 · 7. Præparat ifølge et vilkårligt af kravene 3-6, k e n -15 detegnet ved, at det yderligere omfatter mindst en knoglemobilisering-inducerende forbindelse, fortrinsvis 25-hydroxyvitamin D3, 25-hydroxyvitamin D2, la-hydro-xyvitamin D3, Ια-hydroxyvitamin D2, la,25-dihydroxyvitamin D3, la,25-dihydroxyvitamin D2, 24,24-difluor-25-hy- 20 droxyvitamin D3, 24,24-difluor-ΐα,25-dihydroxyvitamin D3, 24-fluor-25-hydroxyvitamin D3, 24-fluor-la,25-dihydroxyvitamin D3, 26,26,26,27,27,27-hexafluor-la,25-dihydroxy- vitamin D3, 26,26,26,27,27,27-hexafluor-25-hydroxyvitamin D3, 2β-ίluor-la-hydroxyvitamin D3, 2β-ίluor-25-hydroxyvi-25 tamin D3, 24,25-dihydroxyvitamin D3, la,24,25-trihydroxy-vitamin D3, 25,26-dihydroxyvitamin D3 eller la,25,26-tri-hydroxyvitamin D3.A composition according to any one of claims 3-6, characterized in that it further comprises at least one bone mobilization-inducing compound, preferably 25-hydroxyvitamin D3, 25-hydroxyvitamin D2, 1α-hydroxyvitamin D3, Ια-hydroxyvitamin D2, Ia, 25-dihydroxyvitamin D3, Ia, 25-dihydroxyvitamin D2, 24,24-difluoro-25-hydroxyvitamin D3, 24,24-difluoro-βα, 25-dihydroxyvitamin D3, 24-fluoro-25-hydroxyvitamin D3, 24-fluoro-1α, 25-dihydroxyvitamin D3, 26,26,26,27,27,27-hexafluoro-1α, 25-dihydroxy vitamin D3, 26,26,26,27,27,27-hexafluoro 25-hydroxyvitamin D3, 2β-isluoro-1α-hydroxyvitamin D3, 2β-ίluoro-25-hydroxyvitamin D3, 24,25-dihydroxyvitamin D3, 1α, 24,25-trihydroxy vitamin D3, 25,26-dihydroxyvitamin D3 or Ia, 25,26-tri-hydroxyvitamin D3. 8. Anvendelse af et derivat ifølge krav 1 eller 2 til 30 fremstilling af et præparat til behandling af sygdomme, der kræver regenerering af knoglemasse, eller til at forhindre tab af knoglemasse, fortrinsvis postmenopausal osteoporose, senil osteoporose eller steroidinduceret osteoporose. 35Use of a derivative according to claims 1 or 2 to 30 in the preparation of a composition for the treatment of diseases requiring regeneration of bone mass or to prevent loss of bone mass, preferably postmenopausal osteoporosis, senile osteoporosis or steroid-induced osteoporosis. 35
DK008685A 1983-05-09 1985-01-08 24-Epi-1alpha,25-dihydroxylated vitamin D2 derivatives, and preparations for pharmaceutical use which comprises these derivatives DK171397B1 (en)

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US49286383A 1983-05-09 1983-05-09
US49286383 1983-05-09
US60732784A 1984-05-04 1984-05-04
US60732784 1984-05-04
PCT/US1984/000714 WO1984004527A1 (en) 1983-05-09 1984-05-09 PROCESS FOR THE PREPARATION OF 1alpha,25-DIHYDROXYLATED VITAMIN D2 AND RELATED COMPOUNDS
US8400714 1984-05-09

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DK8685A DK8685A (en) 1985-01-08
DK8685D0 DK8685D0 (en) 1985-01-08
DK171397B1 true DK171397B1 (en) 1996-10-14

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DK008685A DK171397B1 (en) 1983-05-09 1985-01-08 24-Epi-1alpha,25-dihydroxylated vitamin D2 derivatives, and preparations for pharmaceutical use which comprises these derivatives
DK198801845A DK172567B1 (en) 1983-05-09 1988-04-06 3,5-cyclovitamin D2 derivative intermediates for use in the preparation of 1alpha, 25-dihydroxylated vitamin D2 derivatives
DK199101832A DK172733B1 (en) 1983-05-09 1991-11-07 25-oxovitamin D2 derivative intermediates for use in the preparation of 1alpha, 25-dihydroxylated vitamin D2 derivatives

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DK199101832A DK172733B1 (en) 1983-05-09 1991-11-07 25-oxovitamin D2 derivative intermediates for use in the preparation of 1alpha, 25-dihydroxylated vitamin D2 derivatives

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AU (1) AU568549B2 (en)
CH (1) CH665834A5 (en)
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NL8520265A (en) * 1984-10-04 1986-09-01 Wisconsin Alumni Res Found DERIVATIVES OF VITAMIN D AND METHODS FOR PREPARING THE SAME
WO1986004333A1 (en) * 1985-01-17 1986-07-31 Wisconsin Alumni Research Foundation Vitamin d derivatives and methods for preparing same
CA1341408C (en) * 1988-08-02 2002-12-10 Charles W. Bishop Method for treating and preventing loss of bone mass
US5104864A (en) * 1988-08-02 1992-04-14 Bone Care International, Inc. Method for treating and preventing loss of bone mass
US4973584A (en) * 1989-03-09 1990-11-27 Deluca Hector F Novel 1α-hydroxyvitamin D2 epimer and derivatives
JP2645130B2 (en) * 1989-03-31 1997-08-25 日清製粉株式会社 Steroid derivatives
GB8914963D0 (en) * 1989-06-29 1989-08-23 Leo Pharm Prod Ltd Chemical compounds
IN171426B (en) * 1990-02-14 1992-10-10 Wisconsin Alumni Res Found
US5795882A (en) * 1992-06-22 1998-08-18 Bone Care International, Inc. Method of treating prostatic diseases using delayed and/or sustained release vitamin D formulations
CA2116238C (en) * 1992-06-22 2007-09-04 Joyce C. Knutson Oral 1 .alpha.-hydroxyprevitamin d
US5763429A (en) 1993-09-10 1998-06-09 Bone Care International, Inc. Method of treating prostatic diseases using active vitamin D analogues
US6503893B2 (en) 1996-12-30 2003-01-07 Bone Care International, Inc. Method of treating hyperproliferative diseases using active vitamin D analogues
US6566353B2 (en) 1996-12-30 2003-05-20 Bone Care International, Inc. Method of treating malignancy associated hypercalcemia using active vitamin D analogues
US6573256B2 (en) 1996-12-30 2003-06-03 Bone Care International, Inc. Method of inhibiting angiogenesis using active vitamin D analogues
AU750451B2 (en) 1997-02-13 2002-07-18 Bone Care International, Inc. Targeted therapeutic delivery of vitamin D compounds
CA2718238C (en) 2008-03-12 2018-04-10 Cytochroma Inc. Stabilized 1,25-dihydroxyvitamin d2 and method of making same

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US4260549A (en) * 1979-05-21 1981-04-07 Wisconsin Alumni Research Foundation Process for preparing 1α-hydroxylated compounds
US4267117A (en) * 1978-06-19 1981-05-12 The Upjohn Company Compounds and process
US4269777A (en) * 1979-05-21 1981-05-26 Wisconsin Alumni Research Foundation Isotopically labeled vitamin D derivatives and processes for preparing same

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DE3448360C2 (en) 1991-10-02
DK183291D0 (en) 1991-11-07
DE3448412C2 (en) 1991-12-12
DK183291A (en) 1991-11-07
JPH0651624B2 (en) 1994-07-06
JPH0610188B2 (en) 1994-02-09
JPH0339505B2 (en) 1991-06-14
NL193245C (en) 1999-04-02
CH665834A5 (en) 1988-06-15
DK172567B1 (en) 1999-01-18
DE3490215C2 (en) 1991-07-25
DK8685A (en) 1985-01-08
JPH02288873A (en) 1990-11-28
NL193245B (en) 1998-12-01
DK172733B1 (en) 1999-06-21
NL8420137A (en) 1985-04-01
DK8685D0 (en) 1985-01-08
DE3490215T (en) 1985-05-15
AU568549B2 (en) 1988-01-07
DK184588D0 (en) 1988-04-06
DK184588A (en) 1988-04-06
AU3011584A (en) 1984-12-04
JPH02288829A (en) 1990-11-28
WO1984004527A1 (en) 1984-11-22
JPH02288854A (en) 1990-11-28

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