NO781200L - WATER-SOLUBLE CORTICOIDER. - Google Patents

WATER-SOLUBLE CORTICOIDER.

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Publication number
NO781200L
NO781200L NO781200A NO781200A NO781200L NO 781200 L NO781200 L NO 781200L NO 781200 A NO781200 A NO 781200A NO 781200 A NO781200 A NO 781200A NO 781200 L NO781200 L NO 781200L
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Norway
Prior art keywords
methyl
dioxo
hydroxy
pregnadien
fluoro
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NO781200A
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Norwegian (no)
Inventor
Ulrich Kerb
Rudolf Wiechert
Joachim-Friedrich Kapp
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Schering Ag
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Publication of NO781200L publication Critical patent/NO781200L/en

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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07JSTEROIDS
    • C07J51/00Normal steroids with unmodified cyclopenta(a)hydrophenanthrene skeleton not provided for in groups C07J1/00 - C07J43/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07JSTEROIDS
    • C07J5/00Normal steroids containing carbon, hydrogen, halogen or oxygen, substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane and substituted in position 21 by only one singly bound oxygen atom, i.e. only one oxygen bound to position 21 by a single bond
    • C07J5/0007Normal steroids containing carbon, hydrogen, halogen or oxygen, substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane and substituted in position 21 by only one singly bound oxygen atom, i.e. only one oxygen bound to position 21 by a single bond not substituted in position 17 alfa
    • C07J5/0023Normal steroids containing carbon, hydrogen, halogen or oxygen, substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane and substituted in position 21 by only one singly bound oxygen atom, i.e. only one oxygen bound to position 21 by a single bond not substituted in position 17 alfa substituted in position 16
    • C07J5/003Normal steroids containing carbon, hydrogen, halogen or oxygen, substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane and substituted in position 21 by only one singly bound oxygen atom, i.e. only one oxygen bound to position 21 by a single bond not substituted in position 17 alfa substituted in position 16 by a saturated or unsaturated hydrocarbon group including 16-alkylidene substitutes
    • C07J5/0038Normal steroids containing carbon, hydrogen, halogen or oxygen, substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane and substituted in position 21 by only one singly bound oxygen atom, i.e. only one oxygen bound to position 21 by a single bond not substituted in position 17 alfa substituted in position 16 by a saturated or unsaturated hydrocarbon group including 16-alkylidene substitutes by an alkyl group

Description

Oppfinnelsen angår vannoppløselige korticoider som utmerker seg ved et gunstig forhold mellom terapieffekt og toleranse. The invention relates to water-soluble corticoids which are distinguished by a favorable relationship between therapeutic effect and tolerance.

I forhold til tidligere kjente vannoppløselige derivater av korticoider med generell formel II (britisk patentskrift 1.286.093) utmerker de nye korticoider seg ved vesentlig hurtigere virknings-start. In relation to previously known water-soluble derivatives of corticoids with general formula II (British patent document 1,286,093), the new corticoids are distinguished by a significantly faster onset of action.

Den terapeutiske virkning av de nye vannoppløselige korticoider kan f.eks. bekreftes ved hjelp av de kjente endotoxin-sjokkforsøk, eosinofil-forsøk eller adjuvans-ødem-test. For be-stemmelse av uønskede systemiske sidevirkninger og derved toleran-sen for de nye korticoider kan man f.eks. benytte den kjente thy-molysetest, leverglycogenprøven eller natrium-kalium-retensjons-prøven, eller fordøyelighetsprøven. The therapeutic effect of the new water-soluble corticoids can e.g. is confirmed using the known endotoxin shock test, eosinophil test or adjuvant edema test. To determine unwanted systemic side effects and thereby the tolerance for the new corticoids, one can e.g. use the known thymolysis test, the liver glycogen test or the sodium-potassium retention test, or the digestibility test.

De nye vannoppløselige korticoider kan forarbeides på vanlig måte til legemiddelpreparater, idet man tilsetter dem eg-nede tilsetninger, bærere, oppløsningsformidlere, stabilisatorer og smakskorregentia for de ønskede anvendelsesformer, som f.eks. The new water-soluble corticoids can be processed in the usual way into pharmaceutical preparations, by adding suitable additives, carriers, solubilizers, stabilizers and flavor corregents for the desired forms of use, such as e.g.

tabletter, drasjeer, kapsler, oppløsninger osv.tablets, dragees, capsules, solutions, etc.

Således kan man f.eks. fylle angitte mengder av de vann-oppløselige korticoider på ampuller, eventuelt efter tilsetning av vanlige hjelpestoffer og på vanlig måte som tørrstoffer, idet ampullene fortrinnsvis inneholder 10 - 500 mg aktivt stoff. Am-pulleinnholdet blir oppløst i sterilt, destillert vann før bruk. Thus, one can e.g. fill specified quantities of the water-soluble corticoids into ampoules, possibly after adding usual auxiliary substances and in the usual way as dry substances, the ampoules preferably containing 10 - 500 mg of active substance. The ampoule contents are dissolved in sterile, distilled water before use.

Spesialpreparatene kan fortrinnsvis brukes til behandling av akutte truende sykdomstilstander (sjokk efter ulykker, forbrenninger, operasjoner, kretsløpforstyrrelser efter forgift-ninger, hjerteinfarkt, lungeemboli, alvorlige astmaanfall etc). The special preparations can preferably be used for the treatment of acute threatening disease states (shock after accidents, burns, operations, circulatory disorders after poisoning, heart attacks, pulmonary embolism, severe asthma attacks, etc.).

For behandling gir man pasienten, alt efter sykdommens alvor 10 - 1000 mg aktivt stoff intravenøst. For treatment, depending on the severity of the disease, the patient is given 10 - 1000 mg of active substance intravenously.

Fremstillingen av de nye korticoider skjer på en måte som vil være kjent for fagmannen. F.eks. kan man omsette korticoider med generell formel II méd ravsyreanhydrid eller glutarsyreanhydrid i nærvær av baser (som f.eks. pyridin, lutidin, kalium-hydrogencarbonat, natriumcarbonat, kaliumcarbonat, natriumhydroxyd, kaliumhydroxyd etc), og eventuelt overføre de dannede korticoider med generell formel I hvor Y har betydningen hydrogen til salter ved omsetning med alkalimetallhydroxyder, alkalimetallcarbonater, alkalimetallhydrogencarbonater eller alkalimetallalkoholater. The production of the new corticoids takes place in a manner that will be known to the person skilled in the art. E.g. one can react corticoids of general formula II with succinic anhydride or glutaric anhydride in the presence of bases (such as pyridine, lutidine, potassium hydrogen carbonate, sodium carbonate, potassium carbonate, sodium hydroxide, potassium hydroxide, etc.), and possibly transfer the formed corticoids of general formula I where Y means hydrogen to salts by reaction with alkali metal hydroxides, alkali metal carbonates, alkali metal hydrogen carbonates or alkali metal alcoholates.

Med hjelp av fremgangsmåten ifølge oppfinnelsen kan man f.eks. fremstille: (6a,9a-difluor-lip-hydroxy-16a-methyl-3,20-dioxo-l,4-pregnadien-21-yl)-hemiglutarat, samt dets natrium- eller kaliumsalt såvel som (9a-klor-6a-fluor-113-hydroxy-16a-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-hemiglutarat og dets natrium- og kaliumsalt. With the help of the method according to the invention, one can e.g. prepare: (6a,9a-difluoro-lip-hydroxy-16a-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-hemiglutarate, as well as its sodium or potassium salt as well as (9a-chloro-6a -fluoro-113-hydroxy-16α-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-hemiglutarate and its sodium and potassium salts.

De følgende eksempler belyser fremgangsmåten ifølge oppfinnelsen. The following examples illustrate the method according to the invention.

Eksempel 1Example 1

<a>) 2 g 6a,9a-difluor-lip,21-dihydroxy-16a-methyl-l,4-preg-nadien-3,20-dion oppløses i 10 ml pyridin, 1 g ravsyreanhydrid til-settes og kokes 30 minutter under argoninnbobling. Efter avkjøling røres blandingen ut i isvann, surgjøres med fortynnet svovelsyre, det utfeldte produkt suges fra, vaskes til nøytralitet og tørkes. Efter omkrystallisasjon fra aceton-hexan får man 2,1 g (6a,9a-di-fluor-113-hydroxy-16a-methyl-3,20-dioxo-l,4-pregnadien-21-yl)-hemisuccinat med smeltepunkt 199 - 20l°C. b) 700 mg hemisuccinat innstilles med 10 ml absolutt methanol, og 9,4 ml 0,1 N kaliummethylatoppløsning på pH 8 ved hjelp av et <a>) Dissolve 2 g of 6a,9a-difluoro-lip,21-dihydroxy-16a-methyl-1,4-preg-nadiene-3,20-dione in 10 ml of pyridine, add 1 g of succinic anhydride and boil for 30 minutes under argon bubbling. After cooling, the mixture is stirred into ice water, acidified with dilute sulfuric acid, the precipitated product is sucked off, washed to neutrality and dried. After recrystallization from acetone-hexane, 2.1 g of (6a,9a-di-fluoro-113-hydroxy-16a-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-hemisuccinate with melting point 199 - 20l°C. b) Adjust 700 mg of hemisuccinate with 10 ml of absolute methanol, and 9.4 ml of 0.1 N potassium methylate solution at pH 8 using a

pH-meter. Oppløsningen konsentreres i vakuum og utfelles i 600 ml ether. Det utfeldte kaliumsalt suges fra, vaskes med ether og tør-kes i vakuum over fosforpentoxyd. Man får 670 mg kalium (6a,9a-difluor-113-hydroxy-3,20-dioxo-16a-methyl-l,4-pregnadien-21-yl)-succinat. Smeltepunkt 170 - 180°C, UV: inoo=16600.pH meter. The solution is concentrated in vacuo and precipitated in 600 ml of ether. The precipitated potassium salt is sucked off, washed with ether and dried in vacuum over phosphorus pentoxide. 670 mg of potassium (6α,9α-difluoro-113-hydroxy-3,20-dioxo-16α-methyl-1,4-pregnadien-21-yl)-succinate is obtained. Melting point 170 - 180°C, UV: inoo=16600.

c) 650 mg hemisuccinat innstilles i 10 ml absolutt methanol med 11,4 ml 0,1 N natriummethylatoppløsning på pH 8. Oppløsnin-gen konsentreres i vakuum, og røres ut i en blanding av 500 ml ether og 100 ml pentan som holder 3°C. Det utfeldte produkt suges fra og tørkes i vakuum. Man får slik 630 mg natrium (6a,9a-diflu-or-lip^-hydroxy-S , 20-dioxo-l6a-methy 1-1, 4-pregnadien-21-yl)-succinat. Smeltepunkt 175 - 180°C, UV: £23Q = 16500.c) 650 mg of hemisuccinate is placed in 10 ml of absolute methanol with 11.4 ml of 0.1 N sodium methylate solution at pH 8. The solution is concentrated in a vacuum and stirred into a mixture of 500 ml of ether and 100 ml of pentane which maintains 3° C. The precipitated product is sucked off and dried in a vacuum. 630 mg of sodium (6a,9a-diflu-or-lip^-hydroxy-S,20-dioxo-16a-methyl 1-1,4-pregnadien-21-yl)-succinate is thus obtained. Melting point 175 - 180°C, UV: £23Q = 16500.

Eksempel. 2Example. 2

a) 5 g- 6a-fluor-li(3,21-dihydrdxy-16a-methyl-l,4-pregnadien-3,20-dion omsettes i analogi med eksempel la i 25 ml pyridin med 5 g ravsyreanhydrid og opparbeides. Efter omkrystallisasjon fra eddikester får man 5;2 g (6a-fluor-113-hydroxy-16a-methyl-3,20-dioxo-l , 4-pregnadien-21-yl) -hemisuccinat . Smeltepunkt 210-212°C. a) 5 g of 6a-fluoro-li(3,21-dihydroxy-16a-methyl-1,4-pregnadiene-3,20-dione is reacted in analogy with example 1a in 25 ml of pyridine with 5 g of succinic anhydride and worked up. After recrystallization from acetic ester yields 5.2 g of (6a-fluoro-113-hydroxy-16a-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-hemisuccinate.Melting point 210-212°C.

b) .10 g hemisuccinat innstilles i 400 ml absolutt methanol på pH 8 med 17,9 ml 0,1 N natriummethylatoppløsning og utfelles b) 10 g of hemisuccinate is placed in 400 ml of absolute methanol at pH 8 with 17.9 ml of 0.1 N sodium methylate solution and precipitated

som beskrevet under lc). Man får 9,6 g natrium-(6a-fluor-113-hydroxy-16a-methyl-3 , 20-dioxo-l, 4-preg.nadien-21-yl) -succinat. UV: 242<=>1610°- Smeltepunkt 163 - 170°C (spaltning). as described under lc). 9.6 g of sodium (6α-fluoro-113-hydroxy-16α-methyl-3,20-dioxo-1,4-preg.nadien-21-yl)-succinate are obtained. UV: 242<=>1610°- Melting point 163 - 170°C (decomposition).

Eksempel 3Example 3

a) 5 g 6a-fluor-113,21-dihydroxy-16a-methyl-l,4-pregnadien-3,20-dion oppvarmes i 20 ml pyridin med 2 g glutarsyreanhydrid i 4 5 minutter under argonbobling til kokning. Efter avkjøling røres blandingen ut i isvann, surgjøres med fortynnet svovelsyre, det utfeldte produkt filtreres fra, vaskes til nøytralitet og tørkes. Råproduktet ble oppløst i eddikester og rystet med 5 %'s sodaopp-. løsning. Den fraskilte vannfase ble surgjort med saltsyre, ekstra-hert med eddikester, eddikesterekstraktet vasket nøytralt og inn-dampet i vakuum. Man fikk 5,2 g (6a-fluor-ll(3-hydroxy-16a-methyl-3,20-dioxo-l,4-pregnadien-21-yl)-hemiglutarat. Smeltepunkt 171 - 173°C. b) 2,5 g hemiglutarat overføres i analogi med eksempel lc til natriumsalt. Man får 2,4 g natrium(6a-fluor-113-hydroxy-16a-methyl-3 , 20-dioxo-l, 4-pregnadien-21-yl) -glutarat. UV: i 2^-^=16000. Smeltepunkt 167°C (spaltning). a) 5 g of 6a-fluoro-113,21-dihydroxy-16a-methyl-1,4-pregnadiene-3,20-dione are heated in 20 ml of pyridine with 2 g of glutaric anhydride for 45 minutes under argon bubbling until boiling. After cooling, the mixture is stirred into ice water, acidified with dilute sulfuric acid, the precipitated product is filtered off, washed to neutrality and dried. The raw product was dissolved in vinegar and shaken with 5% soda ash. solution. The separated water phase was acidified with hydrochloric acid, extracted with ethyl acetate, the ethyl acetate extract was washed neutral and evaporated in vacuo. 5.2 g of (6a-fluoro-11(3-hydroxy-16a-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-hemiglutarate was obtained. Melting point 171 - 173°C. b) 2 .5 g of hemiglutarate is transferred in analogy to example 1c to the sodium salt. 2.4 g of sodium (6α-fluoro-113-hydroxy-16α-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-glutarate is obtained. UV: i 2^-^=16000. Melting point 167°C (decomposition).

Eksempel 4Example 4

a) lg 6a-fluor-9a-klor-113/21-dihydroxy-16a-methyl-l,4-pregnadien-3,20-dion oppløses i 5 ml pyridin og oppvarmes ved kokning med 0,5 g ravsyreanhydrid i 30 minutter under argonbobling. Efter opparbeidelse som i eksempel la og omkrystallisering fra aceton-eddikester får man 1,23 g (6a-fluor-9a-klor-113-hydroxy-16a-methyl-3,20-dioxo-l,4-preg.nadien-21-yl)-hemisuccinat. Smeltepunkt 249oc (spaltning). b) 700 mg hemisuccinat overføres til natriumsalt med 0,1 N natriummethylatoppløsning i 15 ml methanol. Man får 570 mg natrium- (6a-f luor-9a-klor-ll[3-hydroxy-16a-methyl-3,20-dioxo-l,4-pregna-dien-21-yl)-succinat. Smeltepunkt 165°C. (spaltning). a) lg 6α-fluoro-9α-chloro-113/21-dihydroxy-16α-methyl-1,4-pregnadiene-3,20-dione is dissolved in 5 ml of pyridine and heated by boiling with 0.5 g of succinic anhydride for 30 minutes under argon bubbling. After working up as in example la and recrystallization from acetone-acetic ester, 1.23 g of (6a-fluoro-9a-chloro-113-hydroxy-16a-methyl-3,20-dioxo-1,4-preg.nadiene-21 -yl)-hemisuccinate. Melting point 249oc (decomposition). b) 700 mg of hemisuccinate is transferred to the sodium salt with 0.1 N sodium methylate solution in 15 ml of methanol. 570 mg of sodium (6a-fluoro-9a-chloro-11[3-hydroxy-16a-methyl-3,20-dioxo-1,4-pregna-dien-21-yl)-succinate is obtained. Melting point 165°C. (fission).

Eksempel 5Example 5

På samme måte som i eksempel 3 overføres 6a-fluor-9cc-klor-113,21-dihydroxy-16a-methyl-l,4-pregnadien-3,20-dion i (6a-fluor-9a-klor-llb-hydroxy-16a-methyl-3,20-dioxo-l,4-pregnadien-21-yl)-hemiglutarat. (Smeltepunkt 182 - 183,5°C, spaltning), og dette overføres videre til natrium-(6a-fluor-9a-klor-113-hydroxy-16a-methyl-3 , 20-dioxo-l, 4-preg.nadien-21-yl)-glutarat. Smeltepunkt 124°C (spaltning). In the same way as in Example 3, 6a-fluoro-9cc-chloro-113,21-dihydroxy-16a-methyl-1,4-pregnadiene-3,20-dione is transferred into (6a-fluoro-9a-chloro-11b-hydroxy -16α-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-hemiglutarate. (Melting point 182 - 183.5°C, cleavage), and this is further transferred to sodium (6a-fluoro-9a-chloro-113-hydroxy-16a-methyl-3,20-dioxo-1,4-preg.nadiene -21-yl)-glutarate. Melting point 124°C (decomposition).

Eksempel 6Example 6

l,5.g (6a-fluor-113-hydroxy-16a-methyl-3,20-dioxo-l,4-pregnadien-21-yl)-hemisuccinat og 0,646 g N-methylglucamin ble oppløst i 30 ml dobbeltdestillert vann, og den klare oppløsning frysetørket 24 timer. Man får 2,07 g amorft N-methylglucamin-(6a-fluor-113-hydroxy-16a-methyl-3,20-dioxo-l,4-pregnadien-21-yl)-succinat. 1.5 g of (6α-fluoro-113-hydroxy-16α-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-hemisuccinate and 0.646 g of N-methylglucamine were dissolved in 30 ml of double-distilled water, and the clear solution freeze-dried for 24 hours. 2.07 g of amorphous N-methylglucamine-(6a-fluoro-113-hydroxy-16a-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-succinate are obtained.

Claims (14)

1. Vannoppløselige korticoider med generell formel I 1. Water-soluble corticosteroids of general formula I hvor n betegner tallene 2 eller 3, X betegner et hydrogenatom, et fluoratom eller et klor- atom, og Y betegner et hydrogenatom, et alkalimetallatom eller N- glucaminresten.where n denotes the numbers 2 or 3, X denotes a hydrogen atom, a fluorine atom or a chlorine atom, and Y denotes a hydrogen atom, an alkali metal atom or N- the glucamine residue. 2 . Natrium- (6a , 9a-dif luor-ll(3-hydroxy-16a-methyl-3 , 20-dioxo-l, 4-pregnadien-21-yl)-succinat.2. Sodium (6a,9a-difluoro-11(3-hydroxy-16a-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-succinate. 3 . Natrium- (6a-f luor-ll(3-hydroxy-16a-methyl-3 , 20-dioxo-l, 4-pregnadien-21-yl)-succinat.3. Sodium (6α-fluoro-11(3-hydroxy-16α-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-succinate. 4 . Natrium- (6a-f luor-ll|3-hydroxy-16a-methyl-3 , 20-dioxo-l, 4-pregnadien-21-yl)-glutarat.4. Sodium (6α-fluoro-11|3-hydroxy-16α-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-glutarate. 5. Natrium-(9a-klpr-6a-fluor-113-hydroxy-L6a-methyl-3,20-dioxo-l ,4-pregnadien-21-yl)-succinat.5. Sodium-(9α-klpr-6α-fluoro-113-hydroxy-L6α-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-succinate. 6. Kalium-(6a,9a-difluor-113-hydroxy-16a-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-succinat.6. Potassium-(6α,9α-difluoro-113-hydroxy-16α-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-succinate. 7. (6a,9a-difluor-113-hydroxy-16a-methyl-3 > 20-dioxo-l,4-pregnadien-21-yl)-hemisuccinat.7. (6α,9α-difluoro-113-hydroxy-16α-methyl-3>20-dioxo-1,4-pregnadien-21-yl)-hemisuccinate. 8. (6a-fluor-113-hydroxy-16a-methyl-3,20-dioxo-l,4-pregna-dien-21-yl)-hemisuccinat.8. (6α-fluoro-113-hydroxy-16α-methyl-3,20-dioxo-1,4-pregna-dien-21-yl)-hemisuccinate. 9 . (6a-f luor-113-hydroxy-16a-methyl-3 , 20-diox'o-l, 4-pregna-dien-21-yl)-hemiglutarat.9 . (6α-fluoro-113-hydroxy-16α-methyl-3,20-dioxo-1,4-pregna-dien-21-yl)-hemiglutarate. 10. (9a-klor-6a-fluor-113-hydroxy-16a-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-hemisuccinat.10. (9α-Chloro-6α-fluoro-113-hydroxy-16α-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-hemisuccinate. 11. Farmasøytiske preparater som inneholder et vannoppløse-lig korticoid ifølge krav 1-10 som aktivt stoff.11. Pharmaceutical preparations containing a water-soluble corticoid according to claims 1-10 as active substance. 12. Fremgangsmåte for fremstilling av vannoppløselige korticoider ifølge krav 1, karakterisert ved at man på forøvrig kjent måte partielt forestrer et korticoid med formel TI 12. Process for the production of water-soluble corticoids according to claim 1, characterized in that a corticoid of formula TI is partially esterified in an otherwise known manner hvor X har betydningen som angitt i krav 1, med ravsyreanhydrid eller glutarsyreanhydrid, og eventuelt overfører de dannede korticoider med generell formel I, hvor Y har betydningen et hydrogenatom, til deres alkalimetallsalter eller N-methylglucaminsaltet.where X has the meaning as stated in claim 1, with succinic anhydride or glutaric anhydride, and optionally transfer the formed corticoids of general formula I, where Y has the meaning of a hydrogen atom, to their alkali metal salts or the N-methylglucamine salt. 13 . Natrium- (9-klor-6-f luor-ll(3-hydroxy-16a-methyl-3 , 20-dioxo-l, 4-pregnadien-21-yl)-glutarat.13 . Sodium (9-chloro-6-fluoro-11(3-hydroxy-16α-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-glutarate). 14. N-methylglucamin-(6a-fluor-113-hydroxy-16a-methyl-3,20-dioxo-l ,4-pregnadien-21-yl)-succinat.14. N-methylglucamine-(6α-fluoro-113-hydroxy-16α-methyl-3,20-dioxo-1,4-pregnadien-21-yl)-succinate.
NO781200A 1977-04-06 1978-04-05 WATER-SOLUBLE CORTICOIDER. NO781200L (en)

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US4948533A (en) * 1984-03-28 1990-08-14 The Upjohn Company 11a-hydroxy steroid diester

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DD135082A5 (en) 1979-04-11
DE2715853A1 (en) 1978-10-19
PT67872B (en) 1979-11-14
IT7821995A0 (en) 1978-04-05
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AU3481178A (en) 1979-10-11
CA1113452A (en) 1981-12-01
BE865760A (en) 1978-10-06
NZ186745A (en) 1980-10-24
IT1094296B (en) 1985-07-26
SE7803837L (en) 1978-10-07
IE780672L (en) 1978-10-06
IE46602B1 (en) 1983-07-27
RO81076A2 (en) 1983-02-01
BG28578A3 (en) 1980-05-15
RO81076B1 (en) 1983-01-30
CH638537A5 (en) 1983-09-30
FR2386557B1 (en) 1980-02-01
ATA239978A (en) 1981-06-15
NL7803188A (en) 1978-10-10
FR2386557A1 (en) 1978-11-03
GB1602266A (en) 1981-11-11
FI781053A (en) 1978-10-07
PL205800A1 (en) 1979-01-29
SU668611A3 (en) 1979-06-15
DK153378A (en) 1978-10-07
JPS53149963A (en) 1978-12-27
PL114096B1 (en) 1981-01-31
IL54443A0 (en) 1978-07-31
ES468572A1 (en) 1978-12-01
PT67872A (en) 1978-05-01
LU79375A1 (en) 1978-07-13
CS198295B2 (en) 1980-05-30
ZA781977B (en) 1979-03-28

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