SI9210064A - Novel antiinflamatory and antialergic active compounds, glucocorticosteroids and processes for their preparation - Google Patents

Novel antiinflamatory and antialergic active compounds, glucocorticosteroids and processes for their preparation Download PDF

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SI9210064A
SI9210064A SI9210064A SI9210064A SI9210064A SI 9210064 A SI9210064 A SI 9210064A SI 9210064 A SI9210064 A SI 9210064A SI 9210064 A SI9210064 A SI 9210064A SI 9210064 A SI9210064 A SI 9210064A
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hydrogen
carbon atoms
compound
dione
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Bengt Ingemar Axelsson
Ralph Lennart Brattsand
Leif Arne Kaellstroem
Arne Bror Thalen
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Astra Ab
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Abstract

Spojina s splošno formulo 1*2 ali njena stereoizomerna komponenta, v katere formuli je mesto 1,2 nasičeno ali pa je tam dvojna vez, Ri je vodik ali razvejan ali nerazvejan ogljikovodik, ki ima verigo z 1-4 ogljikovimi atomi, R2 je acil, ki ima razvejano ali nerazvejano, nasičeno ali nenasičeno ogljikovodikovo verigo z 1 -20 ogljikovimi atomi, Χ1 je vodik ali halogen, Χ2 je vodik ali halogen in je določeno, da Ri in R2 nista naenkrat vodika, Χ1 in Χ2 nista naenkrat vodika, ko je na 1,2 položaju dvojna vez, Ri in R2 nista naenkrat metilni skupini, ko je na 1,2 položaju dvojna vez, je Ri vodikov atom in R2 razvejan ali nerazvejan ogljikovodik, ki ima verigo z 1-10 ogljikovimi atomi; R3 je acil, ki ima 11-20 ogljikovih atomov, postopki za njihovo pripravo, farmacevtski sestavki, ki jih vsebujejo, in uporaba spojin pri zdravljenju inflamatornih in alergijskih stanj.A compound of the general formula 1 * 2 or a stereoisomeric component thereof into which the formula is 1.2 or saturated with double bond, Ri is hydrogen or branched or unbranched hydrocarbon which has a chain of 1-4 carbon atoms, R2 is an acyl having branched or unbranched, saturated or unsaturated hydrocarbon chain with 1 -20 carbon atoms, Χ1 is is hydrogen or halogen, Χ2 is hydrogen or halogen and is determined that Ri and R2 are not hydrogen at one time, Χ1 and Χ2 they are not hydrogen at one time when they are double at the 1.2 position bond, Ri and R2 are not simultaneously methyl groups when on 1,2 position of the double bond, R 1 is a hydrogen atom and R 2 branched or unbranched hydrocarbon having a chain with 1-10 carbon atoms; R3 is an acyl having 11-20 carbon atoms, processes for their preparation, pharmaceutical the compositions they contain and the use of the compounds in the treatment of inflammatory and allergic conditions.

Description

NOVE ANTIINFLAMATORNO IN ANTIALERGIJSKO AKTIVNE SPOJINE GLUKOKORTIKOSTEROIDI TER POSTOPKI ZA NJIHOVO PRIPRAVONEW ANTI-INFLAMMATORY AND ANTI-ALLERGY ACTIVE COMPOUNDS GLUCOCORTICOSTEROIDS AND PROCEDURES FOR THEIR PREPARATION

Področje izumaFIELD OF THE INVENTION

Predstavljeni izum se nanaša na nove antiintlamatorno in antialergijsko aktivne spojine ter na postopke za njihovo pripravo. Izum se prav tako nanaša na farmacevtske sestavke, ki vsebujejo spojine in na metode za farmakološko uporabo sestavkov.The present invention relates to novel anti-inflammatory and anti-allergic active compounds and to methods for their preparation. The invention also relates to pharmaceutical compositions containing the compounds and methods for the pharmacological use of the compositions.

Cilj izuma je zagotoviti antiinflamatorni, imunosupresivni in antialergijski glukokortikosteroid ali njegov farmacevtski sestavek z visoko aktivnostjo na mestu aplikacije, npr. v respiratornem traktu, na koži, v intestinalnem traktu, v sklepih ali očesu, z usmerjanjem zdravila na omejeno ciljno področje, na ta način se inducirajo nizki glukokortikoidni sistemski učinki.It is an object of the invention to provide an anti-inflammatory, immunosuppressive and anti-allergic glucocorticosteroid or a high-activity pharmaceutical composition thereof at the site of application, e.g. in the respiratory tract, on the skin, in the intestinal tract, in the joints or in the eye, by directing the drug to a restricted target area, thus inducing low glucocorticoid systemic effects.

Nadaljnji cilj izuma je zagotoviti farmacevtski sestavek, ki vsebuje liposome, ki vsebujejo farmakološko aktivni steroidni ester maščobne kisline iz izuma, z namenom izboljšati dostavo zdravila in minimalizirati stranske učinke terapije.It is a further object of the invention to provide a pharmaceutical composition comprising liposomes containing the pharmacologically active fatty acid steroid ester of the invention in order to improve drug delivery and minimize side effects of therapy.

Znanstvena podlagaScientific basis

Glukokortikosteroidi (GCS) so najdragocenejša zdravila za lajšanje astme in rinitisa. Na splošno je sprejeto, da GCS kažejo svojo terapevtsko učinkovitost z antiinflamatornim in antianafilaktičnim delovanjem znotraj zračnih poti in pljučnega tkiva. Dolgotrajna oralna uporaba GCS je zelo otežkočena z močnimi stranskimi učinki zunaj pljučne regije. Tako je trenutno le manjši del pacientov z astmo ali rinitisom podvržen GCS terapiji. Večjo varnost lahko dosežemo z dostavljanjem GCS z inhalacijo. Vendar pa imata tudi prevladujoče inhalirana GCS, ki sta trenutno v široki klinični uporabi (beklometazon 17a,21-dipropionat in budesonid), precej nizko mejo varnosti, za oba je bilo objavljeno, da pri najvišjih priporočenih dozah za inhalacijo neželjeno delujeta znotraj splošne cirkulacije.Glucocorticosteroids (GCS) are the most valuable medicines for the relief of asthma and rhinitis. It is generally accepted that GCSs show their therapeutic efficacy through anti-inflammatory and anti-anaphylactic activity within airways and lung tissue. Long-term oral administration of GCS is very difficult with strong side effects outside the lung region. Thus, at present, only a small proportion of patients with asthma or rhinitis undergo GCS therapy. Greater safety can be achieved by delivering GCS by inhalation. However, predominantly inhaled GCSs, which are currently in widespread clinical use (beclomethasone 17a, 21-dipropionate and budesonide), have a fairly low safety margin, both of which have been reported to perform undesirably within the general circulation at the highest recommended inhaled doses.

Liposomi so membranam podobni mehurčki, ki sestojijo iz serij koncentričnih lipidnih dvoslojev z izmenjujočimi se hidrofilnimi predelki.Liposomes are membrane-like vesicles consisting of a series of concentric lipid bilayers with alternating hydrophilic compartments.

Liposome so uporabljali kot nosilce za različne vrste farmacevtsko aktivnih spojin z namenom izboljšati dostavo zdravila in minimalizirati stranske učinke terapije.Liposomes have been used as carriers for various types of pharmaceutically active compounds in order to improve drug delivery and minimize side effects of therapy.

Glukokortikosteroidi so vključeni v liposome le v nizkih koncentracijah in se slabo zadržijo v mehurčkih. Estrifikacija GCS na 21 poziciji z maščobnimi kislinami poveča stopnjo vključitve in zadrževanja steroida v mehurčkih. Pokazano je bilo, da veriga maščobne kisline deluje kot hidrofobno sidro, ki drži steroidno jedro v skupinah hidriranih polarnih glav fosfolipidov in tako izboljšuje interakcijo med glukokortikosteroidom in liposomom.Glucocorticosteroids are only involved in liposomes at low concentrations and are poorly retained in the vesicles. GCS esterification at 21 positions with fatty acids increases the rate of incorporation and retention of steroids in the bladder. The fatty acid chain has been shown to act as a hydrophobic anchor that holds the steroid core in groups of hydrated phospholipid polar heads, thus enhancing the interaction between glucocorticosteroid and liposome.

Glukokortikosteroidi inkapsulirani v liposome so bili opisani (M. De Silva in ostali, Lancet 8130 (1979), 1320), US patent specification No. 4 693 999 opisuje liposomske formulacije glukokortikosteroidov za inhalacijo.Glucocorticosteroids encapsulated in liposomes have been described (M. De Silva et al., Lancet 8130 (1979), 1320), U.S. Pat. No. 4 693 999 describes liposomal formulations of glucocorticosteroids for inhalation.

Odkritje izumaDiscovery of the invention

En cilj predstavljenega izuma je zagotoviti nove GCS spojine. Nove spojine so okarakterizirane z antiinflamatorno, imunosupresivno in antianafilaktično močjo na kraju apliciranja in, še posebej, imajo izrazito poboljšano razmerje med to močjo in sposobnostjo za izzivanje GCS delovanja izven zdravljenih regij. Najbolj zaželjena oblika dajanja novih spojin je z inhalacijo, ko je mesto za aplikacijo znotraj zračnih poti.One object of the present invention is to provide novel GCS compounds. The novel compounds are characterized by anti-inflammatory, immunosuppressive and anti-anaphylactic potency at the application site and, in particular, have a markedly improved relationship between this potency and the ability to induce GCS activity outside the treated regions. The most desirable form of administration of new compounds is by inhalation when the application site is within the airways.

Drug cilj izuma je zagotoviti antiinflamatorni in antialergijski farmacevtski sestavek, ki vsebuje liposome s steroidnimi estri za lokalno dajanje primarno v respiratorni trakt. Tak sestavek omogoča izboljšanje terapevtskih lastnosti steroidnih estrov s podaljšanjem lokalnega zadrževanja v zračnih poteh in z usmerjanjem zdravila na specifične ciljne celice.Another object of the invention is to provide an anti-inflammatory and anti-allergic pharmaceutical composition comprising liposomes with steroidal esters for topical administration primarily to the respiratory tract. Such a composition improves the therapeutic properties of steroid esters by extending local airway retention and by targeting the drug to specific target cells.

Spojine iz izuma so označene s formulo 1The compounds of the invention are designated by Formula 1

CH3COOHCH3COOH

C2H5COOHC2H5COOH

C3H7COOHC3H7COOH

C4H9COOHC4H9COOH

C5HjjCOOHC 5 HjjCOOH

C6H13COOHC 6 H 13 COOH

C7Hj5COOHC 7 Hj 5 COOH

C8H17COOH ali njihovo stereoizomerno komponento, v katere formuli je mesto 1,2 nasičeno ali pa je tam dvojna vez,C 8 H 17 COOH or a stereoisomeric component thereof in which the formula 1,2 is saturated or has a double bond there,

Rj je vodik ali razvejan ali nerazvejan ogljikovodik, ki ima 1-4 ogljikove atome, R2 je vodik ali razvejan ali nerazvejan ogljikovodik, ki ima 1-10 ogljikovih atomov,Rj is hydrogen or branched or unbranched hydrocarbon having 1-4 carbon atoms, R2 is hydrogen or branched or unbranched hydrocarbon having 1-10 carbon atoms,

R3 je acil, ki ima razvejano ali nerazvejano, nasičeno ali nenasičeno verigo ogljikovodika, ki ima 1-20 ogljikovih atomov,R3 is an acyl having a branched or unbranched, saturated or unsaturated hydrocarbon chain having 1-20 carbon atoms,

Χ-j je vodik ali halogenΧ-j is hydrogen or halogen

Χ2 je vodik ali halogen in določeno je, daΧ2 is hydrogen or halogen and it is specified that

1) Rj in R2 nista naenkrat vodika,1) Rj and R2 are not hydrogen at one time,

2) Xj in Χ2 nista naenkrat vodika,2) Xj and Χ2 are not hydrogen at one time,

3) ko je na 1,2 položaju dvojna vez, R j in R2 nista naenkrat metilni skupini,3) when there is a double bond at the 1,2 position, R j and R2 are not at one time methyl groups,

4) ko je na 1,2 položaju dvojna vez, je R j vodikov atom in R2 je razvejan ali nerazvejan ogljikovodik, ki ima 1-10 ogljikovih atomov, R3 je acil, ki ima 1120 ogljikovih atomov.4) when at the 1,2 position there is a double bond, R j is a hydrogen atom and R2 is a branched or unbranched hydrocarbon having 1-10 carbon atoms, R3 is acyl having 1120 carbon atoms.

Acil je izpeljan iz:Acyl is derived from:

ocetne kisline, propionske kisline, maslene kisline, valerijanske kisline, heksanojske kisline, heptanojske kisline, oktanojske kisline, nonanojske kisline,acetic acid, propionic acid, butyric acid, valeric acid, hexanoic acid, heptanoic acid, octanoic acid, nonanoic acid,

CgH-jgCOOHCgH-jgCOOH

CioH-|gCOOHCioH- | gCOOH

C-j i H23COOHC-j and H23COOH

C-12H25COOHC-12H25COOH

C-13H27COOHC-13H27COOH

C-14H29COOHC-14H29COOH

C15H31COOH c16h33cooh c17h35coohC 15 H 31 COOH c 16 h 33 cooh c 17 h 35 cooh

Ci 7H33COOHCi 7H33COOH

C17H31COOHC 17 H 31 COOH

C17H29COOHC17H29COOH

C18H37COOHC18H37COOH

C19H39COOH dekanojske kisline, kaprinske kisline, laurinske kisline, tridekanojske kisline, miristinske kisline, pentadekanojske kisline, palmitinske kisline, heptadekanojske kisline, stearinske kisline, oleinske kisline, linolne kisline, linolenske kisline, nonadekanojske kisline, ikozanojske kisline.C19H39COOH Decanoic acids, capric acids, lauric acids, tridecanoic acids, myristic acids, pentadecanoic acids, palmitic acids, heptadecanoic acids, stearic acids, oleic acids, linoleic acids, linolenic acids, nonadecanoic acids.

C13H27COOHC13H27COOH

C15H31COOHC 15 H 31 COOH

C17H35COOHC 17 H 35 COOH

C-J7H33COOHC-J7H33COOH

C-17H31COOHC-17H31COOH

C17H29COOHC17H29COOH

Zaželjene acilne skupine izpeljemo iz:Desired acyl groups are derived from:

C11H23COOH laurinske kisline, miristinske kisline, palmitinske kisline, stearinske kisline, oleinske kisline, linolne kisline, linolenske kisline in še posebej iz palmitinske kisline.C11H23COOH Lauric acids, myristic acids, palmitic acids, stearic acids, oleic acids, linoleic acids, linoleic acids, and in particular palmitic acid.

Razvejana ali nerazvejana veriga ogljikovodika, ki ima 1-4 ogljikove atome je zaželjeno alkilna skupina, ki ima 1-4 ogljikove atome, še posebej metilna skupina.A branched or unbranched hydrocarbon chain having 1-4 carbon atoms is preferably an alkyl group having 1-4 carbon atoms, especially a methyl group.

Razvejana ali nerazvejana veriga ogljikovodika, ki ima 1-10 ogljikovih atomov je zaželjeno alkilna skupina, ki ima 1-10 ogljikovih atomov, še raje 1-4 ogljikove atome, še posebej metilna ali propilna skupina.A branched or unbranched hydrocarbon chain having 1-10 carbon atoms is preferably an alkyl group having 1-10 carbon atoms, more preferably 1-4 carbon atoms, especially a methyl or propyl group.

Halogen je v tem opisu fluor, klor ali brom. Zaželjeni halogen je fluor.Halogen is fluorine, chlorine or bromine in this specification. The desired halogen is fluorine.

Zaželjene spojine izuma so tiste, kjer je v formuli 1 mesto 1,2 nasičeno,The preferred compounds of the invention are those wherein, in formula 1, the site 1,2 is saturated,

R-| je vodik ali razvejana ali nerazvejana veriga ogljikovodika, ki ima 1-4 ogljikove atome,R- | is hydrogen or a branched or unbranched hydrocarbon chain having 1-4 carbon atoms,

R2 je vodik ali razvejana ali nerazvejana veriga ogljikovodika, ki ima 1-10 ogljikovih atomov,R2 is hydrogen or a branched or unbranched hydrocarbon chain having 1-10 carbon atoms,

R3 je acil, ki ima razvejano ali nerazvejano, nasičeno ali nenasičeno verigo ogljikovodika, ki ima 1-20 ogljikovih atomov,R3 is an acyl having a branched or unbranched, saturated or unsaturated hydrocarbon chain having 1-20 carbon atoms,

Xj je vodik ali halogen,Xj is hydrogen or halogen,

Xp je vodik ali halogen, določeno je , da:Xp is hydrogen or halogen, it is specified that:

1) R-j in R2 nista naenkrat vodika,1) R-j and R2 are not hydrogen at one time,

2) Xj in Χ2 nista naenkrat vodika.2) Xj and Χ2 are not hydrogen at one time.

Posebej zaželjene spojine izuma so tiste, kjer je v formuli 1 mesto 1,2 nasičeno,Particularly desirable compounds of the invention are those wherein, in formula 1, the site 1,2 is saturated,

Rj je vodik,Rj is hydrogen,

R2 je propilna skupina,R2 is a propyl group,

R3 je acil, ki ima 11-20 ogljikovih atomov,R3 is an acyl having 11-20 carbon atoms,

Xj je fluor,Xj is fluorine,

X2 je fluor.X2 is fluorine.

Nadaljnja zaželjena spojina izuma je tista s formulo 1, kjer je na mestuA further desirable compound of the invention is that of Formula I, where applicable

1,2 dvojna vez,1,2 double bond,

Rj je vodik,Rj is hydrogen,

R2 je propilna skupina,R2 is a propyl group,

R3 je palmitoilna skupina,R3 is a palmitoyl group,

Xj je fluor,Xj is fluorine,

Χ2 je fluor.Χ2 is fluorine.

Najbolj zaželjena spojina izuma ima formuloThe most preferred compound of the invention has the formula

CH2OC(CH2)14CH3 CH 2 OC (CH 2 ) 14 CH 3

C=OC = O

CH.CH.

H'H '

CH.CH.

FF

Zaželjena izvedba izuma je sestavek, ki vsebuje zaželjeno spojino izuma v kombinaciji z liposomi.A preferred embodiment of the invention is a composition comprising the desired compound of the invention in combination with liposomes.

V primerih, kjer je cilj izuma zagotoviti farmacevtski sestavek, ki vsebuje liposome, mora biti aktivna spojina sestavka spojina s formulo 1, kjer je R3 acil, ki ima 11-20 ogljikovih atomov.In cases where the object of the invention is to provide a pharmaceutical composition containing liposomes, the active compound of the composition should be a compound of formula 1 wherein R3 is acyl having 11-20 carbon atoms.

V primerih, kjer je cilj izuma zagotoviti farmacevtski sestavek brez liposomov, mora biti aktivna spojina spojina s formulo 1, kjer je R3 acil, ki ima 1-10 ogljikovih atomov, raje 5-10 ogljikovih atomov.In cases where the object of the invention is to provide a liposome-free pharmaceutical composition, the active compound should be a compound of formula I wherein R3 is acyl having 1-10 carbon atoms, preferably 5-10 carbon atoms.

Posamezne stereoizomerne komponente, ki so prisotne v zmesi steroida, ki ima zgornjo formulo (1), lahko razložimo na naslednji način zaradi kiralnosti na ogljikovem atomu na poziciji 22 in z ozirom na R2 substituent:The individual stereoisomeric components present in the mixture of the steroid having the above formula (1) can be explained as follows because of the chirality on the carbon atom at position 22 and with respect to the R2 substituent:

fH2OR3f H 2 OR 3

OOh

(epimer 22S)(22S epimer)

Zaželjene stereoizomerne komponente imajo konfiguracijo 22R.The desired stereoisomeric components have a 22R configuration.

METODE PRIPRAVEPREPARATION METHODS

Steroid ne estreThe steroid does not ester

OOh

St-OCR. 4 kjer je StSt-OCR. 4 where St

in Xj, Χ2, R-,, R2 imajo pomen podan zgoraj, R4 je razvejana ali nerazvejana, nasičena ali nenasičena alkilna skupina, ki ima 1-19 ogljikovih atomov in mesto 1,2 je nasičeno ali pa je tam dvojna vez, pripravimo po katerikoli izmed alternativnih metod, ki sledijo.and Xj, Χ2, R- ,, R2 have the meaning given above, R4 is a branched or unbranched, saturated or unsaturated alkyl group having 1-19 carbon atoms and the site 1,2 is saturated or has a double bond there, prepared by any of the alternative methods that follow.

A. Reakcija spojine s formuloA. The reaction of a compound of formula

St-OH, kjer je St definiran zgoraj, s spojino s formuloSt-OH, where St is defined above, with a compound of formula

OOh

R.COH kjer je R4 definiran zgoraj.R.COH where R4 is as defined above.

Estrifikacija 21-hidroksi spojine je lahko učinkovita na znani način, t.j. z reakcijo starševskega 21-hidroksi steroida s primerno karboksilno kislino, prednostno v prisotnosti anhidrida trifluoroocetne kisline in zaželjeno v prisotnosti kislega katalizatorja, t.j. p-toluensultonske kisline.The esterification of the 21-hydroxy compound may be effective in a known manner, i.e. by reacting the parent 21-hydroxy steroid with a suitable carboxylic acid, preferably in the presence of trifluoroacetic acid anhydride, and preferably in the presence of an acid catalyst, i.e. p-toluensultonic acid.

Reakcijo prednostno izvedemo v organskem topilu, kot je benzen ali metilen klorid; reakcijo je pripravno izvajati pri temperaturi 20 do 100°C.The reaction is preferably carried out in an organic solvent such as benzene or methylene chloride; the reaction is ready to be carried out at a temperature of 20 to 100 ° C.

B. Reakcija spojine s formuloB. Reaction of a compound of formula

St-OH kjer je St definiran zgoraj, s spojino s formuloSt-OH wherein St is defined above with a compound of formula

OOh

R.CX kjer je R4 definiran zgoraj, X je halogen, kot je klor, brom, jod in fluor; ali s skupinoR.CX where R4 is defined above, X is halogen such as chlorine, bromine, iodine and fluorine; or with a group

OOh

-O-C-R kjer je R4 definiran zgoraj.-O-C-R wherein R4 is as defined above.

Starševsko 21-hidroksi spojino lahko obdelamo s primernim halidom ali anhidridom karboksilne kisline, zaželjeno v topilu, kot je halogeniran ogljikovodik, npr. metilen klorid ali etri, npr. dioksan v prisotnosti baze kot je trietilamin ali piridin, zaželjeno pri nizki temperaturi, t.j. -5°C do +30°C.The parent 21-hydroxy compound may be treated with a suitable carboxylic acid halide or anhydride, preferably in a solvent such as a halogenated hydrocarbon, e.g. methylene chloride or ethers, e.g. dioxane in the presence of a base such as triethylamine or pyridine, preferably at low temperature, i.e. -5 ° C to + 30 ° C.

C. Reakcija spojine s formuloC. The reaction of a compound of formula

St-Y kjer je St definiran zgoraj, Y pa je izbran izmed halogenov, t.j Cl, Br in jod ali izmed mezilata ali p-toluensulfonata, s spojino s formuloSt-Y wherein St is defined above and Y is selected from halogens, i.e. Cl, Br and iodine or from mesylate or p-toluenesulfonate, with a compound of the formula

OOh

R.CO A+ kjer je R4 definiran zgoraj in A+ je kation.R.CO A + where R4 is defined above and A + is a cation.

Sol primerne karboksilne kisline z alkalijsko kovino, npr. litij, natrij ali kalij ali trietilamonijeva ali tributilamonijeva sol, lahko reagira s primernim alkilirajočim agensom s formulo St-Y. Reakcijo je zaželjeno izvajati v polarnem topilu kot je aceton, metiletil keton, dimetiltormamid ali dimetilsulfoksid, prikladno pri temperaturi v okviru 25-100°C.Salt of a suitable carboxylic acid with an alkali metal, e.g. The lithium, sodium or potassium or triethylammonium or tributylammonium salt may be reacted with a suitable alkylating agent of the formula St-Y. The reaction is preferably carried out in a polar solvent such as acetone, methylethyl ketone, dimethylormamide or dimethylsulfoxide, suitably at a temperature in the range of 25-100 ° C.

Če želimo čist epimer, je pri vsaki metodi od A do C lahko potrebna končna reakcijska stopnja za razstavitev epimerne mešanice na njene komponente.If a pure epimer is desired, a final reaction step may be required for each method A through C to disassemble the epimeric mixture into its components.

FARMACEVTSKI SESTAVKIPHARMACEUTICAL INGREDIENTS

Spojine iz izuma lahko uporabljamo za različne načine lokalnega dajanja v odvisnosti od mesta vnetja, t.j. perkutno, parenteralno ali za lokalno dajanje v respiratorni trakt z inhalacijo. Pri oblikovanju formulacije je pomemben cilj doseči optimalno bio-dostopnost aktivne steroidne sestavine. Za perkutne formulacije to s prednostjo dosežemo, če je steroid raztopljen z visoko termodinamsko aktivnostjo v nosilcu. To dosežemo z uporabo ustreznega sistema ali topil, ki vsebujejo ustrezne glikole, kot sta propilen glikol ali 1,3butandiol kot takšna ali pa v kombinaciji z vodo.The compounds of the invention can be used for various topical administration routes depending on the site of inflammation, i.e. percutaneously, parenterally or for topical administration to the respiratory tract by inhalation. In formulating the formulation, the important goal is to achieve optimal bioavailability of the active steroid ingredient. For percutaneous formulations, this is preferably achieved if the steroid is dissolved with high thermodynamic activity in the carrier. This is accomplished by using a suitable system or solvents containing suitable glycols, such as propylene glycol or 1,3butanediol per se, or in combination with water.

Steroidni ester je prav tako moč popolnoma ali delno raztopiti v lipofilni fazi z dodatkom surfaktanta kot sredstva za raztapljanje. Perkutni sestavki so lahko mazilo, krema olje v vodi, krema voda v olju ali pa losion. Sistem, ki vsebuje raztopljeno aktivno komponento, lahko v nosilcih za emulzijo sestavlja disperzno fazo prav tako kot kontinualno fazo. V zgornjih sestavkih lahko steroid prav tako obstaja kot mikronizirana trdna substanca.The steroid ester can also be completely or partially dissolved in the lipophilic phase by the addition of surfactant as a dissolving agent. Percutaneous compositions may be ointment, oil-in-water cream, water-in-oil cream or lotion. A system containing a dissolved active component may form a dispersion phase in the emulsion carriers as well as a continuous phase. In the above compositions, the steroid may also exist as a micronized solid.

Aerosoli za steroide pod pritiskom so namenjeni za oralno ali nazalno inhaliranje. Sistem aerosola je oblikovan na tak način, da vsaka dostavljena doza vsebuje 10-1000 pg, zaželjeno 20-250 pg aktivnega steroida. Najbolj aktivne steroide dajemo v nižjem delu doznega okvira. Mikroniziran steroid sestavljajo delci, ki so znatno manjši od 5 pm, le ti so s pomočjo sredstva za dispergiranje (kot so sorbitan trioleat, oleinska kislina, lecitin ali natrijeva sol dioktilsulfosukcinske kisline) suspendirani v mešanico pogonskega sredstva.Aerosols for pressure steroids are for oral or nasal inhalation. The aerosol system is designed in such a way that each delivered dose contains 10-1000 pg, preferably 20-250 pg of active steroid. The most active steroids are administered in the lower portion of the dose frame. A micronized steroid consists of particles substantially less than 5 pm, which are suspended by a dispersing agent (such as sorbitan trioleate, oleic acid, lecithin, or sodium salt of dioctylsulfosuccinic acid) into the propellant mixture.

Steroid lahko prav tako dajemo s pomočjo inhalatorja s suhim prahom.The steroid can also be administered using a dry powder inhaler.

Ena možnost je zmešati mikroniziran steroid z nosilno substanco, kot je laktoza ali glukoza. Zmes v prahu razporedimo v trde kapsule iz želatine, vsaka vsebuje zaželjeno dozo steroida. Kapsulo nato namestimo v inhalator za prah in dozo pacient inhalira v svoje zračne poti.One option is to mix a micronized steroid with a carrier substance such as lactose or glucose. The powder mixture is divided into hard gelatin capsules, each containing the desired dose of steroid. The capsule is then placed in a powder inhaler and the patient is inhaled into their airways.

Druga možnost je ta, da mikroniziran prah spravimo v sfere, ki se zlomijo med postopkom doziranja. Ta mikroniziran prah polnimo v rezervoarje za zdravila v multidozni inhalator, t.j. Turbuhaler. Enota za doziranje odmeri zaželjeno dozo, ki jo pacient nato inhalira. Na ta način dostavimo pacientu steroid brez ali z nosilno substanco.Alternatively, the micronized powder can be placed into spheres that break during the dosing process. This micronized powder is fed into drug tanks into a multidose inhaler, i.e. Turbuhaler. The dosage unit measures the desired dose, which is then inhaled by the patient. In this way, the steroid is delivered to the patient without or with a carrier substance.

Steroid lahko prav tako vključimo v formulacije, ki so namenjene za zdravljenje inflamatornih črevesnih bolezni, oboje, po oralni poti ali rektalno.The steroid can also be included in formulations that are intended to treat inflammatory bowel diseases, both by oral route or rectally.

Formulacije za oralno pot morajo biti oblikovane tako, da steroid dostavijo do vnetih delov črevesja. To lahko dosežemo z različnimi kombinacijami črevesnih in/ali postopnih ali nadzorovanih principov sproščanja. Za rektalno pot je primerna formulacija klistirnega tipa.Oral route formulations must be designed to deliver the steroid to the inflamed parts of the intestine. This can be achieved through various combinations of intestinal and / or gradual or controlled release principles. An enema formulation is suitable for the rectal route.

PRIPRAVA LIPOSOMSKIH SESTAVKOVPREPARATION OF LIPOSOMIC COMPOSITIONS

Lecitini, ki smo jih uporabili v tem izumu, imajo različne dolžine verig maščobnih kislin ter imajo tako različne temperature prehajanja faz. Primeri lecitinov, ki smo jih uporabili, so tisti dobljeni iz jajc in sojinega zrnja ter sintetični lecitini kot so: dimiristoil fosfatidilholin (DMPC), dipalmitoil fosfatidilholin (DPPC) in distearoil fosfatidilholin (DSPC). Lecitinske stabilne nosilce z različnimi biodegradacijskimi lastnostmi bi lahko pripravili z manipuliranjem s strukturo. To bi omogočilo podaljšanje sproščanja zajetega steroidnega estra.The lecithins used in the present invention have different lengths of fatty acid chains and thus have different phase transition temperatures. Examples of lecithins used were those obtained from eggs and soybeans and synthetic lecithins such as dimiristoyl phosphatidylcholine (DMPC), dipalmitoyl phosphatidylcholine (DPPC) and distearoyl phosphatidylcholine (DSPC). Lecithin stable carriers with different biodegradation properties could be prepared by manipulating the structure. This would allow prolonged release of the captured steroid ester.

Obseg interakcije steroidnega estra z mehurčki, npr. dipalmitoil fosfatidilholina (DPPC), je odvisen od dolžine verige estra in se z daljšanjem verige povečuje.The extent of the interaction of the steroid ester with bubbles, e.g. dipalmitoyl phosphatidylcholine (DPPC), is dependent on the length of the ester chain and increases with the length of the chain.

Vključevanje holesterola ali holesterolovih derivatov v liposomske sestavke je postalo zelo običajno zaradi njegovih lastnosti, da poveča stabilnost liposomov.The incorporation of cholesterol or cholesterol derivatives into liposome compositions has become very common because of its properties to increase liposome stability.

Za začetne stopnje priprave liposomov glede na predstavljeni izum je lahko prikladno slediti postopkom, ki so opisani v literaturi, t.j. komponente raztopimo v topilu (npr. etanol ali kloroform), ki ga nato odparimo. Nastali lipidni sloj nato dispergiramo v izbrani vodni medij, po tem raztopino mešamo ali sonificiramo. Liposomi iz tega izuma imajo zaželjeno premer med 0.1 in 10 pm.For the initial stages of liposome preparation according to the present invention, it may be convenient to follow the procedures described in the literature, i.e. the components are dissolved in a solvent (eg ethanol or chloroform) which is then evaporated. The resulting lipid layer is then dispersed into the selected aqueous medium, after which the solution is stirred or sonicated. The liposomes of the present invention preferably have a diameter between 0.1 and 10 pm.

Za spreminjanje strukture membrane liposomov lahko k glavnim lipidom, ki tvorijo liposome (navadno je to fosfolipid), dodamo druge lipide (npr. holesterol ali holesterol stearat), v količini 0-40 utežnih odstotkov (w/w) celotnih lipidov. Pri optimizaciji jemanja liposomov lahko vključimo tretjo komponento, ki zagotovi negativni naboj (npr. dipalmitoil f osf atidil glicerol) ali pa pozitivni naboj (npr. stearilamin acetat ali cetilpiridin klorid).To modify the structure of the liposome membrane, other lipids (eg, cholesterol or cholesterol stearate) can be added to the major liposome-forming lipids (usually cholesterol or cholesterol stearate), in an amount of 0-40 weight percent (w / w) of total lipids. In optimizing liposome uptake, a third component may be included that provides a negative charge (e.g. dipalmitoyl f osf atidyl glycerol) or a positive charge (e.g. stearylamine acetate or cetylpyridine chloride).

Med formiranjem lahko glede na pogoje in lipid, ki ga uporabljamo, uporabljamo širok okvir razmerij med sferoidnim estrom in lipidom. Uporabljamo lahko sušenje liposomov (sušenje z zamrzovanjem ali sušenje z razprševanjem) v prisotnosti laktoze, z vsebnostjo laktoze v okviru od 0 do 95% končnega sestavka.During the formation, depending on the conditions and the lipid used, a broad framework of spheroid ester to lipid ratios can be used. Liposome drying (freeze drying or spray drying) in the presence of lactose can be used, with a lactose content in the range of 0 to 95% of the final composition.

Sestavek po izumu, ki je posebej zaželjen, vsebuje liposome in (22R)-16a,17a-butilidendioksi-6a.,9a-difluoro-11 B-hidroksi-21 -palmitoiloksipregn-4-en-3,20-dion. Poti dajanja vključujejo aerosole v prahu, vkapavanje, razprševanje in aerosole pod pritiskom.The particularly preferred composition of the invention comprises liposomes and (22R) -16a, 17a-butylidenedioxy-6a., 9a-difluoro-11B-hydroxy-21-palmitoyloxypropene-4-ene-3,20-dione. The routes of administration include powder aerosols, instillation, dispersion and pressurized aerosols.

DELOVNI PRIMERIWORKING EXAMPLES

Izum bomo nadalje ilustrirali z neomejujočimi primeri, ki sledijo. V primerih smo pri preparativnih kromatografskih serijah uporabljali pretočno hitrost 2.5 ml/cnrč χ h1. Molekulske mase smo v vseh primerih določili s kemijsko ionizacijsko masno spektrometrijo (CH4 kot reagentni plin), tališča pa z Leitz VVetzlar mikroskopom z ogrevalno mizico. HPLC analize (High Performance Liquid Chromatography) smo izvajali na pBondapak C-)g koloni (300 x 3.9 mm i.d.) s pretočno hitrostjo 1.0 ml/min in z etanolom in vodo v razmerju med 40:60 in 60:40 kot mobilno fazo, če ni drugače določeno.The invention will be further illustrated by the following non-limiting examples. In the cases, a preparative chromatographic series was used with a flow rate of 2.5 ml / cmn χ h 1 . Molecular masses were in all cases determined by chemical ionization mass spectrometry (CH4 as reagent gas) and the melting points were determined using a Leitz VVetzlar microscope with a heating table. HPLC analyzes (High Performance Liquid Chromatography) were performed on a pBondapak C-) g column (300 x 3.9 mm id) at a flow rate of 1.0 ml / min and with ethanol and water in a ratio of 40:60 to 60:40 as a mobile phase, unless otherwise specified.

PRIMER 1 (22R)-16a..17a-butilidendioksi-6a.9a-difluoro-11 B-hidroksi-21-palmitoiloksiprean-4-en-3.20-dionEXAMPLE 1 (22R) -16a..17a-Butylidenedioxy-6a.9a-difluoro-11 B-hydroxy-21-palmitoyloxypropane-4-ene-3.20-dione

Raztopino palmitoil klorida (1.2 g) v 10 ml dioksana smo po kapljicah dodali k raztopini (22R)-16a,17a-butilidendioksi-6a,9a-difluoro-11B,21dihidroksipregn-4-en-3,20-diona (200 mg) v 5 ml piridina. Reakcijsko zmes smo mešali 16 ur pri sobni temperaturi. Dodali smo metilen klorid (150 ml) in raztopino sprali z 1M klorovodikovo kislino, s 5% vodnim kalijevim karbonatom in z vodo ter posušili. Surovi produkt po evaporaciji smo prečistili s kromatografijo na Sephadex LH-20 koloni (87 x 2.5 cm) in uporabili kloroform kot mobilno fazo. Frakcije med 210 in 255 ml smo zbrali in evaporirali, kar je dalo 203 mg (22R)-16a,17a-butilidendioksi-6a,9a-difluoro-11 B-hidroksi-21 palmitoil-oksipregn-4-en-3,20-diona. Tal. 87-90°C; mol. masa 706 (izrač. 707.0). Čistost: 96% (HPLC analiza).A solution of palmitoyl chloride (1.2 g) in 10 ml of dioxane was added dropwise to a solution of (22R) -16a, 17a-butylidenedioxy-6a, 9a-difluoro-11B, 21dihydroxypropene-4-ene-3,20-dione (200 mg) in 5 ml of pyridine. The reaction mixture was stirred for 16 hours at room temperature. Methylene chloride (150 ml) was added and the solution was washed with 1M hydrochloric acid, 5% aqueous potassium carbonate and water and dried. The crude product after evaporation was purified by chromatography on a Sephadex LH-20 column (87 x 2.5 cm) and chloroform was used as the mobile phase. Fractions between 210 and 255 ml were collected and evaporated, yielding 203 mg (22R) -16a, 17a-butylidenedioxy-6a, 9a-difluoro-11B-hydroxy-21 palmitoyl-oxypregn-4-ene-3,20- diona. Tal. 87-90 ° C; mol. mass 706 (calc. 707.0). Purity: 96% (HPLC analysis).

PRIMER 2 (22R)-16α,17a-butilidendioksi-6a.9a-difluoro-11 B-hidroksi-21 -palmitoiloksipregn-4-en-3.20-dionEXAMPLE 2 (22R) -16α, 17a-Butylidenedioxy-6a.9a-difluoro-11 B-hydroxy-21-palmitoyloxypropene-4-en-3.20-dione

K raztopini (22R)-16a,17a-butilidendioksi-6a,9a-difluoro-113,21dihidroksipregn-4-en-3,20-diona (50 mg) in palmitoil klorida (35 mg) v 10 ml metilen klorida smo po kapljicah dodali raztopino trietilamina (13 mg) v 2 ml metilen klorida. Reakcijsko zmes smo mešali 2 uri pri sobni temperaturi. Dodali smo še 50 ml metilen klorida in reakcijsko zmes obdelali kot v prvem primeru. Surovi produkt smo prečistili s kromatografijo na Sephadex LH-20 koloni (87 xTo a solution of (22R) -16a, 17a-butylidenedioxy-6a, 9a-difluoro-113,21 dihydroxypropene-4-ene-3,20-dione (50 mg) and palmitoyl chloride (35 mg) in 10 ml of methylene chloride was dropwise a solution of triethylamine (13 mg) in 2 ml of methylene chloride was added. The reaction mixture was stirred for 2 hours at room temperature. Another 50 ml of methylene chloride was added and the reaction mixture was treated as in the first example. The crude product was purified by chromatography on a Sephadex LH-20 column (87 x

2.5 cm) in uporabili kloroform kot mobilno fazo. Frakcije med 210 in 255 ml smo zbrali in evaporirali, kar je dalo 34 mg (22R)-16a,17a-butilidendioksi-6a,9adifluoro-11 B-hidroksi-21-palmitoil-oksipregn-4-en-3,20-diona. Mol. masa 706 (izrač. 707.0). Čistost: 95% (HPLC analiza).2.5 cm) and used chloroform as the mobile phase. Fractions between 210 and 255 ml were collected and evaporated, yielding 34 mg (22R) -16a, 17a-butylidenedioxy-6a, 9adifluoro-11B-hydroxy-21-palmitoyl-oxypregn-4-ene-3,20-dione . Mol. mass 706 (calc. 707.0). Purity: 95% (HPLC analysis).

PRIMER 1 (22S)-16a.17a-butilidendioksi-6a.9a-difluoro-11 B-hidroksi-21 -palmitoiloksipregn-4-en-3.20-dionEXAMPLE 1 (22S) -16a.17a-Butylidenedioxy-6a.9a-difluoro-11 B-hydroxy-21-palmitoyloxypropene-4-ene-3.20-dione

Raztopino palmitoil klorida (0.4 ml) v 10 ml dioksana smo po kapljicah dodali k raztopini (22S)-16a,17a-butilidendioksi-6a,9a-difluoro-113,21dihidroksipregn-4-en-3,20-diona (70 mg) v 25 ml piridina. Reakcijsko zmes smo mešali 16 ur pri sobni temperaturi in jo obdelali kakor v prvem primeru. Surovi produkt smo prečistili s kromatografijo na Sephadex LH-20 koloni (87 xA solution of palmitoyl chloride (0.4 ml) in 10 ml of dioxane was added dropwise to a solution of (22S) -16a, 17a-butylidenedioxy-6a, 9a-difluoro-113,21 dihydroxypropene-4-ene-3,20-dione (70 mg) in 25 ml of pyridine. The reaction mixture was stirred for 16 hours at room temperature and treated as in the first example. The crude product was purified by chromatography on a Sephadex LH-20 column (87 x

2.5 cm) in uporabili kloroform kot mobilno fazo. Frakcije med 225 in 265 ml smo zbrali in evaporirali, kar je dalo 92 mg (22S)-16a,17a-butilidendioksi-6a,9adifluoro-11 B-hidroksi-21-palmitoil-oksipregn-4-en-3,20-diona v obliki olja. Mol. masa 706 (izrač. 707.0). Čistost: 97% (HPLC analiza).2.5 cm) and used chloroform as the mobile phase. Fractions between 225 and 265 ml were collected and evaporated, yielding 92 mg (22S) -16a, 17a-butylidenedioxy-6a, 9adifluoro-11B-hydroxy-21-palmitoyl-oxypregn-4-ene-3,20-dione in the form of oil. Mol. mass 706 (calc. 707.0). Purity: 97% (HPLC analysis).

PRIMER 4 (22R)-16q,17a-butilidendioksi-6a.9a-dif luoro-11 B-hidroksi-21 miristoiloksipreqn-4-en-3.20-dionEXAMPLE 4 (22R) -16q, 17a-Butylidenedioxy-6a.9a-difluoro-11 B-hydroxy-21 myristyloxypropane-4-en-3.20-dione

Miristoil klorid smo sintetizirali s triurnim refluksiranjem miristinke kisline (7.0 g) in tionil klorida (9 ml) v trikloroetilenu (100 ml). Topilo smo nato odparili.Myristoyl chloride was synthesized by three-hour refluxing of myristic acid (7.0 g) and thionyl chloride (9 ml) in trichloroethylene (100 ml). The solvent was then evaporated.

K raztopini (22R)-16a, 17a-butilidendioksi-6a,9a-difluoro-11B,21 dihidroksipregn-4-en-3,20-diona (51 mg) v 10 ml metilen klorida smo dodali miristoil klorid (32 mg), temu je sledil še trietilamin (13 mg), raztopljen v 5 ml metilen klorida. Reakcijsko zmes smo mešali 4 ure pri sobni temperaturi. Dodali smo še nadaljnji metile klorid in zmes zaporedoma sprali z 0.1 M klorovodikovo kislino in vodo (3 x 50 ml). Po sušenju in evaporaciji smo preostanek prečistili s kromatografijo na Merck Kieselgel 60 in uporabili heptan-.aceton, 6:4 kot mobilno fazo, kar je dalo 27 mg (22R)-16a,17abutilidendioksi-6a,9a,-difluoro-11B-hidroksi-21-miristoiloksipregn-4-en-3,20diona. Mol. masa 678 (izrač. 678.9). Čistost: 96.8% (HPLC analiza).To a solution of (22R) -16a, 17a-butylidenedioxy-6a, 9a-difluoro-11B, 21 dihydroxypropene-4-ene-3,20-dione (51 mg) in 10 ml of methylene chloride was added myristoyl chloride (32 mg). this was followed by triethylamine (13 mg) dissolved in 5 ml of methylene chloride. The reaction mixture was stirred for 4 hours at room temperature. Further methyl chloride was added and the mixture was washed sequentially with 0.1 M hydrochloric acid and water (3 x 50 ml). After drying and evaporation, the residue was purified by chromatography on Merck Kieselgel 60 and used heptane-acetone, 6: 4 as the mobile phase, yielding 27 mg (22R) -16a, 17abutylidenedioxy-6a, 9a, -difluoro-11B-hydroxy -21-myristyloxypropene-4-en-3,20dione. Mol. mass 678 (calc. 678.9). Purity: 96.8% (HPLC analysis).

PRIMER 5 (22R)-16a,17a-butilidendioksi-6oi.9(x-difluoro-11B-hidroksi-21-lauroiloksipreqn4-en-3.2Q-dionEXAMPLE 5 (22R) -16a, 17a-Butylidenedioxy-6oi.9 (x-difluoro-11B-hydroxy-21-lauroyloxypropane4-en-3.2Q-dione

K raztopini (22R)-16a,17a-butilidendioksi-6a,9oc-difluoro-113,21 dihidroksipregn-4-en-3,20-diona (51 mg) v 5 ml metilen klorida smo dodali lauroil klorid (28 mg), temu je sledil še trietilamin (13 mg), raztopljen v 2 ml metilen klorida. Reakcijsko zmes smo mešali 3 ure pri sobni temperaturi, dodali smo še nadaljnji metilen klorid in organsko fazo zaporedoma sprali z 0.1 M klorovodikovo kislino in vodo (3 x 30 ml). Po sušenju in evaporaciji smo preostanek prečistili s kromatografijo na Merck Kieselgel 60 in uporabili heptan-.aceton, 6:4 kot mobilno fazo. Dobljeni produkt smo še nadalje prečistili v drugi kromatografski stopnji, kjer smo uporabili petrol eter:etil acetat, 3:2 kot mobilno fazo, kar je dalo 33 mg (22R)-16a,17a-butilidendioksi-6a,9a-difluoro11B-hidroksi-21-lauroiloksipregn-4-en-3,20-diona. Mol. masa 650 (izrač. 650.8). Čistost: 96.9% (HPLC analiza).To a solution of (22R) -16a, 17a-butylidenedioxy-6a, 9oc-difluoro-113,21 dihydroxypropene-4-ene-3,20-dione (51 mg) in 5 ml of methylene chloride was added lauroyl chloride (28 mg). this was followed by triethylamine (13 mg) dissolved in 2 ml of methylene chloride. The reaction mixture was stirred for 3 hours at room temperature, further methylene chloride was added and the organic phase was washed successively with 0.1 M hydrochloric acid and water (3 x 30 ml). After drying and evaporation, the residue was purified by chromatography on Merck Kieselgel 60 and used heptane-acetone, 6: 4 as the mobile phase. The resulting product was further purified in the second chromatographic step using petroleum ether: ethyl acetate, 3: 2 as the mobile phase, yielding 33 mg (22R) -16a, 17a-butylidenedioxy-6a, 9a-difluoro-11B-hydroxy- 21-lauroyloxypropene-4-en-3,20-dione. Mol. mass 650 (calc. 650.8). Purity: 96.9% (HPLC analysis).

PRIMER 6 (22R)-16a.17a-butilidendioksi-6a.9a-difluoro-11B-hidroksi-21-palmitoiioksipreqna-1.4-dien-3.20-dionEXAMPLE 6 (22R) -16a.17a-Butylidenedioxy-6a.9a-difluoro-11B-hydroxy-21-palmitoyloxypropane-1.4-diene-3.20-dione

Raztopino palmitoil klorida (2.3 ml) v 15 ml dioksana smo po kapljicah dodali k raztopini (22R)-16a,17a-butilidendioksi-6a,9a-difluoro-11B,21dihidroksipregna-1,4-dien-3,20-diona (700 mg) v 30 ml piridina. Reakcijsko zmes smo mešali čez noč pri sobni temperaturi in jo obdelali kot v prvem primeru. Surovi produkt smo prečistili s kromatografijo na Sephadex LH-20 koloni (76 x 6.3 cm) in uporabili heptan:kloroform:etanol, 20:20:1 kot mobilno fazo. Frakcije med 1020 in 1350 ml smo zbrali in evaporirali, kar je dalo 752 mg (22R)-16a,17ct-butilidendioksi-6a,9a-difluoro-11 B-hidroksi-21 palmitoiloksipregna-1,4-dien-3,20-diona. Tal. 141-145°C; [a]D 25 = +71.6° (c = 0.204; CH2CI2); mol. masa 704 (izrač. 704.9). Čistost: 97.7% (HPLC analiza).A solution of palmitoyl chloride (2.3 ml) in 15 ml of dioxane was added dropwise to a solution of (22R) -16a, 17a-butylidenedioxy-6a, 9a-difluoro-11B, 21dihydroxypropene-1,4-diene-3,20-dione (700 mg) in 30 ml of pyridine. The reaction mixture was stirred overnight at room temperature and treated as in the first case. The crude product was purified by chromatography on a Sephadex LH-20 column (76 x 6.3 cm) and used heptane: chloroform: ethanol, 20: 20: 1 as the mobile phase. Fractions between 1020 and 1350 ml were collected and evaporated, yielding 752 mg (22R) -16a, 17ct-butylidenedioxy-6a, 9a-difluoro-11B-hydroxy-21 palmitoyloxypropene-1,4-diene-3,20- diona. Tal. 141-145 ° C; [α] D 25 = + 71.6 ° (c = 0.204; CH 2 Cl 2); mol. mass 704 (calc. 704.9). Purity: 97.7% (HPLC analysis).

PRIMER 7 (22S)-16a.17a-butilidendioksi-6a.9a-difluoro-11 B-hidroksi-21-palmitoiloksipregna-1.4-dien-3.20-dionEXAMPLE 7 (22S) -16a.17a-Butylidenedioxy-6a.9a-difluoro-11 B-hydroxy-21-palmitoyloxypropene-1.4-diene-3.20-dione

Raztopino palmitoil klorida (0.5 ml) v 5 ml dioksana smo po kapljicah dodali k raztopini (22S)-16a,17a-butilidendioksi-6a,9a-difluoro-11B,21dihidroksipregna-1,4-dien-3,20-diona (150 mg) v 10 ml piridina. Reakcijsko zmes smo mešali čez noč pri sobni temperaturi in jo obdelali kot v prvem primeru. Surovi produkt smo prečistili s kromatografijo na Sephadex LH-20 koloni (89 x 2.5 cm) in uporabili heptan:kloroform:etanol, 20:20:1 kot mobilno fazo. Frakcije med 215 in 315 ml smo zbrali in evaporirali, kar je dalo 132 mg (22S)-16a,17a-butilidendioksi-6a,9a-difluoro-11 B-hidroksi-21 palmitoiloksipregna-1,4-dien-3,20-diona. Tal. 176-180°C; [a]D 25 = +47.5° (c = 0.198; CH2CI2); mol. masa 704 (izrač. 704.9). Čistost: 99% (HPLC analiza).A solution of palmitoyl chloride (0.5 ml) in 5 ml of dioxane was added dropwise to a solution of (22S) -16a, 17a-butylidenedioxy-6a, 9a-difluoro-11B, 21dihydroxypropene-1,4-diene-3,20-dione (150 mg) in 10 ml of pyridine. The reaction mixture was stirred overnight at room temperature and treated as in the first case. The crude product was purified by chromatography on a Sephadex LH-20 column (89 x 2.5 cm) and used heptane: chloroform: ethanol, 20: 20: 1 as the mobile phase. Fractions between 215 and 315 ml were collected and evaporated, yielding 132 mg (22S) -16a, 17a-butylidenedioxy-6a, 9a-difluoro-11B-hydroxy-21 palmitoyloxypropene-1,4-diene-3,20- diona. Tal. 176-180 ° C; [α] D 25 = + 47.5 ° (c = 0.198; CH 2 Cl 2); mol. mass 704 (calc. 704.9). Purity: 99% (HPLC analysis).

PRIMER 8 (22R)-21-acetoksi-16a.17a-butilidendioksi-6a.9a-difluoro-11 B-hidroksi-pregn-4-en-3,20-dionEXAMPLE 8 (22R) -21-Acetoxy-16a.17a-butylidenedioxy-6a.9a-difluoro-11 B-hydroxy-pregn-4-ene-3,20-dione

Raztopino acetil klorida (38 mg) v 5 ml dioksana smo po kapljicah dodali k raztopini (22R)-16a,17a-butilidendioksi-6a,9a-difluoro-11 B,21 dihidroksipregn-4-en-3,20-diona (75 mg) v 5 ml piridina. Reakcijsko zmes smo mešali 16 ur pri sobni temperaturi. Po evaporaciji smo dodali metilen klorid (75 ml) in raztopino sprali s hladnim 5% vodnim kalijevim karbonatom in z nasičeno raztopino natrijevega klorida. Surovi produkt smo po evaporaciji prečistili s kromatografijo na Sephadex LH-20 koloni (85 x 2.5 cm) in uporabili kloroform kot mobilno fazo. Frakcije med 365 in 420 ml smo zbrali in evaporirali, kar je dalo 57 mg (22R)-21-acetoksi-16a,17a-butilidendioksi-6a,9 a-difluoro-11B-hidroksi-pregn-4-en-3,20-diona. Tal. 182-189°C; [a]D 25 = +112.0° (c = 0.225; CH2CI2); mol. masa 510 (izrač. 510.6). Čistost: 99.0% (HPLC analiza).A solution of acetyl chloride (38 mg) in 5 ml of dioxane was added dropwise to a solution of (22R) -16a, 17a-butylidenedioxy-6a, 9a-difluoro-11B, 21 dihydroxypropene-4-ene-3,20-dione (75 mg) in 5 ml of pyridine. The reaction mixture was stirred for 16 hours at room temperature. After evaporation, methylene chloride (75 ml) was added and the solution was washed with cold 5% aqueous potassium carbonate and saturated sodium chloride solution. After evaporation, the crude product was purified by chromatography on a Sephadex LH-20 column (85 x 2.5 cm) and chloroform was used as the mobile phase. Fractions between 365 and 420 ml were collected and evaporated, yielding 57 mg of (22R) -21-acetoxy-16a, 17a-butylidenedioxy-6a, 9a-difluoro-11B-hydroxy-pregn-4-ene-3,20 -diona. Tal. 182-189 ° C; [α] D 25 = + 112.0 ° (c = 0.225; CH 2 Cl 2 ); mol. mass 510 (calc. 510.6). Purity: 99.0% (HPLC analysis).

PRIMER 9 (22R)-iea.17a-butilidendioksi-6a.9a-difluoro-11 B-hidroksi-21-valeroiloksipregn-4-en-3.20-dionEXAMPLE 9 (22R) -iea.17a-Butylidenedioxy-6a.9a-difluoro-11 B-hydroxy-21-valeroyloxypropene-4-ene-3.20-dione

Raztopino valeroil klorida (60 mg) v 5 ml dioksana smo po kapljicah dodali k raztopini (22R)-16a,17a-butilidendioksi-6a.,9a.-difluoro-11B,21dihidroksipregn-4-en-3,20-diona (75 mg) v 5 ml piridina. Reakcijsko zmes smo mešali 16 ur pri sobni temperaturi in jo obdelali kot v prvem primeru. Po evaporaciji smo dodali metilen klorid (75 ml) in raztopino sprali s hladnim 5% vodnim kalijevim karbonatom in z nasičeno raztopino natrijevega klorida. Surovi produkt smo po evaporaciji prečistili s kromatografijo na Sephadex LH20 koloni (85 x 2.5 cm) in uporabili kloroform kot mobilno fazo. Frakcije med 265 in 325 ml smo zbrali in evaporirali, kar je dalo 50 mg (22R)-16a,17abutilidendioksi-6a,9a-difluoro-1lB-hidroksi-21-valeroiloksipregn-4-en-3,20diona. Tal. 181-185°C; [a]D 25 = +109.4° (c = 0.212; CH2CI2); mol. masa 552 (izrač. 552.7). Čistost; 99.8% (HPLC analiza).A solution of valeroyl chloride (60 mg) in 5 ml of dioxane was added dropwise to a solution of (22R) -16a, 17a-butylidenedioxy-6a., 9a.-difluoro-11B, 21dihydroxypropene-4-ene-3,20-dione (75 mg) in 5 ml of pyridine. The reaction mixture was stirred for 16 hours at room temperature and treated as in the first example. After evaporation, methylene chloride (75 ml) was added and the solution was washed with cold 5% aqueous potassium carbonate and saturated sodium chloride solution. After evaporation, the crude product was purified by chromatography on a Sephadex LH20 column (85 x 2.5 cm) and chloroform was used as the mobile phase. Fractions between 265 and 325 ml were collected and evaporated, yielding 50 mg of (22R) -16a, 17abutylidenedioxy-6a, 9a-difluoro-1LB-hydroxy-21-valeroyloxypropene-4-ene-3,20dione. Tal. 181-185 ° C; [α] D 25 = + 109.4 ° (c = 0.212; CH 2 Cl 2 ); mol. mass 552 (calc. 552.7). Purity; 99.8% (HPLC analysis).

PRIMER 10 (22R)-16a.17a-butilidendioksi-6a.9a-difluoro-11 B-hidroksi-21 -kapriloksipregna--1.4-dien-3.20-dionEXAMPLE 10 (22R) -16a.17a-Butylidenedioxy-6a.9a-difluoro-11 B-hydroxy-21-capryloxypropene - 1.4-diene-3.20-dione

Raztopino dekanoil klorida (0.2 ml) v 3 ml dioksana smo po kapljicah dodali k raztopini (22R)-16a,17a-butilidendioksi-6a,9a-difluoro-11B,21dihidroksipregna-1,4-dien-3,20-diona (100 mg) v 6 ml piridina. Reakcijsko zmes smo mešali čez noč pri sobni temperaturi in jo obdelali kakor v prvem primeru. Surovi produkt smo po evaporaciji prečistili s kromatografijo na Sephadex LH-20 koloni (71 x 6.3 cm) in uporabili kloroform kot mobilno fazo. Frakcije med 1470-1725 smo zbrali in evaporirali, kar je dalo 113 mg (22R)-16 a,17a-butilidendioksi-6a,9a-difluoro-11 B-hidroksi-21-kapriloksipregna-1,4-dien3,20-diona. Tal. 182-184°C; [a]D 25 = +71.5° (c = 0.186; CH2CI2); mol. masa 620 (izrač. 620.9). Čistost: 97.7% (HPLC analiza).A solution of decanoyl chloride (0.2 ml) in 3 ml of dioxane was added dropwise to a solution of (22R) -16a, 17a-butylidenedioxy-6a, 9a-difluoro-11B, 21dihydroxypropene-1,4-diene-3,20-dione (100 mg) in 6 ml of pyridine. The reaction mixture was stirred overnight at room temperature and treated as in the first example. After evaporation, the crude product was purified by chromatography on a Sephadex LH-20 column (71 x 6.3 cm) and chloroform was used as the mobile phase. Fractions between 1470-1725 were collected and evaporated, yielding 113 mg (22R) -16a, 17a-butylidenedioxy-6a, 9a-difluoro-11B-hydroxy-21-capryloxypropene-1,4-diene3,20-dione . Tal. 182-184 ° C; [α] D 25 = + 71.5 ° (c = 0.186; CH 2 Cl 2 ); mol. mass 620 (calc. 620.9). Purity: 97.7% (HPLC analysis).

PRIMER 11EXAMPLE 11

6a.9a-difluoro-116.21-dihidroksi-16a,17a-f(1-metiletiliden)bis(oksi)lpreqn-4-en-3.20-dion6a.9a-Difluoro-116.21-dihydroxy-16a, 17a-f (1-methylethylidene) bis (oxy) lpreqn-4-en-3.20-dione

Suspenzijo 0.9 g tris(trifenilfosfin)rodij klorida v 250 deaeriranega toluena smo hidrogenirali 45 min pri sobni temperaturi in atmosferskem tlaku. Dodali smo raztopino 1.0 g fluocinolon 16α,17α- acetonida v 100 ml absolutnega etanola in hirdogeniranje nadaljevali še nadaljnjih 40 ur. Reakcijski produkt smo evaporirali in preostanek prečistili s Flash kromatografijo na silikagelu z uporabo aceton-petrol etera kot mobilno fazo, da bi odstranili glavni del katalizatorja. Eluat smo evaporirali na Sephadex LH-20 koloni (72.5 x 6.3 cm) in uporabili kloroform kot mobilno fazo. Frakcije med 3555-4125 smo zbrali in evaporirali, kar je dalo 0.61 g 6a,9a-difluoro-110,21dihidroksi-16α,17a-[(1 -metiletiliden)bis(oksi)]pregn-4-en-3,20-diona. Tal. 146151°C; [a]D = +124.5° (c = 0.220; CH2CI2); mol. masa 454 (izrač. 454.6). Čistost: 98.5% (HPLC analiza).A suspension of 0.9 g of tris (triphenylphosphine) rhodium chloride in 250 deaerated toluene was hydrogenated for 45 min at room temperature and atmospheric pressure. A solution of 1.0 g of fluocinolone 16α, 17α-acetonide in 100 ml of absolute ethanol was added and the hydrogenation continued for another 40 hours. The reaction product was evaporated and the residue was purified by flash chromatography on silica gel using acetone-petroleum ether as the mobile phase to remove the main catalyst. The eluate was evaporated on a Sephadex LH-20 column (72.5 x 6.3 cm) and chloroform was used as the mobile phase. Fractions between 3555-4125 were collected and evaporated, yielding 0.61 g of 6a, 9a-difluoro-110,21 dihydroxy-16α, 17a - [(1-methylethylidene) bis (oxy)] pregn-4-en-3,20- diona. Tal. 146151 ° C; [α] D = + 124.5 ° (c = 0.220; CH 2 Cl 2); mol. mass 454 (calc. 454.6). Purity: 98.5% (HPLC analysis).

PRIMER 12EXAMPLE 12

6a,.9oc-difluoro-110-hidroksi-16a.17a-[(1-metiletiliden)bis(oksi)1-21-palmitoiloksioreqn-4-en-3.20-dion6a, .9oc-difluoro-110-hydroxy-16a.17a - [(1-methylethylidene) bis (oxy) 1-21-palmitoyloxioreqn-4-en-3.20-dione

Raztopino palmitoil klorida (2.1 ml) v 15 ml dioksana smo po kapljicah dodali k raztopini 6a,9a-difiuoro-110,21 -dihidroksi-16a, 17a-[(1metiletiliden)bis(oksi)]pregn-4-en-3,20-diona (310 mg) v 30 ml piridina. Reakcijsko zmes smo mešali čez noč pri sobni temperaturi in jo obdelali kakor v prvem primeru. Surovi produkt smo prečistili s kromatografijo na Sephadex LH-20 koloni (76 x 6.3 cm) in uporabili heptan:kloroform:etanol, 20:20:1 kot mobilno fazo. Frakcije med 1035-1260 smo zbrali in evaporirali, kar je dalo 158 mg 6a,9a-difluoro-110-hidroksi-16a,17a-[(1-metiletiliden)bis(oksi)]-21palmitoiloksipregn-4-en-3,20-diona. Tal. 82-86°C; [a]D 25 = +85.3° (c = 0.232; CH2CI2); mol. masa 692 (izrač. 692.9). Čistost: 98.6% (HPLC analiza).A solution of palmitoyl chloride (2.1 ml) in 15 ml of dioxane was added dropwise to a solution of 6a, 9a-difluoro-110,21-dihydroxy-16a, 17a - [(1methylethylidene) bis (oxy)] pregn-4-en-3. 20-dione (310 mg) in 30 ml pyridine. The reaction mixture was stirred overnight at room temperature and treated as in the first example. The crude product was purified by chromatography on a Sephadex LH-20 column (76 x 6.3 cm) and used heptane: chloroform: ethanol, 20: 20: 1 as the mobile phase. Fractions between 1035-1260 were collected and evaporated, yielding 158 mg of 6a, 9a-difluoro-110-hydroxy-16a, 17a - [(1-methylethylidene) bis (oxy)] - 21palmitoyloxypropene-4-ene-3,20 -diona. Tal. 82-86 ° C; [α] D 25 = + 85.3 ° (c = 0.232; CH 2 Cl 2); mol. mass 692 (calc. 692.9). Purity: 98.6% (HPLC analysis).

PRIMER 13 (22R)- in (22S)-21-acetoksi-16α,17a-butilidendioksi-6(x-fluoro-11B-hidroksipregn-4-en-3.20-dion (22R,S)-16a,17a-butilidendioksi-6a-fluoro-11B-hidroksipregn-4-en-3,20dion (68 mg) smo raztopili v 1 ml piridina. Dodali smo anhidrid ocetne kisline (1 ml) in reakcijsko zmes mešali pri sobni temperaturi 1 uro, jo zlili v ledeno vodo in ekstrahirali s 3 x 25 ml metilen klorida. Ekstrakt smo posušili in evaporirali. Preostalo 22R,S zmes smo ločili s kromatografijo na Sephadex LH-20 koloni (89 x 2.5 cm) in uporabili heptan:kloroform:etanol, 20:20:1 kot mobilno fazo. Frakcije med 380-400 (A) in 420-440 (B) smo zbrali in evaporirali.EXAMPLE 13 (22R) - and (22S) -21-acetoxy-16α, 17a-butylidenedioxy-6 (x-fluoro-11B-hydroxypropene-4-ene-3.20-dione (22R, S) -16a, 17a-butylidenedioxy- 6a-fluoro-11B-hydroxypropene-4-ene-3,20dione (68 mg) was dissolved in 1 ml of pyridine, acetic anhydride (1 ml) was added and the reaction mixture was stirred at room temperature for 1 hour, poured into ice water and extracted with 3 x 25 ml of methylene chloride The extract was dried and evaporated The remaining 22R, the mixture was separated by chromatography on a Sephadex LH-20 column (89 x 2.5 cm) and heptane: chloroform: ethanol used, 20: 20: 1 fractions between 380-400 (A) and 420-440 (B) were collected and evaporated.

Po obarjanju iz metilen klorid- petrol etra je dala frakcija A 14 mg (22S)21 -acetoksi-16a,17a-butilidendioksi-6a-fluoro-11 B-hidroksipregn-4-en-3,20diona. Tal. 179-186°C; [a]D 25 = +86.2° (c = 0.188; CH2CI2); mol. masa 492 (izrač. 492.6). Čistost: 97.5% (HPLC analiza).After precipitation from methylene chloride-petroleum ether, fraction A yielded 14 mg (22S) of 21-acetoxy-16a, 17a-butylidenedioxy-6a-fluoro-11 B-hydroxypropene-4-ene-3,20 dione. Tal. 179-186 ° C; [α] D 25 = + 86.2 ° (c = 0.188; CH 2 Cl 2 ); mol. mass 492 (calc. 492.6). Purity: 97.5% (HPLC analysis).

Po obarjanju iz metilen klorid- petrol etra je dala frakcija B 20 mg (22R)21 -acetoksi-16a,17oc-butilidendioksi-6a-fluoro-11 B-hidroksipregn-4-en-3,20diona. Tal. 169-172°C; [a]D 25 = +139.0° (c = 0.200; CH2Cl2); mol. masa 492 (izrač. 492.6). Čistost: 97.9% (HPLC analiza).After precipitation from methylene chloride-petroleum ether, a fraction of B 20 mg (22R) of 21-acetoxy-16a, 17oc-butylidenedioxy-6a-fluoro-11 B-hydroxypreg-4-ene-3,20 dione was obtained. Tal. 169-172 ° C; [α] D 25 = + 139.0 ° (c = 0.200; CH 2 Cl 2 ); mol. mass 492 (calc. 492.6). Purity: 97.9% (HPLC analysis).

PRIMERU (22R.S)-16a.17a-butilidendioksi-6«.-fluoro-11B-hidroksi-21-palmitoiloksipregn-4-en-3.20-dionEXAMPLE (22R.S) -16a.17a-Butylidenedioxy-6-fluoro-11B-hydroxy-21-palmitoyloxypropene-4-ene-3.20-dione

Suspenziji 1.4 g tris(trifenilfosfin)rodij klorid v 300 deaeriranega toluena smo dodali raztopino 1170 mg 6a-fluoro-11B,16a,17cc,21-tetrahidroksipregna1,4-dien-3,20-diona v 250 ml absolutnega etanola. Zmes smo hidrogenirali 22 ur pri sobni temperaturi in atmosferskem tlaku in evaporirali. Preostanek smo oborili iz acetona-kloroforma, kar je dalo 661 mg 6a-fluoro-11B,16a,17a,21tetrahidroksipregn-4-en-3,20-diona. Mol. masa 396 (izrač. 396.5). Čistost: 96.6% (HPLC analiza).To a suspension of 1.4 g of tris (triphenylphosphine) rhodium chloride in 300 deaerated toluene was added a solution of 1170 mg of 6a-fluoro-11B, 16a, 17cc, 21-tetrahydroxypropane 1,4,4-diene-3,20-dione in 250 ml of absolute ethanol. The mixture was hydrogenated for 22 hours at room temperature and atmospheric pressure and evaporated. The residue was precipitated from acetone-chloroform, yielding 661 mg of 6a-fluoro-11B, 16a, 17a, 21tetrahydroxypropene-4-ene-3,20-dione. Mol. mass 396 (calc. 396.5). Purity: 96.6% (HPLC analysis).

6a-fluoro-11 B, 16α,17a,21 -tetrahidroksipregn-4-en-3,20-dion (308 mg) smo v obrokih dodali v raztopino butanala (115 mg) in 70% perklorovo kislino (0.2 ml) v 50 ml dioksana. Reakcijsko zmes smo mešali pri sobni temperaturi 6 ur. Dodali smo metilen klorid (200 ml) in raztopino sprali z 10% vodnim kalijevim karbonatom in vodo in posušili. Preostanek po evaporaciji smo prečistili na Sephadex LH-20 koloni (87 x 2.5 cm) in uporabili kloroform kot mobilno fazo. Frakcije med 420-500 ml smo zbrali in evaporirali, kar je dalo 248 mg (22R,S)-16a,17a-butilidendioksi-6a-tluoro-11 β,21 -dihidroksipregn-4-en3,20-diona. Tal. 85-96°C; [ct]D 25 = +119.8° (c = 0.192; CH2CI2); mol. masa 450 (izrač. 450.6). Čistost: 96.1% (HPLC analiza). Razmerje med epimeroma 22R- in 22-S je bilo 59/41 (HPLC analiza).6a-fluoro-11 B, 16α, 17a, 21-tetrahydroxypropene-4-ene-3,20-dione (308 mg) was added in portions to a solution of butanal (115 mg) and 70% perchloric acid (0.2 ml) in 50% ml of dioxane. The reaction mixture was stirred at room temperature for 6 hours. Methylene chloride (200 ml) was added and the solution was washed with 10% aqueous potassium carbonate and water and dried. The evaporation residue was purified on a Sephadex LH-20 column (87 x 2.5 cm) and chloroform was used as the mobile phase. Fractions between 420-500 ml were collected and evaporated, yielding 248 mg (22R, S) -16a, 17a-butylidenedioxy-6a-fluoro-11β, 21-dihydroxypropene-4-en3,20-dione. Tal. 85-96 ° C; [ct] D 25 = + 119.8 ° (c = 0.192; CH 2 Cl 2 ); mol. mass 450 (calc. 450.6). Purity: 96.1% (HPLC analysis). The ratio of the 22R- and 22-S epimers was 59/41 (HPLC analysis).

Raztopino palmitoil klorida (0.21 ml) v 3 ml dioksana smo po kapljicah dodali v raztopino (22R,S)-16a,17a-butilidendioksi-6a-fluoro-116,21dihidroksipregn-4-en-3,20-diona (50 mg) v 6 ml piridina. Reakcijsko zmes smo mešali čez noč pri sobni temperaturi in jo obdelali kakor v prvem primeru. Surovi produkt smo prečistili s kromatografijo na Sephadex LH-20 koloni (89 xA solution of palmitoyl chloride (0.21 ml) in 3 ml of dioxane was added dropwise to a solution of (22R, S) -16a, 17a-butylidenedioxy-6a-fluoro-116,21dihydroxypropene-4-ene-3,20-dione (50 mg) in 6 ml of pyridine. The reaction mixture was stirred overnight at room temperature and treated as in the first example. The crude product was purified by chromatography on a Sephadex LH-20 column (89 x

2.5 cm) in uporabili heptan:kloroform:etanol, 20:20:1 kot mobilno fazo. Frakcije med 185-230 smo zbrali in evaporirali, kar je dalo 42 mg (22R,S)-16a,17abutilidendioksi-6a-fluoro-116-hidroksi-21 -palmitoiloksipregn-4-en-3,20-diona v obliki olja. Mol. masa 688 (izrač. 688.97). Čistost: 99% (HPLC analiza). Razmerje med epimeroma 22R- in 22-S je bilo 15/85 (HPLC analiza).2.5 cm) and used heptane: chloroform: ethanol, 20: 20: 1 as the mobile phase. Fractions between 185-230 were collected and evaporated, yielding 42 mg of (22R, S) -16a, 17abutylidenedioxy-6a-fluoro-116-hydroxy-21-palmitoyloxypropene-4-ene-3,20-dione as an oil. Mol. mass 688 (calc. 688.97). Purity: 99% (HPLC analysis). The ratio of the 22R- and 22-S epimers was 15/85 (HPLC analysis).

PRIMER 15 (22R)-16a.17a-butilidendioksi-6a-fluoro-116-hidroksi-21-palmitoiloksipregn-4-en-3.20-dion (22R,S)-16a,17a-butilidendioksi-6a-fluoro-116,21-dihidroksipregn-4-en-3,20dion (225 mg) smo ločili s preparativno HPLC v obrokih na μBondapak Cjg koloni (150 x 19 mm) z uporabo etanohvoda, 40:60 kot mobilno fazo. Frakcije centrirane pri 265 ml (A) in 310 ml (B) smo zbrali in evaporirali. Po obarjanju iz metilen klorida-petrol etra je dala frakcija A 68 mg (22R)-16a,17abutilidendioksi-6a-fluoro-116,21-dihidroksipregn-4-en-3,20-diona. Tal. 180192°C; [a]D 25 = +138.9° (c = 0.144; CH2CI2); mol. masa 450 (izrač. 450.6). Čistost: 99.4% (HPLC analiza).EXAMPLE 15 (22R) -16a.17a-Butylidenedioxy-6a-fluoro-116-hydroxy-21-palmitoyloxypropene-4-ene-3.20-dione (22R, S) -16a, 17a-butylidenedioxy-6a-fluoro-116.21 -dihydroxypregn-4-ene-3,20dione (225 mg) was separated by preparative HPLC in portions on a μBondapak Cjg column (150 x 19 mm) using an ethanohydrate 40:60 as the mobile phase. Fractions centered at 265 ml (A) and 310 ml (B) were collected and evaporated. After precipitation from methylene chloride-petroleum ether, fraction A gave 68 mg (22R) -16a, 17abutylidenedioxy-6a-fluoro-116,21-dihydroxypropene-4-ene-3,20-dione. Tal. 180192 ° C; [α] D 25 = + 138.9 ° (c = 0.144; CH 2 Cl 2 ); mol. mass 450 (calc. 450.6). Purity: 99.4% (HPLC analysis).

Po obarjanju iz metilen klorida-petrol etra je dala frakcija B 62 mg (22S)16a,17a-butilidendioksi-6a-fluoro-116,21-dihidroksipregn-4-en-3,20-diona. Tal 168-175°C; [a]D 25 = +103.7° (c = 0.216; CH2CI2); mol. masa 450 (izrač 450.6). Čistost: 99.5% (HPLC analiza).After precipitation from methylene chloride-petroleum ether, a fraction of B was 62 mg (22S) of 16a, 17a-butylidenedioxy-6a-fluoro-116,21-dihydroxypropene-4-ene-3,20-dione. Mp 168-175 ° C; [α] D 25 = + 103.7 ° (c = 0.216; CH 2 Cl 2 ); mol. mass 450 (calc. 450.6). Purity: 99.5% (HPLC analysis).

Raztopino palmitoil klorida (0.22 ml) v 5 ml dioksana smo po kapljicah dodali v raztopino (22R)-16a,17a-butilidendioksi-6a-fluoro-11B,21dihidroksipregn-4-en-3,20-diona (32 mg) v 10 ml piridina. Reakcijsko zmes smo mešali čez noč pri sobni temperaturi in jo obdelali kakor v prvem primeru. Surovi produkt smo prečistili s kromatografijo na Sephadex LH-20 koloni (87 xA solution of palmitoyl chloride (0.22 ml) in 5 ml of dioxane was added dropwise to a solution of (22R) -16a, 17a-butylidenedioxy-6a-fluoro-11B, 21dihydroxypropene-4-ene-3,20-dione (32 mg) in 10 ml of pyridine. The reaction mixture was stirred overnight at room temperature and treated as in the first example. The crude product was purified by chromatography on a Sephadex LH-20 column (87 x

2.5 cm) in uporabili kloroform kot mobilno fazo. Frakcije med 215-250 smo zbrali in evaporirali, kar je dalo 38 mg (22R)-16a,17a-butilidendioksi-6a-fluoro11 B-hidroksi-21-palmitoiloksipregn-4-en-3,20-diona v obliki olja. Mol. masa 688 (izrač. 688.97). Čistost: 96.0% (HPLC analiza).2.5 cm) and used chloroform as the mobile phase. Fractions between 215-250 were collected and evaporated, yielding 38 mg of (22R) -16a, 17a-butylidenedioxy-6a-fluoro11B-hydroxy-21-palmitoyloxypropene-4-ene-3,20-dione as an oil. Mol. mass 688 (calc. 688.97). Purity: 96.0% (HPLC analysis).

PRIMER 16 (22S)-16a,17a-butilidendioksi-6a-tluoro-11 B-hidroksi-21 -palmitoiloksipregn-4-en-3.20-dion (22R,S)-16a,17a-butilidendioksi-6a-fluoro-11B,21-dihidroksipregn-4-en-3,20dion (68 mg) smo raztopili v 1 ml piridina. Dodali smo anhidrid ocetne kisline in reakcijsko zmes mešali pri sobni temperaturi 1 uro, jo zlili v ledeno vodo in ekstrahirali s 3 x 25 ml metilen klorida. Ekstrakt smo posušili in evaporirali. Preostalo 22R,S epimerno zmes smo ločili s kromatografijo na Sephadex LH20 koloni (89 x 2.5 cm) in uporabili heptan:kloroform-.etanol, 20:20:1 kot mobilno fazo. Frakcije med 380-400 (A) in 420-440 (B) smo zbrali in evaporirali.EXAMPLE 16 (22S) -16a, 17a-Butylidenedioxy-6a-fluoro-11 B-hydroxy-21-palmitoyloxypropene-4-ene-3.20-dione (22R, S) -16a, 17a-butylidenedioxy-6a-fluoro-11B. 21-dihydroxypropene-4-ene-3,20dione (68 mg) was dissolved in 1 ml of pyridine. Acetic anhydride was added and the reaction mixture was stirred at room temperature for 1 hour, poured into ice water and extracted with 3 x 25 ml of methylene chloride. The extract was dried and evaporated. The remaining 22R, S epimer mixture was separated by chromatography on a Sephadex LH20 column (89 x 2.5 cm) and used heptane: chloroform-ethanol, 20: 20: 1 as the mobile phase. Fractions between 380-400 (A) and 420-440 (B) were collected and evaporated.

Po obarjanju iz metilen klorid- petrol etra je dala frakcija A 14 mg (22S)21-acetoksi-16a,17a-butilidendioksi-6a-fluoro-11B-hidroksipregn-4-en-3,20diona. Tal. 179-186°C; [a]D 25 = +86.2° (c = 0.188; CH2Ci2); mol. masa 492 (izrač. 492.6). Čistost: 97.5% (HPLC analiza).After precipitation from methylene chloride-petroleum ether, fraction A gave 14 mg (22S) of 21-acetoxy-16a, 17a-butylidenedioxy-6a-fluoro-11B-hydroxypregn-4-ene-3,20 dione. Tal. 179-186 ° C; [α] D 25 = + 86.2 ° (c = 0.188; CH 2 Ci 2 ); mol. mass 492 (calc. 492.6). Purity: 97.5% (HPLC analysis).

Po obarjanju iz metilen klorid- petrol etra je dala frakcija B 20 mg (22 R)21 -acetoksi-16a,17cc-butilidendioksi-6a-fluoro-11 B-hidroksipregn-4-en-3,20diona. Tal. 169-172°C; [<x]D 25 = +139.0° (c = 0.200; CH2Cl2); mol. masa 492 (izrač. 492.6). Čistost: 97.9% (HPLC analiza).After precipitation from methylene chloride-petroleum ether, a fraction of B 20 mg (22 R) of 21-acetoxy-16a, 17cc-butylidenedioxy-6a-fluoro-11 B-hydroxypropene-4-ene-3,20 dione was obtained. Tal. 169-172 ° C; [<x] D 25 = + 139.0 ° (c = 0.200; CH 2 Cl 2 ); mol. mass 492 (calc. 492.6). Purity: 97.9% (HPLC analysis).

V raztopino 14 mg (22S)-21 -acetoksi-16a,17a-butilidendioksi-6a-fluoro11 B-hidroksipregn-4-en-3,20-diona v 2 ml etanola smo dodali 2 ml 2M klorovodikove kisline. Po 5 urah mešanja pri 60°C smo reakcijsko zmes nevtralizirali z nasičenim vodnim natrijevim hidrogen karbonatom in ekstrahirali s 3 x 25 ml metilen klorida. Družene ekstrakte smo sprali z vodo, posušili in evaporirali. Preostanek smo prečistili s kromatografijo na Sephadex LH-20 koloni (87 χ 2.5 cm) in uporabili kloroform kot mobilno fazo. Frakcije med 455510 smo zbrali in evaporirali, kar je dalo 7 mg (22S)-16a,17a-butilidendioksi-6a -fluoro-11B-21-dihidroksipregn-4-en-3,20-diona. Mol. masa 450 (izrač. 450.6). Čistost: 96.6% (HPLC analiza).To a solution of 14 mg (22S) -21-acetoxy-16a, 17a-butylidenedioxy-6a-fluoro11B-hydroxypropene-4-ene-3,20-dione in 2 ml ethanol was added 2 ml 2M hydrochloric acid. After stirring for 5 hours at 60 ° C, the reaction mixture was neutralized with saturated aqueous sodium hydrogen carbonate and extracted with 3 x 25 ml of methylene chloride. The combined extracts were washed with water, dried and evaporated. The residue was purified by chromatography on a Sephadex LH-20 column (87 χ 2.5 cm) and used chloroform as the mobile phase. Fractions between 455510 were collected and evaporated, yielding 7 mg (22S) -16a, 17a-butylidenedioxy-6a -fluoro-11B-21-dihydroxypropene-4-ene-3,20-dione. Mol. mass 450 (calc. 450.6). Purity: 96.6% (HPLC analysis).

Raztopino palmitoil klorida (195 mg) v 5 ml dioksana smo po kapljicah dodali v raztopino (22S)-16a,17a-butilidendioksi-6a-fluoro-11B,21dihidroksipregn-4-en-3,20-diona (32 mg) v 10 ml piridina. Reakcijsko zmes smo mešali čez noč pri sobni temperaturi in jo obdelali kakor v prvem primeru. Surovi produkt smo prečistili s kromatografijo na Sephadex LH-20 koloni (89 xA solution of palmitoyl chloride (195 mg) in 5 ml of dioxane was added dropwise to a solution of (22S) -16a, 17a-butylidenedioxy-6a-fluoro-11B, 21dihydroxypropene-4-ene-3,20-dione (32 mg) in 10 ml of pyridine. The reaction mixture was stirred overnight at room temperature and treated as in the first example. The crude product was purified by chromatography on a Sephadex LH-20 column (89 x

2.5 cm) in uporabili heptan:kloroform:etanol, 20:20:1 kot mobilno fazo. Frakcije med 205-245 ml smo zbrali in evaporirali, kar je dalo 38 mg (22S)-16ot,17abutilidendioksi-6a-fluoro-11 B-hidroksi-21-palmitoiloksipregn-4-en-3,20-diona v obliki olja. Mol. masa 688 (izrač. 688.97). Čistost: 96.4% (HPLC analiza).2.5 cm) and used heptane: chloroform: ethanol, 20: 20: 1 as the mobile phase. Fractions between 205-245 ml were collected and evaporated, yielding 38 mg (22S) -16Ot, 17abutylidenedioxy-6a-fluoro-11B-hydroxy-21-palmitoyloxypropene-4-ene-3,20-dione as an oil. Mol. mass 688 (calc. 688.97). Purity: 96.4% (HPLC analysis).

PRIMER 17 (22RS)-16oc.17a-butilidendioksi-6a-fluoro-11 B-hidroksi-21-lauroiloksipregn-4-en-3,20-dionEXAMPLE 17 (22RS) -16oc.17a-Butylidenedioxy-6a-fluoro-11 B-hydroxy-21-lauroyloxypropene-4-ene-3,20-dione

K raztopini (22RS)-16a,17a-butilidendioksi-6a-fluoro-11B,21dihidroksipregn-4-en-3,20-diona (50 mg) v 6 ml piridina smo po kapljicah dodali raztopino lauroil klorid (0.4 ml) v 3 ml dioksana. Reakcijsko zmes smo mešali čez noč pri sobni temperaturi in jo obdelali kakor v prvem primeru. Surovi produkt smo prečistili s kromatografijo na Sephadex LH-20 koloni (89 x 2.5 cm) in uporabili heptan:kloroform:etanol, 20:20:1 kot mobilno fazo. Frakcije med 215-255 ml smo zbrali in evaporirali, kar je dalo 15 mg (22S)-16a,17abutilidendioksi-6cc-fluoro-11 B-hidroksi-21-lauroiloksipregn-4-en-3,20-diona. Tal. 125-143°C; [ot]D 25 = +92.8° (c = 0.208; CH2CI2); mol. masa 632 (izrač. 632.9). Čistost: 96.2% (HPLC analiza). Razmerje med epimeroma 22R- in 22-S je bilo 58/42 (HPLC analiza).To a solution of (22RS) -16a, 17a-butylidenedioxy-6a-fluoro-11B, 21dihydroxypropene-4-ene-3,20-dione (50 mg) in 6 ml of pyridine was added dropwise a solution of lauroyl chloride (0.4 ml) in 3 ml of dioxane. The reaction mixture was stirred overnight at room temperature and treated as in the first example. The crude product was purified by chromatography on a Sephadex LH-20 column (89 x 2.5 cm) and used heptane: chloroform: ethanol, 20: 20: 1 as the mobile phase. Fractions between 215-255 ml were collected and evaporated, yielding 15 mg (22S) -16a, 17abutylidenedioxy-6cc-fluoro-11 B-hydroxy-21-lauroyloxypropene-4-ene-3,20-dione. Tal. 125-143 ° C; [ot] D 25 = + 92.8 ° (c = 0.208; CH 2 Cl 2 ); mol. mass 632 (calc. 632.9). Purity: 96.2% (HPLC analysis). The ratio of the 22R- and 22-S epimers was 58/42 (HPLC analysis).

PRIMER 18 (22R)-16α.·17tx-butilidendioksi-6a-fluoro-11 B-hidroksi-21 -palmitoiloksipregna-1.4-dien-3.20-dionEXAMPLE 18 (22R) -16α. · 17tx-Butylidenedioxy-6a-fluoro-11 B-hydroxy-21-palmitoyloxypropene-1.4-diene-3.20-dione

6a-fluoro-11 B,16a,17a,21 -tetrahidroksipregna-1,4-dien-3,20-dion (400 mg) smo v obrokih dodali v raztopino butanala (0.18 ml) in 70% perklorovo kislino (0.2 ml) v 50 ml dioksana. Reakcijsko zmes smo mešali pri sobni temperaturi 16 ur. Dodali smo metilen klorid (200 ml) in raztopino sprali z 10% vodnim kalijevim karbonatom in vodo in posušili. Preostanek po evaporaciji smo prečistili na Sephadex LH-20 koloni (75 x 6.3 cm) in uporabili kloroform kot mobilno fazo. Frakcije med 2880-3300 ml smo zbrali in evaporirali, kar je dalo 1209 mg (22R,S)-16a,17a-butilidendioksi-6a-fluoro-11 B,21-dihidroksipregna1,4-dien-3,20-diona. Mol. masa 448 (izrač. 448.5). Čistost: 95.7% (HPLC analiza). Razmerje med epimeroma 22R- in 22-S je bilo 55/45 (HPLC analiza).6a-fluoro-11 B, 16a, 17a, 21-tetrahydroxypropene-1,4-diene-3,20-dione (400 mg) was added in portions to a solution of butanal (0.18 ml) and 70% perchloric acid (0.2 ml) in portions. in 50 ml of dioxane. The reaction mixture was stirred at room temperature for 16 hours. Methylene chloride (200 ml) was added and the solution was washed with 10% aqueous potassium carbonate and water and dried. The evaporation residue was purified on a Sephadex LH-20 column (75 x 6.3 cm) and chloroform was used as the mobile phase. Fractions between 2880-3300 ml were collected and evaporated, yielding 1209 mg of (22R, S) -16a, 17a-butylidenedioxy-6a-fluoro-11B, 21-dihydroxypropane 1,4,4-diene-3,20-dione. Mol. mass 448 (calc. 448.5). Purity: 95.7% (HPLC analysis). The ratio of the 22R- and 22-S epimers was 55/45 (HPLC analysis).

(22R,S)-16a,17a-butilidendioksi-6a-fluoro-113,21-dihidroksipregna-1,4dien-3,20-dion (36 mg) smo kromatografirali na Sephadex LH-20 koloni (89 x(22R, S) -16a, 17a-butylidenedioxy-6a-fluoro-113,21-dihydroxypropene-1,4diene-3,20-dione (36 mg) was chromatographed on a Sephadex LH-20 column (89 x

2.5 cm) in uporabili heptan:kloroform:etanol, 20:20:1 kot mobilno fazo. Frakcije med 1720-1800 ml (A) in 1960-2025 (B) smo zbrali in evaporirali. Dva produkta smo oborili iz metilen klorida- petrol etra. Produkt iz frakcije A (12 mg) smo s 1H-NMR in masno spektroskopijo določili za (22S)-16a,17a-butilidendioksi-6afluoro-113,21-dihidroksipregna-1,4-dien-3,20-dion, produkt iz frakcije B (10 mg) pa za 22R- epimer.2.5 cm) and used heptane: chloroform: ethanol, 20: 20: 1 as the mobile phase. Fractions between 1720-1800 ml (A) and 1960-2025 (B) were collected and evaporated. Two products were precipitated from methylene chloride-petroleum ether. Product from fraction A (12 mg) was determined for (22S) -16a, 17a-butylidenedioxy-6afluoro-113,21-dihydroxypropene-1,4-diene-3,20-dione by 1 H-NMR and mass spectroscopy from fraction B (10 mg) to 22R-epimer.

Epimera sta imela sledeče lastnosti. Epimer 22S: tal. 172-180°C; [ot]D 25 _ +G2.3O (c = 0.132; CH2CI2); mol. masa 448 (izrač. 448.5). Epimer 22R tal. 95-106°C; [a]D 25 = +105.9° (c = 0.152; CH2CI2); mol. masa 448 (izrač. 448.5). Čistost epimerov smo določili s HPLC analizo in je bila 98.9% za 22Sin 97.7% za 22R- epimer.The epimers had the following properties. Epimer 22S: m.p. 172-180 ° C; [ot] D 25 _ + G2.3 O (c = 0.132; CH2Cl2); mol. mass 448 (calc. 448.5). Epimer 22R m.p. 95-106 ° C; [α] D 25 = + 105.9 ° (c = 0.152; CH 2 Cl 2 ); mol. mass 448 (calc. 448.5). The purity of the epimers was determined by HPLC analysis and was 98.9% for 22Sin and 97.7% for the 22R- epimer.

Raztopino palmitoil klorida (172 mg) v 5 ml dioksana smo po kapljicah dodali v raztopino (22R)-16a,17a-butilidendioksi-6a-fluoro-113,21dihidroksipregna-1,4-dien-3,20-diona (56 mg) v 10 ml piridina. Reakcijsko zmes smo mešali čez noč pri sobni temperaturi in jo obdelali kakor v prvem primeru. Surovi produkt smo prečistili s kromatografijo na Sephadex LH-20 koloni (89 x 2.5 cm) in uporabili heptan:kloroform:etanol, 20:20:1 kot mobilno fazo. Frakcije med 225-285 ml smo zbrali in evaporirali, kar je dalo 31 mg (22R)-16a,17a-butilidendioksi-6a-fluoro-11 B-hidroksi-21 -palmitoiloksipregna1,4-dien-3,20-diona. Tal. 95-100°C; [ot]D 25 = +68.0° (c = 0.200; CH2Cl2); mol. masa 686 (izrač. 686.95). Čistost: 97.7% (HPLC analiza).A solution of palmitoyl chloride (172 mg) in 5 ml of dioxane was added dropwise to a solution of (22R) -16a, 17a-butylidenedioxy-6a-fluoro-113,21 dihydroxypropene-1,4-diene-3,20-dione (56 mg) in 10 ml of pyridine. The reaction mixture was stirred overnight at room temperature and treated as in the first example. The crude product was purified by chromatography on a Sephadex LH-20 column (89 x 2.5 cm) and used heptane: chloroform: ethanol, 20: 20: 1 as the mobile phase. Fractions between 225-285 ml were collected and evaporated, yielding 31 mg of (22R) -16a, 17a-butylidenedioxy-6a-fluoro-11 B-hydroxy-21-palmitoyloxypropene 1,4,4-diene-3,20-dione. Tal. 95-100 ° C; [ot] D 25 = + 68.0 ° (c = 0.200; CH 2 Cl 2 ); mol. mass 686 (calc. 686.95). Purity: 97.7% (HPLC analysis).

PRIMER 19 (22S)-16a.17a-butilidendioksi-6a-fluoro-11B-hidroksi-21-palmitoiloksipreqna-1.4-dien-3.20-dionEXAMPLE 19 (22S) -16a.17a-Butylidenedioxy-6a-fluoro-11B-hydroxy-21-palmitoyloxypropane-1,4-diene-3.20-dione

Raztopino palmitoil klorida (110 mg) v 5 ml dioksana smo po kapljicah dodali v raztopino (22S)-16a,17a-butilidendioksi-6a-tluoro-113,21 dihidroksipregna-1,4-dien-3,20-diona (46 mg) v 10 ml piridina. Reakcijsko zmes smo mešali čez noč pri sobni temperaturi in jo obdelali kakor v prvem primeru. Surovi produkt smo prečistili s kromatografijo na Sephadex LH-20 koloni (89 x 2.5 cm) in uporabili heptan:kloroform:etanol, 20:20:1 kot mobilno fazo. Frakcije med 185-225 ml smo zbrali in evaporirali, kar je dalo 37 mg (22S)-16a,17a-butilidendioksi-6a-fluoro-11B-hidroksi-21-palmitoiloksipregna1,4-dien-3,20-diona. Tal. 65-68°C; [a]D 25 = +53.0° (c = 0.200; CH2CI2); mol. masa 686 (izrač. 686.95). Čistost: 95.9% (HPLC analiza).A solution of palmitoyl chloride (110 mg) in 5 ml of dioxane was added dropwise to a solution of (22S) -16a, 17a-butylidenedioxy-6a-fluoro-113,21 dihydroxypropene-1,4-diene-3,20-dione (46 mg ) in 10 ml of pyridine. The reaction mixture was stirred overnight at room temperature and treated as in the first example. The crude product was purified by chromatography on a Sephadex LH-20 column (89 x 2.5 cm) and used heptane: chloroform: ethanol, 20: 20: 1 as the mobile phase. Fractions between 185-225 ml were collected and evaporated, yielding 37 mg (22S) -16a, 17a-butylidenedioxy-6a-fluoro-11B-hydroxy-21-palmitoyloxypropene 1,4,4-diene-3,20-dione. Tal. 65-68 ° C; [α] D 25 = + 53.0 ° (c = 0.200; CH 2 Cl 2 ); mol. mass 686 (calc. 686.95). Purity: 95.9% (HPLC analysis).

PRIMER 20EXAMPLE 20

6a-fluoro-11B.21-dihidroksi-16a.,17a.-i(1-metiletiliden)bis(oksi)lpregn-4-en-3.20-dion6a-fluoro-11B.21-dihydroxy-16a., 17a.-i (1-methylethylidene) bis (oxy) prepreg-4-en-3.20-dione

Suspenzijo 2.1 g tris(trifenilfosfin)rodij klorida v 500 toluena smo hidrogenirali 45 min pri sobni temperaturi in atmosferskem tlaku, ko je bil katalizator v raztopini. Dodali smo raztopino 6a-fluoro-11B,21-dihidroksi-16a,17 a-[(1-metiletiliden)bis(oksi)]pregna-1,4-dien-3,20-diona v 1000 ml absolutnega etanola in hirdogeniranje nadaljevali še nadaljnjih 65 ur. Reakcijsko zmes smo evaporirali in preostanek prečistili na Sephadex LH-20 koloni (71 x 6.3 cm) in uporabili kloroform kot mobilno fazo. Frakcije med 2010-2445 ml smo zbrali in evaporirali, kar je dalo 1.51 g 6a-fluoro-11B,21-dihidroksi-16a,17a-[(1metiletiliden)bis(oksi)]pregn-4-en-3,20-diona. Tal. 209-219°C; [a]D 2θ = +133.5° (c = 0.230; CH2CI2); mol. masa 436 (izrač. 436.5). Čistost: 99.6% (HPLC analiza).A suspension of 2.1 g of tris (triphenylphosphine) rhodium chloride in 500 toluene was hydrogenated for 45 min at room temperature and atmospheric pressure when the catalyst was in solution. A solution of 6a-fluoro-11B, 21-dihydroxy-16a, 17 a - [(1-methylethylidene) bis (oxy)] pregna-1,4-diene-3,20-dione in 1000 ml of absolute ethanol was added and the hydrogenation continued for another 65 hours. The reaction mixture was evaporated and the residue purified on a Sephadex LH-20 column (71 x 6.3 cm) and chloroform was used as the mobile phase. Fractions between 2010-2445 ml were collected and evaporated, yielding 1.51 g of 6a-fluoro-11B, 21-dihydroxy-16a, 17a - [(1methylethylidene) bis (oxy)] pregn-4-en-3,20-dione . Tal. 209-219 ° C; [a] D 2 θ = + 133.5 ° (c = 0.230; CH 2 CI 2 ); mol. mass 436 (calc. 436.5). Purity: 99.6% (HPLC analysis).

PRIMER 21EXAMPLE 21

6a-fluoro-11 B-hidroksi-16a,17a-[ (1 -metiletiliden)bis(oksi)T21 -palmitoiloksipregn-4-en-3.20-dion6a-fluoro-11 B-hydroxy-16a, 17a [(1-methylethylidene) bis (oxy) T21-palmitoyloxypropene-4-en-3.20-dione

Raztopino palmitoil klorida (0.21 ml) v 3 ml dioksana smo po kapljicah dodali v raztopino 6a-fluoro-11B,21-dihidroksi-16a,17a-[(1metiletiliden)bis(oksi)]pregn-4-en-3,20-diona v 6 ml piridina. Reakcijsko zmes smo mešali čez noč pri sobni temperaturi in jo obdelali kakor v prvem primeru. Surovi produkt smo prečistili s kromatografijo na Sephadex LH-20 koloni (76 xA solution of palmitoyl chloride (0.21 ml) in 3 ml of dioxane was added dropwise to a solution of 6a-fluoro-11B, 21-dihydroxy-16a, 17a - [(1methylethylidene) bis (oxy)] pregn-4-en-3,20- of dione in 6 ml of pyridine. The reaction mixture was stirred overnight at room temperature and treated as in the first example. The crude product was purified by chromatography on a Sephadex LH-20 column (76 x

6.3 cm) in uporabili heptan:kloroform:etanol, 20:20:1 kot mobilno fazo. Frakcije med 1035-1230 ml smo zbrali in evaporirali, kar je dalo 63 mg 6a-fluoro-11Bhidroksi-16a,17a-[(1-metiletiliden)bis(oksi)]-21-palmitoiloksipregn-4-en-3,20diona. Tal. 99-101 °C; [<x]D 25 = +89.8° (c = 0.206; CH2CI2); mol. masa 674 (izrač. 674.94). Čistost: 97.9% (HPLC analiza).6.3 cm) and used heptane: chloroform: ethanol, 20: 20: 1 as the mobile phase. Fractions between 1035-1230 ml were collected and evaporated, yielding 63 mg of 6a-fluoro-11Bhydroxy-16a, 17a - [(1-methylethylidene) bis (oxy)] - 21-palmitoyloxypropene-4-ene-3,20 dione. Tal. 99-101 ° C; [<x] D 25 = + 89.8 ° (c = 0.206; CH 2 Cl 2 ); mol. mass 674 (calc. 674.94). Purity: 97.9% (HPLC analysis).

PRIMER 22EXAMPLE 22

9g-fluoro-113,21 -dihidroksi-16g,1 7g-[(1 -metiletiiiden)bis(oksi)]pregn-4-en-3,20-dion9g-fluoro-113,21-dihydroxy-16g, 1 7g - [(1-methylethylidene) bis (oxy)] pregn-4-en-3,20-dione

Suspenzijo 675 mg tris(trifenilfostin)rodij klorida v 250 toluena smo hidrogenirali 45 min pri sobni temperaturi in atmosterskem tlaku. Dodali smo raztopino 1 g triamcinolon 16g,17g-acetonida v 100 ml absolutnega etanola in hirdogeniranje nadaljevali še nadaljnjih 40 ur. Reakcijsko zmes smo evaporirali in glavni del katalizatorja odstranili s Flash kromatografijo z acetonom.petrol etrom (vrel. 40-60°C), 40:60 kot mobilno fazo. Surovi produkt smo nadalje prečistili na Sephadex LH-20 koloni (72.5 x 6.3 cm) in uporabili kloroform kot mobilno fazo. Frakcije med 2746-3195 ml smo zbrali in evaporirali, kar je dalo 404 mg 9a-fluoro-113,21 -dihidroksi-16a,17a-[(1-metiletiliden)bis(oksi)]pregn-4en-3,20-diona. Tal. 238-241 °C; [g]D 25 = +145.2° (c = 0.288; CH2CI2); mol. masa 436 (izrač. 436.5). Čistost: 99.% (HPLC analiza).A suspension of 675 mg of tris (triphenylphostine) rhodium chloride in 250 toluene was hydrogenated for 45 min at room temperature and pressure. A solution of 1 g of triamcinolone 16g, 17g-acetonide in 100 ml of absolute ethanol was added and the hydrogenation continued for another 40 hours. The reaction mixture was evaporated and the main catalyst was removed by flash chromatography with acetone.petrol ether (40-60 ° C), 40:60 as the mobile phase. The crude product was further purified on a Sephadex LH-20 column (72.5 x 6.3 cm) and used chloroform as the mobile phase. Fractions between 2746-3195 ml were collected and evaporated, yielding 404 mg of 9a-fluoro-113,21-dihydroxy-16a, 17a - [(1-methylethylidene) bis (oxy)] pregn-4en-3,20-dione . Tal. 238-241 ° C; [g] D 25 = + 145.2 ° (c = 0.288; CH 2 Cl 2 ); mol. mass 436 (calc. 436.5). Purity: 99% (HPLC analysis).

PRIMER 23EXAMPLE 23

9g-fluoro-11 B-hidroksi-16g,17g-f (1 -metiletiliden)bis(oksi)]-21 -palmitoiloksipregn-4-en-3.20-dion9g-fluoro-11 B-hydroxy-16g, 17g-f (1-methylethylidene) bis (oxy)] - 21 -palmitoyloxypropene-4-ene-3.20-dione

Raztopino palmitoil klorida (0.69 ml) v 10 ml dioksana smo po kapljicah dodali v raztopino 9g-fluoro-113,21-dihidroksi-16g,17g-[(1metiletiliden)bis(oksi)]pregn-4-en-3,20-diona v 20 ml piridina. Reakcijsko zmes smo mešali čez noč pri sobni temperaturi in jo obdelali kakor v prvem primeru. Surovi produkt smo prečistili s kromatografijo na Sephadex LH-20 koloni (89 xA solution of palmitoyl chloride (0.69 ml) in 10 ml of dioxane was added dropwise to a solution of 9g-fluoro-113,21-dihydroxy-16g, 17g - [(1methylethylidene) bis (oxy)] pregn-4-en-3,20- of dione in 20 ml of pyridine. The reaction mixture was stirred overnight at room temperature and treated as in the first example. The crude product was purified by chromatography on a Sephadex LH-20 column (89 x

2.5 cm) in uporabili heptan:kloroform:etanol, 20:20:1 kot mobilno fazo. Frakcije med 240-305 ml smo zbrali in evaporirali, kar je dalo 102 mg 9g-fluoro-11325 hidroksi-16g,17g-[(1-metiletiliden)bis(oksi)]-21-patmitoiloksipregn-4-en-3,20diona v obliki olja. Mol. masa 674 (izrač. 674.94). Čistost: 98% (HPLC analiza).2.5 cm) and used heptane: chloroform: ethanol, 20: 20: 1 as the mobile phase. Fractions between 240-305 ml were collected and evaporated, yielding 102 mg of 9g-fluoro-11325 hydroxy-16g, 17g - [(1-methylethylidene) bis (oxy)] - 21-patmitoyloxypropene-4-ene-3,20dione in the form of oil. Mol. mass 674 (calc. 674.94). Purity: 98% (HPLC analysis).

PRIMER 24 (22RS)-16g.17g-butilidendioksi-9g-tluoro-11 B-hidroksi-21-palmitoiloksipregn-4-en-3.20-dionEXAMPLE 24 (22RS) -16g.17g-Butylidenedioxy-9g-fluoro-11 B-hydroxy-21-palmitoyloxypropene-4-ene-3.20-dione

9g-fluoro-11 β, 16a,17a,21 -tetrahidroksipregn-4-en-3,20-dion (340 mg) smo v obrokih dodali v 20 minutah med mešanjem v sveže predestilirano raztopino butanala (100 mg) in 70% perklorovo kislino (0.2 ml) v 50 ml prečiščenega in posušenega dioksana. Reakcijsko zmes smo mešali pri sobni temperaturi še nadaljnjih 5 ur. Dodali smo metilen klorid (200 ml) in raztopino sprali z vodnim kalijevim karbonatom in vodo in posušili z brezvodnim magnezijevim sulfatom. Po evaporaciji dobljen surov produkt smo prečistili na Sephadex LH-20 koloni (72.5 x 6.3 cm) in uporabili kloroform kot mobilno fazo. Frakcije med 2760-3195 ml smo zbrali in evaporirali, kar je dalo 215 mg (22R,S)-16g,17g-butilidendioksi-9g-fluoro-11B-21-dihidroksipregn-4-en-3,20diona.Mol. masa 450 (izrač. 450.6). Čistost: 97.4% (HPLC analiza).9g-fluoro-11β, 16a, 17a, 21-tetrahydroxypropene-4-ene-3,20-dione (340 mg) was added in portions over 20 minutes while stirring in freshly distilled butanal solution (100 mg) and 70% perchlorine acid (0.2 ml) in 50 ml of purified and dried dioxane. The reaction mixture was stirred at room temperature for a further 5 hours. Methylene chloride (200 ml) was added and the solution was washed with aqueous potassium carbonate and water and dried with anhydrous magnesium sulfate. After evaporation, the crude product obtained was purified on a Sephadex LH-20 column (72.5 x 6.3 cm) and chloroform was used as the mobile phase. Fractions between 2760-3195 ml were collected and evaporated, yielding 215 mg (22R, S) -16g, 17g-butylidenedioxy-9g-fluoro-11B-21-dihydroxypropene-4-ene-3,20dione. mass 450 (calc. 450.6). Purity: 97.4% (HPLC analysis).

Raztopino palmitoil klorida (0.13 ml) v 2.5 ml dioksana smo po kapljicah dodali v raztopino (22R,S)-16g,17g-butilidendioksi-9g-fluoro-11B,21dihidroksipregn-4-en-3,20-diona (40 mg) v 5 ml piridina. Reakcijsko zmes smo mešali čez noč pri sobni temperaturi in jo obdelali kakor v prvem primeru. Surovi produkt smo prečistili s kromatografijo na Sephadex LH-20 koloni (87 xA solution of palmitoyl chloride (0.13 ml) in 2.5 ml of dioxane was added dropwise to a solution of (22R, S) -16g, 17g-butylidenedioxy-9g-fluoro-11B, 21dihydroxypropene-4-ene-3,20-dione (40 mg) in 5 ml of pyridine. The reaction mixture was stirred overnight at room temperature and treated as in the first example. The crude product was purified by chromatography on a Sephadex LH-20 column (87 x

2.5 cm) in uporabili kloroform kot mobilno fazo. Frakcije med 220-300 ml smo zbrali in evaporirali, kar je dalo 42 mg (22R,S)-16g,17g-butilidendioksi-9gfluoro-11 B-hidroksi-21-palmitoiloksipregn-4-en-3,20-diona v obliki olja. Mol. masa 688 (izrač. 688.97). Čistost: 99% (HPLC analiza). Razmerje med epimeroma 22R- in 22-S je bilo 61/39 (HPLC analiza).2.5 cm) and used chloroform as the mobile phase. Fractions between 220-300 ml were collected and evaporated, yielding 42 mg (22R, S) -16g, 17g-butylidenedioxy-9gfluoro-11B-hydroxy-21-palmitoyloxypropene-4-ene-3,20-dione as a oils. Mol. mass 688 (calc. 688.97). Purity: 99% (HPLC analysis). The ratio of the 22R- and 22-S epimers was 61/39 (HPLC analysis).

PRIMER 25 (22R)-16g,17g-butilidendioksi-9g-fluoro-11 B-hidroksi-21 -palmitoiloksipregn-4-en-3.20-dion (22R,S)-16g,17g-butilidendioksi-9g-fluoro-11B-21-dihidroksipregn-4-en3,20-dion (200 mg) smo ločili s kromatografijo na Sephadex LH-20 koloni (76 xEXAMPLE 25 (22R) -16g, 17g-Butylidenedioxy-9g-fluoro-11B-hydroxy-21-palmitoyloxypropene-4-ene-3.20-dione (22R, S) -16g, 17g-butylidenedioxy-9g-fluoro-11B- 21-dihydroxypropene-4-en3,20-dione (200 mg) was separated by chromatography on a Sephadex LH-20 column (76 x

6.3 cm) in uporabili zmes heptan:kloroform:etanol, 20:20:1 kot mobilno fazo.6.3 cm) and used the heptane: chloroform: ethanol mixture, 20: 20: 1 as the mobile phase.

Frakcije med 7560-8835 ml (A) in 8836-9360 (B) smo zbrali in evaporirali. Produkt iz frakcije A (128 mg) smo s 1H-NMR in masno spektroskopijo določili za (22S)-16a,17a-butilidendioksi-9a-fluoro-11B,21-dihidroksipregn-4-en-3,20dion, produkt iz frakcije B (50 mg) pa za 22R- epimer.Fractions between 7560-8835 ml (A) and 8836-9360 (B) were collected and evaporated. The product from fraction A (128 mg) was by 1 H-NMR and mass spectroscopy to determine the (22S) -16a, 17a-butylidenedioxy-9a-fluoro-11B, 21-dihydroxypregn-4-ene-3,20dion, the product of the fraction B (50 mg) for 22R-epimer.

Epimera sta imela sledeče lastnosti. Epimer 22S: tal. 180-190°C; [a]D 25 = +105.6° (c = 0.214; CH2CI2); mol. masa 450 (izrač. 450.6). Epimer 22R tal. 147-151°C; [a]D 25 = +133.7° (c = 0.196; CH2CI2); mol. masa 450 (izrač. 450.6). Čistost epimerov smo določili s HPLC analizo in je bila 95.6% za 22Sin 98.2% za 22R- epimer.The epimers had the following properties. Epimer 22S: m.p. 180-190 ° C; [α] D 25 = + 105.6 ° (c = 0.214; CH 2 Cl 2); mol. mass 450 (calc. 450.6). Epimer 22R m.p. 147-151 ° C; [α] D 25 = + 133.7 ° (c = 0.196; CH 2 Cl 2); mol. mass 450 (calc. 450.6). The purity of the epimers was determined by HPLC analysis and was 95.6% for 22Sin and 98.2% for 22R- epimer.

Raztopino palmitoil klorida (0.34 ml) v 5 ml dioksana smo po kapljicah dodali v raztopino (22R)-16ot,17a-butilidendioksi-9a-fluoro-11B,21dihidroksipregn-4-en-3,20-diona (50 mg) v 10 ml piridina. Reakcijsko zmes smo mešali čez noč pri sobni temperaturi in jo obdelali kakor v prvem primeru. Surovi produkt smo prečistili s kromatogratijo na Sephadex LH-20 koloni (89 xA solution of palmitoyl chloride (0.34 ml) in 5 ml of dioxane was added dropwise to a solution of (22R) -16ot, 17a-butylidenedioxy-9a-fluoro-11B, 21dihydroxypropene-4-ene-3,20-dione (50 mg) in 10 ml of pyridine. The reaction mixture was stirred overnight at room temperature and treated as in the first example. The crude product was purified by chromatography on a Sephadex LH-20 column (89 x

2.5 cm) in uporabili heptan:kloroform:etanol, 20:20:1 kot mobilno fazo. Frakcije med 180-205 ml smo zbrali in evaporirali, kar je dalo 36 mg (22R)-16a,17abutilidendioksi-9a-fluoro-11 B-hidroksi-21-palmitoiloksipregn-4-en-3,20-diona v obliki olja. Mol. masa 688 (izrač. 688.97). Čistost: 97.7% (HPLC analiza).2.5 cm) and used heptane: chloroform: ethanol, 20: 20: 1 as the mobile phase. Fractions between 180-205 ml were collected and evaporated, yielding 36 mg (22R) -16a, 17abutylidenedioxy-9a-fluoro-11 B-hydroxy-21-palmitoyloxypropene-4-ene-3,20-dione as an oil. Mol. mass 688 (calc. 688.97). Purity: 97.7% (HPLC analysis).

PRIMER 26 (22S)-16a.17a-butilidendioksi-9g-fluoro-11 B-hidroksi-21-palmitoiloksipregn-4-en-3,20-dionEXAMPLE 26 (22S) -16a.17a-Butylidenedioxy-9g-fluoro-11 B-hydroxy-21-palmitoyloxypropene-4-ene-3,20-dione

Raztopino palmitoil klorida (0.14 ml) v 15 ml dioksana smo po kapljicah dodali v raztopino (22S)-16a,17a-butilidendioksi-9a-fluoro-11B,21dihidroksipregn-4-en-3,20-diona (41 mg) v 3 ml piridina. Reakcijsko zmes smo mešali čez noč pri sobni temperaturi in jo obdelali kakor v prvem primeru. Surovi produkt smo prečistili s kromatografijo na Sephadex LH-20 koloni (89 xA solution of palmitoyl chloride (0.14 ml) in 15 ml of dioxane was added dropwise to a solution of (22S) -16a, 17a-butylidenedioxy-9a-fluoro-11B, 21dihydroxypropene-4-ene-3,20-dione (41 mg) in 3 ml of pyridine. The reaction mixture was stirred overnight at room temperature and treated as in the first example. The crude product was purified by chromatography on a Sephadex LH-20 column (89 x

2.5 cm) in uporabili heptan:kloroform:etanol, 20:20:1 kot mobilno fazo. Frakcije med 215-260 ml smo zbrali in evaporirali, kar je dalo 26 mg (22S)-16a,17abutilidendioksi-9a-fluoro-11 B-hidroksi-21 -palmitoiloksipregn-4-en-3,20-diona v obliki olja. Mol. masa 688 (izrač. 688.97). Čistost: 91.4% (HPLC analiza).2.5 cm) and used heptane: chloroform: ethanol, 20: 20: 1 as the mobile phase. Fractions between 215-260 ml were collected and evaporated to give 26 mg (22S) -16a, 17abutylidenedioxy-9a-fluoro-11 B-hydroxy-21-palmitoyloxypropene-4-ene-3,20-dione as an oil. Mol. mass 688 (calc. 688.97). Purity: 91.4% (HPLC analysis).

PRIMER 27 (22R)-16α,17a-butilidendioksi-9a-fluoro-113-hidroksi-21 -palmitoiloksipregna-1.4-dien-3.20-dionEXAMPLE 27 (22R) -16α, 17a-Butylidenedioxy-9a-fluoro-113-hydroxy-21-palmitoyloxypropene-1.4-diene-3.20-dione

Raztopino palmitoil klorida (75 mg) v 2.5 ml dioksana smo po kapljicah dodali v raztopino (22R)-16a,17a-butilidendioksi-9a-fluoro-11B,21dihidroksipregna-1,4-dien-3,20-diona (25 mg) v 5 ml piridina. Reakcijsko zmes smo mešali čez noč pri sobni temperaturi in jo obdelali kakor v prvem primeru. Surovi produkt smo prečistili s kromatografijo na Sephadex LH-20 koloni (85 xA solution of palmitoyl chloride (75 mg) in 2.5 ml of dioxane was added dropwise to a solution of (22R) -16a, 17a-butylidenedioxy-9a-fluoro-11B, 21dihydroxypropene-1,4-diene-3,20-dione (25 mg) in 5 ml of pyridine. The reaction mixture was stirred overnight at room temperature and treated as in the first example. The crude product was purified by chromatography on a Sephadex LH-20 column (85 x

2.5 cm) in uporabili kloroform kot mobilno fazo. Frakcije med 235-285 ml smo zbrali in evaporirali, kar je dalo 27 mg (22R)-16a,17a-butilidendioksi-9a-tluoro11B-hidroksi-21-palmitoiloksipregna-1,4-dien-3,20-diona. Tal. 116-121°C; [a]D 25 _ +67.40 (c = 0.172; CH2CI2); mol. masa 686 (izrač. 687.0). Čistost 96.5% (HPLC analiza).2.5 cm) and used chloroform as the mobile phase. Fractions between 235-285 ml were collected and evaporated, yielding 27 mg (22R) -16a, 17a-butylidenedioxy-9a-fluoro11B-hydroxy-21-palmitoyloxypropene-1,4-diene-3,20-dione. Tal. 116-121 ° C; [[alpha]] D &lt; 25 &gt; +67.40 ( c = 0.172; CH2Cl2); mol. mass 686 (calc. 687.0). Purity 96.5% (HPLC analysis).

PRIMER 28EXAMPLE 28

FARMACEVTSKI PREPARATIPHARMACEUTICALS

Neomejujoči primeri, ki sledijo, ilustrirajo formulacije, ki so namenjene za različne usmerjene oblike dajanja. Količine aktivnega steroida v perkutnih formulacijah so ponavadi 0.001-0.2% (w/w), zaželjeno 0.01-0.1% (w/w)The non-limiting examples that follow illustrate formulations that are intended for various targeted administration forms. The amounts of active steroid in the percutaneous formulations are usually 0.001-0.2% (w / w), preferably 0.01-0.1% (w / w)

Formulacija 1, mazilo [g]Formulation 1, ointment [g]

Steroid, mikroniziran 0.025Steroid, micronized 0.025

Tekoči parafin 10.0Liquid paraffin 10.0

Beli mehki parafin do 100.0White soft paraffin up to 100.0

Formulacija 2, mazilo[gjFormulation 2, Ointment [gj

Steroid 0.025Steroid 0.025

Propilen glikol 5.0Propylene glycol 5.0

Sorbitan seskvioleat 5.0Sorbitan sesquioleate 5.0

Tekoči parafin 10.0Liquid paraffin 10.0

Beli mehki parafin do 100.0White soft paraffin up to 100.0

Formulacija 3, krema olje v vodi[g]Formulation 3, oil-in-water cream [g]

Steroid A steroid 0.025 0.025 Cetanol Cetanol 5.0 5.0 Gliceril monostearat Glyceryl monostearate 5.0 5.0 Tekoči parafin Liquid paraffin 10.0 10.0 Cetomacrogol 1000 Cetomacrogol 1000 2.0 2.0 Citronska kislina Citric acid 0.1 0.1 Natrijev citrat Sodium citrate 0.2 0.2 Propilen glikol Propylene glycol 35.0 35.0 Voda Water do 100.0 to 100.0

Formulacija 4, krema olje v vodi[gjFormulation 4, cream oil in water [gj

Steroid, mikroniziran A steroid, micronized 0.025 0.025 Beli mehki parafin White soft paraffin 15.0 15.0 Tekoči parafin Liquid paraffin 5.0 5.0 Cetanol Cetanol 5.0 5.0 Sorbimacrogol strearat Sorbimacrogol strearate 2.0 2.0 Sorbitan monostearat Sorbitan monostearate 0.5 0.5 Sorbinska kislina Sorbic acid 0.2 0.2 Citronska kislina Citric acid 0.1 0.1 Natrijev citrat Sodium citrate 0.2 0.2 Voda Water do 100.0 to 100.0

Formulacija 5, krema voda v olju[g]Formulation 5, water-in-oil cream [g]

Steroid A steroid 0.025 0.025 Beli mehki parafin White soft paraffin 35.0 35.0 Tekoči parafin Liquid paraffin 5.0 5.0 Sorbitan seskvioleat Sorbitan sesquioleate 5.0 5.0 Sorbinska kislina Sorbic acid 0.2 0.2 Citronska kislina Citric acid 0.1 0.1 Natrijev citrat Sodium citrate 0.2 0.2 Voda Water do 100.0 to 100.0

Formulacija 6,losion[mg]Formulation 6, Lotion [mg]

Steroid 0.25Steroid 0.25

Izopropanol 0.5Isopropanol 0.5

Karboksivinilpolimer 3Carboxyvinylpolymer 3

NaOH do dopolnitveNaOH until supplemented

Voda do 1.0Water up to 1.0

Formulacija 7, suspenzija za injekcijeFormulation 7, suspension for injections

Steroid, mikroniziran 0.05-10 mgSteroid, micronized 0.05-10 mg

Natrijeva karboksimetil celuloza 7 mgSodium carboxymethyl cellulose 7 mg

NaCI 7 mgNaCl 7 mg

Polioksietilen (20) sorbitan monooleat 0.5 mgPolyoxyethylene (20) sorbitan monooleate 0.5 mg

Fenil karbinol 8 mgPhenyl carbinol 8 mg

Voda, sterilna do 1.0 mlWater, sterile up to 1.0 ml

Formulacija 8, aerosol za oralno in nazalno inhalacijo [% w/w]Formulation 8, aerosol for oral and nasal inhalation [% w / w]

Steroid, mikroniziran A steroid, micronized 0.1 0.1 Sorbitan trioleat Sorbitan trioleate 0.7 0.7 Triklorofluorometan Trichlorofluoromethane 24.8 24.8 Diklorotetrafluorometan Dichlorotetrafluoromethane 24.8 24.8 Diklorodifluorometan Dichlorodifluoromethane 49.6 49.6

Formulacija 9, raztopina za atomiziranjeFormulation 9, atomization solution

Steroid A steroid 7.0 mg 7.0 mg Propilen glikol Propylene glycol 5.0 g 5.0 g Voda Water do to 10.0 g 10.0 g

Formulacija 10, prašek za inhalacijo_Formulation 10, inhalation powder_

Želatinasta kapsula, napolnjena z mikroniziranim steroidom 0.1 mgGelatin capsule filled with micronized steroid 0.1 mg

Laktoza 20 mgLactose 20 mg

Prah inhaliramo s pomočjo inhalacijske naprave.The powder is inhaled using an inhalation device.

Formulacija 11, prašek za inhalacijoFormulation 11, powder for inhalation

Prašek v obliki krogljic, polnjen v večdozni inhalator za prah. Vsaka doza vsebuje mikroniziran steroid. 0.1 mgPowder in the form of beads, stuffed into a multi-dose powder inhaler. Each dose contains a micronized steroid. 0.1 mg

Formulacija 12, prašek za inhalacijoFormulation 12, powder for inhalation

Prašek v obliki krogljic, polnjen v večdozni inhalator za prah. Vsaka doza vsebuje mikroniziran steroid. 0.1 mg Laktoza, mikronizirana 1 mgPowder in the form of beads, stuffed into a multi-dose powder inhaler. Each dose contains a micronized steroid. 0.1 mg Lactose, micronized 1 mg

Formulacija 13,kapsule za zdravljenje tankega črevesa [mg]Formulation 13, capsules for the treatment of the small intestine [mg]

Steroid 1.0Steroid 1.0

Sladkorne krogljice 321Sugar beads 321

Aquacoat EC D 30 6.6Aquacoat EC D 30 6.6

Acetiltributil citrat 0.5Acetyltributyl citrate 0.5

Polisorbat 80 0.1Polysorbate 80 0.1

Eudragit L100-55 17.5Eudragit L100-55 17.5

Trietilcitrat 1.8Triethyl citrate 1.8

Smukec 8.8Talc 8.8

Sredstvo proti penjenju MMS 0.01Foaming agent MMS 0.01

Formulacija 14,kapsule za zdravljenje debelega [mg] črevesaFormulation 14, capsules for the treatment of colon [mg]

Steroid 2.0Steroid 2.0

Sladkorne krogljice 305Sugar beads 305

Aquacoat ECD 30 5.0Aquacoat ECD 30 5.0

Acetiltributil citrat 0.4Acetyltributyl citrate 0.4

Polisorbat 80 0.14Polysorbate 80 0.14

Eudragit N E30 D 12.6Eudragit N E30 D 12.6

Eudragit S100 12.6Eudragit S100 12.6

Smukec 12.6Talc 12.6

Formulacija 15. rektalni klistirFormulation 15. rectal enema

SteroidA steroid

Natrijeva karboksimetil celuloza Dinatrijev acetat Metil parahidroksibenzoat Propil parahidroksibenzoat Natrijev klorid Anhidrid citronske kisline Polisorbat 80 Voda, očiščena doSodium carboxymethyl cellulose Disodium acetate Methyl parahydroxybenzoate Propyl parahydroxybenzoate Sodium chloride Citric acid anhydride Polysorbate 80 Water, purified to

0.02 mg 25 mg 0.5 mg 0.8 mg 0.2 mg 7.0 mg 1.8 mg 0.01 mg 1.0 ml0.02 mg 25 mg 0.5 mg 0.8 mg 0.2 mg 7.0 mg 1.8 mg 0.01 mg 1.0 ml

Formulacija 16, formulacija, ki vsebuje steroid vezan v liposomeFormulation 16, a formulation containing a steroid bound to liposomes

A. Priprava formulacije za vkapanjeA. Preparation of the formulation for burial

Sintetični dipalmitoilfosfatidilholin (45 mg), dimiristoilfosfatidilholin (7 mg), dipalmitoilfostatidilglicerol (1 mg) in (22R)-16a,17a-butilidendioksi-6a,9adifluoro-11B-hidroksi-21-palmitoiloksipregn-4-en-3,20-dion (5 mg) smo zmešali v stekleni cevki. Vse komponente so bile raztopljene v kloroformu. Večino topila smo evaporirali z uporabo N2 in nato pod zmanjšanim pritiskom, kar je oblikovalo tenak film lipidnih komponent na površini steklene cevke. K lipidom smo dodali vodno raztopino 0.9% NaCI. Formiranje liposomov smo izvajali pri temperaturi nad temperaturo faznega prehoda lipidov. Liposome smo tvorili s stresanjem ali sonifikacijo s sondo sonifikatorja. Suspenzija, ki je nastala, je vsebovala liposome, ki so po velikosti v okviru od zelo majhnih mehurčkov do 2 pm.Synthetic dipalmitoylphosphatidylcholine (45 mg), dimiristoylphosphatidylcholine (7 mg), dipalmitoylphostatidylglycerol (1 mg) and (22R) -16a, 17a-butylidenedioxy-6a, 9adifluoro-11B-hydroxy-21-3-pyriminoxy (5 mg) was mixed in a glass tube. All components were dissolved in chloroform. Most of the solvent was evaporated using N2 and then under reduced pressure, which formed a thin film of lipid components on the surface of the glass tube. An aqueous solution of 0.9% NaCl was added to the lipids. Liposome formation was performed at a temperature above the lipid phase transition temperature. Liposomes were formed by shaking or sonication with a sonifier probe. The resulting suspension contained liposomes ranging in size from very small bubbles to 2 pm.

B. Priprava formulacije za inhalacijoB. Preparation of formulation for inhalation

Pripravo liposomov smo izvedli kakor v primeru A, kjer je vodna raztopina vsebovala 10% laktoze. Razmerje med laktozo in lipidom je bilo 7:3.Liposome preparation was performed as in Example A, where the aqueous solution contained 10% lactose. The ratio of lactose to lipid was 7: 3.

Suspenzijo liposomov smo zamrznili na suhem ledu in jo liofilizirali. Suhi produkt smo mikronizirali, kar je dalo delce s srednjim masnim aerodinamičnim presekom (MMAD) okrog 2 pm.The liposome suspension was frozen on dry ice and lyophilized. The dry product was micronized, yielding particles with a mean mass aerodynamic cross section (MMAD) of about 2 pm.

FARMAKOLOGIJAPHARMACOLOGY

Selektivnost za lokalno antiinflamatorno aktivnost lahko ponazorimo z modelom zračnih poti, ki sledi.The selectivity for local anti-inflammatory activity can be illustrated by the following path model.

Znaten del inhaliranega GCS se deponira v žrelu in ga kasneje pogoltnemo ter konča v črevesu. Ta del doprinaša k nezaželjenim stranskim učinkom steroida, ker deluje izven območja, ki ga nameravamo zdraviti (pljuča). Tako ima prednost uporaba GCS z visoko lokalno antiinflamatorno aktivnostjo, vendar z nizkimi z GCS induciranimi učinki po oralnem dajanju. Tako smo opravili študije z namenom, da bi določili z GCS inducirane učinke po lokalnem apliciranju v pljuča prav tako kakor po peroralnem dajanju in razlike med delovanjem glukokortikosteroida v zdravljeni regiji pljuč in zunaj tega območja, to je bilo testirano na način, ki sledi.A significant portion of inhaled GCS is deposited in the pharynx and subsequently swallowed and ends in the intestine. This part contributes to the unwanted side effects of the steroid because it works outside of the area we intend to treat (the lungs). Thus, the use of GCS with high local anti-inflammatory activity but with low GCS-induced effects after oral administration is preferred. Thus, studies were conducted to determine the GCS-induced effects after topical administration to the lungs as well as after oral administration and differences between glucocorticosteroid activity in and outside the treated lung region, which was tested as follows.

TESTNI MODELITEST MODELS

A) Testni model za zaželjeno lakalno antiinflamatorno delovanje na sluznične zračne poti (levi pljučni lobus)A) Test model for desirable lacrimal anti-inflammatory action on mucosal airways (left lung)

Podganam Sprague Dawley (250 g) smo dali rahlo anastezijo z Ephrane in jim vkapali natanko v levi pljučni lobus glukokortikosteroidni testni preparat (v liposomih, suspendiranih v slanici), volumen 0.5ml/kg. Dve uri kasneje smo vkapali suspenzijo Sefadeksa (5 mg/kg v volumnu 1 ml/kg) v sapnik dovolj nad razcepom, da je suspenzija dosegla oba, levi in desni pljučni lobus. Dvajset ur kasneje smo podgane ubili, secirali leve pljučne lobuse in jih stehtali. Kontrolne skupine so namesto glukokortikosteroida dobile nosilec, namesto suspenzije Sefadeksa pa slanico, da bi izmerili težo normalnih pljuč in Sefadeks edema, ki ni bil obdelan z zdravilom.Sprague Dawley rats (250 g) were given a slight anesthesia with Ephrane and injected exactly into the left lung lobe a glucocorticosteroid test preparation (in liposomes suspended in brine), volume 0.5ml / kg. Two hours later, a suspension of Sephadex (5 mg / kg in a volume of 1 ml / kg) was injected into the trachea sufficiently above the cleft to allow the suspension to reach both the left and right lung lobes. Twenty hours later, the rats were killed, the left lung lobes were dissected and weighed. Control groups were given a vehicle instead of glucocorticosteroids, and brine instead of Sephadex suspension to measure normal lung weight and non-drug treated Sephadex edema.

B) Testni model za nezaželjene sistemske učinke oralno absorbiranih glukokortikosteroidovB) A test model for the undesirable systemic effects of orally absorbed glucocorticosteroids

Podganam Sprague Dawley (250 g) smo dali rahlo anastezijo z Ephrane in jim dali glukokortikosteroidni testni preparat oralno, volumen 1.0 ml/kg. Dve uri kasneje smo vkapali suspenzijo Sefadeksa (5 mg/kg v volumnu 1 ml/kg) v sapnik dovolj nad razcepom, da je suspenzija dosegla oba, levi in desni pljučni lobus. Dvajset ur kasneje smo podgane ubili, secirali pljučne lobuse in jih stehtali. Kontrolne skupine so namesto glukokortikosteroida dobile nosilec, namesto suspenzije Sefadeksa pa slanico, da bi izmerili težo normalnih pljuč in Sefadeks edema, ki ni bil obdelan z zdravilom.Sprague Dawley rats (250 g) were given a slight anesthesia with Ephrane and given an oral glucocorticosteroid test preparation, volume 1.0 ml / kg. Two hours later, a suspension of Sephadex (5 mg / kg in a volume of 1 ml / kg) was injected into the trachea sufficiently above the cleft to allow the suspension to reach both the left and right lung lobes. Twenty hours later, the rats were killed, the lung lobes were dissected and weighed. Control groups were given a vehicle instead of glucocorticosteroids, and brine instead of Sephadex suspension to measure normal lung weight and non-drug treated Sephadex edema.

Rezultati primerjalnega proučevanja so podani v tabeli 1. Farmakološki profil spojin iz izuma smo primerjali s profiloma budesonid-21-palmitata in flumetazon-21-palmitata v liposomih. Vsi steroidi iz izuma so pokazali večjo lokalno aniinflamatorno moč v pljučih po lokalnem apliciranju kakor budesonid21-palmitat v liposomih. Še več, rezultati prav tako kažejo višjo pljučno selektivnost testiranih spojin iz izuma v primerjavi z izbranimi, prej znanimi spojinami, ker je doza zgoraj omenjenih spojin, potrebna za inhibiranje pljučnega edema, (Εϋςθ) z oralnim dajanjem 158 (primer 3), 247 (primer 7) in 559 (primer 1) krat višja in budesonid-21-palmitatova 66 krat višja in flumetazon-21-palmitatova 8 krat višja kot doza, ki je potrebna za inhibicijo pljučnega edema z lokalno aplikacijo zdravil v pljuča.The results of the comparative study are given in Table 1. The pharmacological profile of the compounds of the invention was compared with the profiles of budesonide-21-palmitate and flumetazone-21-palmitate in liposomes. All the steroids of the invention showed greater local anti-inflammatory potency in the lung after topical administration than budesonide21-palmitate in liposomes. Moreover, the results also show higher pulmonary selectivity of the tested compounds of the invention compared to the previously known compounds, since the dose of the above-mentioned compounds required to inhibit pulmonary edema (Εϋςθ) by oral administration 158 (Example 3), 247 ( case 7) and 559 (case 1) times higher and budesonide-21-palmitate 66 times higher and flumetazone-21-palmitate 8 times higher than the dose required to inhibit pulmonary edema with topical administration of drugs to the lungs.

Tako lahko ugotovimo, da so spojine iz izuma dobro prilagojene za lokalno zdravljenje inflamatornih motenj na koži in v različnih telesnih votlinah (t.j. pljuča, nos, črevo in sklepi).Thus, it can be found that the compounds of the invention are well adapted for topical treatment of inflammatory disorders in the skin and in various body cavities (i.e., lungs, nose, intestines, and joints).

Učinki testiranih glukokortikosteroidov v liposomih pri modelu pljučnega edema pri podganah, ki je bil induciran s Sephadexom. Rezeultati so podani glede na ustrezno kontrolno skupino, ki je dobila Sephadex.Effects of tested glucocorticosteroids in liposomes on a Sephadex-induced rat model of pulmonary edema. The results are given according to the appropriate control group given Sephadex.

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Claims (15)

PATENTNI ZAHTEVKIPATENT APPLICATIONS 1) R-j in R2 nista naenkrat vodika,1) R-j and R2 are not hydrogen at one time, 1) R-, in R2 nista naenkrat vodika,1) R-, and R2 are not hydrogen at one time, 1. Spojina, ki je označena s tem, da ima splošno formulo 1 ali njena stereoizomerna komponenta, v katere formuli je mesto 1,2 nasičeno ali pa je tam dvojna vez,A compound characterized in that it has the general formula 1 or a stereoisomeric component thereof in which the formula 1,2 is saturated or has a double bond therein, R-j je vodik ali razvejan ali nerazvejan ogljikovodik, ki ima verigo z 1-4 ogljikovimi atomi,R-j is hydrogen or branched or unbranched hydrocarbon having a chain of 1-4 carbon atoms, R2 je vodik ali razvejan ali nerazvejan ogljikovodik, ki ima verigo z 1-10 ogljikovimi atomi,R2 is hydrogen or branched or unbranched hydrocarbon having a chain of 1-10 carbon atoms, R3 je acil, ki ima razvejano ali nerazvejano, nasičeno ali nenasičeno ogljikovodikovo verigo z 1-20 ogljikovimi atomi,R3 is an acyl having a branched or unbranched, saturated or unsaturated hydrocarbon chain of 1-20 carbon atoms, X-| je vodik ali halogenX- | is hydrogen or halogen Χ2 je vodik ali halogen in določeno je, daΧ2 is hydrogen or halogen and it is specified that 2) X-| in Χ2 nista naenkrat vodika.2) X- | and Χ2 are not hydrogen at one time. 2. Spojina po prvem zahtevku, ki je označena stem, da je v splošni formuli 1 mesto 1,2 nasičeno,A compound according to the first claim, characterized in that, in general formula 1, the site 1,2 is saturated, R-l je vodik ali razvejana ali nerazvejana veriga ogljikovodika, ki ima 1-4 ogljikove atome,R-l is hydrogen or a branched or unbranched hydrocarbon chain having 1-4 carbon atoms, R2 je vodik ali razvejana ali nerazvejana veriga ogljikovodika, ki ima 1-10 ogljikovih atomov,R2 is hydrogen or a branched or unbranched hydrocarbon chain having 1-10 carbon atoms, R3 je acil, ki ima razvejano ali nerazvejano, nasičeno ali nenasičeno verigo ogljikovodika, ki ima 1-20 ogljikovih atomov,R3 is an acyl having a branched or unbranched, saturated or unsaturated hydrocarbon chain having 1-20 carbon atoms, X-| je vodik ali halogen,X- | is hydrogen or halogen, Χ2 je vodik ali halogen, določeno je , da:Χ2 is hydrogen or halogen, it is specified that: 2) Χ-j in Χ2 nista naenkrat vodika,2) Χ-j and Χ2 are not hydrogen at one time, 3. Spojina po kateremkoli izmed zahtevkov 1-2, ki je označena s tem, da je R3 acil, ki ima 11-20 ogljikovih atomov.A compound according to any one of claims 1-2, characterized in that R 3 is acyl having 11-20 carbon atoms. 3) ko je na 1,2 položaju dvojna vez, R-| in R2 nista naenkrat metilni skupini,3) when there is a double bond at the 1,2 position, R- | and R2 are not at one time methyl groups, 4. Spojina po kateremkoli izmed zahtevkov 1-2, ki je označena s tem, da je R3 acil, ki ima 1-10 ogljikovih atomov.A compound according to any one of claims 1-2, wherein R 3 is acyl having 1-10 carbon atoms. 4) ko je na 1,2 položaju dvojna vez, je R-| vodikov atom in R2 je razvejan ali nerazvejan ogljikovodik, ki ima verigo z 1-10 ogljikovimi atomi, R3 je acil, ki ima 11 -20 ogljikovih atomov.4) when there is a double bond at the 1,2 position, R- | hydrogen atom and R2 is a branched or unbranched hydrocarbon having a chain of 1-10 carbon atoms, R3 is acyl having 11-20 carbon atoms. 5. Spojina po tretjem zahtevku, ki je označena s tem, da je mesto 1,2 nasičeno, Rje vodik, R2 je propilna skupina, X-| je fluor in Χ2 je fluor.A compound according to the third claim, characterized in that the site 1,2 is saturated, R 2 is hydrogen, R 2 is a propyl group, X- | is fluorine and Χ2 is fluorine. 6. Spojina po prvem zahtevku, ki je označena s tem, da je na mestu 1,2 dvojna vez, R^ je vodik, R2 je propilna skupina, R3 je palmitoilna skupina, X-| je fluor, Χ2 je fluor.A compound according to the first claim, characterized in that at the site 1,2 is a double bond, R 1 is hydrogen, R 2 is a propyl group, R 3 is a palmitoyl group, X- | is fluorine, Χ2 is fluorine. 7. Spojina po prvem zahtevku, ki je označena stem, da ima formulo fi fH2OC(CH2>14CH3A compound according to the first claim, characterized in that the formula f f H 2 OC (CH 2> 14 CH 3 8. Postopek za pripravo spojine s splošno formulo 1, kakor je definirana v prvem zahtevku, ki je označen stem, da obsegaA process for the preparation of a compound of general formula 1, as defined in the first claim, which is designated stem to comprise a) reakcijo spojine s formulo kjer so R-|, R2 , Χ1 in Χ2 definirani kot v prvem zahtevku, s spojino s formuloa) reacting a compound of formula wherein R1, R2, Χ1 and Χ2 are defined as in the first claim, with a compound of formula R4COOH kjer je R4 razvejana ali nerazvejana, nasičena ali nenasičena alkilna skupina, ki ima 1-19 ogljikovih atomov, aliR4COOH wherein R4 is a branched or unbranched, saturated or unsaturated alkyl group having 1-19 carbon atoms, or b) reakcijo spojine s formulo kjer so R-i, R2 , X-i in X2 definirani kot v prvem zahtevku, s spojino s formulob) reacting a compound of formula wherein R 1, R 2 , X 1 and X 2 are as defined in the first claim, with a compound of formula R4COX kjer je R4 definiran kakor zgoraj in je X halogen ali alifatski del -OOCR4, aliR 4 is COX where R 4 is as defined above and X is a halogen or aliphatic moiety -OOCR4, or c) reakcijo spojine s formuloc) reacting a compound of formula O· kjer so R-j, Rp, Xj in X2 definirani kot v prvem zahtevku in je Y halogen, mezilat ali p-toluensulfonat s spojino s formuloO · where R1, Rp, Xj and X 2 are as defined in the first claim and Y is halogen, mesylate or p-toluenesulfonate with a compound of formula R4COO- A+ kjer je R4 definiran zgoraj in A+ je kation, potem, če je tako dobljena spojina epimerna zmes in želimo čisti epimer, ločimo epimerno zmes v njene stereoizomerne komponente.R4COO-A + where R4 is defined above and A + is a cation, then, if the compound thus obtained is an epimeric mixture and a pure epimer is desired, the epimeric mixture is separated into its stereoisomeric components. 9. Postopek po osmem zahtevku, ki je označen s tem, da pripravimo spojino, ki ustreza kateremukoli izmed zahtevkov 2-7.The process according to claim 8, wherein the compound of any one of claims 2-7 is prepared. 10. Farmacevtski preparat, ki je označen s tem, da kot aktivno sestavino vsebuje spojino, ki ustreza kateremukoli izmed zahtevkov 1-7.A pharmaceutical composition comprising as active ingredient a compound according to any one of claims 1-7. 11. Farmacevtski preparat, ki je ustreza zahtevku 10 in je označen s tem, da vsebuje liposome, ki vsebujejo farmakološko aktivno spojino, ki ustreza zahtevku 3.Pharmaceutical composition according to claim 10, characterized in that it contains liposomes containing a pharmacologically active compound according to claim 3. 12. Farmacevtski preparat po zahtevkih 10-11, ki je označen s tem, da je v obliki enote za doziranje.Pharmaceutical preparation according to claims 10-11, characterized in that it is in the form of a dosage unit. 13. Farmacevtski preparat po zahtevkih 10-12, ki je označen s tem, da vsebuje aktivno sestavino, združeno s farmacevtsko sprejemljivim nosilcem.A pharmaceutical composition according to claims 10-12, characterized in that it contains an active ingredient coupled to a pharmaceutically acceptable carrier. 14. Spojina po kateremkoli izmed zahtevkov 1-7,’ ki je označena s tem, da je uporabna kot terapevtsko aktivna substanca.A compound according to any one of claims 1-7, 'characterized in that it is useful as a therapeutically active substance. 15. Uporaba spojine po kateremkoli izmed zahtevkov 1-7 za pripravo zdravil z antiinflamatorno in antialergijsko aktivnostjo.Use of a compound according to any one of claims 1-7 for the preparation of medicaments having anti-inflammatory and anti-allergic activity.
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SE9100342A SE9100342D0 (en) 1991-02-04 1991-02-04 NOVEL STEROID ESTERS
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