WO2016079517A1 - 6-alkyl-7-hydroxy-4-en-3-one steroids as intermediates for the production of steroidal fxr modulators - Google Patents

Abstract

The invention relates to compounds of formula (I), wherein R¹, R², Y, R⁴ and R⁵ are as defined herein. The compounds are intermediates in the synthesis of synthetic bile acids.

Description

6-ALKYL-7-HYDROXY-4-EN-3-ONE STEROIDS AS INTERMEDIATES FOR THE PRODUCTION OF STEROIDAL FXR MODULATORS

The present invention relates to compounds which are intermediates in the synthesis of bile acid derivatives with pharmacological activity. In particular, the invention relates to intermediates in the synthesis of obeticholic acid and its analogues. In addition, the invention relates to a method of synthesizing these intermediates and a method of preparing obeticholic acid and obeticholic acid analogues from the compounds of the invention. Bile acids are steroid acids which are found in the bile of mammals and include compounds such as cholic acid, chenodeoxycholic acid, lithocholic acid and deoxycholic acid, all of which are found in humans. Many bile acids are natural ligands of the farnesoid X receptor (FXR) which is expressed in the liver and intestine of mammals, including humans.

Bile acids are derivatives of steroids and are numbered in the same way. The following shows the general numbering system for steroids and the numbering of the carbon atoms in chenodeoxycholic acid.

General steroid numbering CDCA numbering

Agonists of FXR have been found to be of use in the treatment of cholestatic liver disorders including primary biliary cirrhosis and non-alcoholic steatohepatitis (see review by Jonker et al, in Journal of Steroid Biochemistry & Molecular Biology, 2012, 130, 147- 158).

Ursodeoxycholic acid (UDCA), a bile acid originally isolated from the gall bladder of bears, is currently used in the treatment of cholestatic liver disorders, although it appears to be inactive at the FXR. As well as their action at the FXR, bile acids and their derivatives are also modulators of the G protein-coupled receptor TGR5. This is a member of the rhodopsin-like superfamily of G-protein coupled receptors and has an important role in the bile acid signalling network, which complements the role of the FXR. Because of the importance of FXR and TGR5 agonists in the treatment of cholestatic liver disorders, efforts have been made to develop new compounds which have agonist activity at these receptors. One particularly active compound is obeticholic acid, which is a potent agonist of both FXR and TGR5. Obeticholic acid is described in WO 02/072598 and EP1568706, both of which describe a process for the preparation of obeticholic acid from 7-keto lithocholic acid, which is derived from cholic acid. Further processes for the production of obeticholic acid and its derivatives are described in WO 2006/122977, US 2009/0062256 and WO 2013/192097 and all of these processes also start from 7-keto lithocholic acid. It is clear from the number of patent publications directed to processes for the production of obeticholic acid that it is by no means simple to synthesise this compound and indeed the process which is currently used starts from cholic acid, has 12 steps and a low overall yield. In addition to the inefficiency and high cost of this process, there are also problems with the cost and availability of the starting materials. Cholic acid, the current starting material for the production of obeticholic acid, is a natural bile acid which is usually obtained from the slaughter of cows and other animals. This means that the availability of cholic acid and other bile acids is limited by the number of cattle available for slaughter. Since the incidence of cholestatic liver disease is increasing worldwide, the demand for synthetic bile acids such as obeticholic acid is also likely to increase and it is doubtful whether the supply of naturally derived bile acids will continue to be sufficient to meet demand. Furthermore, the use of a starting material derived from animals means that there is the possibility of the contamination of the material with infectious agents such as viruses or prions, which can not only be hazardous to workers but could potentially contaminate the end products if steps are not taken to prevent this. Although some patients with cholestatic liver disease can be treated with ursodeoxycholic acid, this is also a natural bile acid and faces the same problems of limited availability and high cost.

In an attempt to solve the problems associated with the use of bile acids as starting materials, the present inventors have devised a process for the synthesis of synthetic bile acid derivatives, such as obeticholic acid, which uses plant sterols as starting materials.

The inventors have developed a process for the production of synthetic bile acids which proceeds via novel intermediates and which provides the final product in significantly higher yield than current processes. The process is flexible and can use a variety of different starting materials including animal, fungal and plant sterols.

Suitable animal sterols which can be used as starting materials include deoxycholic acid, cholic acid, while fungal sterols include ergosterol.

Plant sterols are widely available at significantly lower cost than bile acids and, indeed, are often waste products of other processes. Suitable plant sterol and plant sterol derivatives which can be used as starting materials include bis-norcholenol (also known as 20-hydroxymethylpregn-4-en-3-one), androstenedione, androstenedienedione, dehydroepiandrosterone, stigmasterol, brassicasterol, campesterol and β-sitosterol.

The present invention relates to intermediates in the novel process as well as to processes for preparing the intermediates and processes for converting them to the desired products.

Therefore, in a first aspect of the present invention there is provided a compound of general formula (I):

wherein:

R¹ is Ci-4 alkyl optionally substituted with one or more substituents selected from halo, OR⁶ or NR⁶R⁷; where each of R⁶ and R⁷ is independently selected from H or C1-4 alkyl;

R² is H, halo or OH or a protected OH;

Y is a bond or an alkylene, alkenylene or alkynylene linker group having from 1 to 20 carbon atoms and optionally substituted with one or more groups R³;

each R³ is independently halo, OR⁸ or NR⁸R⁹;

where each of R⁸ and R⁹ is independently selected from H or C1-4 alkyl;

and

R⁴ is C(0)OR¹⁰, OC(0)R¹⁰, C(O)NR¹⁰R¹¹ , OR¹⁰, OSi(R¹³)₃, S(0)R¹⁰, SO2R¹⁰, OSO2R¹⁰,

where each R¹⁰ and R¹¹is independently:

a. hydrogen or

b. C1-20 alkyl, C2-20 alkenyl, C2-20 alkynyl, -O-C1-20 alkyl, -O-C2-20 alkenyl or -O- C2-20 alkynyl, any of which is optionally substituted with one or more substituents selected from halo, N0₂, CN, OR¹⁹, SR¹⁹, SO2R¹⁹, SO3R¹⁹ or N(R¹⁹)₂, or a 6- to 14- membered aryl or 5 to 14-membered heteroaryl group, either of which is optionally substituted with Ci-e alkyl, Ci-e haloalkyl, halo, N0₂, CN, OR¹⁹, SR¹⁹, SO2R¹⁹, SO3R¹⁹ or N(R¹⁹)₂; or

c. a 6- to 14- membered aryl or 5 to 14-membered heteroaryl group either of which is optionally substituted with one or more substituents selected from C1-6 alkyl, Ci-e haloalkyl, halo, N0₂, CN, OR¹⁹, SR¹⁹, SO2R¹⁹, SO3R¹⁹ or N(R¹⁹)₂;

d. a polyethylene glycol residue;

each R¹⁹ is independently selected from H, C1-6 alkyl, C1-6 haloalkyl, or a 6- to 14- membered aryl or 5 to 14-membered heteroaryl group either of which is optionally substituted with halo, C1-6 alkyl or C1-6 haloalkyl; each R¹³ is independently

a. C1-20 alkyl, C2-20 alkenyl or C2-20 alkynyl optionally substituted with one or more substituents selected from halo, N0₂, CN, OR¹⁹, SR¹⁹, SO2R¹⁹, SO3R¹⁹ or N(R¹⁹)2, a 6- to 14- membered aryl or 5 to 14-membered heteroaryl group, either of which is optionally substituted with C1-6 alkyl, C1-6 haloalkyl, halo, NO2, CN, OR¹⁹, SO2R¹⁹, SO3R¹⁹ or N(R¹⁹)₂; or

b. a 6- to 14- membered aryl or 5 to 14-membered heteroaryl group either of which is optionally substituted with one or more substituents selected from C1-6 alkyl, Ci-e haloalkyl, halo, N0₂, CN, OR¹⁹, SR¹⁹, SO2R¹⁹, SO3R¹⁹ or N(R¹⁹)₂;

each R¹⁹ is independently selected from H, C1-6 alkyl or C1-6 haloalkyl; R⁵ is H or OH or a protected OH; or a salt or an isotopic variant thereof.

Compounds of general formula (I) are intermediates in the synthesis of pharmaceutically active compounds such as obeticholic acid and its derivatives.

In the present specification, except where the context requires otherwise due to express language or necessary implication, the word "comprises", or variations such as "comprises" or "comprising" is used in an inclusive sense i.e. to specify the presence of the stated features but not to preclude the presence or addition of further features in various embodiments of the invention.

All publications, including but not limited to patents and patent applications, cited in this specification are herein incorporated by reference as if each individual publication were specifically and individually indicated to be incorporated by reference herein as though fully set forth.

In the present application the term "C1-20" alkyl refers to a straight or branched fully saturated hydrocarbon group having from 1 to 20 carbon atoms. The term encompasses methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl and t-butyl. Other alkyl groups, for example C1-20 alkyl, C1-6 alkyl or C1-3 alkyl are as defined above but contain different numbers of carbon atoms.

The term "C1-6 haloalkyl" refers to a straight or branched alkyl group as defined above having from 1 to 6 carbon atoms and substituted with one or more halo atoms, up to perhalo substitution. Examples include trifluoromethyl, chloroethyl and 1 , 1-difluoroethyl.

The term "C2-20 alkenyl" refers to a straight or branched hydrocarbon group having from 2 to 20 carbon atoms and at least one carbon-carbon double bond. Examples include ethenyl, prop-1-enyl, hex-2-enyl etc.

The term "C2-20 alkynyl" refers to a straight or branched hydrocarbon group having from 2 to 20 carbon atoms and at least one carbon-carbon triple bond. Examples include ethynyl, prop-1-ynyl, hex-2-ynyl etc. The term "alkylene" refers to a straight or branched fully saturated hydrocarbon chain. Examples of alkylene groups include -CH₂-, -CH2CH2-, CH(CH₃)-CH₂-, CH₂CH(CH₃)-, - CH2CH2CH2-, -CH₂CH(CH₂CH₃)- and -CH₂CH(CH₂CH3)CH2-. The term "alkenylene" refers to a straight or branched hydrocarbon chain containing at least one carbon-carbon double bond. Examples of alkenylene groups include -CH=CH-, -CH=C(CH₃)-, -CH₂CH=CH-, -CH=CHCH₂-, CH₂CH₂CH=CH-, CH₂CH=C(CH₃)- and -CH₂CH=C(CH₂CH₃)-.

The term "alkynylene" refers to a straight or branched hydrocarbon chain containing at least one carbon-carbon triple bond. Examples of alkenylene groups include -C≡C-, -CH₂C≡C-, -C≡C-CH₂-, CH₂CH₂C≡C-, CH₂C≡CCH₂- and -CH₂CH≡C-CH₂CH₂-.

The terms "aryl" and "aromatic" refer to a cyclic group with aromatic character having from 6 to 14 ring carbon atoms (unless otherwise specified) and containing up to three rings. Where an aryl group contains more than one ring, not all rings must be aromatic in character. Examples include phenyl, naphthyl and anthracenyl as well as partially saturated systems such as tetrahydronaphthyl, indanyl and indenyl. The terms "heteroaryl" and "heteroaromatic" refer to a cyclic group with aromatic character having from 5 to 14 ring atoms (unless otherwise specified), at least one of which is a heteroatom selected from N, O and S, and containing up to three rings., Where a heteroaryl group contains more than one ring, not all rings must be aromatic in character. Examples of heteroaryl groups include pyridine, pyrimidine, indole, benzofuran, benzimidazole and indolene.

The term "halogen" refers to fluorine, chlorine, bromine or iodine and the term "halo" to fluoro, chloro, bromo or iodo groups. The term "isotopic variant" refers to isotopically-labelled compounds which are identical to those recited in formula (I) but for the fact that one or more atoms are replaced by an atom having an atomic mass or mass number different from the atomic mass or mass number most commonly found in nature, or in which the proportion of an atom having an atomic mass or mass number found less commonly in nature has been increased (the latter concept being referred to as "isotopic enrichment"). Examples of isotopes that can be incorporated into compounds of the invention include isotopes of hydrogen, carbon, nitrogen, oxygen, fluorine, iodine and chlorine such as 2H (deuterium), 3H, 1 1C, 13C, 14C, 18F, 1231 or 1251 (e.g. 3H, 1 1 C, 14C, 18F, 1231 or 1251), which may be naturally occurring or non-naturally occurring isotopes.

Polyethylene glycol (PEG) is a polyether compound, which in linear form has general formula H-[0 CH₂-CH₂]_n-OH. A polyethylene glycol residue is a PEG in which the terminal H is replaced by a bond linking it to the remainder of the molecule.

Branched versions, including hyperbranched and dendritic versions are also contemplated and are generally known in the art. Typically, a branched polymer has a central branch core moiety and a plurality of linear polymer chains linked to the central branch core. PEG is commonly used in branched forms that can be prepared by addition of ethylene oxide to various polyols, such as glycerol, glycerol oligomers, pentaerythritol and sorbitol. The central branch moiety can also be derived from several amino acids, such as lysine. The branched poly (ethylene glycol) can be represented in general form as R(-PEG-OH)m in which R is derived from a core moiety, such as glycerol, glycerol oligomers, or pentaerythritol, and m represents the number of arms. Multi-armed PEG molecules, such as those described in US 5,932,462; US 5,643,575; US 5,229,490; US 4,289,872; US 2003/0143596; WO 96/21469; and WO 93/21259 may also be used. The PEG polymers may have an average molecular weight of, for example, 600- 2,000,000 Da, 60,000-2,000,000 Da, 40,000-2,000,000 Da, 400,000-1 ,600,000 Da, 800- 1 ,200,000 Da, 600-40,000 Da, 600-20,000 Da, 4,000-16,000 Da, or 8,000-12,000 Da.

The term "protected OH" relates to an OH group protected with any suitable protecting group. For example, the protected OH may be a group R⁴ as defined above.

Suitable protecting groups include esters such that, for example when R² and/or R⁵ is a protected OH, R² and/or R⁵ may independently be a group OC(0)R¹⁴, where R¹⁴ is a group R¹⁰ as defined above. Silyl ethers are also suitable, and in this case, R² and/or R⁵ may independently be a group OSi(R¹⁶)3, where each R¹⁶ is independently a group R¹³ as defined above.

Other suitable protecting groups for OH are well known to those of skill in the art (see Wuts, PGM and Greene, TW (2006) "Greene's Protective Groups in Organic Synthesis", 4^th Edition, John Wiley & Sons, Inc., Hoboken, NJ, USA).

References to a protecting group which is stable in basic conditions mean that the protecting group cannot be removed by treatment with a base. Appropriate salts of the compounds of general formula (I) include basic addition salts such as sodium, potassium, calcium, aluminium, zinc, magnesium and other metal salts as well as choline, diethanolamine, ethanolamine, ethyl diamine, meglumine and other well-known basic addition salts as summarised in Paulekuhn et al., J. Med. Chem. 2007, 50, 6665-6672 and/or known to those skilled in the art.

In some suitable compounds, the compound of general formula (I) is a compound of

In some suitable compounds of general formula (I) and (IA):

R¹ is Ci-4 alkyl optionally substituted with one or more substituents selected from halo, OR⁶ or NR⁶R⁷;

where each of R⁶ and R⁷ is independently selected from H or Ci_-4 alkyl;

R² is H, halo or OH;

Y is a bond or an alkylene or alkenylene linker group having from 1 to 6 carbon atoms and optionally substituted with one or more group R³;

each R³ is independently halo, OR⁸ or NR⁸R⁹;

where each of R⁸ and R⁹ is independently selected from H or Ci_-4 alkyl;

R⁴ is C(0)OR¹⁰, C(O)NR¹⁰R¹¹ , S(0)R¹⁰, S0₂R¹°, OSO2R¹⁰, S0₃R¹°, or OS0₃R¹⁰; or

R⁴ is C(0)OR¹⁰, C(O)NR¹⁰R¹¹ , S(0)R¹⁰, S0₂R¹°, or OSO2R¹⁰;

where, in either case, each R¹⁰ is hydrogen or Ci-e alkyl or benzyl, either of which may optionally be substituted with one or more halo substituents and R¹¹ is hydrogen or Ci-e alkyl, benzyl, -Ci_-4 alkylene-SOsH or -Ci_-4 alkylene-S03(Ci-₄ alkyl), any of which may optionally be substituted with one or more halo substituents.

In suitable compounds of general formulae (I) and (IA), R¹ may be Ci_-4 alkyl optionally substituted with one or more substituents selected from halo, OR⁶ or NR⁶R⁷, where R⁶ and R⁷ are each independently H, methyl or ethyl, especially H or methyl.

More suitably, R¹ is unsubstituted Ci In particularly suitable compounds, R¹ is ethyl.

In some compounds of general formula (I) and (IA), Y is a bond. Suitably in compounds of general formulae (I) and (IA), Y is an alkylene or alkenylene linker group having from 1 to 15 carbon atoms, more suitably 1 to 12, 1 to 10 or 1 to 8 carbon atoms and optionally substituted with one or more groups R³ as defined above. Typically each R³ is independently halo, OR⁸ or NR⁸R⁹; where each of R⁸ and R⁹ is independently selected from H, methyl or ethyl, especially H or methyl.

In some suitable compounds, Y is an unsubstituted alkylene or alkenylene linker having from 1 to 15 carbon atoms, more suitably 1 to 12, 1 to 10 or 1 to 8 carbon atoms.

In some suitable compounds of general formula (I), R² is H.

In other suitable compounds of general formula (I), R² is OH.

In still other suitable compounds of general formula (I), R² is a protected OH group. When R² is a protected OH group, it may be a group which is not stable in a basic environment such that treatment with a base converts the protected OH group to OH. Examples of such groups are well known in the art and include a group OC(0)R¹⁴ as defined above in which R¹⁴ is a group R¹⁰ as defined above for general formula (I).

Particularly suitable R¹⁴ groups are as defined for R¹⁰ below. Alternatively, R² may be a protected OH group which is stable in a basic environment. Examples of such groups include OSi(R¹⁶)3, where each R¹⁶ is independently a group R¹³ as defined above.

Particularly suitable R¹⁶ groups are as defined for R¹³ below.

In the compounds of general formulae (I) and (IA) R⁴ is C(0)OR¹°, OC(0)R¹°, C(O)NR¹⁰R¹¹ , OR¹⁰, OSi(R¹³)₃, S(0)R¹⁰, S0₂R¹°, OSO2R¹⁰, S0₃R¹°, or OSO3R¹⁰.

Suitably, is C(0)OR¹°, OR¹⁰, SO3R¹⁰, or OS0₃R¹⁰

More suitably, R⁴ is C(0)OR¹°, SO3R¹⁰, or OSO3R¹⁰ Suitably, each R¹⁰ and R¹¹ is independently:

a. hydrogen or

b. C1-10 alkyl, C2-10 alkenyl, C2-10 alkynyl, -O-CMO alkyl, -O-C2-10 alkenyl or -O-C2-10 alkynyl, any of which is optionally substituted with one or more substituents as described above; or

c. a 6- to 10- membered aryl or 5 to 10-membered heteroaryl group optionally substituted with one or more substituents as described above.

d. a polyethylene glycol residue. More suitably, each R¹⁰ and R¹¹ is independently a. hydrogen or

b. C1-10 alkyl, C2-10 alkenyl, C2-10 alkynyl or -O-CMO alkyl optionally substituted with one or more substituents as described above or

c. a 6- to 10-membered aryl group optionally substituted with one or more substituents as described above.

Suitably each R¹³ is independently selected from:

a. C1-10 alkyl, C2-10 alkenyl or C2-10 alkynyl optionally substituted with one or more substituents as described above; or

b. a 6- to 10- membered aryl or 5 to 10-membered heteroaryl group optionally substituted with one or more substituents as described above.

More suitably, each R¹³ is independently selected from:

a. C1-10 alkyl, C2-10 alkenyl or C2-10 alkynyl optionally substituted with one or more substituents as described above; or

b. a 6- to 10- membered aryl group optionally substituted with one or more substituents as described above. Still more suitably, each R¹³ is independently selected from CMO alkyl or phenyl, either of which is optionally substituted as described above.

Suitable substituents for alkyl, alkenyl, alkynyl, alkoxy, alkenyloxy and alkynyloxy R¹⁰ and R¹¹ groups and alkyl, alkenyl and alkynyl R¹³ groups include halo, NO2, CN , OR¹⁹, SR¹⁹, SO2R¹⁹, SO3R¹⁹ or N(R¹⁹)₂, or a 6- to 10- membered aryl or 5 to 14-membered heteroaryl group, either of which is optionally substituted with C1-6 alkyl, C1-6 haloalkyl, halo, NO2, CN , OR¹⁹, SO2R¹⁹, SO3R¹⁹ or N(R¹⁹)₂; where R¹⁹ is as defined above. More suitable substituents for these R¹⁰, R¹¹ and R¹³ groups include halo, OR¹⁹, N(R¹⁹)₂ or a 6- to 10-membered aryl group optionally substituted as described above, more suitably optionally substituted with halo, Ci_-4 alkyl, Ci_-4 haloalkyl, -0-Ci-₄ alkyl, -0-Ci-₄ haloalkyl, -NH(Ci-₄ alkyl) or -N(Ci-₄ alkyl>2; for example fluoro, chloro, methyl, ethyl, trifluoromethyl, methoxy, ethoxy, trifluoromethoxy, amino, methyl amino and dimethylamino.

Suitable substituents for aryl and heteroaryl R¹⁰, R¹¹ and R¹³ groups include Ci-e alkyl, Ci- 6 haloalkyl, halo, N0₂, CN, OR¹⁹, SR¹⁹ or N(R¹⁹)₂.

More suitable substituents for these R¹⁰, R¹¹ and R¹³ groups include Ci_-4 alkyl, Ci_-4 haloalkyl, halo, OR¹⁹ or N(R¹⁹)_2; in particular, halo, Ci_-4 alkyl, Ci_-4 haloalkyl, -0-Ci_-4 alkyl, - O-C1.4 haloalkyl, -NH(Ci-₄ alkyl) or-N(Ci-₄ alkyl)₂. Specific examples of substituents for aryl and heteroaryl R¹⁰, R¹¹ and R¹³ groups include fluoro, chloro, methyl, ethyl, trifluoromethyl, methoxy, ethoxy, trifluoromethoxy, amino, methyl amino and dimethylamino.

As set out above, each R¹⁹ is independently selected from H, Ci-e alkyl, Ci-e haloalkyl, or a 6- to 14- membered aryl or 5 to 14-membered heteroaryl group either of which is optionally substituted with one or more halo, Ci-e alkyl or Ci-e haloalkyl substituents.

Suitably, R¹⁹ is H, Ci-e alkyl, Ci-e haloalkyl, or a 6- to 10- membered aryl or 5 to 10- membered heteroaryl group optionally substituted with one or more halo, Ci_-4 alkyl or Ci- 4 haloalkyl substituents.

More suitably, R¹⁹ is H, Ci-e alkyl, Ci-e haloalkyl or phenyl optionally substituted with one or more halo, Ci_-4 alkyl or Ci_-4 haloalkyl substituents. Specific examples of R¹⁹ include H, methyl, ethyl, trifluoromethyl or phenyl optionally substituted with one or more fluoro, chloro, methyl, ethyl or trifluoromethyl groups.

In some suitable compounds of general formula (I), R⁵ is H. In other suitable compounds of general formula (I), R⁵ is OH.

In still other suitable compounds of general formula (I), R⁵ is a protected OH group. In still other suitable compounds of general formula (I), R⁵ is a protected OH group. When R⁵ is a protected OH group, it may be a group which is not stable in a basic environment such that treatment with a base converts the protected OH group to OH. Examples of such groups are well known in the art and include a group OC(0)R¹⁴ as defined above in which R¹⁴ is a group R¹⁰ as defined above for general formula (I).

Particularly suitable R¹⁴ groups are as defined for R¹⁰ above.

Alternatively, R⁵ may be a protected OH group which is stable in a basic environment. Examples of such groups include OSi(R¹⁶)3, where each R¹⁶ is independently a group R¹³ as defined above.

Particularly suitable R¹⁶ groups are as defined for R¹³ above. In some suitable compounds of general formulae (I) and (IA), independently or in any combination:

Y is a bond or an alkylene or alkenylene group having 1 to 3 carbon atoms and is optionally substituted with one or two R³ groups;

R⁴ is C(0)OR¹⁰, SO3R¹⁰, or OSO3R¹⁰, where R¹⁰ is as defined above but is more suitably H, C1-6 alkyl or benzyl; and

R⁵ is H or OH.

In some more suitable compounds, independently or in any combination:

R¹ is ethyl; and/or

R² is H; and/or

Y is a bond, -CH₂-, -CH2CH2-, -CH=CH- or -CH=C(CH₃)-; and/or

R⁴ is C(0)OR¹⁰, where R¹⁰ is H, Ci._e alkyl or benzyl; and/or

R⁵ is H.

In some particularly suitable compounds of this type, R¹ is ethyl and/or R¹⁰ is C1-6 alkyl or benzyl.

Particularly suitable compounds of the present invention include

(6β, 7α, 22E)-6-ethyl-7-hydroxy-3-oxo-4,22-choladien-24-oic acid;

(6β, 7a)-6-ethyl-7-hydroxy-3-oxo-4-cholen-24-oic acid and C1 -6 alkyl and benzyl esters thereof and salts thereof, especially the methyl and ethyl esters.

Compounds of general formula (I) and (IA) may be prepared from compounds of general formula (II):

(II)

wherein R², R⁴, R⁵ and Y are as defined in general formula (I);

by selective alkylation with an organometallic reagent.

Suitable organometallic reagents include Gilman reagents formed by reaction of an alkyl lithium compound of formula (XXIV):

R¹-Li (XXIV) wherein R¹ is as defined for general formula (I);

and a copper (I) salt, particularly a copper (I) halide such as copper (I) iodide.

The reaction may be conducted in an organic solvent such as tetrahydrofuran, other ethers such as diethylether or a mixture thereof.

Alternatively, the addition can be carried out using Grignard reagents R¹MgX, where R¹ is as defined for general formula (I) and X is a halide, for example ethylmagnesium bromide and the reaction is suitably conducted in the presence of a zinc (II) salt such as zinc chloride and a catalytic amount of a copper (I) or copper(ll) salt or complex, for example copper (I) chloride, copper (II) chloride or a copper(l) or copper (II) acetylacetonate (acac) complex.

The reaction may be carried out in an organic solvent, for example an ether such as THF, 2-methyl THF, methyl te/f-butyl ether (fBME), diethyl ether. Surprisingly, the reaction temperature is not particularly significant and while in some cases the reaction may be carried out at reduced temperature, for example at about -25 to 0 °C, it has also been successfully conducted at higher temperatures of up to about 55 °C. The process for preparing a compound of formula (I) from a compound of formula (II) is new and itself forms a part of the invention.

The method is particularly suitable for the preparation of compounds of general formula (I) in which R⁴ is C(0)OR¹° from compounds of general formula (II) where R⁴ is also C(0)OR¹⁰, where R¹⁰ is as defined above but is especially H, Ci-e alkyl or benzyl.

Alternatively, compounds of formula (I) can be prepared from other compounds of general formula (I). For example, a compound of general formula (I) in which R⁴ is C(0)OR¹⁰ may be converted to a compound of general formula (I) in which R⁴ is C(O)NR¹⁰R¹¹ , S(0)R¹⁰, SO2R¹⁰, OSO2R¹⁰, SO3R¹⁰, or OSO3R¹⁰.

Compounds of general formula (I) in which R⁴ is SO3R¹⁰ may be synthesised from compounds of general formula (I) in which R⁴ is C(0)OH by the methods taught in WO2008/002573, WO2010/014836 and WO2014/066819.

Thus a compound of formula (I) in which R⁴ is C(0)OH may be reacted with a C1-6 alkanoyl or benzoyl chloride or with a C1-6 alkanoic anhydride to protect the OH groups. The protected compound may then be reacted with a reducing agent such as a hydride, suitably lithium aluminium hydride or sodium borohydride in order to reduce the carboxylic acid group to OH. The alcohol group may be replaced by a halogen, for example bromine or iodine, using the triphenyl phosphine/imidazole/halogen method described by Classon et al, J. Org. Chem., 1988, 53, 6126-6130. The halogenated compound may then be reacted with sodium sulphite in an alcoholic solvent to give a compound with a SO3^" Na⁺ substituent.

A compound of general formula (I) in which R⁴ is OSO3R¹⁰ can be obtained by reacting the alcohol obtained from reducing the protected carboxylic acid as described above with chlorosulfuric acid in the presence of a base such as triethylamine to yield the protected triethylammonium salt. Protecting groups can be removed using base hydrolysis as described above. Reduction of the carboxylic acid followed by reaction of the resultant alcohol with chlorosulfurous acid yields a compound of general formula (I) in which R⁴ is

Compounds of general formula (I) in which R⁴ is C(O)NR¹⁰R¹¹ may be prepared from the carboxylic acid by reaction with an amine of formula H-NR¹⁰R¹¹ in a suitable solvent with heating. Compounds of general formula (I) in which R⁴ is C(O)NR¹⁰R¹¹ or OSO3R¹⁰ may also be prepared by methods similar to those described by Festa et al, J. Med. Chem., 2014, 57, 8477-8495.

Compounds of general formula (I) with other R⁴ groups may be prepared from the above compounds of general formula (I) by methods which are familiar to those of skill in the art. These methods also form an aspect of the invention.

Compounds of general formul mpounds of formula (III):

(III)

wherein R², R⁴, R⁵ and Y are as defined in general formula (I);

by oxidation, for example using bis(monoperoxypthalate) hexahydrate (MMPP) or 3- Chloroperoxybenzoic acid, (mCPBA).

The reaction using MMPP may be carried out in an organic solvent such as ethyl acetate and if mCPBA is used, the reaction may be carried out in a solvent such as dichloromethane or toluene. Suitably, the reaction is conducted at or just below the reflux temperature of the solvent.

Compounds of general formula (III) may be prepared from compounds of general formula (IV):

(IV)

wherein R², R⁴, R⁵ and Y are as defined in general formula (I);

by reaction with an oxidizing agent such as chloranil.

The reaction may be carried out under acidic conditions, for example in the presence of acetic acid, and in an organic solvent such as toluene.

Some compounds of general formulae (II), (III) and (IV) are known and, for example Uekawa et al in Biosci. Biotechnol. Biochem., 2004, 68, 1332-1337 describe the synthesis of (22£)-3-oxo-4,22-choladien-24-oic acid ethyl ester from stigmasterol followed by its conversion to (22£)-3-oxo-4,6,22-cholatrien-24-oic acid ethyl ester, which has the formula:

Uekawa et al then go on to describe the conversion of this compound to (6a, 7a, 22E)- 6,7-epoxy-3-oxo-4,22-choladien-24-oic acid ethyl ester, a compound of general formula (II) in which R² and R⁵ are H, Y is -CH=CH-, and R⁴ is C(0)OCH₂CH₃.

Other compounds of general formulae (II), (III) and (IV) may be prepared by analogous methods from phytosterols similar to stigmasterol.

Stigmasterol and other phytosterols are plant sterols and are readily available or may be prepared by known routes.

Compounds of general formula (IV) may also be prepared from compounds of general formula (Va):

(Va)

wherein R², R⁴, R⁵ and Y are as defined in general formula (I);

by reaction with lithium bromide and a base such as lithium carbonate. The reaction may be carried out in a solvent such as A/,A/-dimethylformamide (DMF) and at a temperature of about 120 to 180 °C.

Compounds of general formula (Va) may be obtained by bromination of a compound of general formula (V):

(V)

wherein R², R⁴, R⁵ and Y are as defined in general formula (I);

using, for example bromine in acetic acid.

Compounds of general formula (V) may be prepared from compounds of general formula (VI):

(VI)

wherein R², R⁴, R⁵ and Y are as defined in general formula (I);

by oxidation, typically with a chromium-based oxidizing agent or with sodium hypochlorite.

Compounds of general formula (VI) in which R⁴ is C(0)OR¹°, where R¹⁰ is Ci-e alkyl or benzyl may be prepared from compounds of general formula (VI) in which R⁴ is C(0)OH by esterification, typically by reaction with an appropriate alcohol under acidic conditions.

Compounds of general formula (VI) in which R⁴ is C(0)OH and R⁵ is H may be prepared from compounds of general formula (VII):

(VII)

wherein R² and Y are as defined in general formula (I);

R⁴ is C(0)OR¹⁰, where R¹⁰ is Ci-e alkyl or benzyl; and

R¹² is a protected OH;

by reaction with a reducing agent, typically hydrazine, under basic conditions and in an alcoholic or glycolic solvent, for example diethylene glycol. Where R¹² is a protected OH group which is stable under basic conditions, the reaction may be followed by a reaction to remove the protecting group R¹² to leave an OH group. Protecting groups for OH are discussed above and, for example, R¹² may be a group C(0)R¹⁴, where R¹⁴ is as defined above, in particular, Ci-e alkyl or benzyl. Silyl ethers are also suitable, and in this case, R² and/or R⁵ may independently be a group Si(R¹⁶)3, where R¹⁶ is as defined above but is especially Ci-e alkyl or phenyl. Other suitable protecting groups for OH are well known to those of skill in the art (see Wuts, PGM and Greene, TW (2006) "Greene's Protective Groups in Organic Synthesis", 4^th Edition, John Wiley & Sons, Inc., Hoboken, NJ, USA).

Particularly suitable R¹² groups include groups which are not stable in the presence of a base since this removes the need for the additional step of removing the protecting group. An example of a group R¹² which is not stable in basic conditions is a group C(0)R¹⁴, where R¹⁴ is as defined above, and is particularly Ci-e alkyl or benzyl.

Alternatively, the reaction may be carried out in 2 steps such that the compound of general formula (VII) is reacted with a compound of general formula (XXXII):

R²⁰-NH-NH₂ (XXXII) wherein R²⁰ is a leaving group such as toluene sulfonyl or methane sulfonyl;

to give a compound of general formula (XXXIII):

(XXXIII)

followed by reduction with a suitable reducing agent. Examples of reducing agents which can be used in this reaction include hydrides such as sodium borohydride, sodium cyanoborohydride, lithium aluminum hydride etc.

Compounds of general formula (VII) may be prepared from compounds of general formula (VIII):

(VIII)

wherein R² and Y are as defined in general formula (I);

R⁴ is C(0)OR¹⁰, where R¹⁰ is Ci-₆ alkyl or benzyl; and

R¹² is as defined above, especially -C(0)Ci-6 alkyl;

by reaction with an oxidizing agent, for example sodium hypochlorite.

The reaction may be carried out under acidic conditions, for example in the presence of acetic acid, and in an organic solvent such as ethyl acetate. Compounds of general formula (VIII) may be prepared from compounds of general formula (IX):

(IX)

wherein R² and Y are as defined in general formula (I);

R⁴ is C(0)OR¹⁰, where R¹⁰ is Ci-₆ alkyl or benzyl;

by reaction with an agent suitable to introduce the protecting group R¹². For example, when R¹² is C(0)R¹⁴, the compound of general formula (IX) may be reacted with a carboxylic acid anhydride or an acid chloride in the presence of a weak base such as pyridine, suitably catalysed by 4-dimethylaminopyridine (DMAP). The reaction may be conducted in a solvent such as ethyl acetate.

Compounds of general formula (IX) may be prepared by the esterification of compounds of general formula (X):

(X) wherein R² and Y are as defined in general formula (I).

The reaction may be carried out by reacting the acid of general formula (X) with a suitable alcohol under acidic conditions.

Compounds of general formula (X) are known. For example, the compound of general formula (X) in which Y is -CH2CH2- and R² is H is deoxycholic acid, which is readily available from a number of sources. Other bile acids with different values for Y and R² can be used as alternative starting materials.

An alternative route to compounds of general formula (IV) is as shown in Scheme 1 in which androstenedione is converted to a compound of general formula (IV) in which R² and R⁵ are H; R⁴ is -C(0)OCH₃ and Y is either -CH₂CH₂- or -CH=CH-.

Scheme 1

Marker et al, J. Am. Chem. Soc , 1940, 62, 2537 An alternative route to compounds of general formula (III) in which Y is an alkenylene group is by use of an olefination reaction, for example a Horner-Wadsworth-Emmons (HWE) olefination of a compoun

wherein R² and R⁵ are as defined for general formula (I);

using a compound of general formula (XII):

O O

io_RO ^UR

(XII)

wherein R¹⁰ is as defined for general formula (I).

The reaction may be carried out under standard HWE conditions, for example using a base such as sodium hydride. Compounds of general formula (XII) are readily available or may be prepared by methods known to those of skill in the art.

Other olefination reactions, such as Tebbe olefination, Wittig reaction or a Julia- Kocienski olefination, would also give rise to compounds of general formula (III) in which Y is an alkenylene group. These olefination reactions are familiar to a chemist of skill in the art.

Compounds of general formula (XI) may be prepared by reaction of a compound of general formula (XIII) with ozone

(XIII)

wherein R² and R⁵ are as defined for general formula (I) and R¹⁵ is Ci-e alkyl. An example of a reaction of this type is given in US 2,624,748.

Compounds of general formula (XIII) may be prepared by reaction of a compound of general formula (XIV):

wherein R² and R⁵ are as defined for general formula (I) and R¹⁵ is Ci-e alkyl

with an acid in a solvent such as methanol.

Compounds of general formula (XIV) may be prepared by oxidation of a compound of general formula (XV):

(XV)

wherein R² and R⁵ are as defined for general formula (I) and R¹⁵ is Ci-e alkyl using Oppenauer oxidation.

Examples of the conversion of compounds of general formula (XV) to compounds of general formula (XIII) are taught by Shepherd et al, J. Am. Chem. Soc. 1955, 77, 1212- 1215 and Goldstein, J. Med. Chem. 1996, 39, 5092-5099.

One example of a compound of general formula (XV) is ergosterol, which is a fungal sterol and Scheme 2 below shows the conversion of ergosterol to a compound of general formula (III) in which both R² and R⁵ are H, Y is CH=CH₂ and R⁴ is C(0)OR¹°, where R¹⁰ is ethyl. cheme 2

As with the compounds of general formula (I), compounds of general formulae (II) to (X), (Va) and (XXXIII) in which R⁴ is C(0)R¹⁰, C(O)NR¹⁰R¹¹ , S(0)R¹⁰, SO3R¹⁰, or OSO3R¹⁰ may be prepared from the corresponding compounds in which R⁴ is C(0)OR¹° by reaction with an appropriate reagents using methods well known to those of skill in the art. For example, the methods described in WO2008/002573 and WO2010/014836 or methods similar to those described by Classon et al, J. Org. Chem., 1988, 53, 6126- 6130 and Festa et al, J. Med. Chem., 2014, 57, 8477-8495.

Compounds of general formula (I) are intermediates in the synthesis of compounds of general formula (XVIII):

(XVIII)

wherein R¹ and R⁴ are as defined in general formula (I);

R² is H, halo or OH;

R^5a is H or OH; and

Y¹ is a bond or an alkylene linker group having from 1 to 20 carbon atoms and optionally substituted with one or more group R³; wherein R³ is as defined for general formula (I).

The compounds of general formula (I) may be converted to compounds of general formula (XVIII) in a 4 step process via intermediates of general formulae (XIX), (XX) and (XXI) as described below.

Therefore, in a further aspect of the invention there is provided a process for the preparation of a compound of general formula (XVIII), the process comprising: i. reducing a compound of general formula (I) using a suitable reducing agent to give a compound of general fo

(XIX)

wherein R¹ , R², R⁴ and R⁵ are as defined in general formula (I); and

Y¹ is as defined in general formula (XVIII); ii. oxidising the compound of general formula (XIX) using a suitable oxidizing agent to give a compound of general formula (XX):

(XX)

wherein R¹ , R², R⁴ and R⁵ are as defined in general formula (I); and

Y¹ is as defined in general formula (XVIII); iii. epimerisation of the compound of general formula (XX) to give a compound of general formula (XXI):

(XXI)

wherein R¹ and R⁴ are as defined in general formula (I);

Y¹ is as defined in general formula (XVIII);

R² is H, halo or OH or a protected OH group which is stable under basic conditions; and R^5b is H or OH or a protected OH group which is stable under basic conditions; and

(iv) reduction of the compound of general formula (XXI) using a suitable reducing agent and, where R² and/or R^5b is a protected OH, removal of the protecting group(s), to give a compound of general formula (XVIII) as defined above, wherein removal of the protecting group can take place before or after the reduction; and optionally

(v) conversion of a compound of general formula (XVIII) to another compound of general formula (XVIII).

Compounds of general formula (XVIII) are potent agonists of FXR and TGR5 and include obeticholic acid, which is a compound of formula (XVIII) in which R¹ is ethyl, R² and R^5a are both H, Y¹ is -CH2CH2-, and R⁴ is C(0)OH. In the compounds of general formulae (XVIII) to (XXI), more suitable values for R and R⁴ are as defined for general formula (I).

In some compounds of general formulae (XVIII) to (XXI), Y¹ is a bond. In other compounds of general formulae (XVIII) to (XXI), Y¹ is an alkylene linker group having from 1 to 15 carbon atoms, more suitably 1 to 12, 1 to 10 or 1 to 8 carbon atoms and optionally substituted with one or more groups R³ as defined above. Typically each R³ is independently halo, OR⁸ or NR⁸R⁹; where each of R⁸ and R⁹ is independently selected from H, methyl or ethyl, especially H or methyl.

In some suitable compounds of general formulae (XVIII) to (XXI), Y is an unsubstituted alkylene or alkenylene linker having from 1 to 15 carbon atoms, more suitably 1 to 12, 1 to 10 or 1 to 8 carbon atoms.

In step (i) above, the conversion of the compound of general formula (I) to the compound of general formula (XIX) may be carried out by hydrogenation, usually catalytic hydrogenation. Suitable catalysts for the catalytic hydrogenation include a palladium/carbon, palladium/calcium carbonate, palladium/aluminium oxide, platinum/palladium or Raney nickel catalyst. The reaction may be carried out in an organic solvent, which may be an alcoholic solvent such as methanol, ethanol or isopropanol; ethyl acetate; pyridine; acetic acid; cyclopentyl methyl ether (CPME) or N,N- dimethylformamide (DMF). The organic solvent may optionally be mixed with a co- solvent such as acetone or water and/or a base such as triethylamine may also be added.

The choice of catalyst and solvent affects the ratio of the required product of general formula (XIX):

(XIX)

to its isomer of general formul

(XXX)

It also affects the rate of conv formula (XXXI):

(XXXI) to the product.

More suitably, a palladium/carbon or palladium/calcium carbonate catalyst is used. Typically, in the catalyst the palladium is present in an amount of 5-10% by weight with respect to the weight of the matrix (where the matrix is the carbon, calcium carbonate etc).

Solvents which give superior ratios of (XIX): (XXX) include methanol, ethanol and DMF, particularly methanol and DMF.

When methanol is used as the solvent, it may be used alone or in the presence of a base such as triethylamine. Suitably, the amount of triethylamine used is a substoichiometric amount, typically 0.1 to 0.5 equivalents with respect to the amount of starting material of general formula (I).

Methanol in the presence of triethylamine gave a particularly high ratio of the required product of general formula (XIX) to isomer of general formula (XXX).

Reactions conducted with methanol as the solvent may be carried out at a temperature of about -30 to 25 °C and the temperature has little effect on the ratio of (XIX): (XXX).

When DMF is used as a solvent, it may be mixed with a co-solvent such as acetone, TBME, THF, acetonitrile or acetone/water. Optionally, the solvent contains a base such as triethylamine in a substoichiometric amount, typically 0.1 to 0.5 equivalents with respect to the amount of starting material of general formula (I).

Reactions conducted using DMF as solvent appear to be more sensitive to temperature than reactions carried out in methanol and the ratio of (XIX) : (XXX) decreases with increasing temperature. Suitably, therefore the reaction is conducted at a temperature of -30 to 0 °C, more suitably -20 to -10 °C.

It has been found that the pressure of hydrogen has little effect on the selectivity and therefore the hydrogen pressure is suitably about 1 atmosphere. Similarly dilution does not appear to have a major impact on the selectivity and therefore the solvent may be used in any convenient amount. Hydrogenation of a compound of formula (I) will also reduce any alkene bonds, if present, in the linker Y.

In step (ii) of the process set out above, the oxidation reaction may be carried out using any suitable method. One suitable method is a Dess-Martin periodinane (1 , 1 , 1- triacetoxy-1 , 1-dihydro-1 ,2-benziodoxol) oxidation, which may be carried out in a chlorinated solvent such as chloroform or dichloromethane at a temperature of about 15 to 25 °C, suitably at room temperature. An alternative oxidation method is oxidation using a hypochlorite, for example sodium hypochlorite, under acidic conditions, for example provided by acetic acid. The reaction may be carried out in an aqueous solvent and at a temperature of 0 to 15 °C, more usually at about 0 to 10 °C. Other oxidation methods include a Jones reaction using sodium dichromate or, more usually, chromic trioxide in dilute sulfuric acid. This process is known to be reliable for the clean conversion of bile acid hydroxyl groups to the corresponding keto derivatives (Bortolini et al, J. Org. Chem., 2002, 67, 5802). Alternatively oxidation may be carried out using TEMPO ((2,2,6,6-Tetramethyl-piperidin-1-yl)oxy) or a derivative thereof.

The epimerisation reaction of step (iii), suitably comprises treating the compound of general formula (XX) with a base. The compound of general formula (XX) may be dissolved in an alcoholic solvent, optionally mixed with water and contacted with a base, for example sodium or potassium hydroxide or a sodium or potassium alkoxide, typically an ethoxide.

In the case of compounds of general formula (XX) in which R⁴ is C(0)OR¹°, where R¹⁰ is Ci-6 alkyl or benzyl and where a strong base such as sodium or potassium hydroxide is used, the epimerization reaction of step (iii) may be accompanied by hydrolysis to give a compound of general formula (XXI) in which R⁴ is C(0)OH. .

If, in the compound of general formula (XX), R² and/or R⁵ is a protected OH, for example a group OC(0)OR¹⁴, where R¹⁴ is as defined above but is especially C1-6 alkyl or benzyl, this will be removed during the epimerisation step to give a compound of general formula (XXI) in which R² and/or R^5b is OH. Other protected OH groups which are stable in basic conditions (for example a group OSi(R¹⁶)3 where each R¹⁶ is independently as defined above but is especially C1-6 alkyl or phenyl) may be removed before or after step (iv). In step (iv), the reducing agent is typically a hydride, such as sodium borohydride which may be used in a solvent such as a mixture of tetrahydrofuran and water. Typically, this reaction is carried out under basic conditions, for example in the presence of a strong base such as sodium or potassium hydroxide and at a temperature of about 0 to 1 10°C, more usually 60 to 100 °C. A compound of general formula (XVIII) in which R⁴ is C(0)OH may be produced by the reduction of a compound of general formula (XXI) in which R⁴ is C(0)OH.

Compounds of general formulae (XVIII) to (XXI) in which R⁴ is C(0)R¹⁰, C(O)NR¹⁰R¹¹ , S(0)R¹⁰, SO2R¹⁰, or OSO2R¹⁰ may be prepared from the corresponding compounds in which R⁴ is C(0)OR¹° by reaction with an appropriate reagents using methods well known to those of skill in the art.

Compounds of general formulae (XVIII) to (XXI) in which R⁴ is SO3R¹⁰ may be synthesised from compounds of general formulae (XVIII) to (XXI) in which R⁴ is C(0)OH by the methods taught in WO2008/002573, WO2010/014836 and WO2014/066819.

Thus a compound of formula (I) in which R⁴ is C(0)OH may be reacted with a C1-6 alkanoyl or benzoyl chloride or with a C1-6 alkanoic anhydride to protect the OH groups. The protected compound may then be reacted with a reducing agent such as a hydride, suitably sodium borohydride in order to reduce the carboxylic acid group to OH. The alcohol group may be replaced by a halogen, for example bromine or iodine, using the triphenyl phosphine/imidazole/halogen method described by Classon et al, J. Org. Chem., 1988, 53, 6126-6130. The halogenated compound may then be reacted with sodium sulphite in an alcoholic solvent to give a compound with a SO3^" Na⁺ substituent.

Compounds of general formulae (XVIII) to (XXI) in which R⁴ is OSO3R¹⁰ can be obtained by reacting the alcohol obtained from reducing the protected carboxylic acid with chlorosulfuric acid in the presence of a base such as triethylamine to yield the protected triethylammonium salt. Protecting groups can be removed using base hydrolysis as described above. Reduction of the carboxylic acid followed by reaction of the resultant alcohol with chlorosulfurous acid yields a compound of general formulae (XVIII) to (XXI) in which R⁴ is OSO2R¹⁰. Compounds of general formulae (XVIII) to (XXI) in which R⁴ is C(O)NR¹⁰R¹¹ may be prepared from the carboxylic acid by reaction with an amine of formula H-NR¹⁰R¹¹ in a suitable solvent with heating. Compounds of general formulae (XVIII) to (XXI) in which R⁴ is C(O)NR¹⁰R^{1 1} or OSO3R¹⁰ may also be prepared by methods similar to those described by Festa et al, J. Med. Chem., 2014, 57 (20), 8477-8495. These methods also form an aspect of the invention. A compound of general formula (XVIII) to (XXI) in which R⁴ is C(0)R¹⁰ can be obtained by reduction of a compound in which R⁴ is C(0)OR¹° using one equivalent of diisobutyl aluminium hydride (DIBAL) to obtain an aldehyde in which R⁴ is C(0)H (see, for example, WO201 1/014661). Alternatively, the aldehyde may be prepared by oxidation of a protected compound in which R⁴ is OH prepared as described above. The oxidation may be Swern oxidation carried out using oxalyl chloride and dimethyl sulfoxide followed by triethylamine (see, for example Xiang-Dong Zhou et al, Tetrahedron, 2002, 58, 10293-10299). Alternatively, the oxidation may be carried out using an oxidating agent such as pyridinium chlorochromate (PCC) as described by Carnell et al {J. Med. Chem., 2007, 50, 2700- 2707).

A compound of general formula (I) in which R⁴ is C(0)R¹⁰ where R¹⁰ is other than hydrogen can be obtained by known methods, for example by the reaction of the aldehyde in which R⁴ is C(0)H with a suitable Grignard reagent, followed by oxidation. Such methods are well known to those of skill in the art.

The invention will now be described in greater detail with reference to the examples. In the examples, the following abbreviations were used:

AcOH Acetic acid

CPME Cyclopentyl methyl ether

DMF A/,A/-dimethylformamide

EtOAc Ethyl acetate

EtOH Ethanol

I PA Isopropyl alcohol

MeOH Methanol

NEt₃ Triethylamine

nBuOAc n-butyl acetate

TBME f-butyl methyl ether THF Tetrahydrofuran

TLC Thin layer chromatography

Examples 1 to 4 - Synthesis of (6β, 5β, 7a)-6-ethyl-7-hydroxy-3-oxo-cholan-24-oic acid ethyl ester from Stigmasterol.

Example 1 - Synthesis of -3-oxo-4,6,22-cholatrien-24-oic acid ethyl ester

The starting material, (22£)-3-oxo-4,22-choladien-24-oic acid ethyl ester, was prepared from stigmasterol according to the method described by Uekawa et al in Biosci, Biotechnol, Biochem., 2004, 68, 1332-1337.

(22E)-3-oxo-4,22-choladien-24-oic acid ethyl ester (1.00 kg, 2.509 mol; 1 eq) was charged to a reaction vessel, followed by AcOH (3 vol, 3.0 L) and toluene (1 vol, 1.0 L) with stirring. Chloranil (0.68 kg, 2.766 mol; 1.1 eq) was then charged and the reaction mixture heated to 100 °C and maintained at this temperature for 1-2 h (IPC by TLC on silica, eluent 3:7 EtOAc : Heptane; Starting Material: Rf 0.50, Product: Rf 0.46; visualise with anisaldehyde stain). The mixture was then cooled in an ice/water bath to 10 °C and the resulting solid was filtered off. The filter-cake was washed with premixed 3: 1 AcOH : Toluene (4 x 0.5 vol) at 5 °C ± 4 °C and the filtrate concentrated in vacuo at up to 70 °C. The residue was dissolved in acetone (3 vol), then 3% w/w aq. NaOH (10 vol) was charged dropwise with stirring, maintaining the temperature below 30 °C (exothermic). The resulting suspension was cooled to 10-15 °C and stirred for 30 mins. The solids were collected by filtration and the filter cake was washed with premixed 1 :1 acetone : water (1 x 2 vol then 3 x 1 vol). The filter cake (tan solid) was dried under vacuum at 70- 75 °C, 672 g (68% yield). Characterisation of the compound agrees with the data published in the literature. Example 2 - (6α, 7α, 22£)- -epoxy-3-oxo-4,22-choladien-24-oic acid ethyl ester

To a solution of (22E)-3-oxo-4,6,22-cholatrien-24-oic acid ethyl ester (58.0 g, 146.3 mmol) in EtOAc (1.0 L) at reflux was added 80% MMPP (magnesium bis(monoperoxyphthalate) hexahydrate, 197.0 g, ca. 318.6 mmol) in four equal portions at 30 min intervals. The suspension was vigorously stirred at reflux for 5 h and at ambient temperature for a further 16 h. The reaction was then heated to reflux and stirred for an additional 6 h. The mixture was cooled to ca. 50 °C and the solids were filtered and rinsed with hot EtOAc (200 mL). The filtrate was subsequently washed with 20% aq. NaHSOs (100 mL), 1 M aq. NaOH (100 mL then 200 mL) and 10% aq. NaCI (250 mL), dried over Na2S0₄, filtered and concentrated in vacuo. The residue (yellow solid) was crystallised from minimum volume of EtOAc at 60 °C to give the epoxide product as off white/pale yellow crystals (25.7 g, 43% yield, prisms). Characterisation of the compound agrees with the data published in the literature.

Example 3 - Synthesis of (6β, 7α, 22£)-6-ethyl-7-hydroxy-3-oxo-4,22-choladien-24- oic acid ethyl ester

Method 1 :

To a suspension of Cul (1.40 g, 7.35 mmol) in diethyl ether (10 mL), cooled to -78 °C under an argon blanket was charged EtLi (28.8 mL, 14.4 mmol, 0.5 M solution in benzene / cyclohexane). The thick white suspension formed was allowed to warm to 0 °C, stirred for 5 mins (forming a dark solution) and cooled to -78 °C. A solution of (6a, 7a, 22£)-6,7-epoxy-3-oxo-4,22-choladien-24-oic acid ethyl ester (1.00 g, 2.42 mmol) in diethyl ether / THF (24 mL, 3:1) was prepared and charged to the vessel containing the organocuprate. THF (1 mL) was used to rinse the vessel that contained the solution of the epoxide and this was also charged to the organocuprate. The reaction mixture was allowed to warm to -4 °C over 30 mins after which time the reaction was complete by TLC (silica, 1 :1 EtOAc : heptane). After a further 30 mins of stirring at c.a. -4 °C a solution of aq. sat. NH4CI was charged and the mixture was stirred over 30 mins. The mixture was transferred to a separating funnel and the aqueous phase was removed, along with solid material present at the interface. The organic phase was washed with 5 wt % aq NaHCOs (2 x 50 mL,.) and water (1 x 50 mL). TBME (50 mL) was used to extract the original aqueous phase from the reaction and the combined washes. The combined organic phases were concentrated and the residue was purified by chromatography using silica (25 g) as the stationary phase (gradient elution with 0-30 % EtOAc in heptane) to give (6β, 7α, 22E)-6-ethyl-7-hydroxy-3-oxo-4,22-choladien-24-oic acid ethyl ester (0.63 g, 59 %).

¹ H NMR (400 MHz, CDC ): δ = 6.82 (1 H, dd, J = 15.6, 8.9, C22H), 5.75 (1 H, s, C4H), 5.74 (1 H, d, J = 15.6, C23H), 4.17 (2H, q, J = 7.1 , OCH2CH3), 3.72 (1 H, br s, C7H), 2.52-2.25 (5H, m), 2.05-1.98 (2H, m), 1.82-1.10 (23H, m), 0.91 (3H, t, J = 7.4, CH₃), 0.77 (3H, s, CH3). ¹³C NMR (100 MHz, CDCb): δ = 199.2, 171.2, 167.1 , 154.5, 128.4, 119.0, 71.9, 60.1 , 55.3, 54.9, 49.9, 44.3, 42.7, 39.6, 39.1 , 38.3, 37.4, 35.6, 34.0, 28.0, 26.3, 23.6, 20.8, 19.7, 19.2, 14.2, 12.8, 12.0; (IR) v_max(crrr¹): 3467, 2939, 2870, 1716, 1651 , 1457, 1268, 1229, 1034; HRMS (ESI-TOF) m/z: (M+H)⁺ calcd for C28H43O4 443.3161 ; found: 443.3156. mp = 59.4 - 62.9 °C

Method 2

ZnC (32.84 g, 240.9 mmol) was dried under vacuum with slow stirring at 180 °C for 2 h. The flask was cooled to room temperature under an argon atmosphere and the residue was dissolved in THF (520 mL) and transferred via cannula into a three neck reaction flask equipped with mechanical stirrer and temperature probe. The solution was cooled in an ice bath to 0-3 °C and a 3M solution of EtMgBr in Et₂0 (80 mL, 240.0 mmol) was added dropwise over 20 mins, maintaining the internal temperature below 10 °C. Formation of a white precipitate (active zincate species) was observed after addition of ca. 1/3 of the Grignard solution. The mixture was stirred for 1.2 h at 0 °C before a solution of the epoxide (6a, 7a, 22£)-6,7-epoxy-3-oxo-4,22-choladien-24-oic acid ethyl ester (43.0 g, 104.2 mmol) in THF (300 mL) was added dropwise, maintaining the internal temperature below 10 °C. Solid CuCI (1.03 g, 0.104 mmol) was then added in two equal portions with vigorous stirring. After 10 mins the cooling bath was removed and stirring continued at ambient temperature for an additional 1 .2 h. The reaction was quenched by dropwise addition of sat. aq. NH₄CI (800 mL) at < 15 °C and stirred for 0.5 h. The mixture was filtered and the solid rinsed with TBME (150 mL). The phases were separated and the aqueous phase extracted with TBME 2x250 mL. The combined organic extracts were washed with 10% aq. NaCI (2x200 mL), dried over Na2S0₄, filtered and concentrated in vacuo to give 43.7 g of the crude (6β, 7α, 22£)-6-ethyl-7-hydroxy-3- oxo-4,22-choladien-24-oic acid ethyl ester as a yellow foam. Method 3

To a solution of ZnC in THF (0.5 M, 8.7 mL, 4.85 mmol, 0.9 eq) was charged anhydrous THF (8.0 mL) and the contents then cooled to -25 °C. A solution of EtMgBr in TBME (1 .0 M, 8.7 mL, 8.70 mmol, 1 .8 eq) was added over 30 mins and the mixture stirred for 45 mins at -25 °C. Solid CuCI (24 mg, 0.49 mmol, 0.05 eq) was added in one portion and a solution of (6a, 7a, 22£)-6,7-epoxy-3-oxo-4,22-choladien-24-oic acid ethyl ester (2.0 g, 4.85 mmol) in THF (8.0 mL) was added dropwise over 30 mins. The remaining solid CuCI (24 mg, 0.49 mmol, 0.05 eq) was added half way through the addition of (6a, 7a, 22£)-6,7-epoxy-3-oxo-4,22-choladien-24-oic acid ethyl ester. The reaction was stirred for 1 h at -25 °C, (TLC 1 : 1 Heptane: EtOAc, visualised by UV and developed using Ceric Ammonium Molybdate stain) and then additional of EtMgBr in TBME (1.0 M, 2.9 mL, 2.91 mmol, 0.6 eq) was added over 10 mins. The reaction was stirred for 0.5 h at -25 °C and then quenched by the addition of sat. aq. NH₄CI (5 mL), maintaining the temperature below -5 °C. The inorganic salts were filtered off, rinsed with TBME and the filtrate phases were separated. The aqueous layer extracted with TBME and then the combined organic extracts were washed with sat. aq. NH₄CI (3 x 5 mL) and 10% brine (3 x 6 mL). The organic phase was concentrated in vacuo at 40 °C to give crude (6β, 7α, 22£)-6- ethyl-7-hydroxy-3-oxo-4,22-choladien-24-oic acid ethyl ester as a yellow foam (1 .91 g).

Method 4

To a solution of ZnC in THF (0.5 M, 8.7 mL, 4.85 mmol, 0.9 eq) was charged anhydrous THF (8.0mL) and the contents then heated to 40 °C. A solution of EtMgBr in TBME (1 .0 M, 8.7 mL, 8.70 mmol, 1 .8 eq) was added over 30 mins and the mixture stirred for 45 mins at 40 °C. Solid CuCI (24 mg, 0.49 mmol, 0.05 eq) was added in one portion and a solution of (6a, 7a, 22£)-6,7-epoxy-3-oxo-4,22-choladien-24-oic acid ethyl ester (2.0 g, 4.85 mmol) in THF (8.0 mL) was added dropwise over 30 mins. The remaining solid CuCI (24 mg, 0.49 mmol, 0.05 eq) was added half way through the addition of (6a, 7a, 22£)-6,7-epoxy-3-oxo-4,22-choladien-24-oic acid ethyl ester. The reaction was stirred for 1 h at 40 °C, (TLC 1 : 1 Heptane: EtOAc, visualised by UV and developed using Ceric Ammonium Molybdate stain) and then quenched by the dropwise addition of sat. aq. NH4CI (5 mL). The inorganic salts were filtered off, rinsed with TBME and the filtrate phases were separated. The aqueous layer was extracted with TBME and then the combined organic extracts were washed with sat. aq. NH4CI (3 x 5 mL) and 10% brine (3 x 6 mL). The organic phase was concentrated in vacuo at 40 °C to give crude (6β, 7α, 22 £)-6-ethyl-7-hydroxy-3-oxo-4,22-choladien-24-oic acid ethyl ester as a yellow foam (2.08 g).

Method 5

To a solution of ZnC in THF (0.5 M, 8.7 mL, 4.85 mmol, 0.9 eq) was charged anhydrous THF (8.0 mL) and the contents then cooled to -15 °C. A solution of EtMgBr in THF (1.0 M, 8.7 mL, 8.70 mmol, 1 .8 eq) was added over 30 mins and the mixture stirred for 45 mins at -15 °C. Solid CuCI (24 mg, 0.49 mmol, 0.05 eq) was added in one portion and a solution of (6a, 7a, 22£)-6,7-epoxy-3-oxo-4,22-choladien-24-oic acid ethyl ester (2.0 g, 4.85 mmol) in THF (8.0 mL) was added dropwise over 30 mins. The remaining solid CuCI (24 mg, 0.49 mmol, 0.05 eq) was added half way through the addition of (6a, 7a,22E)-6,7-epoxy-3-oxo-4,22-choladien-24-oic acid ethyl ester. The reaction stirred for 1 h at -15 °C, (TLC 1 : 1 Heptane: EtOAc, visualised by UV and developed using Ceric Ammonium Molybdate stain) and then additional EtMgBr in THF (1.0 M, 4.35 mL, 4.36 mmol, 0.9 eq) was added over 15 mins and then quenched by the dropwise addition of sat. aq. NH4CI (5 mL). The inorganic salts were filtered off, rinsed with TBME and the filtrate phases were separated. The aqueous phase was extracted with TBME and then the combined organic extracts were washed with sat. aq. NH4CI (3 x 5 mL) and 10% brine (3 x 6 mL). The organic phase was concentrated in vacuo at 40 °C to give crude (6β, 7α, 22£)-6-ethyl-7-hydroxy-3-oxo-4,22-choladien-24-oic acid ethyl ester as a yellow foam (1 .94 g). Example 4 - Synthesis of (6β, 5β, 7a)-6-ethyl-7-hydroxy-3-oxo-cholan-24-oic acid ethyl ester

Method 1

To a suspension of 10 wt. % Pd/C (50% wet, 20 mg, 8.6 mol%) in DMF (2 mL) was added a solution of (6β, 7α, 22£)-6-ethyl-7-hydroxy-3-oxo-4,22-choladien-24-oic acid ethyl ester (50 mg, 0.1 1 mmol) in DMF (3 mL) and the reaction mixture was cooled to 0 °C. The flask was evacuated then filled with hydrogen three times with vigorous stirring. After 3 h the flask was evacuated then filled with argon and the mixture filtered via syringe filter. The mixture was partitioned between TBME (30 mL) and H2O (20 mL). The organic phase was dried (Na2S0₄) and concentrated in vacuo. The crude product (50 mg) was a 14: 1 mixture of 5β to 5a isomers (analysed by ¹ H NMR) of (6β, 5β, 7α)-6- ethyl-7-hydroxy-3-oxo-cholan-24-oic acid ethyl ester, yield 92%.

1 H NMR (700 MHz, CDC ): δ = 4.12 (2H, q, J = 7.1 , OCH2CH3), 3.71 (1 H, br s, C7H), 3.34 (1 H, dd, J = 15.5, 13.6, C4H), 2.39-2.32 (2H, m), 2.24-2.20 (1 H, m), 2.14-2.09 (2H, m), 2.03-1.91 (4H, m), 1.83-1.79 (2H, m), 1.68-1.63 (2H, m), 1.58 (1 H, s), 1.55-1.12 (19H, m), 1.04 (3H, s), 0.95-0.93 (6H, m), 0.88 (1 H, J = 7.0), 0.71 (3H, s). ¹³C NMR (100 MHz, CDCb): δ = 213.5, 174.2, 72.1 , 60.2, 55.9, 50.2, 49.8, 47.0, 46.7, 42.7, 39.5, 37.7, 36.3, 36.0, 35.7, 35.3, 34.2, 31.3, 31.0, 28.1 , 27.7, 24.4, 23.8, 20.8, 18.3, 14.2, 13.9, 1 1.8. (IR) v_max(cm-¹):3514, 2939, 2870, 1710, 1462, 1377, 1 159, 1099, 1032; HRMS (ESI-TOF) m/z: (M-H₂0+H)⁺ calcd for CasH^Os 429.3369; found: 429.3363.

Method 2

(6β, 7α, 22E)-6-ethyl-7-hydroxy-3-oxo-4,22-choladien-24-oic acid ethyl ester (20.0 g) was dissolved in DMF (400 mL) and added under argon to solid 10 wt. % Pd/C (50% wet, 10.0 g). The mixture was cooled in an ice-salt bath to approximately -15 °C and the flask was evacuated then filled with hydrogen three times with vigorous stirring. The mixture was stirred under an atmosphere of hydrogen for 6 h then the flask was evacuated, filled with argon and filtered through a pad of celite. The catalyst was rinsed with 400 mL of TBME. The filtrate was washed with 10% aq. NaCI (400 mL) and the aqueous phase extracted with TBME (400 ml_). The combined organic phases were washed with 10% aq. NaCI (3 x 200 ml_), dried over Na2S0₄, filtered and concentrated in vacuo to give crude (6β, 5β, 7a)-6-ethyl-7-hydroxy-3-oxo-cholan-24-oic acid ethyl ester (20.0 g, ca. 28: 1 5Ηβ:5Ηα ratio) as pale yellow oil.

Method 3

10% Pd/C was charged to a stainless steel jacketed reaction vessel under an argon atmosphere; DMF was added (20 ml_), followed by a solution of crude (6β, 7α, 22£)-6- ethyl-7-hydroxy-3-oxo-4,22-choladien-24-oic acid ethyl ester from Example 3 (approximately 72.6 mmol) in DMF (130 ml_). The reaction mixture was cooled to -25 °C (over approximately 40 mins) with vigorous stirring (1200 rpm). The reaction vessel was evacuated and charged with hydrogen (10-12 bar) three times. The mixture was stirred for 16 h under an atmosphere of hydrogen (10-12 bar). The vessel was evacuated, purged with argon and warmed to 20 °C with stirring. TLC of the reaction mixture (1 : 1 Heptane: EtOAc, developed using Ceric Ammonium Molybdate or vanillin dip, Rf values: starting material = 0.42, product = 0.67) indicated complete consumption of the starting material. The suspension was diluted with CH3CN (120 ml_) and H2O (30 ml_) and the suspension filtered via a double GFA filter paper and the filter cake rinsed with CH3CN (60 ml_). The mixture was telescoped to the next step without further purification. The mixture contained approximately 5% of the 5H-a isomer.

Optimisation

The hydrogenation reaction of this example proceeds via the intermediate shown below and produces both the required 5Ηβ compound and its 5Ha isomer. A solvent and catalyst screen was carried out to determine reaction conditions which led to the highest yield and the highest ratios of 5Ηβ isomer to 5Ha isomer.

The solvent screen was performed using 10 wt. % Pd/C catalyst and the reactions were run at room temperature under atmospheric pressure of hydrogen. The reaction run in MeOH in the presence of NEt3 was more selective than the one run in neat MeOH, whilst the addition of 10% of H2O decreased the 5βΗ selectivity. The reaction in DMF provided the best β:α ratio. The reaction in pyridine gave poor conversion to the required product with mainly starting material and intermediate present in the mixture.

Reactions in DMF and MeOH were tested at a range of temperatures. For reactions run in DMF temperature has substantial impact on selectivity (the selectivity decreases with increasing temperature), while little difference was observed for reactions in MeOH. Reactions in DMF and MeOH were tested at a range of commercially available 5 and 10 wt. % Pd catalysts, on carbon, calcium carbonate, barium sulfate and aluminium oxide support.

The reactions were run in 10 volumes of solvent at -15 °C under atmospheric pressure of hydrogen gas. For reactions run in DMF pressure has lower impact on the selectivity than the temperature. The effect of dilution on the selectivity is negligible. Examples 5 to 14 - Synthesis of (6β, 5β, 7a)-6-ethyl-7-hydroxy-3-oxo-cholan-24-oic acid ethyl ester from Deoxycholic Acid

Example 5 - Synthesis of (3a, 5p)-3-acetoxy-12-oxo-cholan-24-oic acid methyl ester

To a solution of deoxycholic acid (500 g, 1.27 mol) in MeOH (1.5 L) was charged H2SO4 (0.68 mL, 12.7 mmol) and the reaction heated to 64 °C until complete. The reaction was cooled to 55 °C and pyridine (2.06ml_, 25.4 mmol) was charged. MeOH (800 mL) was removed by distillation and the reaction cooled to 50 °C. EtOAc (500 mL) was charged and the distillation continued. This co-evaporation was repeated until the MeOH content was <0.5%. The reaction was cooled to 40 °C and EtOAc (1.0 L) was charged followed by Pyridine (134 mL, 1.65 mol) and DMAP (1.1 g, 8.89 mmol). Acetic anhydride (150 mL, 1.58 mmol) was added dropwise and the reaction vessel stirred at 40 °C until complete. The reaction was cooled to 22 °C and 2M aq. H2SO4 (1500 mL) added maintaining the temperature below 25 °C. The aqueous phase was removed and the organic phase washed with water (1.2 L), sat. aq. NaHCOs solution (1.2 L x 2) and water (1.2 L). AcOH (1.0 L) was charged to the organic layer, followed by NaBr (6.6 g, 63.5 mmol). Aq. 16.4% NaOCI solution (958 mL, 2.54 mol) was charged dropwise maintaining the reaction temperature below 25 °C. The reaction was stirred until complete, then cooled to 10 °C and stirred for 90 mins. The resulting solids were collected by filtration, washed with water (3 x 500 mL) and the filter cake dried under vacuum at 40 °C. The solids were crystallised from MeOH (10 vol) to give (3a, 5β)-3-3θβίοχγ-12-οχο-οηοΐ3η-24-οίο acid methyl ester as an off white solid (268 g).

Example 6 - Synthesis of (3a, 5p)-3-acetoxy-cholan-24-oic acid methyl ester

(3a, 5β)-3-3θβίοχγ-12-οχο-οηοΐ3η-24-οίο acid methyl ester (268 g, 0.6 mol) was charged to the reaction vessel under argon, followed by AcOH (1.8 L). Tosyl hydrazide (190 g, 1.02 mol) was then added maintaining the reaction temperature at 25 °C. The reaction was stirred until complete and then NaBhU (1 13.5 g, 3.00 mol) was charged portion-wise maintaining the temperature below 25 °C. The reaction mixture was stirred until complete and then quenched by the dropwise addition of water (1.34 L) maintaining the temperature below 25 °C. The reaction mixture was stirred for 30 mins, the resulting solids collected by filtration, washed with water (3 x 270 mL) and the solid dried under vacuum at 40 °C. The solids were crystallised from MeOH (3 vol) to give (3a, 5β)-3- acetoxy-cholan-24-oic acid methyl ester as an off white solid (214.5g).

Example 7 - Synthesis of (3a, 5p)-3-hydroxy-cholan-24-oic acid (Lithocholic Acid)

To a solution of (3a, 5β)-3-acetoxy-cholan-24-oic acid methyl ester (214.5 g, 0.50 mol) in IPA (536 mL) was charged water (536 mL) and 50% w/w NaOH (99 g, 1.24 mol). The reaction was heated to 50 °C and stirred until complete. 2M H2SO4 was charged slowly with vigorous stirring until pH 2-3 was obtained and then the reaction cooled to 20 °C. The resulting solids were collected by filtration, washed with water (3 x 215 mL) and the resultant solid dried under vacuum at 40 °C to give (3a, 5β)-3-ϊ^κ^-οΙιοΐ3η-24-οίο acid (176.53 g)

Example 8 - Synthesis of -3-oxocholan-24-oic acid ethyl ester

To a solution of (3a, 5β)-3-ϊ^κ^-οΙιοΐ3η-24-οίο acid (10 g, 26.5 mmol) in EtOH (50 mL) was charged H2SO4 96% (14 μί, 0.27 mmol) and the reaction mixture then heated to reflux for 16 h. Pyridine was then charged, the mixture stirred for 30 mins and concentrated in vacuo at 40 °C. The residue was dissolved in EtOAc (30 mL) and AcOH (10 mL) and NaBr (136 mg, 1.33 mmol) was then charged. The solution was cooled to 5 °C and NaOCI 9% (27 mL, 39.8 mmol) was charged dropwise maintaining the temperature below 10 °C. The resulting suspension was warmed to ambient temperature and stirred for 1 h. The reaction mixture was cooled to 0 °C for 10 mins, the solids collected by filtration and washed with water (3 x 3 vol). The resultant solid was dried under vacuum at 40 °C to give ^)-3-oxocholan-24-oic acid ethyl ester (7.83 g).

Example 9 - Synthesis of (4a, 5p)-3-oxo-4-bromo-cholan-24-oic acid ethyl ester

To a solution of ^)-3-oxocholan-24-oic acid ethyl ester (8.0 g, 19.9 mmol) in AcOH (84 mL) was added Br₂ in AcOH (16 mL, 21.9 mmol) dropwise over 15 mins. The reaction mixture was stirred for 10 mins, then diluted with EtOAc (250 mL), washed with water (2 x 200 mL) and concentrated in vacuo at 40 °C. The crude material was purified by column chromatography (30% Heptane: EtOAc) and concentrated in vacuo at 40 °C to give (4a, 5β)-3-οχο-4-^οηιο-οΙ-ιοΐ3η-24-οίο acid ethyl ester as a pale crystalline solid (7.49g).

Example 10 - Synthesis of (5β)-3-οχο-4-οηοΙβηβ-24-οϊο acid ethyl ester

To a solution of (4a, 5β)-3-οχο-4-^οηιο-οΙ-ιοΐ3η-24-οίο acid ethyl ester (4.0 g, 8.33 mmol) in DMF (40 mL) was charged L12CO3 (4.0 g, 1 mass eq) and LiBr (2.0 g, 0.5 mass eq). The mixture was heated to 150 °C for 2 h then allowed to cool to ambient temperature and poured onto a mixture of water and ice (200 g, 50 volumes) and AcOH (8 mL). The resulting suspension was stirred for 15 mins, the solids collected by filtration and then purified by column chromatography (30% Heptane: EtOAc) to give 3-oxo-4-cholene-24- oic acid ethyl ester as a pale crystalline solid (1.68 g). Example 11 - Synthesis of -oxo-4,6-choladien-24-oic acid ethyl ester.

3-oxo-4-cholene-24-oic acid ethyl ester (2.23 g, 5.57 mmol) was charged to a reaction vessel, followed by AcOH (6.7 ml_) and toluene (2.23 ml_). Chloranil (1.5 g, 6.13 mmol) was charged and the reaction mixture heated to 100 °C for 2 h (IPC by TLC, 3:7 EtOAc: Heptane; visualized with Anisaldehyde stain). The reaction mixture was cooled to 10 °C for 10 mins and the resulting solid removed by filtration. The filter cake was washed with DCM (9 vol) and the resulting filtrate then concentrated in vacuo at 40 °C. The residue was dissolved in acetone (9 vol) then 3% w/w aq. NaOH (27 vol) was added dropwise maintaining the temperature below 30 °C. The resulting mixture was cooled in an ice bath for 10 mins and the solids collected by filtration. The filter cake was washed with water (2 x 9 vol) and acetone: water 2: 1 (4 vol). Purification by column chromatography (0-30% Heptane: EtOAc) gave 3-oxo-4,6-choladien-24-oic acid ethyl ester as a pale crystalline solid (1.45 g)

Example 12 - Synthesis of (6a, 7a)-6,7-epoxy-3-oxo-4-chola-ene-24-oic acid ethyl ester

3-0X0-4, 6-choladien-24-oic acid ethyl ester (1.37 g, 4.27 mmol) was charged to a reaction vessel, followed by BHT (23 mg, 0.13 mmol), EtOAc (1 1 ml_) and water (3.4 ml_) with stirring. The solution was heated to 80 °C and then a solution of mCPBA 70% (1.5 g, 7.51 mmol) in EtOAc (7.5 ml_) was added dropwise over 15 mins. The reaction mixture was stirred at 70 °C for 2 h (IPC by TLC, 3:7 EtOAc: Heptane; visualized with Anisaldehyde stain), cooled to ambient temperature and then washed with 1 M aq.NaOH (2 x 20 ml_) followed by 10% aq. NaS₂0₃: 2% NaHCOs (3 x 20 ml_). The organic phases were dried over Na2S0₄ and concentrated in vacuo at 40 °C. The crude solids were crystalized from EtOAc (3 vol) at 60 °C to give an off white solid which was dried under vacuum at 40 °C to give (6a, 7a)-6,7-epoxy-3-oxo-4-chola-ene-24-oic acid ethyl ester (0.90 g). Example 13 - Synthesis of (6p,7a)-6-ethyl-7-hydroxy-3-oxo-4-cholen-24-oic acid ethyl ester

ZnCb (600 mg, 4.25 mmol) was charged to a reaction vessel and dried under vacuum at 180 °C for 1 h. The reaction vessel was cooled to ambient temperature, THF (15 ml_) charged and the contents of the reaction vessel cooled to 3 °C. A solution of 3M EtMgBr in Et20 (1.5 ml_, 4.25 mmol) was charged to the reaction vessel over 40 mins maintaining the temperature below 5 °C. The reaction mixture was then stirred for 1 h. (6a, 7a)-6,7-epoxy-3-oxo-4-chola-ene-24-oic acid ethyl ester (0.80 g, 1.93 mmol) in THF (6 ml_) was charged to the reaction vessel over 40 mins, maintaining the temperature below 5 °C. CuCI (20 mg, 0.19 mmol) was charged in one portion and the reaction stirred at ambient temperature for 16 h (IPC by TLC, 3:7 EtOAc: Heptane; visualized with Anisaldehyde stain). The reaction mixture was cooled in an ice bath and sat. aq.NH₄CI was added dropwise, maintaining the temperature below 10 °C. The reaction mixture was filtered and the filter cake washed with TBME (12.5 vol). The organic phase of the filtrate was separated and the aqueous phase extracted with TBME (2 x 12.5 vol). The combined organic phases were washed with 5% NaCI (3 x 12.5 vol) and concentrated in vacuo at 40 °C. Example 14 - Synthesis of (6β, 5β, 7a)-6-ethyl-7-hydroxy-3-oxo-cholan-24-oic acid ethyl ester

10% Pd/C (70 mg) was charged to a reaction vessel under an argon atmosphere followed by the crude material from Example 13 in DMF (14.6 ml_). The mixture was cooled to -10 °C and the reaction vessel was evacuated then filled with hydrogen three times with vigorous stirring. The mixture was stirred under an atmosphere of hydrogen for 24 h while maintaining the temperature at -10 °C (IPC by TLC, eluent 1 :1 EtOAc: Heptane; visualized with Anisaldehyde stain) then the flask was evacuated, filled with argon and filtered through a pad of celite and rinsed with DMF (7 mL). 10% Pd/C (70 mg) was recharged to the reaction vessel under an argon atmosphere followed by the DMF reaction mixture. The mixture was cooled to approximately -10 °C and the reaction vessel was evacuated then filled with hydrogen three times with vigorous stirring. The mixture was stirred under an atmosphere of hydrogen for 24 h at -10 °C (IPC by TLC, 1 : 1 EtOAc: Heptane; visualized with Anisaldehyde stain) then the flask was evacuated, filled with argon and filtered through a pad of celite and washed with TBME (62.5 vol, 50 mL). The filtrate was washed with 10% aq. NaCI (4 x 25 vol), dried over Na2S0₄, filtered and concentrated in vacuo at 40 °C. Purification by column chromatography (S1O2, 0-30% Heptane: EtOAc) gave (6β, 5β, 7a)-6-ethyl-7-hydroxy-3-oxo-cholan-24-oic acid ethyl ester (0.17 g). The product was identical to the material obtained from plant origin (6β, 7α, 22£)-6-ethyl-7-hydroxy-3-oxo-4,22-choladien-24-oic acid ethyl ester (see Example 4). Examples 15 to 17 - Conversion of (6β, 5β, 7a)-6-ethyl-7-hydroxy-3-oxo-cholan-24- oic acid ethyl ester to (3g, 5β, 6g, 7a)-6-ethyl-3,7-dihvdroxy-cholan-24-oic acid Example 15 - Synthesis o -3,7-dioxo-6-ethyl-cholan-24-oic acid ethyl ester

Method 1

A solution of Jones's reagent prepared from Cr03 (1.10 g, 1 1 mmol) in H2S0₄ (1.4 mL) and made to 5 mL with water was charged dropwise to a solution of (6β, 5β, 7a)-6-ethyl- 7-hydroxy-3-oxo-cholan-24-oic acid ethyl ester (0.18 g, 0.40 mmol) in acetone (10 mL) until an orange colour persisted. The reaction mixture was quenched with IPA (1 mL), filtered through a 0.45 μηι nylon syringe filter and the filter was washed with acetone (10 mL). The combined filtrate and wash was concentrated, the residue was dissolved in EtOAc (20 mL) and washed with water (2 x 10 mL). The aqueous phase was extracted with EtOAc (20 mL), the combined EtOAc phases were concentrated and the residue was dissolved and concentrated from toluene (20 mL) then acetone (20 mL) to give a clear oil containing (6β, 5β, 7a)-6-ethyl-7-hydroxy-3,7-dioxo-cholan-24-oic acid ethyl ester (185 mg).

¹ H NMR (700 MHz, CDC ): δ = 4.12 (2H, q, J = 7.1), 2.42 (1 H, t, J = 11.4), 2.38-2.17 (6H, m), 2.09-1.74 (9H, m), 1.68-1.1 1 (17H, m), 0.93 (3H, d, J = 6.5), 0.85 (3H, t, J = 7.4), 0.72 (3H, s). ¹³C NMR (100 MHz, CDC ): δ = 214.5, 21 1.4, 174.0, 60.1 , 57.1 , 55.1 ,

50.3, 48.4, 47.3, 44.9, 43.6, 43.1 , 39.2, 35.8, 35.2 (x2), 34.9, 31.3, 30.9, 28.1 , 24.6, 23.7,

23.4, 21.7, 18.3, 14.2, 12.6, 12.2. (IR) v_max(cm-¹): 2950, 2872, 1709, 1461 , 1377, 1304, 1250, 1 177, 1097, 1034;HRMS (ESI-TOF) m/z: (M+H)⁺ calcd for C28H45O4 445.3318; found: 445.3312;

Method 2

To a solution of (6β, 5β, 7a)-6-ethyl-7-hydroxy-3-oxo-cholan-24-oic acid ethyl ester (41.0 g crude mass) in anhydrous CH2CI2 (600 ml_) at 0 °C was added solid DMP (34.0 g, 80.2 mmol) portion-wise over 20 mins (exothermic). The mixture was stirred at 0-5 °C for 2 h, then a further portion of DMP (4.0 g, 9.4 mmol) was added and reaction stirred at 0-5 °C for 1 h. The mixture was filtered through a GFA filter and the solid rinsed with CH2CI2 (50 ml_), the filtrate was stirred vigorously with 10% aq. Na2S2C>3 and 2% aq. NaHCC>3 (100 ml_) for 20 mins. The phases were separated and the aq. extracted with CH2CI2 (2 x 100 ml_). The combined organic extracts were washed with 1 M NaOH (100 ml_). The mixture was diluted with CH2CI2 (300 ml_) and phases separated. The organic layer was concentrated under reduced pressure and the residue (cloudy brown oil) was dissolved in TBME (600 ml_) and washed with 1 M NaOH (100 ml_) and NaCI (3 x 100 ml_). The organic phase was concentrated in vacuo to give a dark yellow runny oil, crude mass 38.1 g. The oil was dissolved in EtOH (400 ml_) and stirred with activated charcoal (10 g) at 50 °C, the mixture was then filtered, the charcoal rinsed with EtOH (200 ml_) and the filtrate concentrated in vacuo to give (6β, 5β)-3,7^ίοχο-6-βίΙ^Ι-οηοΐ3η-24-οίο acid ethyl ester as a yellow oil (35.9 g).

Method 3

A solution of (6β, 5β, 7a)-6-ethyl-7-hydroxy-3-oxo-cholan-24-oic acid ethyl ester (218 mmol) in DMF (450 ml), CH₃CN (540 ml_) and H₂0 (90 ml_) was charged into a 2 L vessel and cooled to 9 °C, then AcOH (180 ml_) was charged, followed by NaBr (4.1 g). A solution of sodium hypochlorite (-10.5% w/v, 450 ml_) was added dropwise over 1.5 h, maintaining the internal temperature at 5-6 °C, then the mixture was stirred for 5 h at 7 °C. TLC of the reaction mixture indicated complete consumption of the starting material (IPC by TLC, eluent EtOAc/heptane 3:7, Rf for (6β, 5β, 7a)-6-ethyl-7-hydroxy-3-oxo- cholan-24-oic acid ethyl ester = 0.34; (6β, 5β)-3,7^ίοχο-6-βίϊ Ι-οΙιοΐ3η-24-οίο acid ethyl ester = 0.45). A solution of aq. 10% w/v Na2S03 (360 ml_) was charged dropwise with vigorous stirring, maintaining the internal temperature at 8-10 °C, then H2O (270 ml_) was added dropwise and the mixture stirred at 5 °C for 16 h. The solid was filtered and washed with H2O (720 ml_). The solid was then dissolved in TBME (1.1 L) and subsequently washed with an aq. NaHCC>3 (300 ml_) and 10% brine (300 ml_). The organic phase was then stirred with activated charcoal (10 g) for 20 mins at 40 °C, treated with anhydrous MgSCU (5 g) and filtered via GFA filter paper, the filter cake was rinsed with TBME (50 ml_) and the filtrate concentrated in vacuo to give (6β, 5β)-3,7- dioxo-6-ethyl-cholan-24-oic acid ethyl ester as light brown oil which solidifies on standing (82.7 g).

Example 16 - Synthesis of -3,7-dioxo-6-ethyl-cholan-24-oic acid

Into a 500 ml_ flask was charged 0.5 vol of 0.5 M NaOH (9 ml_) followed by (6β, 5β)-3,7- dioxo-6-ethyl-cholan-24-oic acid ethyl ester from Example 15 (18.00 g, 1 eq) and then I PA (180 ml_, 10 vol) (the initial NaOH charge was to avoid the possibility of C3-ketal formation). The mixture was warmed to 60 ± 2 °C and held until a solution was obtained (10-15 mins). The remaining 0.5 M NaOH solution (171 ml_, 9.5 vol) was charged over 20 mins and then the reaction was stirred for a further 3.5 h at 60 ± 2 °C. The I PA was removed under vacuum at 60 °C and then 2M HCI (8 ml_) charged to pH 9. EtOAc was charged (90 ml_, 5 vol) followed by 2M HCI (54 mL) to pH 1. Vigorous mixing was followed by phase separation. The aqueous phase was back extracted with additional EtOAc (90 mL, 5 vol) and then the combined organic phases were washed with water (54 mL, 3 vol), followed by three portions of 10% aq. NaCI (3 x 54 mL, 3 x 3 vol). The organic phase was treated with activated charcoal (100 mesh powder, 3.37 g, -0.20 mass eq) for 12 mins and then filtered through GF/B. Concentration at 50 °C in vacuo gave (6a, 5β)-3,7^ίοχο-6-βίΙ^Ι-οηοΐ3η-24-οίο acid as a light yellow foam in quantitative yield.

¹ H NMR (700 MHz, CDCb): δ = 2.74 (1 H, dd, J = 12.8, 5.4), 2.47 (1 H, t, J = 12.5), 2.43- 0.90 (32H, m), 0.81 (3H, t, J = 7.4), 0.70 (3H, s). ¹³C NMR (100 MHz, CDCb): δ = 212.1 , 210.6, 179.4, 54.9, 52.4, 52.3, 50.0, 48.9, 43.7, 42.7, 38.9, 38.3, 36.7, 36.0, 35.5, 35.2, 30.9, 30.7, 28.2, 24.6, 22.9, 22.3, 18.6, 18.3, 12.1 , 1 1.8. (IR) v_max(cm-¹): 2939, 2873, 1706, 1458, 1382, 1284.8. HRMS (ESI-TOF) m/z: (M+H)⁺ calcd for C26H41 O4 417.3005; found: 417.2997; mp = 71.2-75.9 °C droxy-cholan-24-oic acid

To a solution of crude (6a, 5p)-6-ethyl-3,7-dioxo-cholan-24-oic acid (21.7 g crude mass) in H₂0 (260 mL) and 50% NaOH (15.2 mL) at 90 °C was added, dropwise, a solution of NaBH₄ (4.4 g, 1 16.3 mmol) in aq. NaOH (prepared from 25 mL of H₂0 and 0.8 mL 50% NaOH). The mixture was heated to reflux and stirred for 3 h. The mixture was then cooled to 60 °C and a 2M solution of HCI (200 mL) added dropwise with vigorous stirring. nBuOAc (100 mL) was then charged to the reaction flask and the mixture stirred for a further 20 mins. The phases were separated and the aqueous phase (pH = 1/2) extracted with nBuOAc (100 mL). The combined organic phases were washed with 2M HCI (50 mL) and 10% aq. NaCI (100 mL). The organic solvent was distilled off under reduced pressure at 70-80 °C. The residue (dense oil) was dissolved in nBuOAc (60 mL) at 70 °C and allowed to gradually cool to room temperature, then stored at 6 °C for 2 h. The solid was collected via filtration, rinsed with cold nBuOAc (20 mL), then dried under vacuum at 70 °C for 5h to give (3a, 5β, 6a, 7a)-6-ethyl-3,7-dihydroxy-cholan-24-oic acid as a white solid (8.2 g).

Claims

A compound of general formula (I):

wherein:

R¹ is Ci-4 alkyl optionally substituted with one or more substituents selected from halo, OR⁶ or NR⁶R⁷;

where each of R⁶ and R⁷ is independently selected from H or Ci_-4 alkyl;

R² is H, halo or OH or a protected OH;

Y is a bond or an alkylene, alkenylene or alkynylene linker group having from 1 to 20 carbon atoms and optionally substituted with one or more groups R³;

each R³ is independently halo, OR⁸ or NR⁸R⁹;

where each of R⁸ and R⁹ is independently selected from H or Ci_-4 alkyl;

and

R⁴ is C(0)OR¹⁰, OC(0)R¹⁰, C(O)NR¹⁰R¹¹ , OR¹⁰, OSi(R¹³)₃, S(0)R¹⁰, S0₂R¹°, OSO2R¹⁰,

where each R¹⁰ and R¹¹is independently:

a. hydrogen or

b. C1-20 alkyl, C2-20 alkenyl, C2-20 alkynyl, -O-C1-20 alkyl, -O-C2-20 alkenyl or -O- C2-20 alkynyl, any of which is optionally substituted with one or more substituents selected from halo, N0₂, CN, OR¹⁹, SR¹⁹, SO2R¹⁹, SO3R¹⁹ or N(R¹⁹)₂, or a 6- to 14- membered aryl or 5 to 14-membered heteroaryl group, either of which is optionally substituted with Ci-e alkyl, Ci-e haloalkyl, halo, N0₂, CN, OR¹⁹, SR¹⁹, SO2R¹⁹, SO3R¹⁹ or N(R¹⁹)₂; or

c. a 6- to 14- membered aryl or 5 to 14-membered heteroaryl group either of which is optionally substituted with one or more substituents selected from C1-6 alkyl, Ci-e haloalkyl, halo, N0₂, CN, OR¹⁹, SR¹⁹, SO2R¹⁹, SO3R¹⁹ or N(R¹⁹)₂;

d. a polyethylene glycol residue;

each R¹⁹ is independently selected from H, C1-6 alkyl, C1-6 haloalkyl, or a 6- to 14- membered aryl or 5 to 14-membered heteroaryl group either of which is optionally substituted with halo, C1-6 alkyl or Ci-e haloalkyl; each R¹³ is independently

a. C1-20 alkyl, C2-20 alkenyl or C2-20 alkynyl optionally substituted with one or more substituents selected from halo, N0₂, CN, OR¹⁹, SR¹⁹, SO2R¹⁹, SO3R¹⁹ or N(R¹⁹)2, a 6- to 14- membered aryl or 5 to 14-membered heteroaryl group, either of which is optionally substituted with C1-6 alkyl, C1-6 haloalkyl, halo, NO2, CN, OR¹⁹, SO2R¹⁹, SO3R¹⁹ or N(R¹⁹)₂; or

b. a 6- to 14- membered aryl or 5 to 14-membered heteroaryl group either of which is optionally substituted with one or more substituents selected from C1-6 alkyl, Ci-e haloalkyl, halo, N0₂, CN, OR¹⁹, SR¹⁹, SO2R¹⁹, SO3R¹⁹ or N(R¹⁹)₂;

each R¹⁹ is independently selected from H, C1-6 alkyl or C1-6 haloalkyl; R⁵ is H or OH or a protected OH;

or a salt or an isotopic variant thereof.

2. A compound according to claim 1 wherein the compound of general formula (I) is a compound of general formul

(IA)

wherein R¹ , R², Y, R⁴ and R⁵ are as defined for general formula (I).

3. A compound according to claim 1 or claim 2 wherein R¹ is ethyl.

4. A compound according to any one of claims 1 to 3 wherein Y is an alkylene or alkenylene linker group having from 1 to 8 carbon atoms and optionally substituted with one or more groups R³, wherein R³ is as defined in claim 1.

5. A compound according to any one of claims 1 to 4 wherein, independently or in any combination:

Y is a bond or an alkylene or alkenylene group having 1 to 3 carbon atoms and is optionally substituted with one or two R³ groups; R⁴ is C(0)OR¹⁰, SO3R¹⁰, or OSO3R¹⁰, where R¹⁰ is as defined above but is more suitably H, C1-6 alkyl or benzyl; and

R⁵ is H or OH.

6. A compound according to claim 5 wherein, independently or in any combination: R¹ is ethyl; and/or

R² is H; and/or

Y is a bond, -CH₂-, -CH2CH2-, -CH=CH- or -CH=C(CH₃)-; and/or

R⁴ is C(0)OR¹⁰, where R¹⁰ is H, Ci._e alkyl or benzyl; and/or

R⁵ is H.

7. A compound according to claim 6 wherein R¹ is ethyl and/or R¹⁰ is C1-6 alkyl or benzyl.

8. A compound according to claim 1 selected from:

(6β, 7α, 22E)-6-ethyl-7-hydroxy-3-oxo-4,22-choladien-24-oic acid;

(6β, 7a)-6-ethyl-7-hydroxy-3-oxo-4-cholen-24-oic acid

and C1-6 alkyl and benzyl esters thereof and salts thereof, especially the methyl and ethyl esters.

9. A process for the preparation of a compound according to any one of claims 1 to

8, the process comprising either:

A. selective alkylation of a la (II):

(II)

wherein R², R⁴, R⁵ and Y are as defined in claim 1 ;

with an organometallic reagent; or B. conversion of a compound of general formula (I) to another compound of general formula (I).

10. A process according to claim 9 wherein, in Step (A), the organometallic reagent is a Gilman reagent formed by reaction of an alkyl lithium compound of formula (XXIV):

R¹-Li (XXIV)

wherein R¹ is as defined for general formula (I);

and a copper (I) salt, particularly a copper (I) halide such as copper (I) iodide; or the organometallic reagent is a Grignard reagent R¹MgX, where R¹ is as defined for general formula (I) and X is a halide and wherein the reaction is conducted in the presence of a zinc (II) salt such as zinc chloride and a catalytic amount of a copper (I) or copper(ll) salt or complex,.

1 1. A process for the preparation of a compound of general formula (XVIII):

(XVIII)

wherein R¹ and R⁴ are as defined in general formula (I) in claim 1 ;

R² is H, halo or OH; R^5a is H or OH; and

Y¹ is a bond or an alkylene linker group having from 1 to 6 carbon atoms and optionally substituted with one or more group R³; wherein R³ is as defined for general formula (I) in claim 1 ;

the process comprising:

i. reducing a compound according to any one of claims 1 to 8 using a suitable reducing agent to give a comp :

(XIX)

wherein R¹ , R², R⁴ and R⁵ are as defined in general formula (I) in claim 1 ; and

Y¹ is as defined in general formula (XVIII); oxidising the compound of general formula (XIX) using a suitable oxidizing agent a compound of general formula (XX):

(XX)

wherein R¹, R², R⁴ and R⁵ are as defined in general formula (I) in claim 1 ; and

Y¹ is as defined in general formula (XVIII); iii. epimerisation of the compound of general formula (XX) to give a compound of general formula (XXI):

(XXI)

wherein R¹ and R⁴ are as defined in general formula (I) in claim 1 ;

Y¹ is as defined in general formula (XVIII);

R² is H, halo or OH or a protected OH group which is stable under basic conditions; and R^5b is H or OH or a protected OH group which is stable under basic conditions; and

(iv) reduction of the compound of general formula (XXI) using a suitable reducing agent and, where R² and/or R^5b is a protected OH, removal of the protecting group(s), to give a compound of general formula (XVIII) as defined above, wherein removal of the protecting group can take place before or after the reduction; and optionally

(v) conversion of a compound of general formula (XVIII) to another compound of general formula (XVIII).

12. A process according to claim 11 wherein, in step (i), the reducing agent for the conversion of the compound of general formula (I) to the compound of general formula (XIX) is hydrogen in the presence of a palladium/carbon, palladium/calcium carbonate, palladium/aluminium oxide, platinum/palladium or Raney nickel catalyst.

13. A process according to claim 1 1 or claim 12 wherein, in step (i), the solvent is an alcoholic solvent such as methanol, ethanol or isopropanol; ethyl acetate; pyridine; acetic acid; cyclopentyl methyl ether (CPM E) or A/,A/-dimethylformamide (DMF), any of which may optionally be mixed with a co-solvent such as acetone or water and/or a base such as triethylamine.

14. A process according to any one of claims 1 1 to 13 wherein, in step (ii), the oxidation reaction is carried out using a Dess-Martin periodinane (1 , 1 , 1 -triacetoxy-1 , 1 - dihydro-1 ,2-benziodoxol); a hypochlorite, for example sodium hypochlorite, under acidic conditions; a Jones reaction using sodium dichromate or, more usually, chromic trioxide in dilute sulfuric acid; or TEMPO ((2,2,6,6-Tetramethyl-piperidin-1 -yl)oxy) or a derivative thereof.

15. A process according to any one of claims 1 1 to 14 wherein, in the epimerization reaction of step (iii), the compound of general formula (XX) is dissolved in an alcoholic solvent, optionally mixed with water and contacted with a base, for example sodium or potassium hydroxide or a sodium or potassium alkoxide, typically an ethoxide.

16. A process according to claim 15 wherein:

in the compound of general formula (XX), R⁴ is C(0)OR¹°, the base is sodium or potassium hydroxide and the epimerization is accompanied by hydrolysis to give a compound of general formula (XXI) in which R⁴ is C(0)OH; and/or

in the compound of general formula (XX), R² and/or R⁵ is a group OC(0)OR¹⁴, where R¹⁴ is Ci-6 alkyl or benzyl; and the epimerisation step yields a compound of general formula (XXI) in which R² and/or R^5b is OH; or

in the compound of general formula (XX), R² and/or R⁵ is a protected OH which is stable under basic conditions and the process further comprises the step of removing the protecting group before or after step (iv).

17. A process according to any one of claims 1 1 to 16 wherein, in step (iv), the reducing agent is a hydride such as sodium borohydride.

18. A process according to any one of claims 1 1 to 17 for the preparation of a compound of general formula (XVII I) wherein R¹ is ethyl, R² and R^5a are both H, Y¹ is - CH2CH2-, and R⁴ is C(0)OH.