Acknowledgement of Government Support
[0001] The present invention was funded in part by the National Institutes of Health under
Grant No. AM33747-03; accordingly, the United States Government may have certain rights
in the invention.
Technical Field
[0002] The present invention relates generally to steroid hormones, and more specifically
relates to novel compounds useful as antiandrogenic agents. The invention additionally
relates to methods for treating clinical conditions that are either androgen responsive
or associated with androgen excess, and to pharmaceutical compositions for treating
such clinical conditions. The invention further relates to the use of the novel compounds
as male contraceptive agents.
Background
[0003] Antiandrogenic agents are useful in the treatment of clinical conditions that are
either androgen-responsive or associated with androgen excess, such as prostate carcinoma,
benign prostatic hyperplasia (BPH), acne, seborrhea, alopecia, hirsutism, polycystic
ovarian disease, and male pattern baldness. Antiandrogen therapy can be directed toward
any of the regulatory steps in androgen production or action. The control of androgen
production in the testis is directly mediated by hypothalamic-pituitary peptide hormones.
Neurons of the hypothalamus secrete gonadotropin-releasing hormone (LHRH), a decapeptide
that subsequently interacts with high-affinity cell surface receptor sites on the
plasma membrane of pituitary cells. LHRH stimulates the release of both luteinizing
hormone (LH) and follicle-stimulating hormone (FSH) by a calcium-dependent mechanism.
[0004] LH secretion is controlled by the action of androgens and estrogens on the hypothalamus
and pituitary. The control of LH in men occurs primarily by negative feedback since
testicular steroids inhibit LH secretion. Both testosterone and estradiol can inhibit
LH secretion. Although testosterone can be converted to estradiol in the brain and
pituitary, the two hormones probably act independently. Testosterone acts on the central
nervous system (CNS) to slow the hypothalamic pulse-generator and consequently decreases
the frequency of LH pulsatile secretion. In addition, testosterone appears to have
negative feedback on LH secretion in the pituitary.
[0005] LH reaches the testis via the peripheral circulation, where it interacts with specific
high-affinity cell surface receptors on the plasma membranes of the Leydig cells.
The binding of LH to its receptor stimulates biosynthesis of testosterone.
[0006] Although testosterone is the major secretory product, dihydrotestosterone (DHT),
androsterone, androstenedione, progesterone, and 17-hydroxyprogesterone are also secreted
by the testis.
[0007] In peripheral tissues, testosterone may act directly (e.g., in the CNS, skeletal
muscle, and seminiferous epithelium), or serve as a circulating prohormone for the
formation of DHT (e.g., prostate) and estrogen. In the prostate, testosterone diffuses
into the cell, where it is reduced by 5-alpha reductase to DHT. Ninety percent of
total prostatic androgen is in the form of DHT, principally derived from testicular
androgens. The remaining 10% of the prostatic androgens are produced in the adrenal
glands. Inside the cells of the prostate, both testosterone and DHT bind to the same
high-affinity androgen-receptor protein. The hormone-receptor complex then binds to
specific DNA binding sites in the nucleus of prostatic cells. This results in increased
transcription of androgen-dependent genes and ultimately stimulation of protein synthesis.
Conversely, androgen withdrawal from androgen-sensitive tissues results in a decrease
in protein synthesis, tissue involution, and in some cases, cell death.
[0008] As noted above, a number of physiological problems are associated with androgen production.
The most pressing of these at the present time is prostatic cancer, which is a leading
cause of cancer in men, with on the order of 100,000 cases diagnosed and 26,000 deaths
annually. The androgen dependence of some prostate cancers has been well-established
and the primary therapy for metastatic prostate cancer involves androgen suppression.
Androgen suppression can be achieved by: removal of the testis, the primary source
of androgens, by orchiectomy; inhibition of testicular steroidogenesis at the pituitary
level by either luteinizing hormone-releasing hormone analogs or estrogens; inhibition
of testicular steroidogenesis at the testicular level using enzyme inhibitors; or
inhibition of androgen action by androgen receptor antagonists.
[0009] Another important therapeutic area related to androgen production and action is the
treatment of benign prostatic hyperplasia a major problem in the aging human male
(and a precursor to prostate cancer in about half of the cases diagnosed), with approximately
400,000 prostatectomies performed annually in the U.S. alone. Although surgery presently
represents the most accepted treatment for BPH, several pharmacological approaches
have been tested as well. However, no drug therapy has yet proven satisfactory.
[0010] Known antiandrogenic agents work by several mechanisms. There are those drugs which
inhibit pituitary LH secretion and decrease testosterone and DHT production; these
are termed "LHRH agonists," and include, for example, nafarelin, leuprolide, goserelin
and buserelin. There are additional drugs which, similarly, inhibit pituitary LH secretion
and decrease testosterone and DHT production, but also inhibit androgen receptors;
these are drugs such as cyproterone acetate, zanoterone ("WIN®49,596," available from
Sterling Winthrop) and the progestins, such as megestrol acetate, hydroxy-progesterone
caproate and medrogestone, which exert their antiandrogenic effect through a negative
feedback process. Other antiandrogenic drugs include the nonsteroidal agents hydroxyflutamide,
Casodex®, and nilutamide which are androgen receptor inhibitors, and 5-alpha-reductase
inhibitors (e.g., finasteride), which decreases DHT selectivity. Structures of the
representative antiandrogenic agents cyproterone acetate, Casodex®, hydroxyflutamide
(a flutamide metabolite) and WIN®49,596 are as follows:

[0011] The currently available antiandrogenic agents, however, are associated with a wide
range of problems. For example, known antiandrogens give rise to a number of side
effects, including impotence, loss of libido, gynecomastia, heat intolerance, and
hot flashes, among others. Some drugs have even been associated with fatal hepatotoxicity
(see, e.g., D.K. Wysowski et al.,
Ann. Int. Med. 118(11):860-864 (1993)). Additionally, the known drugs tend to have a very short half-life,
necessitating more frequent and/or higher dosages.
[0012] The present invention is addressed to the aforementioned need in the art, and is
premised on the discovery that certain novel 17-substituted steroids are useful as
antiandrogenic agents, at relatively low doses, without causing the problems associated
with the antiandrogenic compounds of the prior art. The novel compounds are thus useful
for treating clinical conditions that are androgen-responsive and/or associated with
androgen production, without giving rise to unwanted side effects as described above.
The compounds are thus useful in the treatment of prostate carcinoma, benign prostatic
hyperplasia, acne, seborrhea, alopecia, hirsutism, polycystic ovarian disease, and
male pattern baldness. The compounds are additionally useful as male contraceptive
agents. While not wishing to be bound by theory, the inventors herein postulate that
the majority of these new agents appear to act as competitive androgen receptor antagonists
by inhibiting prostate growth stimulated by exogenous testosterone, and are essentially
devoid of progestational as well as agonist androgenic activity.
Background Art
[0013] The following references relate to known antiandrogenic compounds and/or to molecular
structures which are related in some way to the novel drugs described herein: U.S.
Patent No. 4,150,127 to Anner et al., which describes 19-oxygenated spiroxane-type
steroids stated to be useful as diuretic agents; U.S. Patent No. 4,412,993 to Sokolowski,
which describes 7α-methyltestosterones stated to be useful in the treatment of pseudopregnancy,
galactorrhea and mastitis in mammals; U.S. Patent No. 4,673,673 to Laurent et al.,
which describes 17α-alkyl-17β-hydroxy-1α-methyl-4-androsten-3-ones as antiandrogenic
agents; U.S. Patent No. 4,874,754 to Nique et al., which describes certain 19-nor
steroids as contraceptive agents or for the treatment of certain gynecological disorders;
and U.S. Patent No. 4,891,365 to Wiechert et al., which describes certain 17-substituted
estradienes and estratrienes for the treatment of gynecological disorders. U.S. Patent
Nos. 4,456,600, 4,558,041, and 4,892,867, all to Wiechert et al., describe 17α-substituted
steroids, all of which are stated to be antiandrogenic agents useful for the treatment
of acne, seborrhea, alopecia and hirsutism. Additionally, G. Ohta et al., "Investigations
on Steroids. IV. Syntheses of Androstano[2,3-
c]-furazans and Related Compounds",
Chem. Pharm. Bull. 13:1445-1459 (1965), and Ferrari et al., "Endocrine Profile of Topterone, a Topical
Antiandrogen, in Three Species of Laboratory Animals",
Meth and Find Exptl Clin Pharmacol 2(2):65-69 (1980), are of interest as directed to related steroid structures.
[0014] The Journal of Steroid Biochemistry, vol. 27, no 1-3, 1987, pages 65-83 and Texas
Reports on Biology and Medicine, vol. 24, no 4, 1966, pages 674-692 disclose compounds
having androgenic activity differing from the present ones in the n-propyl group in
the 17-position.
Summary of the Invention
[0015] Accordingly, it is a primary object of the invention to address the above-mentioned
need in the art by providing novel compounds useful as antiandrogenic agents.
[0016] It is another object of the invention to provide pharmaceutical compositions for
treating clinical conditions that are either androgen responsive or associated with
androgen excess.
[0017] It is still another object of the invention to provide pharmaceutical compositions
for use as male contraceptive agents.
[0018] It is yet another object of the invention to provide a method for treating clinical
conditions that are either androgen responsive or associated with androgen excess.
[0019] It is a further object of the invention to provide such a method which involves oral
administration of a compound as described herein, at an antiandrogenically effective
dosage.
[0020] It is still a further object of the invention to provide a contraceptive method which
involves orally administering a compound as described herein to a fertile mammalian
male within the context of a predetermined dosing regimen.
[0021] Additional objects, advantages and novel features of the invention will be set forth
in part in the description which follows, and in part will become apparent to those
skilled in the art upon examination of the following, or may be learned by practice
of the invention.
[0022] In one embodiment, the invention relates to methods of using compounds having the
structural formula (I)

as antiandrogenic and/or contraceptive agents, within the context of a dosing regimen
effective to achieve the desired intended result. In formula (I):
R3 and R4 are each independently selected from hydrogen, hydroxyl, and C1 to C6 alkoxy or they may together represent a single carbonyl group, with the proviso that
if one of R3 or R4 is hydroxyl or C1 to C6 alkoxy, the other is hydrogen;
R5 is hydrogen or C1 to C6 alkyl, unless "a" represents a double bond, in which case it is nil;
one of R6 and R7 is hydroxyl and the other is n-propyl;
R8 and R9 are independently selected from hydrogen and C1 to C6 alkyl;
R10 is hydrogen, unless "b" represents a double bond, in which case it is nil; and
a and b represent optional double bonds.
[0023] The invention also relates to pharmaceutical compositions containing one or more
compounds of structural formula (I), and further relates to certain novel compounds
encompassed by formula (I), as will be explained in detail below.
Brief Description of the Figure
[0024] Figure 1 is a graph illustrating the effect of drug dosage on prostate weight, as
explained in Example 3.
Detailed Description of the Invention
Definitions and Nomenclature:
[0025] Before the present compounds, compositions and methods are disclosed and described,
it is to be understood that this invention is not limited to specific reagents or
reaction conditions, specific pharmaceutical carriers, or to particular administration
regimens, as such may, of course, vary. It is also to be understood that the terminology
used herein is for the purpose of describing particular embodiments only and is not
intended to be limiting.
[0026] It must be noted that, as used in the specification and the appended claims, the
singular forms "a," "an" and "the" include plural referents unless the context clearly
dictates otherwise. Thus, for example, reference to "an antiandrogenic agent" includes
mixtures of antiandrogenic agents, reference to "a pharmaceutical carrier" includes
mixtures of two or more such carriers, and the like.
[0027] In this specification and in the claims which follow, reference will be made to a
number of terms which shall be defined to have the following meanings:
[0028] The term "alkyl" as used herein refers to a branched or unbranched saturated hydrocarbon
group of 1 to 24 carbon atoms, such as methyl, ethyl, n-propyl, isopropyl, n-butyl,
isobutyl, t-butyl, octyl, decyl, tetradecyl, hexadecyl, eicosyl, tetracosyl and the
like. Preferred alkyl groups herein contain 1 to 12 carbon atoms. The term "lower
alkyl" intends an alkyl group of one to six carbon atoms, preferably one to four carbon
atoms. The term "cycloalkyl" intends a cyclic alkyl group, typically of 3 to 6 carbon
atoms, more preferably 4 to 5 carbon atoms. The term "cyclooxyalkyl" intends a cyclic
alkyl group containing a single ether linkage, again, typically containing 3 to 6
carbon atoms, more preferably 4 to 5 carbon atoms.
[0029] The term "alkenylene" refers to a difunctional branched or unbranched hydrocarbon
chain containing from 2 to 24 carbon atoms and at least one double bond. "Lower alkenylene"
refers to an alkenylene group of 2 to 6, more preferably 2 to 5, carbon atoms.
[0030] The term "aryl" as used herein refers to a monocyclic aromatic species of 5 to 7
carbon atoms, and is typically phenyl. Optionally, these groups are substituted with
one to four, more preferably one to two, lower alkyl, lower alkoxy, hydroxy, and/or
nitro substituents.
[0031] "Halo" or "halogen" refers to fluoro, chloro, bromo or iodo, and usually relates
to halo substitution for a hydrogen atom in an organic compound. Of the halos, chloro
and fluoro are generally preferred.
[0032] "Optional" or "optionally" means that the subsequently described event or circumstance
may or may not occur, and that the description includes instances where said event
or circumstance occurs and instances where it does not. For example, the phrase "optionally
present double bond" means that a double bond may or may not be present and that the
description includes both the instance where a double bond is present and the instance
where it is not. A dotted line adjacent an unbroken line which is stated to indicate
an "optional double bond" accordingly means that a double bond may or may not be present
(and if not present, that the adjacent atoms are covalently bound via a single bond).
[0033] By the term "effective amount" or "antiandrogenically effective amount" of an agent
as provided herein is meant a nontoxic but sufficient amount of the agent to provide
the desired antiandrogenic effect. As will be pointed out below, the exact amount
required will vary from subject to subject, depending on the species, age, and general
condition of the subject, the severity of the condition being treated, and the particular
antiandrogenic agent and its mode of administration, and the like. Thus, it is not
possible to specify an exact "effective amount." However, an appropriate effective
amount may be determined by one of ordinary skill in the art using only routine experimentation.
[0034] By "pharmaceutically acceptable" is meant a material which is not biologically or
otherwise undesirable, i.e., the material may be administered to an individual along
with the selected antiandrogenic agent without causing any undesirable biological
effects or interacting in a deleterious manner with any of the other components of
the pharmaceutical composition in which it is contained.
[0035] In describing the location of groups and substituents, the following numbering systems
will be employed.

This system is intended to conform the numbering of the cyclopentanophenanthrene
nucleus to the convention used by the IUPAC or Chemical Abstracts Service. The term
"steroid" as used herein is intended to mean compounds having the aforementioned cyclopentanophenanthrene
nucleus.
[0036] In these structures, the use of bold and dashed lines to denote particular conformation
of groups again follows the IUPAC steroid-naming convention. The symbols "α" and "β"
indicate the specific stereochemical configuration of a substituent at an asymmetric
carbon atom in a chemical structure as drawn. Thus, "α", denoted by a broken line,
indicates that the group in question is below the general plane of the molecule as
drawn, and "β", denoted by a bold line, indicates that the group at the position in
question is above the general plane of the molecule as drawn.
[0037] In addition, the five- and six-membered rings of the steroid molecule are often designated
A, B, C and D as shown.
The Novel Compounds:
[0038] The novel compounds provided herein are those defined by structural formula (I),
above, wherein R
3 through R
10, a and b are as defined earlier herein. Preferred compounds encompassed by formula
(I) fall within two groups, as follows.
[0039] The first group of compounds may be represented by structural formula (II):

In this subset of compounds, R
6, R
7, R
8 and R
9 are as defined above with respect to Formula (I). An example of a particularly preferred
compound within this subset has the structural formula (II-1):

[0040] Another example of a compound encompassed by structural formula (I) is as follows:

Utility and Administration:
[0041] The compounds defined by structural formula (I) are useful as antiandrogenic agents
and are therefore useful for the treatment of clinical conditions that are androgen-responsive
and/or associated with androgen excess, such as prostate carcinoma, benign prostatic
hyperplasia, acne, seborrhea, alopecia, hirsutism, polycystic ovarian disease, and
male pattern baldness. The compounds may be conveniently formulated into pharmaceutical
compositions composed of one or more of the compounds in association with a pharmaceutically
acceptable carrier.
Remington's Pharmaceutical Sciences, latest edition, by E.W. Martin (Mack Publ. Co., Easton PA) discloses typical carriers
and conventional methods of preparing pharmaceutical compositions which may be used
to prepare formulations using the antiandrogenic compounds of the invention. The compounds
may also be administered in the form of pharmacologically acceptable salts or esters.
Salts or esters of the compounds may be prepared using standard procedures known to
those skilled in the art of synthetic organic chemistry and described, for example,
by J. March,
Advanced Organic Chemistry: Reactions, Mechanisms and Structure, 4th Ed. (New York: Wiley-Interscience, 1992), the disclosure of which is hereby
incorporated by reference. Preparation of esters would normally include functionalisation
of the steroid molecule at the C-17 hydroxyl group, e.g., to incorporate a succinate,
malonate, glutarate group or the like.
[0042] The compounds may be administered orally, parenterally (e.g., intravenously), topically,
transdermally, by intramuscular injection, or by intraperitoneal injection, or the
like, although oral administration is preferred. The amount of active compound administered
will, of course, be dependent on the subject being treated, the subject's weight,
the manner of administration and the judgment of the prescribing physician. Generally,
however, dosage will be in the range of approximately 0.5 mg to 20 mg/kg/day, more
typically in the range of about 1.0 mg to 10 mg/kg/day.
[0043] Depending on the intended mode of administration, the pharmaceutical compositions
may be in the form of solid, semi-solid or liquid dosage forms, such as, for example,
tablets, suppositories, pills, capsules, powders, liquids, suspensions, or the like,
preferably in unit dosage form suitable for single administration of a precise dosage.
The compositions will include, as noted above, an effective amount of the selected
drug in combination with a pharmaceutically acceptable carrier and, in addition, may
include other medicinal agents, pharmaceutical agents, carriers, adjuvants, diluents,
etc.
[0044] For solid compositions, conventional nontoxic solid carriers include, for example,
pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharin,
talc, cellulose, glucose, sucrose, magnesium carbonate, and the like. Liquid pharmaceutically
administrable compositions can, for example, be prepared by dissolving, dispersing,
etc., an active compound as described herein and optional pharmaceutical adjuvants
in an excipient, such as, for example, water, saline, aqueous dextrose, glycerol,
ethanol, and the like, to thereby form a solution or suspension. If desired, the pharmaceutical
composition to be administered may also contain minor amounts of nontoxic auxiliary
substances such as wetting or emulsifying agents, pH buffering agents and the like,
for example, sodium acetate, sorbitan monolaurate, triethanolamine sodium acetate,
triethanolamine oleate, etc. Actual methods of preparing such dosage forms are known,
or will be apparent, to those skilled in this art; for example, see
Remington's Pharmaceutical Sciences, referenced above.
[0045] For oral administration, fine powders or granules may contain diluting, dispersing,
and/or surface active agents, and may be presented in water or in a syrup, in capsules
or sachets in the dry state, or in a nonaqueous solution or suspension wherein suspending
agents may be included, in tablets wherein binders and lubricants may be included,
or in a suspension in water or a syrup. Where desirable or necessary, flavoring, preserving,
suspending, thickening, or emulsifying agents may be included. Tablets and granules
are preferred oral administration forms, and these may be coated.
[0046] Parenteral administration, if used, is generally characterized by injection. Injectables
can be prepared in conventional forms, either as liquid solutions or suspensions,
solid forms suitable for solution or suspension in liquid prior to injection, or as
emulsions. A more recently revised approach for parenteral administration involves
use of a slow release or sustained release system, such that a constant level of dosage
is maintained. See, e.g., U.S. Patent No. 3,710,795, which is incorporated by reference
herein.
Process for Preparation:
[0047] The compounds of the invention may be prepared in high yield using relatively simple,
straightforward methods as exemplified in the experimental section herein.
[0048] Synthesis of representative compounds are detailed in the examples as follows. Synthesis
of compound II-1 is described in detail in Example 1, while synthesis of compound
III-1 is described in detail in Example 2.
[0049] Biological testing procedures and results are set forth in Example 3.
Experimental
[0050] The practice of the present invention will employ, unless otherwise indicated, conventional
techniques of synthetic organic chemistry, biological testing, and the like, which
are within the skill of the art. Such techniques are explained fully in the literature.
See, e.g., Fieser et al.,
Steroids (New York: Reinhold, 1959), and Djerassi,
Steroid Reactions: An Outline for Organic Chemists (San Francisco: Holden-Day, 1963), for detailed information concerning steroid-related
synthetic procedures, and
J. Steroid Biochem. 12:143-157 (1980), for a description of steroid hormone receptor competition assays
useful to evaluate compounds such as those described and claimed herein. All patents,
patent applications, and publications mentioned herein, both
supra and
infra, are hereby incorporated by reference.
[0051] It is to be understood that while the invention has been described in conjunction
with the preferred specific embodiments thereof, that the description above as well
as the examples which follow are intended to illustrate and not limit the scope of
the invention. Other aspects, advantages and modifications within the scope of the
invention will be apparent to those skilled in the art to which the invention pertains.
[0052] In the following examples, efforts have been made to insure accuracy with respect
to numbers used (e.g., amounts, temperature, etc.) but some experimental error and
deviation should be accounted for. Unless indicated otherwise, temperature is in degrees
C and pressure is at or near atmospheric. All solvents were purchased as HPLC grade,
and all reactions were routinely conducted under an inert atmosphere of argon unless
otherwise indicated. NMR analyses were conducted on either a Varian XL-400 or a JEOL
FX90Q and were referenced to chloroform at δ 7.27. FTIR spectra were recorded on a
Perkin-Elmer 1610.
Example 1
[0053]

[0054] This example describes synthesis of 17α-propylestra-4,9-dien-17β-ol-3-one (II-1),
as illustrated in Scheme 1.
(a.) 3-Methoxy-17α-propynylestra-1,3,5-trien-17β-ol (2):
[0055] To a solution of 3-methoxyestrone (
1; 9.02 g, 31.8 mmol) in THF (250 mL) was added a solution of propynylmagnesium bromide
(120 mL of 0.56 M in THF). The resultant yellow solution was heated at reflux for
3 hours, then allowed to cool to ambient temperature, stirred with saturated aqueous
NH
4Cl (100 mL) and extracted with ethyl acetate (3 x 100 mL). The combined organic layers
were washed with brine (2 x 100 mL), dried over MgSO
4 and evaporated to give a yellow solid, which was recrystallized from a mixture of
ethyl acetate and hexane to provide white microcrystals, 8.77 g (85%), mp 199-200°C.
[0056] NMR (90 MHz, CDCl
3): δ 0.94 (s, 3H, CH
3), 1.10-2.54 (m, 16H), 2.72-3.08 (bm, 3H), 3.84 (S, 3H, OCH
3), 6.70-6.85 (M, 2H, ArH), 7.05 (d, 1H, J = 3.6 Hz, ArH). IR (Nujol): 3500, 1610 cm
-1. MS: m/q (rel int) 324 (100), 243 (40), 227 (47), 174 (42). HRMS. Calculated for
C
22H
28O
2: 324.209. Found: 324.210.
(b.) 3-Methoxy-17α-propylestra-1,3,5-trien-17β-ol (3):
[0057] A suspension of alkyne
2 (4.00 g, 12.3 mmol), 5% Pd/C (100 mg), and ethyl acetate (400 mL) was stirred under
an atmosphere of H
2 for 14 hours. The catalyst was filtered off and the filtrate was concentrated
in vacuo to provide a white foam, which crystallized from methanol in successive crops to
afford 3.70 g (92%) of white needles, mp 96-97°C.
[0058] NMR (90 MHz, CDCl
3): 0.95 (s, 3H, CH
3), 0.99-2.45 (m, 19H), 2.70-3.05 (m, 3H), 3.82 (s, 3H, OCH
3), 6.60-6.84 (m, 2H, ArH), 7.20 (d, 1H, J + 3.8 Hz, ArH). IR (Nujol): 3520, 1610 cm
-1. MS: m/q (rel int) 328 (100), 247 (35), 227 (48). HRMS. Calculated for C
22H
32O
2: 328.240. Found: 328.240.
(c.) 3-Methoxy-17α-propylestra-2,5(10)-dien-17β-ol (4):
[0059] To liquid ammonia (350 mL) at -78°C was added lithium shot (0.63 g). After the metal
had dissolved, dry isopropanol (30 mL) and a solution of aromatic
3 (4.70 g, 14.3 mmol) in THF (100 mL) was added in succession. After 30 minutes at
-78°C, the resultant blue solution was allowed to warm to ambient temperature overnight.
The resultant cloudy solution was stirred with saturated aqueous ammonium chloride
(200 mL) and diethyl ether (200 mL). The ethereal layer was separated, washed with
saturated aqueous ammonium chloride (100 mL) and brine (2 x 100 mL), dried over K
2CO
3 and evaporated to afford a white amorphous solid, 4.90 (100%) which was routinely
used without further purification and crystallized from a mixture of diethyl ether
and hexane to give analytical pure crystals, mp 148-149°C.
[0060] NMR (90 MHz, CDCl
3): δ 0.78-2.60 (m, 27H), 2.50-2.80 (m, 3H), 3.55 (s, 3H, OCH
3), 4.68 (m, 1H). IR (Nujol): 3500 cm
-1. MS: m/q (rel int) 330 (100), 122 (97). HRMS. Calculated for C
22H
34O
2: 330.256. Found: 330.256.
(d.) 17α-Propylestra-5(10)-en-17β-ol-3-one (5):
[0061] To a solution of enol ether
4 (3.00 g, 9.10 mmol) in THF (100) mL) and methanol (100 mL) was added a solution of
oxalic acid (4.0 g) in H
2O (40 mL). After 60 minutes at ambient temperature, a small amount of K
2CO
3 was added, and the resultant solids were dissolved with a minimal amount of H
2O. The mixture was extracted with diethyl ether (3 x 100 mL). The combined ethereal
layers were washed with H
2O (50 mL) and brine (2 x 50 mL), dried over Na
2SO
4 and evaporated to a white amorphous solid, which recrystallized from diethyl ether/ethyl
acetate/hexane in successive crops to give white crystals, 2.76 g (96%), mp 148-149.5°C.
[0062] NMR (90 MHz, CDCl
3): δ 0.94 (2, 3H, CH
3), 0.95-2.20 (m, 23H), 2.45 (bs, 4H), 2.75 (bs, 2H). IR (Nujol): 3440, 1705 cm
-1. MS: m/q (rel int) 316 (100), 298 (47), 230 (100). HRMS. Calculated for C
21H
34O
2: 316.240. Found: 316.240.
(e.) 17α-Propylestra-4,9-dien-17β-ol-3-one (II-1):
[0063] To a solution of γ-enone
5 (398 mg, 1.26 mmol) in pyridine (30 mL) was added pyridine hydrobromide perbromide
(0.60 g, 1.6 equivalent). After 2 hours at ambient temperature, the reaction mixture
was stirred with 10% aqueous HCl (150 mL) and extracted with diethyl ether (3 x 25
mL). The combined ether layers were washed with 10% aqueous HCl (10 mL), brine (2
x 10 mL), saturated aqueous NaHCO
3 (2 x 25 mL), saturated aqueous CuSO
4 (15 mL) and brine (2 x 15 mL), dried over Na
2SO
4 and evaporated to give a yellow oil, which was further purified via flash column
chromatography with silica gel. Elution with a mixture of ethyl acetate and hexane
led to isolation of diene II-1 as a colorless foam, 249 mg (63%).
[0064] NMR (90 MHz, CDCl
3): δ 0.75-3.20 (m, 29H), 5.65 (s, 1H). IR 3450, 2960, 2880, 1670, 1600, 1370, 1280,
1250, 1210, 1010, 740 cm
-1. MS: m/q (rel int) 314 (82), 228 (100), 215 (97). HRMS. Calculated for C
21H
30O
2: 314.225. Found: 314.225. UV (ethanol): λmax 306 nm (ε = 20, 740).
Example 2
Biological Evaluation
Preparation of Cytosol:
[0065] Male rats were gonadectomized 20-22 hours before killing. The animals were killed
by decapitation and exsanguination. Prostates were kept on ice immediately after removal
from the animals. After trimming off the fats, prostates were minced and homogenized
in 3 volumes of Tris-HCl buffer (0.02 M, pH 7.4 containing 1.5 mM EDTA and 10% glycerol).
The homogenate was centrifuged at 10,000 x g for 10 minutes, and the resulting supernatant
was centrifuged again at 100,000 x g for 60 minutes. The final supernatant contained
the androgen-binding receptor.
Labeling of Receptor Proteins:
[0066] For the binding assay, 0.75 mL of prostate cytosol was mixed with 5 µL of DMSO containing
0.09 ng, 27500 dpm of
3H-dihydrotestosterone and 1 µL of DMSO alone or DMSO plus competitor. The mixture
was brought up to 1.0 mL with Tris-HCl buffer used for homogenizing the tissue. The
mixture was then incubated at 4°C for 4 hr., with occasional shaking. At the end of
incubation, the receptor-bound androgen was isolated by ammonium sulfate precipitation.
Precipitation of Receptor-Bound Androgen:
[0067] A 70% saturated ammonium sulfate solution was prepared and its pH is adjusted to
7.4 with aqueous NH
3. To 1.0 mL of the labeled cytosol, 1.0 mL of the 70% saturated ammonium sulfate was
added dropwise with gentle mixing. The sample was let stand at 0-4°C for 35 minutes,
then centrifuged at 10,000 x g for 20 minutes. The precipitate was resuspended in
1.0 mL of the above-mentioned Tris-HCl buffer containing 2 mg of bovine albumin. The
androgen-receptor complex was immediately reprecipitated by addition of equal volumes
of 70% saturated ammonium sulfate. The sample was allowed to stand at 0-4°C for another
45 minutes, then centrifuged again as outlined above. The supernatant was decanted
and the walls of the tubes thoroughly dried with filter paper. The final precipitated
protein was resuspended in 1.0 mL of the same buffer and then transferred quantitatively
into a counting vial containing 10 mL of Scintisol for counting. The androgen-receptor
complex precipitated at 35% ammonium sulfate not only separating it from free
3H-dihydrotestosterone but also from androgen-binding protein which precipitated at
50% ammonium sulfate, and bovine albumin which precipitated at 60-80% ammonium sulfate.
Comparison of Relative Binding Affinities:
[0068] In order to compare the relative binding affinities of various antiandrogens reported
in the literature, we have extrapolated from reported IC
50 values of various antiandrogens using dihydrotestosterones (DHT) as the standard
and assigned the value of 100. This comparison is illustrated in Table 1. As the table
indicates, compound II-1 exhibits a higher affinity for the androgen rat prostate
receptor than all of the other known antiandrogens except cyproterone acetate.
Table 1
| Rat Prostate Androgen Receptor Competition Assay |
| Competitor |
Relative Binding Affinitya |
| 5α-Dihydrotestosteroneb |
100 |
| Cyproterone Acetate |
17.7 |
| Compound II-1 |
5.7 |
| Hydroxyflutamide |
2.6 |
| Win 49,596 |
2.2 |
| ICI-176,334-Casodex® |
2.0 |
| a RBA = Conc. Of 5αDHT at 50% binding inhibition/conc. of competitor at 50% binding
inhibition x 100. |
| b Rel. binding affinity set at 100. |
[0069] Also, it may be seen that compound II-1 displays a higher affinity for the rat ventral
prostate androgen receptor than the steroidal antiandrogen zanoterone (WIN® 49,596).
Compound II-1 binds with higher affinity to the androgen receptor than three other
nonsteroidal antiandrogen receptor antagonists flutamide, which is available as an
antiandrogen in the United States, nilutamide, developed by Roussel in France, and
Casodex® (ICI 176,334). It is interesting to note that as previously demonstrated
with other antiandrogens, the magnitude of androgen receptor binding shows a good
correlation with
in vivo antiandrogenic potency as measured by their inhibition of prostatic growth in intact
male rats.
[0070] In the
in vivo studies summarised below, evaluating compound II-1 on inhibition of prostate growth
in castrated male rats given supplemental testosterone, a similar correlation between
in vivo potency and androgen receptor binding affinity was apparent, as indicated in Table
3.
Inhibition of Prostate Growth in Castrated Male Rats by Compound II-1:
[0071] Male rats weighing 36 to 38 grams were castrated at the age of 22 days. On the day
of castration, the animals were treated with the agonist, testosterone; 0.6 mg and
the antagonist II-1, 30.0 mg; and cyproterone acetate, 30.0 mg was used as the antiandrogenic
reference standard. The castrated rats were treated with the steroids once daily for
ten consecutive days. On the tenth day following treatment, the rats were sacrificed
and autopsied and final seminal vesicle weights and ventral prostate weights determined.
The results of the inhibition of ventral prostate growth by compound II-1 and the
antiandrogenic reference standard cyproterene acetate are shown in Table 2 below.
TABLE 2
| EFFECT OF ANTIANDROGEN ON SEX ACCESSORY GLANDS AND TESTES OF 22-DAY OLD CASTRATED
MALE RATS |
| |
|
|
Weight (mean ± SE) |
| Compound |
Dose (mg/Day)* |
"N" |
Initial BW (g) |
Final BW (g) |
Seminal Vesicle (mg) |
Ventral Prostate (mg) |
| Vehicle (Sesame oil) |
---- |
5 |
36 ± 1 |
85 ± 3 |
6.1 ±0.6 |
10.4 ± 1.1 |
| Testosterone propionate |
0.6 |
5 |
37 ± 2 |
86 ± 4 |
26.6 ± 34 |
53.4 ± 5.8 |
| Cyproterone acetate |
30.0 |
|
|
|
|
|
| Testosterone propionate |
0.6 |
5 |
35 ± 2 |
76 ± 5 |
9.8 ± 0.8 |
30.0 ± 3.6 |
| II-1 |
30.0 |
|
|
|
|
|
| Testosterone propionate |
0.6 |
5 |
36 ± 1 |
88 ± 5 |
28.2 ± 2.8 |
45.3 ± 2.5 |
[0072] These results clearly establish compound II-1 as a new chemical class of steroidal
antiandrogen.
In vivo they act as competitive androgen receptor antagonists and inhibit prostate growth
stimulated by exogenous testosterone in the male castrated rats. The magnitude of
prostatic growth inhibition also appears to be dose dependent, as shown in Table 3,
but this tentative conclusion must await further experimental dose/response studies
for final confirmation.
[0073] Relative
in vivo antiandrogenic potencies are as follows:
Table 3
| In Vivo Percent In Vivo Relative Inhibition of Androgen Receptor Ventral Prostate Affinity Weight |
| Cyproterone acetate |
54.3 ± 8.34 |
17.7 |
| Compound II-1 |
18.8 ± 5.74 |
5.7 |
| Hydroxyflutamide |
|
2.6 |
| Zanoterone |
|
2.2 |
| Casodex® |
|
2.0 |
[0074] The lack of agonist androgenic activity in the competitive receptor binding antagonist
II-1 was demonstrated
in vivo by the standard Hershberger androgenic assay conducted with 22 day old castrated
male rats. The seminal vesicle and ventral prostate weights of the animals treated
with II-1 at doses of 0.8 mg, 1.6 mg, and 3.2 mg were equal to the vehicle alone controls.
Very flat dose response curves for androgenic activity were obtained, indicating by
extrapolation that at the therapeutically effective antiandrogenic dose in the castrated
male rat (30.0 mg), II-1 is essentially devoid of agonist androgenic activity.
[0075] Figure 1 clearly demonstrates that compound II-1 provides for a fairly steady prostate
weight, even at higher doses. By comparison, it may be seen that testosterone itself
causes a proportionate rise in prostate weight with increasing dose.
Additional In Vivo Studies:
[0076] An additional
in vivo protocol which may be followed to evaluate the efficacy of the novel compounds involves
the androgen-sensitive PAP variant of the Dunning R-3327 prostatic carcinoma in male
Copenhagen X Fischer, F
1 rats. Flutamide, nilutamide or the like may be used as a positive control, administered,
like the novel compounds, by oral gavage and SC sesame oil suspension. Tumored rats
may be tested once the tumors become measurable, generally 7-20 weeks from implantation.
Three treatment groups will be given 20, 60 and 200 mg(sc)/kg/day, a fourth treatment
group will be given 100 mg p.o./kg/day, and a fifth, control group will be given 30
mg(sc)/kg/day flutamide or a similar dose of nilutamide or the like. Rats will receive
a single daily dose either sc or oral gavage for 28 days and will be weighed weekly.
Tumors will be measured in three planes twice a week. Tumor volume doubling time and
ventral prostate weights will be evaluated. It is expected that the compounds of the
invention will reduce tumor volume doubling time significantly and keep ventral prostate
weight relatively low.