Esters of levonorgestrel and etonogestrel intended as single, subcutaneous-injection, long-lasting contraceptives

[Display omitted] •Carbodiimide-mediated esterification of levonogestrel and etonogestrel.•First examples of sulfonamide-derived norgestrel analogs.•Two compounds identified as effective anti-ovulation agents in the murine model. An effort with the goal of discovering single-dose, long-lasting (>...

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Veröffentlicht in:Steroids 2018-09, Vol.137, p.47-56
Hauptverfasser: Meece, Frederick A., Ahmed, Gulzar, Nair, Hareesh, Santhamma, Bindu, Tekmal, Rajeshwar R., Zhao, Chumang, Pollok, Nicole E., Lara, Julia, Shaked, Ze'ev, Nickisch, Klaus
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Sprache:eng
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Zusammenfassung:[Display omitted] •Carbodiimide-mediated esterification of levonogestrel and etonogestrel.•First examples of sulfonamide-derived norgestrel analogs.•Two compounds identified as effective anti-ovulation agents in the murine model. An effort with the goal of discovering single-dose, long-lasting (>6 months) injectable contraceptives began using levonorgestrel (LNG)-17-β esters linked to a sulfonamide function purposed as human carbonic anhydrase II (hCA 2) ligands. One single analog from this first series showed noticeably superior anti-ovulatory activity in murine models, and a subsequent structure-activity relationship (SAR, the relationship between a compound’s molecular structure and its biological activity) study based on this compound identified a LNG-phenoxyacetic acid ester analog exhibiting longer anti-ovulatory properties using the murine model at 2 and 4 mg dose than medroxyprogesterone acetate (MPA). The same ester function linked to etonogestrel (ENG) furnished a compound which inhibited ovulation at 2 mg for 60 days, the longest duration of all compounds tested at these doses. By comparison, MPA at the same dose inhibited ovulation for 32 days.
ISSN:0039-128X
1878-5867
DOI:10.1016/j.steroids.2018.07.010