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Norgestrienone

From Wikipedia, the free encyclopedia
Chemical compound
Pharmaceutical compound
Norgestrienone
Clinical data
Trade namesOgyline, Planor, Miniplanor
Other namesRU-2010; A-301; 17α-Ethynyltrienolone; 17α-Ethynyltrenbolone; Δ9,11-Norethisterone; 17α-Ethynylestra-4,9,11-trien-17β-ol-3-one
Routes of
administration
By mouth
Drug classProgestogen;Progestin;Androgen;Anabolic steroid
ATC code
Identifiers
  • (8S,13S,14S,17R)-17-ethynyl-17-hydroxy-13-methyl-1,2,6,7,8,14,15,16-octahydrocyclopenta[a]phenanthren-3-one
CAS Number
PubChemCID
ChemSpider
UNII
KEGG
CompTox Dashboard(EPA)
ECHA InfoCard100.011.544Edit this at Wikidata
Chemical and physical data
FormulaC20H22O2
Molar mass294.394 g·mol−1
3D model (JSmol)
  • O=C4\C=C3/C(=C2/C=C\[C@]1([C@@H](CC[C@]1(C#C)O)[C@@H]2CC3)C)CC4
  • InChI=1S/C20H22O2/c1-3-20(22)11-9-18-17-6-4-13-12-14(21)5-7-15(13)16(17)8-10-19(18,20)2/h1,8,10,12,17-18,22H,4-7,9,11H2,2H3/t17-,18+,19+,20+/m1/s1 checkY
  • Key:GVDMJXQHPUYPHP-FYQPLNBISA-N checkY
  (verify)

Norgestrienone, sold under the brand namesOgyline,Planor, andMiniplanor, is aprogestin medication which has been used inbirth control pills, sometimes in combination withethinylestradiol.[1][2][3][4][5] It was developed byRoussel Uclaf and has been registered for use only inFrance.[4][5][6] Under the brand namePlanor, it has been marketed in France as 2 mg norgestrienone and 50 μg ethinylestradiol tablets.[7] It is takenby mouth.[5]

Norgestrienone is a progestin, or asyntheticprogestogen, and hence is anagonist of theprogesterone receptor, thebiological target of progestogens likeprogesterone.[8] It has someandrogenic activity.[9][10][11][12]

Norgestrienone was first described in the literature in 1965.[10] It is sometimes referred to as a "second-generation" progestin.[13] Norgestrienone is no longer available.[citation needed]

Medical uses

[edit]

Norgestrienone was used inhormonal contraception to preventpregnancy.[2][7] It has typically been used as anoral contraceptive at a dosage of 2 mg/day in combination withethinylestradiol and 350 μ/day when used alone.[5]

Side effects

[edit]
See also:Progestin § Side effects

Pharmacology

[edit]

Pharmacodynamics

[edit]

Norgestrienone has been found to possess similaraffinity for theprogesterone receptor andandrogen receptor,[8] and in accordance, has someandrogenic activity.[9][10][11][12] The androgenic activity of norgestrienone is greater than that of other19-nortestosterone derivatives due to the presence of the C9(11)double bond, which enhances said activity.[12] The ratio ofprogestogenic toandrogenic activity appears to be much lower for norgestrienone that it is for other 19-nortestosterone progestins such asnorethisterone andlevonorgestrel.[14][15][16][17]Gestrinone, the 18-methylanalogue of norgestrienone, has even greater androgenic activity than norgestrienone, as this modification increases androgenic activity similarly.[12]

Relative affinities (%) of norgestrienone and related steroids
CompoundPRTooltip Progesterone receptorARTooltip Androgen receptorERTooltip Estrogen receptorGRTooltip Glucocorticoid receptorMRTooltip Mineralocorticoid receptorSHBGTooltip Sex hormone-binding globulinCBGTooltip Corticosteroid binding globulin
Norethisterone155–15643–45<0.12.7–2.80.2??
Norgestrienone63–6570<0.1111.8??
Levonorgestrel17084–87<0.1140.6–0.9??
Gestrinone75–7683–85<0.1, 3–10773.2??
Notes: Values are percentages (%). Referenceligands (100%) wereprogesterone for thePRTooltip progesterone receptor,testosterone for theARTooltip androgen receptor,E2 for theERTooltip estrogen receptor,DEXATooltip dexamethasone for theGRTooltip glucocorticoid receptor,aldosterone for theMRTooltip mineralocorticoid receptor,DHTTooltip dihydrotestosterone forSHBGTooltip sex hormone-binding globulin, andcortisol forCBGTooltip Corticosteroid-binding globulin.Sources:[14][15][16][17]

Pharmacokinetics

[edit]

Themetabolism of norgestrienone in humans has been studied.[18]

Chemistry

[edit]
See also:List of progestogens andList of androgens/anabolic steroids

Norgestrienone, also known as 17α-ethynyl-19-nor-δ9,11-testosterone or as 17α-ethynylestra-4,9,11-trien-17β-ol-3-one, as well as δ9,11-norethisterone or 17α-ethynyltrienolone (17α-ethynyltrenbolone), is asyntheticestranesteroid and aderivative oftestosterone and19-nortestosterone.[1][4][19] It is structurally related to theanabolic steroidtrenbolone (19-nor-δ9,11-testosterone; the non-17α-ethynylatedanalogue of norgestrienone), theprogestogenic andandrogenic steroidgestrinone (the 13β-ethyl variant or 18-methyl derivative of norgestrienone), and the anabolic steroidtetrahydrogestrinone (the 18-methyl and 17α-ethyl variant of norgestrienone).[1][4][20]

History

[edit]

Norgestrienone was first described in the literature in 1965.[10] It is sometimes referred to as a "second-generation" progestin based on its time of introduction.[13]

Society and culture

[edit]

Generic names

[edit]

Norgestrienone is thegeneric name of the drug and itsINNTooltip International Nonproprietary Name.[1][2][4] It is also known by its developmental code namesRU-2010 andA-301.[1][2][4]

Brand names

[edit]

Norgestrienone has been marketed under the brand names Ogyline, Planor, and Miniplanor.[1][2][4]

Availability

[edit]

Norgestrienone is no longer marketed and hence is no longer available in any country.[citation needed] It was previously used inFrance.[4] The medication was never marketed in theUnited States.[21]

Research

[edit]

Norgestrienone has been studied for use inmale hormonal contraception.[22]

References

[edit]
  1. ^abcdefElks J (14 November 2014).The Dictionary of Drugs: Chemical Data: Chemical Data, Structures and Bibliographies. Springer. pp. 887–.ISBN 978-1-4757-2085-3.
  2. ^abcdeMorton IK, Hall JM (6 December 2012).Concise Dictionary of Pharmacological Agents: Properties and Synonyms. Springer Science & Business Media. pp. 202–.ISBN 978-94-011-4439-1.
  3. ^Diaz S, Pavez M, Quinteros E, Diaz J, Robertson DN, Croxatto HB (October 1978). "Clinical trial with subdermal implants containing norgestrienone".Contraception.18 (4):429–440.doi:10.1016/0010-7824(78)90027-6.PMID 720075.
  4. ^abcdefghIndex Nominum 2000: International Drug Directory. Taylor & Francis. January 2000. pp. 751–.ISBN 978-3-88763-075-1.
  5. ^abcdSweetman SC, ed. (2009)."Sex hormones and their modulators".Martindale: The Complete Drug Reference (36th ed.). London: Pharmaceutical Press. p. 2122.ISBN 978-0-85369-840-1.Norgestrienone is a progestogen structurally related to norethisterone that has been used as an oral contraceptive. Typical doses have been 2 mg daily with an oestrogen, and 350 micrograms daily when used alone.
  6. ^McGuire JL (2000).Pharmaceuticals, 4 Volume Set. Wiley. p. 1580,1599.ISBN 978-3-527-29874-7.
  7. ^abIARC Working Group on the Evaluation of Carcinogenic Risks to Humans; World Health Organization; International Agency for Research on Cancer (2007).Combined Estrogen-progestogen Contraceptives and Combined Estrogen-progestogen Menopausal Therapy. World Health Organization. pp. 455–.ISBN 978-92-832-1291-1.
  8. ^abLoughney DA, Schwender CF (December 1992). "A comparison of progestin and androgen receptor binding using the CoMFA technique".Journal of Computer-Aided Molecular Design.6 (6):569–581.Bibcode:1992JCAMD...6..569L.doi:10.1007/bf00126215.PMID 1291626.S2CID 22004130.
  9. ^abAxelrod J (1 January 1982).Biochemical Actions of Hormones. Academic Press.ISBN 978-0-12-452809-3.
  10. ^abcdLauritzen C, Studd JW (22 June 2005).Current Management of the Menopause. CRC Press. pp. 45–.ISBN 978-0-203-48612-2.
  11. ^abDi Giulio RT, Monosson E (6 December 2012).Interconnections Between Human and Ecosystem Health. Springer Science & Business Media. pp. 60–.ISBN 978-94-009-1523-7.
  12. ^abcdRozenbaum H (March 1982). "Relationships between chemical structure and biological properties of progestogens".American Journal of Obstetrics and Gynecology.142 (6 Pt 2):719–724.doi:10.1016/S0002-9378(16)32477-2.PMID 7065053.
  13. ^abWeiss G (February 1999). "Risk of venous thromboembolism with third-generation oral contraceptives: A review".American Journal of Obstetrics and Gynecology.180 (2 Pt 2):295–301.doi:10.1016/S0002-9378(99)70721-0.PMID 9988833.
  14. ^abDelettré J, Mornon JP, Lepicard G, Ojasoo T, Raynaud JP (January 1980). "Steroid flexibility and receptor specificity".Journal of Steroid Biochemistry.13 (1):45–59.doi:10.1016/0022-4731(80)90112-0.PMID 7382482.
  15. ^abRaynaud JP, Bouton MM, Moguilewsky M, Ojasoo T, Philibert D, Beck G, et al. (January 1980). "Steroid hormone receptors and pharmacology".Journal of Steroid Biochemistry.12:143–157.doi:10.1016/0022-4731(80)90264-2.PMID 7421203.
  16. ^abOjasoo T, Raynaud JP, Doé JC (January 1994). "Affiliations among steroid receptors as revealed by multivariate analysis of steroid binding data".The Journal of Steroid Biochemistry and Molecular Biology.48 (1):31–46.doi:10.1016/0960-0760(94)90248-8.PMID 8136304.S2CID 21336380.
  17. ^abRaynaud J, Ojasoo T, Bouton M, Philibert D (1979)."Receptor Binding as a Tool in the Development of New Bioactive Steroids".Drug Design. Medicinal Chemistry: A Series of Monographs. Vol. 11. Academic Press. pp. 169–214.doi:10.1016/B978-0-12-060308-4.50010-X.ISBN 9781483216102.
  18. ^Raynaud JP (1970)."Metabolism of contraceptive steroids in man".Excerpta Medica International Congress Series.219:915–922. Archived fromthe original on 29 March 2018.
  19. ^Lavery JP, Sanfilippo JS (6 December 2012).Pediatric and Adolescent Obstetrics and Gynecology. Springer Science & Business Media. pp. 236–.ISBN 978-1-4612-5064-7.
  20. ^Gomel V, Brill A (27 September 2010).Reconstructive and Reproductive Surgery in Gynecology. CRC Press. pp. 90–.ISBN 978-1-84184-757-3.
  21. ^Lednicer D (4 March 2009).Strategies for Organic Drug Synthesis and Design. John Wiley & Sons. pp. 134–.ISBN 978-0-470-39959-0.
  22. ^Schearer SD (1978).The use of progestins and androgens as a male contraceptive. Hormonal control of male fertility.DHEW Publication No.(NIH). (Report). pp. 78–1097. Archived fromthe original on 29 March 2018.
Progestogens
(andprogestins)
PRTooltip Progesterone receptoragonists
Antiprogestogens
SPRMsTooltip Selective progesterone receptor modulators
PRTooltip Progesterone receptorantagonists
Androgens
(incl.AASTooltip anabolic–androgenic steroid)
ARTooltip Androgen receptoragonists
Progonadotropins
Antiandrogens
ARTooltip Androgen receptorantagonists
Steroidogenesis
inhibitors
5α-Reductase
Others
Antigonadotropins
Others
PRTooltip Progesterone receptor
Agonists
Mixed
(SPRMsTooltip Selective progesterone receptor modulators)
Antagonists
mPRTooltip Membrane progesterone receptor
(PAQRTooltip Progestin and adipoQ receptor)
Agonists
Antagonists
ARTooltip Androgen receptor
Agonists
SARMsTooltip Selective androgen receptor modulator
Antagonists
GPRC6A
Agonists
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