Chemical compound
Pharmaceutical compound
Chlorotrianisene Clinical data Trade names Tace, Estregur, Anisene, Clorotrisin, Merbentyl, Triagen, others Other names CTA; Trianisylchloroethylene; tri-p -Anisylchloroethylene; TACE; tris(p -Methoxyphenyl)-chloroethylene; NSC-10108 AHFS /Drugs.com Multum Consumer Information Routes of administration By mouth [ 1] [ 2] Drug class Nonsteroidal estrogen ATC code Pharmacokinetic dataMetabolism Mono-O -demethylation (liver CYP450 )[ 3] [ 4] Metabolites Desmethylchlorotrianisene [ 3] [ 4] Identifiers 1,1',1''-(2-chloroethene-1,1,2-triyl)tris(4-methoxybenzene); 11-chloro-4,13-dimethoxy-12-(p -methoxyphenyl)stilbene
CAS Number PubChem CID IUPHAR/BPS DrugBank ChemSpider UNII KEGG ChEBI ChEMBL CompTox Dashboard (EPA) ECHA InfoCard 100.008.472 Chemical and physical data Formula C 23 H 21 Cl O 3 Molar mass 380.87 g·mol−1 3D model (JSmol ) InChI=1S/C23H21ClO3/c1-25-19-10-4-16(5-11-19)22(17-6-12-20(26-2)13-7-17)23(24)18-8-14-21(27-3)15-9-18/h4-15H,1-3H3
Y Key:BFPSDSIWYFKGBC-UHFFFAOYSA-N
Y (verify)
Chlorotrianisene (CTA ), also known astri-p -anisylchloroethylene (TACE ) and sold under the brand nameTace among others, is anonsteroidal estrogen related todiethylstilbestrol (DES) which was previously used in the treatment ofmenopausal symptoms andestrogen deficiency in women andprostate cancer in men, among other indications, but has since been discontinued and is now no longer available.[ 5] [ 6] [ 7] [ 1] [ 8] It is takenby mouth .[ 1] [ 2]
CTA is anestrogen , or anagonist of theestrogen receptors , thebiological target of estrogens likeestradiol .[ 7] [ 1] [ 9] [ 10] It is a high-efficacy partial estrogen and shows some properties of aselective estrogen receptor modulator , with predominantlyestrogenic activity but also someantiestrogenic activity.[ 11] [ 12] CTA itself is inactive and is aprodrug in the body.[ 2] [ 13]
CTA was introduced for medical use in 1952.[ 14] It has been marketed in theUnited States andEurope .[ 14] [ 6] However, it has since been discontinued and is no longer available in any country.[ 1] [ 15]
CTA has been used in the treatment ofmenopausal symptoms andestrogen deficiency in women andprostate cancer in men, among other indications.[ 7] [ 1] It has been used to suppresslactation in women.[ 16] CTA has been used in the treatment ofacne as well.[ 17] [ 18] [ 19]
In men, CTA can producegynecomastia as aside effect .[ 20] [ 21] Conversely, it does not appear to lowertestosterone levels in men, and hence does not seem to have a risk ofhypogonadism and associated side effects in men.[ 22]
Testosterone levels with no treatment and with various estrogens in men with prostate cancer.[ 23] Determinations were made with an earlyradioimmunoassay (RIA).[ 23] Source was Shearer et al. (1973).[ 23] CTA is a relatively weakestrogen , with about one-eighth the potency of DES.[ 2] [ 12] However, it is highlylipophilic and is stored infat tissue for prolonged periods of time, with its slow release from fat resulting in a very long duration of action.[ 2] [ 12] [ 24] CTA itself is inactive; it behaves as aprodrug todesmethylchlorotrianisene (DMCTA),[ 3] [ 4] a weak estrogen that is formed as ametabolite via mono-O -demethylation of CTA in theliver .[ 2] [ 13] As such, the potency of CTA is reduced if it is givenparenterally instead of orally.[ 2]
Although it is referred to as a weakestrogen and was used solely as an estrogen in clinical practice, CTA is a high-efficacy partial agonist of theestrogen receptor .[ 12] As such, it is aselective estrogen receptor modulator (SERM), with predominantly estrogenic effects but also withantiestrogenic effects, and was arguably the first SERM to ever be introduced.[ 11] CTA can antagonizeestradiol at the level of thehypothalamus , resulting in disinhibition of thehypothalamic–pituitary–gonadal axis and an increase in estrogen levels.[ 12] Clomifene andtamoxifen were both derived from CTA viastructural modification , and are much lower-efficacy partial agonists than CTA and hence much more antiestrogenic in comparison.[ 12] [ 9] As an example, chlorotrianisene producesgynecomastia in men,[ 21] albeit reportedly to a lesser extent than other estrogens,[ 25] while clomifene and tamoxifen do not and can be used to treat gynecomastia.[ 26]
CTA at a dosage of 48 mg/day inhibitsovulation in almost all women.[ 27] Conversely, it has been reported that CTA has no measurable effect on circulating levels oftestosterone in men.[ 22] This is in contrast to other estrogens, likediethylstilbestrol , which can suppress testosterone levels by as much as 96%—or to an equivalent extent ascastration .[ 22] These findings suggest that CTA is not an effectiveantigonadotropin in men.[ 22]
Chlorotrianisene, also known as tri-p -anisylchloroethylene (TACE) or as tris(p -methoxyphenyl)chloroethylene, is asynthetic nonsteroidal compound of thetriphenylethylene group.[ 5] [ 7] [ 1] It is structurally related to the nonsteroidal estrogendiethylstilbestrol and to the SERMsclomifene andtamoxifen .[ 1] [ 12] [ 9]
It is structurally related to a compound that is calledAminoxytriphene (Amotriphene ).
Chlorotrianisene is prepared by the halogenation of a compound calledtrianisylethylene [7109-27-5]. An improved version for the synthesis of this precursor is by the treatment ofchloroacetyl chloride with 3 equivalents of Grignard reagent.[ 28] Another synthetic pathway relies on Grignard addition to the corresponding benzophenone,[ 29] [ 30] or by the Grignard reaction withdesoxyanisoin .[ 31] Crenshaw & Zimmer reported some interesting methods too.[ 32] E.g. Grignard reaction to alpha-chloro-4'-methoxyacetophenone [2196-99-8] was also demonstrated to work.
Trianisylethylene was also halogenated with bromine and found to give a,a,b-tri(p-anisyl)bromoethylene.[ 33] [ 34] [ 35] According to one SAR survey, this agent was said to be an improvement overEstrobin .[ 36] This earlier work accumulated in the synthesis of Chlorotrianisene.[ 37] At least three newer syntheses are also recorded in the pendant literature for Chlorotrianisene.[ 30] [ 29] [ 38] [ 32] In one adventitious discovery, it was found that chlorotrianisene could be made frommethoxychlor &anisole in a single step.[ 39]
The halogenation step in this class of agents has the overall effect of replacing avinylic hydrogen with a halogen atom. The reaction mechanism however can thought to be rationalized by a discrete halogenation step to give avicinally dihalogenated compound, which is not isolated but then instead undergoesdehydrohalogenation step.[ 40]
CTA was introduced for medical use in theUnited States in 1952, and was subsequently introduced for use throughoutEurope .[ 14] [ 6] It was the firstestrogenic compound of the triphenylethylene series to be introduced.[ 11] In comparison a commercial advertisement forGynosone was made in 1946.[ 41] CTA was derived fromestrobin (DBE), aderivative of the very weakly estrogenic compoundtriphenylethylene (TPE), which in turn was derived from structural modification ofdiethylstilbestrol (DES).[ 2] [ 12] [ 24] [ 42] The SERMsclomifene andtamoxifen , as well as theantiestrogen ethamoxytriphetol , were derived from CTA via structural modification.[ 12] [ 9] [ 43] [ 44]
Society and culture [ edit ] Chlorotrianisene is thegeneric name of the drug and itsINN Tooltip International Nonproprietary Name ,USAN Tooltip United States Adopted Name , andBAN Tooltip British Approved Name .[ 5] [ 6] [ 7] It is also known astri-p-anisylchloroethylene (TACE ).[ 5] [ 6] [ 7]
CTA has been marketed under the brand names Tace, Estregur, Anisene, Clorotrisin, Merbentyl, Merbentul, and Triagen among many others.[ 5] [ 6]
CTA is no longer marketed and hence is no longer available in any country.[ 1] [ 15] It was previously used in theUnited States andEurope .[ 14] [ 6]
^a b c d e f g h i Sweetman SC, ed. (2009). "Sex hormones and their modulators".Martindale: The Complete Drug Reference (36th ed.). London: Pharmaceutical Press. p. 2085.ISBN 978-0-85369-840-1 . ^a b c d e f g h Meikle AW (24 April 2003).Endocrine Replacement Therapy in Clinical Practice . Springer Science & Business Media. pp. 486–.ISBN 978-1-59259-375-0 . ^a b c Ruenitz PC, Toledo MM (August 1981). "Chemical and biochemical characteristics of O-demethylation of chlorotrianisene in the rat".Biochem. Pharmacol .30 (16):2203– 7.doi :10.1016/0006-2952(81)90088-5 .PMID 7295335 . ^a b c Jordan VC (1986).Estrogen/antiestrogen Action and Breast Cancer Therapy . Univ of Wisconsin Press. p. 212.ISBN 978-0-299-10480-1 . ^a b c d e Elks J (14 November 2014).The Dictionary of Drugs: Chemical Data: Chemical Data, Structures and Bibliographies . Springer. pp. 263–.ISBN 978-1-4757-2085-3 . ^a b c d e f g Index Nominum 2000: International Drug Directory . Taylor & Francis. January 2000. pp. 219–.ISBN 978-3-88763-075-1 .^a b c d e f Morton IK, Hall JM (6 December 2012).Concise Dictionary of Pharmacological Agents: Properties and Synonyms . Springer Science & Business Media. pp. 73–.ISBN 978-94-011-4439-1 . ^ Cox RL, Crawford ED (December 1995). "Estrogens in the treatment of prostate cancer".The Journal of Urology .154 (6):1991– 8.doi :10.1016/S0022-5347(01)66670-9 .PMID 7500443 . ^a b c d Luniwal A, Jetson R, Erhardt P (2012). "Selective Estrogen Receptor Modulators". In Fischer J, Ganellin CR, Rotella DP (eds.).Analogue-Based Drug Discovery III . pp. 165– 185.doi :10.1002/9783527651085.ch7 .ISBN 9783527651085 . ^ Jordan VC, Lieberman ME (September 1984). "Estrogen-stimulated prolactin synthesis in vitro. Classification of agonist, partial agonist, and antagonist actions based on structure".Molecular Pharmacology .26 (2):279– 85.PMID 6541293 . ^a b c Fischer J, Ganellin CR, Rotella DP (15 October 2012).Analogue-based Drug Discovery III . John Wiley & Sons. pp. 5–.ISBN 978-3-527-65110-8 . ^a b c d e f g h i Sneader W (23 June 2005).Drug Discovery: A History . John Wiley & Sons. pp. 198–.ISBN 978-0-471-89979-2 . ^a b Hadden J (9 November 2013).Pharmacology . Springer Science & Business Media. pp. 249–.ISBN 978-1-4615-9406-2 . ^a b c d William Andrew Publishing (22 October 2013).Pharmaceutical Manufacturing Encyclopedia, 3rd Edition . Elsevier. pp. 980–.ISBN 978-0-8155-1856-3 . ^a b http://www.micromedexsolutions.com/micromedex2/ [permanent dead link ] ^ Vorherr H (2 December 2012).The Breast: Morphology, Physiology, and Lactation . Elsevier Science. pp. 203–.ISBN 978-0-323-15726-1 . ^ Schirren C (1961). "Die Sexualhormone".Therapie der Haut- und Geschlechtskrankheiten . pp. 470– 549.doi :10.1007/978-3-642-94850-3_6 .ISBN 978-3-642-94851-0 . {{cite book }}:ISBN / Date incompatibility (help ) ^ Kile RL (August 1953)."The treatment of acne with TACE" .J Invest Dermatol .21 (2):79– 81.doi :10.1038/jid.1953.73 .PMID 13084969 . ^ Welsh AL (April 1954). "Use of synthetic estrogenic substance chlorotrianisene (TACE) in treatment of acne".AMA Arch Dermatol Syphilol .69 (4):418– 27.doi :10.1001/archderm.1954.01540160020004 .PMID 13147544 . ^ Dao TL (1975)."Pharmacology and Clinical Utility of Hormones in Hormone Related Neoplasms" . In Sartorelli AC, Johns DG (eds.).Antineoplastic and Immunosuppressive Agents . pp. 170– 192.doi :10.1007/978-3-642-65806-8_11 .ISBN 978-3-642-65806-8 . ^a b Li JJ (3 April 2009).Triumph of the Heart: The Story of Statins . Oxford University Press, USA. pp. 34–.ISBN 978-0-19-532357-3 . ^a b c d Ghanadian R (6 December 2012).The Endocrinology of Prostate Tumours . Springer Science & Business Media. pp. 70–.ISBN 978-94-011-7256-1 . ^a b c Shearer RJ, Hendry WF, Sommerville IF, Fergusson JD (December 1973). "Plasma testosterone: an accurate monitor of hormone treatment in prostatic cancer".Br J Urol .45 (6):668– 77.doi :10.1111/j.1464-410x.1973.tb12238.x .PMID 4359746 . ^a b Jordan VC, Mittal S, Gosden B, Koch R, Lieberman ME (September 1985)."Structure-activity relationships of estrogens" .Environmental Health Perspectives .61 :97– 110.Bibcode :1985EnvHP..61...97J .doi :10.1289/ehp.856197 .PMC 1568776 .PMID 3905383 . ^ Vitamins and Hormones . Academic Press. 18 May 1976. pp. 387–.ISBN 978-0-08-086630-7 .^ Khan HN, Blamey RW (August 2003)."Endocrine treatment of physiological gynaecomastia" .BMJ .327 (7410):301– 2.doi :10.1136/bmj.327.7410.301 .PMC 1126712 .PMID 12907471 . ^ Duncan CJ, Kistner RW, Mansell H (October 1956)."Suppression of ovulation by trip-anisyl chloroethylene (TACE)" .Obstet Gynecol .8 (4):399– 407.PMID 13370006 . ^ Г. Хухр нский Л. Н. Волове льский, SU213825 (). ^a b Robert S Shelton, Jr Marcus G Van Campen,U.S. patent 2,430,891 (1947 to Wm S Merrell Co). ^a b Shelton, R. S., Campen, M. G. V., Meisner, D. F., Parmerter, S. M., Andrews, E. R., Allen, R. E., Wyckoff, K. K. (November 1953)."Synthetic Estrogens. Halotriphenylethylene Derivatives" .Journal of the American Chemical Society .75 (22):5491– 5495.doi :10.1021/ja01118a008 . ^ Robert A. Magarian, Joseph T. Pento & Billy W. Day,U.S. patent 5,015,666 (1991 to University of Oklahoma). ^a b Crenshaw, M. D., Zimmer, H. (August 1983)."Synthesis with .alpha.-heterosubstituted phosphonates. Part 13. Synthesis of trisubstituted vinyl chlorides" .The Journal of Organic Chemistry .48 (16):2782– 2784.doi :10.1021/jo00164a036 . ^ DAVIES J. S. H., AND ELSON L.A. GB549353 (1942 to Imperial Chemical Industries, Ltd.); Chem. Abstracts 38, 838 (1944). ^ DAVIES, J. S. H. GB549200 (1942 to Imperial Chemical Industries, Ltd.); Chem. abstracts 38, 621 (1944). ^ BASFORD, F. R., GB559374 (1944 to Imperial Chemical Industries Ltd). ^ Solmssen, Ulrich V. (1945). "Synthetic Estrogens and the Relation Between their Structure and their Activity.". Chemical Reviews. 37 (3): 481–598. doi:10.1021/cr60118a004. ^ Frederick Robert Basford, GB561508 (1944 to ICI Ltd.). ^ Sisido, K., Okano, K., Isida, T., Nozaki, H. (December 1955)."Preparations of the Synthetic Estrogens. VII. 1 New Syntheses of 1,1,2-Tri-p-anisyl-2-chloroethylene" .Journal of the American Chemical Society .77 (24):6580– 6582.doi :10.1021/ja01629a046 . ^ Mitchell, R. H., Mazuch, L., Shell, B., West, P. R. (1 May 1978)."Constituents of commercial methoxychlor-III. The mechanism of tetraanisylethylene formation. unsym -Tetraarylethylenes (Ar 2 C=CAr 2 ′): synthesis from DT class pesticides, and conversion to phenanthrenes and dibenzo[ g,p ]chrysenes" .Canadian Journal of Chemistry .56 (9):1246– 1252.doi :10.1139/v78-207 . ^ Koelsch, C. Frederick. (1932). SYNTHESES WITH TRIARYLVINYLMAGNESIUM BROMIDES. TRIARYLACRYLIC ACIDS AND THE INDONES DERIVED FROM THEM. Journal of the American Chemical Society, 54(6), 2487–2493. doi:10.1021/ja01345a046 ^ " "Gynosone" A New Synthetic Oestrogen" . Advertisement.Proc R Soc Med .39 (11). Sep 1946.PMC 2181944 .^ Avendano C, Menendez JC (11 June 2015).Medicinal Chemistry of Anticancer Drugs . Elsevier Science. pp. 87–.ISBN 978-0-444-62667-7 . ^ Manni A (15 January 1999).Endocrinology of Breast Cancer . Springer Science & Business Media. pp. 286– 287.ISBN 978-1-59259-699-7 . ^ Ravina E (11 January 2011).The Evolution of Drug Discovery: From Traditional Medicines to Modern Drugs . John Wiley & Sons. pp. 178–.ISBN 978-3-527-32669-3 .
Estrogens
ER Tooltip Estrogen receptor agonistsSteroidal: Alfatradiol Certainandrogens /anabolic steroids (e.g.,testosterone ,testosterone esters ,methyltestosterone ,metandienone ,nandrolone esters ) (via estrogenic metabolites) Certainprogestins (e.g.,norethisterone ,noretynodrel ,etynodiol diacetate ,tibolone ) Clomestrone Cloxestradiol acetate Conjugated estriol Conjugated estrogens Epiestriol Epimestrol Esterified estrogens Estetrol † Estradiol Estradiol esters (e.g.,estradiol acetate ,estradiol benzoate ,estradiol cypionate ,estradiol enanthate ,estradiol undecylate ,estradiol valerate ,polyestradiol phosphate ,estradiol ester mixtures (Climacteron ))Estramustine phosphate Estriol Estriol esters (e.g.,estriol succinate ,polyestriol phosphate )Estrogenic substances Estrone Estrone esters Ethinylestradiol # Hydroxyestrone diacetate Mestranol Methylestradiol Moxestrol Nilestriol Prasterone (dehydroepiandrosterone; DHEA) Promestriene Quinestradol Quinestrol Progonadotropins
Antiestrogens
ER Tooltip Estrogen receptor antagonists (incl.SERMs Tooltip selective estrogen receptor modulators /SERDs Tooltip selective estrogen receptor downregulators )Aromatase inhibitors Antigonadotropins Androgens /anabolic steroids (e.g.,testosterone ,testosterone esters ,nandrolone esters ,oxandrolone ,fluoxymesterone )D2 receptor antagonists (prolactin releasers) (e.g.,domperidone ,metoclopramide ,risperidone ,haloperidol ,chlorpromazine ,sulpiride )GnRH agonists (e.g.,leuprorelin ,goserelin )GnRH antagonists (e.g.,cetrorelix ,elagolix )Progestogens (e.g.,chlormadinone acetate ,cyproterone acetate ,gestonorone caproate ,hydroxyprogesterone caproate ,medroxyprogesterone acetate ,megestrol acetate )Others
ER Tooltip Estrogen receptor
Agonists Steroidal: 2-Hydroxyestradiol 2-Hydroxyestrone 3-Methyl-19-methyleneandrosta-3,5-dien-17β-ol 3α-Androstanediol 3α,5α-Dihydrolevonorgestrel 3β,5α-Dihydrolevonorgestrel 3α-Hydroxytibolone 3β-Hydroxytibolone 3β-Androstanediol 4-Androstenediol 4-Androstenedione 4-Fluoroestradiol 4-Hydroxyestradiol 4-Hydroxyestrone 4-Methoxyestradiol 4-Methoxyestrone 5-Androstenediol 7-Oxo-DHEA 7α-Hydroxy-DHEA 7α-Methylestradiol 7β-Hydroxyepiandrosterone 8,9-Dehydroestradiol 8,9-Dehydroestrone 8β-VE2 10β,17β-Dihydroxyestra-1,4-dien-3-one (DHED) 11β-Chloromethylestradiol 11β-Methoxyestradiol 15α-Hydroxyestradiol 16-Ketoestradiol 16-Ketoestrone 16α-Fluoroestradiol 16α-Hydroxy-DHEA 16α-Hydroxyestrone 16α-Iodoestradiol 16α-LE2 16β-Hydroxyestrone 16β,17α-Epiestriol (16β-hydroxy-17α-estradiol) 17α-Estradiol (alfatradiol )17α-Dihydroequilenin 17α-Dihydroequilin 17α-Epiestriol (16α-hydroxy-17α-estradiol) 17α-Ethynyl-3α-androstanediol 17α-Ethynyl-3β-androstanediol 17β-Dihydroequilenin 17β-Dihydroequilin 17β-Methyl-17α-dihydroequilenin Abiraterone Abiraterone acetate Alestramustine Almestrone Anabolic steroids (e.g.,testosterone andesters ,methyltestosterone ,metandienone (methandrostenolone) ,nandrolone andesters , many others; via estrogenic metabolites)Atrimustine Bolandiol Bolandiol dipropionate Butolame Clomestrone Cloxestradiol Conjugated estriol Conjugated estrogens Cyclodiol Cyclotriol DHEA DHEA-S ent -EstradiolEpiestriol (16β-epiestriol, 16β-hydroxy-17β-estradiol) Epimestrol Equilenin Equilin ERA-63 (ORG-37663) Esterified estrogens Estetrol Estradiol Estramustine Estramustine phosphate Estrapronicate Estrazinol Estriol Estrofurate Estrogenic substances Estromustine Estrone Etamestrol (eptamestrol) Ethinylandrostenediol Ethinylestradiol Ethinylestriol Ethylestradiol Etynodiol Etynodiol diacetate Hexolame Hippulin Hydroxyestrone diacetate Lynestrenol Lynestrenol phenylpropionate Mestranol Methylestradiol Moxestrol Mytatrienediol Nilestriol Norethisterone Noretynodrel Orestrate Pentolame Prodiame Prolame Promestriene RU-16117 Quinestradol Quinestrol Tibolone Xenoestrogens: Anise -related (e.g.,anethole ,anol ,dianethole ,dianol ,photoanethole )Chalconoids (e.g.,isoliquiritigenin ,phloretin ,phlorizin (phloridzin) ,wedelolactone )Coumestans (e.g.,coumestrol ,psoralidin )Flavonoids (incl.7,8-DHF ,8-prenylnaringenin ,apigenin ,baicalein ,baicalin ,biochanin A ,calycosin ,catechin ,daidzein ,daidzin ,ECG ,EGCG ,epicatechin ,equol ,formononetin ,glabrene ,glabridin ,genistein ,genistin ,glycitein ,kaempferol ,liquiritigenin ,mirificin ,myricetin ,naringenin ,penduletin ,pinocembrin ,prunetin ,puerarin ,quercetin ,tectoridin ,tectorigenin )Lavender oil Lignans (e.g.,enterodiol ,enterolactone ,nyasol (cis -hinokiresinol) )Metalloestrogens (e.g.,cadmium )Pesticides (e.g.,alternariol ,dieldrin ,endosulfan ,fenarimol ,HPTE ,methiocarb ,methoxychlor ,triclocarban ,triclosan )Phytosteroids (e.g.,digitoxin (digitalis ),diosgenin ,guggulsterone )Phytosterols (e.g.,β-sitosterol ,campesterol ,stigmasterol )Resorcylic acid lactones (e.g.,zearalanone ,α-zearalenol ,β-zearalenol ,zearalenone ,zeranol (α-zearalanol) ,taleranol (teranol, β-zearalanol) )Steroid -like (e.g.,deoxymiroestrol ,miroestrol )Stilbenoids (e.g.,resveratrol ,rhaponticin )Synthetic xenoestrogens (e.g.,alkylphenols ,bisphenols (e.g.,BPA ,BPF ,BPS ),DDT ,parabens ,PBBs ,PHBA ,phthalates ,PCBs )Others (e.g.,agnuside ,rotundifuran ) Mixed (SERMs Tooltip Selective estrogen receptor modulators ) Antagonists Coregulator-binding modulators: ERX-11
GPER Tooltip G protein-coupled estrogen receptor
Agonists Antagonists Unknown