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Quingestanol acetate

From Wikipedia, the free encyclopedia
Chemical compound
Pharmaceutical compound
Quingestanol acetate
Clinical data
Trade namesDemovis, Pilomin, others
Other namesW-4540; Norethisterone acetate 3-cyclopentyl enol ether; 17α-Ethynyl-19-nortestosterone acetate 3-cyclopentyl enol ether; ENTACP; (17β)-3-(Cyclopentyloxy)-17-ethynylestra-3,5-dien-17-yl acetate
Routes of
administration
By mouth
Drug classProgestogen;Progestin;Progestogen ester
ATC code
Legal status
Legal status
  • In general: ℞ (Prescription only)
Identifiers
  • [(8R,9S,10R,13S,14S,17R)-3-cyclopentyloxy-17-ethynyl-13-methyl-2,7,8,9,10,11,12,14,15,16-decahydro-1H-cyclopenta[a]phenanthren-17-yl] acetate
CAS Number
PubChemCID
DrugBank
ChemSpider
UNII
ChEBI
ChEMBL
CompTox Dashboard(EPA)
ECHA InfoCard100.019.163Edit this at Wikidata
Chemical and physical data
FormulaC27H36O3
Molar mass408.582 g·mol−1
3D model (JSmol)
  • O=C(O[C@@]5(C#C)CC[C@@H]4[C@]5(C)CC[C@@H]3[C@@H]2C(\C=C(\OC1CCCC1)CC2)=C/C[C@H]34)C
  • InChI=1S/C27H36O3/c1-4-27(30-18(2)28)16-14-25-24-11-9-19-17-21(29-20-7-5-6-8-20)10-12-22(19)23(24)13-15-26(25,27)3/h1,9,17,20,22-25H,5-8,10-16H2,2-3H3/t22-,23+,24+,25-,26-,27-/m0/s1
  • Key:FLGJKPPXEKYCBY-AKCFYGDASA-N

Quingestanol acetate, sold under the brand namesDemovis andPilomin among others, is aprogestin medication which was used inbirth control pills but is no longer marketed.[1] It is takenby mouth.[2][3][4]

Quingestanol acetate is a progestin, or asyntheticprogestogen, and hence is anagonist of theprogesterone receptor, thebiological target of progestogens likeprogesterone.[2][3][4] It has weakandrogenic andestrogenic activity and no other importanthormonal activity.[2][3][4] The medication is aprodrug ofnorethisterone in the body, withquingestanol andnorethisterone acetate occurring asintermediates.[5][6]

Quingestanol acetate waspatented in 1963 and was introduced for medical use in 1972.[7][8] It was marketed inItaly.[8]

Medical uses

[edit]

Quingestanol acetate was used as anoral, once-a-month, orpostcoitalhormonal contraceptive.[2][3][4]

Side effects

[edit]
See also:Norethisterone § Side effects, andProgestin § Side effects

Pharmacology

[edit]
See also:Norethisterone § Pharmacology

Quingestanol acetate is aprogestogen, and also has weakandrogenic andestrogenic activity.[2][3][4] It is aprodrug ofnorethisterone, with bothquingestanol andnorethisterone acetate serving asintermediates in thetransformation.[5][6] Unlikepenmesterol (methyltestosterone 3-cyclopentyl enol ether) andquinestrol (ethinylestradiol 3-cyclopentyl ether), quingestanol acetate is not stored infat and does not have a prolongedduration of action.[2]

Chemistry

[edit]
See also:List of progestogens,Progestogen ester, andList of progestogen esters

Quingestanol acetate, also known as norethisterone 17β-acetate 3-cyclopentyl enol ether or as 17α-ethynyl-19-nortestosterone 17β-acetate 3-cyclopentyl enol ether (ENTACP), as well as 3-(cyclopentyloxy)-17α-ethynylestra-3,5-dien-17β-yl acetate, is asyntheticestranesteroid and aderivative oftestosterone.[1] It is specifically a derivative of19-nortestosterone and17α-ethynyltestosterone, or ofnorethisterone (17α-ethynyl-19-nortestosterone), in which acyclopentylenol ethergroup has been attached at the C3 position and anacetateester has been attached at the C17β position.[1] Quingestanol acetate is the C17βacetateester ofquingestanol (norethisterone 3-cyclopentyl enol ether).[1]

History

[edit]

Quingestanol acetate was patented in 1963[7] and marketed inItaly in 1972.[8][9]

Society and culture

[edit]

Generic names

[edit]

Quingestanol acetate is thegeneric name of the drug and itsINNTooltip International Nonproprietary Name andUSANTooltip United States Adopted Name.[1]

Brand names

[edit]

Quingestanol acetate was marketed under the brand names Demovis, Pilomin, Riglovis, and Unovis.[1][7]

References

[edit]
  1. ^abcdefJ. Elks (14 November 2014).The Dictionary of Drugs: Chemical Data: Chemical Data, Structures and Bibliographies. Springer. pp. 1058–.ISBN 978-1-4757-2085-3.
  2. ^abcdefGiannina T, Steinetz BG, Rassaert CL, McDougall EA, Meli A (July 1969). "Biological profile of quingestanol acetate".Proceedings of the Society for Experimental Biology and Medicine.131 (3):781–9.doi:10.3181/00379727-131-33977.PMID 5815452.S2CID 12433167.
  3. ^abcdeMischler TW, Rubio B, Larranaga A, Guiloff E, Moggia AV (March 1974). "Further experience with quingestanol acetate as a postcoital oral contraceptive".Contraception.9 (3):221–5.doi:10.1016/0010-7824(74)90013-4.PMID 4613534.
  4. ^abcdeDonde UM, Virkar KD (June 1975). "Biochemical studies with once-a-month contraceptive pill containing quinestrol-quingestanol acetate".Contraception.11 (6):681–8.doi:10.1016/0010-7824(75)90065-7.PMID 1137940.
  5. ^abRaynaud JP, Ojasoo T (1986). "The design and use of sex-steroid antagonists".J. Steroid Biochem.25 (5B):811–33.doi:10.1016/0022-4731(86)90313-4.PMID 3543501.Similar androgenic potential is inherent to norethisterone and its prodrugs (norethisterone acetate, ethynodiol diacetate, lynestrenol, norethynodrel, quingestanol).
  6. ^abDi Carlo FJ, Loo JC, Aceto T, Zuleski FR, Barr WH (1974). "Quingestanol acetate metabolism in women".Pharmacology.11 (5):287–303.doi:10.1159/000136501.PMID 4853997.
  7. ^abcLara Marks (2010).Sexual Chemistry: A History of the Contraceptive Pill. Yale University Press. pp. 73–.ISBN 978-0-300-16791-7.
  8. ^abcPopulation Reports: Oral contraceptives. Department of Medical and Public Affairs, George Washington Univ. Medical Center. 1975. p. A-64.
  9. ^Janne S. Kowalski (1 August 1988).Drug companies & products world guide. Sittig & Noyes. p. 388.ISBN 9780800242398.
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
Estrogens
ERTooltip Estrogen receptor agonists
Progonadotropins
Antiestrogens
ERTooltip Estrogen receptor antagonists
(incl.SERMsTooltip selective estrogen receptor modulators/SERDsTooltip selective estrogen receptor downregulators)
Aromatase inhibitors
Antigonadotropins
Others
ARTooltip Androgen receptor
Agonists
SARMsTooltip Selective androgen receptor modulator
Antagonists
GPRC6A
Agonists
ERTooltip Estrogen receptor
Agonists
Mixed
(SERMsTooltip Selective estrogen receptor modulators)
Antagonists
GPERTooltip G protein-coupled estrogen receptor
Agonists
Antagonists
Unknown
PRTooltip Progesterone receptor
Agonists
Mixed
(SPRMsTooltip Selective progesterone receptor modulators)
Antagonists
mPRTooltip Membrane progesterone receptor
(PAQRTooltip Progestin and adipoQ receptor)
Agonists
Antagonists
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