GB1041279A - 13-alkyl steroid ketones - Google Patents
13-alkyl steroid ketonesInfo
- Publication number
- GB1041279A GB1041279A GB37618/61A GB3761861A GB1041279A GB 1041279 A GB1041279 A GB 1041279A GB 37618/61 A GB37618/61 A GB 37618/61A GB 3761861 A GB3761861 A GB 3761861A GB 1041279 A GB1041279 A GB 1041279A
- Authority
- GB
- United Kingdom
- Prior art keywords
- group
- steroid
- formula
- ethylenic bond
- general formula
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired
Links
- 150000003431 steroids Chemical class 0.000 abstract 12
- -1 methoxy, ethoxy, methoxymethoxy Chemical group 0.000 abstract 8
- 125000000217 alkyl group Chemical group 0.000 abstract 4
- 238000009903 catalytic hydrogenation reaction Methods 0.000 abstract 3
- 150000001875 compounds Chemical class 0.000 abstract 3
- 230000001590 oxidative effect Effects 0.000 abstract 3
- QGZKDVFQNNGYKY-UHFFFAOYSA-N Ammonia Chemical compound N QGZKDVFQNNGYKY-UHFFFAOYSA-N 0.000 abstract 2
- KDLHZDBZIXYQEI-UHFFFAOYSA-N Palladium Chemical compound [Pd] KDLHZDBZIXYQEI-UHFFFAOYSA-N 0.000 abstract 2
- 229910052783 alkali metal Inorganic materials 0.000 abstract 2
- 150000001340 alkali metals Chemical class 0.000 abstract 2
- 125000004414 alkyl thio group Chemical group 0.000 abstract 2
- 125000005530 alkylenedioxy group Chemical group 0.000 abstract 2
- 125000000304 alkynyl group Chemical group 0.000 abstract 2
- 125000004432 carbon atom Chemical group C* 0.000 abstract 2
- 239000003153 chemical reaction reagent Substances 0.000 abstract 2
- 230000003301 hydrolyzing effect Effects 0.000 abstract 2
- 239000005977 Ethylene Substances 0.000 abstract 1
- 229910000564 Raney nickel Inorganic materials 0.000 abstract 1
- NPXOKRUENSOPAO-UHFFFAOYSA-N Raney nickel Chemical compound [Al].[Ni] NPXOKRUENSOPAO-UHFFFAOYSA-N 0.000 abstract 1
- 125000003668 acetyloxy group Chemical group [H]C([H])([H])C(=O)O[*] 0.000 abstract 1
- 230000002378 acidificating effect Effects 0.000 abstract 1
- 239000004480 active ingredient Substances 0.000 abstract 1
- 125000004423 acyloxy group Chemical group 0.000 abstract 1
- 125000003158 alcohol group Chemical group 0.000 abstract 1
- 125000003342 alkenyl group Chemical group 0.000 abstract 1
- 125000003545 alkoxy group Chemical group 0.000 abstract 1
- 229940124325 anabolic agent Drugs 0.000 abstract 1
- 239000003263 anabolic agent Substances 0.000 abstract 1
- 125000002915 carbonyl group Chemical group [*:2]C([*:1])=O 0.000 abstract 1
- 239000003795 chemical substances by application Substances 0.000 abstract 1
- 125000004663 dialkyl amino group Chemical group 0.000 abstract 1
- LYCAIKOWRPUZTN-UHFFFAOYSA-N ethylene glycol Natural products OCCO LYCAIKOWRPUZTN-UHFFFAOYSA-N 0.000 abstract 1
- 238000005984 hydrogenation reaction Methods 0.000 abstract 1
- WGCNASOHLSPBMP-UHFFFAOYSA-N hydroxyacetaldehyde Natural products OCC=O WGCNASOHLSPBMP-UHFFFAOYSA-N 0.000 abstract 1
- 238000002347 injection Methods 0.000 abstract 1
- 239000007924 injection Substances 0.000 abstract 1
- 239000012280 lithium aluminium hydride Substances 0.000 abstract 1
- 229910052751 metal Inorganic materials 0.000 abstract 1
- 239000002184 metal Substances 0.000 abstract 1
- 125000000956 methoxy group Chemical group [H]C([H])([H])O* 0.000 abstract 1
- 239000000203 mixture Substances 0.000 abstract 1
- 125000002524 organometallic group Chemical group 0.000 abstract 1
- 229910052763 palladium Inorganic materials 0.000 abstract 1
- 239000008194 pharmaceutical composition Substances 0.000 abstract 1
- 229920006395 saturated elastomer Polymers 0.000 abstract 1
- 239000012279 sodium borohydride Substances 0.000 abstract 1
- 229910000033 sodium borohydride Inorganic materials 0.000 abstract 1
- 239000000243 solution Substances 0.000 abstract 1
- 239000002904 solvent Substances 0.000 abstract 1
- 125000001424 substituent group Chemical group 0.000 abstract 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/56—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
- A61K31/565—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol
- A61K31/567—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol substituted in position 17 alpha, e.g. mestranol, norethandrolone
-
- A—HUMAN NECESSITIES
- A43—FOOTWEAR
- A43B—CHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
- A43B3/00—Footwear characterised by the shape or the use
- A43B3/12—Sandals; Strap guides thereon
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/56—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
- A61K31/565—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/56—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
- A61K31/565—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol
- A61K31/568—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol substituted in positions 10 and 13 by a chain having at least one carbon atom, e.g. androstanes, e.g. testosterone
- A61K31/569—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol substituted in positions 10 and 13 by a chain having at least one carbon atom, e.g. androstanes, e.g. testosterone substituted in position 17 alpha, e.g. ethisterone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/56—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
- A61K31/57—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane or progesterone
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07J—STEROIDS
- C07J1/00—Normal steroids containing carbon, hydrogen, halogen or oxygen, not substituted in position 17 beta by a carbon atom, e.g. estrane, androstane
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07J—STEROIDS
- C07J63/00—Steroids in which the cyclopenta(a)hydrophenanthrene skeleton has been modified by expansion of only one ring by one or two atoms
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07J—STEROIDS
- C07J7/00—Normal steroids containing carbon, hydrogen, halogen or oxygen substituted in position 17 beta by a chain of two carbon atoms
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07J—STEROIDS
- C07J75/00—Processes for the preparation of steroids in general
Landscapes
- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Organic Chemistry (AREA)
- Animal Behavior & Ethology (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medicinal Chemistry (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Steroid Compounds (AREA)
- Organic Low-Molecular-Weight Compounds And Preparation Thereof (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Woven Fabrics (AREA)
- Phenolic Resins Or Amino Resins (AREA)
- Manufacturing Of Printed Wiring (AREA)
Abstract
Novel steroids of the general formula <FORM:1041279/C2/1> wherein R represents an alkyl group of at least 2 carbon atoms, R2 represents a substituted or unsubstituted alkyl, alkenyl or alkynyl group (a suitable substituent is methoxy) and ring A contains an ethylenic bond terminating at the 5-position, are prepared by hydrolysing a steroid of the general formula <FORM:1041279/C2/2> wherein X represents an acid-hydrolysable protected 3-oxo group, e.g. an alkoxy group such as the methoxy, ethoxy, methoxymethoxy and dihydroxypropyloxy, an alkylthio group such as alkylthio and benzylthio, an acyloxy group such as acetoxy, a dialkylamino group, an N-pyrrolidyl group, an alkylenedioxy group such as ethylenedioxy, an alkylenedithio group, or an alkylenethiooxy group, which is accompanied by an ethylenic bond terminating at the 5-position; by selectively reducing a steroid of the general formula <FORM:1041279/C2/3> wherein R represents an alkyl group and R1 has the above significance (a) by hydrogenation in solution in a non-protonic solvent using a palladium or Raney nickel catalyst to saturate the 14(15)-ethylenic bond, (b) by a carbonyl-reducing reagent such as sodium borohydride or lithium aluminium hydride, before or after the catalytic hydrogenation step to convert the carbonyl group to a hydroxymethylene group, (c) by the action of alkali metal in liquid ammonia after the catalytic hydrogenation and simultaneously with or after the carbonyl-reducing step, to saturate the 8(9)-ethylenic bond, and (d) by the action of alkali metal in liquid ammonia in the presence of a proton donor that is an alcohol having less than 6 carbon atoms, simultaneously with or after the saturation of the 8(9)-ethylene bond to form a steroid of the formula <FORM:1041279/C2/4> selectively oxidizing this compound to the corresponding 17-keto compound, and reacting this compound with an organo-metallic reagent containing the group R2; by ketalizing a corresponding steroid of the formula <FORM:1041279/C2/5> or <FORM:1041279/C2/6> wherein R represents an alkyl group, with an alkylene glycol to form a steroid of the formula <FORM:1041279/C2/7> wherein X represents an alkylenedioxy group and ring B has an ethylenic bond terminating at the 5-position, oxidizing this steroid to the corresponding 17-keto compound, treating the 17-keto compound with an organo-metal ethynylating agent to form the 17a -R2-17b -hydroxy-grouping and hydrolysing the ketal group at the 3-position to form a 4(5)-ethylenic steroid of the first formula above wherein R1 has the above significance and R2 represents an alkynyl group; by oxidizing a corresponding steroid diol of the formula <FORM:1041279/C2/8> having an ethylenic bond terminating at the 5-position, by isomerizing the corresponding steroids having an ethylenic bond in the 5(10)-position under basic or acidic conditions to form the corresponding 4(5)-unsaturated compounds; and by selectively reducing the steroids of the first general formula above wherein R2 is an unsaturated group to form corresponding steroids in which R2 is more saturated, for example by catalytic hydrogenation. The above formulae include all states of resolution except the resolved 13a -enantiomer. Pharmaceutical compositions which may be administered orally or by injection contain as the active ingredient a steroid of the first general formula above. The compositions may be used as anabolic agents.
Priority Applications (40)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| GB37618/61A GB1041279A (en) | 1961-10-19 | 1961-10-19 | 13-alkyl steroid ketones |
| GB37617/61A GB1041278A (en) | 1961-10-19 | 1961-10-19 | 13-alkyl steroid ketone derivatives |
| SE11026/62A SE313809B (en) | 1961-10-19 | 1962-10-15 | |
| SE11024/62A SE312552B (en) | 1961-10-19 | 1962-10-15 | |
| SE01423/67A SE335526B (en) | 1961-10-19 | 1962-10-15 | |
| SE11025/62A SE312553B (en) | 1961-10-19 | 1962-10-15 | |
| SE11023/62A SE312551B (en) | 1961-10-19 | 1962-10-15 | |
| DK448162AA DK113641B (en) | 1961-10-19 | 1962-10-17 | Process for the production of steroid ketones. |
| CH1275267A CH459195A (en) | 1961-10-19 | 1962-10-17 | Process for the preparation of 13-alkyl steroid diols |
| CH1562666A CH450408A (en) | 1961-10-19 | 1962-10-17 | Method of making steroid ketones |
| CH1562566A CH455763A (en) | 1961-10-19 | 1962-10-17 | Method of making steroid ketones |
| CH1562766A CH432509A (en) | 1961-10-19 | 1962-10-17 | Method of making steroid ketones |
| CH1217162A CH450407A (en) | 1961-10-19 | 1962-10-17 | Process for the production of 13-homologated steroid ketones |
| NO146143A NO122646B (en) | 1961-10-19 | 1962-10-18 | |
| FI1877/62A FI41025B (en) | 1961-10-19 | 1962-10-18 | |
| AT822762A AT264730B (en) | 1961-10-19 | 1962-10-18 | Process for the production of new steroid ketones |
| NO146141A NO122644B (en) | 1961-10-19 | 1962-10-18 | |
| DK449762AA DK115621B (en) | 1961-10-19 | 1962-10-18 | Process for the production of unsaturated steroid ketones. |
| FI1876/62A FI41024B (en) | 1961-10-19 | 1962-10-18 | |
| DE1962S0111837 DE1617818B2 (en) | 1961-10-19 | 1962-10-18 | ORAL OR INJECTABLE ANTI-CONCEPTION AGENTS |
| DE19621793595 DE1793595C3 (en) | 1961-10-19 | 1962-10-18 | Intermediates for the preparation of 17-alpha-alkyl-, -alkenyl- or -alkynyl-13 beta-alkylgon-4- or -5 (10) -en-17 beta-ol-3-ones |
| NO146142A NO122645B (en) | 1961-10-19 | 1962-10-18 | |
| DE19621793608 DE1793608B1 (en) | 1961-10-19 | 1962-10-18 | 17alpha-alkyl-, -alkenyl- or -alkynyl-13ss-alkylgon-4- or-5 (10) -en-17ss-ol-3-ones |
| NO146140A NO122643B (en) | 1961-10-19 | 1962-10-18 | |
| FI1878/62A FI41026B (en) | 1961-10-19 | 1962-10-18 | |
| DE1962S0082099 DE1468604C2 (en) | 1961-10-19 | 1962-10-18 | Process for the preparation of 17alpha-alkyl-, -alkenyl- or -alkynyl-13beta-alkylgon-4- or-5 (10) -en-17beta-ol-3-ones |
| DK449662AA DK115549B (en) | 1961-10-19 | 1962-10-18 | Process for the production of unsaturated steroid ketones. |
| ES281669A ES281669A1 (en) | 1961-10-19 | 1962-10-18 | A procedure for preparing a steroid cetone (Machine-translation by Google Translate, not legally binding) |
| FI1879/62A FI41027B (en) | 1961-10-19 | 1962-10-18 | |
| DK449562AA DK121228B (en) | 1961-10-19 | 1962-10-18 | Analogous process for the production of unsaturated steroid ketones. |
| DE19621618855 DE1618855B2 (en) | 1961-10-19 | 1962-10-18 | GONANES 3,17 DIOLS AND THE METHOD OF MANUFACTURING THEM |
| AT825862A AT256356B (en) | 1961-10-19 | 1962-10-19 | Process for the production of new 17-alkyl steroid ketones |
| AT825662A AT256354B (en) | 1961-10-19 | 1962-10-19 | Process for the production of new unsaturated steroid ketones |
| AT825762A AT256355B (en) | 1961-10-19 | 1962-10-19 | Process for the preparation of new unsaturated 17-alkyl steroid ketones |
| FR921556A FR2796M (en) | 1961-10-19 | 1963-01-16 | New drugs consisting of ketosteroids related to 19-nortestosterone. |
| SE05984/66A SE340619B (en) | 1961-10-19 | 1966-05-02 | |
| CY42968A CY429A (en) | 1961-10-19 | 1968-01-15 | 13-Alkyl steroid ketones |
| MY196875A MY6800075A (en) | 1961-10-19 | 1968-12-31 | 13-alkyl steroid ketones |
| DK227069AA DK129652B (en) | 1961-10-19 | 1969-04-24 | 17-Hydrocarbon-substituted 3,17-dihydroxy-13-alkyl-gonenes for use as intermediates in the preparation of pharmacologically active, corresponding to 17-hydrocarbon-substituted 3-oxo-17-hydroxy-13-alkyl-gon-4 or - 5 (10) -ener. |
| DK339670AA DK124753B (en) | 1961-10-19 | 1970-06-30 | Analogous process for the preparation of 13-alkyl-gonen-3,17-diols. |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| GB37618/61A GB1041279A (en) | 1961-10-19 | 1961-10-19 | 13-alkyl steroid ketones |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| GB1041279A true GB1041279A (en) | 1966-09-01 |
Family
ID=10397775
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| GB37618/61A Expired GB1041279A (en) | 1961-10-19 | 1961-10-19 | 13-alkyl steroid ketones |
| GB37617/61A Expired GB1041278A (en) | 1961-10-19 | 1961-10-19 | 13-alkyl steroid ketone derivatives |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| GB37617/61A Expired GB1041278A (en) | 1961-10-19 | 1961-10-19 | 13-alkyl steroid ketone derivatives |
Country Status (12)
| Country | Link |
|---|---|
| AT (4) | AT264730B (en) |
| CH (5) | CH432509A (en) |
| CY (1) | CY429A (en) |
| DE (4) | DE1468604C2 (en) |
| DK (6) | DK113641B (en) |
| ES (1) | ES281669A1 (en) |
| FI (4) | FI41025B (en) |
| FR (1) | FR2796M (en) |
| GB (2) | GB1041279A (en) |
| MY (1) | MY6800075A (en) |
| NO (4) | NO122645B (en) |
| SE (6) | SE312552B (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11617751B2 (en) | 2006-07-06 | 2023-04-04 | Bayer Pharma AG | Pharmaceutical composition containing a tetrahydrofolic acid |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE2636404C2 (en) * | 1976-08-12 | 1983-12-08 | Schering AG, 1000 Berlin und 4709 Bergkamen | ?? 1?? 5? -17? -Ethynyl steroids of the estran series, processes for their preparation and pharmaceutical preparations containing them |
| CN104926906B (en) * | 2015-06-04 | 2016-02-10 | 保定北瑞甾体生物有限公司 | A kind of preparation method of 17 Alpha-hydroxy Progesterone |
-
1961
- 1961-10-19 GB GB37618/61A patent/GB1041279A/en not_active Expired
- 1961-10-19 GB GB37617/61A patent/GB1041278A/en not_active Expired
-
1962
- 1962-10-15 SE SE11024/62A patent/SE312552B/xx unknown
- 1962-10-15 SE SE11026/62A patent/SE313809B/xx unknown
- 1962-10-15 SE SE11023/62A patent/SE312551B/xx unknown
- 1962-10-15 SE SE01423/67A patent/SE335526B/xx unknown
- 1962-10-15 SE SE11025/62A patent/SE312553B/xx unknown
- 1962-10-17 CH CH1562766A patent/CH432509A/en unknown
- 1962-10-17 DK DK448162AA patent/DK113641B/en unknown
- 1962-10-17 CH CH1275267A patent/CH459195A/en unknown
- 1962-10-17 CH CH1562566A patent/CH455763A/en unknown
- 1962-10-17 CH CH1562666A patent/CH450408A/en unknown
- 1962-10-17 CH CH1217162A patent/CH450407A/en unknown
- 1962-10-18 DK DK449562AA patent/DK121228B/en unknown
- 1962-10-18 AT AT822762A patent/AT264730B/en active
- 1962-10-18 NO NO146142A patent/NO122645B/no unknown
- 1962-10-18 NO NO146140A patent/NO122643B/no unknown
- 1962-10-18 ES ES281669A patent/ES281669A1/en not_active Expired
- 1962-10-18 FI FI1877/62A patent/FI41025B/fi active
- 1962-10-18 DK DK449762AA patent/DK115621B/en unknown
- 1962-10-18 DE DE1962S0082099 patent/DE1468604C2/en not_active Expired
- 1962-10-18 DK DK449662AA patent/DK115549B/en unknown
- 1962-10-18 DE DE1962S0111837 patent/DE1617818B2/en active Granted
- 1962-10-18 DE DE19621618855 patent/DE1618855B2/en active Granted
- 1962-10-18 NO NO146141A patent/NO122644B/no unknown
- 1962-10-18 FI FI1879/62A patent/FI41027B/fi active
- 1962-10-18 FI FI1876/62A patent/FI41024B/fi active
- 1962-10-18 NO NO146143A patent/NO122646B/no unknown
- 1962-10-18 DE DE19621793608 patent/DE1793608B1/en active Pending
- 1962-10-18 FI FI1878/62A patent/FI41026B/fi active
- 1962-10-19 AT AT825862A patent/AT256356B/en active
- 1962-10-19 AT AT825662A patent/AT256354B/en active
- 1962-10-19 AT AT825762A patent/AT256355B/en active
-
1963
- 1963-01-16 FR FR921556A patent/FR2796M/en not_active Expired
-
1966
- 1966-05-02 SE SE05984/66A patent/SE340619B/xx unknown
-
1968
- 1968-01-15 CY CY42968A patent/CY429A/en unknown
- 1968-12-31 MY MY196875A patent/MY6800075A/en unknown
-
1969
- 1969-04-24 DK DK227069AA patent/DK129652B/en unknown
-
1970
- 1970-06-30 DK DK339670AA patent/DK124753B/en unknown
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11617751B2 (en) | 2006-07-06 | 2023-04-04 | Bayer Pharma AG | Pharmaceutical composition containing a tetrahydrofolic acid |
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