United States Patent Office Patented May 21, 1957 1

Total Page:16

File Type:pdf, Size:1020Kb

United States Patent Office Patented May 21, 1957 1 2,793,218 United States Patent Office Patented May 21, 1957 1. 2,793,218 9-HALO-11.KETO.17-ALKYTLTESTOSTERONES Milton E. Herr, Kalamazoo, Mich., assignor to The Up john Company, Kalamazoo, Mich., a corporation of Michigan No Drawing. Original application August 8, 1955, Serial No. 527,118. Divided and this application May 10, WII 1956, Serial No. 583,922 wherein R is a lower-alkyl group containing less than three carbon atoms, i. e., methyl or ethyl; R is hydrogen 3 Claims. (Cl. 260-397.45) or the acyl radical of a hydrocarbon carboxylic acid con taining from one to twelve carbon atoms, inclusive; X This invention relates to novel 17-alkyl-17-hydroxy 5 is a halogen having an atomic weight from 79 to 127, in steroids and esters thereof. clusive, i. e., bromine or iodine, X is a halogen having It is an object of this invention to provide novel 9a an atomic weight from 19 to 36, inclusive, i. e., fluorine halo - 116 - hydroxy - 17 - alkyltestosterones, 9a - halo or chlorine, and X' is a halogen having an atomic weight 11 - keto - 17 - alkyltestosterones, 17-esters thereof, and from 19 to 127, inclusive, i. e., fluorine, chlorine, bromine intermediates in the production thereof. Another object 20 or iodine. is the provision of processes for the production thereof. Following the series of reactions described hereinafter Other objects will be apparent to those skilled in the art for the conversion of 11o - hydroxy - 17 - methyltestos to which this invention pertains. terone (I) to 9a - hydroxy - 17 - methyltestosterone According to the present invention, the novel 9a-halo testosterone and esters thereof (VII), but substituting 10 116 - hydroxy - 17 - alkyltestosterones, 9a - halo - 11 25 normethyl - 11a - hydroxy - 17 - methyltestosterone keto - 17 - alkyltestosterones and 17 - esters thereof may (U. S. Patent 2,660,586) as the starting steroid, there are be prepared from 9(11) - dehydro - 17 - alkyltestosterone thus - produced 9oz - fluoro - 10 - normethyl - 11ps - hy via the known 3 - pyrrolidyl enamine of 4,9(11)-andros droxy - 17 - methyltestosterone and 17 - esters thereof. tadiene - 3,17 - dione (II) (Heyl and Herr, J. Am. These compounds are also potent oral anabolic agents Chem. Soc., 77,489 (1955)), 11B - hydroxy - 17 - meth 30 possessing androgenic activity. yitestosterone or esters thereof (I) or 11c - hydroxy - 17 Reacting 9(11)-dehydro-17-methyltestosterone with a methyltestosterone or esters thereof (U. S. Patent 2,660,- molar excess of diethyl oxalate and a molar equivalent 586) (I) as shown by the following formulae: of sodium methoxide in tertiary butyl alcohol is produc tive of the sodium enolate of the 2-ethoxyoxalyl deriva 35 CHs CHs tive thereof. After neutralization of the solution with O-R O acetic acid and then brominating with a molar equivalent --CH CH of bromine at about minus ten degrees centigrade, 2 bromo - 2 - ethoxyoxalyl - 9(11) - dehydro - 17 - methyl testosterone is produced. After removing the 2-ethoxy .. 40 oxalyl group with sodium methoxide in methanol, the 2 bromo-9(11)-dehydro-17-methyltestosterone is dehydro halogenated with refluxing collidine to 3-keto-17a-methyl 14,9(11) - androstatrien-176-ol. Employing this com O pound as the starting steroid in the reactions for the con 45 version of 9(11)-dehydro-17-methyltestosterone to 9a fluoro-11p-hydroxy-17-methyltestosterone and 17-esters thereof, there are thus-produced 3-keto-9a-fluoro-17a Cs methyl-1,4- androstadiene - 116,176 - diol and 17-esters O-R' thereof, e. g., a hydrocarbon carboxylic acid ester con !--R 50 taining from one to twelve carbon atoms, inclusive, for example, of an acid named in the paragraph following Example 4. These compounds also possess androgenic activity and marked oral anabolic activity. 55 The novel 9oz - halo-1 16-hydroxy-17-alkyltestosterone and 17-esters thereof (VII) and 9a-halo-11-keto-17-al Os kyltestosterone and 17-esters thereof (VIII) possess II marked androgenic activity and oral anabolic activity. For example, 9a-fluoro-11p-hydroxy-17-methyltestoterone 60 possesses an oral anabolic activity about eighteen to nine CB teen times and an oral androgenic activity about ten O-R' times that of 17-methyltestosterone. Furthermore, it is --R considerably less toxic, and, surprisingly, it does not dem onstrate the undersirable salt retention side-effect which one might expect of a 9oz-fluoro compound. 9a-fluoro 11-keto-17-methyltestosterone possesses an oral andro genic activity which is more than twice that of 17-methyl testosterone and its oral anabolic activity is more than Os Oc - five times that of 17-methyltestosterone. Similarly, the N VI 70 corresponding 9a-chloro analogues possess high oral ana bolic and androgenic activities as do the 17-esters of both the 9a-fluoro and 9a-chloro compounds. 9a-bromo- and 2,793,218 3 4. 9a-iodo-11-keto-17-methyltestosterone and their 17-esters then cooled to room temperature, acidified with acetic also possess anabolic and androgenic activity. acid and then distilled at reduced pressure until a residual The novel androgens and anabolic agents of this in volume of about 1.5 liters was reached. After adding vention, especially VII and VIII, are useful as male a mixture of 100 milliliters of concentrated hydrochloric gonadal replacement therapy in prepuberal and post pub acid and 100 grams of ice, the residue was extracted with eral castrates, in pituitary dwarfism, Simmond's disease, 800, 500, 400 and 400 milliliter portions of methylene dysmenorrhea and for suppression of lactation. Their chloride. The combined extracts were washed succes anabolic activity is useful in increasing weight, muscle sively with water, dilute sodium hydroxide and water and strength and for increasing the sense of well-being and then dried. The solvent was distilled from the dried positive nitrogen balance in pituitary deficiencies. By 10 solution and the residue dissolved in a mixture of 100 adjustment of the dose, a favorable anabolic response milliliters of methylene chloride and 250 milliliters of can be achieved without noticeable androgenic response, benzene and chromatographed over 700 grams of activat if this is desired, ed alumina. The column was developed with 500 milli The novel androgen and anabolic agents of the pres liters of benzene, two liters of Skellysolve B hexaae hy ent invention are normally administered orally, e. g., as 15 drocarbons plus four percent acetone, two liters of Skelly tablets, capsules or in the form of flavored fluid prep solve B plus seven percent acetone, two liters of Skelly arations, in which may additionally be incorporated, if solve B plus eleven percent acetone, four liters of desired, an estrogen, e.g., estrone, estradiol, estradiol-21 Skellysolve B plus fourteen percent acetone and finally, B-cyclopentylpropionate, for combined androgen-estrogen two liters of Skellysolve B plus seventeen percent acetone. therapy. 20 The eluate fractions containing from eleven to seventeen The following examples are illustrative of the products percent acetone were combined and the solvent distilled and processes of the present invention, but are not to be therefrom to give crude product which, when crystallized construed as limiting. from dilute acetone, gave 26.8 grams of 9(11)-dehydro 17-methyltestosterone (IV) melting at 167 to 170 degrees Example I-9(11)-dehydro-17-methyltestosterone (IV) 25 centigrade. To a stirred solution of 100 grams of 11 (3-hydroxy-4- androstene-3,17-dione in one liter of dry pyridine was Following the procedure of Example 1 exactly, but added, at room temperature and in a nitrogen atmos substituting ethyl magnesium bromide for the methyl phere, sixty grams of N-bromoacetamide all at once. The droxy-17-ethyltestosterone.magnesium bromide, there is thus-produced 9(11)-dehy resulting mixture was stirred for fifteen minutes and then 30 cooled to ten degrees centigrade. Into the cooled solu Example 2-9(11)-dehydro-17-methyltestosterone (IV) tion was bubbled sulfur dioxide gas until the mixture gave a negative test with acidified starch-iodide paper. The One-half gram of 11-keto-17a-methyltestosterone (U. S. mixture was diluted with four liters of water and cooled Patent 2,678,933) was dissolved in three milliliters of to about zero degrees centigrade for three hours. There 35 absolute methanol and mixed with one-half milliliter of was thus precipitated 49(11)-androstadiene-3,17-dione pyrrollidine at a temperature of about fifty degrees centi Heyl and Herr, J. Am. Chem. Soc., 77, 488 (1955)), grade. The mixture was allowed to cool to room tem which after filtering, washing with water and drying, perature, and, after about one-half hour, the 3-enamine weighed eighty grams and melted at 197 to 203 degrees of 11-keto-17-methyl testosterone 3-(N-pyrrolidyl)-17a centigrade. methyl-17B-hydroxy-3,5-androstadien-11-one) which had 40 precipitated was removed by filtration and dried under To a hot solution of 56.8 grams of 4,9(1)-androsta vacuum. The yield of high purity 3-enamine product was diene-3,17-dione in 800 milliliters of methanol was added 0.452 gram melting at 180 to 195 degrees centigrade with 25 milliliters of pyrrollidine, whereupon product began decomposition. to precipitate almost immediately. The solution was A solution of 1.79 grams of the 3-enamine of 11-keto permitted to cool to room temperature and then was 45 17a-methyltestosterone in a mixture of 25 milliliters of refrigerated at zero degrees centigrade for three hours. thiophene-free benzene and 25 milliliters of anhydrous The crystalline precipitate was filtered, washed with meth ether was added dropwise with mechanical stirring to a anol and then dried to give 59 grams of the 3-enamine of mixture of one-half gram of lithium aluminum hydride 4,9(11)-androstadiene-3,17-dione (It) (3-pyrrolidyl-3,5, and 85 milliliters of dry ether.
Recommended publications
  • Porous Drug Matrices and Methods of Manufacture
    (19) & (11) EP 1 180 020 B2 (12) NEW EUROPEAN PATENT SPECIFICATION After opposition procedure (45) Date of publication and mention (51) Int Cl.: of the opposition decision: A61K 9/16 (2006.01) 24.06.2009 Bulletin 2009/26 (86) International application number: (45) Mention of the grant of the patent: PCT/US2000/014578 14.12.2005 Bulletin 2005/50 (87) International publication number: (21) Application number: 00939365.3 WO 2000/072827 (07.12.2000 Gazette 2000/49) (22) Date of filing: 25.05.2000 (54) POROUS DRUG MATRICES AND METHODS OF MANUFACTURE THEREOF PORÖSE ARZNEISTOFFMATRIZEN UND DEREN HERSTELLUNGSVERFAHREN MATRICES MEDICAMENTEUSES POREUSES ET PROCEDES DE FABRICATION ASSOCIES (84) Designated Contracting States: • BERNSTEIN, Howard AT BE CH CY DE DK ES FI FR GB GR IE IT LI LU Cambridge, MA 02138 (US) MC NL PT SE • CHICKERING, Donald, E. III Framingham, MA 01701 (US) (30) Priority: 27.05.1999 US 136323 P • KHATAK, Sarwat 08.10.1999 US 158659 P Hadley-Massachusetts 01035 (US) 04.11.1999 US 433486 • RANDALL, Greg 02.03.2000 US 186310 P Stoneham, MA 02180 (US) (43) Date of publication of application: (74) Representative: HOFFMANN EITLE 20.02.2002 Bulletin 2002/08 Patent- und Rechtsanwälte Arabellastraße 4 (60) Divisional application: 81925 München (DE) 05027194.9 / 1 642 572 (56) References cited: (73) Proprietor: Acusphere, Inc. EP-A- 0 655 237 WO-A-98/31346 Watertown, MA 02472 (US) WO-A-99/56731 WO-A1-98/31346 WO-A1-99/56731 DE-A- 3 713 326 (72) Inventors: GB-A- 1 265 615 US-A- 3 948 245 • STRAUB, Julie US-A- 4 687 660 Winchester, MA 01890 (US) EP 1 180 020 B2 Printed by Jouve, 75001 PARIS (FR) EP 1 180 020 B2 Description Background of the Invention 5 [0001] This invention generally relates to formulations of drugs, especially drugs having low solubility, and more particularly to methods of making formulations of such drugs to enhance their rate of dissolution.
    [Show full text]
  • Pros and Cons Controversy on Molecular Imaging and Dynamic
    Open Access Archives of Biotechnology and Biomedicine Research Article Pros and Cons Controversy on Molecular Imaging and Dynamics of Double- ISSN Standard DNA/RNA of Human Preserving 2639-6777 Stem Cells-Binding Nano Molecules with Androgens/Anabolic Steroids (AAS) or Testosterone Derivatives through Tracking of Helium-4 Nucleus (Alpha Particle) Using Synchrotron Radiation Alireza Heidari* Faculty of Chemistry, California South University, 14731 Comet St. Irvine, CA 92604, USA *Address for Correspondence: Dr. Alireza Abstract Heidari, Faculty of Chemistry, California South University, 14731 Comet St. Irvine, CA 92604, In the current study, we have investigated pros and cons controversy on molecular imaging and dynamics USA, Email: of double-standard DNA/RNA of human preserving stem cells-binding Nano molecules with Androgens/ [email protected]; Anabolic Steroids (AAS) or Testosterone derivatives through tracking of Helium-4 nucleus (Alpha particle) using [email protected] synchrotron radiation. In this regard, the enzymatic oxidation of double-standard DNA/RNA of human preserving Submitted: 31 October 2017 stem cells-binding Nano molecules by haem peroxidases (or heme peroxidases) such as Horseradish Peroxidase Approved: 13 November 2017 (HPR), Chloroperoxidase (CPO), Lactoperoxidase (LPO) and Lignin Peroxidase (LiP) is an important process from Published: 15 November 2017 both the synthetic and mechanistic point of view. Copyright: 2017 Heidari A. This is an open access article distributed under the Creative
    [Show full text]
  • Adulteration of Dietary Supplements by the Illegal Addition of Synthetic Drugs: a Review Tiago Rocha, Joana S
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Biblioteca Digital do IPB Adulteration of Dietary Supplements by the Illegal Addition of Synthetic Drugs: A Review Tiago Rocha, Joana S. Amaral, and Maria Beatriz P.P. Oliveira Abstract: In the last few years, the consumption of dietary supplements, especially those having plants as ingredients, has been increasing due to the common idea that they are natural products posing no risks to human health. In the European Union and the United States, dietary supplements are legally considered as foods/special category of foods, thus are not being submitted to any safety assessment prior to their commercialization. Among the issues that can affect safety, adulteration by the illegal addition of pharmaceutical substances or their analogs is of major concern since unscrupulous producers can falsify these products to provide for quick effects and to increase sales. This review discusses the various classes of synthetic drugs most frequently described as being illegally added to dietary supplements marketed for weight loss, muscle building/sport performance and sexual performance enhancement. Information regarding regulation and consumption is also presented. Finally, several conventional and advanced analytical techniques used to detect and identify different adulterants in dietary supplements and therefore also in foods, with particular emphasis on plant food supplements, are critically described. This review demonstrates that dietary supplement adulteration is an emerging food safety problem and that an effective control by food regulatory authorities is needed to safeguard consumers. Keywords: adulteration, analogs, dietary supplements, food safety, pharmaceutical drugs, plant food supplements Introduction and Education Act (DSHEA), respectively, thus not requiring any In the last few years, the consumption of dietary supplements, safety assessment prior to their commercialization.
    [Show full text]
  • C:\Documents and Settings\Ms785a\Desktop\Web
    BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA PA-Prior Authorization REVISED 4/7/03 DRUG CLASS PREFERRED NON-PREFERRED CRITERIA PROTON PUMP lansoprazole (Prevacid)** esomeprazole (Nexium) PA Criteria: Both of the preferred INHIBITORS rabeprazole (AcipHex)** omeprazole (Prilosec) drugs must be tried before a non- Effective 10/1/02 pantoprazole (Protonix) preferred agent will be approved, Implement 1/7/03 unless one of the exceptions on the PA form is present. MINIMALLY SEDATING desloratadine (Clarinex) cetirizine (Zyrtec) PA Criteria: Both Claritin (or a ANTIHISTAMINES AND loratadine (Claritin) cetirizine/pseudoephedrine (Zyrtec-D) decongestant combination) and COMBINATIONS loratadine/pseudoephedrine (Claritin-D fexofenadine (Allegra) Clarinex must be tried before a Effective 10/1/02 12 hour, Claritin-D 24 hour) fexofenadine/pseudoephedrine non-preferred agent will be Implement 1/7/03 (Allegra-D) authorized, unless one of the exceptions on the PA form is present for each agent. LEUKOTRIENE montelukast (Singulair) zafirlukast (Accolate) PA Criteria: The preferred agent RECEPTOR AGONISTS zileuton (Zyflo) must be tried before the non- Effective 10/1/02 preferred agents will be approved, Implement 1/7/03 unless one of the exceptions on the PA form is present. BETA AGONISTS albuterol/ipratropium MDI (Combivent) albuterol/ipratropium inhalation solution PA Criteria: The preferred agents (INHALED & PERORAL) albuterol HFA MDI (Proventil HFA) (Duoneb) must be tried before non- Effective 10/1/02 albuterol syrup, tablets, CFC MDI, albuterol HFA MDI (Ventolin HFA) preferred agents will be Implement 1/7/03 inhalation solution # albuterol inhalation solution (Accuneb) authorized, unless one of the metaproterenol syrup, tablets, inhalation albuterol SR tablets (Volmax) exceptions on the PA form is solution # formoteral MDI (Foradil) present.
    [Show full text]
  • Screening for Synthetic Steroids in Human Urine by LC-ESI-MS/MS
    In: W Schänzer, H Geyer, A Gotzmann, U Mareck (eds.) Recent Advances In Doping Analysis (13). Sport und Buch Strauß - Köln 2005 Mario Thevis, Hans Geyer, Ute Mareck and Wilhelm Schänzer Screening for Synthetic Steroids in Human Urine by LC-ESI-MS/MS Institute of Biochemistry, German Sport University, Cologne, Germany Introduction The problem of unknown synthetic steroids in sports has become evident during the last few years. The anabolic steroid norbolethone (13-ethyl-17-hydroxy-18,19-dinor-17α-pregn-4-en- 3-one) was detected in a doping control urine sample in 2002 [1] although this compound has never been commercially available, and tetrahydrogestrinone (THG, 13-ethyl-17-hydroxy- 18,19-dinor-17α-pregn-4,9,11-trien-3-one) substantiated the fact that designer steroids are abused in the world of sport [2-5] in 2004. In February 2005, it was found that another steroid termed ‘madol’ (17α-methyl-5α-androst-2-ene-17β-ol, also known as desoxy- methyltestosterone (DMT)) [6, 7] may also have been used by athletes. The primary methods of drug screening are based on the mass spectrometric identification of known compounds. Conventional assays will not detect unknown compounds differing by as little as 1 or 2 Daltons from previously identified compounds, especially for MS/MS experiments where defined precursor ions are selected for collision-induced dissociation (CID). In this study a complementary screening procedure is reported allowing the detection of new or unknown steroids with distinct nuclei in human urine. Complementary urinary “steroid profiles” are generated from precursor ion scan experiments using LC-ESI-MS/MS, a strategy also commonly employed also in metabolite identification studies.
    [Show full text]
  • Applications Op Gas Chromatography and Mass Spectrometry to Steroids and Other Biologically Important Materials
    APPLICATIONS OP GAS CHROMATOGRAPHY AND MASS SPECTROMETRY TO STEROIDS AND OTHER BIOLOGICALLY IMPORTANT MATERIALS G.M.ANTHONY Ph.D THESIS 1973 ProQuest Number: 11017929 All rights reserved INFORMATION TO ALL USERS The quality of this reproduction is dependent upon the quality of the copy submitted. In the unlikely event that the author did not send a com plete manuscript and there are missing pages, these will be noted. Also, if material had to be removed, a note will indicate the deletion. uest ProQuest 11017929 Published by ProQuest LLC(2018). Copyright of the Dissertation is held by the Author. All rights reserved. This work is protected against unauthorized copying under Title 17, United States C ode Microform Edition © ProQuest LLC. ProQuest LLC. 789 East Eisenhower Parkway P.O. Box 1346 Ann Arbor, Ml 48106- 1346 C 0 N TENTS PAGE INTRODUCTION 1 PART 1 CATECHOLAMINES AND p> - HYDROXY AMINES 34 PART 2 SOME MODIFIED STEROIDS USED AS DRUGS 50 PART 3 STEROID OLEFINES 70 PART 4 OXYGEN SUBSTITUENTS ON THE STEROID NUCLEUS 111 PART 5 STEROID DRUG METABOLISM STUDY 156 CONCLUSIONS 182 EXPERIMENTAL 188 REFERENCES 198 Applications of One Chromatography .<md Mass Spectrometry to Steroids and Other Biologically Important Materials Summery General Techniques "have been developed for the structural analysis of microgram quantities of son© biological materials using gas chromatography end maos spectrometry# The work has been mostly limited to two typc3 of material (i) p»hydroxy*aminea and related catecholamines (il) natural and gy^thatle steroids The latter type* the study of whlefc ttfaatitatee most of this thesis |i prosents special difficulties due to the many positions on the steroid nucleus which may contain a functional group.
    [Show full text]
  • Gli Steroidi Androgeni 2017
    GLI STEROIDI ANDROGENI ANABOLIZZANTI Effetti clinici, Classificazione e Meccanismo d’azione Introduzione. Gli androgeni sono una famiglia di farmaci derivati dal testosterone ed esercitano i loro effetti su molti organi e tessuti del corpo umano come i caratteri sessuali e delle riproduzione, il muscolo, l’osso, la pelle ed i capelli, il fegato, il rene il tessuto emopoietico, il sistema immunitario ed il sistema nervoso centrale e periferico (Mooradian, Morley et al. 1987). L’effetto principale di questi ormoni è la mascolinizzazione, cioè l’accentuazione delle caratteristiche fisiche maschili. Nel feto maschile, gli androgeni stimolano lo sviluppo dell’epididimo, delle vie deferenti, delle vescicole seminali e del dotto eiaculatori (derivati dal dotto Wolffiano) e dai genitali maschile esterni (pene, uretra, scroto) (Wilson, Griffin et al. 1981). Durante la pubertà i testicoli aumentano la produzione di androgeni, in particolare del testosterone che stimola la formazione dei caratteri sessuali primari come l’aumento di volume dei testicoli, dei genitali esterni e dei tessuti accessori della riproduzione come la prostata, le vescicole seminali e bulbo uretrale. Inoltre, gli androgeni stimolano la formazione dei caratteri sessuali secondari che comprendono gli effetti anabolici, come lo sviluppo fisico, la crescita lineare e muscolare, sia quelli androgeni, come l’allargamento della laringe e abbassamento del tono della voce, la crescita del pelo in regione facciale, ascellare e pubica, un aumento delle ghiandole sebacee ad aumento di secrezione del grasso della pelle (formazione di acne) e dei capelli, sul sistema nervoso centrale aumentando la libido e l’aggressività. Gli Androgeni. Gli androgeni nel corpo umano comprendono il testosterone, il diidrotestosterone (DHT), l’androstenedione ed il deidroepiandrosterone (DHEA).
    [Show full text]
  • (12) Patent Application Publication (10) Pub. No.: US 2012/0271275 A1 Biggs Et Al
    US 20120271275A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2012/0271275 A1 Biggs et al. (43) Pub. Date: Oct. 25, 2012 (54) MEDICAL DEVICES AND METHODS Publication Classification COMPRISING AN ANABOLICAGENT FOR (51) Int. Cl WOUND HEALING A6II 3/58 (2006.01) A6M 5/42 (2006.01) (75) Inventors: Danielle L. Biggs, Collierville, TN A6IP 7/02 (2006.01) 5147 (US); Jared T. Wilsey, Memphis, (52) U.S. Cl. ......................................... 604/506; 514/176 TN (US) (57) ABSTRACT Improved medical devices and methods are provided com (73) Assignee: WARSAW ORTHOPEDIC, INC., prising an anabolic agent for wound healing. These improved Warsaw, IN (US) medical devices and methods can enhance wound healing in wounds from cuts, abrasions, lesions, burns including Sun burn, Surgical incisions, pressure ulcers, diabetic ulcers, trau (21) Appl. No.: 13/093,479 matic wounds, or other injuries or maladies, which can be chronic or non-chronic in origin. In some embodiments, the medical device comprises a drug depot that releases the ana (22) Filed: Apr. 25, 2011 bolic agent over at least 3 days to enhance wound healing. Patent Application Publication Oct. 25, 2012 US 2012/0271275 A1 o?uaegsås?on,ang?eoongoasoonaoºn6unee?-,punoanseneuerreoov?orozouens 2%3%%*{{{3% (siti) are e assad US 2012/0271275 A1 Oct. 25, 2012 MEDICAL DEVICES AND METHODS tions in the A, B, C and/or D rings have been made to increase COMPRISING AN ANABOLICAGENT FOR binding activity to the Steroid receptor and to increase lipid WOUND HEALING solubility of the anabolic steroids and prolong its activity. For example, alkylation at 17-alpha position with methyl or ethyl BACKGROUND groups create orally active compounds because it slows the 0001 Wounds can occur from various types of cuts, abra degradation of the drug by the liver.
    [Show full text]
  • 26414 Rev 08 08 Prf1 Torip
    I e I n I s o n r C e e 4 t g s 1 o ‡ r o 0 y t t s 1 l 2 t s s 0 - n e - E e 4 l t O 2 l 0 b d 7 x y a e . 1 i h T R v f t i e e r R e M t s d E n a Esterified Estrogens and Methyltestosterone Tablet s‡ such as beard, pubic, chest, and axillary hair, laryngeal enlargement, vocal cord thickening, alterations INFORMATION FOR THE PATIEN T Rx Only III in body musculature, and fat distribution. Drugs in this class also cause retention of nitrogen, sodium, C potassium, phosphorus, and decreased urinary excretion of calcium. Androgens have been reported to ESTROGENS INCREASE THE RISK WHAT YOU SHOULD KNOW ABOUT ESTROGENS III OF ENDOMETRIAL CANCER increase protein anabolism and decrease protein catabolism. Nitrogen balance is improved only when C Close clinical surveillance of all women taking estrogens is important. Adequate diagnostic measures, there is sufficient intake of calories and protein. Androgens are responsible for the growth spurt of Esterified Estrogens and Methyltestosterone Tablets ‡ including endometrial sampling when indicated, should be undertaken to rule out malignancy in all adolescence and for the eventual termination of linear growth which is brought about by fusion of the cases of undiagnosed persistent or recurring abnormal vaginal bleeding. There is no evidence that the epiphyseal growth centers. In children, exogenous androgens accelerate linear growth rates, but may Read this PATIENT INFORMATION before you start taking Esterified use of “natural” estrogens results in a different endometrial risk profile than synthetic estrogens at cause a disproportionate advancement in bone maturation.
    [Show full text]
  • Androgene-Anabole Steroider (AAS) Og Vold 2
    Nasjonalt kunnskapssenter for helsetjenesten Rapport nr. 4/2004 Androgene-anabole steroider (AAS) og vold 2 Forord Justisdepartementet opprettet i 2002 en arbeidsgruppe som skulle se på om det er doku- mentert noen sammenheng mellom misbruk av anabole/androgene steroider (AAS) og risiko for økt aggresjon og voldelig adferd. Senter for medisinsk metodevurdering (SMM) ble anmodet om å assistere gruppen. Gruppen besto av følgende personer: Professor Egil Haug, Hormonlaboratoriet, Aker sykehus Professor Jørg Mørland, Div. for rettstoks. og rusmiddelforskning, Folkehelse- instituttet Professor Bjørnar Olaisen (leder), Formann i Rettsmedisinsk kommisjon Seniorforsker cand. med. Kurt I. Myhre, Senter for medisinsk metodevurdering var sekretær for gruppen. Arbeidsgruppen gjennomførte dette arbeidet i løpet av sommeren og høsten 2003, og uttalelsen ble overlevert Justisdepartementet i januar 2004. Foreliggende SMM-rapport er en noe omarbeidet versjon av høringsuttalelsen. Arbeidet ble finansiert av Justisdepartementet. Berit Mørland Direktør Kurt I. Myhre Prosjektsekretær Rapport 4/2004: Androgene-anabole steroider (AAS) og vold 3 Innhold FORORD............................................................................................................................. 2 INNHOLD ........................................................................................................................... 3 SMMS KOMMENTAR ........................................................................................................ 5 Formål ........................................................................................................................
    [Show full text]
  • Anabolics 2010
    William Llewellyn’s ANABOLICS,10th ed. Softcover ISBN-13: 978-0-9828280-0-7 ISBN-10: 0-9828280-0-4 Hardcover ISBN-13: 978-0-9828280-1-4 ISBN-10: 0-9828280-1-2 WILLIAM LLEWELLYN’S ANABOLICS n o i t i d 10th E DISCLAIMER: This information was gathered from sources including, but not limited to medical journals, pharmaceutical reports, laboratory reports, textbooks, as well as interviews with medical experts, athletes, and steroid distributors. Neither the author nor publisher assumes any liability for the information presented. This book is intended to provide a compendium of information for the reader. None of the information is meant to be applied and is for entertainment purposes only. It is not intended to provide nor replace medical advice. Readers are advised that the substances described in this reference book are to be used only under a physician’s care and may be prohibited in certain jurisdictions.Readers should consult with appropriate medical authorities before using any drug, and proper legal authorities on the status of substances described herein. Neither the publisher nor author advocate readers engage in any illegal activities. Copyright © 2011 and published by Molecular Nutrition, LLC in Jupiter, FL 33458. All rights reserved. None of the content in this publication may be reproduced, stored in a retrieval system, resold, redistributed, or transmitted in any form or by any means (digital, electronic, mechanical, photocopy, recorded, or otherwise) without the prior written permission of the publisher. William Llewellyn’s ANABOLICS are trademarks used herein under license. Molecular Nutrition LLC, 5500 Military Trail, Ste.
    [Show full text]
  • (12) United States Patent (10) Patent No.: US 9,592.243 B2 Wilsey (45) Date of Patent: *Mar
    USO09592243B2 (12) United States Patent (10) Patent No.: US 9,592.243 B2 Wilsey (45) Date of Patent: *Mar. 14, 2017 (54) MEDICAL DEVICES AND METHODS (58) Field of Classification Search COMPRISING AN ANABOLICAGENT FOR CPC ... A61L 2400/06; A61L 31/06; A61L 31/148: TREATMENT OF AN INURY A61L 31/16: A61L 26/0019; (Continued) (71) Applicant: Warsaw Orthopedic, Inc., Warsaw, IN (US) (56) References Cited (72) Inventor: Jared T. Wilsey, Memphis, TN (US) U.S. PATENT DOCUMENTS 4,624,255 A 11/1986 Schenck et al. (73) Assignee: Warsaw Orthopedic, Inc., Warsaw, IN 4,742,054 A 5, 1988 Naftchi (US) (Continued) (*) Notice: Subject to any disclaimer, the term of this patent is extended or adjusted under 35 FOREIGN PATENT DOCUMENTS U.S.C. 154(b) by 0 days. WO O3005961 A2 1, 2003 WO 2005034998 A2 4/2005 This patent is Subject to a terminal dis WO 2007OO5177 A1 1, 2007 claimer. (21) Appl. No.: 14/085,444 OTHER PUBLICATIONS Chhipa et al “Formulation Optimization of Sustained Release (22) Filed: Nov. 20, 2013 Pellets of Itopride Hydrochloride using Different Polymers,” Jour (65) Prior Publication Data nal of Pharmacy Research 2009 2(8) 1404-1408).* (Continued) US 2014/0107088 A1 Apr. 17, 2014 Primary Examiner — Suzanne Ziska Related U.S. Application Data (63) Continuation-in-part of application No. 13/093,479, (57) ABSTRACT filed on Apr. 25, 2011. Improved medical devices and methods are provided com prising an anabolic agent for healing an injury. These (51) Int. Cl. improved medical devices and methods can enhance healing A6 IK3I/58 (2006.01) in injuries from traumatic soft tissue injury, Surgical injuries, A6 IK 47/34 (2006.01) burn, traumatic brain injuries, musculotendinous injuries, musculoskeletal conditions, bone injury or other injuries or (Continued) maladies, which can be chronic or non-chronic in origin.
    [Show full text]