Английская Википедия:18-Methylsegesterone acetate

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18-Methylsegesterone acetate (18-methyl-SGA; also known as 18-methylnestorone) is a progestin medication of the 19-norprogesterone group which was never marketed.[1][2][3] It was first described in a patent in 1997 and then in a literature paper in 2003.[4][1] 18-Methyl-SGA is the C18 methyl or C13β ethyl derivative of segesterone acetate (SGA; 16-methylene-17α-acetoxy-19-norprogesterone), and shows 3 to 10 times the progestogenic potency of SGA in bioassays.[1] This is analogous to the case of the 19-nortestosterone progestin norethisterone and its 18-methyl derivative levonorgestrel, the latter showing substantially increased potency relative to the former similarly.[1] As SGA is already one of the most potent progestins to have been developed, with 100-fold the potency of progesterone and 10-fold the potency of levonorgestrel in bioassays, 18-methyl-SGA is an extremely potent progestogen, among if not the most potent known.[2][5][1]

SGA is a highly selective progestogen.[1][5] Like SGA, 18-methyl-SGA shows negligible affinity for the androgen receptor.[1][3] While 18-methyl-SGA has not been assessed at the other steroid hormone receptors, it is expected to be highly selective for the progesterone receptor similarly to SGA.[1] 18-Methyl-SGA shows over 16 times the affinity of progesterone for the progesterone receptor expressed in rat uterus.[1] In terms of oral bioavailability, it is known that SGA is not active orally, while the oral activity of 18-methyl-SGA is unknown.[1] The addition of an 18-methyl group to SGA is unlikely to affect its rate of delivery from sustained release systems.[1] As such, 18-methyl-SGA should be ideally suited for use via routes of administration like subcutaneous implants and transdermal patches.[1]

Comparison of potencies of selected progestogens in animals
Progestogen Шаблон:Abbrlink Шаблон:Abbrlink
(rat uterus)
Clauberg
assay
a
Pregnancy
maintenance
18-Methyl-SGA 355% 0.3 μg 0.03 mg
Segesterone acetate 107% 1 μg 0.3 mg
Levonorgestrel 100% 3 μg 0.3 mg
Progesterone 22% 100 μg 1.0 mg
Footnotes: a = Minimum effective dose. Sources: [1]

See also

References

Шаблон:Reflist


Шаблон:Progesterone receptor modulators


Шаблон:Steroid-stub Шаблон:Genito-urinary-drug-stub

  1. 1,00 1,01 1,02 1,03 1,04 1,05 1,06 1,07 1,08 1,09 1,10 1,11 1,12 Шаблон:Cite journal
  2. 2,0 2,1 Шаблон:Cite journal
  3. 3,0 3,1 Шаблон:Cite journal
  4. 18-methyl 16-methylene 19-nor pregnane derivatives as progestins, pharmaceutical compositions containing them and process for the preparation thereof. https://patents.google.com/patent/WO1997023498A1/en
  5. 5,0 5,1 Шаблон:Cite journal