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1.
AAPS PharmSciTech ; 20(2): 54, 2019 Jan 07.
Article in English | MEDLINE | ID: mdl-30617756

ABSTRACT

Norethindrone has short half-life and low bioavailability. The objective was to prepare an oral Sustained Release/Controlled Release (SR/CR) Liquid Medicated Formulation (LMF) to enhance bioavailability and improve patient compliance. Norethindrone was solubilized in HP-ß-CD then complexed with different concentrations of Low Molecular Weight Chitosan (LMWC) (mucoadhesive). PolyElectrolyte Complexes (PECs) were homogenized with oleic acid using different concentrations of tween 80 to form LMFs (nanoemulsions). PECs and LMFs were characterized using different techniques. LMF 2 (optimum formula containing 2.5% w/v LMWC 11 kDa) was administered orally to dogs and mice for pharmacokinetic and adhesion evaluation. DSC, FTIR spectroscopy and SEM images indicated complex formation. Mean diameters of PECs were 183-425 nm, mean zeta potentials were + 18.6-+ 31 mV, and complexation efficiencies were 18.0-20.6%. Ten to fifteen percent tween was needed to prepare homogenous LMFs. Mean diameter of LMF 2 was 10.5 ± 0.57 nm, mean zeta potential was - 11.07 ± - 0.49 mV, encapsulation efficiency was 95.28 ± 1.75%, and each mL contained 145.5 µg norethindrone. SEM images showed spherical homogeneous oil droplets. All of these parameters were affected by molecular weight and concentration of chitosan. Norethindrone release from LMFs was controlled (zero order) for 96 h. It was little affected by molecular weight and concentration of chitosan but affected by concentration of tween 80. LMF 2 adhered to GIT for 48 h and enhanced the bioavailability. It showed no cytotoxicity after considering dilution in GIT and was stable for 3 months refrigerated. In conclusion an effective SR/CR LMF was prepared.


Subject(s)
Chitosan/chemistry , Contraceptives, Oral, Synthetic/chemistry , Nanoparticles/chemistry , Norethindrone/chemistry , Administration, Oral , Animals , Biological Availability , Caco-2 Cells , Calorimetry, Differential Scanning/methods , Chitosan/administration & dosage , Chitosan/pharmacokinetics , Contraceptives, Oral, Synthetic/administration & dosage , Contraceptives, Oral, Synthetic/pharmacokinetics , Delayed-Action Preparations/administration & dosage , Delayed-Action Preparations/chemistry , Delayed-Action Preparations/pharmacokinetics , Dogs , Drug Carriers/administration & dosage , Drug Carriers/chemistry , Drug Carriers/metabolism , Humans , Nanoparticles/administration & dosage , Nanoparticles/metabolism , Norethindrone/administration & dosage , Norethindrone/pharmacokinetics , Random Allocation
2.
Drug Metab Dispos ; 45(6): 676-685, 2017 06.
Article in English | MEDLINE | ID: mdl-28283499

ABSTRACT

Ortho Tri-Cyclen, a two-drug cocktail comprised of ethinylestradiol and norgestimate (13-ethyl-17-acetoxy-18, 19-dinor-17α-pregn-4-en-20yn-3 oxime), is commonly prescribed to avert unwanted pregnancies in women of reproductive age. In vivo, norgestimate undergoes extensive and rapid deacetylation to produce 17-deacetylnorgestimate (NGMN), an active circulating metabolite that likely contributes significantly to norgestimate efficacy. Despite being of primary significance, the metabolism and reaction phenotyping of NGMN have not been previously reported. Hence, detailed biotransformation and reaction phenotyping studies of NGMN with recombinant cytochrome P450 (P450), recombinant uridine 5'-diphospho-glucuronosyltransferases, and human liver microsomes in the presence and absence of selective P450 inhibitors were conducted. It was found that CYP3A4 plays a key role in NGMN metabolism with a fraction metabolized (fm) of 0.57. CYP2B6 and to an even lesser extent CYP2C9 were also observed to catalyze NGMN metabolism. Using this CYP3A4 fm value, the predicted plasma concentration versus time area under the curve (AUC) change in NGMN using a basic/mechanistic static model was found to be within 1.3-fold of the reported NGMN AUC changes for four modulators of CYP3A4. In addition to NGMN, we have also elucidated the biotransformation of norgestrel (NG), a downstream norgestimate and NGMN metabolite, and found that CYP3A4 and UGT1A1 have a major contribution to the elimination of NG with a combined fm value of 1. The data presented in this paper will lead to better understanding and management of NGMN-based drug-drug interactions when norgestimate is coadministered with CYP3A4 modulators.


Subject(s)
Contraceptives, Oral, Synthetic/pharmacology , Contraceptives, Oral, Synthetic/pharmacokinetics , Norgestrel/analogs & derivatives , Acetylation , Chromatography, Liquid , Contraceptives, Oral, Synthetic/chemistry , Cytochrome P-450 Enzyme System/chemistry , Cytochrome P-450 Enzyme System/metabolism , Cytochrome P-450 Enzyme System/pharmacology , Drug Combinations , Drug Interactions , Humans , Kinetics , Microsomes, Liver/drug effects , Microsomes, Liver/enzymology , Microsomes, Liver/metabolism , Norgestrel/chemistry , Norgestrel/pharmacokinetics , Norgestrel/pharmacology , Oximes/chemistry , Oximes/pharmacokinetics , Oximes/pharmacology , Recombinant Proteins/chemistry , Recombinant Proteins/pharmacology , Tandem Mass Spectrometry
3.
J Biochem Mol Toxicol ; 30(6): 287-94, 2016 Jun.
Article in English | MEDLINE | ID: mdl-26778492

ABSTRACT

The interaction of norgestrel with human serum albumin (HSA) was investigated by spectroscopy and molecular-docking methods. Results of spectroscopy methods suggested that the quenching mechanism of norgestrel on HSA was static quenching and that the quenching process was spontaneous. Negative values of thermodynamic parameters (ΔG, ΔH, and ΔS) indicated that hydrogen bonding and van der Waals forces dominated the binding between norgestrel and HSA. Three-dimensional fluorescence spectrum and circular dichroism spectrum showed that the HSA structure was slightly changed by norgestrel. Norgestrel mainly bound with Sudlow site I based on a probe study, as confirmed by molecular-docking results. Competition among similar structures indicated that ethisterone and norethisterone affected the binding of norgestrel with HSA. CH3 in R1 had little effect on norgestrel binding with HSA. The surface hydrophobicity properties of HSA, investigated using 8-anilino-1-naphthalenesulfonic acid, was changed with norgestrel addition.


Subject(s)
Contraceptives, Oral, Synthetic/chemistry , Ethisterone/chemistry , Norethindrone/chemistry , Norgestrel/chemistry , Serum Albumin/chemistry , Anilino Naphthalenesulfonates , Binding Sites , Fluorescent Dyes , Humans , Hydrogen Bonding , Hydrophobic and Hydrophilic Interactions , Kinetics , Molecular Docking Simulation , Protein Binding , Solutions , Spectrometry, Fluorescence , Thermodynamics
4.
J Water Health ; 14(6): 980-988, 2016 Dec.
Article in English | MEDLINE | ID: mdl-27959876

ABSTRACT

Evidence of the negative effects of several pharmaceutical molecules, such as hormones and steroids, on the environment can be observed throughout the world. This paper presents the results of the anodic oxidation of the mixture of gestodene steroid hormones and 17 α-ethinylestradiol present in aqueous medium. The tests were conducted in an undivided cell containing a working volume of 50 mL, using a Na2SO4 solution as support electrolyte and boron-doped diamond electrodes. The experiments were adjusted to the structure of a 33 factorial design. The evaluated factors were: support electrolyte concentration (0.02, 0.05, and 0.10 M), pH of the reaction media (2, 3, and 4), and current density (16, 32, and 48 mA cm-2). Under the optimum conditions (0.02 M Na2SO4, pH 4, and current density of 32 mA cm-2), the degradation of at least 93% of the initial concentration of gestodene and 17α-ethinylestradiol was reached in a reaction time of 5 and 10 min, respectively. The complete degradation of both molecules required 15 min of reaction. Under these conditions, the degradation profile of the pharmaceutical mixture as each one of the active ingredients, followed a pseudo-first order kinetic behavior (kmix = 0.0321, kGES = 0.4206, and kEE2 = 0.3209 min-1).


Subject(s)
Ethinyl Estradiol/chemistry , Norpregnenes/chemistry , Waste Disposal, Fluid , Water Pollutants, Chemical/chemistry , Boron/chemistry , Contraceptives, Oral, Synthetic/chemistry , Diamond/chemistry , Electrochemical Techniques , Electrodes , Estrogens/chemistry , Oxidation-Reduction , Progestins/chemistry
5.
Pak J Pharm Sci ; 29(5): 1545-1553, 2016 Sep.
Article in English | MEDLINE | ID: mdl-27731811

ABSTRACT

Preparation and in vitro/in vivo evaluation of gestodene (GEST) intravaginal ring (IVR) formulations which can release a constant dose of GEST during 3 weeks were investigated. In present study a reservoir gestodene intravaginal ring, including a gestodene silicone elastomer core and the non-active silicone layer, was reported, which was manufactured by reaction injection moulding at 80°C for 20 min. The raw materials compatibility experiments showed that the silicone elastomer core carrier wouldn't interact with drugs. In vitro release samples were determined by HPLC and the experiment was performed under sink conditions. The equation of cumulative release verse time was Y=64.76χ+5.44 (r=0.9998), performing zero-order release at about the target dose of 60 µg/day over 21 days. Drug release increased with temperature elevating from 45 to 55°C, which could be attributed to optimizing the prescription. In addition, the pharmacokinetic and safety studies of gestodene intravaginal ring were evaluated in female New Zealand White rabbits. The GEST in plasma was analyzed by LC-MS/MS and the results proved that the correlation between in vitro and in vivo was relatively well.


Subject(s)
Contraceptives, Oral, Synthetic/administration & dosage , Drug Carriers , Drug Delivery Systems/instrumentation , Intrauterine Devices, Medicated , Norpregnenes/administration & dosage , Administration, Intravaginal , Animals , Chromatography, High Pressure Liquid , Contraceptives, Oral, Synthetic/blood , Contraceptives, Oral, Synthetic/chemistry , Contraceptives, Oral, Synthetic/pharmacokinetics , Delayed-Action Preparations , Drug Compounding , Equipment Design , Female , In Vitro Techniques , Models, Biological , Norpregnenes/blood , Norpregnenes/chemistry , Norpregnenes/pharmacokinetics , Rabbits , Silicone Elastomers , Solubility , Tandem Mass Spectrometry , Vagina/drug effects
6.
Article in English | MEDLINE | ID: mdl-26073333

ABSTRACT

OBJECTIVES: Progestogen-only pills (POPs) are safer with respect to cardiovascular risks than contraceptives containing estrogens. Despite the increased contraceptive efficacy of a desogestrel-only pill compared with a traditional POP, POPs are still not widely used due to an unpredictable bleeding pattern. A new POP containing 4 mg drospirenone has been developed with a 24/4 intake regimen which may improve the bleeding pattern. The objectives of this study were to investigate ovulation inhibition with the new drospirenone-only pill in comparison with the desogestrel-only pill and, in addition, to assess the effects on cervical mucus permeability and bleeding. METHODS: Sixty-four healthy volunteers with proven ovulatory cycles were randomised and treated with either the drospirenone-only or the desogestrel-only pill during two 28-day cycles. Follicular diameter, endometrial thickness, and serum estradiol (E2) and progesterone concentrations were measured and Hoogland scores were determined. Additionally, cervical mucus scores, bleeding and return of ovulation were assessed. RESULTS: Both treatments effectively inhibited ovulation. Follicular diameter, E2 levels and Hoogland scores were equal, demonstrating efficient ovarian suppression. One subject in each group had a Hoogland score of 6, but the criteria for normal luteal activity were not fulfilled. In both groups, ovulation did not occur before day 9 of the post-treatment cycle. Cervical mucus permeability was suppressed in both groups. The median number of bleeding and spotting days was lower in the drospirenone group. CONCLUSIONS: The new drospirenone-only pill inhibited ovulation as effectively as the desogestrel-only pill despite the 4-day hormone-free interval.


Subject(s)
Androstenes/pharmacology , Cervix Mucus/metabolism , Contraceptives, Oral, Synthetic/pharmacology , Desogestrel/pharmacology , Ovulation Inhibition/drug effects , Adult , Androstenes/chemistry , Cervix Mucus/drug effects , Contraceptives, Oral, Synthetic/chemistry , Desogestrel/chemistry , Endometrium/anatomy & histology , Endometrium/drug effects , Estradiol/blood , Female , Healthy Volunteers , Humans , Metrorrhagia/chemically induced , Ovarian Follicle/anatomy & histology , Ovarian Follicle/drug effects , Permeability/drug effects , Progesterone/blood , Young Adult
7.
Pharm Res ; 30(2): 562-71, 2013 Feb.
Article in English | MEDLINE | ID: mdl-23093376

ABSTRACT

PURPOSE: To screen crystallization inhibitors, perform accelerated stability testing and predict saturation solubility of levonorgestrel in drug-in-adhesive patches. METHODS: Differential scanning calorimetry (DSC) studies were compared against slide crystallization studies for screening additives. Release studies were performed from crystallized and supersaturated patches. Die cutting was used for accelerated stability testing of patches. Time lag experiments were performed to predict saturation solubility of levonorgestrel in acrylate adhesive, DuroTak-2516. RESULTS: DSC studies indicated poloxamer to be the best additive whereas slide crystallization studies showed polyvinylpyrrolidone to be better. Supersaturated patches showed higher release profiles relative to crystallized patches. Crystals were observed in crystallized patches even after 96 h of release studies. Die-cutting of patches helped in development of crystals in less time as compared to uncut sheets indicating its usefulness in accelerated stability testing. Saturation solubility of levonorgestrel in DuroTak-2516 was predicted to be 0.09% w/w which was in close agreement with value of 0.1% w/w from solubility calculator on vendor's website. CONCLUSIONS: Crystallization was shown to have negative impact on drug release and patch performance. Slide crystallization studies, die cutting and time lag experiments can be used as tools to help stabilize the otherwise unstable patches.


Subject(s)
Contraceptives, Oral, Synthetic/administration & dosage , Excipients/chemistry , Levonorgestrel/administration & dosage , Transdermal Patch , Contraceptives, Oral, Synthetic/chemistry , Crystallization , Drug Storage , Levonorgestrel/chemistry , Poloxamer/chemistry , Povidone/chemistry , Solubility , Temperature
8.
J Pharm Belg ; (1): 22-7, 2012 Mar.
Article in English | MEDLINE | ID: mdl-22536680

ABSTRACT

Preparations formulated as coated or film-coated tablets, containing levonorgestrel and the combination ethinylestradiol/levonorgestrel, were evaluated in a comparative study. This study comprised in vitro dissolution, assay and content uniformity. The analytical methods were previously validated according to international guidelines. All examined products complied with the postulated requirements.


Subject(s)
Contraceptives, Oral, Synthetic/administration & dosage , Ethinyl Estradiol/administration & dosage , Levonorgestrel/administration & dosage , Belgium , Chemistry, Pharmaceutical , Chromatography, High Pressure Liquid , Contraceptives, Oral, Synthetic/chemistry , Contraceptives, Oral, Synthetic/standards , Drug Combinations , Ethinyl Estradiol/chemistry , Ethinyl Estradiol/standards , Levonorgestrel/chemistry , Levonorgestrel/standards , Reproducibility of Results , Solubility , Spectrophotometry, Ultraviolet , Tablets, Enteric-Coated
9.
Int J Pharm ; 334(1-2): 173-8, 2007 Apr 04.
Article in English | MEDLINE | ID: mdl-17101249

ABSTRACT

The objective of this study was to prepare an oral dosage formulation of mifepristone that will improve the oral bioavailability of mifepristone and sustain the release of mifepristone for at least 3 days to effectively control reproduction, especially in coyotes. Nanoparticles containing mifepristone were prepared from dl-lactide/glycolide copolymers (PLGA). Encapsulation efficiency of the nanoparticles was determined by HPLC. In vitro release study was done in 30% isopropyl alcohol in water. In vivo bioavailability study was performed in male rats. Mifepristone and drug-loaded 50/50 PLGA, M(W) 4.4kDa, nanoparticles (equivalent to 100mg/kg mifepristone) were administered orally to rats. The concentration of mifepristone in serum at different time intervals was determined by HPLC. The average sizes of 50/50 PLGA (M(W) 4.4 and 13kDa) nanoparticles containing mifepristone were 516 and 468nm, respectively. The drug encapsulation efficiency was 75.6% at 20% drug loading in 50/50 PLGA (M(W) 4.4kDa) nanoparticles. In vitro cumulative release of mifepristone from the 50/50 PLGA (M(W) 4.4 and 13kDa) nanoparticles with 20% drug loading was 60% and 48% in 72h, respectively. In vivo studies in rats demonstrated that PLGA-1A-nanoparticles increase the bioavailability of mifepristone. We are currently using the nanoparticles containing mifepristone for efficacy studies in coyotes.


Subject(s)
Contraceptives, Oral, Synthetic/pharmacokinetics , Lactic Acid/chemistry , Mifepristone/pharmacokinetics , Nanoparticles/chemistry , Polyglycolic Acid/chemistry , Polymers/chemistry , 2-Propanol , Adhesiveness , Administration, Oral , Animals , Biological Availability , Chemistry, Pharmaceutical , Chromatography, High Pressure Liquid , Contraceptives, Oral, Synthetic/administration & dosage , Contraceptives, Oral, Synthetic/chemistry , Coyotes , Delayed-Action Preparations , Drug Delivery Systems , Male , Mifepristone/administration & dosage , Mifepristone/chemistry , Molecular Weight , Particle Size , Polylactic Acid-Polyglycolic Acid Copolymer , Rats , Rats, Sprague-Dawley , Reproduction , Solubility
10.
J Pharm Biomed Anal ; 43(2): 499-505, 2007 Jan 17.
Article in English | MEDLINE | ID: mdl-16950587

ABSTRACT

The electrochemical behavior of norethisterone at the mercury electrode was studied in the universal buffer of various pH values using dc-polarography, cyclic voltammetry and controlled-potential electrolysis. Norethisterone was reduced at the mercury electrode via the consumption of two electrons corresponding to reduction of the 3-keto-delta-4-group in the A-ring of the molecule. The pK(a) value (8.7) of norethisterone was determined from the polarographic and spectrophotometric measurements. A fully validated, simple, sensitive, precise and inexpensive square-wave adsorptive cathodic stripping (SWAdCS) voltammetry procedure was described for trace quantification of bulk norethisterone. The stripping voltammetry peak current of norethisterone in a universal buffer of pH 5 following its accumulation onto the hanging mercury drop electrode (HMDE) at -0.6 V (versus Ag/AgCl/KCl(s)) for 130 s showed a linear response with the concentration over the range 5 x 10(-9) to 3 x 10(-7)M norethisterone. Detection and quantitation limits of 1.5 x 10(-9) and 5 x 10(-9)M bulk norethisterone, respectively, were achieved. The proposed procedure was successfully applied for the assay of norethisterone in Steronate tablets without interference from excipients.


Subject(s)
Contraceptives, Oral, Synthetic/analysis , Electrochemistry/methods , Norethindrone/analysis , Technology, Pharmaceutical/methods , Buffers , Calibration , Chemistry, Pharmaceutical , Contraceptives, Oral, Synthetic/chemistry , Electrochemistry/instrumentation , Electrochemistry/standards , Electrodes , Hydrogen-Ion Concentration , Mercury , Models, Chemical , Molecular Structure , Norethindrone/chemistry , Pharmaceutical Preparations/chemistry , Polarography/methods , Reproducibility of Results , Tablets , Technology, Pharmaceutical/instrumentation , Technology, Pharmaceutical/standards
11.
Cochrane Database Syst Rev ; (3): CD002032, 2006 Jul 19.
Article in English | MEDLINE | ID: mdl-16855983

ABSTRACT

BACKGROUND: Side effects caused by oral contraceptives discourage compliance with, and continuation of, oral contraceptives. Three approaches have been used to decrease these adverse effects: reduction of steroid dose, development of new steroids, and new formulas and schedules of administration. The third strategy led to the biphasic oral contraceptive pill. OBJECTIVES: To compare biphasic with monophasic oral contraceptives in terms of efficacy, cycle control, and discontinuation due to side effects. Our a priori hypotheses were: (a) biphasic oral contraceptives are less effective than monophasic oral contraceptives in preventing pregnancy; (b) biphasic oral contraceptives cause more side effects, give poorer cycle control, and have lower continuation rates. SEARCH STRATEGY: We searched the computerized databases MEDLINE, EMBASE, POPLINE, LILACS and CENTRAL. In addition, we searched the reference lists of all potentially relevant articles and book chapters. We also contacted the authors of relevant studies and pharmaceutical companies in Europe and the USA. SELECTION CRITERIA: We included randomized controlled trials comparing any biphasic with any monophasic oral contraceptive when used to prevent pregnancy. DATA COLLECTION AND ANALYSIS: We examined the studies found during the various literature searches for possible inclusion and assessed their methodology using Cochrane guidelines. We contacted the authors of all included studies and possibly randomized studies for supplemental information about methodology and outcome. We entered the data into RevMan, and calculated Peto odds ratios for the incidence of intermenstrual bleeding, absence of withdrawal bleeding, and study discontinuation due to intermenstrual bleeding. MAIN RESULTS: Only one trial of limited quality compared a biphasic and monophasic preparation. Percival-Smith 1990 examined 533 user cycles of a biphasic pill (500 microg norethindrone/35 microg ethinyl estradiol for 10 days, followed by 1000 microg norethindrone/35 microg ethinyl estradiol for 11 days; Ortho 10/11) and 481 user cycles of a monophasic contraceptive pill (1500 microg norethindrone acetate/30 microg ethinyl estradiol daily; Loestrin). The study found no significant differences in intermenstrual bleeding, amenorrhea and study discontinuation due to intermenstrual bleeding between the biphasic and monophasic oral contraceptive pills. AUTHORS' CONCLUSIONS: Conclusions are limited by the identification of only one trial, the methodological shortcomings of that trial, and the absence of data on accidental pregnancies. However, the trial found no important differences in bleeding patterns between the biphasic and monophasic preparations studied. Since no clear rationale exists for biphasic pills and since extensive evidence is available for monophasic pills, the latter are preferred.


Subject(s)
Contraception , Contraceptives, Oral, Synthetic , Estradiol Congeners , Ethinyl Estradiol , Norethindrone , Chemistry, Pharmaceutical , Contraceptives, Oral, Synthetic/adverse effects , Contraceptives, Oral, Synthetic/chemistry , Estradiol Congeners/adverse effects , Estradiol Congeners/chemistry , Ethinyl Estradiol/adverse effects , Ethinyl Estradiol/chemistry , Female , Humans , Metrorrhagia/chemically induced , Norethindrone/adverse effects , Norethindrone/chemistry , Pregnancy , Randomized Controlled Trials as Topic
12.
Trends Pharmacol Sci ; 25(11): 554-7, 2004 Nov.
Article in English | MEDLINE | ID: mdl-15491776

ABSTRACT

Recent clinical evidence showing unexpected side-effects of progestins used in contraception and hormone replacement therapy has highlighted the importance of choice of synthetic progestin. The molecular mechanisms of action of the relatively nonspecific and most widely used synthetic progestins, medroxyprogesterone acetate and norethisterone, are discussed in the context of this recent clinical evidence. Future directions involving a more mechanism-based approach for improved therapeutics, with greater specificity and fewer side-effects, are discussed.


Subject(s)
Contraceptives, Oral, Synthetic/pharmacology , Norethindrone/analogs & derivatives , Progesterone Congeners/pharmacology , Contraceptives, Oral, Synthetic/adverse effects , Contraceptives, Oral, Synthetic/chemistry , Humans , Medroxyprogesterone/adverse effects , Medroxyprogesterone/chemistry , Medroxyprogesterone/pharmacology , Norethindrone/adverse effects , Norethindrone/chemistry , Norethindrone/pharmacology , Progesterone Congeners/adverse effects , Progesterone Congeners/chemistry , Structure-Activity Relationship
13.
Ann N Y Acad Sci ; 828: 47-58, 1997 Sep 26.
Article in English | MEDLINE | ID: mdl-9329823

ABSTRACT

RU 486 (mifepristone) has proved to be a remarkably active antiprogesterone and antiglucocorticosteroid agent in humans. The mechanism of action of RU 486 involves the intracellular receptors of the antagonized hormones progesterone and glucocorticosteroids. At the molecular level, the most important features are high binding affinity to the receptor, interaction of the phenyl-aminodimethyl group in the 11 beta-position with a specific region of the receptor binding pocket, and RU 486-induced transconformation in the ligand binding domain. These properties have consequences at different steps of the receptor function as compared with agonists. However, this cannot be limited to the RU 486-receptor interaction; for instance, a switch from an antagonistic property to an agonist activity is possible, depending on the intervention of other signaling pathways. Derivatives with only one of the two antagonistic properties (antiprogestin, antiglucocorticosteroid) would be desirable in spite of similarities between the steroid structures, receptors involved, and responsive machineries in target cells. Clinically, the RU 486 plus prostaglandin method is ready to be used on a large scale, and is close to being as practical and safe as any medical method of abortion may be. The early use of RU 486, as a contragestive--that is, for use by a woman as soon as she fears a pregnancy she does not want--will help to defuse the abortion issue. Research should now be conducted to define an efficient and convenient contraceptive method with RU 486 or other antiprogestins. The usefulness of RU 486 for obstetrical indications, including facilitation of difficult delivery, has to be assessed rapidly. Gynecological trials, particularly in leiomyomata, should also be systematically continued. The very preliminary results obtained with tumors, including breast cancers, do indicate that further studies are necessary.


Subject(s)
Contraceptives, Oral, Synthetic , Hormone Antagonists , Menstruation-Inducing Agents , Mifepristone , Animals , Breast Neoplasms/drug therapy , Contraceptives, Oral, Synthetic/chemistry , Contraceptives, Oral, Synthetic/metabolism , Contraceptives, Oral, Synthetic/pharmacology , Contraceptives, Oral, Synthetic/therapeutic use , Female , Fertility/drug effects , Glucocorticoids/antagonists & inhibitors , Glucocorticoids/metabolism , Hormone Antagonists/chemistry , Hormone Antagonists/metabolism , Hormone Antagonists/pharmacology , Hormone Antagonists/therapeutic use , Humans , Menstruation-Inducing Agents/chemistry , Menstruation-Inducing Agents/metabolism , Menstruation-Inducing Agents/pharmacology , Menstruation-Inducing Agents/therapeutic use , Mifepristone/chemistry , Mifepristone/metabolism , Mifepristone/pharmacology , Mifepristone/therapeutic use , Pregnancy , Progesterone/antagonists & inhibitors , Progesterone/metabolism
14.
Eur J Pharmacol ; 417(3): 249-56, 2001 Apr 13.
Article in English | MEDLINE | ID: mdl-11334857

ABSTRACT

Gestodene (13beta-ethyl-17alpha-ethynyl-17beta-hydroxy-4,5-gonadien-3-one), the most potent progestin ever synthesized, stimulates breast cancer cell growth through an oestrogen receptor-mediated mechanism, and its use in hormonal contraception has been associated with side effects attributable to oestrogenic actions. These observations have remained controversial, since gestodene does not bind to the oestrogen receptor or exert oestrogen-like activities. Recently, we have demonstrated that non-phenolic gestodene derivatives interact with oestrogen receptors and induce oestrogenic effects in cell expression systems. To assess whether gestodene is biotransformed to metabolites with intrinsic oestrogenic potency, [3H]- and [14C]-labelled gestodene were incubated in vitro with rat anterior pituitary, hypothalamus and ventral prostate homogenates under different experimental conditions. The most remarkable finding was the isolation and identification of 3beta,5alpha-tetrahydrogestodene and 3alpha,5alpha-tetrahydrogestodene as metabolic conversion products of gestodene, presumably with 5alpha-dihydrogestodene as intermediate. The overall results seem to indicate that the weak oestrogenic effects attributable to gestodene could be mediated by its tetrahydro metabolites.


Subject(s)
Hypothalamus/metabolism , Norpregnenes/chemistry , Norpregnenes/metabolism , Pituitary Gland, Anterior/metabolism , Prostate/metabolism , 3-Oxo-5-alpha-Steroid 4-Dehydrogenase/metabolism , Animals , Biotransformation , Contraceptives, Oral, Synthetic/chemistry , Contraceptives, Oral, Synthetic/metabolism , Contraceptives, Oral, Synthetic/pharmacokinetics , Female , Hydrogen-Ion Concentration , Hypothalamus/enzymology , Male , NADP/metabolism , Norpregnenes/pharmacokinetics , Pituitary Gland, Anterior/enzymology , Progesterone Congeners/chemistry , Progesterone Congeners/metabolism , Progesterone Congeners/pharmacokinetics , Prostate/enzymology , Rats , Rats, Wistar , Testosterone/metabolism
15.
Drugs Aging ; 18(11): 863-85, 2001.
Article in English | MEDLINE | ID: mdl-11772126

ABSTRACT

The focus of this review is hormone replacement therapy (HRT) with continuous administration of micronised, oral 17beta-estradiol 1 mg/day (herein referred to as continuous estradiol) plus micronised, oral norgestimate 90 microg/day administered for 3 days then withdrawn for 3 days in a 6-day repeating sequence (herein referred to as intermittent norgestimate). According to data from randomised, comparative trials of 1 year's duration, continuous estradiol 1 mg/day plus intermittent norgestimate 90 microg/day relieves climacteric symptoms (vasomotor symptoms and vulvovaginal atrophy) in postmenopausal women. Continuous estradiol 1 mg/day plus intermittent norgestimate 90 microg/day appeared as effective as estradiol 1 mg/day alone or continuous estradiol 2 mg/day plus continuous norethisterone acetate 1 mg/day in the treatment of postmenopausal women with vasomotor symptoms. Continuous estradiol 1 mg/day plus intermittent norgestimate 90 microg/day was as effective as continuous estradiol 1 mg/day in causing the maturation of vaginal epithelial cells. In a randomised, double-blind study, bone mineral density (BMD) increased to a significantly greater extent and the rate of bone turnover was slower in postmenopausal women treated with continuous oral estradiol 1 mg/day plus intermittent norgestimate 90 microg/day than in placebo-treated patients. Two randomised, double-blind studies indicated that the addition of norgestimate 90 microg/day to continuous estradiol 1 mg/day did not attenuate the beneficial effects of estradiol on lipid parameters. Continuous estradiol 1 mg/day plus intermittent norgestimate 90 microg/day was associated with increases in mean serum high density lipoprotein (HDL)-cholesterol levels and decreases in total cholesterol, low density lipoprotein (LDL)-cholesterol and lipoprotein (a) levels, compared with baseline. There was no statistically significant increase in triglyceride levels. In comparative trials, continuous oral estradiol 1 mg/day plus intermittent oral norgestimate 90 microg/day was well tolerated. Headache, breast pain or discomfort, abdominal pain or discomfort, uterine bleeding, dysmenorrhoea, oedema, nausea and depression were the most commonly reported adverse events. Continuous estradiol 1 mg/day plus intermittent oral norgestimate 90 microg/day was associated with a favourable uterine bleeding profile that improved over time. In a randomised trial, 80% of women were free from bleeding (irrespective of spotting) during month 12 of treatment. Norgestimate 90 microg/day was effective in protecting postmenopausal women against induction of endometrial hyperplasia by continuous estradiol 1 mg/day. In conclusion, data from a limited number of randomised studies indicate that HRT with continuous estradiol 1 mg/day plus intermittent norgestimate 90 microg/day is effective in relieving climacteric symptoms, increasing BMD and slowing the rate of bone turnover in postmenopausal women. This HRT regimen is well tolerated and is associated with a similar incidence of adverse events to that reported in recipients of continuous estradiol 1 mg/day. The norgestimate component of the regimen provides good endometrial protection and is associated with a favourable bleeding profile. Long-term studies investigating the associated risk of breast cancer and thromboembolic events in recipients of continuous estradiol plus intermittent norgestimate are needed. In the meantime, continuous oral estradiol plus intermittent oral norgestimate can be regarded as an effective new option for HRT in postmenopausal women.


Subject(s)
Contraceptives, Oral, Synthetic/therapeutic use , Estradiol/therapeutic use , Estrogen Replacement Therapy/statistics & numerical data , Norgestrel/analogs & derivatives , Norgestrel/therapeutic use , Contraceptives, Oral, Synthetic/chemistry , Contraceptives, Oral, Synthetic/pharmacology , Drug Therapy, Combination , Estradiol/chemistry , Estradiol/pharmacology , Estrogen Replacement Therapy/methods , Female , Humans , Norgestrel/chemistry , Norgestrel/pharmacology
16.
J Pharm Biomed Anal ; 30(6): 1897-906, 2003 Jan 15.
Article in English | MEDLINE | ID: mdl-12485732

ABSTRACT

In the last few years, it has been shown that capillary electrochromatography (CEC) is a promising technique for enantioseparations. However, to date almost no studies are published on a critical comparison of CEC and its pressure-driven counterpart, capillary liquid chromatography (CLC) for real samples. In this study, the goal was to compare CLC and CEC for the determination of the enantiomeric purity of the contraceptive drug levonorgestrel and its pharmaceutical formulation. The study prevailed that not all potential advantages of CEC over CLC can easily be transformed in a real gain of detection limit of the enantiomeric impurity. However, certain advantages of CEC over CLC have been unambiguously shown.


Subject(s)
Chromatography, Micellar Electrokinetic Capillary/methods , Contraceptives, Oral, Synthetic/analysis , Drug Contamination , Levonorgestrel/analysis , Chromatography, Liquid/methods , Contraceptives, Oral, Synthetic/chemistry , Levonorgestrel/chemistry , Stereoisomerism
17.
J Steroid Biochem Mol Biol ; 129(3-5): 139-44, 2012 Apr.
Article in English | MEDLINE | ID: mdl-22210085

ABSTRACT

Human ketosteroid reductases of the aldo-keto reductase (AKR) superfamily, i.e. AKR1C1-4, are implicated in the biotransformation of synthetic steroid hormones. Norethynodrel (NOR, 17α-ethynyl-17ß-hydroxy-estra-5(10)-en-3-one), the progestin component of the first marketed oral contraceptive, is known to undergo rapid and extensive metabolism to 3α- and 3ß-hydroxymetabolites. The ability of the four human AKR1C enzymes to catalyze the metabolism of NOR has now been characterized. AKR1C1 and AKR1C2 almost exclusively converted NOR to 3ß-hydroxy NOR, while AKR1C3 gave 3ß-hydroxy NOR as the main product and AKR1C4 predominantly formed 3α-hydroxy NOR. Individual AKR1C enzymes also displayed distinct kinetic properties in the reaction of NOR. In contrast, norethindrone (NET), the Δ(4)-isomer of NOR and the most commonly used synthetic progestogen, was not a substrate for the AKR1C enzymes. NOR is also structurally identical to the hormone replacement therapeutic tibolone (TIB), except TIB has a methyl group at the 7α-position. Product profiles and kinetic parameters for the reduction of NOR catalyzed by each individual AKR1C isoform were identical to those for the reduction of TIB catalyzed by the respective isoform. These data suggest that the presence of the 7α-methyl group has a minimal effect on the stereochemical outcome of the reaction and kinetic behavior of each enzyme. Results indicate a role of AKR1C in the hepatic and peripheral metabolism of NOR to 3α- and 3ß-hydroxy NOR and provide insights into the differential pharmacological properties of NOR, NET and TIB.


Subject(s)
20-Hydroxysteroid Dehydrogenases/metabolism , Contraceptives, Oral, Synthetic/metabolism , Norethynodrel/metabolism , 3-Hydroxysteroid Dehydrogenases/metabolism , Aldo-Keto Reductase Family 1 Member C3 , Contraceptives, Oral, Synthetic/chemistry , Humans , Hydroxyprostaglandin Dehydrogenases/metabolism , Hydroxysteroid Dehydrogenases/metabolism , Hydroxysteroids/chemistry , Hydroxysteroids/metabolism , Kinetics , Models, Molecular , Norethynodrel/chemistry , Oxidation-Reduction , Oxidoreductases/metabolism , Protein Binding
18.
J Pharm Biomed Anal ; 54(3): 458-62, 2011 Feb 20.
Article in English | MEDLINE | ID: mdl-20934825

ABSTRACT

In the pharmaceutical industry fast and efficient separation techniques play an increasing role among analytical methods because the samples to be investigated grow both in complexity and number, and there is an increasing time pressure to complete the analysis. Reducing the analysis time without decreasing the efficiency is possible using higher pressures, elevated temperatures, smaller particle sizes, or a combination of these approaches. Recently developed chromatographic techniques such as the UHPLC (ultra high performance liquid chromatography) and HTLC (high temperature liquid chromatography) are highly promising in meeting these demands. In this study, high temperature liquid chromatography (HTLC) with a zirconia-based column and temperatures elevated up to 150°C was used. We investigated the chromatographic behaviour of a steroid active pharmaceutical ingredient (levonorgestrel) and its structurally related impurities as model compounds. The effect of the temperature in the range of 50-150°C and the flow-rate in the range of 0.5-3.0 ml/min, and using methanol as an organic modifier, were studied for optimisation of the separation method.


Subject(s)
Chromatography, Liquid , Contraceptives, Oral, Synthetic/analysis , Levonorgestrel/analysis , Pharmaceutical Preparations/analysis , Chromatography , Chromatography, High Pressure Liquid , Contraceptives, Oral, Synthetic/chemistry , Hot Temperature , Levonorgestrel/chemistry , Particle Size , Pharmaceutical Preparations/chemistry , Pressure , Zirconium
19.
Sci Total Environ ; 409(24): 5149-61, 2011 Nov 15.
Article in English | MEDLINE | ID: mdl-21975000

ABSTRACT

Synthetic oral contraceptives (SOCs) are a group of compounds with progestagenic and/or androgenic activities, with some also possessing estrogenic activities. Recent research has documented that some of these emerging contaminants have adverse effects on aquatic organisms at very low concentrations. To facilitate the evaluation of their latent risks, published works on their occurrence and fate in the environment are reviewed. Androgenic/progestagenic relative potencies or relative binding affinity of these SOCs as well as their physicochemical properties and toxicity are summarized. Appropriate analytical methods are outlined for various environmental sample types, including methods of sample preparation and limit of detection/quantification (LOD/LOQ). Finally results on their occurrence and fate in wastewater treatment plants (WWTPs) and other environments are critically examined.


Subject(s)
Contraceptives, Oral, Synthetic/analysis , Water Pollutants, Chemical/analysis , Androgens/analysis , Androgens/chemistry , Androgens/metabolism , Androgens/toxicity , Animals , Aquatic Organisms/chemistry , Aquatic Organisms/drug effects , Contraceptives, Oral, Synthetic/chemistry , Contraceptives, Oral, Synthetic/metabolism , Contraceptives, Oral, Synthetic/toxicity , Environmental Monitoring/methods , Estrogens/analysis , Estrogens/chemistry , Estrogens/metabolism , Estrogens/toxicity , Humans , Limit of Detection , Molecular Structure , Progestins/analysis , Progestins/chemistry , Progestins/metabolism , Progestins/toxicity , Waste Disposal, Fluid/methods , Water Pollutants, Chemical/chemistry , Water Pollutants, Chemical/metabolism , Water Pollutants, Chemical/toxicity
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