CA2173863C - 16-substituted-4-aza-androstane 5-alpha-reductase isozyme 1 inhibitors - Google Patents

16-substituted-4-aza-androstane 5-alpha-reductase isozyme 1 inhibitors Download PDF

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CA2173863C
CA2173863C CA002173863A CA2173863A CA2173863C CA 2173863 C CA2173863 C CA 2173863C CA 002173863 A CA002173863 A CA 002173863A CA 2173863 A CA2173863 A CA 2173863A CA 2173863 C CA2173863 C CA 2173863C
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beta
aza
alpha
oxo
androstane
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CA2173863A1 (en
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Philippe L. Durette
William K. Hagmann
Thomas J. Lanza, Jr.
Soumya P. Sahoo
Gary H. Rasmusson
Richard L. Tolman
Derek Von Langen
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Merck and Co Inc
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Merck and Co Inc
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    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07J—STEROIDS
    • C07J73/00—Steroids in which the cyclopenta[a]hydrophenanthrene skeleton has been modified by substitution of one or two carbon atoms by hetero atoms
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07J—STEROIDS
    • C07J73/00—Steroids in which the cyclopenta[a]hydrophenanthrene skeleton has been modified by substitution of one or two carbon atoms by hetero atoms
    • C07J73/001—Steroids in which the cyclopenta[a]hydrophenanthrene skeleton has been modified by substitution of one or two carbon atoms by hetero atoms by one hetero atom
    • C07J73/005—Steroids in which the cyclopenta[a]hydrophenanthrene skeleton has been modified by substitution of one or two carbon atoms by hetero atoms by one hetero atom by nitrogen as hetero atom
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00—Drugs for genital or sexual disorders; Contraceptives
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00—Drugs for dermatological disorders
    • A61P17/14—Drugs for dermatological disorders for baldness or alopecia
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00—Antineoplastic agents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P5/00—Drugs for disorders of the endocrine system
    • A61P5/24—Drugs for disorders of the endocrine system of the sex hormones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P5/00—Drugs for disorders of the endocrine system
    • A61P5/24—Drugs for disorders of the endocrine system of the sex hormones
    • A61P5/28—Antiandrogens

Abstract

Compounds of formula (I) are inhibitors of the 5.alpha.-reductase 1 isozyme, and are useful alone, or in combination with a 5.alpha.-reductase 2 inhibitor. for the treatment of androgenic sensitive disorders such as acne vulgaris, seborrhea, female hirsutism, male pattern baldness, and benign prostatic hyperplasia.

Description

WO 95/1125:1 217 3 ~ 6 3 PCT~S9.tI12071 TITLE OF THE INVENTION

FIELD OF THE INVENTION
The present invention provides novel compounds, novel compositions, methods of their use and methods of their manufacture, where such compounds are generally pharmacologically useful as agents in therapies whose mechanism of action rely on the selective inhibition of to the isozyme Soc-reductase 1.
BACKGROUND OF THE INVENTION
Certain undesirable physiological manifestations, such as acne vulgaris, seborrhea, female hirsutism, androgenetic alopecia which includes female and male pattern baldness, and benign prostatic hyperplasia, are the result of hyper-androgenic stimulation caused by an excessive accumulation of testosterone ("T") or similar androgenic hormones in the metabolic system. Early attempts to provide a chemotherapeutic agent to counter the undesirable results of hyperandrogenicity resulted in the discovery of several steroidal antiandrogens having undesirable hormonal activities of their own. The estrogens, for example, not only counteract the effect of the androgens but have a feminizing effect as well. Non-steroidal antiandrogens have also been developed, for example, 4'-nitro-3'-trifluoromethylisobuty-r~ilide. See Neri, et al., Endocrinol. 1972, 91 (2). However, these products, though devoid of hormonal effects, compete with all natural androgens for receptor sites, and hence have a tendency to feminize a male host or the male fetus of a female host and/or initiate feed-back effects which would cause hyperstimulation of the testes.
". 3 0 The principal mediator of androgenic activity in some target organs, e.g., the prostate, is Soc-dihydrotestosterone ("DHT"), formed :, ' locally in the target organ by the action of testosterone-Sa-reductase (or simply Sa-reductase). Inhibitors of Soc-reductase will serve to prevent or lessen symptoms of hyperandrogenic stimulation in these organs. See WO 95/1125-t PCT/ITS9-1/12071 2~73~63 especially United States Patent Nos. 4,377,584, issued March 22, 1983, o and 4,760,071, issued July 26, 1988, both assigned to Merck & Co., Inc.
It is now known that a second Sa-reductase isozyme exists, which _ interacts with skin tissues, especially in scalp tissues. See, e.g., G.
Harris, et al., Proc. Natl. Acad. Sci. LJSA, Vol. 89, pp. 10787-10791 (Nov. 1992).
The isozyme that principally interacts in skin tissues is conventionally designated as Sa-reductase 1 (or Sa-reductase type 1 ), while the isozyme that principally interacts within the prostatic tissues is designated as Sa-reductase 2 (or Sa-reductase type 2).
to In the treatment of androgenic sensitive disease conditions, e.g., benign prostatic hyperplasia (BPH) and/or the prevention and treatment of prostatic cancer, it would be desirable to have one drug entity which is active against both isozymes in the prostate to significantly inhibit all dihydrotestosterone production. It would also be desirable to have another drug entity which is highly selective for inhibiting the isozyme Sa-reductase 1 associated with the scalp, for use in treating conditions of the skin and scalp, e.g., acne vulgaris, male pattern baldness and hirsutism in females. Additionally, a selective Sa-reductase 1 inhibitor could be used in combination with a Sa-reductase 2 inhibitor such as, e.g., finasteride (PROSCAR~), for therapy in the treatment of hyperandrogenic conditions such as BPH and/or the prevention and treatment of prostatic cancer, and for the treatment of skin and scalp-related disorders such as acne vulgaris, seborrhea, female hirsutism, and androgenic alopecia. Still further, the Sa-reductase 1 inhibitors of this invention could be used in combination with a potassium channel opener such as minoxidil for the treatment of these skin and scalp-related disorders. Therefore it is an object of this invention to provide compounds that have sufficient activity in the inhibition of Sa-reductase isozyme 1.
s wo 9sn12sa 217 3 ~ 6 3 PCTIUS9-1!12071 SUMMARY OF THE INVENTION
._ The novel compounds of this invention have the formula O = n-Ry H I
to and are selective Sa-reductase 1 inhibitors. It is an object of this invention to provide compounds that alone or in combination with inhibitors of Sa-reductase 2 are useful in the treatment of benign prostatic hyperplasia, prostatitis, and/or the prevention and treatment of prostatic cancer. It is an additional object of this invention to provide compounds that alone or in combination with inhibitors of Sa-reductase 2 are useful in the treatment of acne vulgaris, female hirsutism, androgenic alopecia (also known as androgenetic alopecia and human pattern baldness), and insufficient plasma levels of high density lipoproteins. The compounds 2 0 of the invention have utility in one or more of the aforementioned areas.
DETAILED DESCRIPTION OF THE INVENTION
The novel compounds of the present invention have the general structural Formula I:

. Ri I
or a pharmaceutically acceptable salt or ester thereof wherein:

~~ ~3~63 the C 1-C2 carbon-carbon bond may be a single bond, or a double _ bond as indicated by the dashed line;
R 1 is selected from the group consisting of hydrogen and C 1-10 alkyl; , R2 is selected from the group consisting of hydrogen and C 1-10 alkyl;
one of R3 and R4 is selected from the group consisting of hydrogen and methyl, and the other is selected from the group consisting of:
(a) amino;
(b) cyano;
(c) fluoro;
l o (d) methyl;
(e) OH;
(f) -C(O)NRbRc, where Rb and Rc are independently H, C 1 _6 alkyl, aryl, or arylC 1 _6alkyl; wherein the alkyl moiety can be substituted with 1-3 of: halo; C 1 _4alkoxy;
i s or trifluoromethyl; and the aryl moiety can be substituted with 1-3 of: halo; C 1 _q.alkyl; C 1 _4 alkoxy; or trifluoromethyl;
(g) C 1-10 alkyl-X-;
(h) C2_ 10 alkenyl-X-;
2 0 wherein the C 1-10 alkyl in (g) and C2-10 alkenyl in (h) can be unsubstituted or substituted with one to three of:
i) halo; hydroxy; cyano; vitro; mono-, di- or trihalomethyl; oxo; hydroxysulfonyl; carboxy;
ii) hydroxyC 1 _6alkyl; C 1 _6alkyloxy; C 1-6 2 s alkylthio; C 1 _6alkylsulfonyl; C 1-6 alkyloxycarbonyl; in which the C1-( alkyl moiety can be further substituted with 1-3 of:
halo; C 1 _q. alkoxy; or trifluoromethyl;
iii) arylthio; aryl; aryloxy; arylsulfonyl;
aryloxycarbonyl; in which the aryl moiety can be further substituted with 1-3 of: halo; C 1-4 alkyl; C 1 _4 aikoxy; or trifluoromethyl;
iv) -C(O)NRbRc; -N(Rb)-C(O)-Rc; -NRbRc;
where Rb and Rc are defined above;

WO 9511125-1 ~~ PCT/US9.1112071 (i) aryl-X-;
(j) heteroaryl-X-, wherein heteroaryl is a 5, 6 or 7 membered heteroaromatic ring containing at least one member selected from the group consisting of: one ring oxygen atom, one ring sulfur atom, 1-4 ring nitrogen atoms , or combinations thereof; in which the heteroaromatic ring can also be fused with one benzo or heteroaromatic ring;
wherein the aryl in (i) and heteroaryl in (j) can be unsubstituted or substituted with one to three of:
to v ) halo; hydroxy; cyano; vitro; mono-, di- or trihalomethyl; mono-, di- or trihalomethoxy;
C2-6 alkenyl; C3_6 cycloalkyl; formyl;
hydrosulfonyl; carboxy; ureido;
vi) C 1 _6 alkyl; hydroxy Cl _6 alkyl; C 1 _6 alkyloxy;
1 s C 1-6 all~yloxy C 1 _6alkyl; C 1 _6 alkylcarbonyl;
C 1-( alkylsulfonyl; C 1 _6 alkylthio; C 1-6 alkylsulfinyl; C 1 _6 alkylsulfonamido; C 1-6 alkylarylsulfonamido; C1_6 alkyloxy-carbonyl;
C 1-6 alkyloxycarbonyl C 1 _6alkyl; RbRcN-2 o C(O)-C 1 _6alkyl; C 1 _6 alkanoylamino C 1-6 alkyl; aroylamino C 1 _6 alkyl; wherein the C 1-6 alkyl moiety can be substituted with 1-3 of:
halo; C 1 _q.alkoxy; or trifluoromethyl;
vii) aryl; aryloxy; arylcarbonyl; arylthio;
arylsulfonyl; arylsulfinyl; arylsulfonamido;
aryloxycarbonyl; wherein the aryl moiety can be substituted with 1-3 of: halo; C 1 _q.alkyl; C 1-q.alkoxy; or trifluoromethyl;
viii) -C(O)NRbRc; -O-C(O)-NRbRc; -N(Rb)-C(O)-3 o Rc; _NRbRc; Rb-C(O)-N(Rc)-; where Rb and Rc are defined in (~ above; and -N(Rb)-C(O)-ORg, wherein Rg is C 1 _6alkyl or aryl, in which ' the alkyl moiety can be substituted with 1-3 of:
halo; C 1 _4alkoxy; or trifluoromethyl, and the 2~ ~ ~gb3 aryl moiety can be substituted with 1-3 of: halo; _ .
C 1 _4alkyl; C 1-4 alkoxy, or trifluoromethyl;
-N(Rb)-C(O) NRcRd, wherein Rd is selected , from H, C 1-6 alkyl, and aryl; in which said C 1-(alkyl and aryl can be substituted as described above in (f) for Rb and Rc;
ix) a heterocyclic group, which is a 5, 6 or 7 membered ring, containing at least one member selected from the group consisting of: one ring l o oxygen atom, one ring sulfur atom, 1-4 ring nitrogen atoms, or combinations thereof; in which the heterocyclic ring can be aromatic, unsaturated, or saturated, wherein the heterocyclic ring can be fused with a benzo ring, and wherein said heterocyclic ring can be substituted with one to three substituents, as defined above for v), vi), vii) and viii), excluding ix) a heterocyclic group; and (k) R3 and R4 taken together can be carbonyl oxygen;
(1) R3 and R4 taken together can be =CH-Rg, wherein Rg is defined in viii); and wherein:
X is selected from the group consisting of:
-~-~ -S(O)n-; -C(O)-~ -CH(Re)-; _C(O)_O_~x~ _C(O)_N(Re)-*~
-N(Re)_C(O)_O_~~ _p_C(O)-N(Re)_~~ _N(Re)C(O)-N(Re)--O-CH(Re)-*; -N(Re)-; wherein Re is H, C1-3 alkyl, aryl, aryl-C 1 _3 alkyl, or unsubstituted or substituted heteroaryl, as defined above in (j);
3 o wherein the asterisk (*) denotes the bond which is attached to the 16-position in Structure I; and n is zero, 1 or 2.
Combinations of substituents and/or variables are permissible only if such combinations result in stable compounds.

_7_ In one embodiment of the instant invention are compounds of Formula I wherein R1 is hydrogen or methyl and RZ is hydrogen or methyl.
A further embodiment of the instant invention are compounds of Formula I wherein:
one of R3 and R4 is selected from the group consisting of hydrogen and methyl, and the other is selected from the group consisting of:
(b) cyano;
(c) fluoro;
(e) OH;
(g) C~_lo alkyl-X-, where alkyl can be substituted with aryl, and wherein aryl in turn can be substituted with 1-2 of halo or C1_~ alkyl;
(h) CZ_,o alkenyl-X-;
(i) aryl-X-;
(j) heteroaryl-X-, wherein heteroaryl is a 5 or 6 membered heteroaromatic ring containing 1-2 ring nitrogen atoms; wherein the aryl in (i) and heteroaryl in (j) can be unsubstituted or substituted with one to two of x) halo; cyano; nitro; trihalomethyl;
trihalomethoxy; C,_6 alkyl; aryl; C~_6 alkylsulfonyl; C1_6 alkyl-arylsulfonamino;
xi) -NRbR~; Rb-C(O)-N(R~)-; wherein Rb and R
are independently H, C1_6 alkyl, aryl, or aryl C ~ _6 alkyl; wherein the alkyl moiety can be substituted with 1-3 of: halo; C1_4 alkoxy; or trifluoromethyl; and the aryl moiety can be substituted with 1-3 of: halo; C1_4 alkyl; C~_4 alkoxy; or trifluoromethyl;
xii) a heterocyclic group, which is a 5 membered aromatic ring, containing one ring nitrogen atom, or one ring oxygen and one ring nitrogen atom; and (k) wherein R3 and R4 taken together can be carbonyl oxygen; and wherein:

WO 9511125:1 ~~~~~63 X is selected from the group consisting of: _ .
-~-~ -S(i)n-~ -CH(Re)-; -C(O)-N(Re)-*~
-O-C(~)-N(Re)-*~
wherein Re is H, C 1-3 alkyl, aryl, aryl C 1-3 alkyl;
wherein the asterisk (*) denotes the bond which is attached to the 16-position in Structure I; and n is zero or 2.
Novel compounds of the present invention exemplified by this embodiment include but are not limited to the following compounds:
4-aza-4,7(3-dimethyl-Sa-androstane-3,16-dione;
l 0 4_aza-4-methyl-Sa-androstan-3,16-dione;
3-oxo-4-aza-4-methyl-16~i-hydroxy-Sa-androstane;
3-oxo-4-aza-4-methyl-16~i-(benzylaminocarbonyloxy)-Sa-androstane;
3-oxo-4-aza-4-methyl-16(3-benzoylamino-Sa-androstane;
3-oxo-4-aza-4-methyl-16(3-methoxy-5a-androstane;
1 s 3_oxo-4-aza-4-methyl-16(3-allyloxy-Sa-androstane;
3-oxo-4-aza-4-methyl-16(3-(n-propyloxy)-Sa-androstane;
3-oxo-4-aza-4-methyl-16a-hydroxy-Sa-androstane;
3-oxo-4-aza-4-methyl-16(3-(phenoxy)-Sa-androstane;
3-oxo-4-aza-7(3-methyl-16(3-(phenoxy)-Sa-androst-1-ene;
20 3_oxo-4-aza-4-methyl-16a-methoxy-Sa-androstane;
3-oxo-4-aza-4-methyl-16(3-(4-chlorophenoxy)-Sa-androstane;
3-oxo-4-aza-7~3-methyl-16(3-(4-chlorophenoxy)-Sa-androst-1-ene;
3-oxo-4-aza-7~3-methyl-16(3-(4-chlorophenoxy)-Sa-androstane;
3-oxo-4-aza-7(3-methyl-163-(3-chloro-4-methylphenoxy)-Sa-androstane;
2s 3_oxo-4-aza-7(3-methyl-16(3-(4-methylphenoxy)-Sa-androstane;
3-oxo-4-aza-7(3-methyl-163-(4-methylphenoxy)-Sa-androst-1-ene;
3-oxo-4-aza-7(3-methyl-16(3-[4-( 1-pyrrolyl)phenoxy)-Sa-androst-1-ene;
3-oxo-4-aza-4,7(3-dimethyl-16(3-hydroxy-Sa-androstane;
3-oxo-4-aza-4,7~i-dimethyl-16~i-methoxy-Sa-androstane;
30 3-oxo-4-aza-4,7~i-dimethyl-16(3-allyloxy-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16~i-(3,3-dimethylallyloxy)-5a-androstane;
3-oxo-4-aza-4,7~3-dimethyl-16(3-(n-propyloxy)-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16(3-(iso-pentoxy)-Sa-androstane;
3-oxo-4-aza-4,16a-dimethyl-16(3-hydroxy-Sa-androstane;

WO 9511125.1 PCT/L1S9-t/12071 21738b3 3-oxo-4-aza-4,7~3-dimethyl-16(3-ethyloxy-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16(3-benzyloxy-Sa-androstane;
3-oxo-4-aza-4, 7(3-dimethyl-16a-hydroxy-Sa-androstane;
3-oxo-4-aza-4,7~3-dimethyl-163-methylthio-Sa-androstane;
3-oxo-4-aza-4 7 -dimeth 1-16 y (3-(n-propylthio)-Sa-androstane;
3-oxo-4-aza-4, 7(3-dimethyl-16(3-fluoro-Sa-androstane;
3-oxo-4-aza-4,7 j3-dimethyl-163-cyano-Sa-androstane;
3-oxo-4-aza-4-methyl-16(3-( 1-hexyl)-5a-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16 j3-(n-propyl)-Sa-androstane;
io 3_oxo-4-aza-4,7~3-dimethyl-16(3-benzyl-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-163-(4-chlorobenzyl)-Sa-androstane;
3-oxo-4-aza-4,16a-dimethyl-163-methoxy-Sa-androstane;
3-oxo-4-aza-4, 7~3-dimethyl-163-(4-cyanophenoxy)-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-163-(3-cyanophenoxy)-Sa-androstane;
15 3-oxo-4-aza-4,7(3-dimethyl-16(3-(4-nitrophenoxy)-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16(3-( 1-naphthyloxy)-Sa-androstane;
3-oxo-4-aza-4,7~3-dimethyl-16(3-(3-chloro-4-methylphenoxy)-Sa-androstane;
3-oxo-4-aza-4, 7~3-dimethyl-16(3-(4-methylphenoxy)-Sa-androstane;
20 3_oxo-4-aza-4,7 -dimeth 1-16 (3 y j3-(tert-butyloxy)-Sa-androstane;
3-oxo-4-aza-4, 7~3-dimethyl-16(3-(3-methyl-1-butyloxy)-Sa-androstane;
3-oxo-4-aza-4,7~3-dimethyl-16a-(n-propyloxy)-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16(3-(4-trifluoromethylphenoxy)-Sa-androstane;
2s 3-oxo-4-aza-4,7(3-dimethyl-16(3-(4-trifluoromethoxyphenoxy)-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16(3-ethylthio-Sa-androstane;
3-oxo-4-aza-4,7~i-dimethyl-163-ethylsulfonyl-Sa-androstane;
3-oxo-4-aza-4,7 j3-dimethyl-16(3-(4-methylsulfonylphenoxy)-Sa-androstane;
3-oxo-4-aza-4,7~3-dimethyl-16(3-[4-(4-tolylsulfonylamino)phenoxy]-Sa-androstane;
3-oxo-4-aza-4,7~i-dimethyl-16(3-(3-pyridyloxy)-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16(3-[(4-phenyl)phenoxy)-Sa-androstane;

Wo 9511125.1 2~~~g63 - to -3-oxo-4-aza-4,7(3-dimethyl-16(3-(4-fluorophenoxy)-Sa-androstane;
3-oxo-4-aza-4,7~i-dimethyl-16(3-(2-pyrazinyloxy)-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16~i-(4-(5-oxazolyl)phenoxy]-Sa-androstane;
3-oxo-4-aza-4,7~3-dimethyl-16(3-(2-pyrimidinyloxy)-Sa-androstane;
s 3-oxo-4-aza-4,7~3-dimethyl-16(3-[4-(1-pyrryl)phenoxy]-Sa-androstane;
3-oxo-4-aza-4,7 (3-dimethyl-16(3-(4-aminophenoxy)-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16 j3-(4-acetylaminophenoxy)-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16(3-(4-benzoylaminophenoxy)-Sa-androstane;
l0 3_oxo-4-aza-4,7(3-dimethyl-16(3-(4-chlorophenoxy)-Sa-androstane;
3-oxo-4-aza-4,7~i-dimethyl-16~i-(phenoxy)-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16(3-(2-chlorophenoxy)-Sa-androstane;
3-oxo-4-aza-4,7~3-dimethyl-163-(3-chlorophenoxy)-Sa-androstane;
3-oxo-4-aza-4,7~i-dimethyl-16(3-(4-chlorophenoxy)-Sa-androst-1-ene;
is 3_oxo-4-aza-4,7(3-dimethyl-16-(4-chlorobenzylidene)-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16-benzylidene-Sa-androstane;
3-oxo-4-aza-4,7~3-dimethyl-16-(4-methylbenzylidene)-Sa-androstane;
3-oxo-4-aza-4,7 (3-dimethyl-16-(4-chlorobenzyl)-Sa-androstane;
3-oxo-4-aza-4,7 (3-dimethyl-16-(4-methylbenzyl)-Sa-androstane;
20 3-oxo-4-aza-4,7~3-dimethyl-16-(3-pyridylmethyl)-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16a-methanesulfonyl-Sa-androstane;
3-oxo-4-aza-4,7 (3-dimethyl-16 ~3-thiophenoxy-Sa-androstane;
3-oxo-4-aza-4,7 ~3-dimethyl-16 (3-(4-chlorothiophenoxy)-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-163-(4-fluorothiophenoxy)-Sa-androstane;
2s 3_oxo-4-aza-4,7~3-dimethyl-16(3-(4-methylthiophenoxy)-Sa androstane;
3-oxo-4-aza-4,7 (3-dimethyl-16 ~i-(4-methoxythiophenoxy)-Sa-androstane;
3-oxo-4-aza-4,7 [3-dimethyl-16 j3-phenylsulfinyl-5 a-androstane;
3-oxo-4-aza-4,7 ~i-dimethyl-16 ~i-phenylsulfonyl-Sa-androstane;
3-oxo-4-aza-4,7~3,16a-trimethyl-163-(4-trifluoromethylphenoxy)-Sa-androstane, 3-oxo-4-aza-4,7~3,16a-trimethyl-16(3-hydroxy-Sa-androstane;
3-oxo-4-aza-4,7~3,16a-trimethyl-16 j3-methoxy-5a-androstane;

WO 9511125-t _ pharmaceutically acceptable salts thereof, and analogs of the above-described compounds wherein the C 1-C2 carbon-carbon bond is a double bond, and/or R 1 is -H, and/or R2 is -H or methyl, where appropriate.
In another embodiment of this invention are compounds of Formula I further limited to those wherein the C 1-C2 carbon-carbon bond is a single bond, Rl is methyl, R2 is methyl, R3 is selected from unsubstituted or substituted aryloxy, and R'~ is hydrogen.
Some non-limiting examples of compounds within this embodiment are:
l0 3_oxo-4-aza-4,7~3-dimethyl-16(3-(4-cyanophenoxy)-Sa-androstane;
3-oxo-4-aza-4,7[3-dimethyl-163-(3-cyanophenoxy)-Sa-androstane;
3-oxo-4-aza-4,7[3-dimethyl-16(3-(4-nitrophenoxy)-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-163-( 1-naphthyloxy)-Sa-androstane;
3-oxo-4-aza-4,7~i-dimethyl-16(3-(3-chloro-4-methylphenoxy)-5a-androstane;
3-oxo-4-aza-4,7~3-dimethyl-16~i-(4-methylphenoxy)-Sa-androstane;
3-oxo-4-aza-4,7~3-dimethyl-16(3-(4-trifluoromethylphenoxy)-Sa-androstane;
3-oxo-4-aza-4,7~3-dimethyl-16(3-(4-trifluoromethoxyphenoxy)-Sa-androstane;
3-oxo-4-aza-4,7[3-dimethyl-163-(4-methylsulfonylphenoxy)-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16(3-[4-(4-tolylsulfonylamino)phenoxy]-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16j3-[(4-phenyl)phenoxy)-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16(3-(4-fluorophenoxy)-Sa-androstane;
3-oxo-4-aza-4,7~3-dimethyl-16(3-[4-(5-oxazolyl)phenoxy]-Sa-androstane;
3-oxo-4-aza-4,73-dimethyl-16~i-[4-( 1-pyrryl)phenoxy]-Sa-androstane;
3 0 3-oxo-4-aza-4,7~i-dimethyl-163-(4-aminophenoxy)-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16(3-(4-acetylaminophenoxy)-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16(3-(4-benzoylaminophenoxy)-Sa-androstane;
3-oxo-4-aza-4,7(3-dimethyl-16(3-(4-chlorophenoxy)-Sa androstane;
3-oxo-4-aza-4,7(3-dimethyl-16(3-(phenoxy)-Sa-androstane;

WO 9511125.1 PCTIUS9-1/12071 ~~73g~3 3-oxo-4-aza~4,7~3-dimethyl-16(3-(2-chlorophenoxy)-Sa-androstane;
3-oxo-4-aza-4,7~i-dimethyl-16(3-(3-chlorophenoxy)-Sa-androstane;
and the pharmaceutically acceptable salts thereof.
A useful compound of the present invention is 3-oxo-~-aza-4,7(3-dimethyl-16(3-(4-chlorophenoxy)-Sa-androstane, or a pharmaceutically acceptable salt thereof.
As used herein "alkyl" is intended to include both branched-and straight-chain saturated aliphatic hydrocarbon groups having the specified number of carbon atoms, e.g., methyl (Me), ethyl (Et), propyl, 1 o but 1, ent 1, hex 1, he t l, oct l, non 1, dec l, iso ro 1 (i-Pr), iso-Y P Y Y PY Y Y Y -P PY
butyl (i-Bu), tert-butyl (t-Bu), sec-butyl (s-Bu), iso-pentyl, and the like.
"Alkyloxy" (or "alkoxy") represents an alkyl group having the indicated number of carbon atoms attached through an oxygen bridge, e.g., methoxy, ethoxy, propyloxy, and the like. "Alkenyl" is intended to i 5 include hydrocarbon groups of either a straight or branched configuration with one or more carbon-carbon double bonds which may occur in any stable point along the chain, such as ethenyl, propenyl or allyl, butenyl, pentenyl, and the like. Included in this invention are all E, Z
diastereomers.
2 0 The alkyl and alkenyl groups can be unsubstituted or substituted with one or more, and preferably 1-3, of:
i) halo; hydroxy; cyano; nitro; mono-, di- or trihalomethyl; oxo; hydroxysulfonyl; carboxy;
ii ) hydroxyC 1 _6alkyl; C 1 _6alkyloxy; C 1-6 alkylthio; C 1-6alkylsulfonyl; C 1 _6 alkyloxycarbonyl; in which the C 1-6 alkyl moiety can be further substituted with 1-3 of: halo; C1-q. alkoxy; or trifluoromethyl;
iii) arylthio; aryl; aryloxy; arylsulfonyl; aryloxycarbonyl;
in which the aryl moiety can be further substituted with 1-3 of: halo; C 1 4 alkyl; C 1-~ alkoxy; or trifluoromethyl;
iv) -C(O)NRbRc; -N(Rb)-C(~)-Rc; -NRbRc; where Rb and Rc are defined above; and halo is F, Cl, Br or I.
The term "oxo", as used herein, indicates an oxo radical which can occur in any stable point along the carbon chain resulting in a 5.1 ~ PCTIUS9.t112071 formyl group, if at the end of the chain, or an acyl or aroyl group at other points along the carbon chain.
As used herein the term "aryl", i.e., C6_ 10 aryl, is intended to mean phenyl or naphthyl, including 1-naphthyl or 2-naphthyl, either unsubstituted or substituted as described below.
The term "heteroaryl" as used herein, is intended to include a 5, 6 or 7 membered heteroaromatic radical containing at least one member selected from the group consisting of: one ring oxygen atom, one ring sulfur atom, 1-4 ring nitrogen atoms, or combinations thereof; in 1 o which the heteroaryl ring can also be fused with one benzo or heteroaromatic ring. This category includes the following either unsubstituted or substituted heteroaromatic rings (as described below):
pyridyl, furyl, pyrryl, thienyl, isothiazolyl, imidazolyl, benzimidazolyl, tetrazolyl, pyrazinyl, pyrimidyl, quinolyl, quinazolinyl, isoquinolyl, 1 s benzofuryl, isobenzofuryl, benzothienyl, pyrazolyl, indolyl, isoindolyl, purinyl, carbazolyl, isoxazolyl, thiazolyl, isothiazolyl, oxazolyl, benzthiazolyl, and benzoxazolyl. The heteroaryl ring may be attached within structural Formula I by a heteroatom, e.g., N,or carbon atom in the 2o nng, which results in the creation of a stable structure. The heteroaryl ring can also be fused to a benzo ring.
The one to three, and more usefully one to two substituents which can be on the C6_ 10 aryl and heteroaryl groups named above are independently selected from:
2 s v ) halo; hydroxy; cyano; nitro; mono-, di- or trihalomethyl; mono-, di- or trihalomethoxy; CZ_6 alkenyl; C3_6 cycloalkyl; formyl; hydrosulfonyl; carboxy; ureido;
vi) C 1 _6 alkyl; hydroxy C 1 _6 alkyl; C 1 _6 alkyloxy; C 1-6 alkyloxy C 1 _6alkyl; C 1 _6 alkylcarbonyl; C 1 _6 alkylsulfonyl; C 1-6 alkylthio; C 1 _6 alkylsulfinyl; C 1 _6 alkylsulfonamido; C 1-6 3 o alkylarylsulfonamido; C 1 _6 alk lox -carbon l~ C
Y Y Y ~ 1-6 alkyloxycarbonyl C 1-6alkyl; RbRcN-C(O)-C 1 _6alkyl; C 1 _6 alkanoylamino C 1 _6 alkyl;
aroylamino C 1 _6 alkyl; wherein the C 1 _6 alkyl moiety can be substituted with 1-3 of: halo; C 1 _4alkoxy; or trifluoromethyl;

WO 9511125.1 w 21-~3~63 vii) aryl; aryloxy; arylcarbonyl; arylthio; arylsulfonyl; _ .
arylsulfinyl; arylsulfonamido; aryloxycarbonyl; wherein the aryl moiety can be substituted with 1-3 of: halo; C 1 _4alkyl; C 1 _4alkoxy; or trifluoromethyl;
viii) -C(O)NRbRc; -O-C(O)-NRbRc; -N(Rb)-C(O)-Rc;
-NRbRc; Rb-C(O)-N(Rc)-; where Rb and Rc are defined in (e) above;
and -N(Rb)-C(O)-ORc, wherein this instance Rc is C 1-6alkyl or aryl;
-N(Rb)-C(O) NRcRd, wherein Rd is selected from H, C 1 _6 alkyl, and aryl; in which said C 1 _6alkyl and aryl can be substituted as described 1 o above in (e) for Rb and Rc;
ix) a heterocyclic group, which is a 5, 6 or 7 membered ring, containing at least one member selected from the group consisting of: one ring' oxygen atom, one ring sulfur atom, 1-4 ring nitrogen atoms, or combinations thereof; in which the heterocyclic ring can be aromatic, unsaturated, or saturated, and wherein the heterocyclic ring can be fused with a benzo ring, and wherein said heterocyclic ring can be substituted with one to three substituents, as defined above for v), vi), vii) and viii), excluding ix) a heterocyclic group.
The fused heteroaromatic ring systems include: purine, ~idazoimidazole, imidazothiazole, pyridopyrimidine, pyridopyridazine, pyrimidopyrimidine, imidazopyridazine, pyrrolopyridine, imidazo-pyridine, and the like.
The "heterocyclic" group includes the fully unsaturated heteroaryl rings described above and also their respective dihydro, tetrahydro and hexahydro derivatives resulting in partially unsaturated and fully saturated versions of the ring systems. Examples include:
dihydroimidazolyl, dihydrooxazolyl, dihydropyridyl, tetrahydrofuryl, dihydropyrryl, tetrahydrothienyl, dihydroisothiazolyl, 1,2-dihydrobenz-imidazolyl, 1,2-dihydrotetrazolyl, 1,2-dihydropyrazinyl, 1,2-dihydro-pyrimidyl, 1,2-dihydroquinolyl, 1,2,3,4-tetrahydroisoquinolyl, 1,2,3,4-tetrahydrobenzofuryl, 1,2,3,4-tetrahydroisobenzofuryl, 1,2,3,4-tetra-hydrobenzothienyl, 1,2,3,4-tetrahydropyrazolyl, 1,2,3,4-tetrahydro-indolyl, 1,2,3,4-tetrahydroisoindolyl, 1,2,3,4-tetrahydropurinyl, 1,2,3,4-WO 9511125-~ PCTIUS9:1/12071 - IS -. y tetrahydrocarbazolyl, 1,2,3,4-tetrahydroisoxazolyl, 1,2,3,4-tetrahydro-thiazolyl, 1,2,3,4-tetrahydrooxazolyl, 1,2,3,4-tetrahydrobenzthiazolyl, and 1,2,3,4-tetrahydrobenzoxazolyl. and the like.
The heterocyclic group can be substituted in the same fashion as described above for heteroaryl.
Whenever the terms "alkyl", "alkenyl", "alkyloxy (or alkoxy)", "aryl" or "heteroaryl", or one of their prefix roots, appear in a name of a substituent in Formula I, (e.g., aralkoxyaryloxy) they shall have the same definitions as those described above for "alkyl", l o "alkenyl", "alkyloxy (or alkoxy)", "aryl" and "heteroaryl", respectively. Designated numbers of carbon atoms (e.g., C 1-10) shall refer independently to the number of carbon atoms in an alkyl or alkenyl moiety or to the alkyl or alkenyl portion of a larger substituent in which alkyl or alkenyl appears as its prefix root.
Also included within the scope of this invention are pharmaceutically acceptable salts of the compounds of Formula I, where a basic or acidic group is present on the structure. When an acidic substituent is present, e.g., -COOH, there can be formed the ammonium, 2o sodium, potassium, calcium salt, and the like, for use as the dosage form.
Where a basic group is present, i.e., amino or a basic heteroaryl radical such as, e.g., 4-pyridyl, an acidic salt, i.e., hydrochloride, hydrobromide, acetate, pamoate, and the like, can be used as the dosage form.
Also, in the case of the -COOH group being present, pharmaceutically acceptable esters can be employed, e.g., C 1-5 alkyl, pivaloyloxymethyl, and the like, and those esters known in the art for modifying solubility or hydrolysis characteristics for use as sustained release or prodrug formulations.
Representative salts include the following salts: acetate, lactobionate, benzenesulfonate, laurate, benzoate, malate, bicarbonate, 3 o maleate, bisulfate, mandelate, bitartrate, mesylate, borate, methyl-bromide, bromide, methylnitrate, calcium edetate, methylsulfate, camsylate, mucate, carbonate, napsylate, chloride, nitrate, clavulanate, N-methylglucamine, citrate, ammonium salt, dihydrochloride, oleate, edetate, oxalate, edisylate, pamoate (embonate), estolate, palmitate, PCTlLJS9-tI12071 2173~~3 esylate, pantothenate, fumarate, phosphate/diphosphate, gluceptate, .
polygalacturonate, gluconate, salicylate, glutamate, stearate, glycollylarsanilate, sulfate, hexylresorcinate, subacetate, hydrabamine, succinate, hydrobromide, tannate, hydrochloride, tartrate, hydroxy-naphthoate, teoclate, iodide, tosylate, isothionate, triethiodide, lactate, and valerate.
In addition, some of the compounds of the instant invention may form solvates with water or common organic solvents. Such solvates are encompassed within the scope of this invention.
1 o The term "therapeutically effective amount" shall mean that amount of a drug or pharmaceutical agent that will elicit the biological or medical response of a tissue, system, animal or human that is being sought by a researcher, veterinarian, medical doctor or other clinician.
The compounds of the present invention have chiral centers 15 and may occur as racemates, racemic mixtures and as individual enantiomers or diastereomers, with all isomeric forms being included in the present invention as well as mixtures thereof. Furthermore, some of the crystalline forms for compounds of the present invention may exist as polymorphs and as such are intended to be included in the present invention.
Accordingly, the present invention has the objective of providing methods of treating the hyperandrogenic conditions of androgenic alopecia including male pattern baldness, acne vulgaris, seborrhea, and female hirsutism by oral, systemic, parenteral or topical 2s administration of the novel compounds of Formula I either alone or in combination with a Sa-reductase 2 inhibitor, and/or further in combination with: a potassium channel opener, e.g., minoxidil; an anti-androgen, e.g., flutamide; a retinoid, e.g., tretinoin or isotretinoin; an alpha-1 receptor antagonist, e.g., terazocin.
3 0 '1'he term "treating androgenic alopecia" is intended to include the arresting and/or reversing of androgenic alopecia, and the promotion of hair growth. The present invention has the further objective of providing methods of treating benign prostatic hyperplasia, prostatitis, and treating and/or preventing prostatic carcinoma by oral, systemic or WO 9511125-l 217 3 B 6 3 pCT~S9:1I12071 parenteral administration of the novel compounds of Formula I either alone or in combination with a Sa-reductase 2 inhibitor.
The present invention also has the objective of providing suitable topical, oral, systemic and parenteral pharmaceutical formulations for use in the novel methods of treatment of the present invention. The compositions containing the present compounds as the active ingredient for use in the treatment of the above-noted hyperandrogenic conditions can be administered in a wide variety of therapeutic dosage forms in conventional vehicles for systemic 1 o administration. For example, the compounds can be administered in such oral dosage forms as tablets, capsules (each including timed release and sustained release formulations), pills, powders, granules, elixirs, tinctures, solutions, suspensions, syrups and emulsions, or by injection.
Likewise, they may also be administered in intravenous (both bolus and i 5 infusion), intraperitoneal, subcutaneous, topical with or without occlusion, or intramuscular form, all using forms well known to those of ordinary skill in the pharmaceutical arts.
The pharmaceutical compositions included herein include those comprising a pharmaceutically acceptable carrier and a 2 o therapeutically effective amount of a compound of Formula I of this invention; which can further contain:
(1) a therapeutically effective amount of an inhibitor of Soc-reductase 2, or a pharmaceutically acceptable salt thereof, e.g., finasteride, epristeride or turosteride;
. (2) a potassium channel opener, or a pharmaceutically acceptable salt thereof, e.g., minoxidil;
(3) a therapeutically effective amount of a retinoid, or a pharmaceutically acceptable salt thereof, e.g.,tretinoin, isotretinoin, 3 0 (4) a therapeutically effective amount of an anti-androgen, or a pharmaceutically acceptable salt thereof, e.g.,flutamide, spironolactone, or casodex.
The daily dosage of the products may be varied over a range from 0.1 to 1,000 mg per adult human/per day. For oral administration, the compositions are preferably provided in the form of scored or unscored tablets containing 0.1, 0.5, 1.0, 2.5, 5.0, 10.0, 15.0, 25.0, and _ .
50.0 milligrams of the active ingredient for the symptomatic adjustment of the dosage to the patient to be treated. An effective amount of the drug y is ordinarily supplied at a dosage level of from about 0.002 mg/kg to about 50 mg/kg of body weight per day. The range is more particularly from about 0.01 mg/kg to 7 mg/kg of body weight per day.
Advantageously, compounds of the present invention may be administered in a single daily dose, or the total daily dosage may be administered in divided doses of two, three or four times daily.
1 o Furthermore, compounds for the present invention can be administered in intranasal form via topical use of suitable intranasal vehicles, or via transdermal routes, using those forms of transdermal skin patches well known to those of ordinary skill in that art. To be administered in the form of a transdermal delivery system, the dosage administration will, of 1 s course, be continuous rather than intermittent throughout the dosage regimen.
For the treatment of androgenic alopecia including male pattern baldness, acne vulgaris, seborrhea, and female hirsutism, the compounds of the present invention may be administered in a 2 o pharmaceutical composition comprising the active compound in combination with a pharmaceutically acceptable carrier adapted for topical administration. Topical pharmaceutical compositions may be, e.g., in the form of a solution, cream, ointment, gel, lotion, shampoo or aerosol formulation adapted for application to the skin. These topical 25 pharmaceutical compositions containing the compounds of the present invention ordinarily include about 0.001 % to 15% by weight of the active compound in admixture with a pharmaceutically acceptable vehicle.
For the treatment of acne vulgaris, androgenic alopecia including male pattern baldness, seborrhea, female hirsutism, benign 3 o prostatic hyperplasia, prostatitis and the prevention and/or treatment of prostatic cancer, the compounds of the instant invention can be used alone or can be combined with a therapeutically effective amount of a Sa-reductase 2 inhibitor, such as finasteride, in a single oral, systemic, or parenteral pharmaceutical dosage formulation. Also, for the skin and WO 95/11254 PCT/US9.1/12071 2173c~63 scalp related disorders of acne vulgaris, androgenic alopecia including male pattern baldness, seborrhea, and female hirsutism, the compounds of the instant invention and a Sa-reductase 2 inhibitor can be formulated for topical administration. Alternatively, a combined therapy can be s employed wherein the compound of Formula I and the Sa-reductase 2 inhibitor are administered in separate oral, systemic, parenteral or topical dosage formulations. For example, a compound of Formula I and e.g., finasteride can be administered in a single oral or topical dosage formulation, or each active agent can be administered in a separate 1 o dosa a formulation, e.
g g., in separate oral dosage formulations, or an oral dosage formulation of finasteride in combination with a topical dosage formulation of a compound of Formula I. See, e.g., U.S. Patent No.'s 4,377,584 and 4,760,071 which describe dosages and formulations for Sa-reductase inhibitors. Where the active agents are in separate dosage 15 formulations, they can be administered concomitantly, or they each can be administered at separately staggered times.
Other Sa-reductase type 2 inhibitors useful in the above-described method are also included within the scope of this invention.
Examples which are non-limiting are: 17(3-(N-tert-butyl-2o carbamoyl)androsta-3,5-diene-3-carboxylic acid (epristeride, Smith Kline & Beecham, SKF 105657), which is described in W09113550 and W09319758; and 17(3-[N-isopropyl-N-(isopropylcarbamoly)carbamoylJ-4-methyl-4-aza-Sa-androstan-3-one, (turosteride, Farmitalia, FCE
26073), which is described in USP 5,155,107, and derivatives thereof.
2 s Furthermore, administration of a compound of the present invention in combination with a therapeutically effective amount of a potassium channel opener, such as minoxidil, cromakalin, pinacidil, a compound selected from the classes of S-triazine, thiane-1-oxide, 3 o benzopyran, and pyridinopyran derivatives or a pharmaceutically acceptable salt thereof, may be used for the treatment of androgenic alopecia including male pattern baldness. The active agents can be administered in a single topical dosage formulation, or each active agent can be administered in a separate dosage formulation, e.g., in separate topical dosage formulations, or an oral dosage formulation of a compound of Formula I in combination with a topical dosage formulation of, e.g., minoxidil. See, e.g., U.S. Patent Nos. 4,596,812, 4,139,619 and WO 92/02225, published 20 February 1992, for dosages and formulations of calcium channel.
openers. Where the active agents are in separate dosage formulations, they can be administered concurrently, or they each can be administered at separately staggered times.
Furthermore, for the treatment of acne vulgaris and/or androgenic alopecia, a combined therapy can be used by administering a therapeutically effective amount of a compound of Formula 1, alone or in combination with a Scc-reductase 2 inhibitor;
or further in combination with a therapeutically effective amount of a retinoid, e.g., retinoic acid or an ester or amide derivative thereof, such as e.g., tretinoin CRETIN A ) or isotretinoin (ACCUTANE (Trade-mark) Roche, see USP 3,006,939; USP
3,746,730; USP 4,556,518).
Also, for the treatment of acne vulgaris, androgenic alopecia, seborrhea, female hirsutism, benign prostatic hyperplasia, prostatitis and the prevention and/or treatment of prostatic cancer, a combined therapy can be used by administering a therapeutically effective amount of a compound of Formula I with a therapeutically effective amount of an anti-androgen, such as, e.g., flutamide, spironolactone or casodex.
Also covered in this invention is a method of for treating benign prostatic hyperplasia comprising the step of administering to a mammal in need of such treatment a therapeutically effective amount of a compound of Formula l, or a therapeutically effective amount of a compound of Formula I in combination with an inhibitor of 5a-reductase 2. This method also includes the use of an alpha-1 receptor antagonist, e.g., terazosin (Abbott, see USP 4,026,894; 4,251,532).
Also covered is a method of inhibiting the biosynthetic conversion of testosterone to dihydrotesterone in a mammal in need of such treatment comprising the step of administering to said mammal a therapeutically effective amount of a compound of Formula I , or a therapeutically effective amount of a compound of Formula I in combination with an inhibitor of 5(x-reductase 2.

217 3 ~ 6 3 pCT~S9.t112071 Also covered is a method of inhibiting Sa-reductase or the isozymes thereof, in a mammal in need of such treatment, comprising the step of administering to said mammal a therapeutically effective amount of a compound of Formula I , or a therapeutically effective amount of a compound of Formula I in combination with an inhibitor of Sa-reductase 2.
The dosage regimen utilizing the compounds of the present invention is selected in accordance with a variety of factors including type, species, age, weight, sex and medical condition of the patient; the 1 o severity of the condition to be treated; the route of administration; the renal and hepatic function of the patient; and the particular compound thereof employed. A physician or veterinarian of ordinary skill can readily determine and prescribe the effective amount of the drug required to prevent, counter or arrest the progress of the condition. Optimal 1 s precision in achieving concentration of drug within the range that yields efficacy without toxicity requires a regimen based on the kinetics of the drug's availability to target sites. This involves a consideration of the distribution, equilibrium, and elimination of a drug.
In the methods of the present invention, the compounds 2 o herein described in detail can form the active ingredient, and are typically administered in admixture with suitable pharmaceutical diluents, excipients or carriers (collectively referred to herein as "carrier"
materials) suitably selected with respect to the intended form of administration, that is, oral tablets, capsules, elixirs, syrups and the like, 2 s and consistent with conventional pharmaceutical practices.
For instance, for oral administration in the form of a tablet or capsule, the active drug component can be combined with an oral, non-toxic pharmaceutically acceptable inert carrier such as ethanol, glycerol, water and the like. Moreover, when desired or necessary, suitable 3 o binders, lubricants, disintegrating agents and coloring agents can also be incorporated into the mixture. Suitable binders include, without limitation, starch, gelatin, natural sugars such as glucose or beta-lactose, corn sweeteners, natural and synthetic gums such as acacia, tragacanth or sodium alginate, carboxymethyl-cellulose, polyethylene glycol, waxes WO 95/1125-1 PCTIIJS9.l/12071 L~ 73g~3 and the like. Lubricants used in these dosage forms include, without limitation, sodium oleate, sodium stearate, magnesium stearate, sodium benzoate, sodium acetate, sodium chloride and the like. Disintegrators include, without limitation, starch, methyl cellulose, agar, bentonite, xanthan gum and the like.
The liquid forms in suitably flavored suspending or dispersing agents such as the synthetic and natural gums, for example, tragacanth, acacia, methyl-cellulose and the like. Other dispersing agents which may be employed include glycerin and the like. For parenteral to administration, sterile suspensions and solutions are desired. Isotonic preparations which generally contain suitable preservatives are employed when intravenous administration is desired.
Topical preparations containing the active drug component can be admixed with a variety of carrier materials well known in the art, 15 such as, e.
g., alcohols, aloe vera gel, allantoin, glycerine, vitamin A and E
oils, mineral oil, PPG2 myristyl propionate, and the like, to form, e.g., alcoholic solutions, topical cleansers, cleansing creams, skin gels, skin lotions, and shampoos in cream or gel formulations. See, e.g., EP 0 285 382.
20 The compounds of the present invention can also be administered in the form of liposome delivery systems, such as small unilamellar vesicles, large unilamellar vesicles and multilamellar vesicles. Liposomes can be formed from a variety of phospholipids, such as cholesterol, stearylamine or phosphatidylcholines.
2 s Compounds of the present invention may also be delivered by the use of monoclonal antibodies as individual carriers to which the compound molecules are coupled. The compounds of the present invention may also be coupled with soluble polymers as targetable drug carriers. Such polymers can include polyvinyl-pyrrolidone, pyran 3 o co of mer, of h drox ro lmethac lamide henol, of h drox -P Y P Y Y YP PY ry -P P Y Y Y
ethylaspartamidephenol, or polyethylene-oxidepolylysine substituted with palmitoyl residues. Furthermore, the compounds of the present invention may be coupled to a class of biodegradable polymers useful in achieving controlled release of a drug, for example, polylactic acid, WO 95/1125-t PCT/US9.1/12071 2 ~ ~3~63 polyepsilon caprolactone, polyhydroxy butyric acid, polyorthoesters, polyacetals, polydihydropyrans, polycyanoacrylates and cross-linked or amphipathic block copolymers of hydrogels.
The compounds of the present invention can be prepared s readily according to the following reaction Schemes and Examples or modifications thereof using readily available starting materials, reagents and conventional synthesis procedures. In these reactions, it is also possible to make use of variants which are themselves known to those of ordinary skill in this art, but are not mentioned in greater detail. Specific 1 o definitions of variables in the Schemes (e.g., R = CH3) are illustrative only, and are not intended to limit the procedures described. Some abbreviations used herein are as follows: Ph is phenyl; Ac is an acyl group; t-Bu is tent-butyl; Et is ethyl; Me is methyl; i-Am is iso-amyl;
EtOAc is ethyl acetate.
is The inhibitors described in Scheme 1 can be prepared as follows. 4-Aza-4-methyl-Sa-androstan-3,17-dione (A) is first converted into the isomeric 3,16-dione 1 by the following sequence of reactions:
( 1 ) treatment of A with isoamyl nitrite in t-butanol in the presence of potassium t-butoxide to generate the intermediate 16-oximino-17-ketone;
(2) reduction of the 17-keto group with hydrazine hydrate and potassium hydroxide in ethylene glycol at elevated temperatures to give 16-oxime B; and (3) cleavage of the 16-oximino group in B either by hydrolysis with aqueous acetic acid at elevated temperatures or with sodium bisulfite followed by treatment with aqueous hydrochloric acid to afford 1.
2 s Reduction of the 16-ketone 1 to the 16 j3-alcohol 2 is carried out with a suitable hydride-based reducing agent, such as sodium borohydride in methanol or lithium tri-sec-butylborohydride in tetrahydrofuran (THF).
Alcohol 2 is converted into its alkyl ether derivatives 3 and 4, by first generating the alkoxide anion with potassium hydride in N,N-dimethyl-3 o formamide (DMF) or potassium hydroxide in dimethyl sulfoxide (DMSO) followed by addition of the appropriate alkyl bromide or iodide.
The 16(3-(n-propyloxy) derivative 5 is obtained from the precursor 16(3-(allyloxy) derivative 4 by catalytic hydrogenation.

PCTIUS9-tI12071 2~~3~63 The inhibitors described in Scheme 2 can be prepared as follows. 16-Oxime B is converted into the 16(3-amine C by catalytic hydrogenation in the presence of a heterogeneous catalyst such as platinum oxide in aqueous acetic acid. Acylation of C is effected with the appropriate acid anhydride or acid chloride in the presence of an acid acceptor such as pyridine, triethylamine, and 4-dimethylaminopyridine (DMAP). In this fashion are obtained examples 6 and 7. Carbamates, such as 8 depicted in Scheme 3, are made by treatment of alcohol 2 with the appropriate isocyanate in the presence of an organic base, such as i o triethylamine, pyridine, and 4-dimethylaminopyridine.
The inhibitors described in Scheme 4 can be prepared as follows. The 16(3-alcohol 2 is converted into the 16a-alcohol 9 by treatment with 4-nitro-benzoic acid in the presence of diethyl azadicarboxylate (DEAD) and triphenylphosphine to generate the 1 s intermediate 16a-(p-nitrobenzoate) ester D followed by hydrolysis in aqueous base in an appropriate alcohol solvent. Alkylation of 9 is carried out in an analogous fashion as described above with alcohol 2 to yield the desired 16a-alkyl ethers, such as the 16a-methoxy derivative (example 10) shown in Scheme 4.
20 ~e 7~3-methyl inhibitors described in Scheme 5 are prepared in a similar manner as that described above for the examples in Scheme 1, but using instead as starting material, 4-aza-4,7~i-dimethyl-Sa-androstan-3,17-dione (E).
The 7~i-methyl inhibitors described in Scheme 6 are 25 prepared as follows. Compound 20 is prepared by treatment of alcohol . 12 with t-butyl trichloroacetimidate in the presence of an organic sulfonic acid, such as trifluoromethanesulfonic acid. The 163-aryloxy derivatives, such as Examples 21-24, are obtained by first generating the alkoxide anion from alcohol 12 with potassium or sodium hydride in tetra-3 o hydrofuran or N,N-dimethylformamide or potassium hydroxide in dimethylsulfoxide and subsequent addition of the appropriately substituted fluorobenzene.
The 7~3-methyl inhibitors described in Scheme 7 are prepared in a similar manner as that described above for the examples in Scheme 4, but using instead as starting material the 7~i-methyl-16(3-0l intermediate 12. Inversion of configuration at the 16-position to form (F) is effected using a Mitsunobu-based transformation as shown in Scheme 7. O-Alkylation to generate 16a,-ethers, such as 26, is performed as already described above.
The inhibitors described in Scheme 8 are prepared as follows. Addition of methylmagnesium bromide in tetrahydrofuran to either ketone 1 or 11 affords the corresponding 16a,-methyl-16(3-alcohol 27 or 28. O-alkylation or O-arylation is then carried out as described in the previous Schemes to afford the 16a,-methyl-16/3-ether derivatives, such as Examples 29 and 30.
The inhibitors described in Scheme 9 are prepared by the following reaction routes. The 7(3-methyl-l6oc-alcohol 25 is converted into the 16(3-thiol H by treatment with thiolacetic acid in the presence of diisopropyl azodicarboxylate (DIAD) and triphenylphosphine to give the intermediate 16(3-thioacetate G, which is then hydrolyzed under basic conditions to yield thiol H. Alkylation is effected by generating the mercaptide anion with sodium hydride or potassium hydride in tertahydrofuran or N,N-dimethyl-formamide followed by addition of the appropriate alkyl halide. In this fashion are prepared Examples 31-33. The corresponding sulfones, such as Example 34, are obtained by treatment of the precursor thioethers 31-33 with an oxidizing agent, such as organic peracid or potassium peroxymonosulfate (OXONE ( Trade-mark)), the latter in aqueous methanol.
The inhibitors described in Scheme 10 are prepared by the following synthetic pathways. The p-nitrophenoxy derivative 50 is reduced with Pd on carbon at room temperature in a HZ atmosphere to yield the p-amino-phenoxy derivative 51. The amine is then acylated with acetyl chloride in methylene chloride in the presence of pyridine to yield the p-acetylaminophenoxy derivative 52; or likewise treated with benzoyl chloride to yield the corresponding p-benzoylamino analog 53.
Alternately, the amino compound 51 is treated with tosyl chloride to yield the p-tosylamino analog 54.

PCT/US9.1/12071 2~~ ~a~3 .
The inhibitors described in Scheme 11 are prepared as follows. The N-2,4-dimethoxybenzyl protected 16-alcohol 55 is treated with p-fluorochlorobenzene and potassium hydride in dimethylformamide to yield the p-chlorophenoxy derivative 56, which is then treated with trifluoroacetic acid in methylene chloride to remove the N-2,4-dimethoxybenzyl protecting group to yield 57. This is treated with hydrogen gas and a palladium on carbon catalyst in methanol to dechlorinate the phenyl ring to yield the phenoxy derivative 58. This compound is treated with methyl iodide and 1 o sodium hydride in dimethylformamide to methylate the ring nitrogen to yield 61. Alternately, 58 is treated with DDQ and BSTFA in toluene to introduce a double bond at the 1-position to yield 59.
Utilizing the same reduction reaction scheme, the 1,2-dihydro androstane 57 yields the p-chloroandrost-1-ene 60. This is then 1 s methylated at the 1-position by treatment with methyl iodide, sodium hydride in dimethylformamide to yield 62.
The inhibitors described in Scheme 12 are prepared via similar reaction pathways as described in Scheme 11. The N-2,4-dimethoxybenzyl protected 16-alcohol 55 is treated with 4-methyl-3-2 o chlorofluorobenzene and potassium hydride in dimethylformamide to yield the 4-methyl-3-chlorophenoxy derivative 63, which is then treated with trifluoroacetic acid in methylene chloride to remove the N-2,4-dimethoxybenzyl protecting group to yield 64. This is treated with hydrogen gas and a palladium on carbon catalyst in methanol to 2s dechlorinate the phenyl ring to yield the p-methylphenoxy derivative 65. This compound is treated with methyl iodide and sodium hydride in dimethylformamide to methylate the ring nitrogen to yield 67.
Alternately, 65 is treated with DDQ and BSTFA in toluene to introduce a double bond at the 1-position to yield 66.
3o The inhibitors in Scheme 13 are prepared as follows.
The starting 16-alcohol 25 is treated with methanesulfonic acid in pyridine containing DMAP to yield the mesylate 77. This in turn is treated with an appropriate thiophenol in anhydrous THF containing sodium hydride to yield the thiophenoxy 78, 4-chlorothiophenoxy 79, 4-WO 95/1125. PCT/US9.t112071 fluorothiophenoxy 80, 4-methylthiophenoxy 81) and the 4-methoxy-thiophenoxy 82 derivatives. Treatment of the thiophenoxy 78 derivative with m-chloroperbenzoic acid in methylene chloride at 0°C for one hour yields the phenylsulfinyl derivative 83. Treatment of the phenylsulfinyl compound 83 under the same reaction conditions prolonged however for three hours, yields the phenylsulfonyl derivative 84.
The inhibitors for Scheme 14 are prepared as follows. The 16-ketone (11) is treated with an appropriate arylmethyl diethyl-1 o phosphonate under Wittig conditions using sodium hydride in DMF at 80-100°C to yield the corresponding 4-chlorobenzylidene 71, benzylidene 72 and 4-methylbenzylidene73 analogs. These are reduced in ethanol under a hydrogen atmosphere using a 5% rhodium on carbon catalyst to yield the corresponding 4-chlorobenzyl 74 and 4-methylbenzyl 1 s 75 derivatives. The 3-pyridyl-methyl 76 analog is made in the same two step manner.

WO 95/1125-t PCT/US9.t/12071 211.~~6~

1.KOt Bu,t-But i-AmONO NOH
2. KOH, O 98% N2H4 HO(CH2)20 .
CH 140°C CH
3 (A) 3 (B) 60% AcOH, refiux or NaHSOs, 50% EtOH, then 0.5 N HCI, CH2C12 OH
O
NaBH4, MeOH, -10°C
E
o CHs (2) O
2 CHs (1 ) KH, DMF or KOH/DMSO
then RBI or R~Br ORS ORS
:ompound (4;
Pt02, E~ c 3o CHs (3): R~ = CHs CH
(4): R~ = CH2CH=CH2 s (5): R~ = CH2CH2CHs 27 7~~~

NOH

-12, Pt02 O
AcOH, H20 O
to CH3 (B) CH3 (C) Ac20 or PhCOCI, NHCORB
pyridine, DMAP, w~. i v = m CH3 (7): R8 = Ph 2o SCHEME 3 OH
PhCH2NC0, Et3N, DMAP, CH2C12 O
H
CH3 O N~ph 3 0 (2) .I. (8) WO 95!1125.1 PCT/US9.1/12071 21~~86 OH
4-N02-C6H4C02H, DEAD, Ph3P, C6H6 O
CH3 (2) to .......0 0.4 N aq. NaOH
p O EtOH
CH3 (D) ...,...OH
...,~~~pCH3 :OH, DMSC~
O hen CH31 CH3 ~''~ p ~I (1 ~) WO 95/11254 PCT/US9.1/12071 . SCHEME 5 1. KOtBu, t-BuOH NOH
iAmONO
O 2. KOH, 98% N2H4 I vri3 CHs 1 0( C 2)20H, CHs 60% AcOH, refiux (E) OH O
NaB H4, MeOH, Q
vi ig ~ O ~~ Lh3 CH (12) -10°C
s CHs (11 ) KH/ DMF or KOH/DMSO
then R91 or R9Br (13): R9 = CHs;
OR9 (14): R9 = CH2CHs;
(15): R9 = CH2CH=CH2;
(16): R9 = CH2Ph;
O
~I ~~3 (17): R9 = CH2CH=C(CHs)s CHs for compound (15):
H2, Pt02, EtOAc;
3 o for compound (17): O -H2, 10% Pd(C), EtOAc I - -J
CHs (18): R9 = CH2CH2CHs;
(19): R9 = CH2CH2CH(CHs)s PCT/US9.t112071 21~3~63. _32_ OH
O
CH3 (12) NH
C13C ~OtBu KH, DMF
CF3S03H, CH2C12 then R1°-C6H4-F
is OtE O
..~ ~~ O
~h3 R10 (20) CH3 (21): Ri° = CN;
(22): Ri° = CF3 (23): Rio= Ci;
(24): Ri° = F

WO 9511125.~~ PCTIUS9-1112071 s OH
4-N02-C6H4C02H, DEAD, Ph3P, C6H6 p ' ~" l: f13 (12) ......0 0.4 N aq. NaOH
1s O EtOH
O
~.~'~nOH 1.KH, DMF, then CH2=CHCH2Br 2. H2, 10% Pd(C), O EtOAc 2 s (25) ."~nOCH2CH2CH3 p ~ I l~ Y13 (26) CH3 (F) WO 9511125.1 PCT/US9.1/12071 2~ ~ 3~, ~3 SCHEME A .
O
THFMgBr/
O
-40°C to O ~ , , CH3 room temp. CH3 to R2 = H or CH3 (27): R2 = H
(28): R2 = CH3 KH, DMF
i5 ~ CH3 then CH31 O
CH3 (29): R2 = H;
(30): R2 = CH3 WO 9511125.1 217 3 ~ ~ 3 PCT/US9-1/12071 ..,.... pH SAc Ph3P, DIAD, O ~~ C;H3 CH3COSH, O m ~g I THF
1 o CH3 CH3 (G) (25) 0.4 N NaOH, EtOH

NaH, THF
E
I v~ i3 then 8111 CH3 CH3 (H) 20 (31): R1~ = CH3;
(32): R11 = CH2CH3;
(33): R11 = CH2CH2CH3 for compound (32):
25 ozone, MeOH/H20 O
I v~ i3 (34) WO 9511125.1 O H2, 10% Pd/C
EtOAc:MeOH (1:1 ) NO~

i o (50) ~~'a~,~e O N H2 ~2 Gv,QGv2 CHs (51 ) G.~.2 TsCI, CH2C12 O pyridine ~ ' yu o12 O
CH3 (52) R12- -CO-CH3 (53) R12- -CO-Ph O ~ NH-Tos (54) WO 95/1125. PCT/US9.1112071 ~~73~63 OH F \ ~-CI. KH
O
DM
O
O
b) CI
1 o f ~~POw ~3vv vvi i3 (55) G H3C0 ~ OCH3 O
H2, 20%Pd/C
ME
O
O CI
H 00 X51) O
q 2 o Gco'~cf ~~'-n ~'~~P H (58) .y ~ ~~ NaH, CH31 DMF
O
O
as O Rio H (59) R1°= H ~ (61) (60) R1°- CI CH3 O
3 o cy~,y'~~~ O

O
~bL) C I

WO 95!1125:1 PCT/US9.1/12071 2~~3g~3 _ CI
H F ~ ~ CH3, KH
I
O O
CI
O
to H3C0 / OCH3 CH3 (55) . ~~P'~'~ ( /
G~ H3C0 OCH3 (63) O
CI H2' 2~%Pd/C
MeOH
O CHs H (t~~) O
~~P
4Q~~ ~~~ O I - C Ha H (65) O NaH, pMF

O
O ~ CH3 3 o H (66) O

CH3 (67) WO 9511125-1 J PCTIUS9.1/12071 SCHEME ~ 3 ~~~OH ~.~OMs s Ms20,pyridinE
O DMAP
CH3 CH3 (77) (25) ArSNa, THF
S(O)Ar mCPBA, CH2( SAr O ,.

Ar= phenyl (83) O

mCPBA, CH2C12 phenyl (78) 4-chlorophenyl (79) 4-fluorophenyl (80) 4-methylphenyl (81 ) 4-methoxyphenyl (82) S(O)2Ar O phenyl (84) 2s CH3 WO 95/1125.1 PCT/US9.1112071 ~1 ~ 3~ 63 O
Ar ArCH2P(O)(OEt2) O N NaH, DMF O N
CH3 (11 ) H3C
1o Phenyl (23) 4-chlorophenyl (71 ) 4-methylphenyl (73) 3-pyridyl 5%Rh/C, EtOH, H2 Ar Ar 4-chlorophenyl (74) O 4-methylphenyl (75) 3-pyridyl (76) 2 5 ~e following examples are provided to further illustrate details for the preparation of the compounds of the present invention. The examples are not intended to be limitations on the scope of the instant invention in any way, and they should not be so construed. Furthermore, the compounds described in the following examples are not to be construed as forming 3 o the only genus that is considered as the invention, and any combination of the compounds or their moieties may itself form a genus. Those skilled in the art will readily understand that known variations of the conditions and processes of the following preparative procedures can be used to prepare these compounds. All temperatures are in degrees Celsius unless noted otherwise.

The starting material 4-aza-4-methyl-Sa-androstan-3,17-dione (Compound A in Scheme 1 above) can be made according to the methods described in Rasmusson, et al., J. Med. Chem., 27, p. 1690-1701 (1984). The starting material 4-aza-4,7~3-dimethyl-Sa-androstan-3,17-dione can be synthesized according to the procedure described in Example 36, below.

l 0 4-Aza-4-methyl-5a-androstan-3 16 dione Step l: 4-aza-4-methyl-Sa-androstan-3 17 dione 16 oxime To 2-methyl-2-propanol ( 14 mL) in a round-bottom flask under a stream of nitrogen gas was added potassium tort-butoxide (740 mg, 6.59 mmol). After complete solution was achieved, 4-aza-4-methyl-Sa-androstan-3,17-dione (1.0 g, 3.30 mmol) was added and stirring was continued for 1 hour affording a gold-colored solution. To the reaction mixture was added dropwise with stirring isoamyl nitrite (0.884 mL, 6.58 ~°1)° ~d stirring was continued overnight at room temperature affording a deep-orange solution. The mixture was then diluted with an equal volume of water and acidified to pH ~2 with 2 N hydrochloric acid.
Diethyl ether was added, and the solid that formed was filtered, washed with ether, and dried in vacuo, to yield the title compound.
Step 2: 4-aza-4-methyl-5a-androstan-3-one 16 oxime To a mixture of 4-aza-4-methyl-Sa-androstan-3,17-dione-16-oxime (596 mg, 1.79 mmol) in ethylene glycol (5 mL) were added 98% hydrazine (57 pL, 1.74 mmol) and powdered potassium hydroxide 3 0 (568 mg, 10.12 mmol). The mixture was heated for 16 h at 140°, cooled, and neutralized with 2N hydrochloric acid. The resulting solid was filtered, washed with water, and dried in vacuo to yield the title compound; mass spectrum: m/z 318(M).

PCTlUS9-t/12071 WO 95/1125.1 2~~3g~3 Std: 4 aza 4 methyl-Sa-androstan-3 16-dione ..
A mixture of 4-aza-4-methyl-Sa-androstan-3-one-16-oxime (218 mg, 0.684 mmol) and sodium bisulfite (249 mg, 23.9 mmol) in 50%
aqueous ethanol (10 mL) was heated for 3 h at reflux temperature. Dilute hydrochloric acid (0.5 N, 33 mL) and methylene chloride (50 mL) were added, and the mixture was vigorously agitated for several minutes. The organic layer was separated and washed with sodium hydrogencarbonate solution, saturated brine solution, dried (Na2S04), and evaporated. The desired product was purified by flash silica gel chromatography using l0 15% acetone/methylene chloride as eluant to yield the title compound;
FAB mass spectrum: m/z 304 (M+1 ).
400 MHz 1H NMR (CDC13): ~ 0.89 (s, 3H); 0.91 (s, 3H); 2.90 (s, 3H);
and 3.05 (dd, 1 H).

'~ Oxo 4 aza 4 methyl-16Q hydroxv-Sa-androstane A solution of 4-aza-4-methyl-5 a-androstan-3,16-dione ( 100 mg, 0.330 mmol) in methanol (2 mL) was cooled in an ice bath and 2 o treated with sodium borohydride (38 mg, 0.989 mmol) for 1 h. The reaction mixture was diluted with water and extracted with methylene chloride (2 x 20 mL). The combined organic extracts were washed with saturated brine solution, dried (Na2S04), and evaporated. The desired product was purified by flash silica gel chromatography using 10%
2s acetone/methylene chloride as eluant to yield the title compound; FAB
mass spectrum: m/z 306 (M+1).
400 MHz 1H NMR (CDC13): 8 0.88 (s, 3H); 0.95 (s, 3H); 2.90 (s, 3H);
3.00 (dd, 1 H); and 4.39 (m, 1 H).

3-Oxo-4-aza-4-methyl-16 j3-methoxy-5 a-andro stane To a solution of 3-oxo-4-aza-4-methyl-16(3-hydroxy-Saandrostane (35 mg, 0.115 mmol) in dimethyl sulfoxide (1.0 mL) was added powdered potassium hydroxide (32 mg, 0.575 nunol). After stirring for 15 min at room temperature under an nitrogen atmosphere, iodomethane (36 ~1, 0.575 mmol) was added and stirring was continued for a further 4 hours. The mixture was diluted with diethyl ether (30 mL), which was washed with water, saturated brine solution, dried (Na2S04), and evaporated. The desired product was purified by flash silica gel chromatography using 10% acetone/methylene chloride as eluant to yield the title compound; mass spectrum: m/z 391 (M).
400 MHz 1H NMR (CDC13): 5 0.88 (8, 6H); 2.90 (s, 3H); 3.00 (dd, 1 H); 3.21 (s, 3H); and 3.83 (m, 1H):
RXAMPT,R 4 3-Oxo-4-aza-4-methyl-16(3-allyloxy-Sa-androstane This compound was prepared in a similar fashion as Example 3, but substituting allyl bromide in place of iodomethane to yield the title compound; mass spectrum: m/z 345 (M).
400 MHz 1H NMR (CDC13): 8 0.88 (s, 3H); 0.90 (s, 3H); 2.90 (s, 3H); 3.00 (dd, 1H);
3.90 (m, 2H); 3.99 (m,1H); 5.11-5.27 (m, 2H); and 5.83-5.93 (m, 1 H).

3-Oxo-4-aza-4-methyl-16(3--(n-propyloxyl-5a-androstane A solution of 3-oxo-4-aza-4-methyl-16(3-allyloxy-Sa androstane in ethyl acetate (0.85 mL) was hydrogenated at atmospheric pressure in the presence of platinum oxide (4 mg) for 30 min at room temperature. The catalyst was removed by filtration through a Millex HV (Trade-mark) 0.45 pm Filter Unit. Purification was achieved by flash silica gel ~~~3~63 chromatography using 10% acetone/methylene chloride as eluant to yield the title compound; mass spectrum: m!z 348 (M+1).
400 MHz NMR (CDCl3): 8 0.88 (s, 3H); 0.89 (s, 3H); 2.90 (s, 3H); 3.00 (dd, 1 H); 3.28 (t, 2H); and 3.92 (m, 1 H).

3 Oxo 4 aza 4 methyl 16(3-(acetamido)-Sa-androstane to std: 3 Oxo 4 aza 4 methyl-16(3-(amino)-Sa-androstane A solution of 4-aza-4-methyl-Sa-androstan-3-one-16-oxime ( 150 mg, 0.471 mmol) in ethanol ( 15 mL) - acetic acid (7 mL) was hydrogenated at atmospheric pressure in the presence of platinum oxide (50 mg) overnight at room temperature. The catalyst was removed by filtration through a Millex-HV 0.45 ~.m Filter Unit, and the filtrate was evaporated. The residue was dissolved in methylene chloride (50 mL), and the solution was washed with saturated sodium hydrogencarbonate solution, saturated brine solution, dried (Na2S04), and evaporated to afford the desired amine.
Ste~2,: 3 Oxo 4 aza 4 methyl 16Q-~acetamido)-Sa-androstane The amine from Step 1 (56 mg, 0.184 mmol) was dissolved in methylene chloride ( 1.0 mL) and treated with pyridine (0.6 mL), 4-dimethylaminopyridine (5 mg), and acetic anhydride (0.3 mL) for 2 h at room temperature. The mixture was diluted with methylene chloride (50 mL), and the solution was washed with water, I N hydrochloric acid, saturated sodium hydrogencarbonate solution, saturated brine solution, dried (Na2S04), and evaporated. The product was purified by flash silica gel chromatography using 2% methanol/methylene chloride as eluant to yield the title compound; mass spectrum: m/z 346 (M).
400 MHz 1H NMR (CDCl3): 8 0.82 (s, 3H); 0.87 ~s, 3H); 1.93 (s, 3H);
2.90 (s, 3H); 3.00 (dd, 1 H); 4.28 (m, 1 H); and 5.54 (d, 1 H).

WO 9511125.1 PCT/US9-1/12071 3-Oxo-4-aza-4-meth,~~3-(benzamido)-Sa-androstane This compound was prepared in a similar fashion as Example 6, but substituting benzoyl chloride in place of acetic anhydride to yield the title compound; mass spectrum: m/z 408 (M).
400 MHz 1H NMR (CDCl3): 8 0.89 (s, 3H); 0.90 (s, 3H); 2.90 (s, 3H);
3.01 (dd, 1 H); 4.48 (m, 1 H); and 6.12 (d, 1 H).
1 o EXAMPLE 8 3-Oxo-4-aza-4-methyl-16(3-(benzylaminocarbon,fix)-Sa-androstane To a solution of 3-oxo-4-aza-4-methyl-163-hydroxy-Sa-androstane (40 mg, 0.131 mmol) in methylene chloride (2 mL) were added triethylamine (67 ~L, 0.481 mmol), 4-dimethylaminopyridine (2 mg), and benzyl isocyanate (50 ~tL, 0.405 mmol). The reaction mixture was stirred for 48 h at room temperature, evaporated, and then subjected to flash silica gel chromatography using 15% acetone/methylene chloride as eluant to yield the title compound; FAB mass spectrum: m/z 439 20 (M+1).
400 MHz 1 H NMR (CDCl3): 8 0.87 (s, 6H); 2.90 (s, 3H); 3.00 (dd, 1 H);
4.33 (m, 2H); 4.90 (m, 1H) and 5.11 (m, 1H).

3-Oxo-4-aza-4-methyl-16a-hvdroxv-Sa-androstane Step l: 3-Oxo-4-aza-4-methyl-16a-(4-nitrobenzoyloxy)-Sa-androstane 3o To a solution of 3-oxo-4-aza-4-methyl-163-hydroxy-Sa-androstane (34 mg, 0Ø111 mmol) in dry benzene ( 1.5 mL) were added triphenylphosphine (35 mg, 0.134 mmol), 4-nitrobenzoic acid (22 mg, 0.134 mmol), and diethyl azodicarboxylate (21 ~.L, 0.134 mmol). The reaction mixture was heated for one hour at 80° (oil bath temperature) WO 95!1125-1 PCT/US9-1/12071 ~~173863 under a nitrogen atmosphere. After removal of the benzene by evaporation under diminished pressure, the crude product mixture was subjected to flash silica gel chromatography using 2% methanol/
methylene chloride as eluant to give desired product contaminated with some triphenylphosphine (97 mg) which was saponified as described in Step 2.
St-ep 2: 3-Oxo-4-aza-4-methyl-l6oc-hydroxv-5oc-androstane The crude product from Step 1 (97 mg) was suspended in i o ethanol (0.5 mL) and treated with 0.4 N sodium hydroxide (0.36 mL, 0.144 mmol). After stirring 90 min at room temperature, the reaction mixture was neutralized with several drops of glacial acetic acid, extracted with ethyl acetate (2 x 20 mL), washed with water (20 mL), saturated brine solution, dried (sodium sulfate), and evaporated. The 15 product was obtained pure by flash silica gel chromatography using 20%
acetone/methylene chloride as eluant; mass spectrum: lrl/z 305 M.
400 MHz 1H NMR (CDCl3): 8 0.70 (s, 3H); 0.85 (s, 3H); 2.90 (s, 3H);
3.02 (dd, 1 H); and 4.47 (m, 1 H).
2 o EXAMPLE 10 3-Oxo-4-aza-4-methvl-16oc-methoxv-5oc-androstane To a solution of 3-oxo-4-aza-4-methyl-l6oc-hydroxy-5oc-androstane (20 mg, 0.065 mmol) in dimethyl sulfoxide (0.6 mL) was 2 s added powdered potassium hydroxide ( 18 mg, 0.325 mmol). ' After stirring for 15 min at room temperature under an nitrogen atmosphere, iodomethane (20 p.l, 0.325 mmol) was added and stirring was continued overnight at room temperature. The mixture was diluted with diethyl ether (25 mL), which was washed with water (2 x 10 mL), dried (Na2S04), and evaporated. The desired product was purified by flash silica gel chromatography using 10% acetone/methylene chloride as eluant to yield the title compound; mass spectrum: m/z 319 (M).
400 MHz 1H NMR (CDC13): ~ 0.70 (s, 3H); 0.87 (s, 3H); 2.90 (s, 3H);
3.01 (dd, 1 H); 3.22 (s, 3H); and 3.92 (m, 1 H).

WO 95/1125:1 217 3 ~ ~ ~ PCT~S9-t/12071 4-Aza-4.7(3-dimethvl-Sa-androstan-3 16-dione s St_ ep l: 4-aza-4.7~i-dimethvl-Sa-androstan-3 17-dione-16-oxime To 2-methyl-2-propanol (28 mL) in a round-bottom flask under a stream of nitrogen gas was added potassium tent-butoxide (1.35 g, 12.1 mmol). After complete solution was achieved, 4-aza-4,7(3-dimethyl-Sa-androstan-3,17-dione ( 1.92 g, 6.0 mmol) was added and 1 o stirring was continued for 1 hour affording a gold-colored solution. To the reaction mixture was added dropwise with stirring isoamyl nitrite ( 1.63 mL, 12.1 mmol), and stirring was continued overnight at room temperature affording a deep-orange solution. The mixture was then diluted with an equal volume of water, acidified to pH ~2 with 2 N
i s hydrochloric acid, and extracted with diethyl ether (3 x 50 mL). The combined ether extracts were washed with saturated brine solution, dried (sodium sulfate), and evaporated. The crude product was subjected to flash silica gel chromatography using 5% methanol/methylene chloride as eluant to yield the title compound.
Step 2: 4-aza-4,7(3-dimethvl-Sa-androstan-3-one-16-oxime To a mixture of 4-aza-4,7(3-dimethyl-Sa-androstan-3,17-dione-16-oxime (2.7 g, 7.79 mmol) in ethylene glycol (30 mL) were added 98% hydrazine (0.27 mL, 8.57 mmol) and powdered potassium 2s hydroxide (2.62 g, 46.8 mmol). The mixture was heated for 3 h at 140°, cooled, diluted with water ( 100 mL), neutralized with concentrated hydrochloric acid to give a tan precipitate that was filtered and dried (1.7 g). Flash silica gel chromatography of this material using initially 2%
methanol/methylene chloride and subsequently 5% methanol/methylene 3 o chloride as eluant gave pure product.
Step 3: 4-aza-4.7 j3-dimethvl-Sa-androstan-3 16-dione A mixture of 4-aza-4,7~3-dimethyl-Sa-androstan-3-one-16-oxime (0.55 g, 1.65 mmol) in 60% acetic acid (20 mL) was heated at WO 95/1125.1 PCT/US9.1/12071 21 ~ 38 ~3 .
reflux temperature for 48 hours. The cooled mixture was diluted with water (25 mL) and extracted with methylene chloride (3 x 50 mL). The combined extracts were washed with saturated sodium hydrogen-carbonate solution, dried (sodium sulfate), and evaporated. Flash silica gel chromatography using 2% methanol/methylene chloride afforded pure product; mass spectrum: m/z 317 (M).
400 MHz 1H NMR (CDC13): 8 0.88 (s, 3H); 0.89 (s, 3H); 1.00 (d, 3H);
2.90 (s, 3H); and 3.07 (dd, 1H).
1 o EXAMPLE 12 3-Oxo-4-aza-4 7~3-dimethvl-16~-h"~v-Sa-androstane A solution of 4-aza-4,7(3-dimethyl-Sa-androstan-3,16-dione i5 (390 mg, 1.23 mmol) in methanol (8 mL) was cooled in an ice bath and treated with sodium borohydride (140 mg, 3.68 mmol) for 30 min. The reaction mixture was diluted with water and extracted with methylene chloride (3 x 50 mL). The combined organic extracts were washed with saturated brine solution, dried (Na2S04), and evaporated. The desired product was purified by flash silica gel chromatography using initially 20 10% acetone/methylene chloride and subsequently 20% acetone/
methylene chloride as eluant to yield the title compound; mass spectrum:
m/z 391 (M).
400 MHz 1H NMR (CDC13): 8 0.83 (s, 3H); 0.96 (s, 3H); 1.03 (d, 3H);
2.90 (s, 3H); 3.00 (dd, 1 H); and 4.36 (m, 1 H).

3-Oxo-4-aza-4 7(3-dimethvl-163-methoxv-Sa androstane To a solution of 3-oxo-4-aza-4,7~i-dimethyl-16(3-hydroxy-3 0 5a-androstane (20 mg, 0Ø063 mmol) in dimethyl sulfoxide (0.5 mL) was added powdered potassium hydroxide (18 mg, 0.313 mmol). After stirring for 15 min at room temperature under an nitrogen atmosphere, iodomethane (20 ~.1, 0.313 mmol) was added and stirring was continued overnight at room temperature. The mixture was diluted with diethyl WO 95/1125.1 ~ ~ PCT/US9-1/12071 ether (25 mL), which was washed with water, saturated brine solution, dried (Na2S04), and evaporated. The desired product was purified by flash silica gel chromatography using 1.5% methanol/methylene chloride as eluant to yield the title compound; mass spectrum: m/z 334 (M+1 ).
400 MHz 1H NMR (CDCl3): ~ 0.83 (s, 3H); 0.89 (s, 3H); 1.03 (d, 3H);
2.90 (s, 3H); 3.00 (dd, 1 H); 3.24 (s, 3H); and 3.80 (m, 1 H).

l 0 3-Oxo-4-aza-4 7 -dimeth 1 6 eth loxy Soc androstane Y. - I ~.~y This compound was prepared in a similar fashion as Example 13, but substituting iodoethane in place of iodomethane and potassium hydride in N,N-dimethylformamide in place of potassium hydroxide in dimethyl sulfoxide; mass spectrum: rrl/z 347 (M).
1 s 400 MHz 1 H NMR (CDCl3): 8 0.83 (s, 3H); 0.90 (s, 3H); 1.03 (d, 3H);
1.18 (t, 3H); 2.90 (s, 3H); 3.00 (dd, 1H); 3.39 (m, 2H); and 4.40 (m, 1H).

20 3-Oxo-4-aza-4 7~3-dimeth~-16(3-all loxy Sa androstane This compound was prepared in a similar fashion as Example 13, but substituting allyl bromide in place of iodomethane; mass spectrum: m/z 359 (M).
400 MHz 1H NMR (CDCl3): S 0.83 (s, 3H); 0.91 (s, 3H); 1.04 (d, 3H);
2 s 2, 90 (s, 3H); 3.00 (dd, 1 H); 3.90 (m, 2H); 3.96 (m, 1 H); 5.11-5.29 (m, 2H); and 5.85-5.93 (m, 1 H).

30 3_Oxo-4-aza-4 7f3-dimethvl-16j3-benzvloxv 5a androstane This compound was prepared in a similar fashion as Example 14, but substituting benzyl bromide in place of iodoethane;
mass spectrum: m/z 409 (M).

WO 95/1125.1 PCTl11S9-1/12071 -so-t 400 MHz 1H NMR (CDCl3): ~ 0.8s (s, 3H); 0.9s (s, 3H); 1.04 (d, 3H); ' 2.90 (s, 3H); 3.00 (dd, 1 H); 4.01 (m, 1 H); 4.43 (q, 2H); and 7.31 (m, sH).

3-Oxo-4-aza-4 7(3-dimethyl-16(3-(3 3-dimethylallyloxy)-soc-androstane This compound was prepared in a similar fashion as Example 13 but substituting 3,3-dimethylallyl bromide in place of 1 o iodomethane;
400 MHz 1H NMR (CDC13): 8 0.82 (s, 3H); 0.90 (s, 3H); 1.02 (d, 3H);
1.67 (s, 3H); 1.71 (s, 3H); 2.90 (s, 3H); 3.00 (dd, 1H); 3.93 (m, 1H); and s.31 (m, 1 H).

3-Oxo-4-aza-4 7~i-dimethyl-163-(n-pro~yloxy)-soc-androstane A solution of 3-oxo-4-aza-4,7(3-dimethyl-16(3-allyloxy-soc-androstane ( 13.0 mg, 0.036 mmol) in ethyl acetate (O.s mL) was hydro-2 o genated at atmospheric pressure in the presence of platinum oxide (4 mg) for 30 min at room temperature. The catalyst was removed by filtration through a Millex-HV 0.4s ~tm Filter Unit. Purification was achieved by flash silica gel chromatography using 1 % methanol/methylene chloride as eluant to yield the title compound; mass spectrum: m/z 361 (M).
400 MHz 1H NMR (CDCl3): 8 0.82 (s, 3H); 0.89 (s, 3H); 0.89 (t, 3H);
l.OS (d, 3H); 2.90 (s, 3H); 3.00 (dd, 1H); 3.29 (t, ZH); and 3.89 (m, 1H).

0 3-Oxo-4-aza-4 7~3-dimethyl-163-(3-methyl-1-butyloxy)-soc-androstane A solution of 3-oxo-4-aza-4,7~3-dimethyl-16(3-(3,3-dimethyl-allyloxy)-soc-androstane (12 mg) in ethyl acetate (O.s mL) was hydro-genated at atmospheric pressure in the presence of 10% palladium-on-charcoal (3 mg) for 30 min at room temperature. The catalyst was removed by filtration through a Millex-HV 0.4s ~m Filter Unit.

WO 95/1125-i PCT/US9.1/12071 27 73~~3 . _ Purification was achieved by flash silica gel chromatography using 2%
methanol/methylene chloride as eluant to yield the title compound; mass spectrum: m/z 389 M.
400 MHz 1H NMR (CDCl3): b 0.82 (s, 3H); 0.88 (s, 3H); 1.03 (d, 3H);
s 2.90 (s, 3H); 3.00 (dd, 1 H); 3.33 (m, 2H); and 3.88 (m, 1 H).

3-Oxo-4-aza-4 7~~-dimethvl-16(3-ft-butoxv) 5a androstane to To a solution of 3-oxo-4-aza-4,7(3-dimethyl-16(3-hydroxy-5a-androstane (20 mg, 0.063 mmol) in methylene chloride (0.5 mL) cooled in an ice-bath were added t-butyl trichloroacetimidate (23 ~,L, 0.126 mmol) and trifluoromethanesulfonic acid (0.56 p.L, 0.0063 mmol).
The reaction mixture was allowed to reach room temperature, and after one hour additional amounts of t-butyl trichloroacetimidate (23 ~.L) and trifluoromethanesulfonic acid (0.56 pL) were added. After one hour, a third addition of each reagent was made, and the reaction mixture was stirred for 5 h at room temperature. The mixture was diluted with diethyl ether (50 mL), washed with 1 N aqueous sodium hydroxide ( 10 mL), 1 N
2 o hydrochloric acid ( 10 mL), saturated sodium hydrogencarbonate solution, dried (sodium sulfate), and evaporated. The crude product was purified by flash silica gel chromatography using 10% acetone/methylene chloride as eluant to yield the title compound; mass spectrum: m/z 375 (M).
400 MHz 1H NMR (CDCl3): 8 0.82 (s, 3H); 0.90 (s, 3H); 1.03 (d, 3H);
2 s 1,11 (s, 9H); 2.90 (s, 3H); 3.00 (dd, 1 H); and 4.00 (m, 1 H).

3-Oxo-4-aza-4 7(3-dimethvl-16JQ-(4 c anophenoxv) 5a androstane To a solution of 3-oxo-4-aza-4,7(3-dimethyl-16(3-hydroxy-5a-androstane (20 mg, 0.063 mmol) in N,N-dimethylformamide (0.5 mL) was added powdered potassium hydride (35 weight%) (15 mg, 0.126 mmol). After stirring for 15 min at room temperature under an nitrogen atmosphere, 4-fluorobenzonitrile (38 mg, 0.315 mmol) was added and PCTlUS9.1/12071 w0 95111254 stirnng was continued for 2 hours at room temperature. The mixture was diluted with methylene chloride (25 mL) and quenched in ice-water. The aqueous layer was extracted with methylene chloride (3 x 25 mL) and the combined organic layers were washed with saturated brine solution, dried (sodium sulfate) and evaporated. The desired product was purified by flash silica gel chromatography using initially 1.5% methanol/methylene chloride and subsequently 2% methanol/methylene chloride as eluant to yield the title compound; mass spectrum: m/z 420 (M).
400 MHz 1H NMR (CDCl3): ~ 0.86 (s, 3H); 0.92 (s, 3H); 1.04 (d, 3H);
l 0 2.90 (s, 3H); 3.02 (dd, 1 H); 4.76 (m, 1 H); 6.87 (m, 2H); and 7.53 (m, 2H).

i5 3-Oxo-4-aza-4,7(3-dimethyl-163-(4-trifluoromethylphenoxy)-Sa-androstane This compound was prepared in a similar fashion as Example 21, but substituting 4-fluorobenzotrifluoride in place of 4-fluorobenzonitrile; mass spectrum: m/z 463 (M).
20 400 MHz 1H NMR (CDCl3): ~ 0.85 (s, 3H); 0.93 (s, 3H); 1.04 (d, 3H);
2.90 (s, 3H); 3.02 (dd, 1 H); 4.76 (m, 1 H); 6.88 (d, 2H); and 7.50 (d, 2H).

25 3 Oxo 4 aza 4 7~3-dimethvl-1 ~-(4-chlorophenox~-Sa,-androstane This compound was prepared in a similar fashion as Example 21, but substituting 1-chloro-4-fluorobenzene in place of 4-fluorobenzonitrile; mass spectrum: m/z 430 (M+1).
400 MHz 1H NMR (CDCl3): 8 0.85 (s, 3H); 0.93 (s, 3H); 1.03 (d, 3H);
3 0 2.90 (s, 3H); 3.02 (dd, 1 H); 5.28 (m, 1 H); 6.74 (d, 2H); and 7.19 (d, 2H).

WO 95/1125:1 PCT/ilS9:t/12071 3-Oxo-4-aza-4 7(3-dimethyl-163-(4-fluorophenoxy) Sa androstane This compound was prepared in a similar fashion as s Example 21, but substituting 1,4-difluorobenzene in place of 4-fluorobenzonitrile; mass spectrum: m/z 414 (M+1 ).
400 MHz 1H NMR (CDCl3): 8 0.85 (s, 3H); 0.94 (s, 3H); 1.04 (d, 3H);
2.91 (s, 3H); 3.02 (dd, 1 H); 4.65 (m, 1 H); 6.75 (m, 2H); and 6.92 (m, 2H).
io 3-Oxo-4-aza-4 7j3-dimethvl-16a-h droxv-Sa-androstane is Step l: 3-Oxo-4-aza-4,7~3-dimethyl-16a-(4-nitrobenzoyloxy)-Sa-androstane To a solution of 3-oxo-4-aza-4,7(3-dimethyl-16(3-hydroxy-Sa-androstane ( 178 mg, 0.560 mmol) in dry benzene ( 10 mL) were added triphenylphosphine (294 mg, 1.12 mmol), 4-nitrobenzoic acid ( 187 mg, 20 1.12 mmol), and diethyl azodicarboxylate (176 p.L, 1.12 mmol). The reaction mixture was heated for one hour at 80° (oil bath temperature) under a nitrogen atmosphere. After removal of the benzene by evaporation under diminished pressure, the crude product mixture was subjected to flash silica gel chromatography using 2% methanol/
2s methylene chloride as eluant to give desired product contaminated with some triphenylphosphine (404 mg) which was saponified as described in Step 2.
400 MHz 1H NMR (CDC13): 8 0.80 (s, 3H); 0.88 (s, 3H); 1.03 (d, 3H);
2.90 (s, 3H); 3.05 (dd, 1 H); and 5.48 (m, 1 H).
Step 2:. 3-Oxo-4-aza-4 7~3-dimethyl-16a-hvdroxv Sa androstane The crude product from Step 1 (404 mg) was suspended in ethanol (5 mL) and treated with 0.4 N sodium hydroxide (1.82 mL, 0.728 mmol). After stirring 90 min at room temperature, the reaction mixture WO 9511i2S-l PCT/US9.1/12071 was neutralized with several drops of glacial acetic acid, extracted with ethyl acetate ( 100 mL), washed with water (2 x 25 mL), saturated brine solution, dried (sodium sulfate), and evaporated. The product was obtained pure by flash silica gel chromatography using 20% acetone/
methylene chloride as eluant; mass spectrum: m/z 319 (M).
400 MHz 1 H NMR (CDC13): 8 0.71 (s, 3H); 0.82 (s, 3H); 1.02 (d, 3H);
2.90 (s, 3H); 3.03 (dd, 1 H); and 4.42 (m, 1 H).

to 3-Oxo-4-aza-4 7(3-dimethyl-16a-(n-propvlox~)-Sa-androstane To a solution of 3-oxo-4-aza-4,73-dimethyl-16a-hydroxy-Sa-androstane (20 mg, 0.063 mmol) in N,N-dimethylformamide (0.65 mL) was added potassium hydride (35 weight%) (15 mg, 0.126 mmol).
1 s After stirring for 15 min at room temperature under a nitrogen atmosphere, allyl bromide (27 ~1, 0.315 mmol) was added and stirring was continued for 2 h. Additional amounts of potassium hydride ( 15 mg) and allyl bromide (27 p.L) were added, and stirring was continued overnight. The mixture was diluted with diethyl ether (50 mL) and water 20 (10 mL). The organic layer was washed with 1 N hydrochloric acid (10 mL), water (10 mL), saturated brine solution, dried (Na2S04), and evaporated. The desired product was purified by flash silica gel chromatography using 2% methanol/methylene chloride as eluant. This material was hydrogenated in ethyl acetate (0.5 mL) in the presence of 2s 10% palladium-on-charcoal for 2 hours. The catalyst was removed by filtration through a Millex-HV 0.45 ~tm Filter Unit. Purification was achieved by flash silica gel chromatography using 10% isopropanol/
hexane as eluant to yield the title compound; mass spectrum: m/z 361 (M).
3 0 400 MHz 1 H NMR (CDC13): ~ 0.76 (s, 3H); 0.82 (s, 3H); 0.90 (t, 3H);
1.02 (d, 3H); 2.90 (s, 3H); 3.02 (dd, 1 H); 3.29 (t, 2H); and 3.98 (m, 1 H).

WO 95/1125 PCT/US9.1/12071 3-Oxo-4-aza-4 16a-dimeth ~~l-163-hydroxv-Sa androstane To a solution of 4-aza-4-methyl-Sa-androstan-3,16-dione s (50 mg, 0.165 mmol) cooled to -40° was added dropwise with stirring methylmagnesium bromide (3.0 M solution in diethyl ether) (275 ~.L, 0.825 mmol). The reaction mixture was allowed to reach room temperature and stirred for 2 h under a nitrogen atmosphere. The reaction was quenched with saturated ammonium chloride solution (25 to mL) and extracted with methylene chloride (2 x 50 mL). The combined organic extracts were washed with saturated brine solution, dried (sodium sulfate) and evaporated. The desired product was obtained pure by flash silica gel chromatography using 2% methanol/methylene chloride as eluant; mass spectrum: m/z 319 (M).
1 s 400 MHz 1 H NMR (CDCl3): 8 0.88 (s, 3H); 0.98 (s, 3H); 1.31 (s, 3H);
2.90 (s, 3H); and 3.00 (dd, 1 H).

20 3_Oxo-4-aza-4 7(3 16a-trimethvl-16~Q-h droxv Sa androstane This compound was prepared in a similar fashion as Example 27, but substituting 4-aza-4,7(3-dimethyl-Sa-androstan-3,16-dione in place of 4-aza-4-methyl-Sa-androstan-3,16-dione as starting material; mass spectrum: m/z 333 (M).
2s 400 MHz 1H NMR (CDC13): 8 0.82 (s, 3H); 0.98 (s, 3H); 1.01 (d, 3H);
1.30 (s, 3H); 2.90 (s, 3H); and 3.00 (dd, 1 H).

3-Oxo-4-aza-4 16a-dimethvl-163-methoxy-Sa androstane To a solution of 3-oxo-4-aza-4,16a-dimethyl-16~i-hydroxy-Sa-androstane (31 mg, 0.097 mmol) in N,N-dimethylformamide (0.5 mL) was added potassium hydride (35 weight%) (23 mg, 0.194 mmol).
After stirring for 15 min at room temperature, iodomethane (32 ~.L, 0.485 WO 95!11254 ' ~ 63 2~ ~ 3 mmol) was added, and stirring was continued overnight at room .
temperature. The reaction mixture was diluted with diethyl ether, washed with 2N hydrochloric acid ( 10 mL), water ( 10 mL), saturated brine solution, dried (sodium sulfate), and evaporated. The desired product was obtained pure by flash silica gel chromatography using 2% methanol/
methylene chloride as eluant; mass spectrum: m/z 333 (M).
400 MHz 1H NMR (CDCl3): 8 0.88 (s, 3H); 0.90 (s, 3H); 1.22 (s, 3H);
2.90 (s, 3H); 3.00 (dd, 1 H); and 3.17 (s, 3H).
1 o EXAMPLE 30 3 Oxo 4 aza 4 7~3 16a-trimethXl-16 (3-methoxv-Sa-androstane This compound was prepared in a similar fashion as Example 29, but substituting 3-oxo-4-aza-4,7j3,16a-trimethyl-16~3-15 hydroxy-Sa-androstane in place of 3-oxo-4-aza-4,16a-dimethyl-16(3-hydroxy-Sa-androstane as starting material; mass spectrum:
m/z 347 (M).
400 MHz 1H NMR (CDCl3): 8 0.82 (s, 3H); 0.90 (s, 3H); 1.02 (d, 3H);
1.22 (s, 3H); 2.90 (s, 3H); 3.00 (dd, 1 H); and 3.18 (s, 3H).

3 Oxo 4 aza 4 7j3-dimeth~-163-methanethio-Sa-androstane St, e~ 1: 3 Oxo 4 aza 4 7~-dimethyl-163-(acetvlthiol-Sa-androstane A 25-mL round-bottom flask was charged with dry tetra-hydrofuran (4 mL) and triphenylphosphine ( 177 mg, 0.676 mmol) under a nitrogen atmosphere. The flask was cooled in an ice-bath and diisopropyl azodicarboxylate (133 ~.L, 0.676 mmol) was added, and the 3 o mixture was stirred for 30 min at 0°. To the reaction mixture was added a solution of 3-oxo-4-aza-4,7~3-dimethyl-16a-hydroxy-5a-androstane (108 mg, 0.338 mmol) and thiolacetic acid (49 ~L, 0.676 mmol) in tetrahydrofuran (2.0 mL). The reaction mixture was stirred for 1 h at 0°
and then an additional hour at room temperature. The mixture was 2~~3863 - s7 -evaporated and subjected to flash chromatography on silica gel using 10% acetone/methylene chloride as eluant to give the desired product contaminated with some triphenylphosphine. The mixture was used without further purification in Step 2.
400 MHz 1H NMR (CDCl3): ~ 0.80 (s, 3H); 0.82 (s, 3H); 1.00 (d, 3H);
2.28 (s, 3H); 2.90 (s, 3H); 3.00 (dd, 1 H); and 3.80 (m, 1 H).
Step 2: 3-Oxo-4-aza-4 7f3-dimethyl 16f3 (mercaDto) sc~~ androstane To a solution of product mixture from Step 1 (208 mg) in 1 o ethanol (4.0 mL) was added 0.4N sodium hydroxide ( 1.8 mL, 0.716 mmol) under a nitrogen atmosphere. The reaction mixture was stirred at room temperature for 1 h, neutralized with several drops of acetic acid, diluted with ethyl acetate (100 mL), washed with water (2 x 10 mL), saturated brine solution, dried (sodium sulfate), and evaporated. Pure 16-1 s mercaptan was obtained by flash silica gel chromatography using 20%
acetone/hexane as eluant.
400 MHz 1H NMR (CDCI3): ~ 0.82 (s, 3H); 0.93 (s, 3H); 1.02 (d, 3H);
2.90 (s, 3H); 3.00 (dd, 1H); and 3.28 (m, 1H).
2o Std: 3-Oxo-4-aza-4 7 -dimeth I-16 y j3-(methanethio)-Soc-androstane To a solution of 3-oxo-4-aza-4,7(3-dimethyl-16(3-(mercapto)-Soc-androstane ( 18 mg, 0.054 mmol) in dry tetrahydrofuran (0.5 mL) was added sodium hydride (80% dispersion in mineral oil) (3.2 mg, 0.108 2 s Col) under a nitrogen atmosphere. After stirring 1 s min at room temperature, iodomethane (17 p.L, 0.270 mmol) was added, and stirring was continued for 3 h at room temperature. The reaction mixture was diluted with methylene chloride (s0 mL), washed with water ( 10 mL), saturated brine solution, dried (sodium sulfate), and evaporated. Flash 3 o silica gel chromatography using 10% isopropanol/hexane as eluant afforded pure desired product; mass spectrum: m/z 349 (M).
400 MHz 1H NMR (CDCl3): 8 0.82 (s, 3H); 0.91 (s, 3H); 1.04 (d, 3H);
2.10 (s, 3H); 2.90 (s, 3H); 3.01 (dd, 1 H); and 3.08 (m, 1 H).

PCT/U 59.1/ 12071 WO 9511125-t 2~~3~b3 - s8 -3 Oxo 4 aza 4 7~3 dimethvl-16Q-ethanethio-Sa-androstane This compound was prepared in a similar fashion as s Example 31, but substituting iodoethane in place of iodomethane in Step 3; mass spectrum: m/z 363 (M).
400 MHz 1H NMR (CDCl3): b 0.82 (s, 3H); 0.91 (s, 3H); 1.03 (d, 3H);
1.24 (t; 3H); 2.57 (q, 2H); 2.90 (s, 3H); 3.00 (dd, 1H); and 3.18 (m, 1H).
1 o EXAMPLE 33 3 Oxo 4 aza 4 7Q dimethyl 16~ ropanethiol-5a-androstane This compound was prepared in a similar fashion as Example 31, but substituting 1-iodopropane in place of iodomethane in 1 s Step 3; mass spectrum: m/z 377 (M).
400 MHz 1H NMR (CDCl3): 8 0.82 (s, 3H); 0.90 (s, 3H); 0.98 (t, 3H);
1.03 (d, 3H); 2.51 (t, 2H); 2.90 (s, 3H); 3.01 (dd, 1H); and 3.13 (m, 1H).

'i Oxo 4 aza 4 ~ dimeth~ 16(3-ethanesulfonvl-5a-androstane To a solution of 3-oxo-4-aza-4,7~i-dimethyl-163-ethanethio-Sa-androstane ( 17 mg, 0 ~47 mmol) in methanol ( 1.0 mL) was added a solution of OXONE, monopersulfate compound ( 19 mg) in water ( 1 mL).
2 s After stirring 2 h at room temperature, an additional amount of OXONE
( 19 mg) in water (0.5 mL) was added, and stirring was continued for 10 min. The reaction mixture was diluted with water (25 mL) and extracted with methylene chloride (3 x 50 mL). The combined organic extracts were washed with saturated brine solution, dried (sodium sulfate), and 3 o evaporated. Flash silica gel chromatography using 2% methanol/
methylene chloride as eluant afforded pure desired product; mass spectrum: m/z 395 (M).
400 MHz 1H NMR (CDCl3): b 0.85 ~ ~. 3H); 0.92 (s, 3H); 1.03 (d, 3H);
1.39 (t, 3H); 2.91 (s, 3H); 2.99 (q, 2H); 3.00 (dd, 1H); and 3.41 (m, 1H).

WO 9511125.1 217 3 g 6 3 PCTIUS9-1/12071 3-Oxo-4-aza-4 7(i-dimethvl-16J3-fluoro Sa androstane To a solution of 3-oxo-4-aza-4,7~i-dimethyl-16a-hydroxy-Sa-androstane ( 18 mg, 0.056 mmol) in methylene chloride (0.5 mL) at room temperature diethylaminosulfur trifluoride (19 p.L, 0.144 mmol).
After stirring one hour at room temperature, the reaction mixture was diluted with methylene chloride (25 mL), washed with water (25 mL), saturated sodium hydrogencarbonate solution ( 10 mL), saturated brine to solution (10 mL), dried (sodium sulfate), and evaporated. The product was purified by flash silica gel chromatography using 10%
acetone/methylene chloride as eluant to yield the title compound; mass spectrum: m/z 321 (M).
400 MHz 1H NMR spectrum (CDCl3): ~ 0.87 (s, 3H); 0.92 (s, 3H); 1.04 (d, 3H); 2.90 (s, 3H); 3.01 (dd, 1 H); and 5.12 (dm, 1 H).

Preparation of 4-aza-4,7(3-dimethyl-Sa-androstan-3,17-dione (Compound E in Scheme 5 above) Std: Svnthesis of 3-acetoxy-androst-5-en-17-of To a solution of 100 mg. (0.303 mmol) of 3-acetoxy-androst-5-en-17-one in 3 ml EtOH at -10°C, was added 22.9 mg (0.606 2 s Col) of sodium borohydride with stirring. After the reaction mixture was stirred for one and 1/2 hours, the mixture was diluted with 10 ml water, the ethanol solvent removed under vacuum, and the residue extracted with ethyl acetate. The organic layer was washed with aqueous Na2C03, brine, dried over sodium sulfate and concentrated to leave a 3 o residue of crude title compound. Proton NMR confirmed the assigned structure.

i ~L~,~ J~U~~J _60_ St_ ep 2: Synthesis of 3-acetoxy-androst-5-en-17-ol, 17-t-butyl- _.
dimeth 1-sil 1 ether To a solution of the androstan-17-ol, from the previous synthesis being 4.5 g (13.55 mmol) in 50 ml dimethylformamide at 23°C
was added 2.76 g (40-65 mmol) imidazole followed by 3.063 g (20.32 mmol) of t-butyldimethylsilyl chloride. The reaction mixture was stirred and a solid began to precipitate. Twenty additional ml of DMF were added and the mixture further stirred overnight. The mixture was poured into 1 liter water, the solid filtered and washed with water. The solid was 1 o dissolved in ethylacetate, the organic layer washed with brine and dried over sodium sulfate, concentrated to yield the silyl protected 17-0l title compound. The proton NMR confirmed the assigned structure.
St_ ep 3: 7-one-17,3-0l 17-t-but~dimeth~vl ether 15 To a solution of the TBMS protected 17-0l from the previous synthesis, being 5.6 g ( 12.55 mmol) in 100 ml acetonitrile at 23°C was added 90% t-butyl hydrogen peroxide, 3.958 g (43.92 mol), and 138 mg chromium hexacarbonyl. After refluxing the mixture under nitrogen for 24 hours, the reaction mixture was poured into one liter 20 water, solid was filtered, the residue washed with 500 ml water and the residue dissolved in 350 ml methylene chloride. The organic layer was washed with brine, dried over sodium sulfate and concentrated to yield crude material. Thin layer chromatography (3:1 hexane/ethyl acetate on silica gel) showed the presence of starting material. The solid was 2s purified by column chromatography over silica gel by elution with 7%
ethyl acetate/hexane to yield the title compound. Proton NMR confirmed the assigned structure.
St_ ep 4: Synthesis of 3,7-dihydroxy-7-methyl-androst-5-en-173-0l, 3 0 17 t butvldimethvlsilXl ether To a solution of the product from the previous synthesis, being 440 mg (0.956 mmol) in dry tetrahydrofuran at 0°C was added dropwise methyl magnesium chloride over 5-10 minutes. The reaction mixture was then allowed to stir at room temperature for 24 hours, then WO 95/1125-1 ~ PCTlUS9-tI12071 poured into saturated aqueous ammonium chloride. The THF solvent was removed under vacuum and the aqueous phase extracted with ethyl acetate. The organic layer was washed with brine, dried, concentrated to yield crude product. Proton NMR confirmed the assigned structure of the title compound which was used in the next step without further purification.
Step 5: Synthesis of 7-methyl-androst-4,6-dien-3-one-17~i-ol, 17-t-butyldimethylsilyl ether 1 o The above Grignard product, 3.5 g (7.142 mmol) was dissolved in 50 ml toluene/50 ml cyclohexanone and 20 ml of solvent distilled off under vacuum. To this was added 4.54 g aluminum isopropoxide and the reaction mixture refluxed overnight for 15 hours.
The mixture was cooled, diluted with ethyl acetate, washed with sodium 1 s potassium tartarate, brine, and the organic layer was concentrated under vacuum and the residue steam distilled. The residue was extracted with ethyl acetate, washed with brine, dried and purified by column chromatography on silica gel, eluting with 5% EtOAc/hexane to yield the title compound.
Step 6: Synthesis of 7(3-methyl-androst-5-en-3-one-17(3-0l, t-butvldimethvlsilvl ether To a solution of 370 mg of the product of the previous synthesis, in 5.5 ml ammonia, 1 ml THF, 1 ml toluene, was added 50 mg 2 s of metallic lithium in small pieces. After stirring the blue solution for hours, a solution of 1,2-dibromethane in 2 ml THF was added. After stirring the solution at -78°C for 10 minutes, 250 mg of ammonium chloride was added and the mixture stirred for 10 minutes. The excess ammonia was removed by evaporation under a nitrogen steam. The 3 o reaction mixture was diluted with brine, extracted with ethyl acetate. The organic layer was washed with brine, dried and concentrated to yield crude material which was used as such in the next synthesis.

WO 95/1125-1 PCTIUS9.1/12071 ~~n3 Step 7: Synthesis of 7(3-methyl-androst-4-en-3-on-17(3-0l, t-but~rldimethvlsilyl ether To a solution of the product of the previous synthesis, being 432 mg in 4 ml THF was added 150 microliters DBU (1,8-diazabicyclo [5.4,0] undec-7-ene under nitrogen with stirring. The mixture was refluxed for 1.5 hours, then cooled, diluted with NH4Cl solution. The solvent THF was removed under vacuum and the residue extracted with ethyl acetate. The organic layer was washed with brine, dried and concentrated under reduced pressure to yield crude material. The titled 1 o product was purified by chromatography on silica gel using 10% EtOAc/
hexane as eluant.
Step 8: Synthesis of 17(3-(t-butyldimethylsilyloxy)-7(3-methyl-5-oxo-A-nor-3.5-secoandrostan-3-oic acid i 5 To a solution of 884 mg of the product of the previous synthesis in 15 ml t-butyl alcohol at 80°C was added 248 mg sodium carbonate in 1.5 ml water followed by a dropwise addition over 15-20 minutes of a mixture of 2.273 g sodium periodate with 16.8 mg potassium permanganate in 8 ml water. The reaction mixture was heated 2 o at 80°C for 2 hours, cooled, filtered, the residue washed with water, and then the extract L- concentrated under vaccum. The extract was acidified with aqueous HCI, extracted with ethyl acetate and the organic layer washed with aqueous NaHS03, brine, dried and concentrated to yield crude 9. The proton NMR confirmed the assigned structure.
Step 9: Synthesis of 4,7(3-dimethyl-4-aza-androst-5-en-3-one-17~3-ol, t-butyldimethylsilyl ether To a solution of the product of the previous synthesis, 840 mg in 5 ml ethylene glycol, was added 1.5 g sodium acetate and 737 mg 3 o methylamine hydrochloride. After stirring the reaction mixture 4 hours at 180°C, the mixture was cooled, diluted with water, extracted with ethyl acetate, dried and concentrated to afford crude title compound. Proton NMR confirmed the assigned structure.

WO 9511125-t PCTlUS94112071 2 ~ ~~ ~ 63 ._ Step 10: Synthesis of 4 7f3-dimethyl-4-aza androst 5 en 3 one 1713 0l To a solution of 700 mg of the product of the previous example, in 20 ml of acetonitrile at 0°C, was added 500 microliters.
aqueous HF. After stirring the reaction mixture for one hour, the HF was neutralized with aqueous sodium carbonate, diluted with water, acetonitrile removed under vacuum, and the residue extracted with ethyl acetate. The organic layer was dried, concentrated to give crude title compound which was further purified by preparative chromatography on silica gel using 3:1 chloroform/acetone.
to Step 11: Synthesis of 4 7Q-dimethvl-4-aza androstan 3 one 17~ of To a solution of the product of the previous synthesis, being 350 mg in 10 ml acetic acid was added 100 mg platinum dioxide and the 1 s resulting mixture was evacuated and flushed with hydrogen. The reaction was shaken overnight at room temperature under 40 Psig hydrogen pressure. The solution was filtered concentrated. The residue was worked up with ethyl acetate, the organic layer was then concentrated under vacuum, diluted with ethyl acetate, washed with aqueous NaHC03, brine, dried, concentrated to yield the title compound.
Mass Spec: 320 (M+1).
Step 12: Synthesis of 4-aza-4 7(3-dimethvl Soc androstan 3 17 dione The product of the previous synthesis, 1.013 g (3.176 mmol) 2 s was placed with 6 ml methylene chloride into a dry flask. Powdered molecular 4~ sieves, 1.6 g, and 0.558 g (4.76 mmol) of N-methyl-morpholine-N-oxide (NMO) and then tetrapropylammonium perruthanate (TPAP), 55 mg (0.159 mmol) were added. The reaction was stirred for 2 hours, diluted with 150 ml ethyl acetate and filtered. The filtrate was evaporated to dryness to yield crude product which was recrystallized from EtOAc to yield pure product, mp 135-138°C.
Elemental Analysis Calc'd for C2pH31 N02, mw=317.48 Calc'd: C, 75.67; H, 9.84; N, 4.41.
Found: C, 75.16; H, 10.22; N, 4.13.
Mass Spec. 318 (M+1).

WO 9511125.1 The following Examples (37 to 49) are prepared in a similar fashion as Example 21, but substituting appropiate 4-fluoro derivatives in place of 4-fluorobenzonitrile.

3-Oxo-4-aza-4,73-dimethyl-16~i- (4-methylsulfonylphenoxy)-Sa-androstane Mass specrum: m/z 474 (M+1 ).
i o 400 MHz 1 H NMR (CDC13): S 0. 85 (s, 3H); 0.93 (s, 3H); 1.04 (d, 3H);
2.90 (s, 3H); 3.00 (s, 3H); 4.80 (m, l H); 6.92 (d. 2H); 7.81 (d, 2H).

15 3 Oxo 4 aza 4 7Q dimethvl-163-(3-pvridvloxv)-Sa-androstane Mass spectrum: m/z 397 (M+1 ).
400 MHz 1H NMR (CDCl3): b 0.85 (s, 3H); 0.94 (s, 3H); 1.04 (d, 3H);
2.91 (s, 3H); 3.02 (dd, 1 H); 4.75 (m, 1 H); 7.21 (m, 2H); 8.22 (m, 2H).
2 o EXAMPLE 39 3- Oxo-4-aza 4 7Q dimeth~l 163-(4-phenvlyhenoxy)-Sa-androstane Mass spectrum: m/z 472 (M+1).
400 MHz 1H NMR (CDCl3): 8 0.85 (s, 3H); 0.96 ( s, 3H); 1.05 (d, 3H);
2 5 2.91 (s, 3H); 3.02 (dd, 1 H); 4.76 (m, 1 H); 6.9 (d, 2H); 7.26 (m, 1 H);
7.43 (m, 2H); 7.52 (m, 4H).

30 _3 Oxo 4 aza 4 7(3 dimeth~l-16(3-(3-chlorophenoxy)-Sa-androstane Mass spectrum: m/z 431 (M+ 1 ).
400 MHz 1H NMR (CDC13): 8 0.85 (s, 3H); 0.93 (s, 3H); 1.05 (d, 3H);
2.90 (s, 3H); 4.68 (m, 1 H); 6.71 (m, 1 H); 6.80 (m, 1 H); 6.88 (m, 1 H);
7.13 (m, 1 H).

2 ~ ~ 3 ~ 6 3 PCT/US9.1/12071 WO 95/1125.1 3-Oxo-4-aza-4,7(3-dimethyl-16[3-(4-trifluoromethoxyphenoxy)-Sa-androstane Mass spectrum: m/z 480(M+1 ).
400 MHz 1 H NMR (CDC13): 8 0.85 (s, 3H); 0.94 (s, 3H); 1.04 (d, 3H);
2.91 (s, 3H); 3.02 (dd, 1 H); 4.69 (m, 1 H); 6.78 (m, 2H); 7.09 (m, 2H).

to 3-Oxo-4-aza-4 7j3-dimeth~rl-16(3-l2-chlorophenoxv)-Sa-androstane Mass spectrum: m/z 431 (M+1).
400 MHz 1H NMR (CDCI3): 8 0.85 (s, 3H); 0.99 (s, 3H); 1.04 (d, 3H);
2.91 (s, 3H); 3.03 (dd, 1 H); 4.80 (m, 1 H); 6.81 (m, 2H); 7.24 (m, 1 H);
7.32 (m, 2H).

3-Oxo- 4-aza-4,7~3-dimethvl-163-(2-nyrazinyloxy)-Sa-androstane 2 o Mass spectrum: m/z 398 (M+1 ).
400 MHz 1H NMR (CDC13): 8 0.85 (s, 3H); 0.95 (s, 3H); 1.04 (d, 3H);
2.90 (s, 3H); 3.02 (dd, 1 H); 5.34 (m, 1 H); 8.04 (d, 2H); 8.15 ( 1 H).

3-Oxo-4-aza-4,7f3-dimethyl-16Q-(2-ovrimidinvloxv)-Sa-androstane Mass spectrum: m/z 398 (M+1 ).
400 MHz 1H NMR (CDC13): S 0.85 (s, 3H); 0.95 (s, 3H); 1.04 (d, 3H);
2.90 (s, 3H); 3.02 (dd, 1 H); 5.35 (m, 1 H); 6.89 (m, 1 H); 8.15 (d, 2H);

WO 95/1125.1 PCTlUS9.1/12071 2~~~~863 3-Oxo-4-aza-4,713-dimethvl-16(3-f4-( 1-DVrrvl)-nhenoxvl-5a-androstane Mass spectrum: m/z 461 (M+1 ).
s 400 MHz 1H NMR (CDC13): 8 0.85 (s, 3H); 0.95 (s, 3H); 1.05 (d, 3H);
2.91 (s, 3H); 4.73 (m, 1H); 6.30 (m, 2H); 6.84 (m, 2H); 6.96 (m, 2H);
7.25 (m, 2H).

to 3-Oxo- 4-aza-4,7 j3-dimethyl-16~3~3-cyanophenoxv)-5a-androstane Mass spectrum: m/z 420 (M).
400 MHz 1H NMR (CDCl3): ~ 0.85 (s,3H); 0.93 (s, 3H); 1.04 (d, 3H);
2.91 (s, 3H); 3.02 (dd, 1 H); 4.71 (m, 1 H); 7.05 (m, 2H); 7.22 (m, 1 H);
is 7.32 (m, 1 H).

3-Oxo-4-aza-4.73-dimethvl-16(3-( 1-naphthvloxX)-5a-androstane 2 o Mass spectrum: m/z 445 (M).
400 MHz 1H NMR (CDCl3): ~ 0.86 (s, 3H); 1.03 (s, 3H); 1.07 (d, 3H);
2.92 (s, 3H); 3.02 (dd, 1H); 6.70 (d, 1H); 7.32 (m, 2H); 7.44 (m, 2H);
7.78 (m, 1 H); 8.24 ( 1 H).
2 s EXAMPLE 48 3-Oxo-4-aza-4,7~3-dimethyl-16~i-(3-chloro-4-methylphenoxy)-5a-androstane Mass spectrum: m/z 445(M+1 ).
3 0 400 MHz 1 H NMR (CDCl3): 8 0.84 (s, 3H); 0.92 (s, 3H); 1.04 (d, 2H);
2.26 (s, 3H); 2.92 (s, 3 H); 4.76 (m, 1 H); 6.62 (m, 1 H); 6.81 (m, 1 H); 7.12 (d, 1 H).

3-Oxo-4-aza-4.7(3-dimeth,~~3-[4-(S-oxazol~)phenoxvl-Sa-androstane Mass spectrum: m/z 463 (M+1).
400 MHz'H NMR (CDC13): b 0.85 (s, 3H); 0.95 (s, 3H); 1.05 (d, 3H);
2.91 (s, 3H); 4.76 (m, 1 H); 6.86 (d, 2H); 7.21 (s, 1 H); 7.53 (d, 2H); 7.84 (s, 1H).

3-oxo-4-aza-4,7 (3-dimeth,~(3-(4-nitrophenoxyl-Sa-androstane This compound was prepared in a similar fashion as Example 21, but substituting 1-fluoro-4-nitrobenzene in place of 4fluorobenzonitrile; 400 MHz NMR (CDC13 ): 8 0.85 (s, 3H); 0.94 (s; 3H); 1.05 (d, 3H); 2.92 (s, 3H); 3.03 (dd, 1 H); 4.81 (q, I H); 6.87 (d, 2H); . 8.17 (d, 2H).

3-oxo-4-aza-4,7(3-dimethyl-16[3-(4-aminophenoxvl-Sa-androstane To a solution of 3-oxo-4-aza-4,7[i-dimethyl-16[3-(4-nitro phenoxy)-Sa-androstane (163 mg, 0.36 mmol) in ethylacetate (8 mL) and methanol (8 mL) was added 10% Pd on carbon (25 mg, 0.23 mmol). It was then stirred for four hours under a hydrogen atmosphere at room temperature. It was then filtered through Celite and evaporated to afford 148 mg of the title compound. No purification was needed. Mass spectrum: m/z 411 (M+1). 400 MHz 1H NMR (CDC13): 8 0.84 (s, 3H); 0.94 (s, 3H); 1.37 (d, 3H); 2.90 (s, 3H); 3.03 (dd, 1 H); 4.64 (q, 1 H);
6.70 (d, 2H); 6.78 (d, 2H). Celite is a Trade-mark.

~1-~ ~~~63 EXAMPLE 52 .
~-oxo-4-aza-4 7(3-dimethyl-163-(4-acetylaminophenoxvl-Sa-androstane To a solution of 3-oxo-4-aza-4,73-dimethyl-163-(4-amino-phenoxy)-5 a-androstane (48 mq, 0.116 mmol) in methylene chloride ( 1 mL) and pyridine (0.037 mL, 0.46 mmol) was added acetic anhydride (0.022 mL, 0.23 mmol) and DMAP (5 mg, 0.04 mmol). The reaction was stirred overnight at room temperature under a nitrogen atmosphere. It was then diluted with methylene chloride (50 mL), washed with water l o (50 mL) and brine (50 mL). The organic phase was then dried over sodium sulfate and evaporated. The crude product was purified by preparative TLC (silica gel, 1000 microns) using 5% methanol/methylene chloride to give 51 mg of the title compound. Mass spectrum: m/z 453 (M+1 ). 400 MHz 1 H NMR (CDC13): 8 0.84 (s, 3H); 0.93 (s, 3H); 1.04 1 s (d, 3H); 2.13 (s, 3H); 2.92 (s, 3H); 3.03 (dd, 1 H); 4.68 (q, 1 H); 6.76 (d, 2H); 7.11 (s, 1 H); 7.33 (d, 2H).

20 3-oxo-4-aza-4,7~3-dimethyl-163-(4-benzoylaminophenoxy)-Sa-androstane This compound was prepared in a similar fashion as Example 52, but substituting benzoyl chloride in place of acetic anhydride, triethylamine in place of pyridine and DMAP was not used;
2s mass spectrum: m/z 515 (M+1). 400 MHz 1H NMR (CDCl3): 8 0.84 (s, 3H); 0.94 (s, 3H); 1.05 (d, 3H); 2.92 (s, 3H); 3.04 (dd, 1H); 4.73 (q, 1 H); 6.82 (d, 2H); 7.49 (m, SH); 7.72 (s, 1 H); 7.84 (d, 2H).

3-oxo-4-aza-4,7 ~3-dimethyl-16 (3-(4-methylsulfonamidophenoxy)-5 a androstane This compound was prepared in a similar fashion as Example 52, but substituting tosyl chloride in place of acetic anhydride;

2 ~ % 3 S 6 ~ PCT/US9-1/12071 mass spectrum: m/z 565 (M+1). 400 MHz 1H NMR (CDCl3): S 0.84 (s, 3H); 0.93 (s, 3H); 1.03 (d, 3H); 2.37 (s, 3H); 2.92 (s, 3H); 3.02 (dd, 1 H); 4.63 (q, 1 H); 6.34 (s, 1 H); 6.67 (d, 2H); 6.91 (d, 2H); 7.19 (d, 2H);
7.56 (d, 2H).

3-oxo-4-aza-4-(2,4-dimethoxybenzyl)-7~3-methyl-16(3-hydroxy-Sa-1 o androstane The compound 55 was prepared in a similar fashion as compound 12 described in the Scheme 5, except that the corresponding benzyl analog of (Compound E in Scheme 5) was made via similar synthesis of Example 36, in which 2,4-dimethoxy-benzylamine was used 15 m Place of methylamine.

3-oxo-4-aza-4-(2,4-dimethoxybenzyl)-7(3-methyl-16(3-(4-chloro-2o phenoxy)-Sa-androstane This compound was prepared in a similar fashion as Example 23, but substituting 3-oxo-4-aza-4-(2,4-dimethoxy benzyl)-7(3-methyl-16(3-hydroxy-Sa-androstane in place of 3-oxo-4-aza-4,7(3-dimethyl-16(3-hydroxy-Sa-androstane. No purification was done prior to 2 s ~e next reaction.

3-oxo-4-aza-7f3-methyl-16Q-l4-chloro henoxy) Sa androstane 3 o To a solution of 3-oxo-4-aza-4-(2,4-dimethoxy benzyl)-7~3-methyl-16(3-(4-chlorophenoxy)-Sa-androstane (130 mg, 0.23 mmol) in methylene chloride ( 1 mL) was added trifluoroacetic acid ( 1 mL). The reaction was stirred overnight at room temperature. Then the solvent was evaporated and the residue taken up in methylene chloride. The organic phase was washed with saturated sodium bicarbonate and brine. It was WO 95/1125-t 2~~3~~~

then dried over sodium sulfate and evaporated. The crude compound was purified by preparative TLC (silica gel, 1000 microns) using 20%
acetone/methylene chloride to yield the title compound. 400 MHz I H
NMR (CDC13): b 0.86 (s, 3H); 0.93 (s, 3H); I .OI (d, 3H); 3.07 (dd, I H);
4.67 (q, 1 H); 5.49 (s, 1 H); 6.73 (d, 2H); 7. I 8 (d, 2H).

3 oxo-4-aza-7.~3-meth~~i-phenoxy-Sa-androstane 1 o To a solution of 3-oxo-4-aza-7 (3-methyl-163-(4-chlorophenoxy)-Sa-androstane in methanol was added 20% Pd on carbon. This solution was shaken under a hydrogen atmosphere at 48 psig for one day. It was then filtered through celite and evaporated. The crude compound was then purified by flash silica gel chromatography 1 s using 20% acetone/methylene chloride to elute the title compound. 400 MHz 1H NMR (CDC13): ~ 0.86 (s, 3H); 0.95 (s, 3H); 1.01 (d, 2I-i); 3.08 (dd, 1 H); 4.71 (q, 1 H); 5.48 (s, 1 H); 6.81 (d, 2H); 6.89 (t, I H); 7.24 (t, 2H).
2 o EXAMPLE 59 3 oxo 4-aza-7~3-methXl-16a phenoxv-Sa-androst-1-ene To a solution of 3-oxo-4-aza-7~3-methyl-16(3-phenoxy-Sa androstane ( 145 mg, 0.35 mmol) in toluene (3 mL) was added DDQ (95 25 mg~ 0.42 mmol), BSTFA (360 mg, 1.4 mmol) and triflic acid (4.04 mg, 0.027 mmol). This solution was stirred overnight at room temperature under a nitrogen atmosphere. Then methylacetoacetate (4.06 mg, 0.035 mmol) was added and the solution was stirred. After one hour, the reaction was refluxed overnight. It was then poured into water (75 mL) 3 o containing sodium carbonate ( 160 mg) and sodium bisufite ( 120 mg).
The aqueous phase was then extracted with methylene chloride (40 mL) (3x) and the organic phases were combined. The organic phase was washed with water (50 mL) and brine (50 mL). It was dried over sodium sulfate and evaporated. The crude compound was purified by flash silica WO 95/1125-1 217 3 g 6 ~ PCT/US94112071 gel chromatography using 15% acetone/methylene chloride to elute the title compound. 400 MHz 1H NMR (CDCl3): ~ 0.92 (s, 3H); 0.96 (s, 3H); 1.02 (d, 3H); 3.34 (dd, 1 H); 4.72 (q, 1 H); 5.31 (s, 1 H); 5.80 (d, 1 H);
6.80 (d, 1 H); 6.82 (d, 2H); 6.89 (t, 1 H); 7.24 (t, 2H).

3-oxo-4-aza-7~3-meth~~i-(4-chlorophenoxy)-Sa-androst-1-ene This compound was prepared in a similar fashion as to Example 59, but substituting 3-oxo-4-aza-7~3-methyl-16(3-(4-chloro-phenoxy)-Sa-androstane in place of 3-oxo-4-aza-7(3-methyl-16(3-phenoxy-Sa-androstane. 400 MHz 1H NMR (CDCl3): 8 0.92 (s, 3H);
0.95 (s, 3H); 1.02 (d, 2H); 3.34 (dd, 1 H); 4.67 (q, 1 H); 5.27 (s, 1 H); 5.80 (d, 1 H); 6.73 (d, 2H); 6.78 (d, 1 H); 7.18 (d, 2H).

3-oxo-4-aza-4.7 j3-dimethvl-163=phenoxv-Sa-androstane To a solution of 3-oxo-4-aza-7(3-methyl-16(3-phenoxy-Sa-2 0 ~drostane (60 mg, 0.16 mmol) in N,N-dimethylformamide ( 1 mL) was added sodium hydride (8 mg, 0.21 mmol), a 60% dispersion in mineral oil. After stirring for 30 min at room temperature under a nitrogen atmosphere, methyl iodide (40 mg, 0.28 mmol) was added. The reaction was stirred overnight. It was diluted with ethylacetate (50 mL) and 2 5 washed with 1 N hydrochloric acid (50 mL), water (50 mL) and brine (50 mL). The organic phase was dried over sodium sulfate and evaporated.
The crude product was purified by flash silica gel chromatography using 10% acetone/methylene chloride to elute the title compound. 400 MHz 1H NMR (CDCl3): 8 0.85 (s, 3H); 0.95 (s, 3H); 1.05 (d, 3H); 2.91 (s, 3 0 3H); 3.02 (dd, 1 H); 4.72 (q, 1 H); 6.81 (d, 2H); 6.89 (t, 1 H); 7.24 (t, 2H).

WC~ 95!1125.1 PCTIUS9-1/12071 21~~~~3 _ _ 72 -3-oxo-4-aza-4 7~3-dimethyl-16~i-(4-chloro~henox~)-5a-androst-1-ene This compound was prepared in a similar fashion as Example 61, but substituting 3-oxo-4-aza-7~3-methyl-16(3-(4-chloro-phenoxy)-Sa-androstan-1-ene in place of 3-oxo-4-aza-7(3-methyl-16~3-phenoxy-Sa-androstane. 400 MHz 1 H NMR (CDCl3): 8 0.87 (s, 3H);
0.95 (s, 3H); 1.07 (d, 2H); 2.93 (s, 1 H); 3.34 (dd, 1 H); 4.68 (q, 1 H); 5.84 (d, 1H); 6.69 (d, 1H); 6.73 (d, 2H); 7.18 (d, 2H).
io 3-oxo-4-aza-4-(2,4-dimethoxybenzyl)-7(3-methyl-163-(3-chloro-4-meth,~ph~~)-5a-androstane 1 s This compound was prepared in a similar fashion as Example 56, but substituting 2-chloro-4-fluorotoluene in place of 1-chloro-4-flurobenzene. No purification was done prior to the next reaction.
2 o EXAMPLE 64 3-oxo-4-aza-7(3-methyl-16(3-C3-chloro-4-meth~nhenoxX)-Sa-androstane This compound was prepared in a similar fashion as Example 57, but substituting 3-oxo-4-aza-4-(2,4-dimethoxy benzyl)-7~3-25 methyl-16(3-(3-chloro-4-methylphenoxy)-Sa-androstane in place of 3-oxo-4-aza-4-(2,4-dimethoxy benzyl)-7~3-methyl-163-(4-chlorophenoxy)-Sa-androstane. 400 MHz 1 H NMR (CDCl3): 8 0.86 (s, 3H); 0.93 (s, 3H); 1.01 (d, 3H); 2.26 (s, 3H); 3.08 (dd, 1 H); 4.66 (q, 1 H); 5.59 (s, 1 H);
6.62 (m, 1 H); 6.81 (d, 1 H); 7.06 (d, 1 H).

3-oxo-4-aza-7~3-meth,~~3~(4-methylphenoxyl-Sa-androstane This compound was prepared in a similar fashion as Example 58, but substituting 3-oxo-4-aza-7(3-methyl-16(3-(3-chloro-4-methyl-phenoxy)-Sa-androstane in place of 3-oxo-4-aza-7(3-methyl-16(3-(4-chloro-phenoxy)-Sa-androstane. 400 MHz'H NMR (CDC13): 8 0.86 (s, 3H); 0.94 (s, 3H); 1.03 (d, 3H);
2.25 (s, 3H); 4.69 (q, 1 H); 6.71 (d, 2H); 7.03 (d, 2H).

3-oxo-4-aza-7(3-methyl-163-y4-meth~phenoxy)-Sa-androst-1-ene This compound was prepared in a similar fashion as Example 59, but substituting 3-oxo-4-aza-7(3-methyl-16(3-(4-methylphenoxy)-Sa-androstane in place of 3-oxo-4-aza-7~i-methyl-16~i-phenoxy-Sa-androstane. 400 MHz'H NMR
(CDC13): S 0.92 (s, 3H); 0.96 (s, 3H); 1.03 (d, 3H); 2.25 (s, 3H); 3.34 (dd, 1 H);
4.68 (q, 1 H); 5.35 (s, 1 H); 5.81 (d, 1 H); 6.71 (d, 2H); 6.79 (d, 1 H); 7.03 (d, 2H).

3-oxo-4-aza-4,73-dimeth ~~1-16(3-(4-methvlphenoxyl-Sa-androstane This compound was prepared in a similar fashion as Example 61, but substituting 3-oxo-4-aza-7(3-methyl-16(3-(4-methylphenoxy)-Sa-androstane in place of 3-oxo-4-aza-7(3-methyl-16(3 phenoxy-Sa-androstane. 400 MHz'H NMR
(CDC13 ): 8 0.85 (s, 3H); 0.94 (s, 3H); 1.04 (d, 3H); 2.25 (s, 3H); 2.91 (s, 3H); 3.05 (dd, 1 H); 4.69 (q, 1 H); 6.71 (d, 2H); 7.04 (d, 2H).

3-Oxo-4-aza-4.7(3-dimeth,~~i-fluoro-5a-androstane This compound was prepared by treatment of intermediate ( 12) (Scheme 5) with diethylaminosulfur trifluoride in methylene chloride at room temperature followed by chromatography on silica gel; 64% yield; m/z 321 (M);
400 MHz'H NMR spectrum (CDCl3): 0.87 (s, 3H); 0.92 (s, 3H); 1.04 (d, 3H); 2.90 (s, 3H), 5.12 (m, H).

3-Oxo-4-aza-4.7(3-dimeth~~i-cyano-Sa-androstane This compound is obtained by conversion of intermediate (25) (Scheme 7) to its methansulfonate derivative by treatment with methanesulfonyl chloride or methanesulfonic anhydride in methylene chloride in the presence of an organic base, such as pyridine and triethylamine, and 4-dimethylaminopyridine (DMAP).. Displacement of the methanesulfonate group is effected by heating in an appropriate solvent, such as N,N-dimethylformamide or dimethylsulfoxide, in the presence of sodium or potassium cyanide.

3-Oxo-4-aza-4.7(3-dimethyl-163-( 1-hexes)-5a-androstane Step 1: 3-Oxo-4-aza-4-methyl-16(3-(1-hexenyl)-5a-androstane To a 50-mL round-bottom flask under nitrogen was added 1-hexyl-triphenylphosphonium bromide (141 mg, 0.33 mmol) followed by freshly distilled tetrahydrofuran (1 mL). The mixture was cooled to 0°C, and butyllithium (2.5M
solution in hexanes, 0.132 mL, 0.33 mmol) affording a bright orange solution.
The solution was stirred at 0°C for 10 min., and was charged with a solution of 4-aza-4-methyl-5a-androstan-3,16-dione (50 mg, 0.165 mmol) in tetrahydrofuran (0.5 mL).
The reaction mixture was allowed to reach room temperature and stirred WO 95/1125~t L J PCT/US9.1/12071 overnight. The mixture was then partitioned between water ( 10 mL) and ethyl acetate (20 mL), the organic layer separated, washed with O.SN
y hydrochloric acid (2 x 10 mL), saturated brine solution, dried (Na2S04), and evaporated. The title compound was purified by flash silica gel chromatography using 1 % methanol/methylene chloride as eluant. This material (29.6 mg) was used without further purification in Step 2.
Std: 3-Oxo-4-aza-4-methyl-16J -(1-hex~,l-Sa-androstane A solution of the product obtained in Step 1 (22 mg) in ethyl to acetate (0.5 mL) was hydrogenated in the presence of platinum oxide (5 mg) under a balloon atmosphere of hydrogen gas for 1 hour at room temperature. The catalyst was removed by filtration through a Millex-HV disposable filter, and the filtrate was evaporated. The title compound was purified by flash silica gel chromatography using 20%
1 s acetone/hexane as eluant; yield 5.2 mg. Mass spectrum: m/z 374 (M+1 ).
400 MHz 1H NMR (CDCl3): 8 2.42 (dd, 2H), 2.90 (s, 3H), and 3.00 (dd, 1 H).

4-aza-4,7(i-dimethyl-16b-(4-chlorobenzylidene) Sa androstan 3 one Following Reaction Scheme 14, solution of 4-aza-4,7(3-dimethyl-Sa-androstan-3,17-dione ( 11 ) (32 mg, 0.1 mmol), sodium hydride (5 mg, 1.02 eq), diethyl 4-chlorobenzylphosphonate (27 mg, 1.02 eq) ~d DMF (O.SmL) were heated to 80°C for 1 hour. The reaction was cooled, diluted with dichloromethane and washed with water (x2), brine, dried over anhydrous magnesium sulfate, filtered and concentrated. The desired product was purified by silica gel chromatography (hexanes:isopropanol 4:1 ) t 1.5:1 mixture of E/Z isomers: m/z=389 1H NMR(500 MHz, CDCI3):0.75 (s, 3H); 0.82 (s, 3H); 0.90 (d, 3H); 2.96 (s, 3H); 3.08 (dd, 1 H); 6.34 (s, 0.4H); 6.41 (s, 0.6H); 7.18-7.38 (m, SH).

_ _ 4-aza-4 7~3-dimethyl-16-benz3rlidene-Sa-androstan-3-one This example was prepared in a similar fashion as 4-aza-4,7~3-dimethyl-16-(4-chlorobenzylidene)-Sa-androstan-3-one (71) but substituting diethyl benzylphosphonate for diethyl 4-chlorobenzyl-phosphonate: m/z= 390 1H NMR(500 MHz, CDCl3): 0.75 (s, 3H); 0.88 (s, 3H); 1.05 (d, 3H);
2.94 (s, 3H); 3.08 (dd, 1H); 6.28 (s, 0.4H); 6.35 (s, 0.6H); 7.15-7.35(m, to SH).

4 aza-4 7~3-dimethvl-16-(4-methvlbenzvlidene)-Sa-androstan-3-one 1 s This example was prepared in a similar fashion as 4-aza-4,7~3-dimethyl-16-(4-chlorobenzylidene)-Sa-androstan-3-one (71) but substituting diethyl 4-methylphosphonate for diethyl 4-chlorobenzyl-phosphonate: m/z= 404 1 H NMR (500 MHz, CDCl3): 0.78 (s, 3H); 0.85 (s, 3H); 1.1 (d, 3H);
20 2.32 (s, 3H); 2.94 (s, 3H);3.08 (dd, 1H); 6.30 (s, 0.4H); 6.38 (s, 0.6H);
7.10-7.24 (m, SH).

2s 4-aza-4 7~3-dimethyl-16-(4-chlorobenz~)-Sa-androstan-3-one To a solution of 4-aza-4,73-dimethyl-16-(4-chloro-benzylidene)-Sa-androstan-3-one (71 ) (33 mg) in ethanol (4 mL) was added 5% Rh/C and the black suspension stirred under ahydrogen balloon. After 2 hours the mixture was filtered to remove catalyst, 3 o concentrated and purified on silica gel (hexanes:acetone 3:1 ) to give the desired product as a 3:1 mixture of isomers: m/z 427 1 H NMR (500 MHz, CDCl3): 0.84 (s,3H); 0.86 (s,3H); 1.02 (d, 3H); 2.92 (bs, 2.7H); 2.93 (bs, 1.3H); 2.98 (s, 3H); 3.02 (dd, 1 H); 7.10 (d, 2H), 7.25 (d, 2H).

WO 95/1125-1 21 ~ ~3 g ~ PCT/LTS9.1112071 _ 77 _ 4-aza-4,7f3-dimethyl-16-(4-meth lbenzyl)-5a androstan 3 one 'This example was prepared similarly to the procedure used s for 4-aza-4,7(3-dimethyl-16-(4-chlorobenzyl)-5a-androstan-3-one (74):
m/z= 408 1H NMR (500 MHz, CDCl3): 0.86( s, 6H); 1.04 (d, 3H); 2.33 (s, 3H);
2.95 (s, 2H); 2.96 (s, 1 H); 3.05 (dd, 1 H); 7.06-7.11 (m, 4H).
to 4-aza-4.7(3-dimethvl-16-(3-p~ridvlmethyl) 5a androstan ~ one This example was prepared similarly to the procedure used for 4-aza-4,7~3-dimethyl-16-(4-chlorobenzyl)-5a-androstan-3-one (74) i s except 3-pyridylinethyl-dimethylphosphonate was used:
m/z= 3 95 1H NMR (500 MHz, CDCl3):0.89 (s, 3H); 0.88 (s, 3H); 1.03( d, 3H);
2.93 (bs, ZH); 2.94 (bs, 1 H); 2.98 (s, 3H); 3.04 (dd, 1 H); 7.10 (d, 2H), 7.25 (d, 2H); 7.58 (s, 1 H); 8.55 (s, 2H).

4-aza-4,7(i-dimethyl-16a-methanesulfonyl 5a androstan 3 one 2 s Following Reaction Scheme 13, to a solution of 4-aza-4,7~3-dimethyl-16a-hydroxy-5a-androstan-3-one (25) (65 mg, 0.2 mmol) in anhydrous dichloromethane was added a catalytic amount of DMAP
followed with methanesulfonic anhydride (45 mg, 1.1 eq). After 15 min, the reaction was diluted with dichloromethane, washed with 1 M HCI
3 0 (x3), 1 M sodium bicarbonate, water and brine, dried over anhydrous magnesium sulfate filtered and concentrated to yield the desired compound of sufficent purity: m/z=398 1H NMR (500 MHz, CDCl3): 0.78 (s, 3H); 0.85 (s, 3H); 1.02 (d, 3H);
2.95 (s, 3H); 3.1 (dd, 2H); 5.18 (m, 1 H);

WO 9511125.1 211 ~ ~ ~3 . _ 78 _ 4 aza 4 7~3-dimethXl-16~-thiophenoxy-Sa-androstan-3-one To a solution of thiophenol (50 ~.L, 2.5 eq) in anhydrous THF was added sodium hydride (20 mg, 2.6 eq). After stirring 20 min, a THF solution of 4-aza-4,7~3-dimethyl-16a-methanesulfonyl-Sa-androstan-3-one (77) (65 mg. 0.2 mmol) was added and the mixture stirred 20 hours at ambient temperature. The reaction was quenched with 1 M ammonium chloride and diluted with ethyl acetate, washed with 1 o water and brine, dried over anhydrous magnesium sulfate filtered and concentrated. The desired compound was purified by silica gel chromatography (hexanes:isopropanol 9:1 ): m/z=412 1 H NMR (500 MHz, CDC13): 0.86 (s, 3H); 0.96 (s, 3H); 1.06 (d, 3H);
2.94 (s, 3H); 3.06 (dd, 2H); 3.65 (m, 1H); 7.26-7.70 (m, SH).

4 aza 4 7~3 dimethvl-16~i-(4-chlorothio~phenoxy_)-Sa-androstan-3-one This compound was prepared in a similar fashion as 4-aza-4,7~_dimethyl-16(3-thiophenoxy-Sa-androstan-3-one (78) but substituting 4-chlorothiophenol in place of thiophenol: m/z=446 1H NMR (500 MHz, CDC13): 0.85 (s,3H); 0.96 (s, 3H); 1.04 (d, 3H);
2.94 (s, 3H); 3.02 (dd, 2H); 3.61 (m, 1H); 7.22 (d, 2H); 7.32 (d, 2H).

4-aza-4,7(3 dimethyl-1613-(4-fluorothio~phenoxyl-Sa-androstan-3-one This compound was prepared in a similar fashion as 4-aza-4,7(3-dimethyl-16(3-thiophenoxy-Sa-androstan-3-one (78) but substituting 4_fluorothiophenol in place of thiophenol: m/z=431 1H NMR (500 MHz, CDC13): 0.85 (s, 3H); 0.96 (s, 3H); 1.05 (d, 3H);
2.92 (s, 3H); 3.03 (dd, 2H); 3.51 (m, 1 H); 6.99 (d, 2H); 7.35 (d, 2H).

WO 95/1125.1 PCT/US9.t/12071 4-aza-4.7(3-dimethyl-163-(4-methylthiophenoxy)-Sa-androstan-3-one This compound was prepared in a similar fashion as 4-aza-4,7 j3-dimethyl-16(3-thiophenoxy-Sa-androstan-3-one (78) but substituting 4-methylthiophenol in place of thiophenol:m/z=426 1H NMR(500 MHz, CDC13): 0.75 (s, 3H); 0.95 (s, 3H); 1.1 (d, 3H); 2.31 (s, 3H): 2.94 (s, 3H); 3.02 (dd, 2H); 3.59 (m, 1 H); 7.09 (d, 2H); 7.22 (d, 2H).
to 4-aza-4,7 Q-dimethvl-16(3-(4-methoxythiophenoxy)-Sa-androstan-3-one This compound was prepared in a similar fashion as 4-aza-15 4,7(3_dimethyl-16(3-thiophenoxy-Sa-androstan-3-one (78) but substituting 4-methoxythiophenol in place of thiophenol: m/z= 443 1H NMR (500 MHz, CDC13): 0.81 (s,3H); 0.93 (s,3H); 1.18 (d,3H); 2.93 (s,3H); 3.02 (dd,2H); 3.50 (m,lH); 3.81 (s,3H); 7.45 (d,2H); 7.67 (d,2H).
2 o EXAMPLE R3 4-aza-4 7~3-dimeth 1-y 16(3-phenylsulfinyl-Sa-androstan 3 one To a sloution of 4-aza-4,7~3-dimethyl-163-thiophenoxy-Sa androstan-3-one (78) (20 mg, 0.05 mmol) in dicloromethane at 0°C was a5 added mCPBA (11 mg, 1 eq) and the solution stirred 1 hour. The reaction was diluted with dichloromethane and washed with 1 M sodium bicarbonate, water, brine and dried over anhydrous sodium sulfate. The desired compound was purified by silica gel chromatography to yield a 4.6:1 mixture of diastereomers: m/z=428 3 0 1 H NMR(500 MHz, CDC13): 0.83 (s, 3H); 0.92 (s, 3H); 1.0l (d, 3H);
2.92 (s, 3H); 3.01 (dd, 2H); 3.19 (m, 0.85H); 3.55 (m, O.15H); 7.5-7.70 (m, SH).

WO 95/1125-1 PCT/ITS9.1112071 -s0-4-aza-4 7~3-dimethyl-16(~phenylsulfon~-5a-androstan-3-one A solution of 4-aza-4,7(3-dimethyl-16~i-phenylsulfinyl-5oc-androstan-3-one (83) 912 mg, 0.03 mmol) in dichloromethane was treated with mCPBA (9 mg, 1.5 eq) for 3 hours. The reaction was diluted with dichloromethane and washed with 1 M sodium bicarbonate, water, brine and dried over anhydrous sodium sulfate. The desired compound was purified by silica gel chromatography (hexanes:isopropanol 7:3):
1 o m/z- 444 1 H NMR (500 MHz, CDCl3): 0.85 (s, 3H); 0.91 (s, 3H); 1.0 (d, 3H);
2.95 (s, 3H); 3.05 (dd, 2H); 3.55 (m, 0.15H); 7.41 (t, 1 H); 7.55 (t, 2H);
7.90 (d, 1 H), 7.90 (d, 1 H) 3-Oxo-4-aza-4.16(3-dimethvl-5a-androstane This compound is made by converting the readily available 4-aza-4,16(3-dimethyl-androstan-3,17-dione to the 17-triflate. Reduction of the triflate through conventional methods yields the titledl6-(3methyl analog.
Mass spectrum: m/z 304 (M+1 ) 400MHz NMR (CDC13): ~ 0.76 (s, 3H); 0.85 (s, 3H); 1.04 (d, 3H); 2.90 (s, 3H); 3.01 (dd, 1 H).
BIOLOGICAL ASSAYS
Preparation of Human prostatic and scalp 5a-reductases Samples of human tissue were pulverized using a freezer 3 o mill and homogenized in 40 mM potassium phosphate, pH 6.5, 5 mM
magnesium sulfate, 25 mM potassium chloride, 1 mM phenylmethyl-sulfonyl fluoride, 1 mM dithiothreitol (DTT) containing 0.25 M sucrose using a Potter-Elvehjem homogenizer. A crude nuclear pellet was prepared by centrifugation of the homogenate at 1,500 x g for 15 min.

The crude nuclear pellet was washed two times and resuspended in two volumes of buffer. Glycerol was added to the resuspended pellet to a final concentration of 20%. The enzyme suspension was frozen in aliquots at -80°C. The prostatic and scalp reductases were stable for at least 4 months when stored under these conditions.
Cloned enzyme protocol:
For IC50 determinations, the test Sa-reductase 1 and 2 inhibitors were dissolved in ethanol and serially diluted to the appropriate concentration.
The baculovirus-expressed recombinant type 1 5a-reductase was preincubated with inhibitor (0.1-1,000 nM) in 40 mM sodium phosphate, pH 7.0, 500 ~.M NADPH, 1 mM DTT and 1 mg/ml BSA for 18 h at 4°C. The reaction was initiated by the addition of [73H]T (NEN, 20 Ci/mmol) and NADPH to a final concentration of 0.3 pM and NADPH and incubated at 37°C for 90 min. Similarly, baculovirus-expressed type 2 5(a-reductase was preincubated with inhibitor (1-10,000 nM) in 40 mM
sodium citrate, pH 5.5, 500 pM NADPH, 1mM DTT and 1 mg/ml BSA for 18 h at 4°C. The reaction was initiated by the addition of [73H]T (NEN, 20 Ci/mmol) and NADPH to a final concentration of 0.3 ~,M and 500 p.M, respectively. The conversion of T to DHT was monitored using a radioflow detector following separation by reverse phase HPLC (Whatman RACII (Trade-mark)C18 column, lml/min 0.1 % TFA
in water:methanol (42:58); retention times T, 6.3 min, DHT, 9.7 min).
Sa-reductase assay The reaction mixture for the type 1 5(a-reductase contained 40 mM potassium phosphate, pH 6.5, 5 ~M [7-3H]-testosterone, 1 mM dithiothreitol and 500 pM
NADPH in a final volume of 100 p,l. The reaction mixture for the type 2 Sa-reductase contained 40 mM sodium citrate, pH 5.5, 0.3 pM [7-3H]-testosterone, 1 mM
dithiothreitol and 500 gM NADPH in a final volume of 100 ~1. Typically, the assay was initiated by the addition of 50-100 p,g prostatic homogenate or 75-200 ~.g scalp homogenate and incubated at 37°C. After 10-50 min the reaction g2 was quenched by extraction with 250 ~l of a mixture of 70% cyclohexane: 30%
ethyl acetate containing 10 pg each DHT and T. The aqueous and organic layers were separated by centrifugation at 14,000 rpm in an Eppendorf microfuge. The organic layer was subjected to normal phase HPLC (10 cm Whatman partisil 5(Trade-mark) silica column equilibrated in 1 ml/min 70% cyclohexane: 30% ethyl acetate;
retention times: DHT, 6.8-7.2 min; androstanediol, 7.6-8.0 min; T, 9.1-9.7 min). The HPLC
system consisted of a Waters Model 680 Gradient System (Trade-mark) equipped with a Hitachi Model 655A (Trade-mark) autosampler, Applied Biosystems Model 757 variable UV detector(Trade-mark), and a Radiomatic Model A 120 (Trade-mark) radioactivity analyzer. The conversion of T to DHT was monitored using the radioactivity flow detector by mixing the HPLC effluent with one volume of Flo Scint 1 (Radiomatic). Under the conditions described, the production of DHT was liinear for at least 25 min. The only steroids observed with the human prostate and scalp preparations were T, DHT and androstanediol.
Inhibition studies Compounds were dissolved in 100% ethanol. Tc50 values represent the concentration of inhibitor required to decrease enzyme activity to 50% of the control.
Ic50 values were determined using a 6 point titration where the concentration of the inhibitor was varied from 0.1 to 1000 nM.
Representative compounds of this invention were tested in the above described assay for 5a-reductase type 1 and type 2 inhibition. For the inhibition of 5a-reductase type 1, the compounds have jc50 values lower than 600 nM, with the majority of compounds having Ic50 values ranging from about 0.3 nM to about 200 nM. For the inhibition of 5a-reductase type 2, the same compounds have Ic50 values greater than about 155 nM, with the majority of compounds having Ic50 values greater than nM. Each compound tested has at least a 2-fold greater selectivity for inhibition of 5oc-reductase type 1 over type 2, with the majority of the compounds having a fold or greater selectivity for inhibition of 5a-reductase type 1 over type 2.
These results demonstrate WO 95/1125-t 217 3 8 b 3 PCTIUS9.1112071 the utility of the compounds of the instant invention for the treatment of androgenetic conditions.
A compound referrred to herein as a Sa-reductase 2 inhibitor is a compound that shows inhibition of the Sa-reductase 2 isozyme in the above-described assay; likewise, a compound referrred to herein as a Sa-reductase 1 inhibitor is a compound that shows inhibition of the Sa-reductase 1 isozyme in the above-described assay.
Human Dermal Papilla Cell Assav to The dermal papilla is a small group of cells at the base of each hair follicle, and it is presently thought that these cells are stem cells that form the basis for hair growth. These cells have been shown to have 5 alpha reductase activity, and it is therefore possible to test inhibitors of 5 alpha reductase in these cell culture systems.
Isolated and cultured dermal papilla cells are prepared according to the methods of Messenger, A.G., The Culture of Dermal Papilla Cells From Human Hair Follicles , Br. J. Dermatol. 110:685-689, 1984 and Itami, S. et al., S~x-Reductase Activity In Cultured Human Dermal Papilla Cells From Beard Compared With Reticular Dermal Fibroblasts , J. Invest. Dermatol. 94:150-152, 1990. Beard dermal papilla cells and occipital scalp hair of two different individuals are used throughout the study. All experiments are performed at confluency after the fourth to sixth subculture. Confluent monolayers are rinsed twice with phosphate-buffered saline, scraped from dishes by rubber policemen, and collected into a centrifuge tube. The cell suspensions are centrifuged at 1,500 rpm for 10 min at 4°C. The pellets are resuspended in 20 mM Tris-HCl buffer, pH 7.5, at 4°C, containing 250 mM sucrose, 1 mM MgCl2, and 2 mM CaCl2, by vortexing and 10 passes through a 25-gauge needle. The crude homogenate is further homogenized by a teflon-glass homogenizer, and is used as the cell homogenate. For the study of subcellular localization of Sa-reductase, the cell homogenate is centrifuged at 800 x g for 10 min to yield a crude nuclear pellet. The resultant supernatant is centrifuged at 10,000 x g for 15 min to produce a crude mitochondria) pellet. The supernatant is centrifuged at 100,000 x g WO 95/1125-1 PCT/US9.1/12071 2'1 ~'~ ~ 6~' . _ 84 _ for 60 min to yield a microsomal pellet and cytosol. Each particulate fraction is washed twice and resuspended in the buffer.
A standard incubation mixture will consist of 50 nM [3H]-testosterone, 1 mM NADPH, 100 mM sodium citrate, pH 5.5 or 100 mM
Tris-HCI, pH 7.5, and 50 ~I of the cell homogenate, in a final volume of 100 ~.1. Each tube contains 50-100 ~g of cellular protein. Incubation is carried out at 37°C for 30 min. During this incubation, the reaction is proportional to the time. For the study of optimum pH, citrate buffer is used at pH 4.5-6.5, and the Tris HCI buffer at pH 7.0-9Ø The protein 1 o content is determined by the method of Lowry, et al., Protein Measurement With The Folin Phenol Reagent J. Biol. Chem.
193:265-275, 1951.
After incubation, the reaction is stopped by adding 4 times volume of chloroform-methanol (2/1:V/V) containing 110 ~g each of 15 earner steroids. The extracted steroids are analyzed by thin-layer chromatography as previously described by Gomez, et al., In Vitro Metabolism Of Testosterone-4-14C and d-androstene-3, 17-dione-4-14C
In Human Skin. Biochem. 7:24-32, 1968, and the purity of each steroid is determined by the recrystallization method. The activity of Sa-reductase 2 o is expressed by the sum of dihydrotestosterone, androstanediol and androstanedione formed. [ 1,2-3H]-testosterone (55.2 Ci/mmol) is obtainable from New England Nuclear Corporation (Boston, MA) and unlabeled steroids can be purchased from Sigma Chemical Company (St.
Louis, MO). Fetal calf serum is obtainable from Hazleton (Lenaxa, 2 s Kansas). All other chemicals are of reagent grade.
Fuzzv Rat Acne Model Adult fuzzy rats are a variety of rat that has stunted hair growth, brown colored seborrhea covering their entire back skin and 3 o abnormally increased sebum production after puberty that has been demonstrated to be due to circulating androgens. 0.1, 0.05 and 0.025%
solutions of a selected Sa-reductase inhibitor of interest are prepared in a vehicle of propylene glycol, isopropanol, isopropyl myristate and water (50/30/2/18%), and is topically applied onto the backs of adult male fuzzy rats, 0.2 ml per animal daily for 4 weeks. Controls receive the vehicle alone and 5 of them are castrated. After 2 weeks seborrhea will be dose-dependently depleted and after 4 weeks bromodeoxyuridine (BrdU, 200 mg/kg) is intraperitoneally injected 2 hours before sacrifice. The skin tissues are incubated with EDTA (20 mM) in phosphate buffer, 1.5 hours at 37°C. The pilo-sebaceous unit attached to the epidermis is striped from the dermis and fixed with formalin for immuno-staining of BrdU.
DNA synthesis cells showing a BrdU-positive nucleus are located in the outer glandular border. The number of S-phase cells per lobe is determined with a micro-image apparatus. Using formalin fixed skin, frozen serial sections are stained 'with 1 osmium and the size of the lobes is measured. A positive inhibitor of skin ~a-reductrase will induce suppression of sebum production by inhibiting the rate of glandular cell turnover, and showing reduced lobular size.
The following describes an example methodology that can be used for detection of hair growth.
MACROPHOTOGRAPHY AND GLOBAL PHOTOGRAPHY PROCEDURE FOR
DETECTION OF HAIR GROWTH
A. Macrophoto -graphic Procedure Location: ID card Haircount target area Equipment: Film: Kodak-T-max (Trade-mark) 24 exposure each of same emulsion lot number Camera: Nikon N-6000 (Trade-mark) Lens: Nikkor (Trade-mark) 60 mm f2.8 Flashes: Nikon SB-21 B Macroflash (Trade-mark) Device: registration device Photo -graphic Procedure:
In these clinical photographs, the only variable allowed is the haircount.
Film emulsion, lighting, framing, exposure, and reproduction ratios are held constant.

WO 9511125-1 PCT/US9.1I12071 _86_ 1. The haircount area on the patient is prepared as follows: A
small (~ 1 mm) dot tattoo is placed at the beginning of the study at the leading edge of the bald area directly interior to the center of the vertex bald spot, using a commercial tattooing machine or manually (needle and ink). An area approximately one square inch in size, centered at the tattoo at the leading edge of the balding area, is clipped short (~2mm). Cut hairs are removed from the area to be photographed, using tape. Compressed air and/or ethanol 1 o wipes may also be used to facilitate removal of cut hairs.
2. Magnification: Each lens supplied has a fixed reproduction ratio of 1:1.2.
Aperture: Every photograph is taken at f/22.
Filin: T-Max 100 (24 exposure) is used.
15 3, Patient's haircount target area. Three exposures (-2/3, 0, and +2/3 f-stop).
A trained technician places a transparency over the photograph and, using a felt tip pen, places a black dot over each visible 2 o hair. The dot map transparency is then counted using image analysis with computer assistance.
Photographs are coded with a random number corresponding to study site, visit number and patient allocation number to insure blinding to time. At Month 6, baseline and Month 6 photographs are 2 s counted and data analyzed for interim analysis. At Month 12, baseline, Month 6 and Month 12 photographs are counted and data analyzed for the primary endpoint.
Methodology for detection of hair growth is also described in Olsen, E.A. and Delong, E., J. American Academy of Dermatology, 3 o Vol. 23, p. 470 ( 1990).

B. Global Photographic Procedure Locations: Color card/patient Id Global photograph Equipment: Film:
Kodachrome KR-64 24 exposure each of same emulsion lot number Camera: Nikon N-6000 (Trade-mark) Lens: Nikkor (Trade-mark) 60 mm f2.8 Flashes: Nikon SB-23 (Trade-mark) Color card/patient Id Photog-raphic Procedure In these clinical photographs, the only variable allowed is the global area's appearance. Anything extraneous to the area (clothing, furniture, walls, etc.) is eliminated from the fields to be photographed.
1. Patients will have global photographs taken prior to hair clipping with the head in a fixed position (determined by the supplied stereotactic device).
Hair on the patient's head is positioned consistently so as to not obscure the bald area.
2. Magnification: Each lens supplied has a fixed reproduction ratio of 1:6.
Aperture: Every photograph will be taken at f/11. Film: Kodachrome(Trade-mark)(24 exposure) is used.
3. Patient's global photographs. Three exposures at zero compensation.
While the invention has been described and illustrated with reference to certain particular embodiments thereof, those skilled in the art will appreciate that various changes, modifications and substitutions can be made therein without departing from the spirit and scope of the invention. For example, effective dosages other than the particular dosages as set forth herein above may be applicable as a consequence of variations in the responsiveness of the mammal being treated for any of the indications for the compounds of the invention indicated above.
Likewise, the specific pharmacological responses observed may vary PCTIUS9:1/12071 according to and depending upon the particular active compound selected , or whether there are present pharmaceutical carriers, as well as the type of formulation and mode of administration employed, and such expected t variations or differences in the results are contemplated in accordance with the objects and practices of the present invention. It is intended, therefore, that the invention be defined by the scope of the claims which follow and that such claims be interpreted as broadly as is reasonable.
to

Claims (75)

WHAT IS CLAIMED IS:
1. A compound of the Formula I
or a pharmaceutically acceptable salt or ester thereof wherein:
the C1-C2 carbon-carbon bond may be a single bond, or a double bond as indicated by the dashed line;
R1 is selected from the group consisting of hydrogen and C1-10 alkyl;
R2 is selected from the group consisting of hydrogen and C1-10 alkyl;
one of R3 and R4 is selected from the group consisting of hydrogen and methyl, and the other is selected from the group consisting of (a) amino;
(b) cyano;
(c) fluoro, (e) OH;
(f) -C(O)NR b R c, where R b and R c are independently H, C1-6 alkyl, aryl, or ary 1 C1-6 alkyl; wherein the alkyl moiety can be substituted with 1-3 of: halo; C1-4 alkoxy; or trifluoromethyl; and the aryl moiety can be substituted with 1-3 of halo; C1-4 alkyl; C1-4 alkoxy; or trifluoromethyl;
(g) C1-10 alkyl-X-; with the proviso that X is not -CH(R e)-, (h) C2-10 alkenyl-X-; with the proviso that X is not -CH(R e)-, wherein the C1-10 alkyl in (g) and C2-10 alkenyl in (h) can be unsubstituted or substituted with one to three of i) halo; hydroxy; cyano; vitro; mono-, di- or trihalomethyl; oxo; hydroxysulfonyl; carboxy;
ii) hydroxy C1-6alkyl; C 1-6alkyloxy; C 1-6 alkylthio; C1-6alkylsulfonyl; C1-6 alkyloxycarbonyl; in which the C1-6 alkyl moiety can be further substituted with 1-3 of:
halo; C1-4 alkoxy; or trifluoromethyl;
iii) arylthio; aryl; aryloxy; arylsulfonyl;
aryloxycarbonyl; in which the aryl moiety can be further substituted with 1-3 of: halo; C1-4 alkyl; C1-4 alkoxy; or trifluoromethyl;
iv) -C(O)NR b R c; -N(R b)-C(O)-R c; -NR b R c;
where R b and R c are defined above;
(i) aryl-X-;
(j) heteroaryl-X-, wherein heteroaryl is a 5, 6 or 7 membered heteroaromatic ring containing at least one member selected from the group consisting of: one ring oxygen atom, one ring sulfur atom, 1-4 ring nitrogen atoms, or combinations thereof; in which the heteroaromatic ring can also be fused with one benzo or heteroaromatic ring;
wherein the aryl in (i) and heteroaryl in (j) can be unsubstituted or substituted with one to three of:
v) halo; hydroxy; cyano; vitro; mono-, di- or trihalomethyl; mono-, di- or trihalomethoxy;
C2-6 alkenyl; C3-6 cycloalkyl; formyl;
hydrosulfonyl; carboxy; ureido;
vi) C 1-6 alkyl; hydroxy C1-6 alkyl; C1-6 alkyloxy;
C1-6 alkyloxy C1-6alkyl; C1-6 alkylcarbonyl;
C1-6 alkylsulfonyl; C1-6 alkylthio; C1-6 alkylsulfinyl; C1-6 alkylsulfonamido; C1-6 alkylarylsulfonamido; C1-6 alkyloxy-carbonyl;
C1-6 alkyloxycarbonyl C1-6alkyl; R b R c N-C(O)-C1-6alkyl; C1-6 alkanoylamino C1-6 alkyl; aroylamino C1-6 alkyl; wherein the C1-6 alkyl moiety can be substituted with 1-3 of:
halo; C1-4alkoxy; or trifluoromethyl;
vii) aryl; aryloxy; arylcarbonyl; arylthio;
arylsulfonyl; arylsulfinyl; arylsulfonamido;
aryloxycarbonyl; wherein the aryl moiety can be substituted with 1-3 of: halo; C1-4alkyl; C1-4alkoxy; or trifluoromethyl;
viii) -C(O)NRbRc; -O-C(O)-NRbRc; -N(Rb)-C(O)-Rc; -NRbRc; Rb-C(O)-N(Rc)-; where Rb and Rc are defined in (f) above; and -N(Rb)-C(O)-ORg, wherein Rg is C1-(alkyl or aryl, in which the alkyl moiety can be substituted with 1-3 of:
halo; C1-4alkoxy; or trifluoromethyl, and the aryl moiety can be substituted with 1-3 of: halo;
C1-4alkyl; C1-4alkoxy, or trifluoromethyl;
-N(Rb)-C(O) NRcRd, wherein Rd is selected from H, C1-6alkyl, and aryl; in which said C1-6alkyl and aryl can be substituted as described above in (f) for Rb and Rc;
ix) a heterocyclic group, which is a 5, 6 or 7 membered ring, containing at least one member selected from the group consisting of: one ring oxygen atom, one ring sulfur atom, 1-4 ring nitrogen atoms, or combinations thereof; in which the heterocyclic ring can be aromatic, unsaturated, or saturated, wherein the heterocyclic ring can be fused with a benzo ring, and wherein said heterocyclic ring can be substituted with one to three substituents, as defined above for v), vi), vii) and viii), excluding ix) a heterocyclic group; and (k) R3 and R4 taken together can be carbonyl oxygen;

(1) R3 and R4 taken together can be =CH-Rg, wherein Rg is defined in viii); and wherein:

X is selected from the group consisting of:
-O-;-S(O)n-;-C(O)-;-CH(Re)-;-C(O)-O-*;-C(O)-N(Re)-*;
-N(Re)-C(O)-O-*;-O-C(O)-N(Re)-*;-N(Re)C(O)-N(Re)-;
-O-CH(Re)-*;-N(Re)-; wherein Re is H, C1-3 alkyl, aryl, aryl-C1-3 alkyl, or unsubstituted or substituted heteroaryl, as defined above in (j);
wherein the asterisk (*) denotes the bond which is attached to the 16-position in Structure I; and n is zero, 1 or 2.
2. The compound of Claim 1 wherein R1 is hydrogen or methyl and R2 is hydrogen or methyl.
3. The compound of Claim 1 wherein heteroaryl is selected from unsubstituted or substituted: pyridyl; furyl; pyrryl; thienyl;
isothiazolyl; imidazolyl; benzimidazolyl; tetrazolyl; pyrazinyl; pyrimidyl;
quinolyl; isoquinolyl; quinazolyl; benzofuryl; isobenzofuryl;
benzothienyl; pyrazolyl; indolyl; isoindolyl; purinyl; carbazolyl;
isoxazolyl; thiazolyl; isothiazolyl; oxazolyl; benzthiazolyl; and benzoxazolyl.
4. The compound of Claim 3 wherein said heteroaryl can be substituted with one to two substituents.
5. The compound of Claim 1 wherein said heterocyclic group is selected from unsubstituted or substituted: pyridyl; furyl; pyrryl;
thienyl; isothiazolyl; imidazolyl; benzimidazolyl; tetrazolyl; pyrazinyl;
pyrimidinyl; quinolyl; isoquinolyl; benzofuryl; isobenzofuryl;
benzothienyl; pyrazolyl; indolyl; isoindolyl; purinyl; carbazolyl;
isoxazolyl; thiazolyl; oxazolyl; benzthiazolyl; benzoxazolyl; and dihydro, tetrahydro, hexahydro; and saturated derivatives thereof.
6. The compound of Claim 5 wherein said heterocyclic group can be substituted with one to two substituents.
7. The compound of Claim 2 wherein:
one of R3 and R4 is selected from the group consisting of hydrogen and methyl, and the other is selected from the group consisting of:
(b) cyano;
(c) fluoro;
(e) OH;
(g) C1-10 alkyl-X-, with the proviso that X is not -CH(Re)-, where alkyl can be substituted with aryl, and wherein aryl in turn can be substituted with, 1-2 of halo or C1-6 alkyl;
(h) C2-10 alkenyl-X, with the proviso that X is not -CH(Re)-, (i) aryl-X-;
(j) heteroaryl-X-, wherein heteroaryl is a 5 or 6 membered heteroaromatic ring containing 1-2 ring nitrogen atoms; wherein the aryl in (i) and heteroaryl in (j) can be unsubstituted or substituted with one to two of:
x) halo; cyano; nitro; trihalomethyl; trihalomethoxy; C1-6 alkyl;
aryl; C1-6 alkylsulfonyl; C1-6 alkyl-arylsulfonamino;
xi) -NRbRc;Rb-C(O)-N(Rc)-; wherein Rb and Rc are independently H,C1-6 alkyl, aryl, or aryl C1-6 alkyl;
wherein the alkyl moiety can be substituted with 1-3 of: halo;
C1-4 alkoxy; or trifluoromethyl; and the aryl moiety can be substituted with 1-3 of: halo; C1-4 alkyl; C1-4 alkoxy; or trifluoromethyl;
xii) a heterocyclic group, which is a 5 membered aromatic ring, containing one ring nitrogen atom, or one ring oxygen and one ring nitrogen atom; and (k) wherein R3 and R4 taken together can be carbonyl oxygen; and wherein:

X is selected from the group consisting of:

-O-;-S(O)n-;-CH(Re)-;-C(O)-N(Re)-*;
_O-C(O)-N(Re)-*;
wherein Re is H, C1-3 alkyl, aryl, aryl C1-3 alkyl;
wherein the asterisk (*) denotes the bond which is attached to the 16-position in Structure I; and n is zero or 2.
8. The compound of Claim 1 selected from the group consisting of:
4-aza-4,7.beta.-dirnethyl-5.alpha.-androstane-3,16-dione;
4-aza-4-methyl-5.alpha.-androstan-3,16-dione;
3-oxo-4-aza-4-methyl-16.beta.-hydroxy-5.alpha.-androstane;
3-oxo-4-aza-4-methyl-16.beta.-(benzylaminocarbonyloxy)-5.alpha.-androstane;
3-oxo-4-aza-4-methyl-16.beta.-benzoylamino-5.alpha.-androstane;
3-oxo-4-aza-4-methyl-16.beta.-methoxy-5.alpha.-androstane;
3-oxo-4-aza-4-methyl-16.beta.-allyloxy-5.alpha.-androstane;
3-oxo-4-aza-4-methyl-16.beta.-(n-propyloxy)-5.alpha.-androstane;
3-oxo-4-aza-4-methyl-16.alpha.-hydroxy-5.alpha.-androstane;
3-oxo-4-aza-4-methyl-16.beta.-(phenoxy)-5.alpha.-androstane;
3-oxo-4-aza-7.beta.-methyl-16.beta.-(phenoxy)-5.alpha.-androst-1-ene;
3-oxo-4-aza-4-methyl-16.alpha.-methoxy-5.alpha.-androstane;
3-oxo-4-aza-4-methyl-16.beta.-(4-chlorophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-7.beta.-methyl-16.beta.-(4-chlorophenoxy)-5.alpha.-androst-I-ene;
3-oxo-4-aza-7.beta.-methyl-16.beta.-(4-chlorophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-7.beta.-methyl-16.beta.-(3-chloro-4-methylphenoxy)-5.alpha.-androstane;
3-oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-5.alpha.-androstane;
3-oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-5.alpha.-androst-I-ene;
3-oxo-4-aza-7.beta.-methyl-16.beta.-[4-(1-pyrrolyl)phenoxy]-5.alpha.-androst-1-ene;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-hydroxy-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-methoxy-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-allyloxy-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(3,3-dimethylallyloxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(n-propyloxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(iso-pentoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,16.alpha.-dimethyl-16.beta.-hydroxy-5.alpha.-androstane;

3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-ethyloxy-5.alpha.androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-benzyloxy-5.alpha.androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.alpha.-hydroxy-5.alpha.androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-methylthio-5.alpha.androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(n-propylthio)-5.alpha.androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-fluoro-5.alpha.androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-cyano-5.alpha.androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(1-hexyl)-5.alpha.androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(n-propyl)-5.alpha.androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-benzyl-5.alpha.androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-chlorobenzyl)-5.alpha.androstane;
3-oxo-4-aza-4,16.alpha.-dimethyl-16.beta.-methoxy-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-cyanophenoxy)-5.alpha.androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(3-cyanophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-nitrophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.(1-naphthyloxy)-5.alpha.androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(3-chloro-4-methylphenoxy)-5.alpha.
androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-methylphenoxy)-5.alpha.androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(tert-butyloxy)-5.alpha.androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(3-methyl-1-butyloxy)-5.alpha.androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.alpha.-(n-propyloxy)-5.alpha.androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-trifluoromethylphenoxy)-5.alpha.
androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-trifluoromethoxyphenoxy)-5.alpha.
androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-ethylthio-5.alpha.androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-ethylsulfonyl-5.alpha.androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-methylsulfonylphenoxy)-5.alpha.
androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-[4-(4-tolylsulfonylamino)phenoxy]-5.alpha.
androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(3-pyridyloxy)-5.alpha.androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-[(4-phenyl)phenoxy)-5.alpha.androstane;

3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-fluorophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(2-pyrazinyloxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-[4-(5-oxazolyl)phenoxy]-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(2-pyrimidinyloxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-[4-(1-pyrryl)phenoxy]-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-aminophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta-dimethyl-16.beta.-(4-acetylaminophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-benzoylaminophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-chlorophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(phenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(2-chlorophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(3-chlorophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta-(4-chlorophenoxy)-5.alpha.-androst-1-ene;
3-oxo-4-aza-4,7.beta.-dimethyl-16-(4-chlorobenzylidene)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16-benzylidene-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16-(4-methylbenzylidene)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16-(4-chlorobenzyl )-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16-(4-methylbenzyl)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16-(3-pyridylmethyl)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.alpha.-methanesulfonyl-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-thiophenoxy-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-chlorothiophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta-(4-fluorothiophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-methylthiophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-methoxythiophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-phenylsulfinyl-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-phenylsulfonyl-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.,16.alpha.-trimethyl-16.beta.-(4-trifluoromethylphenoxy)-5.alpha.-androstane, 3-oxo-4-aza-4,7.beta.,16a-trimethyl-16.beta-hydroxy-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.,16a-trimethyl-16.beta-methoxy-5.alpha.-androstane;
and pharmaceutically acceptable salts thereof.
9. The compound of Claim 7 wherein the C1-C2 carbon-carbon bond is a single bond, R1 is methyl, R2 is methyl, R3 is selected from unsubstituted or substituted aryloxy, and R4 is hydrogen.
10. The compound of Claim 1 selected from the group consisting of:
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-cyanophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(3-cyanophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-nitrophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(1-naphthyloxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(3-chloro-4-methylphenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-methylphenoxy)-5.alpha.-androstane;
3-oxo-4-aza:-4,7.beta.-dimethyl-16.beta.-(4-trifluoromethylphenoxy)-5.alpha.-androstane;
3-oxo-4-aza.-4,7.beta.-dimethyl-16.beta.-(4-trifluoromethoxyphenoxy)-5.alpha.-androstalne;
3-oxo-4-aza.-4,7.beta.-dimethyl-16.beta.-(4-methylsulfonylphenoxy)-5.alpha.-androstane;
3-oxo-4-aza.-4,7.beta.-dimethyl-16.beta.-[4-(4-tolylsulfonylamino)phenoxy]-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-[(4-phenyl)phenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-fluorophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-[4-(5-oxazolyl)phenoxy]-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-[4-(1-pyrryl)phenoxy]-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-aminophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-acetylaminophenoxy)-5.alpha.-androstane:
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-benzoylaminophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-chlorophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(phenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(2-chlorophenoxy)-5.alpha.-androstane;
3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(3-chlorophenoxy)-5.alpha.-androstane;
and the pharmaceutically acceptable salts thereof.
11. The compound 3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-chloro-phenoxy)-5.alpha.-androstane, or a pharmaceutically acceptable salt thereof.
12. 3-Oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-5.alpha.-androst-1-ene, or a pharmaceutically acceptable salt thereof.
13. 3-Oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-5.alpha.-androst-1-ene.
14. A pharmaceutically acceptable salt of 3-oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-5.alpha.-androst-1-ene.
15. A compound of formula (I), as defined in any one of claims 1 to 10, or a pharmaceutically acceptable salt or ester thereof, for use in inhibiting 5.alpha.-reductase 1, or in combination with an inhibitor of 5.alpha.-reductase 2, for use in inhibiting 5.alpha.-reductase or the isoenzyme thereof.
16. Use of a compound of formula (I), as defined in any one of claims 1 to 10, or a pharmaceutically acceptable salt or ester thereof, in the manufacture of a medicament for inhibition of 5.alpha.-reductase 1.
17. Use of a compound of formula (I), as defined in any one of claims 1 to 10, or a pharmaceutically acceptable salt or ester thereof, as a 5.alpha.-reductase 1 inhibitor.
18. Use of a compound of formula (I), as defined in any one of claims 1 to 10, or a pharmaceutically acceptable salt or ester thereof in the manufacture of a medicament for treating a condition selected from acne vulgaris, androgenic alopecia, female hirsutism and benign prostatic hyper-plasia, prostatitis, or treatment or prevention of prostatic cancer.
19. Use according to claim 18, wherein said medicament is for treating androgenic alopecia.
20. Use according to claim 19, wherein said androgenic alopecia is male pattern baldness.
21. A compound of Formula (I) according to any one of claims 1 to 10, or a pharmaceutically acceptable salt or ester thereof, for use in the treat-ment of a condition selected from acne vulgaris, androgenic alopecia, female hirsutism and benign prostatic hyperplasia, prostatitis, or treatment or preven-tion of prostatic cancer.
22. A compound for use according to claim 21 in the treatment of androgenic alopecia.
23. A compound for use according to claim 22, wherein said androgenic alopecia is male pattern baldness.
24. A compound for use according to claim 21, 22 or 23, in combination with an inhibitor of 5.alpha.-reductase 2.
25. A compound for use according to claim 24, wherein said inhibitor of 5.alpha.-reductase 2 is finasteride, epristeride or turosteride.
26. A compound for use according to claim 24 or 25 further in combination with a potassium channel opener.
27. A compound for use according to claim 26, wherein said potassium channel opener is minoxidil or a pharmaceutically acceptable salt thereof.
28. A compound of Formula (I), as defined in any one of claims 1 to 10, or a pharmaceutically acceptable salt or ester thereof, for use in treating the condition of acne vulgaris.
29. A compound for use according to claim 28, in combination with an inhibitor of 5.alpha.-reductase 2 and a retinoid.
30. A compound for use according to claim 29, wherein said retinoid is tretinoin, isotretinoin, or a pharmaceutically acceptable salt thereof.
31. Use of a compound of formula (I), as defined in any one of claims 1 to 10, or a pharmaceutically acceptable salt or ester thereof, in the manufacture of a medicament for treating the condition of acne vulgaris.
32. A compound of formula (I), as defined in any one of claims 1 to 10, or a pharmaceutically acceptable salt or ester thereof, for use in treatment or prevention of prostatic cancer.
33. A compound for use according to claim 32 in combination with an inhibitor of 5.alpha.-reductase 2 and an anti-androgen.
34. A compound for use according to claim 33, wherein said anti-androgen is selected from flutamide, spironolactone, casodex, or a pharmaceu-tically acceptable salt thereof.
35. Use of a compound of formula (I), as defined in any one of claims 1 to 10, or a pharmaceutically acceptable salt or ester thereof, in the manufacture of a medicament for treatment or prevention of prostatic cancer.
36. A compound of formula (I), as defined in any one of claims 1 to 10, or a pharmaceutically acceptable salt or ester thereof, for use in treating benign prostatic hyperplasia.
37. A compound for use according to claim 36, in combination with an inhibitor of 5.alpha.-reductase 2.
38. A compound for use according to claim 37, wherein said inhibitor of 5.alpha.-reductase 2 is finasteride, epristeride, turosteride, or a pharma-ceutically acceptable salt thereof.
39. A compound for use according to claim 35, 37 or 38, in combination with an alpha-1 receptor antagonist.
40. A compound for use according to claim 39, wherein said antagonist is terazosin.
41. Use of a compound of formula (I), as defined in any once of claims 1 to 10, or a pharmaceutically acceptable salt or ester thereof, in the manufacture of a medicament for treating benign prostatic hyperplasia.
42. A compound of formula (I), as defined in any one of claims 1 to 10, or a pharmaceutically acceptable salt or ester thereof, for use in arresting and reversing androgenic alopecia and promoting hair growth in a mammal:
43. A compound for use according to claim 42, in combination with an inhibitor of 5.alpha.-reductase 2.
44. Use of a compound of formula (I), as defined in any one of claims 1 to 10, or a pharmaceutically acceptable salt or ester thereof, in the manufacture of a medicament for arresting and reversing androgenic alopecia and promoting hair growth in a mammal.
45. A compound of formula (I), as defined in any one of claims 1 to 10, or a pharmaceutically acceptable salt or ester thereof, for use in inhibiting the biosynthetic conversion of testosterone to dihydrotesterone in a mammal.
46. Use of a compound of formula (I), as defined in any one of claims 1 to 10, or a pharmaceutically acceptable salt or ester thereof, in the manufacture of a medicament for inhibiting the biosynthetic conversion of testosterone to dihydrotesterone in a mammal.
47. A pharmaceutical composition comprising a pharmaceutically acceptable carrier and a therapeutically effective amount of a compound of formula (I), as defined in any one of claims 1 to 10, or a pharmaceutically acceptable salt or ester thereof.
48. The pharmaceutical composition of claim 47, further comprising a therapeutically effective amount of an inhibitor of 5.alpha.-reductase 2, or a pharmaceutically acceptable salt thereof.
49. The pharmaceutical composition of claim 48, wherein said 5.alpha.-reductase 2 inhibitor is finasteride, epristeride or turosteride.
50. The pharmaceutical composition of claim 47, 48 or 49, wherein said compound is 3-oxo-4-aza-4,7.beta.-dimethyl-16.beta.-(4-chlorophenoxy)-5.alpha.-androstane, or a pharmaceutically acceptable salt thereof.
51. The pharmaceutical composition of claim 47, 48, 49 or 50, further comprising a therapeutically effective amount of a potassium channel opener, or a pharmaceutically acceptable salt thereof.
52. The pharmaceutical composition of claim 51, wherein said potassium channel opener is minoxidil, or a pharmaceutically acceptable salt thereof.
53. The pharmaceutical composition of claim 51 or 52, wherein said carrier is adapted for topical application.
54. The pharmaceutical composition of claim 47, 48 or 49, further comprising a retinoid, or a pharmaceutically acceptable salt thereof.
55. The pharmaceutical composition of claim 54, wherein said retinoid is tretinoin, isotretinoin, or a pharmaceutically acceptable salt thereof.
56. The pharmaceutical composition of claim 47, 48 or 49, further comprising an anti-androgen, or a pharmaceutically acceptable salt thereof.
57. The pharmaceutical composition of claim 56, wherein said anti-androgen is flutamide, spironolactone, casodex, or a pharmaceutically accept-able salt thereof.
58. 3-Oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-5.alpha.-androst-1-ene, or a pharmaceutically acceptable salt thereof, for use in the treatment of acne vulgaris.
59. 3-Oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-5.alpha.-androst-1-ene, for use in the treatment of acne vulgaris.
60. A pharmaceutically acceptable salt of 3-oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-5.alpha.-androst-1-ene, for use in the treatment of acne vulgaris.
61. Use of 3-oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-Sa-androst-1-ene, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for the treatment of acne vulgaris.
62. Use of 3-oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-Sa-androst-1-ene, in the manufacture of a medicament for the treatment of acne vulgaris.
63. Use of a pharmaceutically acceptable salt of 3-oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-5.alpha.-androst-1-ene, in the manufacture of a medicament for the treatment of acne vulgaris.
64. 3-Oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-5.alpha.-androst-1-ene, or a pharmaceutically acceptable salt thereof, in combination with the 5.alpha.-reductase 2 inhibitor finasteride, for use in treating benign prostatic hyperplasia.
65. 3-Oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-5.alpha.-androst-1-ene, in combination with 5.alpha.-reductase 2 inhibitor finasteride, for use in treating benign prostatic hyperplasia.
66. A pharmaceutically acceptable salt of 3-oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-5.alpha.-androst-1-ene, in combination with the 5.alpha.-reductase 2 inhibitor finasteride, for use in treating benign prostatic hyperplasia.
67. 3-Oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-5.alpha.-androst-1-ene, or a pharmaceutically acceptable salt thereof, in combination with the 5.alpha.-reductase 2 inhibitor finasteride, for use in treatment or prevention of prostatic cancer.
68. Use of 3-oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-5.alpha.-androst-1-ene, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treatment of benign prostatic hyperplasia.
69. Use of 3-oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-5.alpha.-androst-1-ene, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treatment or prevention of prostatic cancer.
70. A pharmaceutical composition comprising a therapeutically effective amount of 3-oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-5.alpha.-androst-1-ene, or a pharmaceutically acceptable salt thereof, in association with a pharmaceutically acceptable carrier.
71. A pharmaceutical composition comprising a therapeutically effective amount of 3-oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-5.alpha.-androst-1-ene, in association with a pharmaceutically acceptable carrier.
72. A pharmaceutical composition comprising a therapeutically effective amount of a pharmaceutically acceptable salt of 3-oxo-4-aza-7.beta.-methyl-16.beta.-(4-methylphenoxy)-5.alpha.-androst-1-ene, in association with a pharmaceutically acceptable carrier.
73. A pharmaceutical composition for treatment of acne vulgaris according to claim 70, 71 or 72.
74. A pharmaceutical composition according to claim 70, 71 or 72, in combination with the 5.alpha.-reductase 2 inhibitor finasteride, for treatment of benign prostatic hyperplasia.
75. A pharmaceutical composition according to claim 70, 71 or 72, in combination with the 5.alpha.-reductase 2 inhibitor finasteride, for treatment or prevention of prostatic cancer.
CA002173863A 1993-10-21 1994-10-21 16-substituted-4-aza-androstane 5-alpha-reductase isozyme 1 inhibitors Expired - Fee Related CA2173863C (en)

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