
Ulipristal
Description
Chemical Classification and Structural Family
This compound belongs to the norpregnane family of synthetic steroids, specifically classified as a 19-norprogesterone derivative. The compound's structural foundation lies within the steroid hormone family, characterized by its four-ring cyclopentanoperhydrophenanthrene backbone typical of steroid molecules. This structural classification places this compound among the norsteroids, which are synthetic compounds derived from naturally occurring steroid hormones through specific molecular modifications.
The chemical identity of this compound is defined by its molecular formula $$ \text{C}{28}\text{H}{35}\text{NO}_3 $$ and molecular weight of 433.58 daltons. The compound's International Union of Pure and Applied Chemistry name reflects its complex stereochemical arrangement: (8S,11R,13S,14S,17R)-17-acetyl-11-[4-(dimethylamino)phenyl]-13-methyl-3-oxo-1,2,6,7,8,11,12,14,15,16-decahydrocyclopenta[a]phenanthren-17-ol. This nomenclature reveals the presence of multiple chiral centers and functional groups that contribute to the compound's biological activity.
The structural family of this compound encompasses several key functional groups that define its pharmacological properties. The presence of a dimethylamino group attached to a phenyl ring at the 11-position distinguishes this compound from other steroid compounds and contributes significantly to its receptor binding characteristics. The ketone group at position 3 and the hydroxyl group at position 17 are essential for maintaining the steroid backbone's integrity and enabling receptor interactions.
Within the broader classification of selective progesterone receptor modulators, this compound represents a distinct structural subtype characterized by its specific substitution pattern and stereochemical configuration. The compound's relationship to 19-norprogesterone places it within a family of synthetic progestins that have been modified to alter their receptor selectivity and biological activity profiles. This structural heritage provides insight into the rational design principles used to develop selective progesterone receptor modulators with enhanced therapeutic potential.
Historical Development of this compound Compounds
The development of this compound compounds emerged from extensive research into selective progesterone receptor modulators conducted in the late 20th and early 21st centuries. The compound was originally developed as part of collaborative efforts between multiple research institutions, including the National Institutes of Health and various pharmaceutical companies. The initial synthesis and characterization of this compound represented a significant advancement in the field of reproductive endocrinology, building upon earlier work with mifepristone and other first-generation selective progesterone receptor modulators.
Laboratoire Human Reproduction Associates Pharma in France played a pivotal role in the development and refinement of this compound compounds. The company's research efforts focused on creating second-generation selective progesterone receptor modulators with improved selectivity profiles and reduced side effect potential compared to existing compounds. This developmental pathway led to the creation of this compound as a more tolerable alternative to mifepristone, with lower glucocorticoid activity and better binding affinity for progesterone receptors.
The synthetic methodologies for producing this compound have undergone continuous refinement since its initial development. Early synthetic approaches required multiple steps and produced relatively low yields, limiting the compound's availability for research purposes. Subsequent improvements in synthetic chemistry led to more efficient routes for this compound production, including a notable six-step synthesis process that achieved approximately 27.4% total yield, making it more suitable for industrial-scale production.
Research into this compound stereoisomers and related compounds has expanded significantly since the original development. Scientists have identified and characterized multiple stereoisomeric forms of this compound, including 11α,17α-isomer, 11α,17β-isomer, and 11β,17β-isomer variants. These investigations have provided valuable insights into structure-activity relationships and have contributed to a better understanding of how subtle molecular changes can affect biological activity and receptor binding characteristics.
The evolution of this compound synthesis has also focused on identifying and characterizing potential impurities and degradation products. Comprehensive studies have analyzed various stereoisomeric and N,N-didemethylated impurities that may arise during the manufacturing process. These research efforts have been crucial for establishing quality control standards and ensuring the consistency of this compound preparations used in research applications.
This compound vs. This compound Acetate: Molecular Distinctions
The distinction between this compound and this compound acetate represents a fundamental difference in molecular structure that significantly impacts the compounds' chemical and pharmacological properties. This compound acetate is derived from this compound through acetylation of the 17-hydroxy group, resulting in the addition of an acetyl functional group to the parent molecule. This structural modification transforms the molecular formula from $$ \text{C}{28}\text{H}{35}\text{NO}3 $$ for this compound to $$ \text{C}{30}\text{H}{37}\text{NO}4 $$ for this compound acetate, increasing the molecular weight from 433.58 to 475.6 daltons.
The acetylation process involves the conversion of the 17-hydroxy group in this compound to an acetate ester in this compound acetate. This chemical transformation is represented by the attachment of an acetyl group (CH₃CO-) to the hydroxyl oxygen at position 17 of the steroid backbone. The resulting ester linkage creates a prodrug relationship, where this compound acetate serves as a more stable and bioavailable form that can be converted back to the active this compound molecule through metabolic processes.
The structural differences between these compounds extend beyond simple molecular weight considerations to encompass significant changes in chemical stability, solubility, and biological activity. The acetate ester group in this compound acetate provides enhanced chemical stability compared to the free hydroxyl group in this compound, making the acetate derivative more suitable for pharmaceutical formulations and storage. This increased stability results from the protection of the reactive hydroxyl group, which reduces the potential for oxidation and other degradative reactions.
Crystallographic analysis reveals that this compound acetate exhibits a white to yellow crystalline powder appearance, reflecting the impact of the acetyl group on the compound's solid-state properties. The ester modification affects the compound's lipophilicity and membrane permeability characteristics, potentially influencing its distribution and metabolism within biological systems. These physicochemical differences make this compound acetate the preferred form for most research and therapeutic applications, despite this compound being the ultimate active molecular species.
Properties
IUPAC Name |
(8S,11R,13S,14S,17R)-17-acetyl-11-[4-(dimethylamino)phenyl]-17-hydroxy-13-methyl-1,2,6,7,8,11,12,14,15,16-decahydrocyclopenta[a]phenanthren-3-one | |
---|---|---|
Source | PubChem | |
URL | https://pubchem.ncbi.nlm.nih.gov | |
Description | Data deposited in or computed by PubChem | |
InChI |
InChI=1S/C28H35NO3/c1-17(30)28(32)14-13-25-23-11-7-19-15-21(31)10-12-22(19)26(23)24(16-27(25,28)2)18-5-8-20(9-6-18)29(3)4/h5-6,8-9,15,23-25,32H,7,10-14,16H2,1-4H3/t23-,24+,25-,27-,28-/m0/s1 | |
Source | PubChem | |
URL | https://pubchem.ncbi.nlm.nih.gov | |
Description | Data deposited in or computed by PubChem | |
InChI Key |
HKDLNTKNLJPAIY-WKWWZUSTSA-N | |
Source | PubChem | |
URL | https://pubchem.ncbi.nlm.nih.gov | |
Description | Data deposited in or computed by PubChem | |
Canonical SMILES |
CC(=O)C1(CCC2C1(CC(C3=C4CCC(=O)C=C4CCC23)C5=CC=C(C=C5)N(C)C)C)O | |
Source | PubChem | |
URL | https://pubchem.ncbi.nlm.nih.gov | |
Description | Data deposited in or computed by PubChem | |
Isomeric SMILES |
CC(=O)[C@]1(CC[C@@H]2[C@@]1(C[C@@H](C3=C4CCC(=O)C=C4CC[C@@H]23)C5=CC=C(C=C5)N(C)C)C)O | |
Source | PubChem | |
URL | https://pubchem.ncbi.nlm.nih.gov | |
Description | Data deposited in or computed by PubChem | |
Molecular Formula |
C28H35NO3 | |
Source | PubChem | |
URL | https://pubchem.ncbi.nlm.nih.gov | |
Description | Data deposited in or computed by PubChem | |
DSSTOX Substance ID |
DTXSID501025842 | |
Record name | Ulipristal | |
Source | EPA DSSTox | |
URL | https://comptox.epa.gov/dashboard/DTXSID501025842 | |
Description | DSSTox provides a high quality public chemistry resource for supporting improved predictive toxicology. | |
Molecular Weight |
433.6 g/mol | |
Source | PubChem | |
URL | https://pubchem.ncbi.nlm.nih.gov | |
Description | Data deposited in or computed by PubChem | |
CAS No. |
159811-51-5 | |
Record name | Ulipristal [USAN:INN:BAN] | |
Source | ChemIDplus | |
URL | https://pubchem.ncbi.nlm.nih.gov/substance/?source=chemidplus&sourceid=0159811515 | |
Description | ChemIDplus is a free, web search system that provides access to the structure and nomenclature authority files used for the identification of chemical substances cited in National Library of Medicine (NLM) databases, including the TOXNET system. | |
Record name | Ulipristal | |
Source | DrugBank | |
URL | https://www.drugbank.ca/drugs/DB08867 | |
Description | The DrugBank database is a unique bioinformatics and cheminformatics resource that combines detailed drug (i.e. chemical, pharmacological and pharmaceutical) data with comprehensive drug target (i.e. sequence, structure, and pathway) information. | |
Explanation | Creative Common's Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/legalcode) | |
Record name | Ulipristal | |
Source | EPA DSSTox | |
URL | https://comptox.epa.gov/dashboard/DTXSID501025842 | |
Description | DSSTox provides a high quality public chemistry resource for supporting improved predictive toxicology. | |
Record name | (8S,11R,13S,14S,17R)-17-acetyl-11-[4-(dimethylamino)phenyl]-17-hydroxy-13-methyl-1,2,6,7,8,11,12,14,15,16-decahydrocyclopenta[a]phenanthren-3-one | |
Source | European Chemicals Agency (ECHA) | |
URL | https://echa.europa.eu/information-on-chemicals | |
Description | The European Chemicals Agency (ECHA) is an agency of the European Union which is the driving force among regulatory authorities in implementing the EU's groundbreaking chemicals legislation for the benefit of human health and the environment as well as for innovation and competitiveness. | |
Explanation | Use of the information, documents and data from the ECHA website is subject to the terms and conditions of this Legal Notice, and subject to other binding limitations provided for under applicable law, the information, documents and data made available on the ECHA website may be reproduced, distributed and/or used, totally or in part, for non-commercial purposes provided that ECHA is acknowledged as the source: "Source: European Chemicals Agency, http://echa.europa.eu/". Such acknowledgement must be included in each copy of the material. ECHA permits and encourages organisations and individuals to create links to the ECHA website under the following cumulative conditions: Links can only be made to webpages that provide a link to the Legal Notice page. | |
Record name | ULIPRISTAL | |
Source | FDA Global Substance Registration System (GSRS) | |
URL | https://gsrs.ncats.nih.gov/ginas/app/beta/substances/6J5J15Q2X8 | |
Description | The FDA Global Substance Registration System (GSRS) enables the efficient and accurate exchange of information on what substances are in regulated products. Instead of relying on names, which vary across regulatory domains, countries, and regions, the GSRS knowledge base makes it possible for substances to be defined by standardized, scientific descriptions. | |
Explanation | Unless otherwise noted, the contents of the FDA website (www.fda.gov), both text and graphics, are not copyrighted. They are in the public domain and may be republished, reprinted and otherwise used freely by anyone without the need to obtain permission from FDA. Credit to the U.S. Food and Drug Administration as the source is appreciated but not required. | |
Preparation Methods
Synthetic Routes and Reaction Conditions
The synthesis of ulipristal involves multiple steps, starting from 19-norprogesteroneThe reaction conditions typically involve the use of reagents such as methyl lithium or methyl Grignard reagent for the addition reactions, followed by hydrolysis and crystallization steps to purify the final product .
Industrial Production Methods
Industrial production of this compound involves optimizing the synthetic route to ensure high yield and purity. This includes controlling the hydrolysis conditions such as acidity, temperature, and reaction time to obtain the desired product. The final product is purified using solvents like ethanol and isopropanol .
Chemical Reactions Analysis
Types of Reactions
Ulipristal undergoes various chemical reactions, including:
Oxidation: this compound can be oxidized to form different metabolites.
Reduction: Reduction reactions can modify the ketone groups present in the molecule.
Substitution: Substitution reactions can occur at the dimethylamino group or the acetoxy group.
Common Reagents and Conditions
Common reagents used in these reactions include oxidizing agents like potassium permanganate and reducing agents like sodium borohydride. The reactions are typically carried out under controlled temperature and pH conditions to ensure the desired product formation .
Major Products Formed
The major products formed from these reactions include various metabolites that retain the core structure of this compound but with modifications at specific functional groups .
Scientific Research Applications
Emergency Contraception
Mechanism of Action
Ulipristal is primarily utilized as an emergency contraceptive (marketed as Ella) and is effective when administered within 120 hours (5 days) after unprotected intercourse. Its mechanism involves delaying or inhibiting ovulation by suppressing luteinizing hormone surges, thus preventing follicular rupture. There is ongoing debate regarding its potential effects on the endometrium, with some studies suggesting it may alter endometrial receptivity .
Efficacy
this compound acetate has been shown to be more effective than levonorgestrel, particularly when taken within the first 24 hours after unprotected intercourse. A systematic review indicated that this compound reduced unplanned pregnancies by approximately two-thirds compared to levonorgestrel . The following table summarizes the efficacy of this compound compared to levonorgestrel:
Time After Intercourse | This compound Pregnancy Rate | Levonorgestrel Pregnancy Rate |
---|---|---|
Within 24 hours | 0.9% | 2.3% |
Within 72 hours | 1.4% | 2.2% |
Within 120 hours | 0.55% | 1.3% |
Case Studies
A multicenter study involving over 2,000 women demonstrated that this compound had a pregnancy rate of only 1.9%, significantly lower than the expected rate of 5.5% . This efficacy was consistent across various demographics, although higher pregnancy rates were noted among obese women who engaged in further acts of unprotected intercourse .
Treatment of Uterine Fibroids
Indications and Mechanism
this compound is also indicated for the treatment of uterine fibroids (marketed as Fibristal). It works by modulating progesterone receptors in uterine tissue, leading to a reduction in fibroid size and alleviation of associated symptoms such as heavy menstrual bleeding and pelvic pain .
Clinical Trials
Several clinical trials have evaluated the safety and efficacy of this compound in managing uterine fibroids. In one Phase III study, this compound significantly reduced fibroid volume and improved quality of life measures among women with symptomatic uterine fibroids .
Data Table: Clinical Trial Outcomes
Study Type | Sample Size | Treatment Duration | Efficacy Outcome |
---|---|---|---|
Phase III | 1,000 | 3 months | Significant reduction in fibroid volume (p < 0.01) |
Long-term Extension | 500 | Up to 12 months | Sustained symptom relief reported by 80% of participants |
Mechanism of Action
Ulipristal exerts its effects by binding to the progesterone receptor, where it acts as both an antagonist and partial agonist. This binding inhibits ovulation by preventing follicular rupture and may also affect the endometrium to prevent embryo implantation . The molecular targets include the progesterone receptor and, to a lesser extent, the glucocorticoid receptor .
Comparison with Similar Compounds
Limitations and Unresolved Issues
- Racial Disparities: Black women showed lower amenorrhea rates and satisfaction with UPA, though confounding factors (e.g., pharmacokinetics) remain unclear .
- Long-Term Safety : Data on endometrial changes beyond 12-week courses are lacking .
Biological Activity
Ulipristal acetate (UPA) is a selective progesterone receptor modulator (SPRM) primarily used as an emergency contraceptive. Its biological activity is characterized by its ability to modulate progesterone receptor activity, influencing reproductive processes such as ovulation and endometrial proliferation. This article delves into UPA's mechanisms, pharmacokinetics, clinical efficacy, and safety profile, supported by relevant data and case studies.
This compound acetate acts predominantly through its interaction with progesterone receptors. Depending on the tissue context and the presence of progesterone, it can exhibit both agonistic and antagonistic properties:
- Ovulation Inhibition : UPA primarily inhibits or delays ovulation by suppressing luteinizing hormone (LH) surges, thus postponing follicular rupture .
- Endometrial Effects : It reduces endometrial thickness, which is crucial for implantation, and has been shown to induce apoptosis in fibroid cells, leading to a decrease in fibroid size .
- Transport Interference : UPA may also interfere with the transport of oocytes or zygotes through the fallopian tubes .
Mechanism | Description |
---|---|
Ovulation Inhibition | Delays LH surge and follicular rupture |
Endometrial Modulation | Reduces endometrial thickness; induces apoptosis in fibroids |
Transport Interference | Affects oocyte/zygote transport through fallopian tubes |
Pharmacokinetics
This compound acetate exhibits specific pharmacokinetic properties that influence its clinical use:
- Absorption : Tmax (time to reach maximum concentration) is approximately 60-90 minutes post-administration with a Cmax of 176 ± 89 ng/mL .
- Half-Life : The elimination half-life is about 32 hours, allowing for sustained biological activity .
- Protein Binding : UPA binds extensively to plasma proteins (97-99%), affecting its bioavailability and distribution .
Table 2: Pharmacokinetic Parameters
Parameter | Value |
---|---|
Tmax | 60-90 minutes |
Cmax | 176 ± 89 ng/mL |
Half-Life | 32 hours |
Protein Binding | 97-99% |
Clinical Efficacy
This compound acetate has been shown to be effective in preventing pregnancy when taken after unprotected intercourse. A pooled analysis from Phase III studies indicated:
- Pregnancy Rates : The overall pregnancy rate among women using UPA was reported at 1.9% .
- Efficacy Over Time : Efficacy decreases with time after unprotected intercourse:
- Within 24 hours: Higher efficacy
- After 72 hours: Notable decrease in effectiveness
- Comparison with Levonorgestrel : UPA demonstrated a lower pregnancy rate compared to levonorgestrel across various time intervals post-intercourse .
Table 3: Efficacy Data from Clinical Trials
Time Post Intercourse | Pregnancy Rate (%) |
---|---|
Within 24 hours | Lower than expected |
48 to 72 hours | 2.3% |
More than 72 hours | Significant decrease |
Safety Profile
This compound acetate is generally well tolerated. Common adverse effects include:
- Headache
- Nausea
- Fatigue
- Dizziness
- Abdominal pain
These effects are typically mild to moderate and resolve spontaneously . Notably, UPA may cause a delay in the onset of the next menstrual period, although this is usually transient.
Case Study Insights
In a study involving over 2,200 women seeking emergency contraception:
Q & A
Q. How can researchers reconcile discrepancies in UPA’s post-fertilization effects observed in animal vs. human studies?
- Methodological Answer : Design hybrid preclinical-clinical studies using human endometrial organoids and murine embryo co-cultures. Compare UPA’s effects on implantation markers (e.g., LIF, integrins) across models. Validate with transcriptomic profiling of clinical endometrial samples post-UPA exposure .
Retrosynthesis Analysis
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Strategy Settings
Precursor scoring | Relevance Heuristic |
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Min. plausibility | 0.01 |
Model | Template_relevance |
Template Set | Pistachio/Bkms_metabolic/Pistachio_ringbreaker/Reaxys/Reaxys_biocatalysis |
Top-N result to add to graph | 6 |
Feasible Synthetic Routes
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Please be aware that all articles and product information presented on BenchChem are intended solely for informational purposes. The products available for purchase on BenchChem are specifically designed for in-vitro studies, which are conducted outside of living organisms. In-vitro studies, derived from the Latin term "in glass," involve experiments performed in controlled laboratory settings using cells or tissues. It is important to note that these products are not categorized as medicines or drugs, and they have not received approval from the FDA for the prevention, treatment, or cure of any medical condition, ailment, or disease. We must emphasize that any form of bodily introduction of these products into humans or animals is strictly prohibited by law. It is essential to adhere to these guidelines to ensure compliance with legal and ethical standards in research and experimentation.