The invention relates to 17-hydroxy-19-nor-21-carboxylic acid-steroid γ-lactone derivatives with the chemical formula I, where R
4
, R
6a
, R
6b
, R
7
, R
15
, R
16a
, R
16b
, R
18
and Z have the meanings stated in claim
1
, and their solvates, hydrates, stereoisomers and salts. The invention further relates to the use of these derivatives for the production of a medicinal product for oral contraception and for the treatment of pre-, peri- and postmenopausal complaints and medicinal products that contain said derivatives. The derivatives according to the invention have a progestational and in preferred cases additionally an antimineralocorticoid and neutral to slightly androgenic action.
本发明涉及具有
化学式I的17-羟基-19-去氢-21-
羧酸类固醇γ-内酯衍
生物,其中R4,R6a,R6b,R7,R15,R16a,R16b,R18和Z具有权利要求1中所述的含义,以及它们的溶剂化物,
水合物,立体异构体和盐。本发明进一步涉及使用这些衍
生物制备口服
避孕药和治疗围绝经期和绝经后症状的药物,以及包含这些衍
生物的药物。本发明中的衍
生物具有孕激素作用,在优选情况下还具有抗矿皮质激素和中性至轻度雄激素作用。