The invention related to 4-aza-17&bgr;-(cyclopropoxy)-androst-5&agr;-androstan-3-one, 4-aza-17&bgr;-(cyclopropylamino)-androst-4-en-3-one and related compounds and to compositions incorporating these compounds, as well as the inhibition of C17-20 lyase, 5&agr;-reductase and C17&agr;-hydroxylase and to the use of these compounds in the treatment of androgen and estrogen mediated disorders, including benign prostatic hyperplasia, androgen mediated prostate cancer, estrogen mediated breast cancer and to DHT-mediated disorders such as acne. Disorders relating to the oversynthesis of cortisol, for example, Cushing's Syndrome, are also included. The treatment of androgen-dependent disorders also includes a combination therapy with known androgen-receptor antagonists, such as flutamide. The compounds of the invention have the following general formula:
该发明涉及4-aza-17β-(环丙氧基)-雄甾-5-烯-3酮,4-aza-17β-(环丙基
氨基)-雄甾-4-烯-3酮及其相关化合物,以及包含这些化合物的组合物,还涉及抑制C17-20裂解酶、5α-还原酶和C17α-羟化酶以及在雄激素和
雌激素介导的疾病治疗中使用这些化合物,包括良性前列腺增生症、雄激素介导的前列腺癌、
雌激素介导的乳腺癌以及DHT介导的疾病,如痤疮。还包括与
皮质醇过度合成有关的疾病,例如库欣综合症。雄激素依赖性疾病的治疗还包括与已知的雄激素受体拮抗剂(如
氟他胺)的联合治疗。该发明的化合物具有以下通用式: