Fluoxymesterone
|
Clinical data |
Trade names |
Halotestin, Ora-Testryl, Ultandren, others |
AHFS/Drugs.com |
Monograph |
MedlinePlus |
a682690 |
Pregnancy
category |
|
Routes of
administration |
Oral |
ATC code |
G03BA01 (WHO) |
Legal status |
Legal status |
- CA: Schedule IV
- US: Schedule III
|
Pharmacokinetic data |
Bioavailability |
100% Oral |
Metabolism |
Hepatic |
Biological half-life |
9.5 hours |
Excretion |
urine |
Identifiers |
IUPAC name
- 9-fluoro-11,17-dihydroxy-10,13,17-trimethyl-1,2,6,7,8,11,12,14,15,16-decahydrocyclopenta[a]phenanthren-3-one
|
Synonyms |
Androfluorene; NSC-12165; 9α-Fluoro-11β-hydroxy-17α-methyltestosterone |
CAS Number |
76-43-7 Y |
PubChem (CID) |
6446 |
IUPHAR/BPS |
2861 |
DrugBank |
DB01185 Y |
ChemSpider |
6205 Y |
UNII |
9JU12S4YFY Y |
KEGG |
D00327 Y |
ChEBI |
CHEBI:5120 Y |
ChEMBL |
CHEMBL1445 Y |
ECHA InfoCard |
100.000.875 |
Chemical and physical data |
Formula |
C20H29FO3 |
Molar mass |
336.441 g/mol |
3D model (Jmol) |
Interactive image |
SMILES
-
O=C4\C=C3/[C@]([C@@]2(F)[C@@H](O)C[C@]1([C@@H](CC[C@@]1(O)C)[C@@H]2CC3)C)(C)CC4
|
InChI
-
InChI=1S/C20H29FO3/c1-17-8-6-13(22)10-12(17)4-5-15-14-7-9-19(3,24)18(14,2)11-16(23)20(15,17)21/h10,14-16,23-24H,4-9,11H2,1-3H3/t14-,15-,16-,17-,18-,19-,20-/m0/s1 Y
-
Key:YLRFCQOZQXIBAB-RBZZARIASA-N Y
|
(verify) |
Fluoxymesterone, sold under the brand names Halotestin and Ultandren among others, is a synthetic, orally active androgenic-anabolic steroid (AAS) and a 17α-alkylated derivative of testosterone.[1][2][3] While there are legitimate medical uses of fluoxymesterone, it is also abused, leading to the development of analytical techniques by which fluoxymesterone doping can be identified.[citation needed]
Contents
- 1 Medical uses
- 2 Pharmacology
- 2.1 Androgenic activity
- 2.2 11β-HSD inhibitor
- 2.3 Glucocorticoid activity
- 3 Chemistry
- 3.1 Synthesis
- 3.2 Detection in body fluids
- 4 Society and culture
- 4.1 Brand names
- 4.2 Availability
- 5 References
- 6 Further reading
Medical uses
Fluoxymesterone is or has been used in the treatment of hypogonadism in males and breast cancer in women.[citation needed]
Pharmacology
Androgenic activity
Fluoxymesterone has a relatively high ratio of androgenic to anabolic activity similarly to testosterone.[citation needed] Like many 17α-alkylated AAS, it has relatively low affinity for the androgen receptor (AR). However, its actions are mediated by the AR, most likely due to its relatively long elimination half-life of approximately 9.2 hours.[4] It is approximately five times as potent as an AAS as testosterone.[5] Unlike testosterone, fluoxymesterone has a 100% oral bioavailability, as the methylation of the C17α position of fluoxymesterone inhibits hepatic metabolism by enzymatic oxidation of 17β-hydroxyl, allowing its absorption into the bloodstream for transport around the body.[citation needed]
11β-HSD inhibitor
Fluoxymesterone has been found to act as a potent inhibitor of 11β-hydroxysteroid dehydrogenase type 2 (11β-HSD2) (IC50 = 60–630 nM), with a potency comparable to that of the 11β-HSD2 inhibitor glycyrrhetinic acid.[6][7] This unique action of fluoxymesterone is likely related to its 11β-hydroxyl group.[6] 11β-HSD2 is responsible for the inactivation of the glucocorticoids cortisol and corticosterone (into cortisone and 11-dehydrocorticosterone, respectively).[6][7] Inhibition of 11β-HSD2 by fluoxymesterone may result in mineralocorticoid receptor overactivation and associated side effects such as hypertension and fluid retention, and has been hypothesized to be involved in the cardiovascular and other adverse effects of fluoxymesterone.[6][7]
Glucocorticoid activity
Unlike other AAS, fluoxymesterone has structural features in common with corticosteroids, including its 9α-fluoro and 11β-hydroxy groups.[8] In accordance, it has weak (micromolar) but potentially clinically significant affinity for the glucocorticoid receptor.[9]
Chemistry
Fluoxymesterone is an androstane steroid and a 17α-alkylated derivative of testosterone and is also known as 9α-fluoro-11β-hydroxy-17α-methyltestosterone or as 9α-fluoro-11β-hydroxy-17α-methylandrost-4-en-17β-ol-3-one.[1][2]
Synthesis
Step One: The first step in the synthesis of fluoxymesterone is the microbiological oxidation of commercially available androstenedione (1.11) by Actinomyces; this introduces a hydroxyl group to the 11α-position (1.12), which is then oxidised to a ketone using Jones’ reagent, yielding the 3,11,17-triketone, adrenosterone (1.13). Pyrrolidine then reacts to form an enamine (1.14) by reaction with the 3α-keto group, protecting it from alkylation in a subsequent step. The regioselectivity of pyrrolidine for reaction at the 3α-position occurs inherently in the structure of adrenosterone, due to the position of the sterically bulky methyl groups. In subsequent steps, alkylation of the 17-keto group (1.14) using Grignard reagent, addition of hydride at the 11-position (1.15) and regeneration of the protected 3-keto group yields the starting material (1.16) for the final steps of the fluoxymesterone synthesis. This involves more standard synthetic transformations.
Scheme showing the full synthesis of fluoxymesterone from andrestenedione
StepTwo: The 11α-hydroxyl of the starting material (1.16) is sulfonylated by p-toluenesulfonyl chloride; addition of trimethylamine (base) deprotonates the 11α-carbon, yielding an (E2) elimination of tosylate (pka - 5) to give olefin (1.17). Stereospecificity of reaction between olefin and hypobromous acid (HOBr) in base, N-bromosuccinimide (NBS), is determined by the formation of a bromonium intermediate; the electrophilic bromonium cation approaches the ring’s less sterically hindered α-face and is attacked by the π-electron density of the alkene. The hydroxide ion then attacks from above the ring (β-face) at the 11-carbon, resulting in a structure (1.18) by the stereospecific addition of hydroxyl and bromine across the double bond. Addition of sodium hydroxide results in deprotonation of the 11α-hydroxyl, and the subsequent structure undergoes an intramolecular SN2 epoxy ring formation. The epoxy ring of the β-epoxide (1.19) is protonated to give an oxironium ion intermediate. In a concerted process, fluoride attacks the ring’s α-face from below, as one of the two oxygen-carbon bonds is broken on the opposite face; hence regenerating the 11α-hydroxyl trans to the fluorine substituent. The resulting structure (1.20) is the androgenic steroid, fluoxymesterone.
Detection in body fluids
Detection of halotestin and other such illegal anabolic steroids in sports is achieved by GS-MS identification of urinary excreted anabolic steroids and their metabolites. In a test for halotestin, a dry residue obtained from a urine sample is dissolved in dimethylformamide and a sulfur trioxide-pyridine complex and is heated with 1% potassium carbonate solution. Halotestin and many of its metabolites contain two polar hydroxyl groups, leading to intermolecular hydrogen bonding that increases their boiling point and reduces volatility. In order to attain a gaseous sample for GC-MS, the products of hydrolysis are extracted, dissolved in methanol and derivatised to form volatile trimethylsilyl (TMS) esters by adding N-methyl-N-trimethylsilyl-trifluoroacetamide (MSTFA) and trimethylsilylimidazole (TMSImi).[10]
Society and culture
Brand names
Brand names of fluoxymesterone include Android-F, Halotestin, Ora-Testryl, and Ultandren, among others.[1][2][3]
Availability
United States
Fluoxymesterone is one of the few AAS that remains available in the United States.[11] The others (as of December 2016) are testosterone (and esters), methyltestosterone, nandrolone decanoate, oxandrolone, and oxymetholone.[11]
References
- ^ a b c J. Elks (14 November 2014). The Dictionary of Drugs: Chemical Data: Chemical Data, Structures and Bibliographies. Springer. pp. 568–. ISBN 978-1-4757-2085-3.
- ^ a b c Index Nominum 2000: International Drug Directory. Taylor & Francis. January 2000. p. 461. ISBN 978-3-88763-075-1.
- ^ a b I.K. Morton; Judith M. Hall (6 December 2012). Concise Dictionary of Pharmacological Agents: Properties and Synonyms. Springer Science & Business Media. pp. 123–. ISBN 978-94-011-4439-1.
- ^ Seth Roberts (2009). Anabolic Pharmacology.
- ^ Dr. K.V. Sastry (2008). Endocrinology and Reproductive Biology. Page 150. ISBN 81-7133-777-5.
- ^ a b c d Fürstenberger C, Vuorinen A, Da Cunha T, Kratschmar DV, Saugy M, Schuster D, Odermatt A (2012). "The anabolic androgenic steroid fluoxymesterone inhibits 11β-hydroxysteroid dehydrogenase 2-dependent glucocorticoid inactivation". Toxicol. Sci. 126 (2): 353–61. doi:10.1093/toxsci/kfs022. PMID 22273746.
- ^ a b c Joseph JF, Parr MK (2015). "Synthetic androgens as designer supplements". Curr Neuropharmacol. 13 (1): 89–100. doi:10.2174/1570159X13666141210224756. PMC 4462045. PMID 26074745.
- ^ Kirschbaum J (27 October 1978). Profiles of Drug Substances, Excipients and Related Methodology. Academic Press. pp. 253–. ISBN 978-0-08-086102-9.
- ^ Mayer M, Rosen F (1975). "Interaction of anabolic steroids with glucocorticoid receptor sites in rat muscle cytosol". Am. J. Physiol. 229 (5): 1381–6. PMID 173192.
- ^ Schänzer, Willi; Opfermann, Georg; Donike, Manfred (1992-11-01). "17-Epimerization of 17α-methyl anabolic steroids in humans: metabolism and synthesis of 17α-hydroxy-17β-methyl steroids". Steroids. 57 (11): 537–550. doi:10.1016/0039-128X(92)90023-3.
- ^ a b "Drugs@FDA: FDA Approved Drug Products" (HTML). United States Food and Drug Administration. Retrieved 17 December 2016.
Further reading
- Daniels, R. C. (February 1, 2003). The Anabolic Steroid Handbook. Richard C Daniels. p. 80. ISBN 0-9548227-0-6.
Androgens and antiandrogens
|
|
Androgens
(incl. AAS) |
AR agonists |
- Testosterone derivatives: Androstenediol dipropionate
- Boldenone undecylenate
- Clostebol
- Clostebol acetate
- Clostebol caproate
- Clostebol propionate
- Cloxotestosterone acetate
- Dehydroepiandrosterone (DHEA) (androstenolone, prasterone)
- DHEA enanthate (prasterone enanthate)
- Quinbolone
- Testosterone#
- Testosterone acetate
- Testosterone capropate
- Testosterone cyclohexylpropionate
- Testosterone cypionate
- Testosterone decanoate
- Testosterone enanthate
- Testosterone ester mixtures (Deposterona, Omnadren, Sustanon)
- Testosterone furoate
- Testosterone hexahydrobenzoate
- Testosterone hexahydrobenzylcarbonate
- Testosterone hexyloxyphenylpropionate
- Testosterone isobutyrate
- Testosterone isocaproate
- Testosterone ketolaurate
- Testosterone nicotinate
- Testosterone phenylacetate
- Testosterone phenylpropionate
- Testosterone phosphate
- Testosterone propionate
- Testosterone undecanoate
- Testosterone valerate
- Dihydrotestosterone derivatives: Bolazine capronate
- Dihydrotestosterone (DHT) (androstanolone, stanolone)
- Dihydrotestosterone acetate
- Dihydrotestosterone benzoate
- Dihydrotestosterone butyrate
- Dihydrotestosterone enanthate
- Dihydrotestosterone formate
- Dihydrotestosterone propionate
- Dihydrotestosterone valerate
- Drostanolone propionate (dromostanolone propionate)
- Epitiostanol
- Mepitiostane
- Mesterolone
- Metenolone acetate (methenolone acetate)
- Metenolone enanthate (methenolone enanthate)
- Stenbolone acetate
- 19-Nortestosterone derivatives: Bolandiol dipropionate
- Nandrolone caproate
- Nandrolone cypionate
- Nandrolone cyclohexanecarboxylate
- Nandrolone cyclohexylpropionate
- Nandrolone decanoate
- Nandrolone furylpropionate
- Nandrolone hexyloxyphenylpropionate
- Nandrolone hydrogen succinate
- Nandrolone laurate
- Nandrolone phenylpropionate
- Nandrolone propionate
- Nandrolone sulfate sodium
- Nandrolone undecanoate
- Norclostebol
- Norclostebol acetate
- Oxabolone cipionate (oxabolone cypionate)
- Trenbolone acetate
- Trenbolone hexahydrobenzylcarbonate (trenbolone cyclohexylmethylcarbonate)
- 17α-Alkylated testosterone derivatives: Bolasterone
- Calusterone
- Chlorodehydromethyltestosterone (CDMT)
- Fluoxymesterone
- Formebolone
- Metandienone (methandienone, methandrostenolone)
- Methandriol (methylandrostenediol)
- Methandriol bisenanthoyl acetate
- Methandriol dipropionate
- Methandriol propionate
- Methyltestosterone
- Methyltestosterone 3-hexyl ether
- Oxymesterone
- Penmesterol
- Tiomesterone (thiomesterone)
- 17α-Alkylated dihydrotestosterone derivatives: Androisoxazole
- Furazabol
- Mebolazine (dimethazine)
- Mestanolone
- Oxandrolone
- Oxymetholone
- Stanozolol
- 17α-Alkylated 19-nortestosterone derivatives: Ethylestrenol
- Mibolerone
- Norethandrolone
- Normethandrone (methylestrenolone, normethisterone)
- Propetandrol (propethandrol)
- 17α-Vinyltestosterone derivatives: Norvinisterone (vinylnortestosterone)
- 17α-Ethynyltestosterone derivatives: Danazol
- Gestrinone
- Progestins (e.g., ethisterone (ethynyltestosterone), levonorgestrel, norgestrel, norethisterone (norethindrone), lynestrenol, norgestrienone)
- Tibolone
- Progesterone derivatives: Medroxyprogesterone acetate
|
|
Progonadotropins |
- Antiestrogens (e.g., tamoxifen, clomifene)
- GnRH agonists (e.g., GnRH (gonadorelin), leuprorelin)
- Gonadotropins (e.g., LH, hCG)
|
|
|
Antiandrogens |
AR antagonists |
- Steroidal: Abiraterone acetate
- Canrenone
- Chlormadinone acetate
- Cyproterone acetate
- Dienogest
- Drospirenone
- Medrogestone
- Megestrol acetate
- Nomegestrol acetate
- Osaterone acetate
- Oxendolone
- Potassium canrenoate
- Spironolactone
- Non-steroidal: Apalutamide†
- Bicalutamide
- Cimetidine
- Darolutamide†
- Enzalutamide
- Flutamide
- Ketoconazole
- Nilutamide
- Seviteronel†
- Topilutamide (fluridil)
|
|
Steroidogenesis
inhibitors |
5α-Reductase |
- Alfatradiol
- Dutasteride
- Epristeride
- Finasteride
- Saw palmetto extract
|
|
Others |
- Abiraterone acetate
- Aminoglutethimide
- Bifluranol
- Cyproterone acetate
- Flutamide
- Ketoconazole
- Nilutamide
- Seviteronel†
- Spironolactone
|
|
|
Antigonadotropins |
- D2 receptor antagonists (prolactin releasers) (e.g., domperidone, metoclopramide, risperidone, haloperidol, chlorpromazine, sulpiride)
- Estrogens (e.g., bifluranol, diethylstilbestrol, estradiol, estradiol esters, ethinylestradiol, ethinylestradiol sulfonate, paroxypropione)
- GnRH agonists (e.g., leuprorelin)
- GnRH antagonists (e.g., cetrorelix)
- Progestogens (incl., chlormadinone acetate, cyproterone acetate, hydroxyprogesterone caproate, gestonorone caproate, medroxyprogesterone acetate, megestrol acetate)
|
|
Others |
- Androstenedione immunogens: Androvax (androstenedione albumin)
- Ovandrotone albumin (Fecundin)
|
|
|
- #WHO-EM
- ‡Withdrawn from market
- Clinical trials:
- †Phase III
- §Never to phase III
See also: Estrogens and antiestrogens • Progestogens and antiprogestogens • Glucocorticoids and antiglucocorticoids • Mineralocorticoids and antimineralocorticoids • Gonadotropins and GnRH
|
Androgen receptor modulators
|
|
AR |
Agonists
|
- Testosterone derivatives: 4-Androstenediol
- 4-Dehydroepiandrosterone (4-DHEA)
- 4-Hydroxytestosterone
- 5-Androstenedione
- 11-Ketotestosterone
- 11β-Hydroxyandrostenedione
- Adrenosterone (11-ketoandrostenedione, 11-oxoandrostenedione)
- Androstenediol (5-androstenediol)
- Androstenediol 3β-acetate
- Androstenediol 17β-acetate
- Androstenediol diacetate
- Androstenediol dipropionate
- Androstenedione (4-androstenedione)
- Atamestane
- Boldenone
- Boldione (1,4-androstadienedione)
- Clostebol
- Clostebol acetate
- Clostebol caproate
- Clostebol propionate
- Cloxotestosterone
- Cloxotestosterone acetate
- Dehydroandrosterone
- DHEA (androstenolone, prasterone; 5-DHEA)
- DHEA enanthate (prasterone enanthate)
- DHEA sulfate
- Exemestane
- Formestane
- Plomestane
- Quinbolone
- Silandrone
- Testosterone#
- Testosterone acetate
- Testosterone acetate butyrate
- Testosterone acetate propionate
- Testosterone benzoate
- Testosterone butyrate
- Testosterone buciclate
- Testosterone capropate
- Testosterone cyclohexylpropionate
- Testosterone cypionate
- Testosterone decanoate
- Testosterone diacetate
- Testosterone dipropionate
- Testosterone enanthate
- Testosterone enanthate benziloylhydrazone
- Testosterone formate
- Testosterone furoate
- Testosterone hexahydrobenzoate
- Testosterone hexahydrobenzylcarbonate
- Testosterone hexyloxyphenylpropionate
- Testosterone isobutyrate
- Testosterone isocaproate
- Testosterone isovalerate
- Testosterone ketolaurate
- Testosterone nicotinate
- Testosterone palmitate
- Testosterone phenylacetate
- Testosterone phenylbutyrate
- Testosterone phenylpropionate
- Testosterone phosphate
- Testosterone propionate
- Testosterone stearate
- Testosterone sulfate
- Testosterone undecanoate
- Testosterone valerate
- Dihydrotestosterone derivatives: 1-Androstenediol
- 1-Androstenedione
- 1-Androsterone (1-andro, 1-DHEA)
- 1-Testosterone
- 3α-Androstanediol
- 5α-Androst-2-en-17-one
- 7β-Hydroxyepiandrosterone
- 11-Ketodihydrotestosterone
- Androsterone
- Bolazine
- Dihydrotestosterone (androstanolone, stanolone)
- Dihydrotestosterone acetate
- Dihydrotestosterone benzoate
- Dihydrotestosterone butyrate
- Dihydrotestosterone enanthate
- Dihydrotestosterone formate
- Dihydrotestosterone propionate
- Dihydrotestosterone valerate
- Drostanolone
- Epiandrosterone
- Epitiostanol
- Mepitiostane
- Mesabolone
- Mesterolone
- Nisterime
- Prostanozol
- Stenbolone
- Testifenon (testiphenon, testiphenone)
- 19-Nortestosterone derivatives: 7α-Methyl-19-norandrostenedione (MENT dione, trestione)
- 11β-Methyl-19-nortestosterone
- 11β-Methyl-19-nortestosterone dodecylcarbonate
- 19-Nor-5-androstenediol
- 19-Nor-5-androstenedione
- Bolandiol
- Bolandione (19-nor-4-androstenedione)
- Bolmantalate (nandrolone adamantoate)
- Dienedione
- Dienolone
- Dimethandrolone
- Dimethandrolone buciclate
- Dimethandrolone dodecylcarbonate
- Dimethandrolone undecanoate
- LS-1727 (nandrolone 17β-N-(2-chloroethyl)-N-nitrosocarbamate)
- Methoxydienone (methoxygonadiene)
- Nandrolone
- Nandrolone acetate
- Nandrolone caproate
- Nandrolone cypionate
- Nandrolone cyclohexanecarboxylate
- Nandrolone cyclohexylpropionate
- Nandrolone cyclotate
- Nandrolone decanoate
- Nandrolone formate
- Nandrolone furylpropionate
- Nandrolone hexyloxyphenylpropionate
- Nandrolone hydrogen succinate
- Nandrolone laurate
- Nandrolone phenylpropionate
- Nandrolone propionate
- Nandrolone sulfate
- Nandrolone sulfate sodium
- Nandrolone undecanoate
- Norclostebol
- Normethandrone (methylestrenolone, normethisterone)
- Oxabolone
- Oxabolone cipionate (oxabolone cypionate)
- Trenbolone
- Trenbolone acetate
- Trenbolone enanthate
- Trenbolone hexahydrobenzylcarbonate
- Trestolone (MENT)
- Dihydrotestosterone and 19-nortestosterone derivatives: 5α-Dihydronandrolone
- 19-Norandrosterone
- 17α-Alkylated testosterone derivatives:
- Bolasterone
- Calusterone
- Chlorodehydromethylandrostenediol (CDMA)
- Chlorodehydromethyltestosterone (CDMT)
- Chloromethylandrostenediol (CMA)
- Enestebol
- Ethyltestosterone
- Fluoxymesterone
- Formebolone
- Hydroxystenozole
- Metandienone (methandrostenolone)
- Methandriol (methylandrostenediol)
- Methandriol bisenanthoyl acetate
- Methandriol diacetate
- Methandriol dipropionate
- Methandriol propionate
- Methylclostebol (chloromethyltestosterone)
- Methyltestosterone
- Methyltestosterone 3-hexyl ether
- Oxymesterone
- Penmesterol
- Tiomesterone
- 17α-Alkylated dihydrotestosterone derivatives: Androisoxazole
- Desoxymethyltestosterone
- Furazabol
- Mebolazine (dimethazine)
- Mestanolone
- Metenolone
- Metenolone acetate
- Metenolone enanthate
- Methasterone
- Methyl-1-testosterone
- Methylepitiostanol
- Methylstenbolone
- Oxandrolone
- Oxymetholone
- Stanozolol
- 17α-Alkylated 19-nortestosterone derivatives: Bolenol
- Dimethyltrienolone (7α-methylmetribolone, 7α,17α-dimethyltrenbolone)
- Ethyldienolone
- Ethylestrenol
- Methyldienolone
- Methylhydroxynandrolone (MOHN, MHN)
- Metribolone
- Mibolerone
- Norboletone
- Norethandrolone
- Propetandrol
- Tetrahydrogestrinone
- 17α-Vinyltestosterone derivatives: Norvinisterone (vinylnortestosterone)
- Vinyltestosterone
- 17α-Ethynyltestosterone derivatives: Δ4-Tibolone
- Danazol
- Desogestrel
- Ethisterone (ethynyltestosterone)
- Etonogestrel
- Etynodiol
- Etynodiol diacetate
- Gestodene
- Gestrinone
- Levonorgestrel
- Levonorgestrel butanoate
- Lynestrenol
- Norethisterone
- Norethisterone acetate
- Norethisterone acetate oxime
- Norethisterone enanthate
- Norgestrel
- Norgestrienone
- Quingestanol
- Quingestanol acetate
- Tibolone
- Progesterone derivatives: Medroxyprogesterone acetate
- Others/unsorted: Cl-4AS-1
- Drupanol
- ZM-182345
|
|
Mixed (SARMs)
|
- Non-steroidal: 198RL26
- ACP-105
- AC-262,356
- Acetothiolutamide
- Andarine (acetamidoxolutamide, androxolutamide, GTx-007, S-4)
- BMS-564,929
- Enobosarm (ostarine, MK-2866, GTx-024, S-22)
- FTBU-1
- GSK-4336A
- GSK-8698
- LG-121071 (LGD-121071)
- LGD-2226
- LGD-2941 (LGD-122941)
- LGD-3303
- LGD-4033
- JNJ-26146900
- JNJ-28330835
- JNJ-37654032
- ORM-11984
- RAD140
- R-1
- R-2
- R-3
- S-1
- S-23
- S-40503
- S-101479
- Steroidal: MK-0773
- TFM-4AS-1
- YK-11
|
|
Antagonists
|
- Steroidal: 9,11-Dehydrocortexolone 17α-butyrate (CB-03-04)
- 11α-Hydroxyprogesterone
- 15β-Hydroxycyproterone acetate
- Abiraterone
- Abiraterone acetate
- Allyltestosterone
- Benorterone
- BOMT
- Canrenoic acid
- Canrenone
- Chlormadinone acetate
- Clometerone
- Cortexolone 17α-propionate (CB-03-01)
- Cyproterone
- Cyproterone acetate
- Delanterone
- Dienogest
- Drospirenone
- Edogestrone
- Epitestosterone
- Galeterone
- Guggulsterone
- Medrogestone
- Megestrol acetate
- Mespirenone
- Metogest
- Mexrenone
- Mifepristone
- Nomegestrol acetate
- Nordinone
- Osaterone
- Osaterone acetate
- Oxendolone
- Potassium canrenoate
- Prorenone
- Rosterolone
- SC-5233 (spirolactone)
- Spironolactone
- Spirorenone
- Topterone
- Trimethyltrienolone (R-2956)
- Zanoterone
- Non-steroidal: AA560
- Apalutamide
- Atraric acid
- AZD-3514
- Bakuchiol
- BAY-1024767
- Bicalutamide
- Bisphenols (e.g., BADGE, BFDGE, bisphenol A, bisphenol F, bisphenol S)
- BMS-641,988
- Cimetidine
- Cioteronel
- Darolutamide
- DDT (via metabolite p,p’-DDE)
- Dieldrin
- DIMP
- Endosulfan
- Enzalutamide
- EPI-001
- EPI-506
- Fenarimol
- Flutamide
- Hydroxyflutamide
- Inocoterone
- Inocoterone acetate
- Ketoconazole
- Lavender oil
- LG-105
- LG-120907
- Linuron
- Methiocarb
- N-Butylbenzenesulfonamide
- N-Desmethylenzalutamide
- Nilutamide
- ONC1-13B
- ORM-15341
- Pentomone
- PF-998425
- Phenothrin
- Prochloraz
- Procymidone
- RU-22930
- RU-58642
- RU-58841
- Seviteronel
- Thalidomide
- Topilutamide (fluridil)
- Valproic acid
- Vinclozolin
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GPRC6A |
Agonists
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- Cations (incl. aluminum, calcium, gadolinium, magnesium, strontium)
- Dehydroandrosterone
- Dihydrotestosterone
- Estradiol
- L-α-Amino acids (incl. L-arginine, L-lysine, L-ornithine)
- Osteocalcin
- Testosterone
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See also: Estrogenics • Glucocorticoidics • Mineralocorticoidics • Progestogenics • Steroid hormone metabolism modulators • List of androgens/anabolic steroids
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Glucocorticoid receptor modulators
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|
GR |
Agonists
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|
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Mixed (SEGRAs)
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- Dagrocorat
- Fosdagrocorat
- Mapracorat
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Antagonists
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- 7α-Hydroxy-DHEA
- 17α-Methylprogesterone
- Aglepristone
- Asoprisnil
- C108297
- C113176
- CORT-108297
- Cyproterone acetate
- Formebolone
- Guggulsterone
- Ketoconazole
- Lilopristone
- LLY-2707
- Miconazole
- Mifepristone
- Onapristone
- ORG-34116
- ORG-34517 (SCH-900636)
- ORG-34850
- Pregnenolone 16α-carbonitrile
- Telapristone
- Tibolone
- Toripristone
- Ulipristal acetate
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See also: Androgenics • Estrogenics • Mineralocorticoidics • Progestogenics • Steroid hormone metabolism modulators
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Steroid hormone metabolism modulators
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|
HMGCR |
- Inhibitors: Atorvastatin
- Cerivastatin
- Fluvastatin
- Lovastatin
- Mevastatin
- Pitavastatin
- Pravastatin
- Rosuvastatin
- Simvastatin
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|
FPS |
- Inhibitors: Alendronic acid
- Clodronic acid
- Etidronic acid
- Ibandronic acid
- Incadronic acid
- Pamidronic acid
- Risedronic acid
- Tiludronic acid
- Zoledronic acid
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|
24-DHCR24 |
- 20,25-Diazacholesterol
- Clomifene
- Triparanol
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|
20,22-Desmolase
(P450scc) |
- Inhibitors: 22-ABC
- 3,3′-Dimethoxybenzidine
- 3-Methoxybenzidine
- Aminoglutethimide
- Canrenone
- Cyanoketone
- Danazol
- Etomidate
- Ketoconazole
- Mitotane
- Spironolactone
- Trilostane
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|
17α-Hydroxylase,
17,20-Lyase |
- Inhibitors: 22-ABC
- 22-Oxime
- Δ4-Abiraterone
- Abiraterone
- Abiraterone acetate
- Amphenone
- Bifluranol
- Bifonazole
- Canrenone
- CFG-920
- Clotrimazole
- Cyanoketone
- Cyproterone acetate
- Danazol
- Econazole
- Flutamide
- Galeterone
- Gestrinone
- Isoconazole
- Ketoconazole
- L-39
- Levoketoconazole
- Liarozole
- LY-207,320
- MDL-27,302
- Miconazole
- Mifepristone
- Nilutamide
- Orteronel
- Pioglitazone
- Prochloraz
- Rosiglitazone
- Seviteronel
- Spironolactone
- Stanozolol
- SU-9055
- SU-10603
- TGF-β
- Tioconazole
- Troglitazone
- VN/87-1
- YM116
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|
3α-HSD |
- Inhibitors: Coumestrol
- Daidzein
- Genistein
- Indomethacin
- Medroxyprogesterone acetate
- Inducers: Fluoxetine
- Fluvoxamine
- Mirtazapine
- Paroxetine
- Sertraline
- Venlafaxine
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|
3β-HSD |
- Inhibitors: 4-MA
- Δ4-Abiraterone
- Abiraterone
- Abiraterone acetate
- Azastene
- Cyanoketone
- Cyproterone acetate
- Danazol
- Epostane
- Genistein
- Gestrinone
- Medrogestone
- Medroxyprogesterone acetate
- Metyrapone
- Norethisterone
- Oxymetholone
- Pioglitazone
- Rosiglitazone
- Trilostane
- Troglitazone
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|
11β-HSD |
- Inhibitors: 11-Ketoprogesterone
- 11α-Hydroxyprogesterone
- 11β-Hydroxyprogesterone
- 18α-Glycyrrhizic acid
- ABT-384
- Acetoxolone
- Carbenoxolone
- Enoxolone (glycyrrhetinic acid)
- Epigallocatechin gallate
- Glycyrrhizin (glycyrrhizic acid)
- Progesterone
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|
21-Hydroxylase |
- Inhibitors: Aminoglutethimide
- Amphenone B
- Bifonazole
- Canrenone
- Clotrimazole
- Diazepam
- Econazole
- Genistein
- Isoconazole
- Ketoconazole
- Levoketoconazole
- Metyrapone
- Miconazole
- Midazolam
- Spironolactone
- Tioconazole
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|
11β-Hydroxylase |
- Inhibitors: Δ4-Abiraterone
- Abiraterone
- Abiraterone acetate
- Aminoglutethimide
- Canrenone
- Etomidate
- Fadrozole
- FETO
- Ketoconazole
- Levoketoconazole
- Metomidate
- Metyrapol
- Metyrapone
- Mitotane
- Potassium canrenoate
- Spironolactone
- Trilostane
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|
18-Hydroxylase |
- Inhibitors: 18-Ethynylprogesterone (18-ethinylprogesterone)
- 18-Vinylprogesterone
- Aminoglutethimide
- Canrenone
- FAD286
- Fadrozole
- Ketoconazole
- LCI699
- Metyrapone
- Mespirenone
- Potassium canrenoate
- Spironolactone
|
|
17β-HSD |
- Inhibitors: Danazol
- Simvastatin
|
|
5α-Reductase |
- Inhibitors: 22-Oxime
- Δ4-Abiraterone
- Abiraterone
- Abiraterone acetate
- Alfatradiol
- Azelaic acid
- β-Sitosterol
- Bexlosteride
- Chlormadinone acetate
- Cl-4AS-1
- Dutasteride
- Epitestosterone
- Epristeride
- Fatty acids (α-linolenic acid, linoleic acid, γ-linolenic acid, monolinolein, oleic acid)
- Finasteride
- Ganoderic acid
- Gestodene
- Izonsteride
- L-39
- Lapisteride
- Oxendolone
- Saw palmetto
- TFM-4AS-1
- Turosteride
- Vitamin B6
- Zinc
|
|
Aromatase |
- Inhibitors: 4-AT
- 4-Cyclohexylaniline
- 4'-Hydroxynorendoxifen
- 4-Hydroxytestosterone
- 5α-DHNET
- 20α-Dihydroprogesterone
- Abyssinone II
- Aminoglutethimide
- Anastrozole
- Ascorbic acid (vitamin C)
- Atamestane
- ATD
- Bifonazole
- CGP-45,688
- CGS-47,645
- Chalconoids (e.g., isoliquiritigenin)
- Clotrimazole
- Corynesidone A
- Coumestrol
- DHT
- Difeconazole
- Econazole
- Ellagitannins
- Endosulfan
- Exemestane
- Fadrozole
- Fatty acids (e.g., conjugated linoleic acid, linoleic acid, linolenic acid, palmitic acid)
- Fenarimol
- Finrozole
- Flavonoids (e.g., 7-hydroxyflavone, 7-hydroxyflavanone, 7,8-DHF, acacetin, apigenin, baicalein, biochanin A, chrysin, EGCG, gossypetin, hesperetin, liquiritigenin, myricetin, naringenin, pinocembrin, rotenone, quercetin, sakuranetin, tectochrysin)
- Formestane
- Imazalil
- Isoconazole
- Ketoconazole
- Letrozole
- Liarozole
- Melatonin
- MEN-11066
- Miconazole
- Minamestane
- Nimorazole
- NKS01
- Norendoxifen
- ORG-33,201
- Penconazole
- Phenytoin
- Prochloraz
- PGE2 (dinoprostone)
- Plomestane
- Prochloraz
- Propioconazole
- Pyridoglutethimide
- Quinolinoids (e.g., berberine, casimiroin, triptoquinone A, XHN22, XHN26, XHN27)
- Resorcylic acid lactones (e.g., zearalenone)
- Rogletimide
- Stilbenoids (e.g., resveratrol)
- Talarozole
- Terpenoids (e.g., dehydroabietic acid, (–)-dehydrololiolide, retinol (vitamin A), Δ9-THC, tretinoin)
- Testolactone
- Tioconazole
- Triadimefon
- Triadimenol
- Troglitazone
- Valproic acid
- Vorozole
- Xanthones (e.g., garcinone D, garcinone E, α-mangostin, γ-mangostin, monodictyochrome A, monodictyochrome B)
- YM-511
- Zinc
- Inducers: Atrazine
- Flavonoids (e.g., genistein, quercetin)
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|
SST/EST |
- 4′OH-CB79
- 6-Hydroxyflavone
- 2,6-Dichloro-4-nitrophenol (DCNP)
- Equol
- Galangin
- Genistein
- Parabens (e.g., butylparaben)
- Pentachlorophenol (PCP)
- Triclosan
|
|
STS |
- AHBS
- Danazol
- Estrone-3-O-sulfamate (EMATE)
- Irosustat (STX64, 667 Coumate, BN-83495)
- KW-2581
- SR-16157
- STX213
- STX681
- STX1938
|
|
27-Hydroxylase |
- Inhibitors: Anastrozole
- Bicalutamide
- Dexmedetomidine
- Fadrozole
- Posaconazole
- Ravuconazole
|
|
Others |
- Inhibitors: Inhibit estradiol degradation: Cimetidine
|
|
See also: Androgenics • Estrogenics • Glucocorticoidics • Mineralocorticoidics • Progestogenics
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