Lynestrenol phenylpropionate

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Lynestrenol phenylpropionate
Lynestrenol phenylpropionate.svg
Clinical data
SynonymsLPP; 17α-Ethynylestr-4-en-17β-ol 17β-(3-phenylpropionate); 19-Nor-17α-pregn-4-en-20-yn-17-ol benzenepropanoate
Routes of
administration
Intramuscular injection
Drug classProgestogen; Progestin; Progestogen ester
Identifiers
CAS Number
Chemical and physical data
FormulaC29H36O2
Molar mass416.602 g/mol g·mol−1
3D model (JSmol)

Lynestrenol phenylpropionate (LPP), also known as ethynylestrenol phenylpropionate, is a progestin and a progestogen ester which was developed for potential use as a progestogen-only injectable contraceptive by Organon but was never marketed.[1][2][3][4][5][6][7][8] It was assessed at doses of 25 to 75 mg in an oil solution once a month by intramuscular injection.[1][4][4] LPP was associated with high contraceptive failure at the low dose and with poor cycle control.[3] The medication was found to produce estrogenic effects in the endometrium in women due to transformation into estrogenic metabolites.[4]

A single intramuscular injection of 50 to 100 mg LPP in oil solution has been found to have a duration of action of 14 to 30 days in terms of clinical biological effect in the uterus and on body temperature in women.[9]

LPP has a long biological half-life in rats when given as an intramuscular depot injection; its half-life was similar to that of nandrolone laurate (nandrolone dodecanoate) and was about 2-fold longer than that of nandrolone decanoate, 10-fold longer than that of lynestrenol and nandrolone phenylpropionate, 50-fold longer than that of progesterone, and 430-fold longer than that of nandrolone.[5][6]

Parenteral potencies and durations of progestogens

Progestogen Type Class TFD
(14 days)
POIC-D
(2–3 months)
CIC-D
(month)
Duration
Algestone acetophenide Synthetic Pregnane ? 75–150 mg 100 mg ≈ 14–32 days
Cyproterone acetate Synthetic Pregnane ? 300 mg ≈ 20 days
Dydrogesterone (aq. susp.)a Synthetic Retropregnane ? 100 mg ≈ 16–38 days
Gestonorone caproate Synthetic Norpregnane 50 mg 25–50 mg ≈ 8–13 days
Hydroxyprogesterone acetate (aq. susp.)a Synthetic Pregnane 350 mg 150–350 mg ≈ 9–16 days
Hydroxyprogesterone caproate Synthetic Pregnane 250–500 mgb 250–500 mg 65–500 mg ≈ 5–21 days
Levonorgestrel butanoate (aq. susp.)a Synthetic Estrane ? 5–50 mg ≈ 3–6 months
Lynestrenol phenylpropionatea Synthetic Estrane ? 50–100 mg ≈ 14–30 days
Medroxyprogesterone acetate (aq. susp.) Synthetic Pregnane 50–100 mg 150 mg 25 mg 50–150 mg ≈ 14–50+ days
Megestrol acetate (aq. susp.) Synthetic Pregnane ? 25 mg 25 mg ≈ >14 daysc
Norethisterone enanthate Synthetic Estrane 100–200 mg 200 mg 50 mg 50–200 mg ≈ 11–52 days
Oxogestone phenylpropionatea Synthetic Pregnane ? 100 mg ≈ 19–20 days
Progesterone Bioidentical Pregnane 200 mgb 25–350 mg ≈ 2–6 days
Progesterone (aq. susp.) Bioidentical Pregnane 50–200 mg 50–300 mg ≈ 7–14 days
Note: All are via i.m. or s.c. injection of oil solution unless noted otherwise. P4 production during the luteal phase is ~25 (15–50) mg/day. The OID of OHPC is 250 to 500 mg/month. Footnotes: a = Studied but never marketed (either as a medication or by this route). b = In divided doses (2 × 125 or 250 mg for OHPC, 10 × 20 mg for P4). c = Half-life is ~14 days. Sources: Main: See template.

See also[edit]

References[edit]

  1. ^ a b Elsayed Saad Eldin Hafez (1980). Human reproduction: conception and contraception. Harper and Row. p. 607,614. ISBN 978-0-06-141066-6.
  2. ^ Goldsmith, A., & Toppozada, M. (1983). Long-acting contraception. p. 95 https://www.popline.org/node/423289
  3. ^ a b Toppozada M (June 1977). "The clinical use of monthly injectable contraceptive preparations". Obstet Gynecol Surv. 32 (6): 335–47. doi:10.1097/00006254-197706000-00001. PMID 865726.
  4. ^ a b c d Badawy S, Makhlouf A (1975). "The contraceptive action of lynestrenol phenylpropionate". Adv Plan Parent. 10 (3): 149–53. PMID 789155.
  5. ^ a b van der Vies J (1985). "Implications of basic pharmacology in the therapy with esters of nandrolone". Acta Endocrinol Suppl (Copenh). 271: 38–44. doi:10.1530/acta.0.109S0038. PMID 3865480.
  6. ^ a b Van der Vies, J (1969). "Mechanism of action of long-acting hormone preparations". Organorama. 6 (5): 4–8. ISSN 0369-7762. Studies were made with nandrolone phenpropionate (Durabolin), nandrolone decanoate, and 16α-ethylprogesterone in peanut oil injected into the gastrocnemius muscle of rats. The free steroid was much more rapidly resorbed than the esters, explaining the action-prolonging effects obtained with the latter. Generally, resorption rates correlated well with duration of action. Resorption from the muscle was followed by transport to the receptor site in the body, during which time ester hydrolysis may occur, releasing the free steroid. Resorption and hydrolysis take place independently, since plasma with inactivated enzymes (heated to 55°) eluted the compds. from a filter paper strip as rapidly as did normal plasma.
  7. ^ van der Vies J (August 1970). "Model studies in vitro with long-acting hormonal preparations". Acta Endocrinol. 64 (4): 656–69. doi:10.1530/acta.0.0640656. PMID 5468664.
  8. ^ Hobbelen PM, Coert A, Geelen JA, van der Vies J (January 1975). "Interactions of steroids with serum lipoproteins". Biochem. Pharmacol. 24 (2): 165–72. doi:10.1016/0006-2952(75)90273-7. PMID 163092.
  9. ^ J. Ferin (September 1972). "Effects, Duration of Action and Metabolism in Man". In M. Tausk (ed.). Pharmacology of the Endocrine System and Related Drugs: Progesterone, Progestational Drugs and Antifertility Agents. II. Pergamon Press. pp. 13–24. ISBN 978-0080168128. OCLC 278011135.