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82034-46-6

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82034-46-6 Usage

Description

Different sources of media describe the Description of 82034-46-6 differently. You can refer to the following data:
1. Loteprednol (as Loteprednol Etabonate) is a topical anti-inflammatory corticosteroid. Loteprednol etabonate (LE) has a 17α-chloromethyl ester, in lieu of a ketone group, and a 17β-etabonate group. LE is highly lipophilic and binds with high affinity to the glucocorticoid receptor. Any unbound LE is metabolized to inactive metabolites. Loteprednol etabonate is used in ophthalmic solution for the treatment of steroid responsive inflammatory conditions of the palpebral and bulbar conjunctiva, cornea and anterior segment of the globe such as allergic conjunctivitis, uveitis, acne rosacea, superficial punctate keratitis, herpes zoster keratitis, iritis, cyclitis, and selected infective conjunctivitis. It is used in ophthalmic ointment for the treatment of post-operative inflammation and pain following ocular surgery. As a nasal spray, it is used for the treatment and management of seasonal allergic rhinitis.
2. Loteprednol etabonate was introduced in the US as Lotemax (opththalmic suspension at 0.5%) for the treatment of steroid-responsive inflammatory conditions of the palpebral and bulbar conjunctiva, cornea and anterior segment of the ocular globe, and as Alrex (opththalmic suspension at 0.2%) for the symptomatic treatment of seasonal allergic conjunctivitis. Loteprednol etabonate is a novel soft corticosteroid with a superior efficacy and an improved safety profile compared to prior ophthalmic steroids due to its metabolic lability and a fast enzymatic transformation to inactive metabolite. A combination of Lotemax with the antibiotic Tobramycin is currently under development.

References

[1] http://www.webmd.com [2] https://www.drugbank.ca [3] http://www.bausch.com [4] Timothy L. Comstock, Heleen H. DeCory (2012) Advances in Corticosteroid Therapy for Ocular Inflammation: Loteprednol Etabonate, International Journal of Inflammation, 2012, 789623 [5] N. Krug, JM. Hohlfeld, H. Geldmacher, M Larbig, R. Heermann, N. Lavallee, DT. Nguyen, U. Petzold, R. Hermann (2005) Effect of loteprednol etabonate nasal spray suspension on seasonal allergic rhinitis assessed by allergen challenge in an environmental exposure unit, Allergy, 60, 354-359

Chemical Properties

x

Originator

Pharmos (US)

Uses

Different sources of media describe the Uses of 82034-46-6 differently. You can refer to the following data:
1. An ophthalmic corticosteroid. Used as an anti-inflammatory
2. Biological Activity Chemical Information Tech Support & FAQs Biological Activity Loteprednol etabonate is an anti-inflammatory corticosteroid used in ophthalmology. It is used for the treatment of steroid responsive inflammatory conditions of the eye su
3. An ophthalmic corticosteroid. Used as an anti-inflammatory.

Manufacturing Process

To a solution of hydrocortisone (15 g, 0.04 mol) in 120 ml of THF and 30 ml of methanol at room temperature is added a warm solution of sodium metaperiodate (25.7 g, 0.12 mol) in 100 ml of water. The reaction mixture is stirred at room temperature for 2 hours, then is concentrated under reduced pressure to remove the tetrahydrofuran and methanol. The solid is triturated with 50 ml of water, separated by filtration, washed with water and dried in vacuo at 50°C for 3 hours. The product, 11β,17α-dihydroxyandrost-4-en-3- one-17β-carboxylic acid (i.e., cortienic acid), is obtained in approximately 96% yield (13.76 g); melting point 231-234°C.To a cold solution of 11β,17α-dihydroxyandrost-4-en-3-one-17β-carboxylic acid (5% weight/volume; 1 mol) and triethylamine (4 mol) in dichloromethane is added a 50% (weight/volume) solution of ethyl chloroformate (3.9 mol) in dichloromethane. The reaction mixture is allowed to warm to room temperature over a 2 hour period. The triethylamine hydrochloride precipitate which forms is removed by filtration and the filtration is washed successively with 3% sodium bicarbonate, 1% hydrochloric acid and water. The organic layer is separated, dried with magnesium sulfate, and filtered. The filtrate is concentrated in vacuo to a foam.The foam is used in the next step below or chromatographed and crystallized for analysis. The product 17α-ethoxycarbonyloxy-11β-hydroxyandrost-4-en-3- one-17β-carboxylic acid, melting at 192-195°C C after chromatography and crystallization.17α-Ethoxycarbonyloxy-11β-hydroxyandrost-4-en-3-one-17β-carboxylic acid is combined with an equivalent amount of 1 N sodium hydroxide in methanol and that solution is diluted to 100 times the original volume with ethyl ether. The suspension which results is refrigerated for 1 hour. Then, the crystals which form are removed by filtration, dried in an evacuated desiccator, and dissolved in hexamethylphosphoramide (10% weight/volume). A portion of the resultant solution containing 1 mole of the acid salt, i.e. of sodium 17αethoxycarbonyloxy-11β-hydroxyandrost-4-en-3-one-17β-carboxylate, is combined with 4 moles of chloromethyl iodide. The reaction mixture is maintained at room temperature for 3 hours, then is diluted to 10 times the original volume with ethyl acetate. The diluted reaction mixture is washed successively with 5% sodium thiosulfate, 3% sodium bicarbonate, and water. The organic layer is separated, dried with magnesium sulfate and filtered. The filtrate is concentrated in vacuo to a foam. The foam is purified by crystallization from ethyl ether or tetrahydrofuran/hexane. There is thus obtained chloromethyl-17α-ethoxycarbonyloxy-11β-hydroxyandrost-4-en-3- one-17β-carboxylate, melting at 197-200°C after crystallization.

Brand name

Alrex (Bausch & Lomb); Lotemax (Bausch & Lomb); Lotemax (Pharmos);Lotemax (0.5%).

Therapeutic Function

Glucocorticoid

General Description

Loteprednol etabonate,chloromethyl 17α-[(ethoxycarbonyl)oxy]-11β-hydroxy-3-oxoandrosta-1,4-diene-17-carboxylate (Alrex,Lotemax), has a modified carboxylate at the C17 positionrather than the typical ketone functionality. This modificationmaintains affinity for the GR but allows facile metabolismto inactive metabolites. This limits the systemic actionof the drug. Loteprednol etabonate is used as anophthalmic suspension that has greatly reduced systemicaction because of rapid metabolism to the inactive carboxylate.

Biochem/physiol Actions

Loteprednol Etabonate is an anti-inflammatory corticosteroid (ophthalmology).

Check Digit Verification of cas no

The CAS Registry Mumber 82034-46-6 includes 8 digits separated into 3 groups by hyphens. The first part of the number,starting from the left, has 5 digits, 8,2,0,3 and 4 respectively; the second part has 2 digits, 4 and 6 respectively.
Calculate Digit Verification of CAS Registry Number 82034-46:
(7*8)+(6*2)+(5*0)+(4*3)+(3*4)+(2*4)+(1*6)=106
106 % 10 = 6
So 82034-46-6 is a valid CAS Registry Number.
InChI:InChI=1/C24H31ClO7/c1-4-30-21(29)32-24(20(28)31-13-25)10-8-17-16-6-5-14-11-15(26)7-9-22(14,2)19(16)18(27)12-23(17,24)3/h7,9,11,16-19,27H,4-6,8,10,12-13H2,1-3H3/t16-,17-,18-,19+,22-,23-,24-/m0/s1

82034-46-6 Well-known Company Product Price

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  • Sigma

  • (SML0547)  Loteprednol Etabonate  ≥98% (HPLC)

  • 82034-46-6

  • SML0547-10MG

  • 788.58CNY

  • Detail
  • Sigma

  • (SML0547)  Loteprednol Etabonate  ≥98% (HPLC)

  • 82034-46-6

  • SML0547-50MG

  • 3,192.93CNY

  • Detail

82034-46-6SDS

SAFETY DATA SHEETS

According to Globally Harmonized System of Classification and Labelling of Chemicals (GHS) - Sixth revised edition

Version: 1.0

Creation Date: Aug 17, 2017

Revision Date: Aug 17, 2017

1.Identification

1.1 GHS Product identifier

Product name loteprednol etabonate

1.2 Other means of identification

Product number -
Other names loteprednol

1.3 Recommended use of the chemical and restrictions on use

Identified uses For industry use only.
Uses advised against no data available

1.4 Supplier's details

1.5 Emergency phone number

Emergency phone number -
Service hours Monday to Friday, 9am-5pm (Standard time zone: UTC/GMT +8 hours).

More Details:82034-46-6 SDS

82034-46-6Synthetic route

chlorosulfuric acid chloromethyl ester
49715-04-0

chlorosulfuric acid chloromethyl ester

17α-ethoxycarbonyloxy-11β-hydroxy-3-oxoandrosta-1,4-diene-17β-carboxylic acid

17α-ethoxycarbonyloxy-11β-hydroxy-3-oxoandrosta-1,4-diene-17β-carboxylic acid

Loteprednol etabonate
82034-46-6

Loteprednol etabonate

Conditions
ConditionsYield
With tetra(n-butyl)ammonium hydrogensulfate; sodium hydrogencarbonate In dichloromethane at 20℃; for 2h; Time;92.8%
C24H33NO6

C24H33NO6

N,N-dimethyl-formamide
68-12-2, 33513-42-7

N,N-dimethyl-formamide

Loteprednol etabonate
82034-46-6

Loteprednol etabonate

Conditions
ConditionsYield
With dipotassium peroxodisulfate; potassium chloride for 3.5h; Reflux;92.6%
Chloroiodomethane
593-71-5

Chloroiodomethane

17α-[(ethoxycarbonyl)oxy]-11β-hydroxy-3-oxoandrosta-1,4-diene-17β-carboxylic ethoxycarboxylic anhydride

17α-[(ethoxycarbonyl)oxy]-11β-hydroxy-3-oxoandrosta-1,4-diene-17β-carboxylic ethoxycarboxylic anhydride

Loteprednol etabonate
82034-46-6

Loteprednol etabonate

Conditions
ConditionsYield
Stage #1: 17α-[(ethoxycarbonyl)oxy]-11β-hydroxy-3-oxoandrosta-1,4-diene-17β-carboxylic ethoxycarboxylic anhydride With sodium ethanolate In N,N,N,N,N,N-hexamethylphosphoric triamide at 20℃; for 24h; Large scale;
Stage #2: Chloroiodomethane In N,N,N,N,N,N-hexamethylphosphoric triamide at 20℃; for 2h; Large scale;
89%
prednisolon
50-24-8

prednisolon

Loteprednol etabonate
82034-46-6

Loteprednol etabonate

Conditions
ConditionsYield
Multi-step reaction with 3 steps
1.1: sodium periodate / methanol; water / 0.5 h / Heating; Large scale
2.1: triethylamine / dichloromethane / 0.5 h / 0 - 10 °C / Large scale
3.1: sodium ethanolate / N,N,N,N,N,N-hexamethylphosphoric triamide / 24 h / 20 °C / Large scale
3.2: 2 h / 20 °C / Large scale
View Scheme
Multi-step reaction with 4 steps
1: sodium periodate / tetrahydrofuran; methanol; water / 2 h / 20 °C
2: sodium hydrogencarbonate; tetra(n-butyl)ammonium hydrogensulfate / dichloromethane / 3 h / 20 °C
3: diethylamine / water / pH 2 - 3
4: sodium hydrogencarbonate; tetra(n-butyl)ammonium hydrogensulfate / dichloromethane / 2 h / 20 °C
View Scheme
(1S,2R,10S,11S,14R,15S,17S)-14,17-dihydroxy-2,15-dimethyl-5-oxotetracyclo[8.7.0 02,7. 011,15]heptadeca-3,6-diene-14-carboxylic acid
37927-29-0

(1S,2R,10S,11S,14R,15S,17S)-14,17-dihydroxy-2,15-dimethyl-5-oxotetracyclo[8.7.0 02,7. 011,15]heptadeca-3,6-diene-14-carboxylic acid

Loteprednol etabonate
82034-46-6

Loteprednol etabonate

Conditions
ConditionsYield
Multi-step reaction with 3 steps
1: sodium hydrogencarbonate; tetra(n-butyl)ammonium hydrogensulfate / dichloromethane / 3 h / 20 °C
2: diethylamine / water / pH 2 - 3
3: sodium hydrogencarbonate; tetra(n-butyl)ammonium hydrogensulfate / dichloromethane / 2 h / 20 °C
View Scheme
C26H30N2O6

C26H30N2O6

Loteprednol etabonate
82034-46-6

Loteprednol etabonate

Conditions
ConditionsYield
Multi-step reaction with 3 steps
1: potassium hydrogencarbonate; glycidyl methyl ether / 15 h / 50 - 60 °C / Inert atmosphere
2: triethylamine / dichloromethane / 2 h / 0 - 5 °C / Inert atmosphere
3: potassium chloride; dipotassium peroxodisulfate / 3.5 h / Reflux
View Scheme
C26H30N2O6

C26H30N2O6

Loteprednol etabonate
82034-46-6

Loteprednol etabonate

Conditions
ConditionsYield
Multi-step reaction with 3 steps
1: potassium acetate; epichlorohydrin / 15 h / 50 - 60 °C / Inert atmosphere
2: triethylamine / dichloromethane / 2 h / 0 - 5 °C / Inert atmosphere
3: potassium chloride; dipotassium peroxodisulfate / 3.5 h / Reflux
View Scheme
1,4-androstadien-11β-hydroxy-3-one-17α-hydroxynitrile

1,4-androstadien-11β-hydroxy-3-one-17α-hydroxynitrile

Loteprednol etabonate
82034-46-6

Loteprednol etabonate

Conditions
ConditionsYield
Multi-step reaction with 4 steps
1: potassium carbonate; copper(I) trifluoromethanesolfonate toluene complex / tetrahydrofuran / 5 h / Inert atmosphere; Reflux
2: potassium hydrogencarbonate; glycidyl methyl ether / 15 h / 50 - 60 °C / Inert atmosphere
3: triethylamine / dichloromethane / 2 h / 0 - 5 °C / Inert atmosphere
4: potassium chloride; dipotassium peroxodisulfate / 3.5 h / Reflux
View Scheme
Multi-step reaction with 4 steps
1: caesium carbonate; copper(l) iodide / 2-methyltetrahydrofuran / 5 h / Inert atmosphere; Reflux
2: potassium acetate; epichlorohydrin / 15 h / 50 - 60 °C / Inert atmosphere
3: triethylamine / dichloromethane / 2 h / 0 - 5 °C / Inert atmosphere
4: potassium chloride; dipotassium peroxodisulfate / 3.5 h / Reflux
View Scheme
Loteprednol etabonate
82034-46-6

Loteprednol etabonate

(8S,10S,13S,14S,17R)-17-Ethoxycarbonyloxy-10,13-dimethyl-3-oxo-6,7,8,10,12,13,14,15,16,17-decahydro-3H-cyclopenta[a]phenanthrene-17-carboxylic acid chloromethyl ester
207670-55-1

(8S,10S,13S,14S,17R)-17-Ethoxycarbonyloxy-10,13-dimethyl-3-oxo-6,7,8,10,12,13,14,15,16,17-decahydro-3H-cyclopenta[a]phenanthrene-17-carboxylic acid chloromethyl ester

Conditions
ConditionsYield
With sulfuryl dichloride; triethylamine In toluene at -20 - 22℃; for 4h;89%
Loteprednol etabonate
82034-46-6

Loteprednol etabonate

(8S,9S,10R,13S,14S,17R)-17-Ethoxycarbonyloxy-10,13-dimethyl-3,11-dioxo-6,7,8,9,10,11,12,13,14,15,16,17-dodecahydro-3H-cyclopenta[a]phenanthrene-17-carboxylic acid chloromethyl ester

(8S,9S,10R,13S,14S,17R)-17-Ethoxycarbonyloxy-10,13-dimethyl-3,11-dioxo-6,7,8,9,10,11,12,13,14,15,16,17-dodecahydro-3H-cyclopenta[a]phenanthrene-17-carboxylic acid chloromethyl ester

Conditions
ConditionsYield
With acetic anhydride; dimethyl sulfoxide at 22℃; for 72h;72%
Loteprednol etabonate
82034-46-6

Loteprednol etabonate

chloromethyl 1β,11β-epoxy-17α-ethoxycarbonyloxy-2-oxo-10α-androsta-4-ene-17β-carboxylate

chloromethyl 1β,11β-epoxy-17α-ethoxycarbonyloxy-2-oxo-10α-androsta-4-ene-17β-carboxylate

Conditions
ConditionsYield
In water; acetonitrile at 25℃; for 472h; Photolysis;21%
Loteprednol etabonate
82034-46-6

Loteprednol etabonate

A

chloromethyl 17α-ethoxycarbonyloxy-11β-hydroxy-1-methyl-3-oxo-6(5->10α)-abeo-19-norandrosta-1,4-diene-17β-carboxylate

chloromethyl 17α-ethoxycarbonyloxy-11β-hydroxy-1-methyl-3-oxo-6(5->10α)-abeo-19-norandrosta-1,4-diene-17β-carboxylate

B

chloromethyl 17α-ethoxycarbonyloxy-11β-hydroxy-5α-methyl-2-oxo-19-norandrosta-1(10),3-diene-17β-carboxylate

chloromethyl 17α-ethoxycarbonyloxy-11β-hydroxy-5α-methyl-2-oxo-19-norandrosta-1(10),3-diene-17β-carboxylate

Conditions
ConditionsYield
In water at 25℃; for 472h; Photolysis;A 0.4%
B 1.2%
Loteprednol etabonate
82034-46-6

Loteprednol etabonate

A

(1S,2R,10S,11S,14R,15S,17S)-14,17-dihydroxy-2,15-dimethyl-5-oxotetracyclo[8.7.0 02,7. 011,15]heptadeca-3,6-diene-14-carboxylic acid
37927-29-0

(1S,2R,10S,11S,14R,15S,17S)-14,17-dihydroxy-2,15-dimethyl-5-oxotetracyclo[8.7.0 02,7. 011,15]heptadeca-3,6-diene-14-carboxylic acid

B

17α-ethoxycarbonyloxy-11β-hydroxy-3-oxoandrosta-1,4-diene-17β-carboxylic acid

17α-ethoxycarbonyloxy-11β-hydroxy-3-oxoandrosta-1,4-diene-17β-carboxylic acid

Conditions
ConditionsYield
With heptakis(2,6-di-O-methyl)cyclomaltoheptaose; water at 37℃; Kinetics; Activation energy; Further Variations:; Temperatures; Reagents; Solvents; Hydrolysis;
Loteprednol etabonate
82034-46-6

Loteprednol etabonate

(8S,9R,10S,11S,13S,14S,17R)-9,11-Dichloro-17-ethoxycarbonyloxy-10,13-dimethyl-3-oxo-6,7,8,9,10,11,12,13,14,15,16,17-dodecahydro-3H-cyclopenta[a]phenanthrene-17-carboxylic acid chloromethyl ester

(8S,9R,10S,11S,13S,14S,17R)-9,11-Dichloro-17-ethoxycarbonyloxy-10,13-dimethyl-3-oxo-6,7,8,9,10,11,12,13,14,15,16,17-dodecahydro-3H-cyclopenta[a]phenanthrene-17-carboxylic acid chloromethyl ester

Conditions
ConditionsYield
Multi-step reaction with 2 steps
1: 89 percent / SO2Cl2, Et3N / toluene / 4 h / -20 - 22 °C
2: 54 percent / SO2Cl2, pyridine / chlorobenzene / 3 h / -10 - 0 °C
View Scheme
Multi-step reaction with 2 steps
1: 89 percent / SO2Cl2, Et3N / toluene / 4 h / -20 - 22 °C
2: 34 percent / Cl2, H2O, pyridine / CCl4; benzene / 10 h / 5 °C
View Scheme
Loteprednol etabonate
82034-46-6

Loteprednol etabonate

(8S,9R,10S,11S,13S,14S,17R)-9-Chloro-17-ethoxycarbonyloxy-11-hydroxy-10,13-dimethyl-3-oxo-6,7,8,9,10,11,12,13,14,15,16,17-dodecahydro-3H-cyclopenta[a]phenanthrene-17-carboxylic acid chloromethyl ester

(8S,9R,10S,11S,13S,14S,17R)-9-Chloro-17-ethoxycarbonyloxy-11-hydroxy-10,13-dimethyl-3-oxo-6,7,8,9,10,11,12,13,14,15,16,17-dodecahydro-3H-cyclopenta[a]phenanthrene-17-carboxylic acid chloromethyl ester

Conditions
ConditionsYield
Multi-step reaction with 2 steps
1: 89 percent / SO2Cl2, Et3N / toluene / 4 h / -20 - 22 °C
2: 16 percent / Cl2, H2O, pyridine / CCl4; benzene / 10 h / 5 °C
View Scheme
Loteprednol etabonate
82034-46-6

Loteprednol etabonate

chloromethyl 9,11α-epoxy-17α-ethoxycarbonyloxy-3-oxoandrosta-1,4-diene-17β-carboxylate
207670-56-2

chloromethyl 9,11α-epoxy-17α-ethoxycarbonyloxy-3-oxoandrosta-1,4-diene-17β-carboxylate

Conditions
ConditionsYield
Multi-step reaction with 2 steps
1: 89 percent / SO2Cl2, Et3N / toluene / 4 h / -20 - 22 °C
2: 7.68 g / 3-chloroperoxybenzoic acid / CHCl3 / 120 h / 22 °C
View Scheme
Loteprednol etabonate
82034-46-6

Loteprednol etabonate

cyanomethyl 9,11α-epoxy-17α-ethoxycarbonyloxy-3-oxoandrosta-1,4-diene-17β-carboxylate

cyanomethyl 9,11α-epoxy-17α-ethoxycarbonyloxy-3-oxoandrosta-1,4-diene-17β-carboxylate

Conditions
ConditionsYield
Multi-step reaction with 3 steps
1: 89 percent / SO2Cl2, Et3N / toluene / 4 h / -20 - 22 °C
2: 7.68 g / 3-chloroperoxybenzoic acid / CHCl3 / 120 h / 22 °C
3: 14 percent / lithium perchlorate / acetonitrile / 75 h / 70 °C
View Scheme
Loteprednol etabonate
82034-46-6

Loteprednol etabonate

azidomethyl 9,11α-epoxy-17α-ethoxycarbonyloxy-3-oxoandrosta-1,4-diene-17β-carboxylate

azidomethyl 9,11α-epoxy-17α-ethoxycarbonyloxy-3-oxoandrosta-1,4-diene-17β-carboxylate

Conditions
ConditionsYield
Multi-step reaction with 3 steps
1: 89 percent / SO2Cl2, Et3N / toluene / 4 h / -20 - 22 °C
2: 7.68 g / 3-chloroperoxybenzoic acid / CHCl3 / 120 h / 22 °C
3: 33 percent / LiN3 / acetonitrile / 50 h / 70 °C
View Scheme
Loteprednol etabonate
82034-46-6

Loteprednol etabonate

loteprednol etabonate monohydrate

loteprednol etabonate monohydrate

Conditions
ConditionsYield
With water In acetone at 50℃; under 112511 Torr; Solvent; Pressure; Supercritical conditions;

82034-46-6Relevant articles and documents

Preparation method of loteprednol etabonate

-

, (2020/07/24)

The invention provides a preparation method of loteprednol etabonate. The preparation method comprises the following steps: (1) N-arylation reaction: carrying out a reaction on a compound I with an iodobenzene analogue under an alkaline condition to obtain a compound shown as a formula II; 2) elimination reaction: carrying out a reaction on the compound shown in the formula II with an ethylene oxide analogue in methanol under an alkaline condition to obtain a compound shown in a formula III; 3) esterification reaction: carrying out a reaction on the compound shown in the formula III with ethylchloroformate under an organic alkaline condition to obtain a compound shown in a formula IV; and 4) chlorination reaction: carrying out chlorination reaction on the compound in the formula IV underthe action of potassium persulfate to obtain the loteprednol etabonate. In the reaction route, the cheap and readily available compound I is used as a starting raw material, so that the process conditions are mild, the synthesis steps are simplified, the dosage of toxic reagents is reduced, and the yield is relatively high.

A method for synthesizing loteprednol etabonate and a method for synthesizing intermediate (by machine translation)

-

Paragraph 0025; 0031; 0032, (2017/05/05)

The present invention provides a method of synthesizing loteprednol etabonate, comprises the following steps: step 1: to prednisolone as raw material preparation 11 β, 17 α - dihydroxy - 3 - oxo male steroid - 1, 4 - diene - 17 β - carboxylic acid; step 2: adopts the 11 β, 17 α - dihydroxy - 3 - oxo male steroid - 1, 4 - diene - 17 β - carboxylic acid preparation 17 α - ((ethoxy-formyl) oxy) - 11 β - hydroxy - 3 - oxo male steroid - 1, 4 - diene - 17 β - carboxylic acid ethyl carbonic anhydride; step 3: the 17 α - ((ethoxy-formyl) oxy) - 11 β - hydroxy - 3 - oxo male steroid - 1, 4 - diene - 17 β - carboxylic acid ethyl carbonic anhydride adding ethanol into sodium after a period of time by adding chlorine iodine methane then will be chlorine iodine methane. In step 3 can avoid the influence of the introduction of water to the intermediate. (by machine translation)

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