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Method of treating metabolic bone diseases with 18-nor-vitamin D compounds

  • US 5,721,224 A
  • Filed: 03/05/1997
  • Issued: 02/24/1998
  • Est. Priority Date: 11/21/1994
  • Status: Expired due to Fees
First Claim
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1. A method of treating metabolic bone disease where it is desired to maintain or increase bone mass comprising administering to a patient with said disease a compound having the formula:

  • ##STR9## where X1 and X2, which may be the same or different, are each selected from hydrogen and a hydroxy protecting group, and where the group R is represented by the structure;

    ##STR10## where the stereochemical center at carbon 20 may have the R or S configuration, and where Z is selected from Y, --OY, --CH2 OY, --C.tbd.CY and --CH═

    CHY, where the double bond may have the cis or trans geometry, and where Y is selected from hydrogen, methyl, --CR5 O and a radical of the structure;

    ##STR11## where m and n, independently, represent the integers from 0 to 5, where R1 is selected from hydrogen, deuterium, hydroxy, protected hydroxy, fluoro, trifluoromethyl, and C1-5 -alkyl, which may be straight chain or branched and, optionally bear a hydroxy or protected-hydroxy substituent, and where each of R2, R3, and R4, independently, is selected from deuterium, deuteroalkyl, hydrogen, fluoro, trifluoromethyl and C1-5 alkyl, which may be straight-chain or branched, and optionally, bear a hydroxy or protected-hydroxy substituent, and where R1 and R2, taken together, represent an oxo group, or an alkylidene group, ═

    CR2 R3, or the group --(CH2)p, where p is an integer from 2 to 5, and where R3 and R4, taken together, represent an oxo group, or the group --(CH2)q --, where q is an integer from 2 to 5, and where R5 represents hydrogen, hydroxy, protected hydroxy, or C1-5 alkyl.

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