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CAS 192704-52-2
(2R,5'R,7'R,10'R,11'R,13'S)-18'-amino-11'-hydroxy-10',13'-dimethyl-3',5-dioxo-1',2',3',4,5,6',7',8',9',10',11',12',13',14',15',16'-hexadecahydro-3H,5'H-spiro[furan-2,17'-[4,7](metheno)cyclopenta[a]phenanthrene]-5'-carbonitrile
登记编号：EPLE-003
应用背景（按来源药适应症）
高血压依普利酮心脏衰竭依普利酮醛固酮增多症依普利酮心肌梗塞依普利酮慢性肾功能不全依普利酮原发性高血压依普利酮
来源药（使用该中间体的合成路线）
| 品种 | 梯队 | 到期年 |
|---|---|---|
| 依普利酮Eplerenone | Tier C · 观察 / 贸易 | - |
合成路线中的位置（上下游链）
按路线登记顺序排列，左→右为合成方向；高亮为当前 CAS，其余可点击跳转对应档案。
(10R,11R,13S,17R)-11-hydroxy-10,13-dimethyl-1,3',4',8,9,10,11,12,13,14,15,16-dodecahydro-5'H-spiro[cyclopenta[a]phenanthrene-17,2'-furan]-3,5'(2H)-dione→2-hydroxy-2-methylpropanenitrile→(2R,5'R,7'R,10'R,11'R,13'S)-18'-amino-11'-hydroxy-10',13'-dimethyl-3',5-dioxo-1',2',3',4,5,6',7',8',9',10',11',12',13',14',15',16'-hexadecahydro-3H,5'H-spiro[furan-2,17'-[4,7](metheno)cyclopenta[a]phenanthrene]-5'-carbonitrile→(2R,5'S,7'R,10'R,11'R,13'S)-11'-hydroxy-10',13'-dimethyl-3',5,18'-trioxohexadecahydro-3H-spiro[furan-2,17'-[4,7]methanocyclopenta[a]phenanthrene]-5'(2'H)-carbonitrile→methyl (7R,10R,11R,13S,17R)-11-hydroxy-10,13-dimethyl-3,5'-dioxo-1,2,3,4',5',6,7,8,9,10,11,12,13,14,15,16-hexadecahydro-3'H-spiro[cyclopenta[a]phenanthrene-17,2'-furan]-7-carboxylate→methyl (7R,10R,11R,13S,17R)-10,13-dimethyl-11-((methylsulfonyl)oxy)-3,5'-dioxo-1,2,3,4',5',6,7,8,9,10,11,12,13,14,15,16-hexadecahydro-3'H-spiro[cyclopenta[a]phenanthrene-17,2'-furan]-7-carboxylate→methyl (7R,10S,13S,17R)-10,13-dimethyl-3,5'-dioxo-1,2,3,4',5',6,7,8,10,12,13,14,15,16-tetradecahydro-3'H-spiro[cyclopenta[a]phenanthrene-17,2'-furan]-7-carboxylate
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