National Cancer Institute Thesaurus

Last uploaded: February 23, 2024
Preferred Name

Chlormadinone Acetate

Synonyms

CHLORMADINONE ACETATE

Pregna-4,6-diene-3,20-dione, 6-chloro-17-hydroxy-, acetate

17-(Acetyloxy)-6-chloropregna-4,6-diene-3,20-dione

Chlormadinone Acetate

Pregna-4,6-diene-3,20-dione, 17-(acetyloxy)-6-chloro-

CMA

Definitions

The actetate salt form of chlormadinone, a synthetic progestin with antiandrogenic and antigonadotropic effects. Chlormadinone acetate (CMA) is a potent progesterone receptor (PR) agonist, a partial androgen receptor (AR) antagonist and a weak glucocorticoid receptor (GR) antagonist. Chlormadinone binds to PRs, which induces the expression of progesterone-responsive genes. In addition, chlormadinone blocks ARs in target organs and reduces the activity of skin 5 alpha-reductase; thus inhibiting androgen production and signaling. Through the negative feedback action on the hypothalamus-pituitary system, chlormadinone also suppresses gonadotropin secretion, which prevents ovarian and adrenal androgen production. Therefore, this agent decreases endometrial thickness, increases the viscosity of cervical mucus, inhibits ovulation and suppresses follicular growth and maturation.

ID

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C365

CAS_Registry

302-22-7

Chemical_Formula

C23H29ClO4

code

C365

Concept_In_Subset

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C63923

Contributing_Source

FDA

DEFINITION

The actetate salt form of chlormadinone, a synthetic progestin with antiandrogenic and antigonadotropic effects. Chlormadinone acetate (CMA) is a potent progesterone receptor (PR) agonist, a partial androgen receptor (AR) antagonist and a weak glucocorticoid receptor (GR) antagonist. Chlormadinone binds to PRs, which induces the expression of progesterone-responsive genes. In addition, chlormadinone blocks ARs in target organs and reduces the activity of skin 5 alpha-reductase; thus inhibiting androgen production and signaling. Through the negative feedback action on the hypothalamus-pituitary system, chlormadinone also suppresses gonadotropin secretion, which prevents ovarian and adrenal androgen production. Therefore, this agent decreases endometrial thickness, increases the viscosity of cervical mucus, inhibits ovulation and suppresses follicular growth and maturation.

FDA_UNII_Code

0SY050L61N

FULL_SYN

CHLORMADINONE ACETATE

Pregna-4,6-diene-3,20-dione, 6-chloro-17-hydroxy-, acetate

17-(Acetyloxy)-6-chloropregna-4,6-diene-3,20-dione

Chlormadinone Acetate

Pregna-4,6-diene-3,20-dione, 17-(acetyloxy)-6-chloro-

CMA

label

Chlormadinone Acetate

Legacy Concept Name

Chlormadinone_Acetate

NSC Number

92338

Preferred_Name

Chlormadinone Acetate

prefixIRI

Thesaurus:C365

Semantic_Type

Organic Chemical

Pharmacologic Substance

UMLS_CUI

C0008214

subClassOf

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C776

Delete Subject Author Type Created
No notes to display