US2004116359A1PendingUtilityA1

Pharmaceutical compositions and treatment methods

Priority: Mar 23, 1999Filed: Dec 21, 2002Published: Jun 17, 2004
Est. expiryMar 23, 2019(expired)· nominal 20-yr term from priority
A61K 31/565A61P 37/00A61P 37/02A61K 31/56C07J 3/005A61P 31/04C07J 1/00A61K 31/5685A61K 9/0031C07J 1/0011A61K 9/0019A61K 9/127A61K 31/568Y02A50/30
61
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Claims

Abstract

The invention provides compositions comprising formula 1 steroids, e.g., 16α-bromo-3β-hydroxy-5α-androstan-17-one hemihydrate and one or more excipients, typically wherein the composition comprises less than about 3% water. The compositions are useful to make improved pharmaceutical formulations. The invention also provides methods of intermittent dosing of steroid compounds such as analogs of 16α-bromo-3β-hydroxy-5α-androstan-17-one and compositions useful in such dosing regimens. The invention further provides compositions and methods to inhibit pathogen (viral) replication, ameliorate symptoms associated with immune dysregulation and to modulate immune responses in a subject using certain steroids and steroid analogs. The invention also provides methods to make and use these immunomodulatory compositions and formulations.

Claims

exact text as granted — not AI-modified
What is claimed is:  
     
         1 . A method to treat a subject having, or susceptible to developing, a pathogen infection, an autoimmune disease, inflammation or allergy, osteoporosis, acute myelitis, sarcoidosis, a cancer, a precancer, a neurological disorder, a wound, a bone fracture, a hemorrhage, a burn, a skin lesion or an immunosuppression condition or an unwanted immune response either or both of which are associated with a chemotherapy, radiation exposure or aging, wherein the method comprises intermittent administration of an effective amount of a compound to the subject, wherein the compound is 16α-bromo-3β-hydroxy-5α-androstan-17-one hemihydrate or the compound has the structure  
       
         
           
           
               
               
           
         
         wherein, the dotted lines are optional double bonds and the hydrogen atom at the 5-position, if present, is in the α-configuration;  
         R 1 , R 2 , R 3 , R 4 , R 5 , R 6  and R 10  independently are —H, —OH, —OR PR , —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer, or,  
         one more of R 2 , R 3 , R 4 , R 5 , R 6 , R 10 , R 15 , R 17  and R 18  independently are ═O, or,  
         R 3  and both R 4  together comprise a structure of formula 2  
         
           
             
             
                 
                 
             
           
         
         R 7  is —CHR 10 —, —CHR 10 —CHR 10 —, —CHR 10 —CHR 10 —CHR 10 —, —CHR 10 —O—CHR 10 —, —CHR 10 —S—CHR 10 —, —CHR 10 —NR PR —CHR 10 —, —O—, —O—CHR 10 —, —S—, —S—CHR 10 —, —NR PR — or —NR PR —CHR 10 —;  
         R 8  and R 9  independently are —CHR 10 —, —CHR 10 —CHR 10 —, —O—, —O—CHR 10 —, —S—, —S—CHR 10 —, —NR PR — or —NR PR —CHR 10 —, or R 8  or R 9  independently is absent, leaving a 5-membered ring;  
         R 13  independently are C 1-6  alkyl;  
         R PR  independently are a protecting group;  
         D is a heterocycle or a 4-, 5-, 6- or 7-membered ring that comprises saturated carbon atoms, wherein 1, 2 or 3 ring carbon atoms of the 4-, 5-, 6- or 7-membered ring are optionally independently substituted with —O—, —S— or —NR PR — or where 1, 2 or 3 hydrogen atoms of the heterocycle or 1 or 2 hydrogen atoms of the 4-, 5-, 6- or 7-membered ring are substituted with —OR PR , —SR PR , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, a halogen, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer, or, one more of the ring carbons are substituted with ═O or ═S, or D comprises two 5- or 6-membered rings, wherein the rings are fused or are linked by 1 or 2 bonds, provided that the compound is not 3β-hydroxyandrost-5-ene-17-one, 3β-hydroxyandrost-5-ene-1 7-one 3-sulfate or an ester or ether derivative of either compound and provided that when the compound has the structure  
         
           
             
             
                 
                 
             
           
         
         wherein each R A  independently is —OH, ═O, an ester or an ether, and R B  is —C(O)CH 3 , —OH, ═O, an ester or an ether, then the use of the medicament is for the treatment of a subject having or susceptible to developing an autoimmune disease, inflammation or allergy, osteoporosis, acute myelitis, sarcoidosis, a cancer, a precancer, or an immunosuppression condition or an unwanted immune response either or both of which are associated with a chemotherapy, radiation exposure, a wound, a bone fracture, a hemorrhage, a skin lesion or a burn or the medicament is for the treatment of a human having or susceptible to developing a pathogen infection selected from the group consisting of HIV-1, HIV-2, HTLV-1, HTLV-2, HSV-1, HSV-2, HHV-6, HHV-8, CMV, hepatitis C virus, hepatitis B virus, Western Equine Encephalitis Virus, Japanese Encephalitis Virus, Yellow Fever Virus, a poxvirus, a Dengue virus, a papillomavirus, a togavirus, a flavivirus, an intracellular bacterium, Mycobacterium, Listeria, Brucella, Bartonella, Bordetella, Pseudomonas, Yersinia, Vibrio, Salmonella, Streptococcus, Staphylococcus, Candida, Aspergillus, Cryptococcus, Plasmodium, Trypanosoma, Leishmania, a gastrointestinal nematode, a helminth, Cryptosporidium, Toxoplasma, Pneumocystis, Schistosoma, or  Strongyloides stercoralis.    
       
     
     
         2 . The method of  claim 1  wherein the compound has the structure  
       
         
           
           
               
               
           
         
         wherein, hydrogen atoms at the 5 (if present), 8, 9 and 14 positions respectively in the α,α,α,α, α,α,α,β, α,α,β,α, α,β,α,α, α,α,β,β, α,β,α,β, α,β,β,α or α,β,β,β configurations.  
       
     
     
         3 . The method of  claim 2  wherein hydrogen atoms at the 5 (if present), 8, 9 and 14 positions respectively are in the α,β,α,α configurations.  
     
     
         4 . The method of  claim 1  wherein 
 (1) R 3  is a halogen and R 1 , R 2 , and one or both R 4  independently are —OH, —OR PR , an ether an ester having the structure steroid-O—C(O)-organic moiety, carbonate, carbamate having the structure steroid-O—C(O)—NR PR -organic moiety, or an amino acid ester or peptide having the structure (A) R 32 —NH—{[C(R 29 )(R 30 )] b —C(O)—N(R 31 )} f —[C(R 29 )(R 30 )] a —C(O)—O-steroid, (B) R 33 —O—{C(O)—[C(R 29 )(R 30 )] d —N(R 31 )} g —C(O)—[C(R 29 )(R 30 )] c —N(R 31 )—O—steroid, or (C) R 33 —O—{C(O)—[C(R 29 )(R 30 )] d —N(R 31 )} e —C(O)—[C(R 29 )(R 30 )] c —N(R 31 )—C(O)—O-steroid, where each R 29 , R 30  and R 31  is independently selected and each R 29  independently is —H or a C1-20 organic moiety, each R 30  independently is the side chain of an amino acid, each R 31  is —H or a protecting group, R 32  and R 33  independently are —H, a protecting group, an ester or an amide where each atom or group is independently chosen, a, b, c and d independently are 1, 2, 3, 4 or 5, and e, f and g independently are an integer from 0 to 1000, or  
 (2) R 1 , R 2 , R 3  and one or both R 4  independently are —OH, —OR PR , an ether, an ester having the structure steroid-O—C(O)-organic moiety, carbonate, carbamate having the structure steroid-O—C(O)—NR PR -organic moiety or an amino acid or peptide having the structure (A) R 32 —NH—{[C(R 29 )(R 30 )] b —C(O)—N(R 31 )} f -[C(R 29 )(R 30 )] a —C(O)—O-steroid, (B) R 33 —O—{C(O)—[C(R 29 )(R 30 )] d —N (R 31 )} g —C(O)—[C(R 29 )(R 30 )] c —N(R 31 )—O-steroid, or (C) R 33 —O—{C(O)—[C(R 29 )(R 30 )] d —N(R 31 )} e —C(O)—[C(R 29 )(R 30 )] c —N(R 31 )—C(O)—O-steroid, or  
 (3) R 1  is −H and R 2 , R 3  and one or both R 4  are not —H, provided that the compound is not 7α,17α-methyl-16-methylene-17β-hydroxy-19-norandrost-4-ene, 7α-methyl-16-methylene-17β-hydroxy-17α-ethynyl-19-norandrost-4-ene or 7α-methyl-16-methylene-17-oxo-19-norandrost-4-ene or an ester or ether of any of these compounds, or  
 (4) R 1  is —CN, ═CH 2 , acyl, thioacyl, optionally substituted alkyl, optionally substituted alkenyl, optionally substituted alkynyl, ester having the structure steroid-C(O)—O-organic moiety, thioester having the structure steroid-C(S)—O-organic moiety or thioacetal having the structure steroid-C(O)—S-organic moiety, and R 3  and one or both R 4  are not —H, provided that R 1  is not optionally substituted phenyl and provided that if R 1  is —C(O)—OCH 3 , then R 4  is not —CH 3  or —C(O)—CH 3 , or  
 (5) R 1  is a halogen and R 3  and one or both R 4  are not —H, provided that either R 3  is —OH, —OR PR , an ether, an ester having the structure steroid-O—C(O)-organic moiety, carbonate (O—C(O)—O—), carbamate, a halogen, —NH 2 , —N(R PR ) 2 , —NO 2 , —N 3 , ═NOH, ═NOC(O)CH 3 , an amide, —SH, —SR PR , ═S, thioether, thioacetal —CN, acyl, thioacyl, or an amino acid or peptide having the structure (A) R 32 —NH—{[C(R 29 )(R 30 )] b —C(O)—N(R 31 )} f —[C(R 29 )(R 30 )] a —C(O)—O-steroid, (B) R 33 —O—{C(O)—[C(R 29 )(R 30 )] d —N(R 31 )} g —C(O)—[C(R 29 )(R 30 )] c —N(R 31 )—O-steroid, or (C) R 33 —O—{C(O)—[C(R 29 )(R 30 )] d —N(R 31 )} e —C(O)—[C(R 29 )(R 30 )] c —N(R 31 )—C(O)—O-steroid, or one or both R 4  independently are —OH, —OR PR , an ether, an ester having the structure steroid-O—C(O)-organic moiety, carbonate, carbamate, a halogen, —NH 2 , —N(R PR ) 2 , —NO 2 , —N 3 , ═NOH, ═NOC(O)CH 3 , amide having the structure steroid-NR PR —C(O)-organic moiety, —SH, —SR PR , ═S, thioether, thioacetal having the structure steroid-S—C(O)-organic moiety, —CN, alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, ester having the structure steroid-O—C(O)-organic moiety, thioester having the structure steroid-O—C(S)-organic moiety, thioacetal having the structure steroid-S—C(O)-organic moiety, or an amino acid or peptide having the structure (A) R 32 —NH—{[C(R 29 )(R 30 )] b —C(O)—N(R 31 )} f —[C(R 29 )(R 30 )] a —C(O)—O-steroid, (B) R 33 —O-{C(O)—[C(R 29 )(R 30 )] d —N(R 31  )} g —C(O)—[C(R 29 )(R 30 )] c —N(R 31 )—O-steroid, or (C) R 33 —O—{C(O)—[C(R 29 )(R 30 )] d —N(R 31 )} e —C(O)—[C(R 29 )(R 30 )] c —N(R 31  )—C(O)—O-steroid, or  
 (6) R 1  is a halogen, —NH 2 , —N(R PR ) 2 , —NO 2 , ═NOH, ═NOC(O)CH 3 , amide having the structure steroid-NR PR —C(O)-organic moiety, carbamate having the structure steroid-NR PR —C(O)—O-organic moiety, —SH, —SR PR , ═S, thioether, thioacetal having the structure steroid-S—C(O)-organic moiety, —CN, ═CH 2 , acyl, thioacyl, optionally substituted alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, ester having the structure steroid-C(O)—O-organic moiety, thioester having the structure steroid-C(S)—O-organic moiety or thioacetal having the structure steroid-C(O)—S-organic moiety and R 2 , R 3  and one or both R 4  are not —H, or  
 (7) R 1  is a halogen, —NH 2 , —NO 2 , —N 3 , ═NOH, ═NOC(O)CH 3 , amide having the structure steroid-NR PR —C(O)-organic moiety, carbamate having the structure steroid-NR PR —C(O)—O-organic moiety, —SR PR , thioether, thioacetal having the structure steroid-S—C(O)-organic moiety, —CN, ═CH 2 , acyl, thioacyl, optionally substituted alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, ester having the structure steroid-C(O)—O-organic moiety, thioester having the structure steroid-C(S)—O-organic moiety, or thioacetal having the structure steroid-C(O)—S-organic moiety and R 2  and one or both R 4  are not —H and R 9  is not —CH 2 —, provided that if one R 4  is —CH 2 CH 3 , then R 3  is not ═O, or  
 (8) R 1  is a halogen, —NH 2 , —N(R PR ) 2 , —NO 2 , —N 3 , ═NOH, ═NOC(O)CH 3 , amide having the structure steroid-NR PR —C(O)-organic moiety, carbamate having the structure steroid-NR PR —C(O)—O-organic moiety, —SR PR , thioether, thioacetal having the structure steroid-S—C(O)-organic moiety, —CN, ═CH 2 , acyl, thioacyl, optionally substituted alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, ester having the structure steroid-C(O)—O-organic moiety, thioester having the structure steroid-C(S)—O-organic moiety, or thioacetal having the structure steroid-C(O)—S-organic moiety and R 2  and one or both R 4  are not —H and R 7  is not —CH 2 —, or  
 (9) R 1  is a halogen, —NH 2 , —N(R PR ) 2 , —NO 2 , —N 3 , ═NOH, ═NOC(O)CH 3 , amide having the structure steroid-NR PR —C(O)-organic moiety, carbamate having the structure steroid-NR PR —C(O)—O-organic moiety, —SR PR , thioether, thioacetal having the structure steroid-S—C(O)-organic moiety, —CN, ═CH 2 , acyl, thioacyl, optionally substituted alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, ester having the structure steroid-C(O)—O-organic moiety, thioester having the structure steroid-C(S)—O-organic moiety, or thioacetal having the structure steroid-C(O)—S-organic moiety and R 2  and one or both R 4  are not —H, and R 6  is not —CH 3 , provided that R 1  is not fluorine if R 2  is ═O, one R 4  is —OH or —O—C(O)—CH 3  and R 6  is —CH 2 OH or —CH 2 O—C(O)—CH 3 , or  
 (10) R 1  is —H, R 2  and one or both R 4  are not —H and R 9  is not —CH 2 —, provided that R 9  is not —C(O)— or —CH(OH)— when R 2  is —OH in the α-configuration, both R 4  are —H and alkyl and a double bond is present at the 4-5 position, or  
 (11) R 1  is —H, R 2  is not —H and R 8  and R 9  are not —CH 2 —, or  
 (12) R 1  is a halogen, —NH 2 , —N(RPR) 2 , —NO 2 , —N 3 , ═NOH, ═NOC(O)CH 3 , amide having the structure steroid-NR PR —C(O)-organic moiety, carbamate having the structure steroid-NR PR —C(O)—O-organic moiety, —SH, —SR PR , ═S, thioether, thioacetal having the structure steroid-S—C(O)-organic moiety, —CN, ═CH 2 , acyl, thioacyl, optionally substituted alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, ester having the structure steroid-C(O)—O-organic moiety, thioester having the structure steroid-C(S)—O-organic moiety, or thioacetal having the structure steroid-C(O)—S-organic moiety and R 3  and one or both R 4  are not —H, and R 6  is not —CH 3 , or  
 (13) the compound has the structure  
                     
 wherein R 1  is —OH, —OR PR , —SH, —SR PR , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer,  
 R 2  is —H, —OH, —OR PR , —SH, —SR PR , ═S, —CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer,  
 R 3  is —OH, —OR PR , —SH, —SRPR, ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer, provided that the compound is not 3α-bromo-16α-methoxyandrost-5-ene-17-one, and  
 R 4  is —H, —OH, —OR PR , —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer, or  
 (14) the compound has the structure  
                     
 wherein R 1  is —OH, —OR PR , —SH, —SR PR , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer,  
 R 2  is —OH, —OR PR , —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer, and  
 R 3  is —H, —OH, —OR PR , —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer, provided that the compound is not 3α-bromo-16α-methoxyandrost-5-ene-17-one, and  
 R 4  is —H, —OH, —OR PR , —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(RPR) 2 , —O— Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer, or  
 (15) R 1  is a halogen, —NH 2 , —N(RPR) 2 , —NO 2 , —N 3 , ═NOH, amide having the structure steroid-NR PR —C(O)-organic moiety, carbamate having the structure steroid-NR PR —C(O)—O-organic moiety, —SR PR , thioether, thioacetal having the structure steroid-S—C(O)-organic moiety, —CN, ═CH 2 , acyl, thioacyl, optionally substituted alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, ester having the structure steroid-C(O)—O-organic moiety, thioester having the structure steroid-C(S)—O-organic moiety, or thioacetal having the structure steroid-C(O)—S-organic moiety and R 2 , one or both R 4  and R 7  are not —H or —CH 2 —, provided that if R 1  is —NH 2  or —N(R PR ) 2 , then R 2  is not methyl, or  
 (16) R 1  is —H and R 3 , one or both R 4  are not —H and R 5  is not —CH 2 —, or  
 (17) R 1  is —H and R 3 , one or both R 4  are not —H and R 9  is not —CH 2 —, or  
 (18) R 1  is —H and R 2 , one or both R 4  are not —H and R 8  is not —CH 2 —, or  
 (19) R 1  is a halogen, R 2  and R 8  are not —H or —CH 2 — and one or both R 4  independently are —OR PR , ether, an ester having the structure steroid-O—C(O)-organic moiety, carbonate (O—C(O)—O—), carbamate having the structure steroid-O—C(O)—NR PR -organic moiety, optionally substituted monosaccharide, optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide, a polymer, or an amino acid or peptide having the structure (A) R 32 —NH—{[C(R 29 )(R 30 )] b —C(O)—N(R 31 )} f —[C(R 29 )(R 30 )] a —C(O)—O-steroid, (B) R 33 —O—{C(O)—[C(R 29 )(R 30 )] d —N(R 31 )} g —C(O)—[C(R 29 )(R 30 )] c —N(R 31 )—O-steroid, or (C) R 33 —O—{C(O)—[C(R 29 )(R 30 )] d —N(R 31  )} e —C(O)—[C(R 29 )(R 30 )] c —N(R 31 )—C(O)—O-steroid.  
 
     
     
         5 . The method of  claim 4  wherein hydrogen atoms at the 5 (if present), 8, 9 and 14 positions respectively are in the α,β,α,α configurations.  
     
     
         6 . The method of  claim 1  wherein the compound has the structure  
       
         
           
           
               
               
           
         
         wherein, R 5  and R 6  independently are —CH 3 , —H or —CH 2 OH, R 7 , R 8  and R 9  independently are —CH 2 —, —O—, —NH— or —S—, R 1 , R 2 , R 3  and R 4  respectively are in the β,β,α,β, α,β,α,β, β,α,α,β, β,β,β,β, or β,β,α,α configurations and the compound's structure is designated by numbers assigned to R 1 , R 2 , R 3  and R 4  according to the convention, R 1 .R 2 .R 3 .R 4 , wherein the structures for R 1 , R 2 , R 3  and R 4  are designated by numbers respectively and, for R 1 , structure 1 is —OH, structure 3 is —SH, structure 4 is ═S, structure 5 is —OCH 3 , structure 6 is —O—S(O)(O)—O—Na + , structure 7 is —O—S(O)(O)—OC 2 H 5 , structure 8 is —CH 3 , structure 9 is —H, and structure 10 is —OC(O)C(CH 3 ) 3 , and  
         for R 2 , structure 1 is —H, structure 2 is —OH, structure 3 is ═O, structure 4 is —CH 3 , structure 5 is —OCH 3 , structure 6 is -OC 2 H 5 , structure 7 is —OCH 2 CH 2 CH 3 , structure 8 is —OCH 2 CH 2 CH 2 CH 3 , structure 9 is —Cl, and structure 10 is —Br, and  
         for R 3 , structure 1 is —Br, structure 2 is —Cl, structure 3 is —I, structure 4 is —F, structure 5 is —H, structure 6 is —OH, structure 7 is =O, structure 8 is —OC(O)CH 3 , structure 9 is —OC(O)CH 2 CH 3 , and structure 10 is —OC(O)CH 2 CH 2 CH 3 , and  
         for R 4 , structure 1 is ═O, structure 2 is —OH, structure 3 is —H, structure 4 is —F, structure 5 is —Cl, structure 6 is —Br, structure 7 is —I, structure 8 is —OC(O)CH 3 , structure 9 is —OC(O)CH 2 CH 3 , and structure 10 is —OC(O)CH 2 CH 2 CH 3 , wherein the compound is 1.1.1.1, 1.1.1.2, 1.1.1.3, 1.1.1.4, 1.1.1.5, 1.1.1.6, 1.1.1.7, 1.1.1.8, 1.1.1.9, 1.1.1.10, 1.1.2.1, 1.1.2.2, 1.1.2.3, 1.1.2.4, 1.1.2.5, 1.1.2.6, 1.1.2.7, 1.1.2.8, 1.1.2.9, 1.1.2.10, 1.1.3.1, 1.1.3.2, 1.1.3.3, 1.1.3.4, 1.1.3.5, 1.1.3.6, 1.1.3.7, 1.1.3.8, 1.1.3.9, 1.1.3.10, 1.1.4.1, 1.1.4.2, 1.1.4.3, 1.1.4.4, 1.1.4.5, 1.1.4.6, 1.1.4.7, 1.1.4.8, 1.1.4.9, 1.1.4.10, 1.1.5.1, 1.1.5.2, 1.1.5.3, 1.1.5.4, 1.1.5.5, 1.1.5.6, 1.1.5.7, 1.1.5.8, 1.1.5.9, 1.1.5.10, 1.1.6.1, 1.1.6.2, 1.1.6.3, 1.1.6.4, 1.1.6.5, 1.1.6.6, 1.1.6.7, 1.1.6.8, 1.1.6.9,1.1.6.10, 1.1.7.1, 1.1.7.2, 1.1.7.3, 1.1.7.4, 1.1.7.5, 1.1.7.6, 1.1.7.7, 1.1.7.8, 1.1.7.9, 1.1.7.10, 1.1.8.1, 1.1.8.2, 1.1.8.3, 1.1.8.4, 1.1.8.5, 1.1.8.6, 1.1.8.7, 1.1.8.8, 1.1.8.9, 1.1.8.10, 1.1.9.1, 1.1.9.2, 1.1.9.3, 1.1.9.4, 1.1.9.5, 1.1.9.6, 1.1.9.7, 1.1.9.8, 1.1.9.9, 1.1.9.10, 1.1.10.1, 1.1.10.2, 1.1.10.3, 1.1.10.4, 1.1.10.5, 1.1.10.6, 1.1.10.7, 1.1.10.8, 1.1.10.9, 1.1.10.10, 1.2.1.1, 1.2.1.2, 1.2.1.3, 1.2.1.4, 1.2.1.5, 1.2.1.6, 1.2.1.7, 1.2.1.8, 1.2.1.9, 1.2.1.10, 1.2.2.1, 1.2.2.2, 1.2.2.3, 1.2.2.4, 1.2.2.5, 1.2.2.6, 1.2.2.7, 1.2.2.8, 1.2.2.9, 1.2.2.10, 1.2.3.1, 1.2.3.2, 1.2.3.3, 1.2.3.4, 1.2.3.5, 1.2.3.6, 1.2.3.7, 1.2.3.8, 1.2.3.9, 1.2.3.10, 1.2.4.1, 1.2.4.2, 1.2.4.3, 1.2.4.4, 1.2.4.5, 1.2.4.6, 1.2.4.7, 1.2.4.8, 1.2.4.9, 1.2.4.10, 1.2.5.1, 1.2.5.2, 1.2.5.3, 1.2.5.4, 1.2.5.5, 1.2.5.6, 1.2.5.7, 1.2.5.8, 1.2.5.9, 1.2.5.10, 1.2.6.1, 1.2.6.2, 1.2.6.3, 1.2.6.4, 1.2.6.5, 1.2.6.6, 1.2.6.7, 1.2.6.8, 1.2.6.9, 1.2.6.10, 1.2.7.1, 1.2.7.2, 1.2.7.3, 1.2.7.4, 1.2.7.5, 1.2.7.6, 1.2.7.7, 1.2.7.8, 1.2.7.9, 1.2.7.10, 1.2.8.1, 1.2.8.2, 1.2.8.3, 1.2.8.4, 1.2.8.5, 1.2.8.6, 1.2.8.7, 1.2.8.8, 1.2.8.9, 1.2.8.10, 1.2.9.1, 1.2.9.2, 1.2.9.3, 1.2.9.4, 1.2.9.5, 1.2.9.6, 1.2.9.7, 1.2.9.8, 1.2.9.9, 1.2.9.10, 1.2.10.1, 1.2.10.2, 1.2.10.3, 1.2.10.4, 1.2.10.5, 1.2.10.6, 1.2.10.7, 1.2.10.8, 1.2.10.9, 1.2.10.10, 1.3.1.1, 1.3.1.2, 1.3.1.3, 1.3.1.4, 1.3.1.5, 1.3.1.6, 1.3.1.7, 1.3.1.8, 1.3.1.9, 1.3.1.10, 1.3.2.1, 1.3.2.2, 1.3.2.3, 1.3.2.4, 1.3.2.5, 1.3.2.6, 1.3.2.7, 1.3.2.8, 1.3.2.9, 1.3.2.10, 1.3.3.1, 1.3.3.2, 1.3.3.3, 1.3.3.4, 1.3.3.5, 1.3.3.6, 1.3.3.7, 1.3.3.8, 1.3.3.9, 1.3.3.10, 1.3.4.1, 1.3.4.2, 1.3.4.3, 1.3.4.4, 1.3.4.5, 1.3.4.6, 1.3.4.7, 1.3.4.8, 1.3.4.9, 1.3.4.10, 1.3.5.1, 1.3.5.2, 1.3.5.3, 1.3.5.4, 1.3.5.5, 1.3.5.6, 1.3.5.7, 1.3.5.8, 1.3.5.9, 1.3.5.10, 1.3.6.1, 1.3.6.2, 1.3.6.3, 1.3.6.4, 1.3.6.5, 1.3.6.6, 1.3.6.7, 1.3.6.8, 1.3.6.9, 1.3.6.10, 1.3.7.1, 1.3.7.2, 1.3.7.3, 1.3.7.4, 1.3.7.5, 1.3.7.6, 1.3.7.7, 1.3.7.8, 1.3.7.9, 1.3.7.10, 1.3.8.1, 1.3.8.2, 1.3.8.3, 1.3.8.4, 1.3.8.5, 1.3.8.6, 1.3.8.7, 1.3.8.8, 1.3.8.9, 1.3.8.10, 1.3.9.1, 1.3.9.2, 1.3.9.3, 1.3.9.4, 1.3.9.5, 1.3.9.6, 1.3.9.7, 1.3.9.8, 1.3.9.9, 1.3.9.10, 1.3.10.1, 1.3.10.2, 1.3.10.3, 1.3.10.4, 1.3.10.5, 1.3.10.6, 1.3.10.7, 1.3.10.8, 1.3.10.9, 1.3.10.10, 1.4.1.1, 1.4.1.2, 1.4.1.3, 1.4.1.4, 1.4.1.5, 1.4.1.6, 1.4.1.7, 1.4.1.8, 1.4.1.9, 1.4.1.10, 1.4.2.1, 1.4.2.2, 1.4.2.3, 1.4.2.4, 1.4.2.5, 1.4.2.6, 1.4.2.7, 1.4.2.8, 1.4.2.9, 1.4.2.10, 1.4.3.1, 1.4.3.2, 1.4.3.3, 1.4.3.4, 1.4.3.5, 1.4.3.6, 1.4.3.7, 1.4.3.8, 1.4.3.9, 1.4.3.10, 1.4.4.1, 1.4.4.2, 1.4.4.3, 1.4.4.4, 1.4.4.5, 1.4.4.6, 1.4.4.7, 1.4.4.8, 1.4.4.9, 1.4.4.10, 1.4.5.1, 1.4.5.2, 1.4.5.3, 1.4.5.4, 1.4.5.5, 1.4.5.6, 1.4.5.7, 1.4.5.8, 1.4.5.9, 1.4.5.10, 1.4.6.1, 1.4.6.2, 1.4.6.3, 1.4.6.4, 1.4.6.5, 1.4.6.6, 1.4.6.7, 1.4.6.8, 1.4.6.9, 1.4.6.10, 1.4.7.1, 1.4.7.2, 1.4.7.3, 1.4.7.4, 1.4.7.5, 1.4.7.6, 1.4.7.7, 1.4.7.8, 1.4.7.9, 1.4.7.10, 1.4.8.1, 1.4.8.2, 1.4.8.3, 1.4.8.4, 1.4.8.5, 1.4.8.6, 1.4.8.7, 1.4.8.8, 1.4.8.9, 1.4.8.10, 1.4.9.1, 1.4.9.2, 1.4.9.3, 1.4.9.4, 1.4.9.5, 1.4.9.6, 1.4.9.7, 1.4.9.8, 1.4.9.9, 1.4.9.10, 1.4.10.1, 1.4.10.2, 1.4.10.3, 1.4.10.4, 1.4.10.5, 1.4.10.6, 1.4.10.7, 1.4.10.8, 1.4.10.9, 1.4.10.10, 1.5.1.1, 1.5.1.2, 1.5.1.3, 1.5.1.4, 1.5.1.5, 1.5.1.6, 1.5.1.7, 1.5.1.8, 1.5.1.9, 1.5.1.10, 1.5.2.1, 1.5.2.2, 1.5.2.3, 1.5.2.4, 1.5.2.5, 1.5.2.6, 1.5.2.7, 1.5.2.8, 1.5.2.9, 1.5.2.10, 1.5.3.1, 1.5.3.2, 1.5.3.3, 1.5.3.4, 1.5.3.5, 1.5.3.6, 1.5.3.7, 1.5.3.8, 1.5.3.9, 1.5.3.10, 1.5.4.1, 1.5.4.2, 1.5.4.3, 1.5.4.4, 1.5.4.5, 1.5.4.6, 1.5.4.7, 1.5.4.8, 1.5.4.9, 1.5.4.10, 1.5.5.1, 1.5.5.2, 1.5.5.3, 1.5.5.4, 1.5.5.5, 1.5.5.6, 1.5.5.7, 1.5.5.8, 1.5.5.9, 1.5.5.10, 1.5.6.1, 1.5.6.2, 1.5.6.3, 1.5.6.4, 1.5.6.5, 1.5.6.6, 1.5.6.7, 1.5.6.8, 1.5.6.9, 1.5.6.10, 1.5.7.1, 1.5.7.2, 1.5.7.3, 1.5.7.4, 1.5.7.5, 1.5.7.6, 1.5.7.7, 1.5.7.8, 1.5.7.9, 1.5.7.10, 1.5.8.1, 1.5.8.2, 1.5.8.3, 1.5.8.4, 1.5.8.5, 1.5.8.6, 1.5.8.7, 1.5.8.8, 1.5.8.9, 1.5.8.10, 1.5.9.1, 1.5.9.2, 1.5.9.3, 1.5.9.4, 1.5.9.5, 1.5.9.6, 1.5.9.7, 1.5.9.8, 1.5.9.9, 1.5.9.10, 1.5.10.1, 1.5.10.2, 1.5.10.3, 1.5.10.4, 1.5.10.5, 1.5.10.6, 1.5.10.7, 1.5.10.8, 1.5.10.9, 1.5.10.10, 1.6.1.1, 1.6.1.2, 1.6.1.3, 1.6.1.4, 1.6.1.5, 1.6.1.6, 1.6.1.7, 1.6.1.8, 1.6.1.9, 1.6.1.10, 1.6.2.1, 1.6.2.2, 1.6.2.3, 1.6.2.4, 1.6.2.5, 1.6.2.6, 1.6.2.7, 1.6.2.8, 1.6.2.9, 1.6.2.10, 1.6.3.1, 1.6.3.2, 1.6.3.3, 1.6.3.4, 1.6.3.5, 1.6.3.6, 1.6.3.7, 1.6.3.8, 1.6.3.9, 1.6.3.10, 1.6.4.1, 1.6.4.2, 1.6.4.3, 1.6.4.4, 1.6.4.5, 1.6.4.6, 1.6.4.7, 1.6.4.8, 1.6.4.9, 1.6.4.10, 1.6.5.1, 1.6.5.2, 1.6.5.3, 1.6.5.4, 1.6.5.5, 1.6.5.6, 1.6.5.7, 1.6.5.8, 1.6.5.9, 1.6.5.10, 1.6.6.1, 1.6.6.2, 1.6.6.3, 1.6.6.4, 1.6.6.5, 1.6.6.6, 1.6.6.7, 1.6.6.8, 1.6.6.9, 1.6.6.10, 1.6.7.1, 1.6.7.2, 1.6.7.3, 1.6.7.4, 1.6.7.5, 1.6.7.6, 1.6.7.7, 1.6.7.8, 1.6.7.9, 1.6.7.10, 1.6.8.1, 1.6.8.2, 1.6.8.3, 1.6.8.4, 1.6.8.5, 1.6.8.6, 1.6.8.7, 1.6.8.8, 1.6.8.9, 1.6.8.10, 1.6.9.1, 1.6.9.2, 1.6.9.3, 1.6.9.4, 1.6.9.5, 1.6.9.6, 1.6.9.7, 1.6.9.8, 1.6.9.9, 1.6.9.10, 1.6.10.1, 1.6.10.2, 1.6.10.3, 1.6.10.4, 1.6.10.5, 1.6.10.6, 1.6.10.7, 1.6.10.8, 1.6.10.9, 1.6.10.10, 1.7.1.1, 1.7.1.2, 1.7.1.3, 1.7.1.4, 1.7.1.5, 1.7.1.6, 1.7.1.7, 1.7.1.8, 1.7.1.9, 1.7.1.10, 1.7.2.1, 1.7.2.2, 1.7.2.3, 1.7.2.4, 1.7.2.5, 1.7.2.6, 1.7.2.7, 1.7.2.8, 1.7.2.9, 1.7.2.10, 1.7.3.1, 1.7.3.2, 1.7.3.3, 1.7.3.4, 1.7.3.5, 1.7.3.6, 1.7.3.7, 1.7.3.8, 1.7.3.9, 1.7.3.10, 1.7.4.1, 1.7.4.2, 1.7.4.3, 1.7.4.4, 1.7.4.5, 1.7.4.6, 1.7.4.7, 1.7.4.8, 1.7.4.9, 1.7.4.10, 1.7.5.1, 1.7.5.2, 1.7.5.3, 1.7.5.4, 1.7.5.5, 1.7.5.6, 1.7.5.7, 1.7.5.8, 1.7.5.9, 1.7.5.10, 1.7.6.1, 1.7.6.2, 1.7.6.3, 1.7.6.4, 1.7.6.5, 1.7.6.6, 1.7.6.7, 1.7.6.8, 1.7.6.9, 1.7.6.10, 1.7.7.1, 1.7.7.2, 1.7.7.3, 1.7.7.4, 1.7.7.5, 1.7.7.6, 1.7.7.7, 1.7.7.8, 1.7.7.9, 1.7.7.10, 1.7.8.1, 1.7.8.2, 1.7.8.3, 1.7.8.4, 1.7.8.5, 1.7.8.6, 1.7.8.7, 1.7.8.8, 1.7.8.9, 1.7.8.10, 1.7.9.1, 1.7.9.2, 1.7.9.3, 1.7.9.4, 1.7.9.5, 1.7.9.6, 1.7.9.7, 1.7.9.8, 1.7.9.9, 1.7.9.10, 1.7.10.1, 1.7.10.2, 1.7.10.3, 1.7.10.4, 1.7.10.5, 1.7.10.6, 1.7.10.7, 1.7.10.8, 1.7.10.9, 1.7.10.10, 1.8.1.1, 1.8.1.2, 1.8.1.3, 1.8.1.4, 1.8.1.5, 1.8.1.6, 1.8.1.7, 1.8.1.8, 1.8.1.9, 1.8.1.10, 1.8.2.1, 1.8.2.2, 1.8.2.3, 1.8.2.4, 1.8.2.5, 1.8.2.6, 1.8.2.7, 1.8.2.8, 1.8.2.9, 1.8.2.10, 1.8.3.1, 1.8.3.2, 1.8.3.3, 1.8.3.4, 1.8.3.5, 1.8.3.6, 1.8.3.7, 1.8.3.8, 1.8.3.9, 1.8.3.10, 1.8.4.1, 1.8.4.2, 1.8.4.3, 1.8.4.4, 1.8.4.5, 1.8.4.6, 1.8.4.7, 1.8.4.8, 1.8.4.9, 1.8.4.10, 1.8.5.1, 1.8.5.2, 1.8.5.3, 1.8.5.4, 1.8.5.5, 1.8.5.6, 1.8.5.7, 1.8.5.8, 1.8.5.9, 1.8.5.10, 1.8.6.1, 1.8.6.2, 1.8.6.3, 1.8.6.4, 1.8.6.5, 1.8.6.6, 1.8.6.7, 1.8.6.8, 1.8.6.9, 1.8.6.10, 1.8.7.1, 1.8.7.2, 1.8.7.3, 1.8.7.4, 1.8.7.5, 1.8.7.6, 1.8.7.7, 1.8.7.8, 1.8.7.9, 1.8.7.10, 1.8.8.1, 1.8.8.2, 1.8.8.3, 1.8.8.4, 1.8.8.5, 1.8.8.6, 1.8.8.7, 1.8.8.8, 1.8.8.9, 1.8.8.10, 1.8.9.1, 1.8.9.2, 1.8.9.3, 1.8.9.4, 1.8.9.5, 1.8.9.6, 1.8.9.7, 1.8.9.8, 1.8.9.9, 1.8.9.10, 1.8.10.1, 1.8.10.2, 1.8.10.3, 1.8.10.4, 1.8.10.5, 1.8.10.6, 1.8.10.7, 1.8.10.8, 1.8.10.9, 1.8.10.10, 1.9.1.1, 1.9.1.2, 1.9.1.3, 1.9.1.4, 1.9.1.5, 1.9.1.6, 1.9.1.7, 1.9.1.8, 1.9.1.9, 1.9.1.10, 1.9.2.1, 1.9.2.2, 1.9.2.3, 1.9.2.4, 1.9.2.5, 1.9.2.6, 1.9.2.7, 1.9.2.8, 1.9.2.9, 1.9.2.10, 1.9.3.1, 1.9.3.2, 1.9.3.3, 1.9.3.4, 1.9.3.5, 1.9.3.6, 1.9.3.7, 1.9.3.8, 1.9.3.9, 1.9.3.10, 1.9.4.1, 1.9.4.2, 1.9.4.3, 1.9.4.4, 1.9.4.5, 1.9.4.6, 1.9.4.7, 1.9.4.8, 1.9.4.9, 1.9.4.10, 1.9.5.1, 1.9.5.2, 1.9.5.3, 1.9.5.4, 1.9.5.5, 1.9.5.6, 1.9.5.7, 1.9.5.8, 1.9.5.9, 1.9.5.10, 1.9.6.1, 1.9.6.2, 1.9.6.3, 1.9.6.4, 1.9.6.5, 1.9.6.6, 1.9.6.7, 1.9.6.8, 1.9.6.9, 1.9.6.10, 1.9.7.1, 1.9.7.2, 1.9.7.3, 1.9.7.4, 1.9.7.5, 1.9.7.6, 1.9.7.7, 1.9.7.8, 1.9.7.9, 1.9.7.10, 1.9.8.1, 1.9.8.2, 1.9.8.3, 1.9.8.4, 1.9.8.5, 1.9.8.6, 1.9.8.7, 1.9.8.8, 1.9.8.9, 1.9.8.10, 1.9.9.1, 1.9.9.2, 1.9.9.3, 1.9.9.4, 1.9.9.5, 1.9.9.6, 1.9.9.7, 1.9.9.8, 1.9.9.9, 1.9.9.10, 1.9.10.1, 1.9.10.2, 1.9.10.3, 1.9.10.4, 1.9.10.5, 1.9.10.6, 1.9.10.7, 1.9.10.8, 1.9.10.9, 1.9.10.10, 1.10.1.1, 1.10.1.2, 1.10.1.3, 1.10.1.4, 1.10.1.5, 1.10.1.6, 1.10.1.7, 1.10.1.8, 1.10.1.9, 1.10.1.10, 1.10.2.1, 1.10.2.2, 1.10.2.3, 1.10.2.4, 1.10.2.5, 1.10.2.6, 1.10.2.7, 1.10.2.8, 1.10.2.9, 1.10.2.10, 1.10.3.1, 1.10.3.2, 1.10.3.3, 1.10.3.4, 1.10.3.5, 1.10.3.6, 1.10.3.7, 1.10.3.8, 1.10.3.9, 1.10.3.10, 1.10.4.1, 1.10.4.2, 1.10.4.3, 1.10.4.4, 1.10.4.5, 1.10.4.6, 1.10.4.7, 1.10.4.8, 1.10.4.9, 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10.3.9.6, 10.3.9.7, 10.3.9.8, 10.3.9.9, 10.3.9.10, 10.3.10.1, 10.3.10.2, 10.3.10.3, 10.3.10.4, 10.3.10.5, 10.3.10.6, 10.3.10.7, 10.3.10.8, 10.3.10.9, 10.3.10.10, 10.4.1.1, 10.4.1.2, 10.4.1.3, 10.4.1.4, 10.4.1.5, 10.4.1.6, 10.4.1.7, 10.4.1.8, 10.4.1.9, 10.4.1.10, 10.4.2.1, 10.4.2.2, 10.4.2.3, 10.4.2.4, 10.4.2.5, 10.4.2.6, 10.4.2.7, 10.4.2.8, 10.4.2.9, 10.4.2.10, 10.4.3.1, 10.4.3.2, 10.4.3.3, 10.4.3.4, 10.4.3.5, 10.4.3.6, 10.4.3.7, 10.4.3.8, 10.4.3.9, 10.4.3.10, 10.4.4.1, 10.4.4.2, 10.4.4.3, 10.4.4.4, 10.4.4.5, 10.4.4.6, 10.4.4.7, 10.4.4.8, 10.4.4.9, 10.4.4.10, 10.4.5.1, 10.4.5.2, 10.4.5.3, 10.4.5.4, 10.4.5.5, 10.4.5.6, 10.4.5.7, 10.4.5.8, 10.4.5.9, 10.4.5.10, 10.4.6.1, 10.4.6.2, 10.4.6.3, 10.4.6.4, 10.4.6.5, 10.4.6.6, 10.4.6.7, 10.4.6.8, 10.4.6.9, 10.4.6.10, 10.4.7.1, 10.4.7.2, 10.4.7.3, 10.4.7.4, 10.4.7.5, 10.4.7.6, 10.4.7.7, 10.4.7.8, 10.4.7.9, 10.4.7.10, 10.4.8.1, 10.4.8.2, 10.4.8.3, 10.4.8.4, 10.4.8.5, 10.4.8.6, 10.4.8.7, 10.4.8.8, 10.4.8.9, 10.4.8.10, 10.4.9.1, 10.4.9.2, 10.4.9.3, 10.4.9.4, 10.4.9.5, 10.4.9.6, 10.4.9.7, 10.4.9.8, 10.4.9.9, 10.4.9.10, 10.4.10.1, 10.4.10.2, 10.4.10.3, 10.4.10.4, 10.4.10.5, 10.4.10.6, 10.4.10.7, 10.4.10.8, 10.4.10.9, 10.4.10.10, 10.5.1.1, 10.5.1.2, 10.5.1.3, 10.5.1.4, 10.5.1.5, 10.5.1.6, 10.5.1.7, 10.5.1.8, 10.5.1.9, 10.5.1.10, 10.5.2.1, 10.5.2.2, 10.5.2.3, 10.5.2.4, 10.5.2.5, 10.5.2.6, 10.5.2.7, 10.5.2.8, 10.5.2.9, 10.5.2.10, 10.5.3.1, 10.5.3.2, 10.5.3.3, 10.5.3.4, 10.5.3.5, 10.5.3.6, 10.5.3.7, 10.5.3.8, 10.5.3.9, 10.5.3.10, 10.5.4.1, 10.5.4.2, 10.5.4.3, 10.5.4.4, 10.5.4.5, 10.5.4.6, 10.5.4.7, 10.5.4.8, 10.5.4.9, 10.5.4.10, 10.5.5.1, 10.5.5.2, 10.5.5.3, 10.5.5.4, 10.5.5.5, 10.5.5.6, 10.5.5.7, 10.5.5.8, 10.5.5.9, 10.5.5.10, 10.5.6.1, 10.5.6.2, 10.5.6.3, 10.5.6.4, 10.5.6.5, 10.5.6.6, 10.5.6.7, 10.5.6.8, 10.5.6.9, 10.5.6.10, 10.5.7.1, 10.5.7.2, 10.5.7.3, 10.5.7.4, 10.5.7.5, 10.5.7.6, 10.5.7.7, 10.5.7.8, 10.5.7.9, 10.5.7.10, 10.5.8.1, 10.5.8.2, 10.5.8.3, 10.5.8.4, 10.5.8.5, 10.5.8.6, 10.5.8.7, 10.5.8.8, 10.5.8.9, 10.5.8.10, 10.5.9.1, 10.5.9.2, 10.5.9.3, 10.5.9.4, 10.5.9.5, 10.5.9.6, 10.5.9.7, 10.5.9.8, 10.5.9.9, 10.5.9.10, 10.5.10.1, 10.5.10.2, 10.5.10.3, 10.5.10.4, 10.5.10.5, 10.5.10.6, 10.5.10.7, 10.5.10.8, 10.5.10.9, 10.5.10.10, 10.6.1.1, 10.6.1.2, 10.6.1.3, 10.6.1.4, 10.6.1.5, 10.6.1.6, 10.6.1.7, 10.6.1.8, 10.6.1.9, 10.6.1.10, 10.6.2.1, 10.6.2.2, 10.6.2.3, 10.6.2.4, 10.6.2.5, 10.6.2.6, 10.6.2.7, 10.6.2.8, 10.6.2.9, 10.6.2.10, 10.6.3.1, 10.6.3.2, 10.6.3.3, 10.6.3.4, 10.6.3.5, 10.6.3.6, 10.6.3.7, 10.6.3.8, 10.6.3.9, 10.6.3.10, 10.6.4.1, 10.6.4.2, 10.6.4.3, 10.6.4.4, 10.6.4.5, 10.6.4.6, 10.6.4.7, 10.6.4.8, 10.6.4.9, 10.6.4.10, 1 0.6.5.1, 10.6.5.2, 1 0.6.5.3, 10.6.5.4, 10.6.5.5, 10.6.5.6, 10.6.5.7, 10.6.5.8, 10.6.5.9, 10.6.5.10, 10.6.6.1, 10.6.6.2, 10.6.6.3, 10.6.6.4, 10.6.6.5, 10.6.6.6, 10.6.6.7, 10.6.6.8, 10.6.6.9, 10.6.6.10, 10.6.7.1, 10.6.7.2, 10.6.7.3, 10.6.7.4, 10.6.7.5, 10.6.7.6, 10.6.7.7, 10.6.7.8, 10.6.7.9, 10.6.7.10, 10.6.8.1, 10.6.8.2, 10.6.8.3, 10.6.8.4, 10.6.8.5, 10.6.8.6, 10.6.8.7, 10.6.8.8, 10.6.8.9, 10.6.8.10, 10.6.9.1, 10.6.9.2, 10.6.9.3, 10.6.9.4, 10.6.9.5, 10.6.9.6, 10.6.9.7, 10.6.9.8, 10.6.9.9, 10.6.9.10, 10.6.10.1, 10.6.10.2, 10.6.10.3, 10.6.10.4, 10.6.10.5, 10.6.10.6, 10.6.10.7, 10.6.10.8, 10.6.10.9, 10.6.10.10, 10.7.1.1, 10.7.1.2, 10.7.1.3, 10.7.1.4, 10.7.1.5, 10.7.1.6, 10.7.1.7, 10.7.1.8, 10.7.1.9, 10.7.1.10, 10.7.2.1, 10.7.2.2, 10.7.2.3, 10.7.2.4, 10.7.2.5, 10.7.2.6, 10.7.2.7, 10.7.2.8, 10.7.2.9, 10.7.2.10, 10.7.3.1, 10.7.3.2, 10.7.3.3, 10.7.3.4, 10.7.3.5, 10.7.3.6, 10.7.3.7, 10.7.3.8, 10.7.3.9, 10.7.3.10, 10.7.4.1, 10.7.4.2, 10.7.4.3, 10.7.4.4, 10.7.4.5, 10.7.4.6, 10.7.4.7, 10.7.4.8, 10.7.4.9, 10.7.4.10, 10.7.5.1, 10.7.5.2, 10.7.5.3, 10.7.5.4, 10.7.5.5, 10.7.5.6, 10.7.5.7, 10.7.5.8, 10.7.5.9, 10.7.5.10, 10.7.6.1, 10.7.6.2, 10.7.6.3, 10.7.6.4, 10.7.6.5, 10.7.6.6, 10.7.6.7, 10.7.6.8, 10.7.6.9, 10.7.6.10, 10.7.7.1, 10.7.7.2, 10.7.7.3, 10.7.7.4, 10.7.7.5, 10.7.7.6, 10.7.7.7, 10.7.7.8, 10.7.7.9, 10.7.7.10, 10.7.8.1, 10.7.8.2, 10.7.8.3, 10.7.8.4, 10.7.8.5, 10.7.8.6, 10.7.8.7, 10.7.8.8, 10.7.8.9, 10.7.8.10, 10.7.9.1, 10.7.9.2, 10.7.9.3, 10.7.9.4, 10.7.9.5, 10.7.9.6, 10.7.9.7, 10.7.9.8, 10.7.9.9, 10.7.9.10, 10.7.10.1, 10.7.10.2, 10.7.10.3, 10.7.10.4, 10.7.10.5, 10.7.10.6, 10.7.10.7, 10.7.10.8, 10.7.10.9, 10.7.10.10, 10.8.1.1, 10.8.1.2, 10.8.1.3, 10.8.1.4, 10.8.1.5, 10.8.1.6, 10.8.1.7, 10.8.1.8, 10.8.1.9, 10.8.1.10, 10.8.2.1, 10.8.2.2, 10.8.2.3, 10.8.2.4, 10.8.2.5, 10.8.2.6, 10.8.2.7, 10.8.2.8, 10.8.2.9, 10.8.2.10, 10.8.3.1, 10.8.3.2, 10.8.3.3, 10.8.3.4, 10.8.3.5, 10.8.3.6, 10.8.3.7, 10.8.3.8, 10.8.3.9, 10.8.3.10, 10.8.4.1, 10.8.4.2, 10.8.4.3, 10.8.4.4, 10.8.4.5, 10.8.4.6, 10.8.4.7, 10.8.4.8, 10.8.4.9, 10.8.4.10, 10.8.5.1, 10.8.5.2, 10.8.5.3, 10.8.5.4, 10.8.5.5, 10.8.5.6, 10.8.5.7, 10.8.5.8, 10.8.5.9, 10.8.5.10, 10.8.6.1 10.8.6.2, 10.8.6.3, 10.8.6.4, 10.8.6.5, 10.8.6.6, 10.8.6.7, 10.8.6.8, 10.8.6.9, 10.8.6.10, 10.8.7.1, 10.8.7.2, 10.8.7.3, 10.8.7.4, 10.8.7.5, 10.8.7.6, 10.8.7.7, 10.8.7.8, 10.8.7.9, 10.8.7.10, 10.8.8.1, 10.8.8.2, 10.8.8.3, 10.8.8.4, 10.8.8.5, 10.8.8.6, 10.8.8.7, 10.8.8.8, 10.8.8.9, 10.8.8.10, 10.8.9.1, 10.8.9.2, 10.8.9.3, 10.8.9.4, 10.8.9.5, 10.8.9.6, 10.8.9.7, 10.8.9.8, 10.8.9.9, 10.8.9.10, 10.8.10.1, 10.8.10.2, 10.8.10.3, 10.8.10.4, 10.8.10.5, 10.8.10.6, 10.8.10.7, 10.8.10.8, 10.8.10.9, 10.8.10.10, 10.9.1.1, 10.9.1.2, 10.9.1.3, 10.9.1.4, 10.9.1.5, 10.9.1.6, 10.9.1.7, 10.9.1.8, 10.9.1.9, 10.9.1.10, 10.9.2.1, 10.9.2.2, 10.9.2.3, 10.9.2.4, 10.9.2.5, 10.9.2.6, 10.9.2.7, 10.9.2.8, 10.9.2.9, 10.9.2.10, 10.9.3.1, 10.9.3.2, 10.9.3.3, 10.9.3.4, 10.9.3.5, 10.9.3.6, 10.9.3.7, 10.9.3.8, 10.9.3.9, 10.9.3.10, 10.9.4.1, 10.9.4.2, 10.9.4.3, 10.9.4.4, 10.9.4.5, 10.9.4.6, 10.9.4.7, 10.9.4.8, 10.9.4.9, 10.9.4.10, 10.9.5.1, 10.9.5.2, 10.9.5.3, 10.9.5.4, 10.9.5.5, 10.9.5.6, 10.9.5.7, 10.9.5.8, 10.9.5.9, 10.9.5.10, 10.9.6.1, 10.9.6.2, 10.9.6.3, 10.9.6.4, 10.9.6.5, 10.9.6.6, 10.9.6.7, 10.9.6.8, 10.9.6.9, 10.9.6.10, 10.9.7.1, 10.9.7.2, 10.9.7.3, 10.9.7.4, 10.9.7.5, 10.9.7.6, 10.9.7.7, 10.9.7.8, 10.9.7.9, 10.9.7.10, 10.9.8.1, 10.9.8.2, 10.9.8.3, 10.9.8.4, 10.9.8.5, 10.9.8.6, 10.9.8.7, 10.9.8.8, 10.9.8.9, 10.9.8.10, 10.9.9.1, 10.9.9.2, 10.9.9.3, 10.9.9.4, 10.9.9.5, 10.9.9.6, 10.9.9.7, 10.9.9.8, 10.9.9.9, 10.9.9.10, 10.9.10.1, 10.9.10.2, 10.9.10.3, 10.9.10.4, 10.9.10.5, 10.9.10.6, 10.9.10.7, 10.9.10.8, 10.9.10.9, 10.9.10.10, 10.10.1.1, 10.10.1.2, 10.10.1.3, 10.10.1.4, 10.10.1.5, 10.10.1.6, 10.10.1.7, 10.10.1.8, 10.10.1.9, 10.10.1.10, 10.10.2.1, 10.10.2.2, 10.10.2.3, 10.10.2.4, 10.10.2.5, 10.10.2.6, 10.10.2.7, 10.10.2.8, 10.10.2.9, 10.10.2.10, 10.10.3.1, 10.10.3.2, 10.10.3.3, 10.10.3.4, 10.10.3.5, 10.10.3.6, 10.10.3.7, 10.10.3.8, 10.10.3.9, 10.10.3.10, 10.10.4.1, 10.10.4.2, 10.10.4.3, 10.10.4.4, 10.10.4.5, 10.10.4.6, 10.10.4.7, 10.10.4.8, 10.10.4.9, 10.10.4.10, 10.10.5.1, 10.10.5.2, 10.10.5.3, 10.10.5.4, 10.10.5.5, 10.10.5.6, 10.10.5.7, 10.10.5.8, 10.10.5.9, 10.10.5.10, 10.10.6.1, 10.10.6.2, 10.10.6.3, 10.10.6.4, 10.10.6.5, 10.10.6.6, 10.10.6.7, 10.10.6.8, 10.10.6.9, 10.10.6.10, 10.10.7.1, 10.10.7.2, 10.10.7.3, 10.10.7.4, 10.10.7.5, 10.10.7.6, 10.10.7.7, 10.10.7.8, 10.10.7.9, 10.10.7.10, 10.10.8.1, 10.10.8.2, 10.10.8.3, 10.10.8.4, 10.10.8.5, 10.10.8.6, 10.10.8.7, 10.10.8.8, 10.10.8.9, 10.10.8.10, 10.10.9.1, 10.10.9.2, 10.10.9.3, 10.10.9.4, 10.10.9.5, 10.10.9.6, 10.10.9.7, 10.10.9.8, 10.10.9.9, 10.10.9.10, 10.10.10.1, 10.10.10.2, 10.10.10.3, 10.10.10.4, 10.10.10.5, 10.10.10.6, 10.10.10.7, 10.10.10.8, 10.10.10.9 or 10.10.10.10.  
       
     
     
         7 . The method of  claim 6  wherein R 1 , R 2 , R 3  and R 4  respectively are in the β,β,α,β configurations.  
     
     
         8 . The method of  claim 6  wherein R 1 , R 2 , R 3  and R 4  respectively are in the β,β,β,β configurations.  
     
     
         9 . The method of  claim 6  wherein R 1 , R 2 , R 3  and R 4  respectively are in the α,β,α,β configurations.  
     
     
         10 . The method of  claim 6  wherein no double bond is present at the 1-2 or 5-6 positions, R 1 , R 2 , R 3  and R 4  respectively are in the β,β,α,β configurations, R 5  and R 6  are —CH 3  and R 7 , R 8  and R 9  are —CH 2 —.  
     
     
         11 . The method of  claim 6  wherein no double bond is present at the 1-2 position, a double bond is present at the 5-6 position, R 1 , R 2 , R 3  and R 4  respectively are in the β,β,α,β configurations, R 5  and R 6  are —CH 3  and R 7 , R 8  and R 9  are —CH 2 —.  
     
     
         12 . The method of  claim 6  wherein no double bond is present at the 1-2 position, a double bond is present at the 5-6 position, R 1 , R 2 , R 3  and R 4  respectively are in the β,α,α,β configurations, R 5  and R 6  are —CH 3  and R 7 , R 8  and R 9  are —CH 2 —.  
     
     
         13 . The method of  claim 6  wherein no double bond is present at the 5-6 position, a double bond is present at the 1-2 position, R 1 , R 2 , R 3  and R 4  respectively are in the α,β,α,β configurations, R 5  and R 6  are —CH 3  and R 7 , R 8  and R 9  are —CH 2 —.  
     
     
         12 . The method of  claim 6  wherein R 8  is —O— or —NH— and R 7  and R 9  are —CH 2 —.  
     
     
         13 . The method of  claim 6  wherein R 9  is —O— or —NH— and R 7  and R 8  are —CH 2 —.  
     
     
         14 . The method of  claim 6  wherein R 7 , R 8  and R 9  are —CH 2 — and no double bond is present at the 1-2 or 5-6 positions.  
     
     
         15 . The method of  claim 6  wherein R 7 , R 8  and R 9  are —CH 2 —, no double bond is present at the 1-2 position and a double bond is present at the 5-6 position.  
     
     
         16 . The method of  claim 6  wherein R 7 , R 8  and R 9  are —CH 2 —, a double bond is present at the 1-2 position and no double bond is present at the 5-6 position.  
     
     
         17 . The method of  claim 6  wherein the compound is 16β-bromo-3β-hydroxy-5α-androstan-17-one, 16α-bromo-3β-hydroxy-5α-androstan-17-one, 3β,16β-dihydroxy-5α-androstan-17-one, 3β,16β-dihydroxy-5α-androstan-17-one, 3β,16α,17β-trihydroxy-5α-androstane, 3β,16β,17β-trihydroxy-5α-androstane or 3α,16α,17β-trihydroxy-5α-androstane.  
     
     
         18 . The method of  claim 6  wherein the compound is 3β-hydroxy-16α-fluoro-5α-androstan-17-one, 16α-fluoroandrost-5-ene-17-one, 7β-hydroxy-16α-fluoroandrost-5-ene-17-one, 7α-hydroxy-16α-fluoroandrost-5-ene-17-one, 3α-hydroxy-16α-fluoroandrost-5-ene-17-one, 3α,17β-dihydroxy-16α-fluoroandrost-5-ene, 3α,7β,17β-trihydroxy-16α-fluoroandrost-5-ene, 3α,17β-dihydroxy-7-oxo-16α-fluoroandrost-5-ene, 7,17-dioxo-16α-fluoroandrost-5-ene or 17β-hydroxy-7-oxo-16α-fluoroandrost-5-ene.  
     
     
         19 . The method of  claim 6  wherein the compound is 3β,17β-dihydroxyandrost-5-ene, 3β,7β,17β-trihydroxyandrost-5-ene, 3β,7β,17β-trihydroxy-16-oxoandrost-5-ene, 3β,7α,17β-trihydroxyandrost-5-ene, 3β,16α,17β-trihydroxyandrost-5-ene, 3β,17β-dihydroxy-7-oxoandrost-5-ene, 3β,7β,16α,17β-tetrahydroxyandrost-5-ene or 3β,7β,17β-trihydroxy-16α-bromoandrost-5-ene.  
     
     
         20 . The method of  claim 17  wherein the compound is 16α-bromo-3β-hydroxy-5α-androstan-17-one.  
     
     
         21 . The method of  claim 1  wherein the compound is 16α-bromo-3β-hydroxy-5α-androstan-17-one hemihydrate.  
     
     
         22 . The method of  claim 19  wherein the compound is 3β,17β-dihydroxyandrost-5-ene.  
     
     
         23 . The method of  claim 19  wherein the compound is 3β,7β,17β-trihydroxyandrost-5-ene.  
     
     
         24 . The method of  claim 19  wherein the compound is 3α,17β-dihydroxy-16α-fluoroandrost-5-ene.  
     
     
         25 . The method of  claim 17  wherein the compound is 16β-bromo-3β-hydroxy-5α-androstan-17-one.  
     
     
         26 . The method of  claim 17  wherein the compound is 3β,16α-dihydroxy-5α-androstan-17-one or 3α,16α,17β-trihydroxy-5α-androstane.  
     
     
         27 . The method of  claim 1  wherein the intermittent dosing protocol comprises: (a) administering the compound to the subject at least once per day for at least 2 days; (b) not administering the one or more formula 1 compounds to the subject for at least 1 day; (c) administering the one or more formula 1 compounds to the subject at least once per day for at least 2 days; and (d) optionally repeating steps (a), (b) and (c) at least once or variations of steps (a), (b) and (c) at least once.  
     
     
         28 . The method of  claim 27  wherein step (c) comprises the same dosing period as step (a).  
     
     
         29 . The method of  claim 28  wherein step (a) is administering the compound for about 3-24 days.  
     
     
         30 . The method of  claim 28  wherein step (b) is not administering the compound for about 3-120 days.  
     
     
         31 . The method of  claim 29  wherein step (b) is not administering the compound for about 3-120 days.  
     
     
         32 . The method of  claim 29  wherein step (b) comprises not administering the compound for about 4-60 days.  
     
     
         33 . The method of  claim 27  wherein step (b) comprises not administering the compound for about 4-60 days.  
     
     
         34 . The method of  claim 31  wherein the compound is 16β-bromo-3β-hydroxy-5α-androstan-17-one, 16α-bromo-3β-hydroxy-5α-androstan-17-one, 3β,16α-dihydroxy-5α-androstan-17-one, 3β,16β-dihydroxy-5α-androstan-17-one, 3β,16α,17β-trihydroxy-5α-androstane, 3β,16β,17β-trihydroxy-5α-androstane, 3α,16α,17β-trihydroxy-5α-androstane, 16α-fluoro-3β-hydroxy-5α-androstan-17-one, 16α-fluoroandrost-5-ene-17-one, 7β-hydroxy-16α-fluoroandrost-5-ene-17-one, 7α-hydroxy-16α-fluoroandrost-5-ene-17-one, 3α-hydroxy-16α-fluoroandrost-5-ene-17-one, 3α,17β-dihydroxy-16α-fluoroandrost-5-ene, 3α,7β,17β-trihydroxy-16α-fluoroandrost-5-ene, 3β,17β-dihydroxyandrost-5-ene, 3β,7β,17β-trihydroxyandrost-5-ene, 3β,7α,17β-trihydroxyandrost-5-ene, 3β,16α,17β-trihydroxyandrost-5-ene, 3β,17β-dihydroxy-7-oxoandrost-5-ene, 3β,7β,16α,17β-tetrahydroxyandrost-5-ene or 3β,7β,17β-trihydroxy-16α-bromoandrost-5-ene.  
     
     
         35 . The method of  claim 31  wherein the compound is 16β-bromo-3β-hydroxy-5α-androstan-17-one, 16α-bromo-3β-hydroxy-5α-androstan-17-one, 3β,16α-dihydroxy-5α-androstan-17-one, 3β,16β-dihydroxy-5α-androstan-17-one, 3β,16α,17β-trihydroxy-5α-androstane, 3β,16β,17β-trihydroxy-5α-androstane or 16α-fluoro-3β-hydroxy-5α-androstan-17-one.  
     
     
         36 . The method of  claim 31  wherein the compound is 3β,17β-dihydroxyandrost-5-ene,3β,7β,17β-trihydroxyandrost-5-ene, 3β,7α,17β-trihydroxyandrost-5-ene, 3β,16α,17β-trihydroxyandrost-5-ene, 3β,17β-dihydroxy-7-oxoandrost-5-ene, 3β,7β,16α,17β-tetrahydroxyandrost-5-ene or 3β,7β,17β-trihydroxy-16α-bromoandrost-5-ene.  
     
     
         37 . The method of  claim 35  wherein the compound is 16α-bromo-3β-hydroxy-5α-androstan-17-one.  
     
     
         38 . The method of  claim 37  wherein the 16α-bromo-3β-hydroxy-5α-androstan-17-one comprises 16α-bromo-3β-hydroxy-5α-androstan-17-one hemihydrate.  
     
     
         39 . The method of  claim 36  wherein the compound is 3β,7β,17β-dihydroxyandrost-5-ene.  
     
     
         40 . The method of  claim 36  wherein the compound is 3β,7β,17 62 -trihydroxyandrost-5-ene.  
     
     
         41 . The method of  claim 34  wherein the compound is 3α,17β-dihydroxy-16α-fluoroandrost-5-ene.  
     
     
         42 . The method of  claim 35  wherein the compound is 16β-bromo-3β-hydroxy-5α-androstan-17-one.  
     
     
         43 . The method of  claim 35  wherein the compound is 3β,16α-dihydroxy-5α-androstan-17-one.  
     
     
         44 . The method of  claim 34 , wherein the subject has a pathogen infection.  
     
     
         45 . The method of  claim 44 , wherein the pathogen infection is a viral infection.  
     
     
         46 . The method of  claim 45 , wherein the viral infection is a retrovirus infection, optionally selected from the group consisting of a HIV-1 infection and a HIV-2 infection.  
     
     
         47 . The method of  claim 45  where the infection is a hepatitis B virus infection, a hepatitis C virus infection, a poxvirus infection or a papillomavirus infection.  
     
     
         48 . The method of  claim 44 , wherein the pathogen infection is a parasite infection.  
     
     
         49 . The method of  claim 48 , wherein the parasite infection is a Plasmodium infection, a Trypanosoma infection, a Leishmania infection, a Schistosoma infection or a Cryptosporidium infection.  
     
     
         50 . The method of  claim 44 , wherein the pathogen infection is a bacterial, fungal or yeast infection.  
     
     
         51 . The method of  claim 50 , wherein the bacterial, fungal or yeast infection is an intracellular bacterium infection, a Mycobacterium infection, a Brucella infection, a Pseudomonas infection, a Yersinia infection, a Vibrio infection, a Salmonella infection, a Candida infection, an Aspergillus infection or a Cryptococcus infection.  
     
     
         52 . The method of  claim 34  wherein the subject has a cancer or a precancer.  
     
     
         53 . The method of  claim 52  wherein the cancer or precancer is a cancer or precancer arising in the throat, esophagus, stomach, intestine, colon, lung, or central nervous system.  
     
     
         54 . The method of  claim 34 , wherein the subject has, or is subject to developing, an immunosuppression condition or an unwanted immune response either or both of which are associated with a chemotherapy, or radiation exposure.  
     
     
         55 . The method of  claim 54 , wherein the chemotherapy or radiation exposure is a cyclosporin, cyclohexamide, mitomycin C, adriamycin, taxol, amphotericin B, cis-platin, a protease inhibitor, a nucleoside analog, a nucleotide analog or a corticosteroid treatment or γ-radiation therapy.  
     
     
         56 . The method of  claim 34 , wherein the subject has a wound, osteoporosis, a bone fracture, a hemorrhage or a burn.  
     
     
         57 . The method of  claim 34 , wherein the subject has a neurological disorder.  
     
     
         58 . The method of  claim 57 , wherein the neurological disorder is AIDS associated dementia, Alzheimer's disease, Parkinson's disease, schizophrenia or multiple sclerosis.  
     
     
         59 . A method to administer a compound to a subject, wherein the method comprises intermittent administration of about 0.05 mg/kg to about 30 mg/kg per day of a compound to the subject, wherein the compound is 16β-bromo-3β-hydroxy-5α-androstan-17-one, 16α-bromo-3β-hydroxy-5α-androstan-17-one, 3β,16α-dihydroxy-5α-androstan-17-one, 3β,16β-dihydroxy-5α-androstan-17-one, 3β,16α,17β-trihydroxy-5α-androstane, 3β,16β,17β-trihydroxy-5α-androstane, 16α-fluoro-3β-hydroxy-5α-androstan-17-one, 16α-fluoroandrost-5-ene-17-one, 7β-hydroxy-16α-fluoroandrost-5-ene-17-one, 7α-hydroxy-16α-fluoroandrost-5-ene-17-one, 3α-hydroxy-16α-fluoroandrost-5-ene-17-one, 3α,17β-dihydroxy-16α-fluoroandrost-5-ene, 3α,7β,17β-trihydroxy-16α-fluoroandrost-5-ene, 3β,17β-dihydroxyandrost-5-ene, 3β,7β,17β-trihydroxyandrost-5-ene, 3β,7α,17β-trihydroxyandrost-5-ene, 3β,16α,17β-trihydroxyandrost-5-ene, 3β,17β-dihydroxy-7-oxoandrost-5-ene, 3β,7β,16β,17β-tetrahydroxyandrost-5-ene or 3β,7β,17β-trihydroxy-16α-bromoandrost-5-ene.  
     
     
         60 . The method of  claim 59  wherein the subject is a human.  
     
     
         61 . The method of  claim 59  wherein the intermittent dosing protocol comprises the steps of: (a) administering the compound(s) to the subject at least once per day for at least 2 days; (b) not administering the compound(s) to the subject for at least 1 day; (c) administering the compound(s) to the subject at least once per day for at least 2 days; and (d) optionally repeating steps (a), (b) and (c) at least once or variations of steps (a), (b) and (c) at least once, and wherein the subject is a human.  
     
     
         62 . The method of  claim 61  wherein step (c) comprises the same dosing regimen as step (a).  
     
     
         63 . The method of  claim 61  wherein step (a) is administering the compound for about 3-24 days.  
     
     
         64 . The method of  claim 62  wherein step (a) is administering the compound for about 3-24 days.  
     
     
         65 . The method of  claim 62  wherein step (b) is not administering the compound for about 3-120 days.  
     
     
         66 . The method of  claim 63  wherein step (b) is not administering the compound for about 3-120 days.  
     
     
         67 . The method of  claim 62  wherein step (b) comprises not administering the compound for about 4-60 days.  
     
     
         68 . The method of  claim 63  wherein step (b) comprises not administering the compound for about 4-60 days.  
     
     
         69 . The method of  claim 61  wherein the compound is 16α-bromo-3β-hydroxy-5α-androstan-17-one.  
     
     
         70 . The method of  claim 69  wherein the 16α-bromo-3β-hydroxy-5α-androstan-17-one comprises 16α-bromo-3β-hydroxy-5α-androstan-17-one hemihydrate.  
     
     
         71 . The method of  claim 66  wherein the compound is 16α-bromo-3β-hydroxy-5α-androstan-1 7-one.  
     
     
         72 . The method of  claim 71  wherein the 16α-bromo-3β-hydroxy-5α-androstan-17-one comprises 16α-bromo-3β-hydroxy-5α-androstan-17-one hemihydrate.  
     
     
         73 . The method of  claim 61  wherein the compound is 3β,16α-dihydroxy-5α-androstan-17-one.  
     
     
         74 . The method of  claim 61  wherein the compound is 16β-bromo-3β-hydroxy-5α-androstan-17-one.  
     
     
         75 . The method of  claim 61  wherein the compound is 3β,17β-dihydroxyandrost-5-ene.  
     
     
         76 . The method of  claim 61  wherein the compound is 3β,7β,17β-trihydroxyandrost-5-ene.  
     
     
         77 . The method of  claim 58  wherein the compound is 3α,17β-dihydroxy-16α-fluoroandrost-5-ene.  
     
     
         78 . A method to treat a subject having, or subject to developing, diabetes, hyperglycemia or a hyperlipidemia, comprising administering to the subject an effective amount of a compound having the structure  
       
         
           
           
               
               
           
         
         wherein R 1  is —OH, ═O, —OR PR , —SH, —SR PR , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         R 2  is —H, —OH, —OR PR , ═O, —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         R 3  is —OH, OR PR , —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         R 4  is —OH, —OR PR , ═O, —SH, —SR PR , ═S, ═CH 2 , ═CH(CH 2 ) 0-15 CH 3 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer, or R 3  and both R 4  together comprise a structure of formula 2  
         
           
             
             
                 
                 
             
           
         
         R 5  and R 6  independently are —H, —OH, —OR PR , —SH, —SR PR , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         R 7  is —CHR 10 , —CHR 10 —CHR 10 —, —CHR 10 —CHR 10 —CHR 10 —, —CHR 10 —O—CHR 10 —, —CHR 10 —S—CHR 10 —, —CHR 10 —NR PR —CHR 10 —, —O—, —O—CHR 10 —, —S—, —S—CHR 10 —, —NR PR — or —NR PR —CHR 10 —, wherein R 10  independently are —H, —OH, —OR PR , ═O, —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         R 8  is —CHR 10 —, —CHR 10 —CHR 10 —, —O—, —O—CHR 10 —, —S—, —S—CHR 10 —, —NR PR — or —NR PR —CHR 10 —, or R 8  is absent, leaving a 5-membered ring, wherein R 10  independently are —H, —OH, —OR PR , ═O, —SH, —SR PR , S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         R 9  is —CHR 10 —, —CHR 10 —CHR 10 —, —O—, —O—CHR 10 —, —S—, —S—CHR 10 —, —NR PR — or —NR PR —CHR 10 —, or R 9  is absent, leaving a 5-membered ring, wherein R 10  independently are —H, —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, a thioester, an amide, an amino acid, a peptide, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         D is a heterocycle or a 4-, 5-, 6- or 7-membered ring that comprises saturated carbon atoms, wherein 1, 2 or 3 ring carbon atoms of the 4-, 5-, 6- or 7-membered ring are optionally independently substituted with —O—, —S— or —NR PR — or where 1, 2 or 3 hydrogen atoms of the heterocycle or 1 or 2 hydrogen atoms of the 4-, 5-, 6- or 7-membered ring are substituted with —OR PR , —SR PR , N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, a halogen, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer, or, one more of the ring carbons are substituted with ═0 or ═S, or D comprises two 5- or 6-membered rings, wherein the rings are fused or are linked by 1 or 2 bonds;  
         R PR  is a protecting group;  
         R 13  independently are C1-C6 alkyl.  
       
     
     
         79 . The method of  claim 78  wherein the compound is 3α,17β-dihydroxy- 16α-fluoroandrost-5-ene, 3α-hydroxy-16α-fluoroandrost-5-ene-17-one, 3α,17β-dihydroxy-16α-fluoroandrost-4-ene or 3α-hydroxy-16α-fluoroandrost-4-ene-17-one.  
     
     
         80 . The method of  claim 78  wherein the level or activity of PPARα, LXRα or SF-1 is modulated in the subject.  
     
     
         81 . The method of  claim 78  wherein the hyperlipidemia is hypercholesterolemia.  
     
     
         82 . A method to treat a subject having, or subject to developing, diabetes, hyperglycemia or a hyperlipidemia, comprising administering to the subject an effective amount of a compound having the structure  
       
         
           
           
               
               
           
         
         wherein R 2  is —OH, —OR PR , ═O, —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(RPR) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         R 3  is —OH, —OR PR , —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         R 4  is —OH, —OR PR , ═O, —SH, —SR PR , ═S, ═CH 2 , ═CH(CH 2 ) 0-15 CH 3 , —N 3 , —NH 2 , —N(RPR) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer, or R 3  and both R 4  together comprise a structure of formula 2  
         
           
             
             
                 
                 
             
           
         
         R 5  and R 6  independently are —H, —OH, —OR PR , —SH, —SR PR , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —CH 3 , —NO 2 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer, or,  
         R is —CHR 10 —, —CHR 10 —CHR 10 —, —CHR 10 —CHR 10 —CHR 10 —, —CHR 10 —O—CHR 10 —, —CHR 10 —S—CHR 10 —, —CHR 10 —NR PR —CHR 10 —, —O—, —O—CHR 10 —, —S—, —S—CHR 10 —, —NR PR — or —NR PR —CHR 10 —, wherein R 10  independently are —H, —OH, —OR PR , ═O, —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         R 8  is —CHR 10 —, —CHR 10 —CHR 10 —, —O—, —O—CHR 10 —, —S—, —S—CHR 10 —, —NR PR — or —NR PR —CHR 10 —, or R 9  is absent, leaving a 5-membered ring, wherein R 10  independently are —H, —OH, —OR PR , ═O, —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         R 9  is —CHR 10 —, —CHR 10 —CHR 10 —, —O—, —O—CHR 10 —, —S—, —S—CHR 10 —, —NR PR — or —NR PR —CHR 10 —, or R 9  is absent, leaving a 5-membered ring, wherein R 10  independently are —H, —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, a thioester, an amide, an amino acid, a peptide, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         D is a heterocycle or a 4-, 5-, 6- or 7-membered ring that comprises saturated carbon atoms, wherein 1, 2 or 3 ring carbon atoms of the 4-, 5-, 6- or 7-membered ring are optionally independently substituted with —O—, —S— or —NR PR — or where 1, 2 or 3 hydrogen atoms of the heterocycle or 1 or 2 hydrogen atoms of the 4-, 5-, 6- or 7-membered ring are substituted with —OR PR , —SR PR , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, a halogen, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer, or, one more of the ring carbons are substituted with ═O or ═S, or D comprises two 5- or 6-membered rings, wherein the rings are fused or are linked by 1 or 2 bonds, provided that the compound is not 3β-hydroxyandrost-5-ene-17-one, 3β-hydroxyandrost-5-ene-1 7-one 3-sulfate or an ester or ether derivative of either compound;  
         R PR  is a protecting group;  
         R 13  independently are C1-C6 alkyl.  
       
     
     
         83 . The method of  claim 82  wherein the compound is 7α,17β-dihydroxy-16α-fluoroandrost-5-ene, 7α-hydroxy-16α-fluoroandrost-5-ene-17-one, 7β,17β-dihydroxy-16α-fluoroandrost-4-ene or 7β-hydroxy-16α-fluoroandrost-4-ene-17-one.  
     
     
         84 . The method of  claim 82  wherein the level or activity of PPARα, LXRα or SF-1 is modulated in the subject.  
     
     
         85 . The method of  claim 82  wherein the hyperlipidemia is hypercholesterolemia.  
     
     
         86 . A method to treat or prevent an infection in a subject in need thereof, wherein the method comprises administering to the subject an effective amount of a formulation comprising (1) one or more excipients and (2) a compound(s) selected from the group consisting of (i) 16α-bromo-3β-hydroxy-5α-androstan-17-one, (ii) 16β-bromo-3β-hydroxy-5α-androstan-17-one, (iii) 16α-bromo-3β-hydroxy-5α-androstan-17-one and 16β-bromo-3β-hydroxy-5α-androstan-17-one and (iv) 3β,16α-dihydroxy-5α-androstan-17-one, and wherein the infection is selected from the group consisting of a Plasmodium infection, a Trypanosoma infection, a togavirus infection, a flavivirus infection, a hepadnavirus infection, a papillomavirus infection, a Candida infection, a Mycoplasma infection, a Cryptosporidium infection or a Toxoplasma infection.  
     
     
         87 . The method of  claim 86  wherein the pathogen infection is a togavirus infection, a flavivirus infection or a hepadnavirus infection.  
     
     
         88 . The method of  claim 87  wherein the togavirus infection, flavivirus infection or hepadnavirus infection is a hepatitis C virus infection or a hepatitis B virus infection.  
     
     
         89 . The method of  claim 29  wherein the pathogen infection is a Plasmodium infection.  
     
     
         90 . A liquid formulation that contains less than about 3% v/v water and comprises (1) 16α-bromo-3β-hydroxy-5α-androstan-17-one and/or 16β-bromo-3β-hydroxy-5α-androstan-17-one and (2) liquid excipients selected from the group consisting of (i) propylene glycol, a polyethylene glycol and ethanol, (ii) propylene glycol, a polyethylene glycol and benzyl alcohol, (iii) propylene glycol and a polyethylene glycol and (iv) propylene glycol, a polyethylene glycol and benzyl benzoate.  
     
     
         91 . The formulation of  claim 90  wherein the formulation comprises less than about 0.3% v/v water.  
     
     
         92 . The formulation of  claim 90  wherein the formulation contains about 0.5-100 mg/mL of 16α-bromo-3β-hydroxy-5α-androstan-17-one.  
     
     
         93 . The formulation of  claim 92  wherein the formulation comprises less than about 0.3% v/v water.  
     
     
         94 . The formulation of  claim 89  wherein the formulation further comprises a local anaesthetic.  
     
     
         95 . A product produced by the process of contacting a composition comprising 16α-bromo-3β-hydroxy-5α-androstan-17-one and/or 16β-bromo-3β-hydroxy-5α-androstan-17-one and two liquid excipients with a third liquid excipient wherein the product comprises less than about 3% v/v water.  
     
     
         96 . The product of  claim 95  wherein the product comprises less than about 0.3% v/v water.  
     
     
         97 . The product of  claim 95  wherein the two liquid excipients are selected from a polyethylene glycol, propylene glycol, benzyl benzoate and an alcohol selected from the group consisting of benzyl alcohol and ethanol.  
     
     
         98 . The product of  claim 95  wherein the third liquid excipient is a polyethylene glycol, propylene glycol, benzyl benzoate or ethanol.  
     
     
         99 . A product produced by the process of contacting a composition comprising 16α-bromo-3β-hydroxy-5α-androstan-17-one or 16β-bromo-3β-hydroxy-5α-androstan-17-one and three liquid excipients with a fourth liquid excipient wherein the product comprises less than about 3% v/v water.  
     
     
         100 . The product of  claim 99  wherein the product comprises less than about 0.3% v/v water.  
     
     
         101 . The product of  claim 99  wherein the three liquid excipients are selected from a polyethylene glycol, propylene glycol, benzyl benzoate and an alcohol selected from the group consisting of benzyl alcohol and ethanol.  
     
     
         102 . The product of  claim 101  wherein the fourth liquid excipient is a polyethylene glycol, propylene glycol, benzyl benzoate, benzyl alcohol or ethanol.  
     
     
         103 . The product of  claim 95  wherein the product has been stored in a closed container at about 5-40° C. for about 30 minutes to about 2 years.  
     
     
         104 . The product of  claim 99  wherein the product has been stored in a closed container at about 5-40° C. for about 30 minutes to about 2 years.  
     
     
         105 . A compound having the structure  
       
         
           
           
               
               
           
         
         wherein the dotted lines are optional double bonds;  
         R 1  is —H;  
         R 2  is —OH, —OR PR , ═O, —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         R 3  is —OH, —OR PR , —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         R 4  independently are —H, —OH, —OR PR , ═O, —SH, —SR PR , ═S, ═CH 2 , ═CH(CH 2 ) 0-15 CH 3 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer, provided that both R 4  are not —H, or R 3  and both R 4  together comprise a structure of formula 2  
         
           
             
             
                 
                 
             
           
         
         R 5  and R 6  independently are —H, —OH, —OR PR , —SH, —SR PR , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —CH 3 , —NO 2 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer, or,  
         R 7  is —CHR 10 —, —CHR 10 —CHR 10 —, —CHR 10 —CHR 10 —CHR 10 —, —CHR 10 —O—CHR 10 —, —CHR 10 —S—CHR 10 —, —CHR 10 —NR PR —CHR 10 —, —O—, —O—CHR 10 —, —S—, —S—CHR 10 —, —NR PR — or —NR PR —CHR 10 —, wherein R 10  independently are —H, —OH, —OR PR , ═O, —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         R 8  is —CHR 10 —, —CHR 10 —CHR 10 —, —O—, —O—CHR 10 —, —S—, —S—CHR 10 —, NR PR — or —NR PR —CHR 10 —, or R 8  is absent, leaving a 5-membered ring, wherein R 10  independently are —H, —OH, —OR PR , ═O, —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         R 9  is —CHR 10 —, —CHR 10 —CHR   , —O—, —O—CHR 10 —, —S—, —S—CHR 10 —, —NR PR — or —NR PR —CHR 10 —, or R 9  is absent, leaving a 5-membered ring, wherein R 10  independently are —H, —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, a thioester, an amide, an amino acid, a peptide, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         R 10  independently are —OH, —OR PR , ═O, —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         D is a heterocycle or a 4-, 5-, 6- or 7-membered ring that comprises saturated carbon atoms, wherein 1, 2 or 3 ring carbon atoms of the 4-, 5-, 6- or 7-membered ring are optionally independently substituted with —O—, —S— or —NR PR — or where 1, 2 or 3 hydrogen atoms of the heterocycle or 1 or 2 hydrogen atoms of the 4-, 5-, 6- or 7-membered ring are substituted with —OR PR , —SR PR , N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, a halogen, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer, or, one more of the ring carbons are substituted with ═O or ═S, or D comprises two 5- or 6-membered rings, wherein the rings are fused or are linked by 1 or 2 bonds, provided that the compound is not 3β-hydroxyandrost-5-ene-17-one, 3β-hydroxyandrost-5-ene-1 7-one 3-sulfate or an ester or ether derivative of either compound;  
         R PR  is a protecting group;  
         R 13  independently are C1-C6 alkyl.  
       
     
     
         106 . The compound of  claim 105  having the structure  
       
         
           
           
               
               
           
         
       
     
     
         107 . The compound of  claim 105  wherein the compound is 7β-hydroxy-16α-fluoroandrost-5-ene-17-one, 7α-hydroxy-16α-fluoroandrost-5-ene-17-one, 16α-fluoroandrost-5-ene-7,17-dione, 7β,17β-dihydroxy-16α-fluoroandrost-5-ene or 7α,17β-dihydroxy-16α-fluoroandrost-5-ene.  
     
     
         108 . A formulation comprising one or more excipients and a compound of  claim 105 .  
     
     
         108 . A formulation comprising one or more excipients and a compound of  claim 106 .  
     
     
         109 . A formulation comprising one or more excipients and a compound of  claim 107 .  
     
     
         110 . The method of  claim 34  wherein the condition is an allergy or inflammation condition.  
     
     
         111 . The method of  claim 110 , wherein the allergy or inflammation condition is allergic bronchopulmonary  aspergillosis , atopic asthma, allergic respiratory disease, allergic rhinitis, atopic dermatitis, lung fibrosis, subepithelial fibrosis in airway hyperresponsiveness, chronic sinusitis, perennial allergic rhinitis, Crohn's disease, ulcerative colitis, inflammatory bowel disease, chronic diarrhea or fibrosing alveolitis.  
     
     
         110 . The method of  claim 34 , wherein the condition is an autoimmune disease.  
     
     
         111 . The method of  claim 27 , wherein the autoimmune disease is systemic lupus  erythematosus, myasthenia gravis , Grave's disease, diabetes, rheumatoid arthritis or osteoarthritis.  
     
     
         112 . A compound having the structure  
       
         
           
           
               
               
           
         
         wherein, the dotted lines are optional double bonds;  
         R 1  and R 2  independently are —OH, —OR PR , —SH, —SR PR , —O—Si—(R 13 ) 3 , an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an ether, a thioether, a carbonate, a carbamate, an optionally substituted monosaccharide or an optionally substituted oligosaccharide;  
         R 3  is —OH, —OR PR , —SH, —SR PR , —O—Si—(R 13 ) 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an ether, a thioether, a carbonate, a carbamate, an optionally substituted monosaccharide or an optionally substituted oligosaccharide;  
         each R 4  independently is —OH, —OR PR , —SH, —SR PR , —O—Si—(R 13 ) 3 , an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an ether, a thioether, a carbonate, a carbamate, an optionally substituted monosaccharide or an optionally substituted oligosaccharide, provided that both R 4  are not —H;  
         R 5  and R independently are —H, —OH, —OR PR , —SH, —SR PR , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         R is —CHR 10 —, —CHR 10 —CHR 10 —, —CHR 10 —CHR 10 —CHR 10 —, —CHR 10 —O—CHR 10 —, —CHR 10 —S—CHR 10 —, —CHR 10 —NR PR —CHR 10 —, —O—, —O—CHR 10 —, —S—, —S—CHR 10 —, —NR PR — or —NR PR —CHR 10 —;  
         R 8  and R 9  independently are —CHR 10 —, —CHR 10 —CHR 10 —, —O—, —O—CHR 10 —, —S—, —S—CHR 10 —, —NR PR — or —NR PR —CHR 10 —, or R 8  or R 9  independently is absent, leaving a 5-membered ring;  
         R 10  independently are —H, —OH, ═O, —OR PR , —SH, —SR PR , ═S, ═CH 2 , —N 3 , —NH 2 , —N(R PR ) 2 , —O—Si—(R 13 ) 3 , —CN, —NO 2 , ═NOH, ═NOC(O)CH 3 , —C(O)—CH 3 , —F, —Cl, —Br, —I, an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an amide, an amino acid, a peptide, an ether, a thioether, an acyl group, a thioacyl group, a carbonate, a carbamate, a thioacetal, an optionally substituted alkyl group, an optionally substituted alkenyl group, an optionally substituted alkynyl group, an optionally substituted aryl moiety, an optionally substituted heteroaryl moiety, an optionally substituted monosaccharide, an optionally substituted oligosaccharide, a nucleoside, a nucleotide, an oligonucleotide or a polymer;  
         R 13  independently are C 16  alkyl; and  
         R PR  independently are a protecting group.  
       
     
     
         113 . A formulation comprising a compound of  claim 105  and one or more excipients.  
     
     
         114 . The formulation of  claim 113  wherein the formulation is for buccal or sublingual administration to a human.  
     
     
         115 . The formulation of  claim 113  wherein the formulation is for parenteral or topical administration to a human.  
     
     
         116 . A formulation comprising a compound of  claim 112  and one or more excipients.  
     
     
         117 . The formulation of  claim 116  wherein the formulation is for buccal or sublingual administration to a human.  
     
     
         118 . The formulation of  claim 116  wherein the formulation is for parenteral or topical administration to a human.  
     
     
         119 . The compound of  claim 112  having the structure  
       
         
           
           
               
               
           
         
         wherein, R 4  is —OH, —OR PR , —SH, —SR PR , —O—Si—(R 13 ) 3 , an ester, a thioester, a phosphoester, a phosphothioester, a phosphonoester, a phosphiniester, a sulfite ester, a sulfate ester, an ether, a thioether, a carbonate, a carbamate, an optionally substituted monosaccharide or an optionally substituted oligosaccharide.  
       
     
     
         120 . The compound of  claim 119  wherein R 1 , R 2 , R 3  and R 4  are —OH.  
     
     
         121 . The compound of  claim 119  wherein R 1 , R 2  and R 4  are —OH and R 3  is —F, —Cl, —Br or —I.  
     
     
         122 . A formulation comprising a compound of  claim 119  and one or more excipients.  
     
     
         123 . The formulation of  claim 122  wherein the formulation is for buccal or sublingual administration to a human.  
     
     
         124 . The formulation of  claim 122  wherein the formulation is for parenteral or topical administration to a human.

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