Cholesterol absorption inhibition remains an attractive approach for t
he treatment of hypercholesterolemia. We have continued our SAR develo
pment in the spirostanyl cellobioside class of agents seeking a greate
r understanding of the role carbamoyl substitution has on the potency
in this series. In this regard, a series of differentially substituted
carbamate analogs were made with and without deoxygenations. From thi
s study, it was determined that the minimal requirements for optimal p
otency was a lone carbamate at C4 '' and deoxygenation at the C6 '' po
sition, (C) 1998 Elsevier Science Ltd. All rights reserved.