Compounds of structural formula I are modulators of the androgen receptor
(AR) in a tissue selective manner. These compounds are useful in the
enhancement of weakened muscle tone and the treatment of conditions
caused by androgen deficiency or which can be ameliorated by androgen
administration, including osteoporosis, osteopenia,
glucocorticoid-induced osteoporosis, periodontal disease, bone fracture,
bone damage following bone reconstructive surgery, sarcopenia, frailty,
aging skin, male hypogonadism, postmenopausal symptoms in women,
atherosclerosis, hypercholesterolemia, hyperlipidemia, obesity, aplastic
anemia and other hematopoietic disorders, inflammatory arthritis and
joint repair, HIV-wasting, prostate cancer, benign prostatic hyperplasia
(BPH), cancer cachexia, Alzheimer's disease, muscular dystrophies,
cognitive decline, sexual dysfunction, sleep apnea, depression, premature
ovarian failure, and autoimmune disease, alone or in combination with
other active agents.