AbstractThree undescribed pregnane steroids, 12β‐O‐4‐hydroxybenzoyl tenacigenin D (1), 12β‐O‐4‐hydroxybenzoyl tenacigenin A (2), and 11α‐nicotinoyl‐17β‐marsdenin (3), along with two known analogues (4 and 5), were isolated from the roots of Marsdenia tenacissima. Their structures were elucidated using one‐ and two‐dimensional NMR, high‐resolution electron ionization‐mass spectrometry, single‐crystal X‐ray diffraction data, and experimental and density‐functional‐theory‐calculated electronic circular dichroism measurements. All isolated compounds were evaluated for their cytotoxic activities against human lung cancer cells (A549), ovarian carcinoma cells (SKOV‐3), gastric cancer cells (MGC 803) and breast cancer cells (MCF‐7). Notably, 3 exhibited significant cytotoxic activity against both A549 (median inhibitory concentration (IC50)=16.79 μM) and SKOV‐3 (IC50=12.30 μM) cells while exhibiting moderate cytotoxicity on MGC803 and MCF‐7 cells.