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And Active-Controlled Phase 3 Study of Postmenopausal Women with Osteoporosis
Christiansen et al. BMC Musculoskeletal Disorders 2010, 11:130 http://www.biomedcentral.com/1471-2474/11/130 RESEARCH ARTICLE Open Access SafetyResearch article of bazedoxifene in a randomized, double-blind, placebo- and active-controlled phase 3 study of postmenopausal women with osteoporosis Claus Christiansen*1, Charles H Chesnut III2, Jonathan D Adachi3, Jacques P Brown4, César E Fernandes5, Annie WC Kung6, Santiago Palacios7, Amy B Levine8, Arkadi A Chines8 and Ginger D Constantine8 Abstract Background: We report the safety findings from a 3-year phase 3 study (NCT00205777) of bazedoxifene, a novel selective estrogen receptor modulator under development for the prevention and treatment of postmenopausal osteoporosis. Methods: Healthy postmenopausal osteoporotic women (N = 7,492; mean age, 66.4 years) were randomized to daily doses of bazedoxifene 20 or 40 mg, raloxifene 60 mg, or placebo for 3 years. Safety and tolerability were assessed by adverse event (AE) reporting and routine physical, gynecologic, and breast examination. Results: Overall, the incidence of AEs, serious AEs, and discontinuations due to AEs in the bazedoxifene groups was not different from that seen in the placebo group. The incidence of hot flushes and leg cramps was higher with bazedoxifene or raloxifene compared with placebo. The rates of cardiac disorders and cerebrovascular events were low and evenly distributed among groups. Venous thromboembolic events, primarily deep vein thromboses, were more frequently reported in the active treatment groups compared with the placebo group; rates were similar with bazedoxifene and raloxifene. Bazedoxifene showed a neutral effect on the breast and an excellent endometrial safety profile. The incidence of fibrocystic breast disease was lower with bazedoxifene 20 and 40 mg versus raloxifene or placebo. -
Influence of Resveratrol Against Ovariectomy Induced Bone Loss In
Reproductive Medicine; Endocrinology & Infertility Influence of Resveratrol Against Ovariectomy Induced Bone Loss in Rats: Comparison With Conjugated Equine Estrogen Tibolone and Raloxifene Önder ÇELİK1, Şeyma HASÇALIK1, Mustafa TAMSER2, Yusuf TÜRKÖZ3 Ersoy KEKİLLİ4, Cengiz YAĞMUR4, Mehmet BOZ1 Malatya, Turkey OBJECTIVE: We examined the effect of resveratrol, a phenolic compound found in the skins of most grapes, on bone loss in ovariectomized rats. STUDY DESIGN: A total of 42 young Wistar-albino rats, of which 35 animals were submitted to bilater- al oophorectomy, and 7 rats were submitted to the same surgical incision but without oophorectomy were studied. The rats were assigned to six groups of 7 animals each. For 35 consecutive days the fol- lowing treatments were given: Group 1, sham; group 2, ovariectomized (OVX); group 3, OVX plus resveratrol; group 4, OVX plus conjugated equine estrogen; group 5 OVX plus tibolone; group 6, OVX plus raloxifene. Immediately 40 days after the ovariectomy bone mineral density (BMD) of the lumbar spine and femur by using dual-energy X-ray absorptiometry. The BMD of lumbar region (R1), total femur region (R2) and three neighbor subregions of femur (R3, R4, R5) were drawn. RESULTS: There were no significant difference between OVX and resveratrol groups for R2, R3 and R4 values. Compared with the OVX group, CEE group had lower values for R3 but similar values for R2 and R4. Raloxifene group had significantly higher value than the OVX, resveratrol, CEE and tibolone groups for R2. For R3, raloxifene had significantly higher values than in the ones in resveratrol, CEE and tibolone. For R4 region, raloxifene had significantly higher values than CEE group. -
Effect of Estrogens on Skin Aging and the Potential Role of Selective Estrogen Receptor Modulators
CLIMACTERIC 2007;10:289–297 Effect of estrogens on skin aging and the potential role of selective estrogen receptor modulators S. Verdier-Se´vrain Bio-Hybrid, LLC, West Palm Beach, Florida, USA Key words: SKIN AGING, HORMONE REPLACEMENT THERAPY, TOPICAL ESTROGEN, PHYTOESTROGENS, SELECTIVE ESTROGEN RECEPTOR MODULATORS ABSTRACT Estrogens have a profound influence on skin. The relative hypoestrogenism that accom- panies menopause exacerbates the deleterious effects of both intrinsic and environ- mental aging. Estrogens prevent skin aging. They increase skin thickness and improve skin moisture. Beneficial effects of hormone replacement therapy (HRT) on skin aging have been well documented, but HRT cannot obviously be recommended solely to treat skin aging in menopausal women. Topical estrogen application is highly effective and safe if used by a dermatologist with expertise in endocrinology. The question of whether estrogen alternatives such as phytoestrogens and selective estrogen receptor modulators are effective estrogens for the prevention of skin aging in postmenopausal women remains unanswered. However, preliminary data indicate that such treatment may be of benefit for skin aging treatment. For personal use only. INTRODUCTION There are approximately 40 million postmeno- Intrinsic aging is characterized by smooth, pale, pausal women in the United States, contributing finely wrinkled skin and dryness2. Photoaging is to 17% of the total population1. As the popula- characterized by severe wrinkling and pigmentary tion of older women continues to grow at a rapid changes such as solar lentigo and mottled pig- rate, the challenges of learning more about the mentation3. Estrogens affect several skin functions health-care concerns and priorities of this group of and the estrogen deprivation that accompanies Climacteric Downloaded from informahealthcare.com by University of Washington on 05/23/13 patients become apparent. -
Postmenopausal Hormone Therapy Is Accompanied by Elevated Risk for Uterine Prolapse
Menopause: The Journal of The North American Menopause Society Vol. 26, No. 2, pp. 140-144 DOI: 10.1097/GME.0000000000001173 ß 2018 by The North American Menopause Society Postmenopausal hormone therapy is accompanied by elevated risk for uterine prolapse Pa¨ivi Rahkola-Soisalo, MD, PhD,1 Hanna Savolainen-Peltonen, MD, PhD,1,2 Mika Gissler, PhD,3,4 Fabian Hoti, PhD,5 Pia Vattulainen, MSc,5 Olavi Ylikorkala, MD, PhD,1 and Tomi S. Mikkola, MD, PhD1,2 Abstract Objective: Receptors for estrogen and progesterone are present in the pelvic floor, and therefore, postmenopausal hormone therapy may affect its function. We compared the former use of estradiol-progestogen postmenopausal hormone therapy in nonhysterectomized women with a uterine prolapse surgery (N ¼ 12,072) and control women (N ¼ 33,704). Methods: The women with a history of uterine prolapse operation were identified from the Finnish National Hospital Discharge Register, and the control women from the Finnish Central Population Register. The use of hormone therapy was traced from the national drug reimbursement register, and the odd ratios with 95% CIs for prolapse were calculated by using the conditional logistic regression analysis. Results: The women with uterine prolapse had used hormone therapy more often than control women (N ¼ 4,127; 34.2% vs N ¼ 9,189; 27.3%; P < 0.005). The use of hormone therapy was accompanied by significant (23%-53%) elevations in the risk for prolapse, being higher with longer exposure. The risk elevations (33%-23%) were comparable between sole norethisteroneacetate-estradiol and sole medroxyprogesteroneacetate-estradiol therapy. The use of estradiol in combination with a levonorgestrel releasing intrauterine device was accompanied by a 52% elevation. -
Pharmaceutical Appendix to the Tariff Schedule 2
Harmonized Tariff Schedule of the United States (2007) (Rev. 2) Annotated for Statistical Reporting Purposes PHARMACEUTICAL APPENDIX TO THE HARMONIZED TARIFF SCHEDULE Harmonized Tariff Schedule of the United States (2007) (Rev. 2) Annotated for Statistical Reporting Purposes PHARMACEUTICAL APPENDIX TO THE TARIFF SCHEDULE 2 Table 1. This table enumerates products described by International Non-proprietary Names (INN) which shall be entered free of duty under general note 13 to the tariff schedule. The Chemical Abstracts Service (CAS) registry numbers also set forth in this table are included to assist in the identification of the products concerned. For purposes of the tariff schedule, any references to a product enumerated in this table includes such product by whatever name known. ABACAVIR 136470-78-5 ACIDUM LIDADRONICUM 63132-38-7 ABAFUNGIN 129639-79-8 ACIDUM SALCAPROZICUM 183990-46-7 ABAMECTIN 65195-55-3 ACIDUM SALCLOBUZICUM 387825-03-8 ABANOQUIL 90402-40-7 ACIFRAN 72420-38-3 ABAPERIDONUM 183849-43-6 ACIPIMOX 51037-30-0 ABARELIX 183552-38-7 ACITAZANOLAST 114607-46-4 ABATACEPTUM 332348-12-6 ACITEMATE 101197-99-3 ABCIXIMAB 143653-53-6 ACITRETIN 55079-83-9 ABECARNIL 111841-85-1 ACIVICIN 42228-92-2 ABETIMUSUM 167362-48-3 ACLANTATE 39633-62-0 ABIRATERONE 154229-19-3 ACLARUBICIN 57576-44-0 ABITESARTAN 137882-98-5 ACLATONIUM NAPADISILATE 55077-30-0 ABLUKAST 96566-25-5 ACODAZOLE 79152-85-5 ABRINEURINUM 178535-93-8 ACOLBIFENUM 182167-02-8 ABUNIDAZOLE 91017-58-2 ACONIAZIDE 13410-86-1 ACADESINE 2627-69-2 ACOTIAMIDUM 185106-16-5 ACAMPROSATE 77337-76-9 -
Federal Register / Vol. 60, No. 80 / Wednesday, April 26, 1995 / Notices DIX to the HTSUS—Continued
20558 Federal Register / Vol. 60, No. 80 / Wednesday, April 26, 1995 / Notices DEPARMENT OF THE TREASURY Services, U.S. Customs Service, 1301 TABLE 1.ÐPHARMACEUTICAL APPEN- Constitution Avenue NW, Washington, DIX TO THE HTSUSÐContinued Customs Service D.C. 20229 at (202) 927±1060. CAS No. Pharmaceutical [T.D. 95±33] Dated: April 14, 1995. 52±78±8 ..................... NORETHANDROLONE. A. W. Tennant, 52±86±8 ..................... HALOPERIDOL. Pharmaceutical Tables 1 and 3 of the Director, Office of Laboratories and Scientific 52±88±0 ..................... ATROPINE METHONITRATE. HTSUS 52±90±4 ..................... CYSTEINE. Services. 53±03±2 ..................... PREDNISONE. 53±06±5 ..................... CORTISONE. AGENCY: Customs Service, Department TABLE 1.ÐPHARMACEUTICAL 53±10±1 ..................... HYDROXYDIONE SODIUM SUCCI- of the Treasury. NATE. APPENDIX TO THE HTSUS 53±16±7 ..................... ESTRONE. ACTION: Listing of the products found in 53±18±9 ..................... BIETASERPINE. Table 1 and Table 3 of the CAS No. Pharmaceutical 53±19±0 ..................... MITOTANE. 53±31±6 ..................... MEDIBAZINE. Pharmaceutical Appendix to the N/A ............................. ACTAGARDIN. 53±33±8 ..................... PARAMETHASONE. Harmonized Tariff Schedule of the N/A ............................. ARDACIN. 53±34±9 ..................... FLUPREDNISOLONE. N/A ............................. BICIROMAB. 53±39±4 ..................... OXANDROLONE. United States of America in Chemical N/A ............................. CELUCLORAL. 53±43±0 -
(12) Patent Application Publication (10) Pub. No.: US 2001/0047033 A1 Taylor Et Al
US 20010047033A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2001/0047033 A1 Taylor et al. (43) Pub. Date: Nov. 29, 2001 (54) COMPOSITION FOR AND METHOD OF Publication Classification PREVENTING OR TREATING BREAST CANCER (51) Int. Cl." ........................ A61K 31/35; A61K 31/138 (52) U.S. Cl. ............................................ 514/456; 514/651 (75) Inventors: Richard B. Taylor, Valley Park, MO (US); Edna C. Henley, Athens, GA (57) ABSTRACT (US) The present invention is a composition for preventing, Correspondence Address: minimizing, or reversing the development or growth of Richard B. Taylor breast cancer. The composition contains a combination of a Protein Technologies International, Inc. Selective estrogen receptor modulator Selected from at least P.O. BOX 88940 one of raloxifene, droloxifene, toremifene, 4'-iodotamox St. Louis, MO 63188 (US) ifen, and idoxifene and at least one isoflavone Selected from genistein, daidzein, biochanin A, formononetin, and their (73) Assignee: Protein Technologies International, respective naturally occurring glucosides and glucoside con Inc., St. Louis, MO jugates. The present invention also provides a method of (21) Appl. No.: 09/900,573 preventing, minimizing, or reversing the development or growth of breast cancer in which a Selective estrogen (22) Filed: Jul. 6, 2001 receptor modulator Selected from at least one of raloxifene, droloxifene, toremifene, 4'-iodotamoxifen, and idoxifene is Related U.S. Application Data co-administered with at least one isoflavone Selected from genistein, daidzein, biochanin A, formononetin, and their (62) Division of application No. 09/294,519, filed on Apr. naturally occuring glucosides and glucoside conjugates to a 20, 1999. woman having or predisposed to having breast cancer. -
Blockade of the Stimulatory Effect of Estrogens, OH-Tamoxifen, OH
ICANCERRESEARCH57,3494-3497.August15.19971 Blockade of the Stimulatory Effect of Estrogens, OH-Tamoxifen, OH-Toremifene, Droloxifene, and Raloxifene on Alkaline Phosphatase Activity by the Antiestrogen EM-800 in Human Endometrial Adenocarcinoma Ishikawa Cells1 Jacques Simard,2 Rocio Sanchez, Donald Poirier, Sylvain Gauthier, Shankar M. Singh, Yves Merand, Alarn Belanger, Claude Labrie, and Fernand Labile Laboratory of Molecular Endocrinology, CHUL Research Center, Quebec, Quebec, GI V 4G2, Canada ABSTRACT Because data suggest that continuous long-term tamoxifen therapy is preferable to its usual short-term use (5), and studies are already in Although temporary benefits of tamoxifen therapy are observed in up progress on the long-term administration of tamoxifen to prevent to 40% of women with breast cancer, this compound, which is known to breast cancer (13), it becomes important to make available a pure possess mixed estrogenic and antiestrogenic activities, has been associated with increased risk of endometrial carcinoma. This study compares the antiestrogen that, due to its lack of estrogenic activity, should theo effects of the novel nonsteroidal pure antiestrogen EM-800 and related retically be more efficient than tamoxifen in treating breast cancer compounds with those of a series of antiestrogens on the estrogen-sensitive while simultaneously eliminating the risk of developing uterine car alkaline phosphatase (AP) activity in human endometrial adenocarcinoma cinoma during its long-term use. This study compares the effect of Ishikawa cells. Exposure to increasing concentrations of up to 1000 nM EM-800 or its active metabolite, EM-652, with those of OH-tamox EM-SOO or its active metabolite EM-652 alone failed to affect basal AP ifen, OH-toremifene, droloxifene, raloxifene, and !CI-182780 (14— activity. -
Design and Synthesis of Selective Estrogen Receptor Β Agonists and Their Hp Armacology K
Marquette University e-Publications@Marquette Dissertations (2009 -) Dissertations, Theses, and Professional Projects Design and Synthesis of Selective Estrogen Receptor β Agonists and Their hP armacology K. L. Iresha Sampathi Perera Marquette University Recommended Citation Perera, K. L. Iresha Sampathi, "Design and Synthesis of Selective Estrogen Receptor β Agonists and Their hP armacology" (2017). Dissertations (2009 -). 735. https://epublications.marquette.edu/dissertations_mu/735 DESIGN AND SYNTHESIS OF SELECTIVE ESTROGEN RECEPTOR β AGONISTS AND THEIR PHARMACOLOGY by K. L. Iresha Sampathi Perera, B.Sc. (Hons), M.Sc. A Dissertation Submitted to the Faculty of the Graduate School, Marquette University, in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Milwaukee, Wisconsin August 2017 ABSTRACT DESIGN AND SYNTHESIS OF SELECTIVE ESTROGEN RECEPTOR β AGONISTS AND THEIR PHARMACOLOGY K. L. Iresha Sampathi Perera, B.Sc. (Hons), M.Sc. Marquette University, 2017 Estrogens (17β-estradiol, E2) have garnered considerable attention in influencing cognitive process in relation to phases of the menstrual cycle, aging and menopausal symptoms. However, hormone replacement therapy can have deleterious effects leading to breast and endometrial cancer, predominantly mediated by estrogen receptor-alpha (ERα) the major isoform present in the mammary gland and uterus. Further evidence supports a dominant role of estrogen receptor-beta (ERβ) for improved cognitive effects such as enhanced hippocampal signaling and memory consolidation via estrogen activated signaling cascades. Creation of the ERβ selective ligands is challenging due to high structural similarity of both receptors. Thus far, several ERβ selective agonists have been developed, however, none of these have made it to clinical use due to their lower selectivity or considerable side effects. -
Pure Oestrogen Antagonists for the Treatment of Advanced Breast Cancer
Endocrine-Related Cancer (2006) 13 689–706 REVIEW Pure oestrogen antagonists for the treatment of advanced breast cancer Anthony Howell CRUK Department of Medical Oncology, University of Manchester, Christie Hospital NHS Trust, Manchester M20 4BX, UK (Requests for offprints should be addressed to A Howell; Email: [email protected]) Abstract For more than 30 years, tamoxifen has been the drug of choice in treating patients with oestrogen receptor (ER)-positive breast tumours. However, research has endeavoured to develop agents that match and improve the clinical efficacy of tamoxifen, but lack its partial agonist effects. The first ‘pure’ oestrogen antagonist was developed in 1987; from this, an even more potent derivative was developed for clinical use, known as fulvestrant (ICI 182,780, ‘Faslodex’). Mechanistic studies have shown that fulvestrant possesses high ER-binding affinity and has multiple effects on ER signalling: it blocks dimerisation and nuclear localisation of the ER, reduces cellular levels of ER and blocks ER-mediated gene transcription. Unlike anti-oestrogens chemically related to tamoxifen, fulvestrant also helps circumvent resistance to tamoxifen. There are extensive data to support the lack of partial agonist effects of fulvestrant and, importantly, its lack of cross-resistance with tamoxifen. In phase III studies in patients with locally advanced or metastatic breast cancer, fulvestrant was at least as effective as anastrozole in patients with tamoxifen-resistant tumours, was effective in the first-line setting and was also well tolerated. These data are supported by experience from the compassionate use of fulvestrant in more heavily pretreated patients. Further studies are now underway to determine the best strategy for sequencing oestrogen endocrine therapies and to optimise dosing regimens offulvestrant. -
WO 2013/072563 Al 23 May 2013 (23.05.2013) P O P C T
(12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) (19) World Intellectual Property Organization International Bureau (10) International Publication Number (43) International Publication Date WO 2013/072563 Al 23 May 2013 (23.05.2013) P O P C T (51) International Patent Classification: (74) Agent: BORENIUS & CO OY AB; Itamerenkatu 5, FI- A61K 9/00 (2006.01) A61K 9/70 (2006.01) 00180 Helsinki (FI). A61K 9/50 (2006.01) A61K 47/38 (2006.01) (81) Designated States (unless otherwise indicated, for every (21) International Application Number: kind of national protection available): AE, AG, AL, AM, PCT/FI2012/05 1121 AO, AT, AU, AZ, BA, BB, BG, BH, BN, BR, BW, BY, BZ, CA, CH, CL, CN, CO, CR, CU, CZ, DE, DK, DM, (22) Date: International Filing DO, DZ, EC, EE, EG, ES, FI, GB, GD, GE, GH, GM, GT, 15 November 2012 (15.1 1.2012) HN, HR, HU, ID, IL, IN, IS, JP, KE, KG, KM, KN, KP, (25) Filing Language: English KR, KZ, LA, LC, LK, LR, LS, LT, LU, LY, MA, MD, ME, MG, MK, MN, MW, MX, MY, MZ, NA, NG, NI, (26) Publication Language: English NO, NZ, OM, PA, PE, PG, PH, PL, PT, QA, RO, RS, RU, (30) Priority Data: RW, SC, SD, SE, SG, SK, SL, SM, ST, SV, SY, TH, TJ, 201 16138 15 November 201 1 (15. 11.201 1) FI TM, TN, TR, TT, TZ, UA, UG, US, UZ, VC, VN, ZA, ZM, ZW. (71) Applicant: UPM-KYMMENE CORPORATION [FI/FI]; Etelaesplanadi 2, FI-00130 Helsinki (FI). -
United States Patent (10) Patent No.: US 9,693.953 B2 Chollet Et Al
USOO9693953B2 (12) United States Patent (10) Patent No.: US 9,693.953 B2 Chollet et al. (45) Date of Patent: *Jul. 4, 2017 (54) METHOD OF TREATING ATROPHIC 6,593,317 B1 7/2003 DeZiegler et al. VAGNITIS 6,613,796 B2 9, 2003 MacLean et al. 6,660,726 B2 12/2003 Hill et al. (76) Inventors: Janet A. Chollet, Newton Center, MA 2. R 23. Me et al. (US); Fred H. Mermelstein, West 6,855,703 B1 2/2005 Hill et al. Newton, MA (US); Bernadette 6,911.438 B2 6/2005 Wright Klamerus, Carmichaels, PA (US) 7,018,992 B2 3/2006 Koch et al. s s 7,186,706 B2 3/2007 Rosario-Jansen et al. (*) Notice: Subject to any disclaimer, the term of this 7,414,0437,405.303 B2 8/20087/2008 KSNiHoekstra et c al. al. patent is extended or adjusted under 35 7,429,576 B2 9, 2008 Labrie U.S.C. 154(b) by 372 days. 7,442,833 B2 10/2008 Eaddy, III et al. 2001/0031747 A1 10/2001 DeZiegler et al. This patent is Subject to a terminal dis- 2002fOO12710 A1 1/2002 Lansky claimer. 2002fOO13327 A1 1/2002 Lee et al. 2002/0103223 A1 8, 2002 Tabor (21) Appl. No.: 11/757,787 2002/O128276 A1 9, 2002 Day. et al. 2002.0137749 A1 9/2002 Levinson et al. 2002fO16915.0 A1 11/2002 Pickar (22) Filed: Jun. 4, 2007 2002/0173499 A1 11, 2002 Pickar O O 2002/017351.0 A1 11/2002 Levinson et al.