GTx-027

Last updated

GTx-027
GTx-027.svg
Clinical data
Other namesGTx027
Routes of
administration
Oral [1]
Drug class Selective androgen receptor modulator [1]
Identifiers
  • (2S)-N-(3-chloro-4-cyanophenyl)-3-(4-cyanophenoxy)-2-hydroxy-2-methylpropanamide
PubChem CID
Chemical and physical data
Formula C18H14ClN3O3
Molar mass 355.78 g·mol−1
3D model (JSmol)
  • C[C@](COC1=CC=C(C=C1)C#N)(C(=O)NC2=CC(=C(C=C2)C#N)Cl)O
  • InChI=1S/C18H14ClN3O3/c1-18(24,11-25-15-6-2-12(9-20)3-7-15)17(23)22-14-5-4-13(10-21)16(19)8-14/h2-8,24H,11H2,1H3,(H,22,23)/t18-/m0/s1
  • Key:IEGVUEFEHAFTNS-SFHVURJKSA-N

GTx-027 is a selective androgen receptor modulator (SARM) which was under development for or of potential interest in the treatment of breast cancer and stress urinary incontinence (SUI) but was never marketed. [2] [3] [1] [4] [5] It is taken by mouth. [1]

Description

The drug is a nonsteroidal androgen receptor (AR) modulator with mixed agonistic (androgenic) and antagonistic (antiandrogenic) effects. [1] [5] It has been found to reduce the growth of androgen receptor-expressing MDA-MB-231 breast cancer cells in vitro . [6] [7] In addition, it has been found to increase pelvic floor muscle weight in ovariectomized female rodents. [1] [8] [4] The drug has been found to increase body weight, lean body mass, and muscle strength in animals as well. [9] [10] In terms of chemical structure, GTx-027 is a nonsteroidal arylpropionamide SARM and is an analogue of enobosarm (ostarine; GTx-024). [1] [4]

GTx-027 was first described in the scientific literature by 2013. [5] [11] It is said to have either not passed preclinical research [1] or to have reached phase 1 clinical trials prior to the discontinuation of its development. [3] The drug was developed by GTx. [2] [3]

Related Research Articles

<span class="mw-page-title-main">Selective androgen receptor modulator</span> Class of pharmaceutical drugs

Selective androgen receptor modulators (SARMs) are a class of drugs that selectively activate the androgen receptor in specific tissues, promoting muscle and bone growth while having less effect on male reproductive tissues like the prostate gland.

<span class="mw-page-title-main">BMS-564,929</span> Chemical compound

BMS-564,929 is an investigational selective androgen receptor modulator (SARM) which is being developed by Bristol-Myers Squibb for treatment of the symptoms of age-related decline in androgen levels in men ("andropause"). These symptoms may include depression, loss of muscle mass and strength, reduction in libido and osteoporosis. Treatment with exogenous testosterone is effective in counteracting these symptoms but is associated with a range of side effects, the most serious of which is enlargement of the prostate gland, which can lead to benign prostatic hyperplasia and even prostate cancer. This means there is a clinical need for selective androgen receptor modulators, which produce anabolic effects in some tissues such as muscle and bone, but without stimulating androgen receptors in the prostate.

<span class="mw-page-title-main">Enobosarm</span> Investigational selective androgen receptor modulator

Enobosarm, also formerly known as ostarine and by the developmental code names GTx-024, MK-2866, and S-22, is a selective androgen receptor modulator (SARM) which is under development for the treatment of androgen receptor-positive breast cancer in women and for improvement of body composition in people taking GLP-1 receptor agonists like semaglutide. It was also under development for a variety of other indications, including treatment of cachexia, Duchenne muscular dystrophy, muscle atrophy or sarcopenia, and stress urinary incontinence, but development for all other uses has been discontinued. Enobosarm was evaluated for the treatment of muscle wasting related to cancer in late-stage clinical trials, and the drug improved lean body mass in these trials, but it was not effective in improving muscle strength. As a result, enobosarm was not approved and development for this use was terminated. Enobosarm is taken by mouth.

<span class="mw-page-title-main">Andarine</span> Chemical compound

Andarine is a selective androgen receptor modulator (SARM) which was developed by GTX, Inc for the treatment of conditions such as muscle wasting, osteoporosis, and benign prostatic hyperplasia (BPH), using the nonsteroidal antiandrogen bicalutamide as a lead compound. Development of andarine for all indications has been discontinued, in favor of the structurally related and improved compound enobosarm.

GTx, Inc. was a pharmaceutical company that is working on drugs in the selective estrogen receptor modulator (SERM) and selective androgen receptor modulator (SARM) classes. Its drugs in development included enobosarm (ostarine) and GTx-758.

<span class="mw-page-title-main">Ligandrol</span> Chemical compound

LGD-4033, also known by the developmental code name VK5211 and by the black-market name Ligandrol, is a selective androgen receptor modulator (SARM) which is under development for the treatment of muscle atrophy in people with hip fracture. It was also under development for the treatment of cachexia, hypogonadism, and osteoporosis, but development for these indications was discontinued. LGD-4033 has been reported to dose-dependently improve lean body mass and muscle strength in preliminary clinical trials, but is still being developed and has not been approved for medical use. The drug is taken by mouth.

<span class="mw-page-title-main">Vosilasarm</span> Chemical compound

Vosilasarm, also known by the development codes RAD140 and EP0062 and by the black-market name Testolone or Testalone, is a selective androgen receptor modulator (SARM) which is under development for the treatment of hormone-sensitive breast cancer. It is specifically under development for the treatment of androgen receptor-positive, estrogen receptor-negative, HER2-negative advanced breast cancer. Vosilasarm was also previously under development for the treatment of sarcopenia, osteoporosis, and weight loss due to cancer cachexia, but development for these indications was discontinued. The drug is taken by mouth.

<span class="mw-page-title-main">Acetothiolutamide</span> Chemical compound

Acetothiolutamide is a selective androgen receptor modulator (SARM) derived from the nonsteroidal antiandrogen bicalutamide that was described in 2002 and was one of the first SARMs to be discovered and developed. It is a high-affinity, selective ligand of the androgen receptor (AR), where it acts as a full agonist in vitro, and has in vitro potency comparable to that of testosterone. However, in vivo, acetothiolutamide displayed overall negligible androgenic effects, though significant anabolic effects were observed at high doses. In addition, notable antiandrogen effects were observed in castrated male rats treated with testosterone propionate. The discrepancy between the in vitro and in vivo actions of acetothiolutamide was determined to be related to rapid plasma clearance and extensive hepatic metabolism into a variety of metabolites with differing pharmacological activity, including AR partial agonism and antagonism. In accordance with its poor metabolic stability, acetothiolutamide is not orally bioavailable, and shows activity only via injected routes such as subcutaneous and intravenous.

<span class="mw-page-title-main">MK-0773</span> Abandoned drug

MK-0773, also known as PF-05314882, is a steroidal, orally active selective androgen receptor modulator (SARM) that was under development by Merck and GTx for the treatment of sarcopenia in women and men. Clinical trials for sarcopenia began in late 2007 but the collaboration between Merck and GTx ended in early 2010 and GTx terminated development of MK-0773 shortly thereafter. MK-0773 was developed as a more advanced version of the related compound TFM-4AS-1.

<span class="mw-page-title-main">Pharmacology of bicalutamide</span>

The pharmacology of bicalutamide is the study of the pharmacodynamic and pharmacokinetic properties of the nonsteroidal antiandrogen (NSAA) bicalutamide. In terms of pharmacodynamics, bicalutamide acts as a selective antagonist of the androgen receptor (AR), the biological target of androgens like testosterone and dihydrotestosterone (DHT). It has no capacity to activate the AR. It does not decrease androgen levels and has no other important hormonal activity. The medication has progonadotropic effects due to its AR antagonist activity and can increase androgen, estrogen, and neurosteroid production and levels. This results in a variety of differences of bicalutamide monotherapy compared to surgical and medical castration, such as indirect estrogenic effects and associated benefits like preservation of sexual function and drawbacks like gynecomastia. Bicalutamide can paradoxically stimulate late-stage prostate cancer due to accumulated mutations in the cancer. When used as a monotherapy, bicalutamide can induce breast development in males due to its estrogenic effects. Unlike other kinds of antiandrogens, it may have less adverse effect on the testes and fertility.

β-LGND2 Chemical compound

β-LGND2, also known as ERβ-selective ligand 2 or as GTx-878, is a synthetic nonsteroidal estrogen and selective ERβ agonist which was under development by GTx for the treatment of benign prostatic hyperplasia, prostatitis, and rheumatoid arthritis but was never marketed. It shows approximately 25-fold selectivity for activation of the ERβ over the ERα (EC50Tooltip half-maximal effective concentration = 2 nM and 52 nM, respectively). β-LGND2 is an isoquinolinone derivative.

<span class="mw-page-title-main">OPK-88004</span> Chemical compound

OPK-88004 is a non-steroidal indole derivative which acts as a selective androgen receptor modulator (SARM). It has been investigated by OPKO Health for the treatment of erectile dysfunction and symptoms associated with benign prostate hyperplasia.

<span class="mw-page-title-main">GSK2881078</span> Chemical compound

GSK2881078 is a drug which acts as a selective androgen receptor modulator (SARM). It was developed for the prevention of muscle wasting and sarcopenia in elderly people.

<span class="mw-page-title-main">GLPG-0492</span> Medication

GLPG-0492 (DT-200) is a drug which acts as a selective androgen receptor modulator (SARM). It has been investigated for the treatment of cachexia and muscular dystrophy.

<span class="mw-page-title-main">GSK-4336A</span> Chemical compound

GSK4336A is a drug which acts as a selective androgen receptor modulator (SARM), and was developed for androgen replacement therapy.

<span class="mw-page-title-main">Compound 2f (SARM)</span> Chemical compound

Compound 2f (SARM) is a drug which acts as a selective androgen receptor modulator (SARM), originally developed by Takeda Pharmaceutical for the treatment of prostate cancer. It is a potent but tissue specific androgen agonist with an EC50 of 4.7nM, producing anabolic effects on muscles and in the central nervous system but with little effect on the prostate gland, and inducing sexual behaviour in animal studies.

<span class="mw-page-title-main">JNJ-37654032</span> Abandoned muscular atrophy drug

JNJ-37654032 is a selective androgen receptor modulator (SARM) which was developed by Johnson & Johnson for the potential treatment of muscular atrophy but was never marketed.

<span class="mw-page-title-main">JNJ-26146900</span> Abandoned prostate cancer drug

JNJ-26146900 is a selective androgen receptor modulator (SARM) which was developed by Johnson & Johnson for the potential treatment of prostate cancer but was never marketed.

<span class="mw-page-title-main">MK-4541</span> Abandoned drug

MK-4541 is a dual selective androgen receptor modulator (SARM) and 5α-reductase inhibitor (5α-RI) which has been of interest for the potential treatment of prostate cancer but has not been marketed at this time. It is intended for use by mouth.

References

  1. 1 2 3 4 5 6 7 8 Christiansen AR, Lipshultz LI, Hotaling JM, Pastuszak AW (March 2020). "Selective androgen receptor modulators: the future of androgen therapy?". Translational Andrology and Urology. 9 (Suppl 2): S135–S148. doi: 10.21037/tau.2019.11.02 . PMC   7108998 . PMID   32257854.
  2. 1 2 "Research programme: selective androgen receptor modulators". AdisInsight. Springer Nature Switzerland AG. 16 April 2020. Retrieved 22 October 2024.
  3. 1 2 3 "Delving into the Latest Updates on GTx-027 with Synapse". Synapse. 13 October 2024. Retrieved 22 October 2024.
  4. 1 2 3 Ponnusamy S, Sullivan RD, Thiyagarajan T, Tillmann H, Getzenberg RH, Narayanan R (March 2017). "Tissue Selective Androgen Receptor Modulators (SARMs) Increase Pelvic Floor Muscle Mass in Ovariectomized Mice". Journal of Cellular Biochemistry. 118 (3): 640–646. doi: 10.1002/jcb.25751 . PMID   27681158.
  5. 1 2 3 Dalton JT, Narayanan R, Steiner MS (15 December 2013). "Abstract P5-09-21: Selective androgen receptor modulators (SARMs): Enobosarm as targeted therapy for the treatment of androgen receptor-positive breast cancer". Cancer Research. 73 (24_Supplement). American Association for Cancer Research (AACR): P5–09–21–P5–09–21. doi:10.1158/0008-5472.sabcs13-p5-09-21. ISSN   0008-5472.
  6. Vasiliou SK, Diamandis EP (May 2019). "Androgen receptor: A promising therapeutic target in breast cancer". Critical Reviews in Clinical Laboratory Sciences. 56 (3): 200–223. doi:10.1080/10408363.2019.1575643. PMID   30821186.
  7. Christopoulos PF, Vlachogiannis NI, Vogkou CT, Koutsilieris M (December 2017). "The Role of the Androgen Receptor Signaling in Breast Malignancies". Anticancer Research. 37 (12): 6533–6540. doi:10.21873/anticanres.12109. PMID   29187427.
  8. Juneau AD, Gomelsky A (28 October 2019). "Pharmaceutical Options for Stress Urinary Incontinence". Current Bladder Dysfunction Reports. 14 (4). Springer Science and Business Media LLC: 357–364. doi:10.1007/s11884-019-00537-4. ISSN   1931-7212.
  9. Ponnusamy S, Sullivan RD, You D, Zafar N, He Yang C, Thiyagarajan T, et al. (July 2017). "Androgen receptor agonists increase lean mass, improve cardiopulmonary functions and extend survival in preclinical models of Duchenne muscular dystrophy". Human Molecular Genetics. 26 (13): 2526–2540. doi:10.1093/hmg/ddx150. PMC   6251687 . PMID   28453658. After 2 weeks, the body weights of the GTx-026-treated mice were greater than those of the vehicle-treated mice, with this difference increasing in magnitude throughout the duration of the study (62% in GTx-026-treated mice vs 31% in vehicle-treated mice; P < 0.001) (Fig. 2B). GTx-026 treatment also increased lean mass (20% vs 60%; P < 0.001) compared with vehicle treatment. Consistent with the increase in lean mass, grip strength also increased in the GTx-026-treated animals (Fig. 2B). These results were reproduced with the other two SARMs, GTx-024 and GTx-027, indicating that these effects are SARM-dependent (Supplementary Material, Fig. S1B).
  10. "GTx, Inc. Announces Results From Preclinical Studies Of Sarms In Duchenne Muscular Dystrophy Models Published In Human Molecular Genetics". BioSpace. 3 May 2017. Retrieved 22 October 2024. Other SARMs in the Company's portfolio, GTx-024 (enobosarm) and GTx-027, showed similar positive effects on muscle mass, function, and histological characteristics.
  11. Narayanan R, Ahn S, Cheney MD, Yepuru M, Miller DD, Steiner MS, et al. (2014). "Selective androgen receptor modulators (SARMs) negatively regulate triple-negative breast cancer growth and epithelial:mesenchymal stem cell signaling". PLOS ONE. 9 (7): e103202. Bibcode:2014PLoSO...9j3202N. doi: 10.1371/journal.pone.0103202 . PMC   4114483 . PMID   25072326.