ULIPRISTAL ACETATE FOR UTERINE FIBROID-RELATED SYMPTOMS

被引:4
作者
Puchar, A. [1 ]
Luton, D. [1 ]
Koskas, M. [1 ]
机构
[1] Paris Diderot Univ, Obstet & Gynecol, Bichat Univ Hosp, Paris, France
关键词
Ulipristal acetate; Uterine fibroids; Uterine tumors; progesterone receptor modulators; PROGESTERONE-RECEPTOR MODULATOR; WOMEN; PLACEBO; PHARMACOKINETICS; LEIOMYOMATA; ASOPRISNIL; MANAGEMENT; EFFICACY; MYOMAS; IMPACT;
D O I
10.1358/dot.2015.51.11.2413469
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Uterine fibroids are the most common benign uterine tumors in women of reproductive age. Although most women are asymptomatic (80%), fibroids, according to their type and location, can cause several symptoms and impact quality of life. To date, no medical treatment is able to eliminate fibroids. Ulipristal acetate (UPA) is an orally active synthetic selective progesterone receptor modulator (SPRM) characterized by a tissue-specific progesterone antagonist effect that reduces the proliferation of leiomyoma cells and induces apoptosis. It was licensed in Europe for preoperative fibroid treatment in 2012. Its pharmacological and pharmacodynamic characteristics, its efficacy and good tolerance make UPA a new important tool in the management of uterine fibroids.
引用
收藏
页码:661 / 667
页数:7
相关论文
共 37 条
  • [1] Growth factors and cytokines in uterine leiomyomas
    Andersen, J
    [J]. SEMINARS IN REPRODUCTIVE ENDOCRINOLOGY, 1996, 14 (03): : 269 - 282
  • [2] Ulipristal acetate: a novel pharmacological approach for the treatment of uterine fibroids
    Biglia, Nicoletta
    Carinelli, Silvestro
    Maiorana, Antonio
    D'Alonzo, Marta
    Lo Monte, Giuseppe
    Marci, Roberto
    [J]. DRUG DESIGN DEVELOPMENT AND THERAPY, 2014, 8 : 285 - 292
  • [3] Three-month treatment with triptorelin, letrozole and ulipristal acetate before hysteroscopic resection of uterine myomas: prospective comparative pilot study
    Bizzarri, Nicolo
    Ghirardi, Valentina
    Remorgida, Valentino
    Venturini, Pier Luigi
    Ferrero, Simone
    [J]. EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2015, 192 : 22 - 26
  • [4] Clinical utility of ulipristal acetate for the treatment of uterine fibroids: current evidence
    Bourdet, Alice Trefoux
    Luton, Dominique
    Koskas, Martin
    [J]. INTERNATIONAL JOURNAL OF WOMENS HEALTH, 2015, 7 : 321 - 330
  • [5] Selective progesterone receptor modulators and progesterone antagonists: mechanisms of action and clinical applications
    Chabbert-Buffet, N
    Meduri, G
    Bouchard, P
    Spitz, IM
    [J]. HUMAN REPRODUCTION UPDATE, 2005, 11 (03) : 293 - 307
  • [6] Effects of the progesterone receptor modulator VA2914 in a continuous low dose on the hypothalamic-pituitary-ovarian axis and endometrium in normal women: A prospective, randomized, placebo-controlled trial
    Chabbert-Buffet, Nathalie
    Pintiaux-Kairis, Axelle
    Bouchard, Philippe
    [J]. JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2007, 92 (09) : 3582 - 3589
  • [7] Selective progesterone receptor modulator development and use in the treatment of leiomyomata and endometriosis
    Chwalisz, K
    Perez, MC
    DeManno, D
    Winkel, C
    Schubert, G
    Elger, W
    [J]. ENDOCRINE REVIEWS, 2005, 26 (03) : 423 - 438
  • [8] The effects of 1-month administration of asoprisnil (J867), a selective progesterone receptor modulator, in healthy premenopausal women
    Chwalisz, K
    Elger, W
    Stickler, T
    Mattia-Goldberg, C
    Larsen, L
    [J]. HUMAN REPRODUCTION, 2005, 20 (04) : 1090 - 1099
  • [9] A randomized, controlled trial of asoprisnil, a novel selective progesterone receptor modulator, in women with uterine leiomyomata
    Chwalisz, Kristof
    Larsen, Lois
    Mattia-Goldberg, Cynthia
    Edmonds, Anthony
    Elger, Walter
    Winkel, Craig A.
    [J]. FERTILITY AND STERILITY, 2007, 87 (06) : 1399 - 1412
  • [10] Ulipristal acetate does not impact human normal breast tissue
    Communal, Laudine
    Vilasco, Myriam
    Hugon-Rodin, Justine
    Courtin, Aurelie
    Mourra, Najat
    Lahlou, Najiba
    Dumont, Sylvie
    Chaouat, Marc
    Forgez, Patricia
    Gompel, Anne
    [J]. HUMAN REPRODUCTION, 2012, 27 (09) : 2785 - 2798