Development of a selective androgen receptor modulator for transdermal use in hypogonadal patients

被引:15
作者
Krishnan, V [1 ]
Patel, N. J. [1 ]
Mackrell, J. G. [1 ]
Sweetana, S. A. [1 ]
Bullock, H. [1 ]
Ma, Y. L. [1 ]
Waterhouse, T. H. [1 ]
Yaden, B. C. [1 ]
Henck, J. [1 ]
Zeng, Q. Q. [1 ]
Gavardinas, K. [1 ]
Jadhav, P. [1 ]
Saeed, A. [1 ]
Garcia-Losada, P. [1 ]
Robins, D. A. [1 ]
Benson, C. T. [1 ]
机构
[1] Lilly Corp Ctr, Lilly Res Labs, Indianapolis, IN 46225 USA
关键词
clinical; HDL; selective androgen receptor modulator; skeletal muscle; POSTMENOPAUSAL WOMEN; PHYSICAL FUNCTION; DOUBLE-BLIND; MEN; TESTOSTERONE; MUSCLE; TRIAL; SKIN; ENOBOSARM; THERAPY;
D O I
10.1111/andr.12479
中图分类号
R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
摘要
We have identified a non-steroidal selective androgen receptor modulator (SARM), termed LY305, that is bioavailable through a transdermal route of administration while highly cleared via hepatic metabolism to limit parent compound exposure in the liver. Selection of this compound and its transdermal formulation was based on the optimization of skin absorption properties using both invitro and invivo skin models that supported PBPK modeling for human PK predictions. This molecule is an agonist in perineal muscle while being a weak partial agonist in the androgenic tissues such as prostate. When LY305 was tested in animal models of skeletal atrophy it restored the skeletal muscle mass through accelerated repair. In a bone fracture model, LY305 remained osteoprotective in the regenerating tissue and void of deleterious effects. Finally, in a small cohort of healthy volunteers, we assessed the safety and tolerability of LY305 when administered transdermally. LY305 showed a dose-dependent increase in serum exposure and was well tolerated with minimal adverse effects. Notably, there were no statistically significant changes to hematocrit or HDL after 4-week treatment period. Collectively, LY305 represents a first of its kind de novo development of a non-steroidal transdermal SARM with unique properties which could find clinical utility in hypogonadal men.
引用
收藏
页码:455 / 464
页数:10
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