A2 Vertaisarvioitu katsausartikkeli tieteellisessä lehdessä

Discovery and development of ODM-204: A Novel nonsteroidal compound for the treatment of castration-resistant prostate cancer by blocking the androgen receptor and inhibiting CYP17A1




TekijätRiikka Oksala, Anu Moilanen, Reetta Riikonen, Petteri Rummakko, Arja Karjalainen, Mikko Passiniemi, Gerd Wohlfahrt, Päivi Taavitsainen, Chira Malmström, Meri Ramela, Hanna-Maija Metsänkylä, Riikka Huhtaniemi, Pekka J. Kallio, Mika VJ. Mustonen

KustantajaElsevier Ltd

Julkaisuvuosi2019

Lehti:Journal of Steroid Biochemistry and Molecular Biology

Tietokannassa oleva lehden nimiJournal of Steroid Biochemistry and Molecular Biology

Vuosikerta192

Sivujen määrä9

ISSN0960-0760

eISSN1879-1220

DOIhttps://doi.org/10.1016/j.jsbmb.2018.02.004

Verkko-osoitehttps://doi.org/10.1016/j.jsbmb.2018.02.004

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/30994183


Tiivistelmä

We report the discovery of a novel nonsteroidal dual-action compound, ODM-204, that holds promise for treating patients with castration-resistant prostate cancer (CRPC), an advanced form of prostate cancer characterised by high androgen receptor (AR) expression and persistent activation of the AR signaling axis by residual tissue androgens. For ODM-204, has a dual mechanism of action. The compound is anticipated to efficiently dampen androgenic stimuli in the body by inhibiting CYP17A1, the prerequisite enzyme for the formation of dihydrotestosterone (DHT) and testosterone (T), and by blocking AR with high affinity and specificity. In our study, ODM-204 inhibited the proliferation of androgen-dependent VCaP and LNCaP cells in vitro and reduced significantly tumour growth in a murine VCaP xenograft model in vivo. Intriguingly, after a single oral dose of 10-30 mg/kg, ODM-204 dose-dependently inhibited adrenal and testicular steroid production in sexually mature male cynomolgus monkeys. Similar results were obtained in human chorionic gonadotropin-treated male rats. In rats, leuprolide acetate-mediated (LHRH agonist) suppression of the circulating testosterone levels and decrease in weights of androgen-sensitive organs was significantly and dose-dependently potentiated by the co-administration of ODM-204. ODM-204 was well tolerated in both rodents and primates. Based on our data, ODM-204 could provide an effective therapeutic option for men with CRPC.


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