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Erschienen in: Drugs 6/2013

01.05.2013 | R&D Insight Report

Ospemifene: First Global Approval

verfasst von: Shelley Elkinson, Lily P. H. Yang

Erschienen in: Drugs | Ausgabe 6/2013

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Abstract

Ospemifene (Osphena™) is an oral selective estrogen receptor modulator (SERM), with tissue-specific estrogenic agonist/antagonist effects. QuatRx Pharmaceuticals conducted the global development of the agent before licensing it to Shionogi for regulatory filing and commercialization worldwide. Ospemifene is the first non-estrogen treatment approved for moderate to severe dyspareunia in women with menopause-related vulvar and vaginal atrophy. The drug is approved in the USA, and application for EU regulatory approval is underway. This article summarizes the milestones in the development of ospemifene leading to this first approval for moderate to severe dyspareunia, a symptom of postmenopausal vulvar and vaginal atrophy.
Literatur
1.
Zurück zum Zitat Tan O, Bradshaw K, Carr BR. Management of vulvovaginal atrophy-related sexual dysfunction in postmenopausal women: an up-to-date review. Menopause. 2012;19(1):109–17.PubMedCrossRef Tan O, Bradshaw K, Carr BR. Management of vulvovaginal atrophy-related sexual dysfunction in postmenopausal women: an up-to-date review. Menopause. 2012;19(1):109–17.PubMedCrossRef
2.
Zurück zum Zitat Ibe C, Simon JA. Vulvovaginal atrophy: current and future therapies. J Sex Med. 2010;7(3):1042–50.PubMedCrossRef Ibe C, Simon JA. Vulvovaginal atrophy: current and future therapies. J Sex Med. 2010;7(3):1042–50.PubMedCrossRef
3.
Zurück zum Zitat Burich R, Degregorio M. Current treatment options for vulvovaginal atrophy. Expert Rev Obstet Gynecol. 2011;6(2):141–51.CrossRef Burich R, Degregorio M. Current treatment options for vulvovaginal atrophy. Expert Rev Obstet Gynecol. 2011;6(2):141–51.CrossRef
4.
Zurück zum Zitat Maximov PY, Lee TM, Jordan VC. The discovery and development of selective estrogen receptor modulators (SERMs) for clinical practice. Curr Clin Pharmacol Epub. 2012. Maximov PY, Lee TM, Jordan VC. The discovery and development of selective estrogen receptor modulators (SERMs) for clinical practice. Curr Clin Pharmacol Epub. 2012.
5.
Zurück zum Zitat Palacios S. Selective estrogen receptor modulators: the future in menopausal treatment. Minerva Ginecol. 2011;63(3):275–86.PubMed Palacios S. Selective estrogen receptor modulators: the future in menopausal treatment. Minerva Ginecol. 2011;63(3):275–86.PubMed
6.
Zurück zum Zitat Pinkerton JV, Goldstein SR. Endometrial safety: a key hurdle for selective estrogen receptor modulators in development. Menopause. 2010;17(3):642–53.PubMed Pinkerton JV, Goldstein SR. Endometrial safety: a key hurdle for selective estrogen receptor modulators in development. Menopause. 2010;17(3):642–53.PubMed
9.
Zurück zum Zitat Bachmann GA, Komi JO, The Ospemifene Study Group. Ospemifene effectively treats vulvovaginal atrophy in postmenopausal women: results from a pivotal phase 3 study. Menopause. 2010;17(3):480–6.PubMed Bachmann GA, Komi JO, The Ospemifene Study Group. Ospemifene effectively treats vulvovaginal atrophy in postmenopausal women: results from a pivotal phase 3 study. Menopause. 2010;17(3):480–6.PubMed
10.
Zurück zum Zitat Portman DJ, Bachmann GA, Simon JA, et al. Ospemifene, a novel selective estrogen receptor modulator for treating dyspareunia associated with postmenopausal vulvar and vaginal atrophy. Menopause Epub. 2013. Portman DJ, Bachmann GA, Simon JA, et al. Ospemifene, a novel selective estrogen receptor modulator for treating dyspareunia associated with postmenopausal vulvar and vaginal atrophy. Menopause Epub. 2013.
11.
Zurück zum Zitat Simon J, Bachmann G, Goldstein S, et al. Evaluation of the safety of daily ospemifene 60 mg for up to 1 year when used in the treatment of vulvar and vaginal atrophy in postmenopausal women. Climacteric. 2011;14:89. Simon J, Bachmann G, Goldstein S, et al. Evaluation of the safety of daily ospemifene 60 mg for up to 1 year when used in the treatment of vulvar and vaginal atrophy in postmenopausal women. Climacteric. 2011;14:89.
12.
Zurück zum Zitat Simon JA. Efficacy and safety of daily ospemifene 60 mg for up to 1 year when used in the treatment of vulvar and vaginal atrophy in postmenopausal women (abstract). Menopause. 2012;19(12):1397–8. Simon JA. Efficacy and safety of daily ospemifene 60 mg for up to 1 year when used in the treatment of vulvar and vaginal atrophy in postmenopausal women (abstract). Menopause. 2012;19(12):1397–8.
13.
Zurück zum Zitat Shionogi Inc. US Food and Drug Administration accepts Shionogi’s ospemifene New Drug Application in vulvar and vaginal atrophy (media release). 27 Jun 2012. http://www.shionogi.com. Shionogi Inc. US Food and Drug Administration accepts Shionogi’s ospemifene New Drug Application in vulvar and vaginal atrophy (media release). 27 Jun 2012. http://​www.​shionogi.​com.
15.
Zurück zum Zitat Komi J, Heikkinen J, Rutanen EM, et al. Effects of ospemifene, a novel SERM, on biochemical markers of bone turnover in healthy postmenopausal women. Gynecol Endocrinol. 2004;18(3):152–8.PubMedCrossRef Komi J, Heikkinen J, Rutanen EM, et al. Effects of ospemifene, a novel SERM, on biochemical markers of bone turnover in healthy postmenopausal women. Gynecol Endocrinol. 2004;18(3):152–8.PubMedCrossRef
16.
Zurück zum Zitat Komi J, Lankinen KS, DeGregorio M, et al. Effects of ospemifene and raloxifene on biochemical markers of bone turnover in postmenopausal women. J Bone Miner Metab. 2006;24(4):314–8.PubMedCrossRef Komi J, Lankinen KS, DeGregorio M, et al. Effects of ospemifene and raloxifene on biochemical markers of bone turnover in postmenopausal women. J Bone Miner Metab. 2006;24(4):314–8.PubMedCrossRef
17.
Zurück zum Zitat Rutanen E-M, Heikkinen J, Halonen K, et al. Effects of ospemifene, a novel SERM, on hormones, genital tract, climacteric symptoms, and quality of life in postmenopausal women: a double-blind, randomized trial. Menopause. 2003;10(5):433–9.PubMedCrossRef Rutanen E-M, Heikkinen J, Halonen K, et al. Effects of ospemifene, a novel SERM, on hormones, genital tract, climacteric symptoms, and quality of life in postmenopausal women: a double-blind, randomized trial. Menopause. 2003;10(5):433–9.PubMedCrossRef
18.
Zurück zum Zitat Voipio SK, Komi J, Kangas L, et al. Effects of ospemifene (FC-1271a) on uterine endometrium, vaginal maturation index, and hormonal status in healthy postmenopausal women. Maturitas. 2002;43(3):207–14.PubMedCrossRef Voipio SK, Komi J, Kangas L, et al. Effects of ospemifene (FC-1271a) on uterine endometrium, vaginal maturation index, and hormonal status in healthy postmenopausal women. Maturitas. 2002;43(3):207–14.PubMedCrossRef
19.
Zurück zum Zitat Komi J, Lankinen KS, Harkonen P, et al. Effects of ospemifene and raloxifene on hormonal status, lipids, genital tract, and tolerability in postmenopausal women. Menopause. 2005;12(2):202–9.PubMedCrossRef Komi J, Lankinen KS, Harkonen P, et al. Effects of ospemifene and raloxifene on hormonal status, lipids, genital tract, and tolerability in postmenopausal women. Menopause. 2005;12(2):202–9.PubMedCrossRef
21.
Zurück zum Zitat QuatRx Pharmaceuticals Company. Shionogi enters into exclusive license agreement with QuatRx Pharmaceuticals to market ospemifene (media release). 2 Mar 2010. http://www.quatrx.com. QuatRx Pharmaceuticals Company. Shionogi enters into exclusive license agreement with QuatRx Pharmaceuticals to market ospemifene (media release). 2 Mar 2010. http://​www.​quatrx.​com.
22.
Zurück zum Zitat McCall JL, DeGregorio MW. Pharmacologic evaluation of ospemifene. Expert Opin Drug Metab Toxicol. 2010;6(6):773–9.PubMedCrossRef McCall JL, DeGregorio MW. Pharmacologic evaluation of ospemifene. Expert Opin Drug Metab Toxicol. 2010;6(6):773–9.PubMedCrossRef
23.
Zurück zum Zitat Qu Q, Zheng H, Dahllund J, et al. Selective estrogenic effects of a novel triphenylethylene compound, FC1271a, on bone, cholesterol level, and reproductive tissues in intact and ovariectomized rats. Endocrinology. 2000;141(2):809–20.PubMedCrossRef Qu Q, Zheng H, Dahllund J, et al. Selective estrogenic effects of a novel triphenylethylene compound, FC1271a, on bone, cholesterol level, and reproductive tissues in intact and ovariectomized rats. Endocrinology. 2000;141(2):809–20.PubMedCrossRef
24.
Zurück zum Zitat Gennari L, Merlotti D, Valleggi F, et al. Selective estrogen receptor modulators for postmenopausal osteoporosis: current state of development. Drugs Aging. 2007;24(5):361–79.PubMedCrossRef Gennari L, Merlotti D, Valleggi F, et al. Selective estrogen receptor modulators for postmenopausal osteoporosis: current state of development. Drugs Aging. 2007;24(5):361–79.PubMedCrossRef
25.
Zurück zum Zitat Wurz GT, Read KC, Marchisano-Karpman C, et al. Ospemifene inhibits the growth of dimethylbenzanthracene-induced mammary tumors in Sencar mice. J Steroid Biochem Mol Biol. 2005;97(3):230–40.PubMedCrossRef Wurz GT, Read KC, Marchisano-Karpman C, et al. Ospemifene inhibits the growth of dimethylbenzanthracene-induced mammary tumors in Sencar mice. J Steroid Biochem Mol Biol. 2005;97(3):230–40.PubMedCrossRef
26.
Zurück zum Zitat Taras TL, Wurz GT, DeGregorio MW. In vitro and in vivo biologic effects of Ospemifene (FC-1271a) in breast cancer. J Steroid Biochem Mol Biol. 2001;77(4–5):271–9.PubMedCrossRef Taras TL, Wurz GT, DeGregorio MW. In vitro and in vivo biologic effects of Ospemifene (FC-1271a) in breast cancer. J Steroid Biochem Mol Biol. 2001;77(4–5):271–9.PubMedCrossRef
27.
Zurück zum Zitat Burich RA, Mehta NR, Wurz GT, et al. Ospemifene and 4-hydroxyospemifene effectively prevent and treat breast cancer in the MTag.Tg transgenic mouse model. Menopause. 2012;19(1):96–103.PubMedCrossRef Burich RA, Mehta NR, Wurz GT, et al. Ospemifene and 4-hydroxyospemifene effectively prevent and treat breast cancer in the MTag.Tg transgenic mouse model. Menopause. 2012;19(1):96–103.PubMedCrossRef
28.
Zurück zum Zitat Hellmann-Blumberg U, Taras TL, Wurz GT, et al. Genotoxic effects of the novel mixed antiestrogen FC-1271a in comparison to tamoxifen and toremifene. Breast Cancer Res Treat. 2000;60(1):63–70.PubMedCrossRef Hellmann-Blumberg U, Taras TL, Wurz GT, et al. Genotoxic effects of the novel mixed antiestrogen FC-1271a in comparison to tamoxifen and toremifene. Breast Cancer Res Treat. 2000;60(1):63–70.PubMedCrossRef
29.
Zurück zum Zitat Wurz GT, Hellmann-Blumberg U, DeGregorio MW. Pharmacologic effects of ospemifene in rhesus macaques: a pilot study. Basic Clin Pharmacol Toxicol. 2008;102(6):552–8.PubMedCrossRef Wurz GT, Hellmann-Blumberg U, DeGregorio MW. Pharmacologic effects of ospemifene in rhesus macaques: a pilot study. Basic Clin Pharmacol Toxicol. 2008;102(6):552–8.PubMedCrossRef
30.
Zurück zum Zitat Zheng H, Kangas L, Harkonen PL. Comparative study of the short-term effects of a novel selective estrogen receptor modulator, ospemifene, and raloxifene and tamoxifen on rat uterus. J Steroid Biochem Mol Biol. 2004;88(2):143–56.PubMedCrossRef Zheng H, Kangas L, Harkonen PL. Comparative study of the short-term effects of a novel selective estrogen receptor modulator, ospemifene, and raloxifene and tamoxifen on rat uterus. J Steroid Biochem Mol Biol. 2004;88(2):143–56.PubMedCrossRef
31.
Zurück zum Zitat Simon JA, Lin VH, Radovich C, et al. One-year long-term safety extension study of ospemifene for the treatment of vulvar and vaginal atrophy in postmenopausal women with a uterus. Menopause Epub. 2012. Simon JA, Lin VH, Radovich C, et al. One-year long-term safety extension study of ospemifene for the treatment of vulvar and vaginal atrophy in postmenopausal women with a uterus. Menopause Epub. 2012.
32.
Zurück zum Zitat Bachmann G, Goldstein S, Lin V, et al. Efficacy of ospemifene when used in the treatment of vulvar and vaginal atrophy for up to 52 weeks in postmenopausal women (abstract). Climacteric. 2011;14:92.CrossRef Bachmann G, Goldstein S, Lin V, et al. Efficacy of ospemifene when used in the treatment of vulvar and vaginal atrophy for up to 52 weeks in postmenopausal women (abstract). Climacteric. 2011;14:92.CrossRef
33.
Zurück zum Zitat Michael H, Harkonen PL, Kangas L, et al. Differential effects of selective oestrogen receptor modulators (SERMs) tamoxifen, ospemifene and raloxifene on human osteoclasts in vitro. Br J Pharmacol. 2007;151(3):384–95.PubMedCrossRef Michael H, Harkonen PL, Kangas L, et al. Differential effects of selective oestrogen receptor modulators (SERMs) tamoxifen, ospemifene and raloxifene on human osteoclasts in vitro. Br J Pharmacol. 2007;151(3):384–95.PubMedCrossRef
34.
Zurück zum Zitat Kallio A, Guo T, Lamminen E, et al. Estrogen and the selective estrogen receptor modulator (SERM) protection against cell death in estrogen receptor alpha and beta expressing U2OS cells. Mol Cell Endocrinol. 2008;289(1–2):38–48.PubMedCrossRef Kallio A, Guo T, Lamminen E, et al. Estrogen and the selective estrogen receptor modulator (SERM) protection against cell death in estrogen receptor alpha and beta expressing U2OS cells. Mol Cell Endocrinol. 2008;289(1–2):38–48.PubMedCrossRef
35.
Zurück zum Zitat Ylikorkala O, Cacciatore B, Halonen K, et al. Effects of ospemifene, a novel SERM, on vascular markers and function in healthy, postmenopausal women. Menopause. 2003;10(5):440–7.PubMedCrossRef Ylikorkala O, Cacciatore B, Halonen K, et al. Effects of ospemifene, a novel SERM, on vascular markers and function in healthy, postmenopausal women. Menopause. 2003;10(5):440–7.PubMedCrossRef
36.
Zurück zum Zitat Wurz GT, Soe LH, DeGregorio MW. Ospemifene, vulvovaginal atrophy, and breast cancer. Maturitas. 2013;74(3):220–5.CrossRef Wurz GT, Soe LH, DeGregorio MW. Ospemifene, vulvovaginal atrophy, and breast cancer. Maturitas. 2013;74(3):220–5.CrossRef
37.
Zurück zum Zitat DeGregorio MW, Wurz GT, Taras TL, et al. Pharmacokinetics of (deaminohydroxy) toremifene in humans: a new, selective estrogen-receptor modulator. Eur J Clin Pharmacol. 2000;56(6–7):469–75.PubMedCrossRef DeGregorio MW, Wurz GT, Taras TL, et al. Pharmacokinetics of (deaminohydroxy) toremifene in humans: a new, selective estrogen-receptor modulator. Eur J Clin Pharmacol. 2000;56(6–7):469–75.PubMedCrossRef
38.
Zurück zum Zitat Bryson S, Cornelissen K, Anttila M. Absorption, metabolism, and excretion of ((3)H)-ospemifene following a single oral dose to postmenopausal women. Clin Pharmacol Ther. 2005;77:82.CrossRef Bryson S, Cornelissen K, Anttila M. Absorption, metabolism, and excretion of ((3)H)-ospemifene following a single oral dose to postmenopausal women. Clin Pharmacol Ther. 2005;77:82.CrossRef
39.
Zurück zum Zitat Portman D, Komi J. Long-term effects of ospemifene on the clinical signs of vaginal atrophy (abstract no. P-42). Menopause. 2009;16(6):1252. Portman D, Komi J. Long-term effects of ospemifene on the clinical signs of vaginal atrophy (abstract no. P-42). Menopause. 2009;16(6):1252.
40.
Zurück zum Zitat Goldstein S, Bachmann G, Lin V, et al. Endometrial safety profile of ospemifene 60 mg when used for long-term treatment of vulvar and vaginal atrophy for up to 1 year. Climacteric. 2011;14:77. Goldstein S, Bachmann G, Lin V, et al. Endometrial safety profile of ospemifene 60 mg when used for long-term treatment of vulvar and vaginal atrophy for up to 1 year. Climacteric. 2011;14:77.
Metadaten
Titel
Ospemifene: First Global Approval
verfasst von
Shelley Elkinson
Lily P. H. Yang
Publikationsdatum
01.05.2013
Verlag
Springer International Publishing AG
Erschienen in
Drugs / Ausgabe 6/2013
Print ISSN: 0012-6667
Elektronische ISSN: 1179-1950
DOI
https://doi.org/10.1007/s40265-013-0046-y

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