Epristeride

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Epristeride
Clinical data
Trade namesAipuliete, Chuanliu
Other namesONO-9302; SKF-105657; 17β-(tert-Butylcarbamoyl)androsta-3,5-diene-3-carboxylic acid
Routes of
administration
By mouth[1]
Drug class5α-Reductase inhibitor
ATC code
  • None
Legal status
Legal status
  • In general: ℞ (Prescription only)
Pharmacokinetic data
Bioavailability93%[2]
Elimination half-life26 hours[2]
Identifiers
  • (8S,9S,10R,13S,14S,17S)-17-(tert-butylcarbamoyl)-10,13-dimethyl-2,7,8,9,11,12,14,15,16,17-decahydro-1H-cyclopenta[a]phenanthrene-3-carboxylic acid
JSmol)
  • CC(C)(C)NC(=O)C1CCC2C3C\C=C4\C=C(/CCC4(C)C3CCC12C)C(O)=O
  • InChI=1S/C25H37NO3/c1-23(2,3)26-21(27)20-9-8-18-17-7-6-16-14-15(22(28)29)10-12-24(16,4)19(17)11-13-25(18,20)5/h6,14,17-20H,7-13H2,1-5H3,(H,26,27)(H,28,29)
  • Key:VAPSMQAHNAZRKC-UHFFFAOYSA-N

Epristeride, sold under the brand names Aipuliete and Chuanliu, is a medication which is used in the treatment of enlarged prostate in China.[3][4][5] It is taken by mouth.[1]

Epristeride is a

5α-reductase but is of relatively low efficacy and can decrease DHT levels in the blood only by about 25 to 54%.[8]

Epristeride was under development for the treatment of enlarged prostate, scalp hair loss, and acne in the United States and other countries in the 1990s but did not complete development in these countries.[6][4] Instead, it was developed and introduced for the treatment of enlarged prostate in China in 2000.[4]

Medical uses

Epristeride is used in the treatment of benign prostatic hyperplasia (BPH), otherwise known as enlarged prostate.[3][4]

Pharmacology

Pharmacodynamics

Epristeride is a

isoform of the enzyme similarly to finasteride and turosteride but unlike dutasteride.[8]

Epristeride is unique in its

NADPH.[8][9] For this reason, testosterone is caught in a trap, and it was initially speculated that the reciprocal increase in intraprostatic levels of testosterone seen with finasteride and dutasteride should not happen with epristeride.[8][9] However, subsequent clinical data have not supported this hypothesis.[8] Moreover, in spite of the fact that epristeride is a very potent inhibitor of 5α-reductase type II (0.18–2 nM), it has been found to reduce circulating levels of dihydrotestosterone (DHT) by only 25 to 54% following 8 days of therapy over a dosage range of 0.4 to 160 mg/day.[8] For this reason, relative to other 5α-reductase inhibitors like finasteride and dutasteride, the degree of DHT suppression with epristeride falls short of that desirable for full clinical benefit.[8]

Pharmacokinetics

The

Chemistry

Epristeride, also known as 17β-(tert-butylcarbamoyl)androsta-3,5-diene-3-carboxylic acid, is a

.

History

Epristeride was under development for the treatment of BPH,

GlaxoSmithKline) in the 1990s and reached phase III clinical trials in the United States, United Kingdom, and Japan,[6] but ultimately was never marketed in these countries.[4] Instead, epristeride was developed by Ono Pharmaceutical and introduced for the treatment of BPH in China in 2000.[4]

Society and culture

Generic names

Epristeride is the

INNTooltip International Nonproprietary Name, USANTooltip United States Adopted Name, BANTooltip British Approved Name, and JANTooltip Japanese Accepted Name.[5]

Brand names

Epristeride is marketed under the brand names Aipuliete and Chuanliu in China.[5][4]

References

  1. ^ .
  2. ^ .
  3. ^ .
  4. ^ a b c d e f g "Epristeride". AdisInsight. Springer Nature Switzerland AG.
  5. ^ a b c "List of 21 Benign Prostatic Hyperplasia Medications Compared". Drugs.com.
  6. ^
    PMID 18465521
    .
  7. ^ .
  8. ^ a b c d e f g h Frye SV (February 1996). "Inhibitors of 5 alpha-Reductase". Current Pharmaceutical Design. 2 (1). Bentham Science Publishers: 70–.
  9. ^ .

External links