Bexirestrant
A selective estrogen receptor degrader
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| Drug class | Selective estrogen receptor degrader |
| Routes of administration | Oral |
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Bexirestrant is a selective estrogen receptor degrader (SERD) that is being investigated for the treatment of hormone receptor-positive breast cancer. It is designed to bind to the estrogen receptor and promote its degradation, thereby inhibiting the growth of estrogen-dependent tumors.
Mechanism of Action
Bexirestrant functions by binding to the estrogen receptor (ER) and inducing a conformational change that targets the receptor for degradation. This process reduces the number of functional estrogen receptors available in the cell, thereby diminishing the estrogen signaling that can promote the growth of certain types of breast cancer. Unlike selective estrogen receptor modulators (SERMs), which block the receptor's activity, SERDs like bexirestrant lead to the receptor's destruction.
Clinical Development
Bexirestrant is currently undergoing clinical trials to evaluate its efficacy and safety in patients with hormone receptor-positive breast cancer. These trials aim to determine the optimal dosing regimen and to compare its effectiveness with existing therapies such as fulvestrant, another SERD.
Pharmacokinetics
The pharmacokinetic profile of bexirestrant includes its absorption, distribution, metabolism, and excretion. It is administered orally, and studies are ongoing to understand its bioavailability and half-life. The drug is metabolized in the liver, and its metabolites are excreted primarily through the feces.
Potential Benefits
Bexirestrant offers potential benefits over existing therapies by providing a more complete degradation of the estrogen receptor, which may lead to improved outcomes in patients with resistant forms of breast cancer. Its oral administration also offers a more convenient alternative to injectable therapies.
Side Effects
As with many cancer therapies, bexirestrant may have side effects. Commonly observed adverse effects in clinical trials include fatigue, nausea, and hot flashes. Ongoing studies are monitoring for any long-term effects and the overall safety profile of the drug.
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Contributors: Prab R. Tumpati, MD