GTx-758
GTx-758 is an investigational drug developed for the treatment of prostate cancer. It is a nonsteroidal selective estrogen receptor alpha agonist (SERAA) that works by reducing the levels of testosterone in the body, which is a key driver of prostate cancer growth.
Mechanism of Action
GTx-758 functions by selectively activating the estrogen receptor alpha (ERα) in the pituitary gland and hypothalamus. This activation leads to a decrease in the secretion of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), which in turn reduces the production of testosterone by the testes. Lower testosterone levels can help slow the progression of prostate cancer.
Clinical Development
GTx-758 has undergone several clinical trials to evaluate its safety and efficacy in patients with prostate cancer. These trials have shown that GTx-758 can effectively lower testosterone levels without the need for androgen deprivation therapy (ADT), which is commonly associated with significant side effects such as hot flashes, osteoporosis, and loss of libido.
Potential Benefits
The use of GTx-758 offers several potential benefits over traditional ADT. By selectively targeting ERα, GTx-758 may reduce the risk of side effects commonly associated with ADT. Additionally, GTx-758 has been shown to maintain bone density and improve quality of life in patients undergoing treatment for prostate cancer.
Side Effects
As with any medication, GTx-758 may cause side effects. Common side effects observed in clinical trials include gynecomastia, nausea, and fatigue. However, these side effects are generally considered to be less severe than those associated with traditional ADT.
Current Status
As of the latest updates, GTx-758 is still under investigation and has not yet received approval from regulatory authorities such as the Food and Drug Administration (FDA) for general use in the treatment of prostate cancer. Ongoing research aims to further establish its safety profile and therapeutic efficacy.
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Contributors: Prab R. Tumpati, MD