Discovery and clinical development of dutasteride, a potent dual 5alpha-reductase inhibitor.

Abstract:

:In this review the preclinical medicinal chemistry, biochemistry and clinical results achieved in the treatment of prostatic disease with dutasteride, a dual inhibitor of type 1 and type 2,5alpha-reductase are described. During the discovery phase, dutasteride was optimized to inhibit both forms of human 5 alpha-reductase (5AR) via extensive structure activity relationship studies versus the cloned human isozymes. Dutasteride has subsequently been shown to improve disease measures in patients with symptomatic benign prostatic hyperplasia (BPH) in three randomized, placebo-controlled, Phase III clinical studies lasting for 2 years. Additionally, dutasteride is now under study for the ability to reduce the incidence of prostate cancer in men at high risk of the disease--an indication where the unique dual inhibitor nature, half-life and tolerability of dutasteride may be especially significant factors in determining treatment success. The connections between preclinical drug design and clinical outcomes during the discovery and development of dutasteride are exemplified.

journal_name

Curr Top Med Chem

authors

Frye SV

doi

10.2174/156802606776743101

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

405-21

issue

5

eissn

1568-0266

issn

1873-4294

journal_volume

6

pub_type

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