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Clinical data | |
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Other names | WIN-49596; (5α,17α)-1'-(methylsulfonyl)-1'-H-pregn-20-yno[3,2-c]pyrazol-17-ol |
Routes of administration | By mouth |
Drug class | Steroidal antiandrogen |
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Chemical and physical data | |
Formula | C23H32N2O3S |
Molar mass | 416.58 g·mol−1 |
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Zanoterone (INNTooltip International Nonproprietary Name,USANTooltip United States Adopted Name) (former developmental code nameWIN-49596), also known as(5α,17α)-1'-(methylsulfonyl)-1'-H-pregn-20-yno[3,2-c]pyrazol-17-ol,[1] is asteroidal antiandrogen which was never marketed.[2][3][4] It was investigated for the treatment ofbenign prostatic hyperplasia (BPH) but failed to demonstrate sufficient efficacy inphase IIclinical trials, and also showed an unacceptable incidence rate and severity ofside effects (e.g.,breast pain andgynecomastia).[4][5] As such, it was not further developed.[4][5]
Zanoterone was derived from5α-dihydroethisterone (5α-dihydro-17α-ethynyltestosterone).[6][7] It is anantagonist of theandrogen receptor (Ki = 2.2 μM;RBATooltip relative binding affinity compared tometribolone = 2.2%), and with the exception ofantiprogestogenic activity in rat and rabbit models, is devoid of other hormonal activities.[6][8] Zanoterone does not inhibit5α-reductase,aromatase, or3α- or3β-hydroxysteroid dehydrogenasein vitro.[6] The drug significantly increasestestosterone andestradiol levels in men.[9] Zanoterone has been found to not significantly inhibit mating performance or fertility in adult male rats at high dosages for an extended period of time.[6] It has been found to act as aninducer of theenzymeCYP3A4in vivo in rats.[10]
Antiandrogen | Relativepotency |
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Bicalutamide | 4.3 |
Hydroxyflutamide | 3.5 |
Flutamide | 3.3 |
Cyproterone acetate | 1.0 |
Zanoterone | 0.4 |
Description: Relative potencies oforally administered antiandrogens in antagonizing 0.8 to 1.0 mg/kgs.c.Tooltip subcutaneous injectiontestosterone propionate-inducedventral prostate weight increase incastratedimmature male rats. Higher values mean greater potency.Sources: See template. |
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