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Enobosarm (GTx-024, S-22): a potential treatment for cachexia
1Johns Hopkins University School of Medicine, Division Endocrinology, Diabetes & Metabolism, 1830 East Monument Street, Suite 333, Baltimore, MD 21287, USA.
Muscle wasting, or cachexia, affects many patients and has no approved treatments. Enobosarm, a selective androgen receptor modulator (SARM), shows promise in clinical trials for improving muscle mass and function.
Area of Science:
- Pharmacology
- Muscle Physiology
- Oncology
Background:
- Muscle wasting (cachexia) is a significant issue in aging and diseases like cancer, leading to increased mortality.
- Current treatments for cachexia are lacking, with many options proving ineffective or causing adverse events.
- Selective androgen receptor modulators (SARMs) represent a novel class of anabolic agents with tissue-selective properties.
Purpose of the Study:
- To introduce enobosarm (GTx-024) as a potential therapeutic agent for cachexia.
- To review the literature on SARMs and enobosarm for the treatment of muscle wasting.
Main Methods:
- Literature review utilizing search terms 'cachexia', 'sarcopenia', 'SARM', 'enobosarm', and 'GTx-024'.
- Databases and online resources were searched in September 2013.
- Focus on clinical trial data for enobosarm.
Main Results:
- Enobosarm has demonstrated promising results in Phase I, II, and III trials.
- Improvements in lean body mass, physical function, and power have been observed with enobosarm.
- Enobosarm has received Fast Track designation from the US FDA.
Conclusions:
- Enobosarm is a promising new therapeutic strategy for the prevention and treatment of cachexia.
- Further results from Phase III trials (POWER1 and POWER2) are anticipated for regulatory approval in non-small-cell lung cancer patients.
- Enobosarm offers a potential solution for muscle wasting associated with various disease states.
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