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Published on: August 13, 2019
The Quest for Orally Available Selective Estrogen Receptor Degraders (SERDs)
1Department of Chemistry and Chemical Biology, Stevens Institute of Technology, Hoboken, New Jersey, 07030, USA.
Abstract:
Estrogen receptor-alpha (ERα) is the target of endocrine therapies for the treatment of more than 70 % of ERα-positive breast cancers. Selective estrogen receptor degraders (SERDs) antagonize estrogen binding and target the receptor for degradation, representing the last line of treatment for resistant metastatic breast cancer patients. However, the clinical efficacy of the lone clinically approved SERD (Fulvestrant) is limited by its poor oral bioavailability. Recently, several analogues of GW5638, an acrylic acid-based ERα ligand developed by Glaxo Research Institute in 1994, have been reported as promising orally bioavailable SERDs. Some of these compounds are currently in clinical trials, while various other structurally novel SERDs have also been reported by pharma as well as academic research groups. This review provides a critical analysis of the recent developments in orally available SERDs, with a focus on the structure-activity relationships, binding interactions and pharmacokinetic properties of these compounds.
Insights
New orally available selective estrogen receptor degraders (SERDs) show promise for treating resistant breast cancer. This review analyzes novel SERDs, focusing on their structure, binding, and pharmacokinetics for improved bioavailability.
Area of Science:
- Endocrinology
- Oncology
- Medicinal Chemistry
Background:
- Estrogen receptor-alpha (ERα) is a key target in ERα-positive breast cancer treatment.
- Selective estrogen receptor degraders (SERDs) are crucial for resistant metastatic breast cancer.
- Current SERDs like Fulvestrant have limited oral bioavailability.
Purpose of the Study:
- To critically analyze recent advancements in orally available SERDs.
- To focus on structure-activity relationships, binding interactions, and pharmacokinetics of novel SERDs.
- To highlight promising SERDs developed from GW5638 analogues and other novel structures.
Main Methods:
- Literature review of recent developments in orally available SERDs.
- Analysis of structure-activity relationships (SAR) of novel SERD compounds.
- Evaluation of binding interactions and pharmacokinetic properties of SERDs.
Main Results:
- Several GW5638 analogues demonstrate promising oral bioavailability.
- Structurally novel SERDs are emerging from pharmaceutical and academic research.
- Ongoing clinical trials are evaluating some of these new SERDs.
Conclusions:
- Orally available SERDs represent a significant advancement over injectable formulations.
- Understanding SAR and pharmacokinetics is key to developing effective oral SERDs.
- These novel agents hold potential for improved treatment of endocrine-resistant breast cancer.
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