Literature DB >> 2201397

Aromatase inhibition in advanced prostatic cancer: preliminary communication.

R J Shearer1, J H Davies, M Dowsett, P R Malone, A Hedley, D Cunningham, R C Coombes.   

Abstract

We report the results of the first use of a steroidal aromatase inhibitor, 4-hydroxyandrostenedione (4-OHA, CGP 32349), in the palliation of patients with advanced, hormone resistant, prostatic cancer. Twelve of 19 patients (63%), who had relapsed following castration and other therapies, gained significant pain relief following weekly intramuscular injections of 4-OHA. Five patients (31%) experienced a transient 'tumour flare', represented by an increase in bone pain soon after commencing treatment. The mechanism of action of 4-OHA in palliating patients with advanced prostatic cancer is obscure at present, but may represent an important new treatment modality which may lead to greater insight into prostatic biology.

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Year:  1990        PMID: 2201397      PMCID: PMC1971817          DOI: 10.1038/bjc.1990.276

Source DB:  PubMed          Journal:  Br J Cancer        ISSN: 0007-0920            Impact factor:   7.640


  14 in total

Review 1.  Actions of estrogen in the male.

Authors:  M G Mawhinney; B L Neubauer
Journal:  Invest Urol       Date:  1979-05

2.  Failure of human benign prostatic hyperplasia to aromatise testosterone.

Authors:  T Smith; G D Chisholm; F K Habib
Journal:  J Steroid Biochem       Date:  1982-07       Impact factor: 4.292

3.  A new oral progestational steroid effective in treating prostatic cancer.

Authors:  W W Scott; H K Schirmer
Journal:  Trans Am Assoc Genitourin Surg       Date:  1966

4.  Clinical and biochemical effect of aminoglutethimide in the treatment of advanced prostatic carcinoma.

Authors:  T J Worgul; R J Santen; E Samojlik; J D Veldhuis; A Lipton; H A Harvey; J R Drago; T J Rohner
Journal:  J Urol       Date:  1983-01       Impact factor: 7.450

5.  Is delayed treatment justified in carcinoma of the prostate?

Authors:  M C Parker; A Cook; P R Riddle; I Fryatt; J O'Sullivan; R J Shearer
Journal:  Br J Urol       Date:  1985-12

6.  Inactivation of aromatase in vitro by 4-hydroxy-4-androstene-3,17-dione and 4-acetoxy-4-androstene-3,17-dione and sustained effects in vivo.

Authors:  A M Brodie; W M Garrett; J R Hendrickson; C H Tsai-Morris; P A Marcotte; C H Robinson
Journal:  Steroids       Date:  1981-12       Impact factor: 2.668

7.  Preliminary report on use of depot formulation of LHRH analogue ICI 118630 (Zoladex) in patients with prostatic cancer.

Authors:  S R Ahmed; J Grant; S M Shalet; A Howell; S D Chowdhury; T Weatherson; N J Blacklock
Journal:  Br Med J (Clin Res Ed)       Date:  1985-01-19

8.  Estrogen formation in human prostatic tissue from patients with and without benign prostatic hyperplasia.

Authors:  N N Stone; W R Fair; J Fishman
Journal:  Prostate       Date:  1986       Impact factor: 4.104

9.  The effects of aminoglutethimide and hydrocortisone, alone and combined, on androgen levels in post-orchiectomy prostatic cancer patients.

Authors:  M Dowsett; R J Shearer; B A Ponder; P Malone; S L Jeffcoate
Journal:  Br J Cancer       Date:  1988-02       Impact factor: 7.640

10.  Response to aminoglutethimide and cortisone acetate in advanced prostatic cancer.

Authors:  B A Ponder; R J Shearer; R D Pocock; J Miller; D Easton; C E Chilvers; M Dowsett; S L Jeffcoate
Journal:  Br J Cancer       Date:  1984-12       Impact factor: 7.640

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  3 in total

Review 1.  Formestane. A review of its pharmacodynamic and pharmacokinetic properties and therapeutic potential in the management of breast cancer and prostatic cancer.

Authors:  L R Wiseman; D McTavish
Journal:  Drugs       Date:  1993-01       Impact factor: 9.546

Review 2.  Aromatase inhibitors in malignant diseases of aging.

Authors:  D C Johannessen; P E Lønning
Journal:  Drugs Aging       Date:  1992 Nov-Dec       Impact factor: 3.923

3.  Aromatase inhibition: 4-hydroxyandrostenedione (4-OHA, CGP 32349) in advanced prostatic cancer.

Authors:  J H Davies; M Dowsett; S Jacobs; R C Coombes; A Hedley; R J Shearer
Journal:  Br J Cancer       Date:  1992-07       Impact factor: 7.640

  3 in total

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