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Hum. Reprod. Advance Access originally published online on January 21, 2005
Human Reproduction 2005 20(4):1090-1099; doi:10.1093/humrep/deh738
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© The Author 2005. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved.

The effects of 1-month administration of asoprisnil (J867), a selective progesterone receptor modulator, in healthy premenopausal women

Kristof Chwalisz1,4, Walter Elger2,3, Therese Stickler1, Cynthia Mattia-Goldberg1 and Lois Larsen1

1 TAP Pharmaceutical Products Inc., Lake Forest, IL, USA and 2 EnTec GmbH, Jena, Germany. 3 Current address: Schorlemerallee 12B, 14195 Berlin-Dahlem, Germany

4 To whom correspondence should be addressed at: TAP Pharmaceutical Products Inc., 675 N. Field Drive, Lake Forest, IL 60045, USA. Email: kristof.chwalisz{at}tap.com

BACKGROUND: Asoprisnil (J867) is a novel selective progesterone receptor modulator (SPRM) that exhibits partial agonist and antagonist activities and tissue selective effects. This double-blind, dose-escalation study was conducted to evaluate the effects of asoprisnil in 60 regularly cycling premenopausal women. METHODS: Asoprisnil or placebo was administered orally for 28 days starting at the beginning of the menstrual cycle in doses of 5 mg once daily (QD), 5 mg twice daily (BID), 10 mg QD, 25 mg QD, 25 mg BID and 50 mg BID. Within each dose group, two women were randomized to placebo and eight to asoprisnil. Progesterone concentrations indicative of luteinization were defined as at least one progesterone measurement during the luteal phase exceeding 3.5 ng/ml. RESULTS: Asoprisnil consistently prolonged the menstrual cycle at doses ≥10 mg QD. However, the effects on luteal phase progesterone indicative of luteinization were inconsistent and lacked dose dependency. Asoprisnil suppressed periovulatory estradiol but not below follicular phase levels. No significant changes were observed in cortisol and prolactin. Asoprisnil was well tolerated. CONCLUSIONS: Asoprisnil reversibly suppressed menstruation at doses ≥10 mg QD irrespective of the effect on luteal phase progesterone concentrations indicative of luteinization. It induces amenorrhea primarily by targeting the endometrium in the absence of estrogen deprivation.

Key words: asoprisnil/amenorrhea/endometrium/menstrual cycle prolongation/selective progesterone receptor modulator


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