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Drug: Panomifene
Synonyms: EGIS 5650; GYKl 13504
Chemical Name: Ethanol, 2-((2-(4((3,3,3-trifluoro- 1,2-diphenyl-1-propenyl) phenoxy)ethyl)amino-, (E)-
Molecular Formula: C25H24F3NO2
CAS® Registry Number: 77599-17-8
Related CAS Registry Number: 77600-10-3
Therapeutic Class:

Anti-estrogens
Cytostatic anti-oestrogens
Mechanism of Action:

Estrogen receptor antagonists
Originator Company: IVAX Drug Research Institute (Hungary)
Parent Company: IVAX Corporation
Licensee: Fujimoto Pharmaceutical
Other Company: Egis Pharmaceuticals

Highest Phase: No Development Reported

Development Status:

No Development Reported, Hungary, Breast cancer
Introduction:
Panomifene (EGIS 5650, GYK1 13504) is the most active antiestrogen of a series of triphenylethylene derivatives. It was synthesised by the Institute for Drug Research, Budapest, Hungary, and was in phase II trials with Egis for the treatment of breast cancer. Panomifene is licensed to Fujimoto Pharmaceutical in Japan. In October 1999, the Institute for Drug Research was purchased by IVAX Corporation. In 2001, the Institute for Drug Research was renamed as the IVAX Drug Research Institute.
No recent development of panomifene has been reported.

Adis Evaluation:
Breast cancer 72 (PO).

Pharmacology Overview:
Pharmacodynamics:
  Longer lasting antiestrogen effect than tamoxifen
  Mechanism of action:
  Estrogen receptor antagonists
  -------------------------------
  tmax (h) (oral) 3.55 (Adult)
  t (1/2) beta (h) 69.6 (Adult)
  -------------------------------

Clinical Overview:
Route(s) of Administration: PO
  Administration Freq.(per day): od
  Adverse events:
  most frequent: Flushing.
  occasional: Abdominal pain, Dizziness, Drowsiness, Headache, Heat sensation, Hyperhidrosis, Skin eruptions.
  Drug Interactions:
  Unknown.

Adverse Events:
13 healthy postmenopausal women received oral panomifene 3-120mg. Lower abdominal pain occurred in 1 patient after panomifene 120mg and in 2 after panomifene 24mg. Hot flushes of uncertain relationship to the study drug occurred in 3 patients. Other occasional adverse events, which were not dose-dependent, were dizziness, drowsiness, headache, rashes, heat sensation and sweating/1/. In 10 healthy postmenopausal volunteers, daily oral doses of panomifene 3-120 mg/day were well tolerated in 9/10 volunteers at the highest dose level of 120 mg/day. One volunteer experienced abdominal pain after the 120mg dose which became more severe when the dose was repeated. Hot flushes occurred in 3 volunteers, and 1 case of spot bleeding was observed. Other adverse events seen occasionally were drowsiness, rashes and headache; these were not dose-dependent/2/.

Pharmacokinetics:
The pharmacokinetics of oral panomifene 24mg were investigated in 13 healthy postmenopausal women. The t sub(1/2) was 69.6h, C sub(max) was 67.7 ng/ml, t sub(max) was 3.55h and AUC was 4814 ng x h x ml sup(-1). There was considerable interpatient variability in the pharmacokinetics of panomifene at all dose levels. There was a medium correlation between dose and AUC (r = 0.876). The data could be fitted to a 1-compartment model in 6 patients and a 2-compartment model in 4 patients. No biotransformation products of panomifene were detected. The plasma C sub(max) concentrations (25.2-290.4 ng/ml) were dose- dependent and were within the range which caused a 50% proliferation inhibition on MCF-7 cells in an in vitro study/1/.
Pharmacodynamics (Cancer):
Preclinical studies: the duration and dose-dependence of the antiestrogenic effects of panomifene and tamoxifen in an immature rat uterus stimulated by estrogen were recently reported. Rats received either a single oral dose of panomifene 0.3-10 mg/kg or tamoxifen. 24h after treatment there was no difference in uterine weight or RNA, DNA and protein content. The estrogen-mediated rise in nucleic acid incorporation was inhibited by panomifene at 72-96h, and at 144h panomifene still showed significant antiestrogenic activity. At 96h the antiestrogenic effect of tamoxifen could not be observed. Both compounds had similar antiuterotrophic activity/3/.

Drug Update Information:

26-Oct-1999: IVAX Corporation has acquired the Institute for Drug Research
26-Sep-1997: A clinical study has been added to the pharmacokinetics and adverse events sections (612835)
27-May-1997: Phase-II clinical trials for Breast cancer in Hungary (PO)
05-May-1995: A preclinical study has been added to the pharmacodynamics section (308623)
22-Sep-1994: New profile
References:
1. Erdelyi-Toth V, Gyergyay F, et al. Pharmacokinetics of panomifene in healthy volunteers at phase 1/a study. Anti-Cancer Drugs. 8: 603-609, Jul 1997. (English). 800612835
2. Gyergyay F, Erdelyi-Toth V, et al. Phase I/a study on panomifene in healthy volunteers. Annals of Oncology. 3 (Suppl. 5): 54, Nov 1992. (English).
3. Hermann I, Borvendeg J. Comparative studies on antiestrogenic effects of a new triphenylethylene derivative, panomifene and tamoxifen. European Journal of Endocrinology. 130 (Suppl. 2): 165, Jun 1994. (English).

Revision Date: August 9, 2002

Adis R&D Insight
© 2009 Adis International Limited. All rights reserved.
Dialog® File Number 107 Accession Number 002127
2Â¥2009-05-06 09:46:13
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acdmail1

½ð³æ (СÓÐÃûÆø)

¡ï
karl2100(½ð±Ò+1,VIP+0):3Q 5-6 22:08
DR   panomifene
      
SUMMARY OVERVIEW DRUG NAME BREAKING NEWS LICENSING SUMMARY
No data for any portlets within this tab  


SUMMARY
Drug name panomifene
Company  EGIS Gyogyszergyar RT (Servier)
Highest dev status Discontinued
Therapy areas  Cancer
Actions  Anticancer; Estrogen receptor antagonist
Target  Estrogen receptor  
Update date 05-MAR-2002
Reason for update indexing updated

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OVERVIEW  
Egis has discontinued development of panomifene, an estrogen antagonist which had reached phase I clinical trials as a potential treatment for cancer [231757].

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DRUG NAME  
Names associated with this drug
Name Type
panomifene USAN, INN
77599-17-8 CAS RN
EGIS-5650 Research Code
panomifine  

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BREAKING NEWS  
No news items found.

   
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[ Last edited by acdmail1 on 2009-5-6 at 13:04 ]
3Â¥2009-05-06 13:02:13
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