Selective estrogen receptor modulator (SERM) for the treatment of osteoporosis in postmenopausal women: focus on lasofoxifene

Luigi Gennari, Daniela Merlotti, Ranuccio NutiDepartment of Internal Medicine, Endocrine-Metabolic Sciences and Biochemistry, University of Siena, Siena, ItalyAbstract: Selective estrogen receptor modulators (SERMs) represent a class with a growing number of compounds that act as either estrogen rec...

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Autores principales: Luigi Gennari, Daniela Merlotti, Ranuccio Nuti
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2010
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Acceso en línea:https://doaj.org/article/710260fdbd414cfe956d013b4a9c7646
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spelling oai:doaj.org-article:710260fdbd414cfe956d013b4a9c76462021-12-02T07:28:51ZSelective estrogen receptor modulator (SERM) for the treatment of osteoporosis in postmenopausal women: focus on lasofoxifene1178-1998https://doaj.org/article/710260fdbd414cfe956d013b4a9c76462010-01-01T00:00:00Zhttps://www.dovepress.com/selective-estrogen-receptor-modulator-serm-for-the-treatment-of-osteop-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Luigi Gennari, Daniela Merlotti, Ranuccio NutiDepartment of Internal Medicine, Endocrine-Metabolic Sciences and Biochemistry, University of Siena, Siena, ItalyAbstract: Selective estrogen receptor modulators (SERMs) represent a class with a growing number of compounds that act as either estrogen receptor agonists or antagonists in a tissuespecific manner. This article reviews lasofoxifene, a new-generation SERM that has completed phase III development for the prevention and treatment of osteoporosis in postmenopausal women. Consistent with preclinical observations, this new SERM demonstrated improved skeletal efficacy over raloxifene and at an oral dose of 0.5 mg/day was effective in the prevention of both vertebral and nonvertebral fractures in postmenopausal women with osteoporosis. At the same dosage, lasofoxifene treatment also reduced estrogen receptor-positive breast cancer risk and the occurrence of vaginal atrophy, but, like the other SERMs, was associated with hot flushes and an increased risk of venous thromboembolic events. With its increased efficacy on the prevention of nonvertebral fractures than current available SERMs and its positive effects on the vagina, this new compound may represent an alternative and cost-effective therapy for osteoporosis in postmenopausal women.Keywords: SERM, lasofoxifene, postmenopausal osteoporosis, fractures, bone density, menopauseLuigi GennariDaniela MerlottiRanuccio NutiDove Medical PressarticleSERM – Lasofoxifene – Postmenopausal Osteoporosis – Fractures – Bone Density – MenopauseGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 5, Pp 19-29 (2010)
institution DOAJ
collection DOAJ
language EN
topic SERM – Lasofoxifene – Postmenopausal Osteoporosis – Fractures – Bone Density – Menopause
Geriatrics
RC952-954.6
spellingShingle SERM – Lasofoxifene – Postmenopausal Osteoporosis – Fractures – Bone Density – Menopause
Geriatrics
RC952-954.6
Luigi Gennari
Daniela Merlotti
Ranuccio Nuti
Selective estrogen receptor modulator (SERM) for the treatment of osteoporosis in postmenopausal women: focus on lasofoxifene
description Luigi Gennari, Daniela Merlotti, Ranuccio NutiDepartment of Internal Medicine, Endocrine-Metabolic Sciences and Biochemistry, University of Siena, Siena, ItalyAbstract: Selective estrogen receptor modulators (SERMs) represent a class with a growing number of compounds that act as either estrogen receptor agonists or antagonists in a tissuespecific manner. This article reviews lasofoxifene, a new-generation SERM that has completed phase III development for the prevention and treatment of osteoporosis in postmenopausal women. Consistent with preclinical observations, this new SERM demonstrated improved skeletal efficacy over raloxifene and at an oral dose of 0.5 mg/day was effective in the prevention of both vertebral and nonvertebral fractures in postmenopausal women with osteoporosis. At the same dosage, lasofoxifene treatment also reduced estrogen receptor-positive breast cancer risk and the occurrence of vaginal atrophy, but, like the other SERMs, was associated with hot flushes and an increased risk of venous thromboembolic events. With its increased efficacy on the prevention of nonvertebral fractures than current available SERMs and its positive effects on the vagina, this new compound may represent an alternative and cost-effective therapy for osteoporosis in postmenopausal women.Keywords: SERM, lasofoxifene, postmenopausal osteoporosis, fractures, bone density, menopause
format article
author Luigi Gennari
Daniela Merlotti
Ranuccio Nuti
author_facet Luigi Gennari
Daniela Merlotti
Ranuccio Nuti
author_sort Luigi Gennari
title Selective estrogen receptor modulator (SERM) for the treatment of osteoporosis in postmenopausal women: focus on lasofoxifene
title_short Selective estrogen receptor modulator (SERM) for the treatment of osteoporosis in postmenopausal women: focus on lasofoxifene
title_full Selective estrogen receptor modulator (SERM) for the treatment of osteoporosis in postmenopausal women: focus on lasofoxifene
title_fullStr Selective estrogen receptor modulator (SERM) for the treatment of osteoporosis in postmenopausal women: focus on lasofoxifene
title_full_unstemmed Selective estrogen receptor modulator (SERM) for the treatment of osteoporosis in postmenopausal women: focus on lasofoxifene
title_sort selective estrogen receptor modulator (serm) for the treatment of osteoporosis in postmenopausal women: focus on lasofoxifene
publisher Dove Medical Press
publishDate 2010
url https://doaj.org/article/710260fdbd414cfe956d013b4a9c7646
work_keys_str_mv AT luigigennari selectiveestrogenreceptormodulatorsermforthetreatmentofosteoporosisinpostmenopausalwomenfocusonlasofoxifene
AT danielamerlotti selectiveestrogenreceptormodulatorsermforthetreatmentofosteoporosisinpostmenopausalwomenfocusonlasofoxifene
AT ranuccionuti selectiveestrogenreceptormodulatorsermforthetreatmentofosteoporosisinpostmenopausalwomenfocusonlasofoxifene
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