Clinical pharmacology of multiple doses of lasofoxifene in postmenopausal women

J Clin Pharmacol. 2006 Jan;46(1):52-8. doi: 10.1177/0091270005283280.

Abstract

Lasofoxifene, a next-generation selective estrogen receptor modulator, is undergoing phase 3 clinical development for osteoporosis. This study evaluated daily lasofoxifene for 14 days in healthy postmenopausal women. A loading dose of 5 times the daily dose was followed by daily doses of 0.01 mg (n = 8), 0.03 mg (n =8), 0.1 mg(n = 16), 0.3 mg (n =9), 1 mg (n = 8), or placebo (n = 16). Samples were collected for pharmacokinetic and pharmacodynamic assessments. Lasofoxifene was well tolerated; study drug-associated adverse events were mild and unrelated to dose. There was a predictable increase in plasma concentrations of lasofoxifene with dose. Pharmacokinetic parameters included mean half-life of 165 hours, mean area under the plasma concentration-time curve from time 0 to 24 hours ranging from 1.67 ng x h/mL to 137 ng x h/mL, and mean maximum observed plasma concentration ranging from 0.09 ng/mL to 6.43 ng/mL. Lasofoxifene partially suppressed luteinizing hormone, follicle-stimulating hormone, low-density lipoprotein, and N-telopeptide.

Publication types

  • Clinical Trial
  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Administration, Oral
  • Cholesterol, LDL / blood
  • Collagen Type I / blood
  • Dose-Response Relationship, Drug
  • Drug Administration Schedule
  • Female
  • Humans
  • Luteinizing Hormone / blood
  • Middle Aged
  • Peptides / blood
  • Postmenopause / metabolism*
  • Pyrrolidines / administration & dosage
  • Pyrrolidines / blood
  • Pyrrolidines / pharmacokinetics*
  • Selective Estrogen Receptor Modulators / administration & dosage
  • Selective Estrogen Receptor Modulators / blood
  • Selective Estrogen Receptor Modulators / pharmacokinetics*
  • Tetrahydronaphthalenes / administration & dosage
  • Tetrahydronaphthalenes / blood
  • Tetrahydronaphthalenes / pharmacokinetics*

Substances

  • Cholesterol, LDL
  • Collagen Type I
  • Peptides
  • Pyrrolidines
  • Selective Estrogen Receptor Modulators
  • Tetrahydronaphthalenes
  • collagen type I trimeric cross-linked peptide
  • Lasofoxifene
  • Luteinizing Hormone