A possible explanation for the peripheral selectivity of a novel non-steroidal pure antiandrogen, Casodex (ICI 176,334)
1989

Understanding the Selectivity of Casodex, a New Antiandrogen

Sample size: 15 publication Evidence: moderate

Author Information

Author(s): S.N. Freeman, W.I.P. Mainwaring, B.J.A. Furr

Primary Institution: The University of Leeds; ICI Pharmaceuticals

Hypothesis

What explains the peripheral selectivity of Casodex compared to other antiandrogens?

Conclusion

Casodex does not increase serum LH and testosterone levels in intact male rats, suggesting it has a peripheral selectivity due to its inability to penetrate the blood-brain barrier.

Supporting Evidence

  • Casodex showed a relative binding affinity of 0.267 for the androgen receptor.
  • Daily treatment with Casodex did not change serum LH and testosterone levels in rats.
  • Flutamide treatment resulted in significantly increased serum LH and testosterone levels.

Takeaway

Casodex is a new medicine that helps treat prostate cancer without causing certain side effects that other similar medicines do, because it doesn't affect the brain.

Methodology

The study involved administering Casodex and flutamide to male Wistar rats and measuring serum LH and testosterone levels, as well as conducting androgen receptor binding assays.

Limitations

The study was conducted only in male rats, and the results may not directly translate to humans.

Participant Demographics

Specific pathogen-free albino male Wistar rats

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

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