PMID- 34448368 OWN - NLM STAT- MEDLINE DCOM- 20220404 LR - 20220531 IS - 2160-7648 (Electronic) IS - 2160-763X (Linking) VI - 11 IP - 2 DP - 2022 Feb TI - Pharmacokinetic, Safety, and Pharmacodynamic Properties of Teverelix Trifluoroacetate, a Novel Gonadotropin-Releasing Hormone Antagonist, in Healthy Adult Subjects. PG - 257-269 LID - 10.1002/cpdd.1008 [doi] AB - Teverelix trifluoroacetate is a decapeptide, gonadotropin-releasing hormone antagonist that binds competitively and reversibly to gonadotropin-releasing hormone receptors in the pituitary gland, resulting in immediate suppression of luteinizing hormone and follicle-stimulating hormone, which in turn causes a very rapid decrease in testosterone production in the Leydig cells of the testes in men and in estradiol in the ovaries in women. This phase 1 clinical study was an open-label, parallel-design, single-center, single-dose study in older, healthy male subjects. Following injection, teverelix is released into the systemic circulation in a biphasic manner. An initial rapid phase is followed by a slow-release phase thought to be due to the formation of a depot, which limits the diffusion of teverelix into the blood. The release characteristics differ significantly for the subcutaneous (SC) and intramuscular (IM) routes. Teverelix maximum concentration and exposure increased in an approximately dose-proportional manner across the 60 to 120 mg SC doses. All 3 pharmacodynamic end points (luteinizing hormone, follicle-stimulating hormone, and total testosterone) showed reductions that were more prolonged following the 90 mg IM administration compared to 90 mg SC administration. CI - (c) 2021, The American College of Clinical Pharmacology. FAU - MacLean, Carol M AU - MacLean CM AD - Antev Ltd, London, UK. FAU - Godsafe, Zona AU - Godsafe Z AD - Antev Ltd, London, UK. FAU - Soto-Forte, Pablo AU - Soto-Forte P AD - PAREXEL Early Phase Clinical Unit, Northwick Park Hospital, Harrow, UK. FAU - Larsen, Finn AU - Larsen F AD - Antev Ltd, London, UK. LA - eng PT - Clinical Trial, Phase I PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210826 PL - United States TA - Clin Pharmacol Drug Dev JT - Clinical pharmacology in drug development JID - 101572899 RN - 0 (Hormone Antagonists) RN - 0 (Oligopeptides) RN - 33515-09-2 (Gonadotropin-Releasing Hormone) RN - D19V7048JK (antarelix) RN - E5R8Z4G708 (Trifluoroacetic Acid) SB - IM MH - Aged MH - Gonadotropin-Releasing Hormone MH - *Hormone Antagonists/adverse effects MH - Humans MH - Male MH - *Oligopeptides/adverse effects MH - Trifluoroacetic Acid OTO - NOTNLM OT - BPH OT - CV safety OT - GnRH antagonist OT - endometriosis OT - local tolerability OT - long-acting injectable OT - pharmacodynamic OT - pharmacokinetic OT - prostate cancer OT - uterine fibroids EDAT- 2021/08/28 06:00 MHDA- 2022/04/05 06:00 CRDT- 2021/08/27 07:22 PHST- 2021/05/17 00:00 [received] PHST- 2021/07/22 00:00 [accepted] PHST- 2021/08/28 06:00 [pubmed] PHST- 2022/04/05 06:00 [medline] PHST- 2021/08/27 07:22 [entrez] AID - 10.1002/cpdd.1008 [doi] PST - ppublish SO - Clin Pharmacol Drug Dev. 2022 Feb;11(2):257-269. doi: 10.1002/cpdd.1008. Epub 2021 Aug 26.