Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C24H23ClO2 |
| Molecular Weight | 378.891 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 1 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
OCCOC1=CC=C(C=C1)C(=C(\CCCl)C2=CC=CC=C2)\C3=CC=CC=C3
InChI
InChIKey=LUMKNAVTFCDUIE-VHXPQNKSSA-N
InChI=1S/C24H23ClO2/c25-16-15-23(19-7-3-1-4-8-19)24(20-9-5-2-6-10-20)21-11-13-22(14-12-21)27-18-17-26/h1-14,26H,15-18H2/b24-23-
| Molecular Formula | C24H23ClO2 |
| Molecular Weight | 378.891 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 1 |
| Optical Activity | NONE |
Ospemifene (commercial name Osphena produced by Shionogi) is anoral medication indicated for the treatment of dyspareunia – pain during sexual intercourse – encountered by some women, more often in those who are post-menopausal. Ospemifene is a selective estrogen receptor modulator (SERM) that selectively binds to estrogen receptors and either stimulates or blocks estrogen's activity in different tissue types. It has an agonistic effect on the endometrium. It’s building vaginal wall thickness which in turn reduces the pain associated with dyspareunia. Dyspareunia is most commonly caused by "vulval and vaginal atrophy”.
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: P03372 Gene ID: 2099.0 Gene Symbol: ESR1 Target Organism: Homo sapiens (Human) Sources: http://www.ncbi.nlm.nih.gov/pubmed/23945733 |
827.0 nM [IC50] | ||
Target ID: Q92731|||O75584 Gene ID: 2100.0 Gene Symbol: ESR2 Target Organism: Homo sapiens (Human) Sources: http://www.ncbi.nlm.nih.gov/pubmed/23945733 |
1633.0 nM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Curative | OSPHENA Approved UseIndicated for the treatment of moderate to severe dyspareunia, a symptom of vulvar and vaginal atrophy, due to menopause Launch Date2013 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
533 ng/mL |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
OSPEMIFENE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
4165 ng × h/mL |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
OSPEMIFENE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
26 h |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
OSPEMIFENE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
Doses
| Dose | Population | Adverse events |
|---|---|---|
200 mg 1 times / day steady, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: steady Dose: 200 mg, 1 times / day Sources: |
healthy, 62 years (range: 55 - 75 years) Health Status: healthy Age Group: 62 years (range: 55 - 75 years) Sex: F Sources: |
Disc. AE: Hot flushes, Dizziness... AEs leading to discontinuation/dose reduction: Hot flushes (1 patient) Sources: Dizziness (1 patient) Chest pain |
60 mg 1 times / day multiple, oral Recommended Dose: 60 mg, 1 times / day Route: oral Route: multiple Dose: 60 mg, 1 times / day Sources: |
unhealthy, adult (Postmenopausal) Health Status: unhealthy Age Group: adult (Postmenopausal) Sex: F Sources: |
Other AEs: Thromboembolic stroke, Hemorrhagic stroke... Other AEs: Thromboembolic stroke Sources: Hemorrhagic stroke Deep vein thrombosis |
60 mg 1 times / day steady, oral Recommended Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: |
unhealthy, adult (Postmenopausal) Health Status: unhealthy Age Group: adult (Postmenopausal) Sex: F Sources: |
Disc. AE: Nausea, Muscle spasms... AEs leading to discontinuation/dose reduction: Nausea (1%) Sources: Muscle spasms (0.7%) Headache (1%) Hyperhidrosis (0.7%) Rash (0.7%) Hot flush (2%) |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Dizziness | 1 patient Disc. AE |
200 mg 1 times / day steady, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: steady Dose: 200 mg, 1 times / day Sources: |
healthy, 62 years (range: 55 - 75 years) Health Status: healthy Age Group: 62 years (range: 55 - 75 years) Sex: F Sources: |
| Hot flushes | 1 patient Disc. AE |
200 mg 1 times / day steady, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: steady Dose: 200 mg, 1 times / day Sources: |
healthy, 62 years (range: 55 - 75 years) Health Status: healthy Age Group: 62 years (range: 55 - 75 years) Sex: F Sources: |
| Chest pain | Disc. AE | 200 mg 1 times / day steady, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: steady Dose: 200 mg, 1 times / day Sources: |
healthy, 62 years (range: 55 - 75 years) Health Status: healthy Age Group: 62 years (range: 55 - 75 years) Sex: F Sources: |
| Deep vein thrombosis | 60 mg 1 times / day multiple, oral Recommended Dose: 60 mg, 1 times / day Route: oral Route: multiple Dose: 60 mg, 1 times / day Sources: |
unhealthy, adult (Postmenopausal) Health Status: unhealthy Age Group: adult (Postmenopausal) Sex: F Sources: |
|
| Hemorrhagic stroke | 60 mg 1 times / day multiple, oral Recommended Dose: 60 mg, 1 times / day Route: oral Route: multiple Dose: 60 mg, 1 times / day Sources: |
unhealthy, adult (Postmenopausal) Health Status: unhealthy Age Group: adult (Postmenopausal) Sex: F Sources: |
|
| Thromboembolic stroke | 60 mg 1 times / day multiple, oral Recommended Dose: 60 mg, 1 times / day Route: oral Route: multiple Dose: 60 mg, 1 times / day Sources: |
unhealthy, adult (Postmenopausal) Health Status: unhealthy Age Group: adult (Postmenopausal) Sex: F Sources: |
|
| Hyperhidrosis | 0.7% Disc. AE |
60 mg 1 times / day steady, oral Recommended Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: |
unhealthy, adult (Postmenopausal) Health Status: unhealthy Age Group: adult (Postmenopausal) Sex: F Sources: |
| Muscle spasms | 0.7% Disc. AE |
60 mg 1 times / day steady, oral Recommended Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: |
unhealthy, adult (Postmenopausal) Health Status: unhealthy Age Group: adult (Postmenopausal) Sex: F Sources: |
| Rash | 0.7% Disc. AE |
60 mg 1 times / day steady, oral Recommended Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: |
unhealthy, adult (Postmenopausal) Health Status: unhealthy Age Group: adult (Postmenopausal) Sex: F Sources: |
| Headache | 1% Disc. AE |
60 mg 1 times / day steady, oral Recommended Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: |
unhealthy, adult (Postmenopausal) Health Status: unhealthy Age Group: adult (Postmenopausal) Sex: F Sources: |
| Nausea | 1% Disc. AE |
60 mg 1 times / day steady, oral Recommended Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: |
unhealthy, adult (Postmenopausal) Health Status: unhealthy Age Group: adult (Postmenopausal) Sex: F Sources: |
| Hot flush | 2% Disc. AE |
60 mg 1 times / day steady, oral Recommended Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: |
unhealthy, adult (Postmenopausal) Health Status: unhealthy Age Group: adult (Postmenopausal) Sex: F Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 11.0 |
no | |||
Page: 5, 66 |
yes [IC50 10 uM] | yes (co-administration study) Comment: ospemifene inhibited CYP2B6, CYP2C9, CYP2C19, CYP2C8 and CYP2D6 with IC50 values in the range of 7.8-49 μM Page: 5, 66 |
||
Page: 5, 66 |
yes [IC50 35 uM] | yes (co-administration study) Comment: ospemifene inhibited CYP2B6, CYP2C9, CYP2C19, CYP2C8 and CYP2D6 with IC50 values in the range of 7.8-49 μM Page: 5, 66 |
||
Page: 5, 66 |
yes [IC50 7.8 uM] | yes (co-administration study) Comment: ospemifene inhibited CYP2B6, CYP2C9, CYP2C19, CYP2C8 and CYP2D6 with IC50 values in the range of 7.8-49 μM Page: 5, 66 |
||
Page: 66.0 |
yes | |||
Page: 66.0 |
yes |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 9, 32, 40, 66 |
no | |||
Page: 9, 11, 18 |
yes | yes (co-administration study) Comment: omeprazole increased Cmax 1.2-fold and AUC 1.17-fold, fluconazole increased Cmax 1.7-fold and AUC 2.7-fold; rifampin reduced Cmax by 51% and AUC by 58% Page: 9, 11, 18 |
||
Page: 9, 11, 18 |
yes | yes (co-administration study) Comment: fluconazole increased Cmax 1.7-fold and AUC 2.7-fold; rifampin reduced Cmax by 51% and AUC by 58% Page: 9, 11, 18 |
||
Page: 9, 10, 11, 18 |
yes | yes (co-administration study) Comment: ketoconazole increased Cmax 1.5-fold and AUC by 1.4-fold, fluconazole increased Cmax 1.7-fold and AUC 2.7-fold; rifampin reduced Cmax by 51% and AUC by 58% Page: 9, 10, 11, 18 |
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 24.0 |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Ospemifene metabolism in humans in vitro and in vivo: metabolite identification, quantitation, and CYP assignment of major hydroxylations. | 2013 |
|
| Liver X receptors as regulators of macrophage inflammatory and metabolic pathways. | 2011-08 |
|
| Pharmacologic evaluation of ospemifene. | 2010-06 |
|
| Selective estrogen receptor modulators decrease the production of interleukin-6 and interferon-gamma-inducible protein-10 by astrocytes exposed to inflammatory challenge in vitro. | 2010-01-01 |
|
| Differential effects of selective oestrogen receptor modulators (SERMs) tamoxifen, ospemifene and raloxifene on human osteoclasts in vitro. | 2007-06 |
|
| Effects of ospemifene and raloxifene on biochemical markers of bone turnover in postmenopausal women. | 2006 |
|
| Ospemifene inhibits the growth of dimethylbenzanthracene-induced mammary tumors in Sencar mice. | 2005-11 |
|
| Effects of ospemifene, a novel SERM, on vascular markers and function in healthy, postmenopausal women. | 2003-09-23 |
|
| Effects of ospemifene, a novel SERM, on hormones, genital tract, climacteric symptoms, and quality of life in postmenopausal women: a double-blind, randomized trial. | 2003-09-23 |
|
| Effects of ospemifene (FC-1271a) on uterine endometrium, vaginal maturation index, and hormonal status in healthy postmenopausal women. | 2002-11-20 |
|
| In vitro and in vivo biologic effects of Ospemifene (FC-1271a) in breast cancer. | 2001-06 |
Sample Use Guides
One tablet (60 mg ) taken orally once daily with food
Route of Administration:
Oral
In Vitro Use Guide
Sources: http://www.ncbi.nlm.nih.gov/pubmed/11457665
The growth inhibitory effects of FC-1271a and its main metabolite are investigated in MCF-7 and MDA-MB-231 human breast cancer cells at doses ranging from 0.1 to 10 uM.
| Substance Class |
Chemical
Created
by
admin
on
Edited
Wed Apr 02 08:52:20 GMT 2025
by
admin
on
Wed Apr 02 08:52:20 GMT 2025
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| Record UNII |
B0P231ILBK
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Validated (UNII)
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WHO-VATC |
QG03XC05
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WHO-ATC |
G03XC05
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EMA ASSESSMENT REPORTS |
SENSHIO (AUTHORIZED: POSTMENOPAUSE)
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NCI_THESAURUS |
C1821
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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METABOLIC ENZYME -> INHIBITOR |
IC50
|
||
|
METABOLIC ENZYME -> SUBSTRATE |
Ospemifene is primarily metabolized by CYP3A4, 2C9, and 2C19 responsible for approximately 40 to 50%, ~25%, and ~25%, respectively, of its clearance.
MAJOR
|
||
|
METABOLIC ENZYME -> SUBSTRATE |
Ospemifene is primarily metabolized by CYP3A4, 2C9, and 2C19 responsible for approximately 40 to 50%, ~25%, and ~25%, respectively, of its clearance.
MAJOR
|
||
|
METABOLIC ENZYME -> SUBSTRATE |
Ospemifene is primarily metabolized by CYP3A4, 2C9, and 2C19 responsible for approximately 40 to 50%, ~25%, and ~25%, respectively, of its clearance.
MAJOR
|
||
|
METABOLIC ENZYME -> INHIBITOR |
IC50
|
||
|
EXCRETED UNCHANGED |
Following an oral administration of ospemifene, approximately 75% and 7% of the dose was excreted in feces and urine, respectively. Less than 0.2% of the ospemifene dose was excreted unchanged in urine.
URINE
|
||
|
TRANSPORTER -> SUBSTRATE |
The sponsor evaluated ospemifene as a potential substrate for transporters in a P-gp in vitro study. No in vivo transporter studies were conducted.
|
||
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BINDER->LIGAND |
BINDING
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METABOLIC ENZYME -> INHIBITOR |
IC50
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TARGET -> INHIBITOR |
| Related Record | Type | Details | ||
|---|---|---|---|---|
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PARENT -> METABOLITE ACTIVE | |||
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METABOLITE -> PARENT | |||
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METABOLITE -> PARENT |
4-hydroxyospemifene (M1) is the major metabolite with a serum concentration of approximately 25% of ospemifene.
MAJOR
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METABOLITE -> PARENT | |||
|
METABOLITE -> PARENT |
4’-hydroxyospemifene (M2) is the major metabolite with a serum concentration of approximately 7% of ospemifene.
MAJOR
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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IMPURITY -> PARENT |
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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ACTIVE MOIETY |
| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
|---|---|---|---|---|---|---|
| Biological Half-life | PHARMACOKINETIC |
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| Tmax | PHARMACOKINETIC |
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SINGLE DOSE |
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| Volume of Distribution | PHARMACOKINETIC |
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