Selective androgen receptor modulators for the treatment of late onset male hypogonadism

Several testosterone preparations are used in the treatment of hypogonadism in the ageing male. These therapies differ in their convenience, flexibility, regional availability and expense but share their pharmacokinetic basis of approval and dearth of long-term safety data. The brevity and relativel...

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Main Authors: Christopher C Coss, Amanda Jones, Michael L Hancock, Mitchell S Steiner, James T Dalton
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-04-01
Series:Asian Journal of Andrology
Subjects:
Online Access:http://www.ajandrology.com/article.asp?issn=1008-682X;year=2014;volume=16;issue=2;spage=256;epage=261;aulast=Coss
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author Christopher C Coss
Amanda Jones
Michael L Hancock
Mitchell S Steiner
James T Dalton
author_facet Christopher C Coss
Amanda Jones
Michael L Hancock
Mitchell S Steiner
James T Dalton
author_sort Christopher C Coss
collection DOAJ
description Several testosterone preparations are used in the treatment of hypogonadism in the ageing male. These therapies differ in their convenience, flexibility, regional availability and expense but share their pharmacokinetic basis of approval and dearth of long-term safety data. The brevity and relatively reduced cost of pharmacokinetic based registration trials provides little commercial incentive to develop improved novel therapies for the treatment of late onset male hypogonadism. Selective androgen receptor modulators (SARMs) have been shown to provide anabolic benefit in the absence of androgenic effects on prostate, hair and skin. Current clinical development for SARMs is focused on acute muscle wasting conditions with defi ned clinical endpoints of physical function and lean body mass. Similar regulatory clarity concerning clinical deficits in men with hypogonadism is required before the beneficial pharmacology and desirable pharmacokinetics of SARMs can be employed in the treatment of late onset male hypogonadism.
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spelling doaj.art-cb7a209083cf49388d5dbc9bca43efe12022-12-22T03:55:20ZengWolters Kluwer Medknow PublicationsAsian Journal of Andrology1008-682X1745-72622014-04-0116225626110.4103/1008-682X.122339Selective androgen receptor modulators for the treatment of late onset male hypogonadismChristopher C CossAmanda JonesMichael L HancockMitchell S SteinerJames T DaltonSeveral testosterone preparations are used in the treatment of hypogonadism in the ageing male. These therapies differ in their convenience, flexibility, regional availability and expense but share their pharmacokinetic basis of approval and dearth of long-term safety data. The brevity and relatively reduced cost of pharmacokinetic based registration trials provides little commercial incentive to develop improved novel therapies for the treatment of late onset male hypogonadism. Selective androgen receptor modulators (SARMs) have been shown to provide anabolic benefit in the absence of androgenic effects on prostate, hair and skin. Current clinical development for SARMs is focused on acute muscle wasting conditions with defi ned clinical endpoints of physical function and lean body mass. Similar regulatory clarity concerning clinical deficits in men with hypogonadism is required before the beneficial pharmacology and desirable pharmacokinetics of SARMs can be employed in the treatment of late onset male hypogonadism.http://www.ajandrology.com/article.asp?issn=1008-682X;year=2014;volume=16;issue=2;spage=256;epage=261;aulast=Cosshypogonadism; late onset hypogonadism; selective androgen receptor modulators; testosterone
spellingShingle Christopher C Coss
Amanda Jones
Michael L Hancock
Mitchell S Steiner
James T Dalton
Selective androgen receptor modulators for the treatment of late onset male hypogonadism
Asian Journal of Andrology
hypogonadism; late onset hypogonadism; selective androgen receptor modulators; testosterone
title Selective androgen receptor modulators for the treatment of late onset male hypogonadism
title_full Selective androgen receptor modulators for the treatment of late onset male hypogonadism
title_fullStr Selective androgen receptor modulators for the treatment of late onset male hypogonadism
title_full_unstemmed Selective androgen receptor modulators for the treatment of late onset male hypogonadism
title_short Selective androgen receptor modulators for the treatment of late onset male hypogonadism
title_sort selective androgen receptor modulators for the treatment of late onset male hypogonadism
topic hypogonadism; late onset hypogonadism; selective androgen receptor modulators; testosterone
url http://www.ajandrology.com/article.asp?issn=1008-682X;year=2014;volume=16;issue=2;spage=256;epage=261;aulast=Coss
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AT mitchellssteiner selectiveandrogenreceptormodulatorsforthetreatmentoflateonsetmalehypogonadism
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