Antiestrogenic properties of raloxifene.
This 21-day, open-label study evaluated the effects of raloxifene and tamoxifen on estrogen-induced changes in serum levels of anterior pituitary hormones (prolactin, luteinizing hormone, and follicle-stimulating hormone), sex steroids (testosterone, estradiol), and binding globulins [thyroid binding globulin (T3 resin uptake), transcortin, sex steroid binding globulin]. Seventeen healthy male volunteers completed the study after being randomized to one of three treatments: raloxifene, tamoxifen, or placebo. Six subjects received raloxifene (200 mg daily) for 10 days, 6 subjects received tamoxifen [20 mg twice a day (b.i.d.)] for 10 days, and 5 subjects received placebo for 10 days. All subjects received ethinyl estradiol (20 micrograms b.i.d.) for 7 days starting 3 days after initiation of study drug or placebo treatment. Results of the primary analysis of this study indicate that for six of the seven analyzable parameters of estrogen action (excluding luteinizing hormone) raloxifene blunted the estrogen response; this effect was significant only for T3 resin uptake. Tamoxifen administration significantly blunted or reversed the estrogen effect in all six of these parameters. Raloxifene, an effective antiestrogen in animal models, is also antiestrogenic in humans.
Draper
M W
MW
Lilly Research Laboratories, Eli Lilly and Company, Indianapolis, IN 46285, USA.
Flowers
D E
DE
Neild
J A
JA
Huster
W J
WJ
Zerbe
R L
RL
D000328:Adult; D000704:Analysis of Variance; D004347:Drug Interactions; D004958:Estradiol / Q000097:blood; D004965:Estrogen Antagonists / Q000009:adverse effects / Q000494:pharmacology*; D004997:Ethinyl Estradiol / Q000037:antagonists & inhibitors*; D005640:Follicle Stimulating Hormone / Q000097:blood; D012739:Gonadal Steroid Hormones / Q000097:blood; D006801:Humans; D007986:Luteinizing Hormone / Q000097:blood; D008297:Male; D008875:Middle Aged; D010880:Piperidines / Q000009:adverse effects / Q000494:pharmacology*; D010908:Pituitary Hormones, Anterior / Q000097:blood; D011388:Prolactin / Q000097:blood; D020849:Raloxifene Hydrochloride; D012738:Sex Hormone-Binding Globulin / Q000378:metabolism; D013629:Tamoxifen / Q000494:pharmacology; D013739:Testosterone / Q000097:blood; D014156:Transcortin / Q000378:metabolism
D004965:Estrogen Antagonists; D012739:Gonadal Steroid Hormones; D010880:Piperidines; D010908:Pituitary Hormones, Anterior; D012738:Sex Hormone-Binding Globulin; D013629:Tamoxifen; D013739:Testosterone; D004997:Ethinyl Estradiol; D020849:Raloxifene Hydrochloride; D004958:Estradiol; D011388:Prolactin; D007986:Luteinizing Hormone; D005640:Follicle Stimulating Hormone; D014156:Transcortin