2012
DOI: 10.1517/17425255.2012.665873
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Pharmacokinetic evaluation of toremifene and its clinical implications for the treatment of osteoporosis

Abstract: Toremifene can be administered orally with an excellent bioavailability. The overall pharmacokinetic profile is remarkably similar to tamoxifen. Toremifene is highly metabolized in the liver and is eliminated primarily in the feces following enterohepatic circulation. Some of its metabolites retain biological activity. This SERM was approved by the FDA for the treatment of estrogen receptor-positive metastatic breast cancer and is under investigation for its potential skeletal benefits in men on androgen depri… Show more

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Cited by 7 publications
(4 citation statements)
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“…It is notable that the unique pharmacokinetic characteristics make tamoxifen more advantageous in gallbladder cancer treatment . Tamoxifen metabolites 4‐hydroxytamoxifen and N‐desmethyl‐4‐hydroxytamoxifen, which possess a much stronger ER inhibitory activity, could be secreted in bile and participate in enterohepatic circulation . The bile infiltrating environment of GBC provides another platform for tamoxifen metabolites to reach tumour.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…It is notable that the unique pharmacokinetic characteristics make tamoxifen more advantageous in gallbladder cancer treatment . Tamoxifen metabolites 4‐hydroxytamoxifen and N‐desmethyl‐4‐hydroxytamoxifen, which possess a much stronger ER inhibitory activity, could be secreted in bile and participate in enterohepatic circulation . The bile infiltrating environment of GBC provides another platform for tamoxifen metabolites to reach tumour.…”
Section: Discussionmentioning
confidence: 99%
“…45 Tamoxifen metabolites 4-hydroxytamoxifen and N-desmethyl-4hydroxytamoxifen, which possess a much stronger ER inhibitory activity, 46 could be secreted in bile and participate in enterohepatic circulation. [47][48][49] The bile infiltrating environment of GBC provides another platform for tamoxifen metabolites to reach tumour.…”
Section: Discussionmentioning
confidence: 99%
“…TOR differs from tamoxifen’s structure in only a single chloride atom on its side group; a chloride atom substituted for a hydrogen atom in the ethyl group attached to part of the ethylene bond 88. TOR functions in a similar way to other Type I SERMs, displaying a higher affinity for ERα (about 5% of that of estradiol) than ERβ 89.…”
Section: Triphenylethylene Sermsmentioning
confidence: 99%
“…The majority of the toremifene dose is excreted as metabolites in feces. The long terminal half-life of oral toremifene may be due to both plasma protein binding and enterohepatic recirculation [182,183].…”
Section: (4) Cationic Amphiphilesmentioning
confidence: 99%