Exemestane

Identification

Summary

Exemestane is an aromatase inhibitor used to treat breast cancer in postmenopausal women after treatment with tamoxifen.

Brand Names
Aromasin
Generic Name
Exemestane
DrugBank Accession Number
DB00990
Background

Exemestane is an oral steroidal aromatase inhibitor used in the adjuvant treatment of hormonally-responsive (also called hormone-receptor-positive, estrogen-responsive) breast cancer in postmenopausal women. It irreversibly binds to the active site of the enzyme resulting in permanent inhibition.

Type
Small Molecule
Groups
Approved, Investigational
Structure
Weight
Average: 296.4034
Monoisotopic: 296.177630012
Chemical Formula
C20H24O2
Synonyms
  • 6-methyleneandrosta-1,4-diene-3,17-dione
  • Exemestane
  • Exemestano
  • Exemestanum
External IDs
  • FCE-24304
  • FCE24304
  • PNU-155971

Pharmacology

Indication

For the treatment of advanced breast cancer in postmenopausal women whose disease has progressed following tamoxifen therapy.

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Associated Conditions
Indication TypeIndicationCombined Product DetailsApproval LevelAge GroupPatient CharacteristicsDose Form
Adjunct therapy in treatment ofEarly breast cancer••••••••••••••••••••••••••••• ••••• •• ••••••••• •••••••
Treatment ofRefractory, advanced breast cancer••••••••••••••••••••••••••
Contraindications & Blackbox Warnings
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Pharmacodynamics

Aromatase is an enzyme that converts hormones to estrogen in the body's adrenal glands. The aromatase inhibitors (AIs) are drugs that reduce estrogen levels by blocking the action of aromatase in the adrenal glands. The selective AIs (SAIs) selectively reduce levels of estrogen without interfering with levels of other steroid hormones that are produced by the adrenal gland. Drugs in this class include anastrozole (Arimidex ™), letrozole (Femara ™) and exemestane (Aromasin ™).

Mechanism of action

Breast cancer cell growth may be estrogen-dependent. Aromatase (exemestane) is the principal enzyme that converts androgens to estrogens both in pre- and postmenopausal women. While the main source of estrogen (primarily estradiol) is the ovary in premenopausal women, the principal source of circulating estrogens in postmenopausal women is from conversion of adrenal and ovarian androgens (androstenedione and testosterone) to estrogens (estrone and estradiol) by the aromatase enzyme in peripheral tissues. Estrogen deprivation through aromatase inhibition is an effective and selective treatment for some postmenopausal patients with hormone-dependent breast cancer. Exemestane is an irreversible, steroidal aromatase inactivator, structurally related to the natural substrate androstenedione. It irreversibly binds to the active site causing permanent inhibition necessitating de novo synthesis to restore enzymatic function. Exemestane significantly lowers circulating estrogen concentrations in postmenopausal women, but has no detectable effect on the adrenal biosynthesis of corticosteroids or aldosterone. This reduction in serum and tumor concentrations of estrogen delays tumor growth and disease progression. Exemestane has no effect on other enzymes involved in the steroidogenic pathway up to a concentration at least 600 times higher than that inhibiting the aromatase enzyme.

TargetActionsOrganism
ACytochrome P450 19A1
inhibitor
Humans
Absorption

42%

Volume of distribution

Not Available

Protein binding

90% (mainly α1-acid glycoprotein and albumin)

Metabolism

Hepatic

Route of elimination

Not Available

Half-life

24 hours

Clearance

Not Available

Adverse Effects
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Toxicity

Convulsions

Pathways
Not Available
Pharmacogenomic Effects/ADRs
Not Available

Interactions

Drug Interactions
This information should not be interpreted without the help of a healthcare provider. If you believe you are experiencing an interaction, contact a healthcare provider immediately. The absence of an interaction does not necessarily mean no interactions exist.
DrugInteraction
AbametapirThe serum concentration of Exemestane can be increased when it is combined with Abametapir.
AmbroxolThe risk or severity of methemoglobinemia can be increased when Exemestane is combined with Ambroxol.
AmiodaroneThe metabolism of Exemestane can be decreased when combined with Amiodarone.
AmprenavirThe metabolism of Exemestane can be decreased when combined with Amprenavir.
ApalutamideThe metabolism of Exemestane can be increased when combined with Apalutamide.
Food Interactions
  • Take with food. The manufacturer recommends administration following a meal.

Products

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Product Images
International/Other Brands
Exemestance
Brand Name Prescription Products
NameDosageStrengthRouteLabellerMarketing StartMarketing EndRegionImage
Act ExemestaneTablet25 mgOralTEVA Canada Limited2012-07-26Not applicableCanada flag
AromasinTablet25 mgOralPfizer Canada Ulc2000-08-17Not applicableCanada flag
AromasinTablet25 mg/1OralPharmacia & Upjohn Company LLC1999-10-21Not applicableUS flag
AromasinTablet25 mg/1OralPhysicians Total Care, Inc.2005-06-29Not applicableUS flag
Generic Prescription Products
NameDosageStrengthRouteLabellerMarketing StartMarketing EndRegionImage
Apo-exemestaneTablet25 mgOralApotex Corporation2014-05-01Not applicableCanada flag
ExemestaneTablet25 mg/1OralAlvogen Inc.2014-07-252022-12-01US flag
ExemestaneTablet, film coated25 mg/1OralHikma Pharmaceuticals USA Inc2011-04-01Not applicableUS flag
ExemestaneTablet25 mg/1OralUpsher-Smith Laboratories, Inc.2017-07-27Not applicableUS flag
ExemestaneTablet, film coated25 mg/1OralFlorida Pharmaceutical Products, LLC2021-01-15Not applicableUS flag

Categories

ATC Codes
L02BG06 — Exemestane
Drug Categories
Chemical TaxonomyProvided by Classyfire
Description
This compound belongs to the class of organic compounds known as androgens and derivatives. These are 3-hydroxylated C19 steroid hormones. They are known to favor the development of masculine characteristics. They also show profound effects on scalp and body hair in humans.
Kingdom
Organic compounds
Super Class
Lipids and lipid-like molecules
Class
Steroids and steroid derivatives
Sub Class
Androstane steroids
Direct Parent
Androgens and derivatives
Alternative Parents
3-oxo delta-1,4-steroids / 17-oxosteroids / Delta-1,4-steroids / Cyclic ketones / Organic oxides / Hydrocarbon derivatives
Substituents
17-oxosteroid / 3-oxo-delta-1,4-steroid / 3-oxosteroid / Aliphatic homopolycyclic compound / Androgen-skeleton / Carbonyl group / Cyclic ketone / Delta-1,4-steroid / Hydrocarbon derivative / Ketone
Molecular Framework
Aliphatic homopolycyclic compounds
External Descriptors
17-oxo steroid, 3-oxo-Delta(1),Delta(4)-steroid (CHEBI:4953)
Affected organisms
  • Humans and other mammals

Chemical Identifiers

UNII
NY22HMQ4BX
CAS number
107868-30-4
InChI Key
BFYIZQONLCFLEV-DAELLWKTSA-N
InChI
InChI=1S/C20H24O2/c1-12-10-14-15-4-5-18(22)20(15,3)9-7-16(14)19(2)8-6-13(21)11-17(12)19/h6,8,11,14-16H,1,4-5,7,9-10H2,2-3H3/t14-,15-,16-,19+,20-/m0/s1
IUPAC Name
(3aS,3bR,9aR,9bS,11aS)-9a,11a-dimethyl-5-methylidene-1H,2H,3H,3aH,3bH,4H,5H,7H,9aH,9bH,10H,11H,11aH-cyclopenta[a]phenanthrene-1,7-dione
SMILES
[H][C@@]12CCC(=O)[C@@]1(C)CC[C@@]1([H])[C@@]2([H])CC(=C)C2=CC(=O)C=C[C@]12C

References

Synthesis Reference

Kevin Kunnen, Nathan W. Stehle, Scot W. Weis, John M. Pascone, Richard J. Pariza, Scott G. Van Ornum, Paul Zizelman, "Exemestane and Its Intermediates and Methods of Making the Same." U.S. Patent US20080234505, issued September 25, 2008.

US20080234505
General References
  1. Coombes RC, Kilburn LS, Snowdon CF, Paridaens R, Coleman RE, Jones SE, Jassem J, Van de Velde CJ, Delozier T, Alvarez I, Del Mastro L, Ortmann O, Diedrich K, Coates AS, Bajetta E, Holmberg SB, Dodwell D, Mickiewicz E, Andersen J, Lonning PE, Cocconi G, Forbes J, Castiglione M, Stuart N, Stewart A, Fallowfield LJ, Bertelli G, Hall E, Bogle RG, Carpentieri M, Colajori E, Subar M, Ireland E, Bliss JM: Survival and safety of exemestane versus tamoxifen after 2-3 years' tamoxifen treatment (Intergroup Exemestane Study): a randomised controlled trial. Lancet. 2007 Feb 17;369(9561):559-70. [Article]
  2. Robinson A: A review of the use of exemestane in early breast cancer. Ther Clin Risk Manag. 2009 Feb;5(1):91-8. Epub 2009 Mar 26. [Article]
  3. Untch M, Jackisch C: Exemestane in early breast cancer: a review. Ther Clin Risk Manag. 2008 Dec;4(6):1295-304. [Article]
  4. Abrial C, Durando X, Mouret-Reynier MA, Thivat E, Bayet-Robert M, Nayl B, Dubray P, Pomel C, Chollet P, Penault-Llorca F: Role of neo-adjuvant hormonal therapy in the treatment of breast cancer: a review of clinical trials. Int J Gen Med. 2009 Jul 30;2:129-40. [Article]
  5. Nabholtz JM: Long-term safety of aromatase inhibitors in the treatment of breast cancer. Ther Clin Risk Manag. 2008 Feb;4(1):189-204. [Article]
Human Metabolome Database
HMDB0015125
KEGG Drug
D00963
KEGG Compound
C08162
PubChem Compound
60198
PubChem Substance
46508243
ChemSpider
54278
BindingDB
50398447
RxNav
258494
ChEBI
4953
ChEMBL
CHEMBL1200374
ZINC
ZINC000003973334
Therapeutic Targets Database
DAP000625
PharmGKB
PA449563
PDBe Ligand
EXM
RxList
RxList Drug Page
Drugs.com
Drugs.com Drug Page
Wikipedia
Exemestane
PDB Entries
3s7s
FDA label
Download (74.6 KB)

Clinical Trials

Clinical Trials

Pharmacoeconomics

Manufacturers
  • Pharmacia and upjohn co
Packagers
  • Pfizer Inc.
  • Pharmacia Inc.
  • Physicians Total Care Inc.
Dosage Forms
FormRouteStrength
TabletOral25 mg
TabletOral25 mg/1
Tablet, sugar coatedOral
Tablet, sugar coatedOral25 mg
Tablet, coatedOral
TabletOral25.00 mg
Tablet, film coatedOral25 mg/1
Tablet, sugar coatedOral25 mg/1
Tablet, film coatedOral25.00 mg
Tablet, coatedOral25 mg
Tablet, film coatedOral25 mg
TabletOral
Tablet, film coatedOral
TabletOral25.000 mg
Prices
Unit descriptionCostUnit
Aromasin 25 mg tablet13.77USD tablet
DrugBank does not sell nor buy drugs. Pricing information is supplied for informational purposes only.
Patents
Patent NumberPediatric ExtensionApprovedExpires (estimated)Region
US4808616No1989-02-282011-04-01US flag
CA2409059No2006-04-182021-04-25Canada flag

Properties

State
Solid
Experimental Properties
PropertyValueSource
melting point (°C)155.13 °CNot Available
water solubilityNon-solubleNot Available
logP3.7Not Available
Predicted Properties
PropertyValueSource
Water Solubility0.00683 mg/mLALOGPS
logP2.67ALOGPS
logP3.87Chemaxon
logS-4.6ALOGPS
pKa (Strongest Basic)-5Chemaxon
Physiological Charge0Chemaxon
Hydrogen Acceptor Count2Chemaxon
Hydrogen Donor Count0Chemaxon
Polar Surface Area34.14 Å2Chemaxon
Rotatable Bond Count0Chemaxon
Refractivity89.03 m3·mol-1Chemaxon
Polarizability33.72 Å3Chemaxon
Number of Rings4Chemaxon
Bioavailability1Chemaxon
Rule of FiveYesChemaxon
Ghose FilterYesChemaxon
Veber's RuleYesChemaxon
MDDR-like RuleNoChemaxon
Predicted ADMET Features
PropertyValueProbability
Human Intestinal Absorption+1.0
Blood Brain Barrier+0.9778
Caco-2 permeable+0.7992
P-glycoprotein substrateSubstrate0.5589
P-glycoprotein inhibitor IInhibitor0.8974
P-glycoprotein inhibitor IINon-inhibitor0.6749
Renal organic cation transporterNon-inhibitor0.6499
CYP450 2C9 substrateNon-substrate0.8764
CYP450 2D6 substrateNon-substrate0.9115
CYP450 3A4 substrateSubstrate0.7167
CYP450 1A2 substrateNon-inhibitor0.8552
CYP450 2C9 inhibitorNon-inhibitor0.9224
CYP450 2D6 inhibitorNon-inhibitor0.9373
CYP450 2C19 inhibitorNon-inhibitor0.751
CYP450 3A4 inhibitorNon-inhibitor0.8309
CYP450 inhibitory promiscuityLow CYP Inhibitory Promiscuity0.8276
Ames testNon AMES toxic0.9483
CarcinogenicityNon-carcinogens0.9245
BiodegradationNot ready biodegradable0.9539
Rat acute toxicity1.7582 LD50, mol/kg Not applicable
hERG inhibition (predictor I)Weak inhibitor0.76
hERG inhibition (predictor II)Non-inhibitor0.7791
ADMET data is predicted using admetSAR, a free tool for evaluating chemical ADMET properties. (23092397)

Spectra

Mass Spec (NIST)
Not Available
Spectra
SpectrumSpectrum TypeSplash Key
Predicted GC-MS Spectrum - GC-MSPredicted GC-MSsplash10-0gc0-0490000000-1b1c46e80815c179a447
LC-MS/MS Spectrum - LC-ESI-qTof , PositiveLC-MS/MSsplash10-0002-0790000000-46727c37da42caccba4f
LC-MS/MS Spectrum - LC-ESI-qTof , PositiveLC-MS/MSsplash10-0002-0790000000-46727c37da42caccba4f
LC-MS/MS Spectrum - LC-ESI-qTof , PositiveLC-MS/MSsplash10-0002-0790000000-46727c37da42caccba4f
LC-MS/MS Spectrum - LC-ESI-qTof , PositiveLC-MS/MSsplash10-0002-0790000000-46727c37da42caccba4f
LC-MS/MS Spectrum - LC-ESI-qTof , PositiveLC-MS/MSsplash10-0002-0790000000-46727c37da42caccba4f
LC-MS/MS Spectrum - LC-ESI-qTof , PositiveLC-MS/MSsplash10-0002-0790000000-46727c37da42caccba4f
LC-MS/MS Spectrum - LC-ESI-qTof , PositiveLC-MS/MSsplash10-0002-0790000000-46727c37da42caccba4f
LC-MS/MS Spectrum - LC-ESI-qTof , PositiveLC-MS/MSsplash10-0002-0790000000-46727c37da42caccba4f
LC-MS/MS Spectrum - LC-ESI-qTof , PositiveLC-MS/MSsplash10-0002-0790000000-46727c37da42caccba4f
LC-MS/MS Spectrum - LC-ESI-QTOF , positiveLC-MS/MSsplash10-0002-0190000000-5e04b3359ea2370bbde1
LC-MS/MS Spectrum - LC-ESI-QTOF , positiveLC-MS/MSsplash10-0002-0950000000-0daf2c711395130c78a2
LC-MS/MS Spectrum - LC-ESI-QTOF , positiveLC-MS/MSsplash10-006t-0910000000-58ddee06caa2cdb4eeac
LC-MS/MS Spectrum - LC-ESI-QTOF , positiveLC-MS/MSsplash10-006t-0910000000-64dd2bfc1eef30f5b766
LC-MS/MS Spectrum - LC-ESI-QTOF , positiveLC-MS/MSsplash10-00wa-0900000000-ec533e47176e668d1ee9
LC-MS/MS Spectrum - LC-ESI-ITFT , positiveLC-MS/MSsplash10-004i-0980000000-457e7fb9bd5073d9521a
LC-MS/MS Spectrum - LC-ESI-ITFT , positiveLC-MS/MSsplash10-0002-0090000000-cc584f39a06f24401467
LC-MS/MS Spectrum - LC-ESI-ITFT , positiveLC-MS/MSsplash10-0002-1960000000-22b6bd7c2ccea9c0c648
LC-MS/MS Spectrum - LC-ESI-ITFT , positiveLC-MS/MSsplash10-00dj-2910000000-32edf95f8027c36c74ce
LC-MS/MS Spectrum - LC-ESI-ITFT , positiveLC-MS/MSsplash10-05fu-3900000000-84dacb108ccc2572ab41
LC-MS/MS Spectrum - LC-ESI-ITFT , positiveLC-MS/MSsplash10-0596-5900000000-f4ef5b1c0c3093d9be81
LC-MS/MS Spectrum - LC-ESI-ITFT , positiveLC-MS/MSsplash10-054o-7900000000-d4fd55a1386141770feb
LC-MS/MS Spectrum - LC-ESI-ITFT , positiveLC-MS/MSsplash10-0002-0090000000-d372ca664e7a339d245e
LC-MS/MS Spectrum - LC-ESI-ITFT , positiveLC-MS/MSsplash10-0002-1970000000-6aca0caa93beac3bf271
LC-MS/MS Spectrum - LC-ESI-ITFT , positiveLC-MS/MSsplash10-006w-2910000000-2f4bac4fb8744faeb793
LC-MS/MS Spectrum - LC-ESI-ITFT , positiveLC-MS/MSsplash10-05fu-3900000000-93e6d94ff92391e3ae17
LC-MS/MS Spectrum - LC-ESI-ITFT , positiveLC-MS/MSsplash10-0596-4900000000-3888c20b2af766bfbd28
LC-MS/MS Spectrum - LC-ESI-ITFT , positiveLC-MS/MSsplash10-054o-7900000000-e5ae5c87edd46bea9bdf
LC-MS/MS Spectrum - LC-ESI-ITFT , positiveLC-MS/MSsplash10-004i-0890000000-43dff5a59fc535cf2f01
MS/MS Spectrum - , positiveLC-MS/MSsplash10-0002-0790000000-46727c37da42caccba4f
MS/MS Spectrum - , positiveLC-MS/MSsplash10-00dj-0910000000-1483760a934897cf3b7a
MS/MS Spectrum - , positiveLC-MS/MSsplash10-014i-0009000000-0a3cc4550e16db4e3b05
MS/MS Spectrum - , positiveLC-MS/MSsplash10-0002-0090000000-8292cd5caa67529123d5
MS/MS Spectrum - , positiveLC-MS/MSsplash10-0002-0290000000-3017fa06837d687a9ed9
MS/MS Spectrum - , positiveLC-MS/MSsplash10-006t-0930000000-70c14a429cc679c17e57
MS/MS Spectrum - , positiveLC-MS/MSsplash10-0002-1890000000-1fcf62ddeb8dd8441390
Predicted MS/MS Spectrum - 10V, Positive (Annotated)Predicted LC-MS/MSsplash10-004j-0090000000-f8d3b4124bf8bc5a86d9
Predicted MS/MS Spectrum - 10V, Negative (Annotated)Predicted LC-MS/MSsplash10-0002-0090000000-87e22755a6e65b0f687e
Predicted MS/MS Spectrum - 20V, Negative (Annotated)Predicted LC-MS/MSsplash10-0002-0090000000-8dd2522a15ebe1619dc8
Predicted MS/MS Spectrum - 20V, Positive (Annotated)Predicted LC-MS/MSsplash10-0032-0980000000-ada91a989feecf893cf8
Predicted MS/MS Spectrum - 40V, Negative (Annotated)Predicted LC-MS/MSsplash10-00os-0090000000-70a7b8336ce26a1111db
Predicted MS/MS Spectrum - 40V, Positive (Annotated)Predicted LC-MS/MSsplash10-00bj-0910000000-63a6b4e839b21705783f
Predicted 1H NMR Spectrum1D NMRNot Applicable
Predicted 13C NMR Spectrum1D NMRNot Applicable
Chromatographic Properties
Collision Cross Sections (CCS)
AdductCCS Value (Å2)Source typeSource
[M-H]-179.5093476
predicted
DarkChem Lite v0.1.0
[M-H]-179.7242476
predicted
DarkChem Lite v0.1.0
[M-H]-168.85423
predicted
DeepCCS 1.0 (2019)
[M+H]+180.1684476
predicted
DarkChem Lite v0.1.0
[M+H]+180.3247476
predicted
DarkChem Lite v0.1.0
[M+H]+171.2241
predicted
DeepCCS 1.0 (2019)
[M+Na]+180.0186476
predicted
DarkChem Lite v0.1.0
[M+Na]+179.8958476
predicted
DarkChem Lite v0.1.0
[M+Na]+177.13664
predicted
DeepCCS 1.0 (2019)

Targets

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Details
1. Cytochrome P450 19A1
Kind
Protein
Organism
Humans
Pharmacological action
Yes
Actions
Inhibitor
General Function
Oxygen binding
Specific Function
Catalyzes the formation of aromatic C18 estrogens from C19 androgens.
Gene Name
CYP19A1
Uniprot ID
P11511
Uniprot Name
Aromatase
Molecular Weight
57882.48 Da
References
  1. Chen X, Ji ZL, Chen YZ: TTD: Therapeutic Target Database. Nucleic Acids Res. 2002 Jan 1;30(1):412-5. [Article]
  2. Koutras A, Giannopoulou E, Kritikou I, Antonacopoulou A, Evans TR, Papavassiliou AG, Kalofonos H: Antiproliferative effect of exemestane in lung cancer cells. Mol Cancer. 2009 Nov 24;8:109. doi: 10.1186/1476-4598-8-109. [Article]
  3. Robinson A: A review of the use of exemestane in early breast cancer. Ther Clin Risk Manag. 2009 Feb;5(1):91-8. Epub 2009 Mar 26. [Article]
  4. Untch M, Jackisch C: Exemestane in early breast cancer: a review. Ther Clin Risk Manag. 2008 Dec;4(6):1295-304. [Article]
  5. Barnadas A, Gil M, Gonzalez S, Tusquets I, Munoz M, Arcusa A, Prieto L, Margeli-Vila M, Moreno A: Exemestane as primary treatment of oestrogen receptor-positive breast cancer in postmenopausal women: a phase II trial. Br J Cancer. 2009 Feb 10;100(3):442-9. doi: 10.1038/sj.bjc.6604868. Epub 2009 Jan 20. [Article]
  6. Abrial C, Durando X, Mouret-Reynier MA, Thivat E, Bayet-Robert M, Nayl B, Dubray P, Pomel C, Chollet P, Penault-Llorca F: Role of neo-adjuvant hormonal therapy in the treatment of breast cancer: a review of clinical trials. Int J Gen Med. 2009 Jul 30;2:129-40. [Article]
  7. Nabholtz JM: Long-term safety of aromatase inhibitors in the treatment of breast cancer. Ther Clin Risk Manag. 2008 Feb;4(1):189-204. [Article]
  8. Brueggemeier RW: Update on the use of aromatase inhibitors in breast cancer. Expert Opin Pharmacother. 2006 Oct;7(14):1919-30. [Article]
  9. Brueggemeier RW, Hackett JC, Diaz-Cruz ES: Aromatase inhibitors in the treatment of breast cancer. Endocr Rev. 2005 May;26(3):331-45. Epub 2005 Apr 6. [Article]

Enzymes

Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Inhibitor
General Function
Oxygen binding
Specific Function
Catalyzes the formation of aromatic C18 estrogens from C19 androgens.
Gene Name
CYP19A1
Uniprot ID
P11511
Uniprot Name
Aromatase
Molecular Weight
57882.48 Da
References
  1. di Salle E, Ornati G, Giudici D, Lassus M, Evans TR, Coombes RC: Exemestane (FCE 24304), a new steroidal aromatase inhibitor. J Steroid Biochem Mol Biol. 1992 Sep;43(1-3):137-43. [Article]
  2. Gene card, CYP19A1 [Link]
  3. FDA label, Exemestane [Link]
Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Substrate
General Function
Vitamin d3 25-hydroxylase activity
Specific Function
Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It performs a variety of oxidation react...
Gene Name
CYP3A4
Uniprot ID
P08684
Uniprot Name
Cytochrome P450 3A4
Molecular Weight
57342.67 Da
References
  1. Robinson A: A review of the use of exemestane in early breast cancer. Ther Clin Risk Manag. 2009 Feb;5(1):91-8. Epub 2009 Mar 26. [Article]
  2. Kamdem LK, Flockhart DA, Desta Z: In vitro cytochrome P450-mediated metabolism of exemestane. Drug Metab Dispos. 2011 Jan;39(1):98-105. doi: 10.1124/dmd.110.032276. Epub 2010 Sep 28. [Article]
  3. Peterson A, Xia Z, Chen G, Lazarus P: In vitro metabolism of exemestane by hepatic cytochrome P450s: impact of nonsynonymous polymorphisms on formation of the active metabolite 17beta-dihydroexemestane. Pharmacol Res Perspect. 2017 Apr 27;5(3):e00314. doi: 10.1002/prp2.314. eCollection 2017 Jun. [Article]

Drug created at June 13, 2005 13:24 / Updated at March 18, 2024 16:48