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British Journal of Cancer logoLink to British Journal of Cancer
. 1990 Aug;62(2):275–276. doi: 10.1038/bjc.1990.276

Aromatase inhibition in advanced prostatic cancer: preliminary communication.

R J Shearer 1, J H Davies 1, M Dowsett 1, P R Malone 1, A Hedley 1, D Cunningham 1, R C Coombes 1
PMCID: PMC1971817  PMID: 2201397

Abstract

We report the results of the first use of a steroidal aromatase inhibitor, 4-hydroxyandrostenedione (4-OHA, CGP 32349), in the palliation of patients with advanced, hormone resistant, prostatic cancer. Twelve of 19 patients (63%), who had relapsed following castration and other therapies, gained significant pain relief following weekly intramuscular injections of 4-OHA. Five patients (31%) experienced a transient 'tumour flare', represented by an increase in bone pain soon after commencing treatment. The mechanism of action of 4-OHA in palliating patients with advanced prostatic cancer is obscure at present, but may represent an important new treatment modality which may lead to greater insight into prostatic biology.

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Selected References

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  1. Ahmed S. R., Grant J., Shalet S. M., Howell A., Chowdhury S. D., Weatherson T., Blacklock N. J. Preliminary report on use of depot formulation of LHRH analogue ICI 118630 (Zoladex) in patients with prostatic cancer. Br Med J (Clin Res Ed) 1985 Jan 19;290(6463):185–187. doi: 10.1136/bmj.290.6463.185. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Brodie A. M., Garrett W. M., Hendrickson J. R., Tsai-Morris C. H., Marcotte P. A., Robinson C. H. Inactivation of aromatase in vitro by 4-hydroxy-4-androstene-3,17-dione and 4-acetoxy-4-androstene-3,17-dione and sustained effects in vivo. Steroids. 1981 Dec;38(6):693–702. doi: 10.1016/0039-128x(81)90087-8. [DOI] [PubMed] [Google Scholar]
  3. Coombes R. C., Goss P., Dowsett M., Gazet J. C., Brodie A. 4-Hydroxyandrostenedione in treatment of postmenopausal patients with advanced breast cancer. Lancet. 1984 Dec 1;2(8414):1237–1239. doi: 10.1016/s0140-6736(84)92795-8. [DOI] [PubMed] [Google Scholar]
  4. Dowsett M., Goss P. E., Powles T. J., Hutchinson G., Brodie A. M., Jeffcoate S. L., Coombes R. C. Use of the aromatase inhibitor 4-hydroxyandrostenedione in postmenopausal breast cancer: optimization of therapeutic dose and route. Cancer Res. 1987 Apr 1;47(7):1957–1961. [PubMed] [Google Scholar]
  5. Dowsett M., Shearer R. J., Ponder B. A., Malone P., Jeffcoate S. L. The effects of aminoglutethimide and hydrocortisone, alone and combined, on androgen levels in post-orchiectomy prostatic cancer patients. Br J Cancer. 1988 Feb;57(2):190–192. doi: 10.1038/bjc.1988.40. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Henderson D., Habenicht U. F., Nishino Y., Kerb U., el Etreby M. F. Aromatase inhibitors and benign prostatic hyperplasia. J Steroid Biochem. 1986 Nov;25(5B):867–876. doi: 10.1016/0022-4731(86)90318-3. [DOI] [PubMed] [Google Scholar]
  7. Mawhinney M. G., Neubauer B. L. Actions of estrogen in the male. Invest Urol. 1979 May;16(6):409–420. [PubMed] [Google Scholar]
  8. Parker M. C., Cook A., Riddle P. R., Fryatt I., O'Sullivan J., Shearer R. J. Is delayed treatment justified in carcinoma of the prostate? Br J Urol. 1985 Dec;57(6):724–728. doi: 10.1111/j.1464-410x.1985.tb07041.x. [DOI] [PubMed] [Google Scholar]
  9. Plowman P. N., Perry L. A., Chard T. Androgen suppression by hydrocortisone without aminoglutethimide in orchiectomised men with prostatic cancer. Br J Urol. 1987 Mar;59(3):255–257. doi: 10.1111/j.1464-410x.1987.tb04617.x. [DOI] [PubMed] [Google Scholar]
  10. Ponder B. A., Shearer R. J., Pocock R. D., Miller J., Easton D., Chilvers C. E., Dowsett M., Jeffcoate S. L. Response to aminoglutethimide and cortisone acetate in advanced prostatic cancer. Br J Cancer. 1984 Dec;50(6):757–763. doi: 10.1038/bjc.1984.253. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Scott W. W., Schirmer H. K. A new oral progestational steroid effective in treating prostatic cancer. Trans Am Assoc Genitourin Surg. 1966;58:54–62. [PubMed] [Google Scholar]
  12. Smith T., Chisholm G. D., Habib F. K. Failure of human benign prostatic hyperplasia to aromatise testosterone. J Steroid Biochem. 1982 Jul;17(1):119–120. doi: 10.1016/0022-4731(82)90601-x. [DOI] [PubMed] [Google Scholar]
  13. Stone N. N., Fair W. R., Fishman J. Estrogen formation in human prostatic tissue from patients with and without benign prostatic hyperplasia. Prostate. 1986;9(4):311–318. doi: 10.1002/pros.2990090402. [DOI] [PubMed] [Google Scholar]
  14. Worgul T. J., Santen R. J., Samojlik E., Veldhuis J. D., Lipton A., Harvey H. A., Drago J. R., Rohner T. J. Clinical and biochemical effect of aminoglutethimide in the treatment of advanced prostatic carcinoma. J Urol. 1983 Jan;129(1):51–55. doi: 10.1016/s0022-5347(17)51916-3. [DOI] [PubMed] [Google Scholar]

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