Hepatotoxizität selektiver Progesteronrezeptormodulatoren
This literature review discusses selective progesterone receptor modulators and their therapeutic utility, citing studies on ulipristal acetate, mifepristone, asoprisnil, CDB4124, telapristone acetate, vilaprisan, and CDB-2914 for uterine fibroid treatment.
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The paper is a narrative review focused on hepatotoxicity associated with selective progesterone receptor modulators, drawing on clinical development and postmarketing data—especially evidence around ulipristal acetate used for uterine fibroids. It discusses reported liver injury signals and summarizes liver safety parameters from the broader literature, including randomized trials and reviews that characterize the risk and clinical context, while noting uncertainty and the possibility that the magnitude of harm may have been exaggerated. A central limitation is that it synthesizes heterogeneous sources rather than presenting new original experiments or a uniform patient-level analysis. Relevance to endometriosis: the paper discusses progesterone receptor modulator safety in the setting of gynecologic conditions (uterine fibroids) with attention to drug liver toxicity, and such mechanistic/safety considerations are often pertinent to endometriosis treatment frameworks that use the same drug class, though endometriosis is not the paper’s main focus.
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Cites (4)
- Selective progesterone receptor modulators in reproductive medicine: pharmacology, clinical efficacy and safety 2011
- Endometrial changes from short-term therapy with CDB-4124, a selective progesterone receptor modulator 2009
- Effects of the Progesterone Receptor Modulator VA2914 in a Continuous Low Dose on the Hypothalamic-Pituitary-Ovarian Axis and Endometrium in Normal Women: A Prospective, Randomized, Placebo-Controlled Trial 2007
- Development of the selective progesterone receptor modulator CDB-2914 for clinical indications 2003
References (29)
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