topilutamide

{{Short description|Chemical compound}}

{{Distinguish|Tolbutamide}}

{{Drugbox

| Verifiedfields =

| Watchedfields =

| verifiedrevid =

| IUPAC_name = 2-hydroxy-2-methyl-N-[4-nitro-3-(trifluoromethyl)phenyl]-3-[(2,2,2-trifluoroacetyl)amino]propanamide

| image = Topilutamide.svg

| width = 250px

| tradename = Eucapil

| pregnancy_AU =

| pregnancy_US =

| pregnancy_category =

| legal_AU =

| legal_CA =

| legal_UK =

| legal_US =

| legal_status =

| routes_of_administration = Topical

| class = Nonsteroidal antiandrogen

| bioavailability =

| protein_bound =

| metabolism =

| elimination_half-life =

| excretion =

| CAS_number_Ref =

| CAS_number = 260980-89-0

| CAS_supplemental =

| ATC_prefix = None

| ATC_suffix =

| PubChem = 44147451

| DrugBank_Ref =

| DrugBank =

| ChemSpiderID_Ref =

| ChemSpiderID = 8106619

| UNII = A8EU2FXY13

| synonyms = Fluridil; BP-766

| C=13 | H=11 | F=6 | N=3 | O=5

| SMILES = C[C@@](CNC(=O)C(F)(F)F)(C(=O)NC1=CC(=C(C=C1)[N+](=O)[O-])C(F)(F)F)O

| StdInChI = 1S/C13H11F6N3O5/c1-11(25,5-20-10(24)13(17,18)19)9(23)21-6-2-3-8(22(26)27)7(4-6)12(14,15)16/h2-4,25H,5H2,1H3,(H,20,24)(H,21,23)/t11-/m1/s1

| StdInChIKey = YCNCRLKXSLARFT-LLVKDONJSA-N

}}

Topilutamide, known more commonly as fluridil and sold under the brand name Eucapil, is an antiandrogen medication which is used in the treatment of pattern hair loss in men and women.{{cite journal| vauthors = Seligson AL, Campion BK, Brown JW, Terry RC, Kucerova R, Bienova M, Hajduch M, Sovak M |title=Development of fluridil, a topical suppressor of the androgen receptor in androgenetic alopecia|journal=Drug Development Research|volume=59|issue=3|year=2003|pages=292–306|issn=0272-4391|doi=10.1002/ddr.10166|s2cid=98640343|url=https://www.researchgate.net/publication/227651615}}{{cite journal | vauthors = Sovak M, Seligson AL, Kucerova R, Bienova M, Hajduch M, Bucek M | title = Fluridil, a rationally designed topical agent for androgenetic alopecia: first clinical experience | journal = Dermatologic Surgery | volume = 28 | issue = 8 | pages = 678–85 | date = August 2002 | pmid = 12174057 | doi = 10.1046/j.1524-4725.2002.02017.x | s2cid = 36439600 }}{{cite book| vauthors = Haber RS, Stough DB |title=Hair Transplantation|url=https://books.google.com/books?id=PXJMqrbk-fAC&pg=PA7|year=2006|publisher=Elsevier Health Sciences|isbn=1-4160-3104-9|pages=7–}}{{cite book|title=Scripta Medica|url=https://books.google.com/books?id=ynVRAQAAIAAJ|year=2006|pages=45, 53–54|quote=Fluridil was developed as a topical antiandrogen, suitable for the treatment of hyperandrogenic skin syndromes. The cosmetic product Eucapil® containing 2% fluridil in isopropanol was tested in women with AGA in a 9-month open study. [...] In a clinical study conducted at our facility, fluridil in solution (Eucapil®, Interpharma Praha, Czech Republic) has been shown to be effective and safe in the treatment of men with androgenetic alopecia (30, 31).}}{{cite book| vauthors = Avram MR, Rogers NE |title=Hair Transplantation|url=https://books.google.com/books?id=j1XF1bnABFcC&pg=PA11|date=30 November 2009|publisher=Cambridge University Press|isbn=978-1-139-48339-1|pages=11–}}{{cite book|vauthors=Kirby RS, Carson CC, Kirby MG, White A|title=Men's Health, Third Edition|url=https://books.google.com/books?id=e-NyCQAAQBAJ&pg=PA362|date=29 January 2009|publisher=CRC Press|isbn=978-1-4398-0807-8|pages=362–}} It is used as a topical medication and is applied to the scalp. Topilutamide belongs to a class of molecules known as perfluoroacylamido-arylpropanamides.

Topilutamide is a nonsteroidal antiandrogen (NSAA), or an antagonist of the androgen receptor (AR), the biological target of androgens like testosterone and dihydrotestosterone (DHT).

Topilutamide was introduced for medical use in 2003. It is marketed only in the Czech Republic and Slovakia. The patent for Topilutamide expired in 2020.

Medical uses

Topilutamide is used as a topical medication in the treatment of pattern hair loss in men and women. Topilutamide is approved for cosmetic use in Europe but has not received FDA approval nor approval by the EMA for the treatment of androgenetic alopecia. Finasteride and Minoxidil are currently the only treatments approved for the treatment of this condition.

=Available forms=

Under the brand name Eucapil, topilutamide is available as a 2% topical formulation intended for application to the scalp.

Pharmacology

=Pharmacodynamics=

Topilutamide is an antagonist of the AR, the biological target of androgens like testosterone and DHT. Fluridil binds to the androgen receptor with approximately a 9-15-fold higher affinity than more primitive NSAAs such as bicalutamide and hydroxyflutamide, but more research is required to validate these findings.

class="wikitable"

|+Percentage androgen receptor suppression in LNCaP Cells after 48-h Drug Incubation via Western Blot

!Compound

!3 μM

!10 μM

BP-766 (Topilutamide)

|41 ± 5

|95.9 ± 6

BP-521

|62 ± 7

|100

BP-34

|3 ± 4

|2 ± 2

Bicalutamide

|3 ± 3

|11 ± 3

Hydroxyflutamide

|2 ± 6

|6 ± 7

= Pharmacokinetics =

Topilutamide is a topical medication and is applied to the scalp. Topilutamide degrades in human serum at 37 °C with a half-life of approximately 6 hours and is undetectable after 48 hours. Perfluoroacylamido-arylpropanamides decompose hydrolytically to BP-34 and their corresponding perfluorocarboxylic acid. In the case of topilutamide, that perfluorocarboxylic acid is trifluoroacetic acid. The two metabolites of topilutamide namely BP-34 and trifluoroacetic acid were undetectable in human serum (below the detection limit of 5 ng/mL) along with the parent compound topilutamide, in human studies. BP-34 was shown to be devoid of anti-androgenic activity.

Chemistry

Topilutamide is a nonsteroidal compound and is closely related to other NSAAs such as flutamide and bicalutamide.

History

Topilutamide was introduced for medical use in 2003.{{cite journal | vauthors = Hermkens PH, Kamp S, Lusher S, Veeneman GH | title = Non-steroidal steroid receptor modulators | journal = IDrugs | volume = 9 | issue = 7 | pages = 488–94 | date = July 2006 | pmid = 16821162 | doi = 10.2174/0929867053764671 }}

Society and culture

=Generic names=

Topilutamide is the generic name of the drug and its {{abbrlink|INN|International Nonproprietary Name}}.{{cite web|url=https://chem.nlm.nih.gov/chemidplus/rn/260980-89-0|title=ChemIDplus - 260980-89-0 - YCNCRLKXSLARFT-UHFFFAOYSA-N - Topilutamide [INN] - Similar structures search, synonyms, formulas, resource links, and other chemical information. | vauthors = Chambers M |website=chem.nlm.nih.gov}}{{cite web|url=https://www.who.int/medicines/publications/druginformation/innlists/PL91.pdf |title=Microsoft Word - final_PL91.doc |access-date=2018-10-04}}{{cite book|author=United States International Trade Commission|title=Modifications to the Harmonized Tariff Schedule of the United States to Implement the Dominican Republic-Central America-United States Free Trade Agreement With Respect to Costa Rica|url=https://books.google.com/books?id=nun3ygnC0JoC&pg=PA18|year=2008|publisher=DIANE Publishing|isbn=978-1-4578-1723-6|pages=18–}} It is also known more commonly as fluridil. Topilutamide is also known by its former developmental code name BP-766.

=Brand names=

Topilutamide is marketed by Interpharma Praha under the brand name Eucapil.

=Availability=

Topilutamide is available only in Europe in the Czech Republic and Slovakia.{{cite web|url=http://www.eucapil.com/xhtml_en/eucapil.shtml|title=Androgenetic Alopecia,Hair loss,Eucapil|website=www.eucapil.com}}

See also

References

{{Reflist}}

{{Androgens and antiandrogens}}

{{Other dermatological preparations}}

{{Androgen receptor modulators}}

Category:Acetamides

Category:Hair loss medications

Category:Nitrotoluene derivatives

Category:Nonsteroidal antiandrogens

Category:Propionamides

Category:Trifluoromethyl compounds