Startup from School of Pharmacy seeks to redefine oral TRT: Transforming Testosterone Therapy with a Once Daily Pill

madman

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* While the timeline remains long, and the team said that it could take 10-15 more years before the prodrug could ever see the market, the progress and results shown in initial testing are promising.




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A different approach: Using the liver instead of avoiding it​


Rather than trying to get around the liver, SteroCore founders took a different approach: They created a prodrug that works with the liver’s natural physiology.

A prodrug is an inactive compound that becomes active after it metabolizes. The drug delivers something that is inactive, and the body activates it so that patients receive the therapeutic effect. This strategy leverages liver physiology rather than avoiding it.

Hageman said that the human body naturally removes testosterone quickly, a signal of how strong the hormone is. The goal of testosterone is that it is secreted, does its job and is cleared by the body as quickly as it can.

Designing a compound that accounts for that biological reality is the innovation behind STC-101.




De-risking the science​


Commercial drug development requires slow-moving discipline.

“When you start with a preclinical study that you eventually want to get to be a commercial product, you’ve got to do it in steps,” Salamoun said. The first step in these trials is molecular docking simulations.

Computational modeling for STC-101 demonstrates whether the compound can bind to the proteins and enzymes in liver. If it does, researchers can validate that it is possible. From there they move to bench studies using liver cells.

The team saw that the prodrug was being converted to testosterone on the bench; following this confirmation, researchers began rodent studies, which also demonstrated activation. Team members expressed their excitement that their compound is promising and is being de-risked one model at a time.

Hagemen emphasized the importance of modeling throughout the process of drug development. Researchers start with in vitro experiments (studies conducted outside of living organisms in controlled environments), then in vivo animal experiments (studies conducted within, on, or using a whole living organism). The in vivo experiments allow scientists to predict what is going to happen in a clinical setting; it’s how to convince potential investors that the drug being developed is worthwhile to invest in.




Next steps​


The team has conducted testing up through in vivo rodent testing; its next steps is to scale up and perform studies with larger in vivo models. While the timeline remains long, and the team said that it could take 10-15 more years before the prodrug could ever see the market, the progress and results shown in initial testing are promising.
 
CONCLUSIONS

Until the recent approval of JATENZO®, oral testosterone has been absent from the landscape of TT in the United States. The development of a viable oral testosterone agent has been plagued by hepatotoxicity and poor, variable absorption but now has been overcome with a unique SEDDS. JATENZO® bypasses first-pass liver metabolism and provides consistent testosterone levels, and
now represents a FDA-approved safe and effective oral testosterone agent for use in the United States.






 
 
 
 

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