Details
| Stereochemistry | ABSOLUTE |
| Molecular Formula | C18H14F4N2O4S |
| Molecular Weight | 430.373 |
| Optical Activity | UNSPECIFIED |
| Defined Stereocenters | 1 / 1 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
C[C@](O)(CS(=O)(=O)C1=CC=C(F)C=C1)C(=O)NC2=CC=C(C#N)C(=C2)C(F)(F)F
InChI
InChIKey=LKJPYSCBVHEWIU-KRWDZBQOSA-N
InChI=1S/C18H14F4N2O4S/c1-17(26,10-29(27,28)14-6-3-12(19)4-7-14)16(25)24-13-5-2-11(9-23)15(8-13)18(20,21)22/h2-8,26H,10H2,1H3,(H,24,25)/t17-/m0/s1
| Molecular Formula | C18H14F4N2O4S |
| Molecular Weight | 430.373 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ABSOLUTE |
| Additional Stereochemistry | No |
| Defined Stereocenters | 1 / 1 |
| E/Z Centers | 0 |
| Optical Activity | UNSPECIFIED |
Bicalutamide (brand name Casodex) is an oral non-steroidal anti-androgen for prostate cancer. It is indicated for use in combination therapy with a luteinizing hormone-releasing hormone (LHRH) analog for the treatment of Stage D2 metastatic carcinoma of the prostate. Bicalutamide competitively inhibits the action of androgens by binding to cytosol androgen receptors in the target tissue. Prostatic carcinoma is known to be androgen sensitive and responds to treatment that counteracts the effect of androgen and/or removes the source of androgen. When CASODEX is combined with luteinizing hormone releasing hormone (LHRH) analog therapy, the suppression of serum testosterone induced by the LHRH analog is not affected. Bicalutamide is well-absorbed following oral administration, although the absolute bioavailability is unknown. Bicalutamide undergoes stereospecific metabolism. The S (inactive) isomer is metabolized primarily by glucuronidation. The R (active) isomer also undergoes glucuronidation but is predominantly oxidized to an inactive metabolite followed by glucuronidation. Both the parent and metabolite glucuronides are eliminated in the urine and feces. The S-enantiomer is rapidly cleared relative to the R-enantiomer, with the R-enantiomer accounting for about 99% of total steady-state plasma levels.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/8560673
Curator's Comment: The peripheral selectivity of bicalutamide has been shown to be due to poor penetration across the blood-brain barrier: tissue distribution studies with [3H]bicalutamide show that although it is concentrated in the organs of metabolism and secretion as well as in the prostate, the pituitary glands, and the seminal vesicles, levels in the hypothalamus and the central nervous system (CNS) are much lower than in blood.
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL1871 Sources: https://www.ncbi.nlm.nih.gov/pubmed/11931851 |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | CASODEX Approved UseBicalutamide 50 mg daily is indicated for use in combination therapy with a luteinizing hormone-releasing hormone (LHRH) analog for the treatment of Stage D2 metastatic carcinoma of the prostate. Bicalutamide 150 mg daily is not approved for use alone or with other treatments [see Clinical Studies (14.2) Launch Date1995 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
810.7 μg/L EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/22331758 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
BICALUTAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
202.5 μg × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/22331758 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
BICALUTAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
5.8 day |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: GONADORELIN |
BICALUTAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
|
146.4 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/22331758 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
BICALUTAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
4% |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: GONADORELIN |
BICALUTAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
600 mg 1 times / day multiple, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 72.1 years (range: 56-84 years) Health Status: unhealthy Age Group: 72.1 years (range: 56-84 years) Sex: M Sources: |
Other AEs: Gynaecomastia, Breast pain... Other AEs: Gynaecomastia (45.2%) Sources: Breast pain (57.1%) Hot flushes (16.7%) Constipation (31%) Dry skin (2.4%) Insomnia (9.5%) Rash (11.9%) Back pain (14.3%) Asthenia (19%) Diarrhoea (19%) Urinary tract infection (16.7%) Arthralgia (11.9%) Pharyngitis (14.3%) Pain (23.8%) |
200 mg 1 times / day multiple, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, adult |
Other AEs: Back pain, Constipation... Other AEs: Back pain (6.9%) Sources: Constipation (10.3%) Libido decreased (50%) Impotence (57%) Dyspepsia (6.9%) Dysuria (6.9%) Haematuria (6.9%) Pain (17.2%) Pelvic pain (6.9%) Somnolence (6.9%) Urinary incontinence (6.9%) Urinary urgency (6.9%) Weight gain (10.3%) Gynaecomastia (79%) Breast tenderness (79%) Hot flushes (41%) |
50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
Other AEs: General body pain, Back pain... Other AEs: General body pain (35%) Sources: Back pain (25%) Asthenia (22%) Pelvic pain (21%) Infection (18%) Abdominal pain (11%) Chest pain (8%) Headache (7%) Flu syndrome (7%) Hot flashes (53%) Hypertension (8%) Constipation (22%) Nausea (15%) Diarrhea (12%) Liver function test increased (7%) Dyspepsia (7%) Flatulence (6%) Anorexia (6%) Vomiting (6%) Anemia (11%) Peripheral edema (13%) Weight loss (7%) Hyperglycemia (6%) Alkaline phosphatase increased (5%) Weight gain (5%) Bone pain (9%) Myasthenia (7%) Arthritis (5%) Fracture pathological (4%) Dizziness (10%) Paresthesia (8%) Insomnia (7%) Anxiety (5%) Depression (4%) Dyspnea (13%) Cough increased (8%) Pharyngitis (8%) Bronchitis (6%) Pneumonia (4%) Rhinitis (4%) Rash (9%) Sweating (6%) Nocturia (12%) Hematuria (12%) Urinary tract infection (9%) Gynecomastia (9%) Impotence (7%) Breast pain (6%) Urinary frequency (6%) Urinary retention (5%) Urination impaired (5%) Urinary incontinence (4%) |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Arthralgia | 11.9% | 600 mg 1 times / day multiple, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 72.1 years (range: 56-84 years) Health Status: unhealthy Age Group: 72.1 years (range: 56-84 years) Sex: M Sources: |
| Rash | 11.9% | 600 mg 1 times / day multiple, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 72.1 years (range: 56-84 years) Health Status: unhealthy Age Group: 72.1 years (range: 56-84 years) Sex: M Sources: |
| Back pain | 14.3% | 600 mg 1 times / day multiple, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 72.1 years (range: 56-84 years) Health Status: unhealthy Age Group: 72.1 years (range: 56-84 years) Sex: M Sources: |
| Pharyngitis | 14.3% | 600 mg 1 times / day multiple, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 72.1 years (range: 56-84 years) Health Status: unhealthy Age Group: 72.1 years (range: 56-84 years) Sex: M Sources: |
| Hot flushes | 16.7% | 600 mg 1 times / day multiple, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 72.1 years (range: 56-84 years) Health Status: unhealthy Age Group: 72.1 years (range: 56-84 years) Sex: M Sources: |
| Urinary tract infection | 16.7% | 600 mg 1 times / day multiple, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 72.1 years (range: 56-84 years) Health Status: unhealthy Age Group: 72.1 years (range: 56-84 years) Sex: M Sources: |
| Asthenia | 19% | 600 mg 1 times / day multiple, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 72.1 years (range: 56-84 years) Health Status: unhealthy Age Group: 72.1 years (range: 56-84 years) Sex: M Sources: |
| Diarrhoea | 19% | 600 mg 1 times / day multiple, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 72.1 years (range: 56-84 years) Health Status: unhealthy Age Group: 72.1 years (range: 56-84 years) Sex: M Sources: |
| Dry skin | 2.4% | 600 mg 1 times / day multiple, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 72.1 years (range: 56-84 years) Health Status: unhealthy Age Group: 72.1 years (range: 56-84 years) Sex: M Sources: |
| Pain | 23.8% | 600 mg 1 times / day multiple, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 72.1 years (range: 56-84 years) Health Status: unhealthy Age Group: 72.1 years (range: 56-84 years) Sex: M Sources: |
| Constipation | 31% | 600 mg 1 times / day multiple, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 72.1 years (range: 56-84 years) Health Status: unhealthy Age Group: 72.1 years (range: 56-84 years) Sex: M Sources: |
| Gynaecomastia | 45.2% | 600 mg 1 times / day multiple, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 72.1 years (range: 56-84 years) Health Status: unhealthy Age Group: 72.1 years (range: 56-84 years) Sex: M Sources: |
| Breast pain | 57.1% | 600 mg 1 times / day multiple, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 72.1 years (range: 56-84 years) Health Status: unhealthy Age Group: 72.1 years (range: 56-84 years) Sex: M Sources: |
| Insomnia | 9.5% | 600 mg 1 times / day multiple, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 72.1 years (range: 56-84 years) Health Status: unhealthy Age Group: 72.1 years (range: 56-84 years) Sex: M Sources: |
| Constipation | 10.3% | 200 mg 1 times / day multiple, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, adult |
| Weight gain | 10.3% | 200 mg 1 times / day multiple, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, adult |
| Pain | 17.2% | 200 mg 1 times / day multiple, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, adult |
| Hot flushes | 41% | 200 mg 1 times / day multiple, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, adult |
| Libido decreased | 50% | 200 mg 1 times / day multiple, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, adult |
| Impotence | 57% | 200 mg 1 times / day multiple, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, adult |
| Back pain | 6.9% | 200 mg 1 times / day multiple, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, adult |
| Dyspepsia | 6.9% | 200 mg 1 times / day multiple, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, adult |
| Dysuria | 6.9% | 200 mg 1 times / day multiple, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, adult |
| Haematuria | 6.9% | 200 mg 1 times / day multiple, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, adult |
| Pelvic pain | 6.9% | 200 mg 1 times / day multiple, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, adult |
| Somnolence | 6.9% | 200 mg 1 times / day multiple, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, adult |
| Urinary incontinence | 6.9% | 200 mg 1 times / day multiple, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, adult |
| Urinary urgency | 6.9% | 200 mg 1 times / day multiple, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, adult |
| Breast tenderness | 79% | 200 mg 1 times / day multiple, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, adult |
| Gynaecomastia | 79% | 200 mg 1 times / day multiple, oral Highest studied dose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, adult |
| Dizziness | 10% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Abdominal pain | 11% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Anemia | 11% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Diarrhea | 12% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Hematuria | 12% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Nocturia | 12% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Dyspnea | 13% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Peripheral edema | 13% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Nausea | 15% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Infection | 18% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Pelvic pain | 21% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Asthenia | 22% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Constipation | 22% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Back pain | 25% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| General body pain | 35% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Depression | 4% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Fracture pathological | 4% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Pneumonia | 4% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Rhinitis | 4% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Urinary incontinence | 4% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Alkaline phosphatase increased | 5% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Anxiety | 5% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Arthritis | 5% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Urinary retention | 5% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Urination impaired | 5% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Weight gain | 5% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Hot flashes | 53% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Anorexia | 6% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Breast pain | 6% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Bronchitis | 6% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Flatulence | 6% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Hyperglycemia | 6% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Sweating | 6% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Urinary frequency | 6% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Vomiting | 6% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Dyspepsia | 7% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Flu syndrome | 7% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Headache | 7% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Impotence | 7% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Insomnia | 7% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Liver function test increased | 7% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Myasthenia | 7% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Weight loss | 7% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Chest pain | 8% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Cough increased | 8% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Hypertension | 8% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Paresthesia | 8% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Pharyngitis | 8% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Bone pain | 9% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Gynecomastia | 9% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Rash | 9% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
| Urinary tract infection | 9% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| major [IC50 7 uM] | ||||
| minor [IC50 123 uM] | ||||
| minor [IC50 44 uM] | ||||
| minor [IC50 49 uM] | ||||
| minor [IC50 58 uM] | ||||
| yes [Inhibition 40 uM] | ||||
| yes [Ki 11.9 uM] | ||||
Sources: https://pubmed.ncbi.nlm.nih.gov/15509184/ Page: 2.0 |
yes |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://pubmed.ncbi.nlm.nih.gov/15509184/ Page: 2.0 |
likely | unlikely (co-administration study) Comment: this isoenzyme is also responsible for the metabolism of (R)-bicalutamide; (S)-Bicalutamide is metabolised in vitro by CYP3A4 Sources: https://pubmed.ncbi.nlm.nih.gov/15509184/ Page: 2.0 |
||
| low | ||||
| low | ||||
| major | ||||
| minor | ||||
| minor | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Therapeutic targeting of BET bromodomain proteins in castration-resistant prostate cancer. | 2014-06-12 |
|
| Targeting cell cycle and hormone receptor pathways in cancer. | 2013-11-28 |
|
| Dehydroepiandrosterone post-transcriptionally modifies CYP1A2 induction involving androgen receptor. | 2013-05-25 |
|
| Bisphenol A affects androgen receptor function via multiple mechanisms. | 2013-05-25 |
|
| Endocrine disruptors fludioxonil and fenhexamid stimulate miR-21 expression in breast cancer cells. | 2013-01 |
|
| Androgen signaling promotes translation of TMEFF2 in prostate cancer cells via phosphorylation of the α subunit of the translation initiation factor 2. | 2013 |
|
| Red ginseng and 20(S)-Rg3 control testosterone-induced prostate hyperplasia by deregulating androgen receptor signaling. | 2012-07 |
|
| Discovery of aryloxy tetramethylcyclobutanes as novel androgen receptor antagonists. | 2011-11-10 |
|
| Inhibitors of androgen receptor activation function-2 (AF2) site identified through virtual screening. | 2011-09-22 |
|
| Biological properties of androgen receptor pure antagonist for treatment of castration-resistant prostate cancer: optimization from lead compound to CH5137291. | 2011-09 |
|
| Identification of human triple-negative breast cancer subtypes and preclinical models for selection of targeted therapies. | 2011-07 |
|
| Unexpected binding orientation of bulky-B-ring anti-androgens and implications for future drug targets. | 2011-06-09 |
|
| Testosterone, not 5α-dihydrotestosterone, stimulates LRH-1 leading to FSH-independent expression of Cyp19 and P450scc in granulosa cells. | 2011-04 |
|
| Arylpiperazines for management of benign prostatic hyperplasia: design, synthesis, quantitative structure-activity relationships, and pharmacokinetic studies. | 2011-01-13 |
|
| Resveratrol regulates the PTEN/AKT pathway through androgen receptor-dependent and -independent mechanisms in prostate cancer cell lines. | 2010-11-15 |
|
| Androgen receptor-mTOR crosstalk is regulated by testosterone availability: implication for prostate cancer cell survival. | 2010-10 |
|
| Androgen-regulated expression of arginase 1, arginase 2 and interleukin-8 in human prostate cancer. | 2010-08-11 |
|
| Is prophylactic breast radiotherapy necessary in all patients with prostate cancer and gynecomastia and/or breast pain? | 2010-08 |
|
| REDD1 is a major target of testosterone action in preventing dexamethasone-induced muscle loss. | 2010-03 |
|
| Interactions of methoxyacetic acid with androgen receptor. | 2009-07-15 |
|
| Development of a second-generation antiandrogen for treatment of advanced prostate cancer. | 2009-05-08 |
|
| Genome-wide impact of androgen receptor trapped clone-27 loss on androgen-regulated transcription in prostate cancer cells. | 2009-04-01 |
|
| Interleukin-6 increases prostate cancer cells resistance to bicalutamide via TIF2. | 2009-03 |
|
| Inhibition of androgen receptor transcriptional activity as a novel mechanism of action of arsenic. | 2009-03 |
|
| Interleukin-6 stimulation of growth of prostate cancer in vitro and in vivo through activation of the androgen receptor. | 2009-03 |
|
| Differential mechanisms of bicalutamide-induced apoptosis in prostate cell lines. | 2009 |
|
| Effects of dihydrotestosterone on differentiation and proliferation of human mesenchymal stem cells and preadipocytes. | 2008-12-16 |
|
| Anaemia following initiation of androgen deprivation therapy for metastatic prostate cancer: a retrospective chart review. | 2008-12 |
|
| Regulation of androgen receptor transcriptional activity by rapamycin in prostate cancer cell proliferation and survival. | 2008-11-27 |
|
| Spectrophotometric estimation of bicalutamide in tablets. | 2008-11 |
|
| A novel dietary flavonoid fisetin inhibits androgen receptor signaling and tumor growth in athymic nude mice. | 2008-10-15 |
|
| Prohibitin and the SWI/SNF ATPase subunit BRG1 are required for effective androgen antagonist-mediated transcriptional repression of androgen receptor-regulated genes. | 2008-09 |
|
| Hormonal regulation of beta2-adrenergic receptor level in prostate cancer. | 2008-07-01 |
|
| Chronic azacitidine treatment results in differentiating effects, sensitizes against bicalutamide in androgen-independent prostate cancer cells. | 2008-05-15 |
|
| Screening of 397 chemicals and development of a quantitative structure--activity relationship model for androgen receptor antagonism. | 2008-04 |
|
| Therapeutic potential of CDK inhibitor NU2058 in androgen-independent prostate cancer. | 2007-12-06 |
|
| Gefitinib and bicalutamide show synergistic effects in primary cultures of prostate cancer derived from androgen-dependent naive patients. | 2007-11 |
|
| Downregulation of thymosin beta4 expression by androgen in prostate cancer LNCaP cells. | 2007-10-06 |
|
| PC-1/PrLZ contributes to malignant progression in prostate cancer. | 2007-09-15 |
|
| Androgen receptor-mediated repression of novel target genes. | 2007-09-15 |
|
| Activity of androgen receptor antagonist bicalutamide in prostate cancer cells is independent of NCoR and SMRT corepressors. | 2007-09-01 |
|
| Oriental herbs as a source of novel anti-androgen and prostate cancer chemopreventive agents. | 2007-09 |
|
| Androgen receptor or estrogen receptor-beta blockade alters DHEA-, DHT-, and E(2)-induced proliferation and PSA production in human prostate cancer cells. | 2007-08-01 |
|
| Discovery of antiandrogen activity of nonsteroidal scaffolds of marketed drugs. | 2007-07-17 |
|
| Labeling and identification of LNCaP cell surface proteins: a pilot study. | 2007-06-15 |
|
| Androgen regulation of aldehyde dehydrogenase 1A3 (ALDH1A3) in the androgen-responsive human prostate cancer cell line LNCaP. | 2007-06 |
|
| Reactive oxygen species mediate androgen receptor- and serum starvation-elicited downstream signaling of ADAM9 expression in human prostate cancer cells. | 2007-05-15 |
|
| Nuclear and membrane receptor-mediated signalling pathways modulate polyamine biosynthesis and interconversion. | 2007-04 |
|
| Ligand-specific dynamics of the androgen receptor at its response element in living cells. | 2007-03 |
|
| Androgen induces adaptation to oxidative stress in prostate cancer: implications for treatment with radiation therapy. | 2007-01 |
Sample Use Guides
one 50 mg tablet once daily (morning or evening), with or without food
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/19285710
Primary tumor cultures and PCa cell lines were treated with bicalutamide (0.1-10 uM) in the presence of dehydrotestosterone (10(-12) M) for 4 days. After bicalutamide treatment, no significant differences in the concentration that inhibits 50% were found among the different tumor cell lines (P = .081).
| Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 22:49:46 GMT 2025
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Z9DL98I0AF
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PARENT->ACTIVE ISOMER |
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METABOLITE -> PARENT |
BILE
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