Danazol and
gonadotropin-releasing hormone agonists which are used as therapeutic drugs for
endometriosis, develop adverse reactions in association with their long-term use. The efficacy of anti-
estrogens for
endometriosis, an
estrogen-dependent disorder, has not been demonstrated. A novel, orally active anti-
estrogen,
TZE-5323 ((2-cyclohexy-6-hydroxybenzo[b]thien-3-yl)[4-[2-(1- piperidinyl)ethoxy]phenyl] methanone hydrochloride, CAS 150797-71-0; free
salt formula) was developed.
TZE-5323 showed strong affinity for human
estrogen receptor alpha (hER alpha) and beta (hER beta), and dose-dependently inhibited
estradiol-stimulated transcriptional activation via hER alpha and hER beta. Furthermore,
TZE-5323 dose-dependently reduced
estrogen-increased uterine weight in ovariectomized rats.
Tamoxifen showed agonistic activity on hER alpha, while
TZE-5323 did not show such activity. In the experimental
endometriosis model in rats in which endometrial tissue is autotransplanted into the renal subcapsular space,
TZE-5323 dose-dependently reduced the volume of the endometrial implant as did
danazol and
leuprorelin acetate. Furthermore, the long-term administration of
TZE-5323 neither showed a decrease in bone mineral density nor did it affect serum
estradiol concentrations in intact rats. Therefore,
TZE-5323 suggested its potential as a novel therapeutic
drug for
endometriosis which is effective also in long-term use.