Storage
Store at room temperature
Synonyms
Femara; Letrozol; CGS 20267; DTXSID4023202
Molecular Formula
C17H11N5
Smiles
C1=CC(=CC=C1C#N)C(C2=CC=C(C=C2)C#N)N3C=NC=N3
Appearance
White to off-white crystalline powder
Boiling Point
563.5±60.0°C at 760 mmHg (Predicted)
Relative Density
1.21±0.1 (Predicted)
General Description
Letrozole is a synthetic triazole derivative with a benzonitrile group, belonging to the class of non-steroidal aromatase inhibitors. Its chemical structure is 4,4'-(1H-1,2,4-triazol-1-ylmethylene)dibenzonitrile. Letrozole is a white to off-white crystalline powder, practically insoluble in water but soluble in organic solvents. It is a potent and selective inhibitor of the aromatase enzyme.
Mechanism of Action
Letrozole inhibits the aromatase enzyme, which is responsible for the conversion of androgens to estrogens in the peripheral tissues. By blocking this enzyme, it reduces the levels of circulating estrogens, which are essential for the growth of hormone receptor-positive breast cancer cells. The drug is highly selective for aromatase and does not affect other steroidogenic enzymes.
Application
Letrozole is indicated for the adjuvant treatment of early-stage hormone receptor-positive breast cancer in postmenopausal women, and for the treatment of advanced breast cancer. It is also used for the prevention of breast cancer in high-risk women. The drug is effective in reducing the risk of recurrence and improving survival.
In the PALOMA-2 trial final overall survival analysis of 666 postmenopausal women with ER+/HER2- advanced breast cancer, palbociclib plus letrozole did not significantly improve OS compared to letrozole alone. Median OS was 53.9 months vs 51.2 months (HR 0.96, 95% CI 0.78-1.18, P=0.34). An imbalance in unknown survival outcomes (13.3% vs 21.2%) limited interpretation. The PFS benefit did not translate into a statistically significant OS advantage, though the OS analysis was confounded by subsequent therapies and missing data.
Fig. 1 OS and time to chemotherapy. (Slamon DJ, et al., 2024)
References
- Slamon DJ, et al. Overall Survival With Palbociclib Plus Letrozole in Advanced Breast Cancer. J Clin Oncol. 2024;42(9):994-1000.
In a letrozole‑induced rat model of polycystic ovary syndrome, letrozole increased body weight, disrupted estrous cyclicity, and reduced ovarian cystathionine β‑synthase (Cbs) mRNA and protein abundance at early time points. Betaine‑homocysteine S‑methyltransferase mRNA increased with age in letrozole‑treated rats. One‑carbon metabolism is altered in this PCOS model, with decreased CBS abundance in the early stages.
Fig. 2 Cumulative body weight gain of rats on letrozole and placebo across 8, 16, and 24 wk of age. (Bries AE, et al., 2021)
References
- Bries AE, et al. Letrozole-Induced Polycystic Ovary Syndrome Attenuates Cystathionine-β Synthase mRNA and Protein Abundance in the Ovaries of Female Sprague Dawley Rats. J Nutr. 2021;151(6):1407-1415.
Does Letrozole require protection from light during long‑term storage?
Yes, it is photosensitive. Light exposure can cause photodegradation of the triazole ring. Store in light‑resistant containers, preferably amber glass.
What is the recommended storage temperature for Letrozole?
Store at controlled room temperature (15–25°C). Avoid excessive heat above 30°C, which can soften the powder and accelerate degradation.
Is Letrozole stable in tablet formulations with standard excipients?
Yes, when formulated with standard excipients and protected from moisture.
How is the impurity letrozole N‑oxide (an oxidative degradation product) monitored?
This degradation product is quantified using a stability‑indicating HPLC method, ensuring it remains within ICH qualification thresholds.