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Toremifene citrate is a selective estrogen receptor modulator (SERM) developed as an alternative to tamoxifen for treating estrogen receptor-positive breast cancer. Toremifene differs from tamoxifen by one chlorine atom and does not require CYP2D6-mediated metabolic activation, potentially offering advantages in patients with CYP2D6 polymorphisms or those taking CYP2D6-inhibiting drugs.
Three pivotal trials in postmenopausal women with metastatic breast cancer demonstrated comparable efficacy between toremifene 60 mg daily and tamoxifen (20–40 mg daily) in response rates, time to progression, and overall survival. Adjuvant trials (IBCSG, FBCG, NAFTA) and a meta-analysis confirmed similar disease-free and overall survival between the two agents. Toremifene showed comparable safety profiles, with similar rates of thromboembolic events, endometrial changes, and hot flashes.
Fig. 1 Toremifene for metastatic breast cancer. (Vogel C L.; et al. 2014)
References
PLGA-PEG nanoparticles encapsulating toremifene were synthesized, and a subset were conjugated with anti-PSMA antibody for targeted prostate tumor delivery. In a PC3M orthotopic mouse model, treatment with free toremifene resulted in significant reduction of prostate tumor growth. Nano-encapsulated toremifene conjugated with anti-PSMA showed approximately 15-fold greater tumor uptake compared to free toremifene and enhanced tumor necrosis. Blocking estrogen receptor-α by toremifene and targeting prostate cancer tissues with anti-PSMA antibody on the nanoparticle surface repressed the tumorigenicity of prostate cancer cells.
Fig. 2 Nanoparticle size distribution determination and nanoparticle size and morphology examination. (Hariri W.; et al. 2015)
References
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