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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorFONSECA, Guilherme Wesley Peixoto Da
dc.contributor.authorDWORATZEK, Elke
dc.contributor.authorEBNER, Nicole
dc.contributor.authorHAEHLING, Stephan Von
dc.identifier.citationEXPERT OPINION ON INVESTIGATIONAL DRUGS, v.29, n.8, p.881-891, 2020
dc.description.abstractIntroduction Skeletal muscle wasting is a frequent clinical problem encountered in patients with chronic diseases. Increased levels of inflammatory markers play a role in the imbalance between muscle protein synthesis and degradation. Although testosterone has long been proposed as a treatment for patients with muscle wasting, undesirable side effects have raised concerns about prostatic hypertrophy in men as well as virilization in women. Selective androgen receptor modulators (SARMs) have demonstrated similar results like testosterone at improving lean body mass (LBM) with less side effects on androgen-dependent tissue. Areas covered This review outlines the ongoing clinical development in the field of SARMs and their effectiveness in improving body composition and physical function. The included articles were collected at and analyzed integrally. Expert opinion There is an unmet clinical need for safe and effective anabolic compounds such as SARMs. Despite the effect on LBM shown by SARMs in phase II clinical trials, results on improved physical function and muscle strength are still lacking and long-term outcomes have to be assessed in these patients. Moreover, there is a need to determine the effect of resistance exercise training and protein intake associated with SARMs in the treatment of patients with muscle wasting.eng
dc.description.sponsorshipCoordenacao de Aperfeicoamento de Pessoal de Nivel Superior -Brazil (CAPES)CAPES [001]
dc.description.sponsorshipGerman Center for Cardiovascular Research (DZHK)
dc.publisherTAYLOR & FRANCIS LTDeng
dc.relation.ispartofExpert Opinion on Investigational Drugs
dc.subjectAndrogen receptoreng
dc.subjectmuscle wastingeng
dc.subjectselective androgen receptor modulatorseng
dc.subject.otherlean body-masseng
dc.subject.otherchronic heart-failureeng
dc.subject.othercell lung-cancereng
dc.subject.otherphysical functioneng
dc.subject.otherolder meneng
dc.titleSelective androgen receptor modulators (SARMs) as pharmacological treatment for muscle wasting in ongoing clinical trialseng
dc.rights.holderCopyright TAYLOR & FRANCIS LTDeng
dc.subject.wosPharmacology & Pharmacyeng
dc.type.versionpublishedVersioneng, Elke:Charite Univ Med Berlin, Inst Gender Med, Berlin, Germany; Free Univ Berlin, Berlin, Germany; Berlin Inst Hlth, Berlin, Germany; Helmholtz Assoc, Max Delbrueck Ctr Mol Med MDC, Deptt Muscle Physiol, Berlin, Germany; German Ctr Cardiovasc Res DZHK, Partner Site Berlin, Berlin, Germany, Nicole:Univ Gottingen, Dept Cardiol & Pneumol, Med Ctr, D-37075 Gottingen, Germany; German Ctr Cardiovasc Res DZHK, Partner Site Gottingen, Gottingen, Germany, Stephan Von:Univ Gottingen, Dept Cardiol & Pneumol, Med Ctr, D-37075 Gottingen, Germany; German Ctr Cardiovasc Res DZHK, Partner Site Gottingen, Gottingen, Germany
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