Pharmacodynamics and tolerability of L-654,066, a steroid 5 alpha-reductase inhibitor, in men

Clin Pharmacol Ther. 1992 Oct;52(4):409-12. doi: 10.1038/clpt.1992.163.

Abstract

A four-period, two-panel single rising-dose study (0.1 to 100 mg) was conducted in healthy men to investigate the pharmacodynamics and tolerability of L-654,066, a steroid 5 alpha-reductase inhibitor. Within each panel, six subjects received L-654,066 and two subjects received placebo at each dose level; the placebo subjects changed between periods so that each subject received placebo once. Testosterone and dihydrotestosterone were measured in serum at 0, 4, 24, and 48 hours after each treatment. L-654,066 was associated with a significant reduction in serum dihydrotestosterone concentrations, which was maximal at 48 hours after dose. Forty-eight hours after treatment, mean percentage of inhibition was 24% and 39% for the 0.1 and 0.5 mg doses, respectively, and ranged from 50% to 65% at doses from 1 to 25 mg and from 70% to 75% at doses from 50 to 100 mg. Testosterone serum levels did not show any significant difference between the various treatments, including placebo.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • 5-alpha Reductase Inhibitors*
  • Adult
  • Azasteroids / pharmacology*
  • Dihydrotestosterone / blood
  • Dose-Response Relationship, Drug
  • Double-Blind Method
  • Humans
  • Male
  • Reference Values
  • Testosterone / blood

Substances

  • 5-alpha Reductase Inhibitors
  • Azasteroids
  • Dihydrotestosterone
  • (5alpha)-23-methyl-4-aza-21-norchol-1-ene-3,20-dione
  • Testosterone