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ODM-204 is a novel, orally administered, nonsteroidal small molecule that acts as a dual inhibitor of both CYP17A1 (steroid 17-alpha-hydroxylase) and the androgen receptor. By inhibiting CYP17A1 in the testes and adrenal glands, ODM-204 suppresses androgen production, while direct antagonism of the androgen receptor blocks androgen signaling. This dual mechanism is designed to efficiently dampen androgenic stimuli that drive castration-resistant prostate cancer (CRPC). ODM-204 was developed by Orion for the treatment of metastatic castration-resistant prostate cancer but its development has been discontinued[1][2][4][5][6].
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