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Onapristone extended release is an orally bioavailable extended-release formulation of onapristone, a potent and selective antagonist of the progesterone receptor (PR). It is classified as an antineoplastic agent and antiprogestogen. The drug was developed to treat PR-positive cancers such as breast cancer (including HER2-negative), endometrial cancer, ovarian cancer, peritoneal cancer, prostate cancer, and uterine cancer. Onapristone works by inhibiting progesterone receptor binding to chromatin in tumor cells—thereby blocking both ligand-dependent and ligand-independent PR activity—downregulating cancer stem cell mobilization and blocking immune evasion. The extended-release formulation was designed to reduce peak serum concentrations in order to mitigate hepatotoxicity observed with earlier formulations[1][2][5][6][7].
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