Pharmacokinetics

Human randomized studyAbstract inspected

A short study in young males found estrogen suppression with oral exemestane and reported an approximately 8.9-hour terminal half-life in its pharmacokinetic subgroup. That finding should not be combined uncritically with values from other populations or used as a duration of estrogen suppression.[1]

  • Short study including adolescents (ages 14-26); no long-term bone, fertility or cardiovascular outcomes. Affiliation/funding erratum inspected; it does not affect the efficacy/PK results.
  • Abstract-checked; full paper not confirmed open access as of 2026-09-09. No qualified clinical review.
Inspection history

Clinical review: not reviewed by a qualified clinician.

· Independent source inspection; applicability narrowed and inherited assertions excluded where unsupported. No qualified clinical review.

· Reopened the abstract on 2026-09-09 (NCBI efetch) and re-confirmed the exact half-life figure and the 2004 erratum's limited scope (affiliation/grant attribution only). Text unchanged.

What remains unresolved

Editorial assessment

These notes describe the scope of this review. Linked PMIDs are audit identifiers; an identifier alone does not verify a claim.

Narrowly supported passages published with study/product limits; remaining inherited assertions withheld from established-fact displays.

  • Not a comprehensive systematic review. Original monograph topics beyond the individual published claims—including monitoring schedules, contraindication lists, recovery assurances and detailed mechanisms—remain unverified.
  • No qualified clinician has reviewed these claims. Long-term outcomes and all marketed formulations have not been fully assessed.

This reference does not supply a dosing plan, monitoring timetable or recovery regimen. Discuss personal symptoms, medicines and laboratory results with a qualified clinician.

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References

  1. Pharmacokinetics and dose finding of a potent aromatase inhibitor, aromasin (exemestane), in young males.

    Mauras N, Lima J, Patel D, Rini A, di Salle E, Kwok A, Lippe B. J Clin Endocrinol Metab. 2003;88(12):5951-5956. DOI: 10.1210/jc.2003-031279. 2003-12. PMID:14671195 · DOI:10.1210/jc.2003-031279 Abstract only.

    Inspected location: PubMed abstract: full Results (25 mg: 38% estradiol suppression, P<=0.002; 50 mg: 32% suppression, P<=0.008; testosterone increase 60%/56%, P<=0.003 both; terminal half-life 8.9 h; maximal estradiol suppression 62+/-14% at 12 h; lipids/IGF-1 unaffected) and Methods (crossover, PK subgroup)

    Study context and inspection record

Source inspection and clinical review are separate. An abstract check is not a full-text review. The records above identify what was actually inspected and do not certify the complete literature.

Recorded verification attempts
  • Fresh PubMed EUtils retrieval for inherited lead PMID 14671195; identity, abstract and linked corrections checked where an abstract existed.
  • https://pubmed.ncbi.nlm.nih.gov/14671195/ — abstract; PubMed abstract: Methods: crossover and pharmacokinetic subgroup; Results: terminal half-life and estrogen suppression

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