TL;DR: The structural differences between bazedoxifene and raioxifene are apparently sufficient to conter differences in their pharmacology, which supports the potential for development of more refined molecules that could achieve the optimal therapeutic target profile for a SERM.
Abstract: In order to develop a new tissue selective estrogen with superior preclinical pharmacology, a multifaceted approach to screening/characterization was employed utilizing a series of in vitro and in vivo models. In vitro transcription data dernonstrate that all SERMs are not equivalent. This was especially evident when assessing hepatic lipase promoter activation where bazedoxifene was a relatively potent agonist and raloxifene was inactive. When bazedoxifene and raioxifene uterine responses are compared they are different enough that when codosed, bazedoxifene inhibits the stimulation of the rodent uterus attributable to raloxifene. There are several preclinical endpoints where the two drugs differ, some subtier than others. The structural differences between bazedoxifene and raioxifene are apparently sufficient to conter differences in their pharmacology, which also supports the potential for development of more refined molecules that could achieve the optimal therapeutic target profile for a SERM Bazedoxifene acetate's preclinical profile suggests that it is closer to this profile than other currently disclosed SERMs and is "best in class" to date.