Galeterone is a steroid 17-α-hydroxylase/17,20 lyase and androgen receptor antagonist intended for patients with prostate cancer. Similar to abiraterone, galeterone has a steroid scaffold structure and mimics natural ligands; thus, these agents are metabolized by the same enzymes that synthesize or degrade naturally occurring steroids, which can result in attenuated efficacy.
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Claessens, F., Moris, L. The influence of steroid metabolism on CYP17A1 inhibitor activity. Nat Rev Urol 14, 590–592 (2017). https://doi.org/10.1038/nrurol.2017.132
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DOI: https://doi.org/10.1038/nrurol.2017.132