TY - JOUR A1 - Rabe, Thomas A1 - Sänger, Nicole A1 - Ebert, Andreas D. A1 - Römer, Thomas A1 - Tinneberg, Hans-Rudolf A1 - Wilde, Rudy Leon de A1 - Wallwiener, Markus T1 - Selective progesterone receptor modulators for the medical treatment of uterine fibroids with a focus on ulipristal acetate T2 - BioMed research international N2 - Uterine fibroids are the most frequent benign tumours in women of child-bearing age. Their symptoms are diverse and the quality of life of the women affected can be significantly impaired. While treatment to date has been primarily by means of surgical intervention, selective progesterone receptor modulators (SPRMs) open up new medication-based treatment options. EMA’s Pharmacovigilance Risk Assessment Committee (PRAC) has recently completed its review of ESMYA® (ulipristal acetate, 5 mg), following reports of serious liver injury, including liver failure leading to transplantation in postmarketing settings. We will provide some information on the PRAC’s recommendations to minimize this risk. Nevertheless, the effectiveness and safety of the SPRM ulipristal acetate (UPA), both with regard to preoperative administration and with regard to an intermittent administration as long-term treatment for patients with symptomatic uterine fibroids, have been shown in several clinical studies (PEARL I–IV). Y1 - 2018 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/54308 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-543082 SN - 2314-6141 SN - 2314-6133 N1 - Corrigendum erschienen in: BioMed research international, 2018, Art. 6124628, doi:10.1155/2018/6124628 N1 - Copyright © 2018 Tomas Rabe et al. Tis is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. VL - 2018 IS - Art. 1374821 SP - 1 EP - 12 PB - Hindawi CY - New York [u. a.] ER -