degarelix acetate
Trade name: firmagon
Approved
Dec 24, 2008
DEGARELIX (FIRMAGON®) is a synthetic linear decapeptide amide containing seven unnatural amino acids, five of which are D-amino acids. It is a GnRH receptor antagonist. It binds reversibly to the pituitary GnRH receptors, thereby reducing the release of gonadotropins and consequently testosterone. DEGARELIX (FIRMAGON®) is effective in achieving and maintaining testosterone suppression below the castration level of 50 ng/dL and is indicated for the treatment of patients with advanced prostate cancer. — NCATS
Clinical trial activity
111 trials · 82 clinical orgs · 2 marketing orgs
Earliest trial started Mar 1, 2001 (NCT00819247)
Timeline
2000s
2010s
- Jan 1, 2011
Earliest Phase 1 Sponsor(trial)
2020s
- Aug 18, 2025
Jiangsu Chia-tai Tianqing Pharmaceutical Co.,Ltd — Marketing Organization
Indications
Approved for
Studied for
- Adiposity · Phase 4
- Aging · Phase 4
- Androgen Antagonists · Phase 2
- Androgens · Phase 1
- Breast Neoplasms · Phase 2
- Breast Neoplasms, Male · Phase 2
- Carcinoma, Transitional Cell · Phase 1
- Cardiovascular Diseases · Phase 4
- Castration · Phase 3
- COVID-19 · Phase 2
- Deficiency Diseases · Phase 4
- Endometriosis · Phase 3
- Healthy Volunteers · Phase 1
- Heart Diseases · Phase 2
- Infertility · Phase 3
- Infertility, Female · Phase 2
- Menopause · Phase 4
- Neoadjuvant Therapy · Phase 2
- Neoplasm Metastasis · Phase 3
- Ovarian Hyperstimulation Syndrome · Phase 3
- Polycystic Ovary Syndrome · Phase 3
- Pregnancy, Ovarian · Phase 3
- Prostatectomy · Phase 2
- Prostatic Hyperplasia · Phase 2
- Prostatic Neoplasms, Castration-Resistant · Phase 3
- Urinary Tract Infections · Phase 2
Mechanism of action
- Gonadotropin-releasing hormone receptorANTAGONIST
GNRHR antagonist
- Androgen ReceptorINHIBITOR
Androgen Receptor inhibitor
Approval history
- approvedDec 24, 2008
Chemistry & pharmacology
SMILES
CC(=O)N[C@H](Cc1ccc2ccccc2c1)C(=O)N[C@H](Cc1ccc(Cl)cc1)C(=O)N[C@H](Cc1cccnc1)C(=O)N[C@@H](CO)C(=O)N[C@@H](Cc1ccc(NC(=O)[C@@H]2CC(=O)NC(=O)N2)cc1)C(=O)N[C@H](Cc1ccc(NC(N)=O)cc1)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCCNC(C)C)C(=O)N1CCC[C@H]1C(=O)N[C@H](C)C(N)=O- Mol. weight
- 1632.29 g/mol
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
- Multi-specific
- No
Oral
No
Parenteral
Yes
Topical
No
Sources
- ChEMBLCHEMBL415606 ↗
- WikipediaDegarelix ↗
- NCATSSX0XJI3A11 ↗
- ChEMBLCHEMBL2028987 ↗
Also known as
- ac-2nal-4cpa-3pal-ser-4aph(hydroorotyl)-4aph(carbamoyl)-leu-ilys-pro-ala-nh2
- acetyl-2-naphthylalanyl-3-chlorophenylalanyl-1-oxohexadecyl-seryl-4-aminophenylalanyl(hydroorotyl)-4-aminophenylalanyl(carbamoyl)-leucyl-ilys-prolyl-alaninamide
- asp3550
- asp3550
- degarelix
- degarelix
- degarelix
- degarelix
- degarelix
- degarelix
- degarelix
- degarelix
- degarelix
- degarelix
- degarelix acetate
- degarelix acetate
- degarelix acetate
- degarelix acetate
- degarelix acetate
- fe200486
- fe 200486
- fe-200486
- fe-200486
- fe-200486
- fe-200486 (free base)
- fe-200486 (free base)
- firmagon
- firmagon
- firmagon
- firmagon
- firmagon
- gonax
- uglypeptide1
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06378866 | Phase 2 | Jun 3, 2024 | Mayo Clinic |
| NCT06264882 | Phase 4 | Jun 1, 2024 | National Institute on Aging (NIA), University of Colorado, University of Colorado, Denver |
| NCT06397703 | Phase 3 | Apr 16, 2024 | New York University |
| NCT06218667 | Phase 1/Phase 2 (Phase 2) | Jan 11, 2024 | Memorial Sloan-Kettering Cancer Center |
| NCT06066437 | Phase 1/Phase 2 (Phase 2) | Dec 31, 2023 | Bracco, University of Texas at Houston |
| NCT06282588 | Phase 2/Phase 3 (Phase 3) | Dec 13, 2023 | Bayer, Cancer Research Antwerp, University of Antwerp, Veracyte, Inc. |
| NCT05839119 | Phase 1 | Oct 2, 2023 | Brown University, Cures Within Reach |
| NCT05873192 | Phase 2 | Sep 30, 2023 | University of Texas at Houston |
| NCT05917860 | Phase 1 | Jul 1, 2023 | University of Turku |
| NCT05617885 | Phase 1/Phase 2 (Phase 2) | May 31, 2023 | Bayer, Eli Lilly, Harvard University |
| NCT05501704 | Phase 2 | Feb 28, 2023 | Eli Lilly, Harvard University, Translational Breast Cancer Research Consortium (TBCRC) |
| NCT05212857 | Phase 2 | Apr 30, 2022 | Fudan University |
| NCT04989946 | Phase 1/Phase 2 (Phase 2) | Dec 31, 2021 | Department of Defense, Madison Vaccines Incorporated, University of Wisconsin |
| NCT05050084 | Phase 3 | Nov 11, 2021 | National Cancer Institute (NCI), NRG Oncology |
| NCT04787744 | Phase 2/Phase 3 (Phase 3) | Jul 1, 2021 | Department of Veteran Affairs |
| NCT04734730 | Phase 2 | May 4, 2021 | City of Hope National Medical Center, National Cancer Institute (NCI) |
| NCT04455750 | Phase 3 | Jan 31, 2021 | Baylor University, National Cancer Institute (NCI) |
| NCT04513717 | Phase 3 | Dec 15, 2020 | National Cancer Institute (NCI), NRG Oncology |
| NCT04585932 | Phase 2 | Nov 30, 2020 | National Cancer Institute (NCI), University of Texas at Houston |
| NCT04397718 | Phase 2 | Jun 1, 2020 | Department of Veteran Affairs |
Organizations
Research & Development (82)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Ferring | For profit | 51 | 38 | 5 | 2001 |
| National Cancer Institute (NCI) | Government | 10 | 1 | 3 | 2013 |
| University of Texas at Houston | Academic/Hospital | 7 | 7 | 1 | 2011 |
| Cornell University | Academic/Hospital | 5 | 4 | 3 | 2012 |
| Johns Hopkins University | Academic/Hospital | 5 | 3 | 3 | 2012 |
| Janssen Pharmaceutica NV | For profit | 4 | 0 | 1 | 2012 |
| Bayer | For profit | 3 | 0 | 2 | 2020 |
| Bristol-Myers Squibb | For profit | 3 | 0 | 2 | 2011 |
| Columbia University | Academic/Hospital | 3 | 3 | 2 | 2018 |
| University of Colorado, Denver | Academic/Hospital | 3 | 3 | 3 | 2015 |
| University of Milan | Academic/Hospital | 3 | 2 | 2 | 2012 |
| Astellas | For profit | 2 | 2 | 2 | 2007 |
| British Columbia Cancer Agency | Academic/Hospital | 2 | 2 | 1 | 2012 |
| Cancer Research Antwerp | Academic/Hospital | 2 | 2 | 2 | 2019 |
| City of Hope National Medical Center | Academic/Hospital | 2 | 2 | 1 | 2018 |
| Department of Defense | Government | 2 | 0 | 2 | 2018 |
| Department of Veteran Affairs | Government | 2 | 2 | 2 | 2020 |
| Duke University | Academic/Hospital | 2 | 0 | 2 | 2012 |
| Eli Lilly | For profit | 2 | 0 | 1 | 2023 |
| Harvard University | Academic/Hospital | 2 | 2 | 1 | 2023 |
Marketing (2)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Ferring | For profit | NDA | Dec 24, 2008 |
| Jiangsu Chia-tai Tianqing Pharmaceutical Co.,Ltd | For profit | MKTG | Aug 18, 2025 |