norgestimate
Approved
Dec 29, 1989
Norgestimate is a steroidal progestin of the 19-nortestosterone group that is used in combination with ethinylestradiol as an oral contraceptive and for treatment of acne. and in combination with estradiol in menopausal hormone replacement therapy. Norgestimate shows high selectivity for the progesterone receptor and low androgenic activity. — NCATS
Clinical trial activity
51 trials · 39 clinical orgs · 14 marketing orgs
Earliest trial started Apr 1, 2003 (NCT00554632)
Timeline
1980s
- Dec 29, 1989
Johnson and Johnson — Earliest FDA Approval
- Dec 29, 1989
Johnson and Johnson — NDA Secondary Org
- Dec 29, 1989
Johnson and Johnson — NDA Organization
1990s
- Oct 22, 1999
Teva — NDA Secondary Org
2000s
- Sep 25, 2002
Barr Laboratories — Marketing Organization
- Jan 1, 2003
Earliest Phase 2 Sponsor(trial)
- Jan 1, 2004
Earliest Phase 3 Sponsor(trial)
- Jan 9, 2004
Vintage — Marketing Organization
- Jan 9, 2004
Endo Pharmaceuticals — Marketing Organization
- Jan 1, 2005
Johnson and Johnson — Earliest Phase 1 Sponsor(trial)
- Aug 17, 2006
Watson Pharmaceuticals — Marketing Organization
- Jun 29, 2009
Teva — Marketing Organization
2010s
- Jun 17, 2011
Glenmark Pharmaceuticals — Marketing Organization
- May 23, 2012
Novast Labs — Marketing Organization
- Jan 30, 2013
Exeltis — Marketing Organization
- Apr 7, 2015
Naari Pte Ltd — Marketing Organization
- Sep 9, 2015
Mylan — Marketing Organization
- Oct 27, 2015
Amneal Pharmaceuticals — Marketing Organization
- Apr 26, 2016
Lupin — Marketing Organization
- Jul 6, 2016
Aurobindo Pharma — Marketing Organization
Indications
Approved for
Studied for
- Acne Vulgaris · Phase 4
- Cardiovascular Diseases · Phase 4
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities · Phase 3
- Contraception · Phase 4
- Contraception Behavior · Phase 4
- Contraceptives, Oral · Phase 1
- Cystic Fibrosis · Phase 1
- Diabetes Mellitus, Type 2 · Phase 1
- Drug Interactions · Phase 1
- Embryo Transfer · Phase 1
- Endometriosis · Phase 3
- Healthy Volunteers · Phase 1
- Heart Disease Risk Factors · Phase 4
- Hepacivirus · Phase 1
- Hepatitis C · Phase 1
- Hepatitis C, Chronic · Phase 1
- HIV · Phase 1
- HIV Infections · Phase 1
- Insulin Resistance · Phase 4
- Live Birth · Phase 4
- Major Depressive Disorder · Phase 1
- Menopause · Phase 4
- Metabolic Syndrome · Phase 4
- Metrorrhagia · Phase 2
- Nervous System Malformations · Phase 3
- Neural Tube Defects · Phase 3
- Obesity · Phase 4
- Osteoporosis · Phase 2
- Ovarian Diseases · Phase 2/Phase 3
- Pain · Phase 1
- Pelvic Pain · Phase 3
- Pharmacokinetics · Phase 1
- Polycystic Kidney, Autosomal Dominant · Phase 1
- Polycystic Ovary Syndrome · Phase 4
- Pregnancy · Early Phase 1
- Pregnancy Complications · Early Phase 1
- Therapeutic Equivalency · Phase 1
Mechanism of action
- Progesterone receptorAGONIST
PGR agonist
Combination products
ortho cyclen
with ethinyl estradiol
Also known as estarylla, mili, mono-linyah, ortho tri-cyclen, ortho tri-cyclen lo, previfem, sprintec, tri-estarylla, tri-linyah, tri-lo-estarylla, tri-lo-linyah, tri-lo-mili, tri lo sprintec, tri-mili, tri-previfem, tri-sprintec
prefest
with estradiol
Approval history
- approvedDec 29, 1989
Chemistry & pharmacology
SMILES
CC[C@]12CC[C@H]3[C@@H](CCC4=C\C(CC[C@H]34)=N\O)[C@@H]1CC[C@@]2(OC(C)=O)C#C- Mol. weight
- 369.4971 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaNorgestimate ↗
- NCATSC291HFX4DY ↗
- ChEMBLCHEMBL1200934 ↗
Also known as
- (+)-13-ethyl-17-hydroxy-18,19-dinor-17alpha-pregn-4-en-20-yn-3-one oxime acetate (ester)
- (+)-13-ethyl-17-hydroxy-18,19-dinor-17alpha-pregn-4-en-20-yn-3-one oxime acetate (ester)
- (17alpha)-17-(acetyloxy)-13-ethyl-18,19-dinorpregn-4-en-20-yn-3-one 3-oxime
- (17alpha)-17-(acetyloxy)-13-ethyl-18,19-dinorpregn-4-en-20-yn-3-one 3-oxime
- d-13beta-ethyl-17alpha-ethynyl-17beta-acetoxygon-4-en-3-one oxime
- d-13beta-ethyl-17alpha-ethynyl-17beta-acetoxygon-4-en-3-one oxime
- dexnorgestrel acetime
- dexnorgestrel acetime
- dexnorgestrel acetime
- dexnorgestrel acetime
- norgestimate
- norgestimate
- norgestimate
- norgestimate
- norgestimate
- norgestimate
- norgestimate
- norgestimate
- norgestimato
- norgestimato
- norgestimatum
- norgestimatum
- norgestrel oxime acetate
- norgestrel oxime acetate
- norgestrel oxime acetate
- norgestrel oxime acetate
- norgestrel oxime acetate
- norgestrel oxime acetate
- orf-10131
- orf-10131
- rwj-10131
- rwj-10131
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07074327 | Phase 1 | Jul 11, 2025 | Vertex |
| NCT06820307 | Phase 1 | Feb 25, 2025 | Vertex |
| NCT04828824 | Phase 4 | Jun 18, 2021 | University of Colorado, Denver |
| NCT04423068 | Early Phase 1 (Phase 1) | Jan 1, 2021 | University of Kansas |
| NCT04718636 | Phase 1 | Sep 30, 2020 | Bristol-Myers Squibb, Celgene |
| NCT04172987 | Phase 1 | Feb 7, 2020 | Eli Lilly |
| NCT03357640 | Phase 2/Phase 3 (Phase 3) | May 1, 2017 | Benha University |
| NCT02533427 | Phase 1 | Oct 1, 2015 | Gilead Sciences |
| NCT02480881 | Phase 1 | Jul 1, 2015 | Bristol-Myers Squibb |
| NCT02494609 | Phase 1 | Jul 1, 2015 | Lexicon Pharmaceuticals |
| NCT02213029 | Phase 1 | Aug 28, 2014 | GlaxoSmithKline |
| NCT02157467 | Phase 1 | Jun 1, 2014 | Bristol-Myers Squibb, MRA Clinical Research |
| NCT02144246 | Phase 1 | May 1, 2014 | Society of Family Planning, University of Pennsylvania |
| NCT02080468 | Phase 1 | Feb 1, 2014 | Covance, Novelion Therapeutics |
| NCT02127593 | Phase 1 | Jun 1, 2013 | Johnson and Johnson |
| NCT01746732 | Phase 1 | Dec 1, 2012 | Eli Lilly |
| NCT01798875 | Phase 4 | Apr 1, 2012 | Medical University of Gdansk |
| NCT02257671 | N/A | Feb 1, 2012 | Karolinska Institute |
| NCT01498861 | Phase 1 | Dec 1, 2011 | GlaxoSmithKline, Shionogi, ViiV Healthcare |
| NCT01475513 | Phase 4 | Nov 1, 2011 | American Heart Association, Virginia Commonwealth University |
Organizations
Research & Development (39)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Johnson and Johnson | For profit | 11 | 10 | 4 | 2004 |
| Bristol-Myers Squibb | For profit | 7 | 6 | 1 | 2006 |
| Eli Lilly | For profit | 4 | 4 | 1 | 2011 |
| Agile Therapeutics | For profit | 2 | 2 | 2 | 2009 |
| GlaxoSmithKline | For profit | 2 | 1 | 1 | 2011 |
| McNeil | For profit | 2 | 2 | 1 | 2003 |
| Vertex | For profit | 2 | 2 | 1 | 2025 |
| Virginia Commonwealth University | Academic/Hospital | 2 | 2 | 1 | 2005 |
| American Heart Association | Academic/Hospital | 1 | 0 | 1 | 2011 |
| AstraZeneca | For profit | 1 | 1 | 1 | 2009 |
| Bayer | For profit | 1 | 1 | 1 | 2008 |
| Benha University | Academic/Hospital | 1 | 1 | 1 | 2017 |
| Celgene | For profit | 1 | 1 | 1 | 2020 |
| Covance | For profit | 1 | 0 | 1 | 2014 |
| Gilead Sciences | For profit | 1 | 1 | 1 | 2015 |
| Harvard University | Academic/Hospital | 1 | 0 | 1 | 2004 |
| IQVIA | For profit | 1 | 0 | 1 | 2009 |
| Karolinska Institute | Academic/Hospital | 1 | 1 | 1 | 2012 |
| Lexicon Pharmaceuticals | For profit | 1 | 1 | 1 | 2015 |
| Medical University of Gdansk | Academic/Hospital | 1 | 1 | 1 | 2012 |
Marketing (25)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Amneal Pharmaceuticals | For profit | MKTG | Oct 27, 2015 |
| Aurobindo Pharma | For profit | SYN | Nov 4, 2016 |
| Aurobindo Pharma | For profit | MKTG | Jul 6, 2016 |
| Barr Laboratories | For profit | MKTG | Sep 25, 2002 |
| Barr Laboratories | For profit | SYN | Jun 29, 2009 |
| Endo Pharmaceuticals | For profit | MKTG | Jan 9, 2004 |
| Exeltis | For profit | MKTG | Jan 30, 2013 |
| Glenmark Pharmaceuticals | For profit | MKTG | Jun 17, 2011 |
| Glenmark Pharmaceuticals | For profit | SYN | Feb 23, 2016 |
| Glenmark Pharmaceuticals | For profit | SYN | Jun 17, 2011 |
| Glenmark Pharmaceuticals | For profit | SYN | Feb 23, 2016 |
| Johnson and Johnson | For profit | NDA2 | Dec 29, 1989 |
| Johnson and Johnson | For profit | SYN | May 13, 2005 |
| Johnson and Johnson | For profit | NDA | Dec 29, 1989 |
| Lupin | For profit | MKTG | Apr 26, 2016 |
| Lupin | For profit | SYN | Jun 25, 2012 |
| Mylan | For profit | SYN | Jan 27, 2016 |
| Mylan | For profit | MKTG | Sep 9, 2015 |
| Naari Pte Ltd | For profit | MKTG | Apr 7, 2015 |
| Novast Labs | For profit | SYN | Sep 2, 2022 |
| Novast Labs | For profit | MKTG | May 23, 2012 |
| Teva | For profit | NDA2 | Oct 22, 1999 |
| Teva | For profit | MKTG | Jun 29, 2009 |
| Vintage | For profit | MKTG | Jan 9, 2004 |
| Watson Pharmaceuticals | For profit | MKTG | Aug 17, 2006 |