clomifene
Trade name: clomid
Approved
Feb 1, 1967
Clomiphene (CLOMID®) is a triphenyl ethylene stilbene derivative which is an estrogen agonist or antagonist depending on the target tissue. It is an orally administered, nonsteroidal, ovulatory stimulant. Clomiphene (CLOMID®) is a mixture of two geometric isomers [cis (zuclomiphene) and trans (enclomiphene)] containing between 30% and 50% of the cis-isomer. Clomiphene (CLOMID®) initiates a series of endocrine events culminating in a preovulatory gonadotropin surge and subsequent follicular rupture. The first endocrine event in response to a course of clomiphene therapy is an increase in the release of pituitary gonadotropins. This initiates steroidogenesis and folliculogenesis, resulting in growth of the ovarian follicle and an increase in the circulating level of estradiol. Following ovulation, plasma progesterone and estradiol rise and fall as they would in a normal ovulatory cycle. — NCATS
Clinical trial activity
146 trials · 130 clinical orgs · 9 marketing orgs
Earliest trial started Mar 1, 1991 (NCT01340521)
Timeline
1960s
- Feb 1, 1967
Sanofi — Earliest FDA Approval
- Feb 1, 1967
Sanofi-Aventis — NDA Secondary Org
- Feb 1, 1967
Sanofi — NDA Organization
1980s
- Mar 22, 1982
Merck Serono — NDA Secondary Org
- Dec 20, 1988
Granata Bio — Marketing Organization
- Dec 20, 1988
Milex Products, Inc — Marketing Organization
1990s
- Jan 1, 1991
Earliest Phase 1 Sponsor(trial)
- Jan 1, 1997
Earliest Phase 3 Sponsor(trial)
- Aug 30, 1999
Cosette — Marketing Organization
- Aug 30, 1999
Par Pharmaceuticals — Marketing Organization
2000s
- Jan 1, 2004
Earliest Phase 2 Sponsor(trial)
2020s
- Nov 8, 2024
Appco Pharma — Marketing Organization
- Nov 12, 2024
Rubicon Research — Marketing Organization
Indications
Studied for
- Acromegaly · Phase 2
- Allergy and Immunology · Phase 1/Phase 2
- Androgens · Phase 2
- Anovulation · Phase 4
- Clomiphene · Phase 4
- Corpus Luteum · Phase 2
- Cytochrome P-450 CYP2D6 · Phase 1
- Cytochrome P-450 CYP3A · Phase 1
- Diabetes Mellitus, Type 2 · Phase 2
- Drugs, Investigational · Phase 4
- Endocrine System Diseases · Phase 1/Phase 2
- Eunuchism · Phase 2
- Fertility · Phase 1/Phase 2
- Fertilization in Vitro · Phase 4
- Gonadal Disorders · Phase 1/Phase 2
- Gonadotropin-Releasing Hormone · Phase 4
- Hyperandrogenism · Phase 3
- Hyperprolactinemia · Phase 2
- Hypogonadism · Phase 2
- Infertility · Phase 4
- Infertility, Female · Phase 4
- Infertility, Male · Phase 3
- Inositol · Phase 4
- Insulin Resistance · Phase 3
- Leiomyoma · Phase 1
- Obesity · Phase 2
- Obsessive-Compulsive Disorder · Phase 4
- Oligospermia · Phase 1/Phase 2
- Opioid-Related Disorders · Phase 2
- Ovarian Diseases · Phase 4
- Ovarian Follicle · Phase 2
- Ovulation · Phase 4
- Ovulation Induction · Phase 4
- Pioglitazone · Early Phase 1
- Polycystic Ovary Syndrome · Phase 4
- Pregnancy · Phase 4
- Primary Ovarian Insufficiency · Phase 2
- Prolactinoma · Phase 2
- Reproductive Health · Phase 2
- Rotator Cuff Injuries · Phase 2
- Substance Abuse, Oral · Phase 1
- Teratozoospermia · Phase 1/Phase 2
- Testosterone · Phase 2
- Uterine Diseases · Phase 2
- Vitamin D Deficiency · Phase 4
Mechanism of action
- Estrogen receptor alphaMODULATOR
ESR1 modulator
Approval history
- approvedPriority reviewFeb 1, 1967
Chemistry & pharmacology
SMILES
CCN(CC)CCOc1ccc(C(=C(Cl)c2ccccc2)c2ccccc2)cc1- Mol. weight
- 405.97 g/mol
- Lipinski Ro5
- 1 violation(s)
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaClomifene ↗
- NCATS1HRS458QU2 ↗
- ChEMBLCHEMBL954 ↗
- ChEMBLCHEMBL3185958 ↗
- ChEMBLCHEMBL2355051 ↗
Also known as
- 2-(4-(2-chloro-1,2-diphenylethenyl)phenoxy)-n,n-diethylethanamine
- 2-(4-(2-chloro-1,2-diphenylethenyl)phenoxy)-n,n-diethylethanamine
- 2-(p-(2-chloro-1,2-diphenylvinyl)phenoxy)triethylamine
- 2-(p-(2-chloro-1,2-diphenylvinyl)phenoxy)triethylamine
- 2-(p-(β-chloro-α-phenylstyryl)phenoxy)triethylamine
- 2-(p-(β-chloro-α-phenylstyryl)phenoxy)triethylamine
- androxal
- androxal
- chloramiphene
- chloramiphene
- cisclomiphene
- cisclomiphene
- clomid
- clomid
- clomid
- clomid
- clomifene
- clomifene
- clomifene
- clomifene
- clomifene
- clomifene
- clomifene citrate
- clomifene citrate
- clomifene citrate
- clomifene citrate
- clomifene citrate
- clomifene citrate
- clomifene citrate
- clomifeno
- clomifeno
- clomifenum
- clomifenum
- clomiphencitrat
- clomiphene
- clomiphene
- clomiphene
- clomiphene
- clomiphene
- clomiphene
- clomiphene b
- clomiphene citrate
- clomiphene citrate
- clomiphene citrate
- clomiphene citrate
- clomiphene citrate
- clophene
- enclomifene citrate
- mer-41
- mer-41
- milophene
- milophene
- mrl-41
- mrl-41
- rmi-16289
- rmi-16289
- serophene
- serophene
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06701071 | Phase 4 | Dec 31, 2024 | University of Southern California |
| NCT06869863 | Phase 1/Phase 2 (Phase 2) | Nov 26, 2024 | Moscow State University |
| NCT06635538 | N/A | Oct 31, 2024 | Dexeus Fertility, Fundación Santiago Dexeus Font |
| NCT06813118 | Phase 1 | Jun 7, 2024 | HITEC-Institute of Medical Sciences |
| NCT06178523 | Phase 4 | Jan 1, 2024 | Batterjee Medical College |
| NCT05670795 | N/A | Jan 1, 2023 | Bezmialem University |
| NCT06564961 | Phase 3 | Jul 1, 2022 | Bangladesh Medical University |
| NCT05231980 | Phase 2 | Jun 5, 2022 | Ain Shams University, Misr University for Science and Technology |
| NCT04944836 | Phase 2 | Mar 31, 2022 | University of Utah |
| NCT06778733 | Early Phase 1 (Phase 1) | Jan 1, 2022 | Aretaieion University, University of Athens |
| NCT05096169 | Phase 2 | Dec 31, 2021 | Cornell University |
| NCT05106712 | N/A | Nov 1, 2021 | Umm Al-Qura University |
| NCT05089344 | N/A | Oct 9, 2021 | Ain Shams University |
| NCT05846906 | Phase 2/Phase 3 (Phase 3) | Oct 1, 2021 | Beni Suef University |
| NCT04916925 | Phase 1/Phase 2 (Phase 2) | Aug 21, 2021 | Ain Shams University |
| NCT05753098 | Phase 4 | Jan 15, 2021 | Beni Suef University |
| NCT05206448 | Phase 4 | Oct 26, 2020 | American Society for Reproductive Medicine, Society for Reproductive Investigation, University of Iowa, University of Wisconsin |
| NCT04361175 | Early Phase 1 (Phase 1) | Sep 30, 2020 | Assiut University |
| NCT04331197 | Phase 4 | May 1, 2020 | Cairo University |
| NCT04302532 | Phase 4 | Apr 3, 2020 | Karachi Medical and Dental College |
Organizations
Research & Development (130)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Ain Shams University | Academic/Hospital | 18 | 18 | 5 | 2013 |
| Mansoura University | Academic/Hospital | 11 | 11 | 2 | 2006 |
| Cairo University | Academic/Hospital | 9 | 8 | 5 | 2008 |
| Assiut University | Academic/Hospital | 8 | 8 | 5 | 2009 |
| Magna Graecia University | Academic/Hospital | 6 | 6 | 1 | 2003 |
| National Institutes of Health (NIH) | Government | 4 | 1 | 2 | 2002 |
| University of Sao Paulo | Academic/Hospital | 4 | 4 | 2 | 2004 |
| Beni Suef University | Academic/Hospital | 3 | 3 | 3 | 2017 |
| Cornell University | Academic/Hospital | 3 | 3 | 2 | 2012 |
| Pennsylvania State University | Academic/Hospital | 3 | 1 | 2 | 1991 |
| Royan Institute | Academic/Hospital | 3 | 3 | 3 | 2009 |
| University of Illinois at Chicago | Academic/Hospital | 3 | 2 | 2 | 2015 |
| University of Utah | Academic/Hospital | 3 | 3 | 3 | 2010 |
| Yale University | Academic/Hospital | 3 | 3 | 2 | 2009 |
| Benha University | Academic/Hospital | 2 | 2 | 1 | 2014 |
| Ferring | For profit | 2 | 2 | 2 | 2005 |
| Fundação de Amparo à Pesquisa do Estado de São Paulo | Academic/Hospital | 2 | 0 | 2 | 2007 |
| Greenville Health System | Academic/Hospital | 2 | 0 | 2 | 2008 |
| Menoufia University | Academic/Hospital | 2 | 1 | 1 | 2011 |
| Misr University for Science and Technology | Academic/Hospital | 2 | 0 | 1 | 2018 |
Marketing (9)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Appco Pharma | For profit | MKTG | Nov 8, 2024 |
| Cosette | For profit | MKTG | Aug 30, 1999 |
| Granata Bio | For profit | MKTG | Dec 20, 1988 |
| Merck Serono | For profit | NDA2 | Mar 22, 1982 |
| Milex Products, Inc | For profit | MKTG | Dec 20, 1988 |
| Par Pharmaceuticals | For profit | MKTG | Aug 30, 1999 |
| Rubicon Research | For profit | MKTG | Nov 12, 2024 |
| Sanofi | For profit | NDA | Feb 1, 1967 |
| Sanofi-Aventis | For profit | NDA2 | Feb 1, 1967 |