gonadorelin
Trade name: factrel
Approved
Sep 30, 1982
Gonadorelin is a synthetic decapeptide prepared using solid phase peptide synthesis. GnRH is responsible for the release of follicle stimulating hormone and leutinizing hormone from the anterior pitutitary. In the pituitary GnRH stimulates synthesis and release of FSH and LH, a process that is controlled by the frequency and amplitude of GnRH pulses, as well as the feedback of androgens and estrogens. The pulsatility of GnRH secretion has been seen in all vertebrates, and it is necessary to ensure a correct reproductive function. Thus a single hormone, GnRH, controls a complex process of follicular growth, ovulation, and corpus luteum maintenance in the female, and spermatogenesis in the male. Its short half life requires infusion pumps for its clinical use. Gonadorelin is used for the treatment of amenorrhea, delayed puberty, and infertility the administration of gonadorelin is used to simulate the physiologic release of GnRH from the hypothalamus in treatment of delayed puberty, treatment of infertility caused by hypogonadotropic hypogonadism, and induction of ovulation in those women with hypothalamic amenorrhea. This results in increased levels of pituitary gonadotropins LH and FSH, which subsequently stimulate the gonads to produce reproductive steroids. — NCATS
Clinical trial activity
40 trials · 31 clinical orgs · 4 marketing orgs
Earliest trial started Mar 1, 1987 (NCT00004330)
Timeline
Indications
Studied for
- Amenorrhea · Phase 2
- Embryo Transfer · Phase 3
- Fertilization in Vitro · Phase 4
- Gonadotropin-Releasing Hormone · Phase 1
- Hyperprolactinemia · Phase 2
- Hypogonadism · Phase 3
- Infertility · Phase 4
- Kallmann Syndrome · Phase 4
- Ovulation · Phase 4
- Polycystic Ovary Syndrome · Phase 4
- Prostatic Neoplasms · Phase 3
- Puberty, Precocious · Phase 4
- Reproductive Health · Phase 1
- Sleep Disorders, Intrinsic · Early Phase 1
- Testosterone · Phase 2
Mechanism of action
GNRHR agonist
Approval history
- approvedPriority reviewSep 30, 1982
Chemistry & pharmacology
SMILES
CC(C)C[C@H](NC(=O)CNC(=O)[C@H](Cc1ccc(O)cc1)NC(=O)[C@H](CO)NC(=O)[C@H](Cc1c[nH]c2ccccc12)NC(=O)[C@H](Cc1cnc[nH]1)NC(=O)[C@@H]1CCC(=O)N1)C(=O)N[C@@H](CCCNC(=N)N)C(=O)N1CCC[C@H]1C(=O)NCC(N)=O- Mol. weight
- 1182.31 g/mol
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Discontinued
Oral
No
Parenteral
Yes
Topical
No
Sources
- WikipediaGonadorelin ↗
- NCATS9O7312W37G ↗
- ChEMBLCHEMBL1200516 ↗
- ChEMBLCHEMBL1200511 ↗
- ChEMBLCHEMBL1007 ↗
Also known as
- abbott-41070
- abbott-41070
- ay-24031
- ay-24031
- cystorelin
- cystorelin
- factrel
- factrel
- factrel
- fertagyl
- fertiral lh-rh
- gnrh
- gnrh
- gnrh
- gnrh
- gnrh-i
- gnrh-i
- gonadoliberin i
- gonadoliberin i
- gonadorelin
- gonadorelin
- gonadorelin
- gonadorelin
- gonadorelin
- gonadorelin
- gonadorelin
- gonadorelin
- gonadorelin
- gonadorelin
- gonadorelina
- gonadorelina
- gonadorelin acetate
- gonadorelin acetate
- gonadorelin acetate
- gonadorelin acetate
- gonadorelin acetate
- gonadorelin decapeptide
- gonadorelin decapeptide
- gonadorelin diacetate
- gonadorelin diacetate
- gonadoréline
- gonadoréline
- gonadorelin hcl
- gonadorelin hcl
- gonadorelin hcl
- gonadorelin hydrochloride
- gonadorelin hydrochloride
- gonadorelin hydrochloride
- gonadorelin hydrochloride
- gonadorelinum
- gonadorelinum
- gonadotropin releasing hormone
- gonadotropin releasing hormone
- gonadotropin releasing hormone
- gonadotropin-releasing hormone
- gonadotropin-releasing hormone
- gonadotropin-releasing hormone
- human gonadoliberin-i
- human gonadoliberin-i
- hypocrine
- lh releasing factor
- lh releasing factor
- luteinizing hormone-releasing factor diacetate tetrahydrate
- luteinizing hormone-releasing factor diacetate tetrahydrate
- luteinizing hormone-releasing factor dihydrochloride
- luteinizing hormone-releasing factor dihydrochloride
- luteinizing hormone-releasing factor (swine)
- luteinizing hormone releasing hormone
- luteinizing hormone releasing hormone
- lutrelef
- lutrelef
- lutrepulse
- lutrepulse
- lutrepulse kit
- lutrepulse kit
- relefact lh-rh
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT04975347 | Phase 1 | Mar 31, 2022 | Harvard University |
| NCT04975334 | Phase 2 | Mar 31, 2022 | Harvard University |
| NCT05184374 | N/A | Jan 1, 2022 | Fudan University |
| NCT04648969 | Phase 2 | Jan 20, 2021 | Harvard University |
| NCT04390646 | N/A | Jun 30, 2020 | University of Lausanne |
| NCT04037605 | Early Phase 1 (Phase 1) | Jul 24, 2019 | Los Angeles Biomedical Research Institute |
| NCT03989024 | Phase 4 | Jul 1, 2019 | Jiao Tong University |
| NCT04037254 | Phase 2 | Jun 3, 2019 | National Cancer Institute (NCI), NRG Oncology |
| NCT02956447 | Phase 2 | Mar 1, 2017 | Harvard University |
| NCT02908438 | Phase 1 | Sep 1, 2016 | Jiao Tong University |
| NCT02705014 | N/A | Jan 1, 2016 | Tsinghua University |
| NCT02431416 | N/A | May 1, 2015 | Orebro University |
| NCT02168062 | Phase 2 | Jun 1, 2014 | University of California, San Francisco |
| NCT01976728 | Phase 3 | Feb 1, 2014 | Ferring |
| NCT01952782 | Phase 1 | Jan 1, 2014 | Harvard University |
| NCT01863680 | Phase 3 | Jul 1, 2013 | Merck KGaA, Merck Serono |
| NCT01603420 | Phase 2/Phase 3 (Phase 3) | Jul 1, 2012 | Proton Collaborative Group |
| NCT01439542 | Phase 2 | Sep 1, 2011 | University of Western Ontario |
| NCT01381016 | N/A | Jun 1, 2011 | University of Colorado, Denver |
| NCT01278290 | Phase 4 | Jul 1, 2010 | University of Buenos Aires |
Organizations
Research & Development (31)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Harvard University | Academic/Hospital | 10 | 7 | 3 | 1989 |
| National Institutes of Health (NIH) | Government | 7 | 3 | 3 | 1989 |
| Ferring | For profit | 3 | 3 | 2 | 2005 |
| Jiao Tong University | Academic/Hospital | 3 | 3 | 2 | 2010 |
| Merck KGaA | For profit | 2 | 2 | 2 | 2008 |
| Merck Serono | For profit | 2 | 0 | 2 | 2008 |
| National Cancer Institute (NCI) | Government | 2 | 0 | 2 | 2000 |
| University of Colorado, Denver | Academic/Hospital | 2 | 2 | 1 | 2010 |
| Barts & The London NHS Trust | Academic/Hospital | 1 | 1 | 1 | 2003 |
| Department of Veteran Affairs | Government | 1 | 1 | 1 | 2001 |
| Eugonia | Academic/Hospital | 1 | 1 | 1 | 2003 |
| Fudan University | Academic/Hospital | 1 | 1 | 1 | 2022 |
| Los Angeles Biomedical Research Institute | Academic/Hospital | 1 | 1 | 1 | 2019 |
| Mayo Clinic | Academic/Hospital | 1 | 1 | 1 | 2004 |
| Medical Research Council | Government | 1 | 1 | 1 | 1998 |
| National Center for Research Resources (NCRR) | Government | 1 | 1 | 1 | 1987 |
| NRG Oncology | Academic/Hospital | 1 | 1 | 1 | 2019 |
| Orebro University | Academic/Hospital | 1 | 1 | 1 | 2015 |
| Proton Collaborative Group | Academic/Hospital | 1 | 1 | 1 | 2012 |
| Radiation Therapy Oncology Group | Academic/Hospital | 1 | 1 | 1 | 2000 |