leuprolide
Trade name: lupron
Approved
Apr 9, 1985
Leuprolide acetate is a synthetic nonapeptide analog of naturally occurring gonadotropin-releasing hormone (GnRH or LH-RH). The analog possesses greater potency than the natural hormone. It acts primarily on the anterior pituitary, inducing a transient early rise in gonadotrophin release. With continued use, leuprorelin causes pituitary desensitisation and/or down-regulation, leading to suppressed circulating levels of gonadotrophins and sex hormones. Leuprolide acetate used to treat a wide range of sex hormone-related disorders including advanced prostatic cancer, uterine leiomyomata (fibroids), endometriosis and precocious puberty. — NCATS
Clinical trial activity
370 trials · 304 clinical orgs · 25 marketing orgs
Earliest trial started Jul 1, 1989 (NCT00004311)
Timeline
1980s
1990s
2000s
- Mar 3, 2000
Johnson and Johnson — NDA Secondary Org
- Oct 25, 2000
Teva — Marketing Organization
- Oct 25, 2000
Eu Yan Sang — Marketing Organization
- Oct 25, 2000
Meitheal — Marketing Organization
- Nov 29, 2001
Genzyme — Marketing Organization
- Jan 23, 2002
Tolmar Inc. — NDA Secondary Org
- Mar 9, 2009
Sun Pharmaceuticals — Marketing Organization
2010s
- Dec 14, 2012
AbbVie — Marketing Organization
- Aug 28, 2018
GP-Pharm — NDA Secondary Org
- Aug 28, 2018
Invagen Pharms — Marketing Organization
- Aug 28, 2018
Cipla — NDA Secondary Org
2020s
- May 1, 2020
Tolmar Inc. — Marketing Organization
- May 25, 2021
Foresee Pharmaceuticals Co., Ltd. — Marketing Organization
- May 25, 2021
Accord Research — Marketing Organization
- May 25, 2021
Accord Research — NDA Secondary Org
- Aug 13, 2021
Vgyaan — Marketing Organization
- Aug 13, 2021
Apicore — Marketing Organization
- Aug 13, 2021
Somerset Pharmaceuticals — Marketing Organization
- Jun 6, 2022
Eugia Pharma — Marketing Organization
- Oct 28, 2022
Amneal Pharmaceuticals — Marketing Organization
- Oct 17, 2024
UBI Pharma Inc. — Marketing Organization
- Jun 9, 2025
PH HEALTH — Marketing Organization
- Nov 13, 2025
Zydus Discovery DMCC — Marketing Organization
Indications
Approved for
Studied for
- Abortion, Spontaneous · Phase 4
- Acanthosis Nigricans · Phase 2
- Adenomyosis · Phase 4
- Aging · Phase 3
- Alzheimer Disease · Phase 2
- Amenorrhea · Phase 4
- Amyotrophic Lateral Sclerosis · Phase 2
- Androgens · Phase 3
- Breast Neoplasms · Phase 3
- Breast Neoplasms, Male · Phase 3
- Bulbo-Spinal Atrophy, X-Linked · Phase 2
- Bulimia Nervosa · Phase 2
- Carcinoma · Phase 2
- Cardiovascular Diseases · Phase 4
- Castration · Phase 3
- Central Nervous System Diseases · Phase 3
- Cognitive Dysfunction · Phase 2
- Conjunctivitis · Phase 2
- Contraception · Phase 4
- Depression · Phase 2
- Depression, Postpartum · Phase 2
- Diabetes Mellitus, Type 2 · Phase 1
- Drugs, Investigational · Phase 3
- Dysmenorrhea · Phase 3
- Dyspareunia · Phase 3
- Endometriosis · Phase 4
- Fertility · Phase 4
- Fertility Preservation · Phase 3
- Fertilization in Vitro · Phase 4
- Gonadotropin-Releasing Hormone · Phase 3
- Growth and Development · Phase 3
- Healthy Volunteers · Phase 1/Phase 2
- HIV · Phase 1
- Hodgkin Disease · Phase 2
- Hormones · Phase 3
- Hot Flashes · Phase 2/Phase 3
- Hyperandrogenism · Phase 2
- Hypertension · Early Phase 1
- Hypogonadism · Phase 2
- Infertility · Phase 4
- Infertility, Female · Phase 3
- Infertility, Male · Phase 3
- Inflammatory Breast Neoplasms · Phase 2/Phase 3
- Insulin Resistance · Phase 2
- Intestinal Neoplasms · Phase 3
- Leiomyoma · Phase 4
- Leukemia · Phase 2
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive · Phase 2
- Leukemia, Myeloid, Acute · Phase 2
- Leukemia, Myelomonocytic, Chronic · Phase 2
- Leuprolide · Phase 3
- Liver Diseases · Phase 2
- Liver Neoplasms · Phase 2
- Lung Diseases · Phase 3
- Lupus Erythematosus, Systemic · Phase 3
- Luteinizing Hormone · Phase 3
- Lymphoma, Mantle-Cell · Phase 2
- Lymphoma, Non-Hodgkin · Phase 2
- Melanoma · Phase 2
- Menopause · Phase 4
- Menstruation Disturbances · Phase 1
- Multiple Myeloma · Phase 2
- Muscular Atrophy, Spinal · Phase 2
- Myelodysplastic Syndromes · Phase 2
- Myeloproliferative Disorders · Phase 2
- Neoplasm Metastasis · Phase 3
- Neoplasms · Phase 3
- Obesity · Phase 3
- Obesity, Morbid · Phase 2
- Osteoporosis · Phase 3
- Ovarian Diseases · Phase 4
- Ovarian Hyperstimulation Syndrome · Phase 4
- Ovarian Neoplasms · Phase 2
- Ovulation Induction · Phase 4
- Ovum · Phase 4
- Pediatrics · Phase 3
- Pedophilia · Phase 3
- Pelvic Pain · Phase 3
- Pelvis · Phase 2
- Polycystic Kidney, Autosomal Dominant · Phase 2
- Polycystic Ovary Syndrome · Phase 4
- Postmenopause · Phase 2
- Precursor Cell Lymphoblastic Leukemia-Lymphoma · Phase 2
- Pregnancy · Phase 4
- Pregnancy Complications · Phase 3
- Premenstrual Syndrome · Phase 1
- Primary Ovarian Insufficiency · Phase 2
- Prostatic Neoplasms, Castration-Resistant · Phase 3
- Puberty · Phase 4
- Puberty, Delayed · Early Phase 1
- Puberty, Precocious · Phase 4
- Quality of Life · Phase 4
- Recurrence · Phase 3
- Reproductive Health · Phase 4
- Salivary Gland Neoplasms · Phase 2
- Salvage Therapy · Phase 3
- Sclerosis · Phase 3
- Sexual Dysfunction, Physiological · Phase 3
- Sleep Apnea, Obstructive · Phase 4
- Systemic Vasculitis · Phase 3
- Transgender Persons · Phase 1
- Triple Negative Breast Neoplasms · Phase 2
- Urination Disorders · Phase 3
- Uterine Diseases · Phase 3
- Uterine Myomectomy · Phase 3
Mechanism of action
GNRHR agonist
Combination products
lupaneta pack
with norethindrone
Approval history
- approvedPriority reviewApr 9, 1985
Chemistry & pharmacology
SMILES
CCNC(=O)[C@@H]1CCCN1C(=O)[C@H](CCCNC(=N)N)NC(=O)[C@H](CC(C)C)NC(=O)[C@@H](CC(C)C)NC(=O)[C@H](Cc1ccc(O)cc1)NC(=O)[C@H](CO)NC(=O)[C@H](Cc1c[nH]c2ccccc12)NC(=O)[C@H](Cc1c[nH]cn1)NC(=O)[C@@H]1CCC(=O)N1- Mol. weight
- 1209.42 g/mol
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral, Parenteral
- Availability
- Prescription Only
Oral
Yes
Parenteral
Yes
Topical
No
Sources
- ChEMBLCHEMBL1201199 ↗
- WikipediaLeuprorelin ↗
- NCATSEFY6W0M8TG ↗
- ChEMBLCHEMBL4802223 ↗
- ChEMBLCHEMBL1200775 ↗
Also known as
- abbott-43818
- abbott-43818
- carcinil
- carcinil
- (d-leu(6),des-gly-nh2(10),pro-ethylamide(9))-gonadotropin-releasing hormone
- (d-leu(6),des-gly-nh2(10),pro-ethylamide(9))-gonadotropin-releasing hormone
- eligard
- eligard
- eligard
- eligard
- eligard
- leupline
- leuporelin
- leuprolide
- leuprolide
- leuprolide
- leuprolide
- leuprolide
- leuprolide
- leuprolide
- leuprolide acetate
- leuprolide acetate
- leuprolide acetate
- leuprolide acetate
- leuprolide acetate
- leuprolide mesylate
- leuprorelin
- leuprorelin
- leuprorelin
- leuprorelin
- leuprorelin
- leuprorelin
- leuprorelin
- leuprorelin
- leuprorelina
- leuprorelina
- leuprorelin acetate
- leuproreline
- leuproreline
- leuprorelinum
- leuprorelinum
- lo2a
- l-pyroglutamyl-l-histidyl-l-tryptophyl-l-seryl-l-tyrosyl-d-leucyl-l-leucyl-l-arginyl-l-proline ethylamide
- l-pyroglutamyl-l-histidyl-l-tryptophyl-l-seryl-l-tyrosyl-d-leucyl-l-leucyl-l-arginyl-l-proline ethylamide
- lucrine
- luprolide acetate gel depot
- lupron
- lupron
- lupron
- lupron
- lupron depot
- lupron depot ped
- lupron depot-ped
- pglu-his-trp-ser-tyr-d-leu-leu-arg-pro-nhc2h5
- pglu-his-trp-ser-tyr-d-leu-leu-arg-pro-nhc2h5
- pglu-his-trp-ser-tyr-d-leu-leu-arg-pro-nhet
- pglu-his-trp-ser-tyr-d-leu-leu-arg-pro-nhet
- tap-144
- tap-144
- tap-144
- viadur
- viadur
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07158021 | Phase 2 | Dec 1, 2025 | University of Michigan |
| NCT07159451 | Phase 2 | Sep 23, 2025 | Institut Gustave Roussy, Menarini Group |
| NCT07179939 | Phase 2 | Sep 10, 2025 | Fudan University, Hengrui Therapeutics, Inc., People's Liberation Army of China |
| NCT07158346 | Phase 1 | Aug 18, 2025 | Celltrion |
| NCT07027124 | Phase 2 | Jun 30, 2025 | Bayer, Icahn School of Medicine at Mount Sinai, Merck |
| NCT07015268 | Phase 3 | Jun 30, 2025 | Kissei Pharmaceuticals |
| NCT06654336 | Phase 2 | Apr 15, 2025 | McMaster University |
| NCT06855589 | Phase 3 | Mar 31, 2025 | CSSS Champlain - Charles-Lemoyne Hospital, McGill University |
| NCT06650579 | Phase 3 | Dec 16, 2024 | Emory University, National Cancer Institute (NCI), National Comprehensive Cancer Network, Pfizer, Sumitomo Dainippon |
| NCT06305598 | Phase 1 | Dec 15, 2024 | State University of New York, Buffalo |
| NCT06926933 | Phase 4 | Dec 12, 2024 | HanAll BioPharma Co., Ltd. |
| NCT06627530 | Phase 4 | Oct 31, 2024 | Bayer, Brazilian Clinical Research Institute |
| NCT06330805 | Phase 2 | Aug 12, 2024 | Myovant Sciences GmbH, Ohio State University, Pfizer, Sumitomo |
| NCT06449027 | Phase 3 | Jun 30, 2024 | Fudan University, GeneScience Pharmaceuticals Co., Ltd. |
| NCT06378866 | Phase 2 | Jun 3, 2024 | Mayo Clinic |
| NCT06490328 | Phase 3 | May 30, 2024 | Dongkook Pharmaceutical Co., Ltd., Ewha Womans University |
| NCT06397703 | Phase 3 | Apr 16, 2024 | New York University |
| NCT06348264 | Phase 2 | Mar 30, 2024 | Hengrui Therapeutics, Inc., Peking University |
| NCT06225284 | Phase 2 | Feb 15, 2024 | Debiopharm, National Taiwan University |
| NCT05765500 | Phase 2 | Jan 31, 2024 | Harvard University, Myovant Sciences GmbH, Pfizer, Prostate Cancer Foundation |
Organizations
Research & Development (304)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| National Cancer Institute (NCI) | Government | 54 | 16 | 4 | 1994 |
| Harvard University | Academic/Hospital | 24 | 15 | 5 | 1993 |
| University of Texas at Houston | Academic/Hospital | 19 | 14 | 3 | 1999 |
| Takeda | For profit | 12 | 12 | 3 | 1996 |
| Astellas | For profit | 11 | 5 | 4 | 2006 |
| Johns Hopkins University | Academic/Hospital | 11 | 6 | 3 | 2008 |
| Cornell University | Academic/Hospital | 10 | 7 | 4 | 1998 |
| Janssen Pharmaceutica NV | For profit | 10 | 0 | 2 | 2013 |
| National Institutes of Health (NIH) | Government | 10 | 2 | 4 | 2000 |
| Ferring | For profit | 9 | 5 | 3 | 2006 |
| Southwest Oncology Group | Academic/Hospital | 9 | 3 | 2 | 1995 |
| University of Washington | Academic/Hospital | 9 | 6 | 2 | 1997 |
| Abbott | For profit | 8 | 5 | 4 | 1991 |
| NRG Oncology | Academic/Hospital | 8 | 3 | 2 | 2005 |
| University of Michigan | Academic/Hospital | 8 | 4 | 3 | 2001 |
| Fudan University | Academic/Hospital | 7 | 6 | 3 | 2013 |
| Pfizer | For profit | 7 | 0 | 3 | 2006 |
| University of Chicago | Academic/Hospital | 7 | 5 | 4 | 1994 |
| University of Colorado, Denver | Academic/Hospital | 7 | 7 | 3 | 2008 |
| Bayer | For profit | 6 | 1 | 3 | 2008 |
Marketing (29)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| AbbVie | For profit | NDA2 | Apr 9, 1985 |
| AbbVie | For profit | MKTG | Dec 14, 2012 |
| Abbott | For profit | NDA2 | Mar 30, 1995 |
| Accord Research | For profit | MKTG | May 25, 2021 |
| Accord Research | For profit | NDA2 | May 25, 2021 |
| Amneal Pharmaceuticals | For profit | MKTG | Oct 28, 2022 |
| Apicore | For profit | MKTG | Aug 13, 2021 |
| Cipla | For profit | NDA2 | Aug 28, 2018 |
| Eu Yan Sang | For profit | MKTG | Oct 25, 2000 |
| Eugia Pharma | For profit | MKTG | Jun 6, 2022 |
| Foresee Pharmaceuticals Co., Ltd. | For profit | MKTG | May 25, 2021 |
| GP-Pharm | For profit | NDA2 | Aug 28, 2018 |
| Genzyme | For profit | MKTG | Nov 29, 2001 |
| Invagen Pharms | For profit | MKTG | Aug 28, 2018 |
| Johnson and Johnson | For profit | NDA2 | Mar 3, 2000 |
| Meitheal | For profit | MKTG | Oct 25, 2000 |
| Novartis | For profit | MKTG | Aug 4, 1998 |
| PH HEALTH | For profit | MKTG | Jun 9, 2025 |
| Sandoz | For profit | MKTG | Aug 4, 1998 |
| Somerset Pharmaceuticals | For profit | MKTG | Aug 13, 2021 |
| Sun Pharmaceuticals | For profit | SYN | Mar 9, 2009 |
| Sun Pharmaceuticals | For profit | MKTG | Mar 9, 2009 |
| TAP Pharmaceuticals | For profit | NDA | — |
| Teva | For profit | MKTG | Oct 25, 2000 |
| Tolmar Inc. | For profit | NDA2 | Jan 23, 2002 |
| Tolmar Inc. | For profit | MKTG | May 1, 2020 |
| UBI Pharma Inc. | For profit | MKTG | Oct 17, 2024 |
| Vgyaan | For profit | MKTG | Aug 13, 2021 |
| Zydus Discovery DMCC | For profit | MKTG | Nov 13, 2025 |