drospirenone
Trade name: Yasmin
Approved
May 11, 2001
Drospirenone (INN, USAN), also known as 1,2-dihydrospirorenone, is a steroidal progestin of the spirolactone group. Drospirenone binds strongly to the progesterone receptor (PR) and mineralocorticoid receptor (MR), with lower affinity, to the androgen receptor (AR), and very low affinity for the glucocorticoid receptor (GR). Drospirenone is an ingredient in some birth control pills and hormone replacement therapy. In combination with ethinylestradiol it is used as contraception, and for women who want contraception it is also approved by the U.S. Food and Drug Administration (FDA) to treat vasomotor symptoms due to menopause.It is sold as a combined oral contraceptive under the brand names Yasmin (US, EU, Latin America), Jasmine (France), Yarina (Russia) in a dosage containing drospirenone 3 mg/ethinylestradiol 30 µg. In the United States, Bayer Schering released a pill based on Yasmin with the B vitamin folate (B9), which is marketed under the names Safyral and Beyaz. — NCATS
Clinical trial activity
127 trials · 76 clinical orgs · 22 marketing orgs
Earliest trial started Aug 1, 2002 (NCT00714233)
Timeline
2000s
- May 11, 2001
Earliest FDA Approval
- May 11, 2001
Bayer — NDA Secondary Org
- Jan 1, 2002
Earliest Phase 3 Sponsor(trial)
- Jan 1, 2004
- Jan 1, 2006
- May 9, 2008
Barr Laboratories — Marketing Organization
- Mar 30, 2009
Teva — Marketing Organization
2010s
- Sep 7, 2010
Mayne Pharma — Marketing Organization
- Sep 7, 2010
Dr. Reddy's Laboratories — Marketing Organization
- Mar 28, 2011
Exeltis — Marketing Organization
- Dec 18, 2012
Lupin — Marketing Organization
- Nov 19, 2014
Novast Labs — Marketing Organization
- May 4, 2015
Mylan — Marketing Organization
- Aug 17, 2015
Glenmark Pharmaceuticals — Marketing Organization
- Sep 21, 2016
Apotex — Marketing Organization
- Oct 11, 2016
Watson Pharmaceuticals — Marketing Organization
- Oct 11, 2016
Allergan PLC (2015) — Marketing Organization
- Nov 22, 2016
Accord Research — Marketing Organization
- Nov 22, 2016
Naari Pte Ltd — Marketing Organization
- Jul 18, 2017
Allied Pharmaceutical Services — Marketing Organization
- Jul 18, 2017
Healthcare Discoveries Inc. — Marketing Organization
- Jul 18, 2017
ANDA Repository — Marketing Organization
- Dec 22, 2017
Jubilant Innovation Ltd. — Marketing Organization
- Feb 27, 2018
Aurobindo Pharma — Marketing Organization
- Mar 13, 2019
Sun Pharmaceuticals — Marketing Organization
- Mar 22, 2019
Hetero Labs Ltd — Marketing Organization
- May 23, 2019
Exeltis — NDA Secondary Org
2020s
- Apr 15, 2021
Mayne Pharma — NDA Secondary Org
Indications
Approved for
Studied for
- Adenomyosis · Early Phase 1
- Alveolar Bone Loss · Phase 4
- Binge-Eating Disorder · Phase 2
- Biological Availability · Phase 1
- Bipolar Disorder · Phase 2
- Blood Pressure · Phase 4
- Body Weight Changes · Phase 4
- Bone Diseases · Phase 4
- Bulimia · Phase 2
- Bulimia Nervosa · Phase 2
- Cardiovascular Diseases · Phase 4
- Chlamydia Infections · Phase 4
- Climacteric · Phase 4
- Contraception · Phase 4
- Contraceptive Agents · Phase 4
- Contraceptives, Oral · Phase 3
- Depression · Phase 2
- Drug-Related Side Effects and Adverse Reactions · Phase 4
- Dysmenorrhea · Phase 4
- Dyspareunia · Phase 4
- Endometrial Neoplasms · Phase 4
- Endometriosis · Phase 4
- Feeding and Eating Disorders · Phase 2
- Growth and Development · Phase 1
- Guillain-Barre Syndrome · Phase 3
- Healthy Volunteers · Phase 4
- Hemostasis · Phase 1/Phase 2
- Hidradenitis Suppurativa · Phase 2
- HIV · Phase 1
- HIV Infections · Phase 4
- Hormone Replacement Therapy · Phase 4
- Hot Flashes · Phase 3
- Hyperandrogenism · Phase 4
- Hypertension · Phase 3
- Joint Diseases · Phase 4
- Menstruation Disturbances · Phase 4
- Metabolism · Phase 1/Phase 2
- Neisseriaceae Infections · Phase 4
- Neonatal Sepsis · Phase 3
- Neural Tube Defects · Phase 3
- Ovarian Follicle · Phase 1
- Ovarian Neoplasms · Phase 4
- Ovulation Inhibition · Phase 3
- Pain · Phase 1
- Pelvic Pain · Phase 4
- Polycystic Kidney, Autosomal Dominant · Phase 1
- Polycystic Ovary Syndrome · Phase 4
- Postmenopause · Phase 4
- Pregnancy Complications · Phase 3
- Prehypertension · Phase 2
- Premenstrual Dysphoric Disorder · Phase 4
- Premenstrual Syndrome · Phase 4
- Primary Ovarian Insufficiency · Phase 3
- Safety · Phase 3
- Uterine Diseases · Phase 4
- Vaginal Diseases · Phase 3
- Vasomotor System · Phase 3
Mechanism of action
- Progesterone receptorAGONIST
PGR agonist
- Mineralocorticoid receptorANTAGONIST
NR3C2 antagonist
Combination products
angeliq
with estradiol
beyaz
with ethinyl estradiol, levomefolate
Also known as safyral, tydemy
nextstellis
with estetrol
Also known as drospirenone and estetrol, e4/drsp 15/3 mg combined tablet
yasmin
with ethinyl estradiol
Also known as kemeya, kyra, loryna, lo-zumandimine, melamisa, nikki, syeda, yaela, yaz, zumandimine
Approval history
- approvedMay 11, 2001
Chemistry & pharmacology
SMILES
C[C@]12CC[C@H]3[C@@H]([C@H]4C[C@H]4C5=CC(=O)CC[C@]35C)[C@@H]1[C@@H]6C[C@@H]6[C@@]27CCC(=O)O7- Mol. weight
- 366.4932 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
- WikipediaDrospirenone ↗
- NCATSN295J34A25 ↗
- ChEMBLCHEMBL1509 ↗
Also known as
- 1,2-dihydrospirorenone
- 1,2-dihydrospirorenone
- 1,2-dihydrospirorenone
- 1,2-dihydro-spirorenone
- 6beta,7beta,15beta,16beta-dimethylen-3-oxo-17alpha-pregn-4-en-21,17-carbolacton
- 6beta,7beta;15beta,16beta-dimethylene-3-oxo-17alpha-pregn-4-ene-21,17-carbolactone
- 6beta,7beta;15beta,16beta-dimethylene-3-oxo-17alpha-pregn-4-ene-21,17-carbolactone
- 6β,7β,15β,16β-dimethylene-3-oxo-17α-pregn-4-ene-21,17 carbolactone
- 6β,7β,15β,16β-dimethylene-3-oxo-17α-pregn-4-ene-21,17 carbolactone
- angeliq
- angeliq
- angeliq
- dehydrospirorenone
- dehydrospirorenone
- dihydrospirorenone
- dihydrospirorenone
- drospirenon
- drospirenona
- drospirenona
- drospirenona
- drospirenone
- drospirenone
- drospirenone
- drospirenone
- drospirenone
- drospirenone
- drospirenone
- drospirenone
- drospirenone
- drospirenone
- drospirenonum
- drospirenonum
- drsp
- drsp
- estradiol-drospirenone combination
- spiro(17h-dicyclopropa(6,7:15,16)cyclopenta(a)phenanthrene-17,2'(5'h)-furan)-3,5'(2h)-dione, 1,3',4',6,7,8,9,10,11,12,13,14,15,16,20,21-hexadecahydro-10,13-dimethyl-, (6r-(6alpha,7alpha,8beta,9alpha,10beta,13beta,14alpha,15alpha,16alpha,17beta))-
- yasmin
- yasmin
- yasmin
- zk30595
- zk 30595
- zk-30595
- zk-30595
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07293728 | Phase 4 | Jul 31, 2026 | Oregon Health and Science University |
| NCT07242131 | N/A | Dec 1, 2025 | Ege University |
| NCT07235774 | Phase 1 | Nov 5, 2025 | Servier |
| NCT07074327 | Phase 1 | Jul 11, 2025 | Vertex |
| NCT06820307 | Phase 1 | Feb 25, 2025 | Vertex |
| NCT06608186 | Phase 1/Phase 2 (Phase 2) | Oct 1, 2024 | Benha University |
| NCT06396221 | N/A | May 1, 2024 | Chulalongkorn University |
| NCT06345586 | N/A | Apr 18, 2024 | Chulalongkorn University |
| NCT06345560 | Phase 1/Phase 2 (Phase 2) | Apr 18, 2024 | Chulalongkorn University |
| NCT06233058 | Phase 1 | Mar 5, 2024 | Bio-innova Co., Ltd |
| NCT05837624 | Phase 4 | Feb 29, 2024 | McGill University |
| NCT06233071 | Phase 1 | Feb 13, 2024 | Bio-innova Co., Ltd |
| NCT05934942 | Phase 1 | Sep 8, 2023 | Boehringer Ingelheim |
| NCT05985590 | Phase 1 | Aug 18, 2023 | Bristol-Myers Squibb |
| NCT06689150 | N/A | Aug 10, 2023 | Al Azhar University |
| NCT05675644 | Phase 2 | Feb 28, 2023 | University of Colorado, Denver |
| NCT05706753 | Phase 1 | Jan 25, 2023 | Bristol-Myers Squibb, Janssen Pharmaceutica NV |
| NCT06316180 | Phase 4 | Jan 1, 2023 | University of Palermo, University of Roma La Sapienza |
| NCT05461573 | Phase 3 | Aug 2, 2022 | Exeltis, Insud Pharma |
| NCT05303636 | Phase 4 | Mar 28, 2022 | Exeltis, Insud Pharma |
Organizations
Research & Development (76)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Bayer | For profit | 46 | 40 | 5 | 2002 |
| Estetra | For profit | 8 | 8 | 3 | 2015 |
| Cairo University | Academic/Hospital | 5 | 3 | 3 | 2014 |
| Chulalongkorn University | Academic/Hospital | 4 | 4 | 3 | 2011 |
| Harvard University | Academic/Hospital | 4 | 4 | 4 | 2008 |
| Merck | For profit | 4 | 4 | 1 | 2006 |
| University of Sao Paulo | Academic/Hospital | 4 | 2 | 3 | 2008 |
| Catholic University of Sacred Heart, Rome | Academic/Hospital | 3 | 3 | 3 | 2008 |
| Insud Pharma | For profit | 3 | 3 | 2 | 2014 |
| Johnson and Johnson | For profit | 3 | 3 | 1 | 2016 |
| Pharmaceutical Research Associates, Inc. (PRA) | For profit | 3 | 0 | 2 | 2016 |
| Teva | For profit | 3 | 3 | 1 | 2006 |
| Bio-innova Co., Ltd | For profit | 2 | 2 | 1 | 2024 |
| Bristol-Myers Squibb | For profit | 2 | 1 | 1 | 2023 |
| Conselho Nacional de Desenvolvimento Científico e Tecnológico | Government | 2 | 0 | 2 | 2007 |
| Dinox BV | For profit | 2 | 0 | 1 | 2016 |
| Exeltis | For profit | 2 | 0 | 2 | 2022 |
| National Institute of Mental Health (NIMH) | Government | 2 | 1 | 2 | 2004 |
| National Institutes of Health (NIH) | Government | 2 | 0 | 1 | 2003 |
| PRACS | For profit | 2 | 0 | 1 | 2006 |
Marketing (28)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| ANDA Repository | For profit | MKTG | Jul 18, 2017 |
| Accord Research | For profit | MKTG | Nov 22, 2016 |
| Allergan PLC (2015) | For profit | MKTG | Oct 11, 2016 |
| Allied Pharmaceutical Services | For profit | MKTG | Jul 18, 2017 |
| Apotex | For profit | MKTG | Sep 21, 2016 |
| Aurobindo Pharma | For profit | MKTG | Feb 27, 2018 |
| Barr Laboratories | For profit | MKTG | May 9, 2008 |
| Bayer | For profit | NDA | — |
| Bayer | For profit | NDA2 | May 11, 2001 |
| Dr. Reddy's Laboratories | For profit | MKTG | Sep 7, 2010 |
| Exeltis | For profit | MKTG | Mar 28, 2011 |
| Exeltis | For profit | SYN | May 23, 2019 |
| Exeltis | For profit | NDA2 | May 23, 2019 |
| Glenmark Pharmaceuticals | For profit | MKTG | Aug 17, 2015 |
| Healthcare Discoveries Inc. | For profit | MKTG | Jul 18, 2017 |
| Hetero Labs Ltd | For profit | MKTG | Mar 22, 2019 |
| Hetero Labs Ltd | For profit | SYN | Mar 22, 2019 |
| Jubilant Innovation Ltd. | For profit | MKTG | Dec 22, 2017 |
| Lupin | For profit | MKTG | Dec 18, 2012 |
| Mayne Pharma | For profit | MKTG | Sep 7, 2010 |
| Mayne Pharma | For profit | NDA2 | Apr 15, 2021 |
| Mylan | For profit | MKTG | May 4, 2015 |
| Naari Pte Ltd | For profit | MKTG | Nov 22, 2016 |
| Novast Labs | For profit | MKTG | Nov 19, 2014 |
| Sun Pharmaceuticals | For profit | MKTG | Mar 13, 2019 |
| Teva | For profit | MKTG | Mar 30, 2009 |
| Watson Pharmaceuticals | For profit | MKTG | Oct 11, 2016 |
| Watson Pharmaceuticals | For profit | SYN | Nov 28, 2011 |