prasterone
Trade name: intrarosa
Approved
Nov 16, 2016
Dehydroepiandrosterone (INTRAROSA™, prasterone) is a major C19 steroid produced from cholesterol by the adrenal cortex. It is also produced in small quantities in the testis and the ovary. Dehydroepiandrosterone (INTRAROSA, prasterone) is structurally similar to, and is a precursor of, androstenedione, testosterone, estradiol, estrone and estrogen. It indicated for the treatment of moderate to severe dyspareunia, a symptom of vulvar and vaginal atrophy, due to menopause. The mechanism of action of dehydroepiandrosterone (INTRAROSA, prasterone) in postmenopausal women with vulvar and vaginal atrophy is not fully established. — NCATS
Clinical trial activity
23 trials · 25 clinical orgs · 4 marketing orgs
Earliest trial started Mar 1, 1998 (NCT00037128)
Timeline
1990s
- Jan 1, 1998
Earliest Phase 3 Sponsor(trial)
2000s
- Jan 1, 2000
Earliest Phase 2 Sponsor(trial)
2010s
- Jan 1, 2010
Earliest Phase 1 Sponsor(trial)
- Nov 16, 2016
EndoCeutics Inc. — Earliest FDA Approval
- Nov 16, 2016
AMAG Pharmaceuticals, Inc. — NDA Secondary Org
- Nov 16, 2016
EndoCeutics Inc. — NDA Organization
- Nov 16, 2016
Galen — Marketing Organization
- Nov 16, 2016
Allergan PLC (2015) — NDA Secondary Org
Indications
Studied for
- Breast Neoplasms · Phase 4
- Dyspareunia · Phase 4
- Fertilization in Vitro · Phase 3
- Genital Neoplasms, Female · Phase 3
- Hormone Replacement Therapy · Phase 3
- Infertility · Phase 3
- Lupus Erythematosus, Systemic · Phase 3
- Menopause · Phase 4
- Multiple Myeloma · Phase 2
- Ovarian Diseases · Phase 2/Phase 3
- Postmenopause · Phase 3
- Primary Ovarian Insufficiency · Phase 2/Phase 3
- Sexual Dysfunctions, Psychological · Phase 3
- Urinary Tract Infections · Phase 3
- Vaginal Diseases · Phase 3
- Vulvar Diseases · Phase 4
Mechanism of action
CACNA1H antagonist
- Unspecified targetOTHER
Unknown
Not fully established. Prasterone is an inactive endogenous steroid that is converted to active estrogens and androgens.
Approval history
- approvedNov 16, 2016
Chemistry & pharmacology
SMILES
C[C@]12CC[C@H]3[C@@H](CC=C4C[C@@H](O)CC[C@]34C)[C@@H]1CCC2=O- Mol. weight
- 288.4244 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Availability
- Prescription Only
Oral
No
Parenteral
No
Topical
No
Sources
- WikipediaPrasterone ↗
- NCATS459AG36T1B ↗
- ChEMBLCHEMBL90593 ↗
- ChEMBLCHEMBL1480686 ↗
Also known as
- 3-beta-hydroxy-5-androsten-17-one
- 3-beta-hydroxy-5-androsten-17-one
- 3beta-hydroxyandrost-5-en-17-one
- 3beta-hydroxyandrost-5-en-17-one
- 3β-hydroxyandrost-5-en-17-one
- 3β-hydroxyandrost-5-en-17-one
- androstenolone acetate
- dehydroandrosterone
- dehydroandrosterone
- dehydroandrosterone
- dehydroandrosterone
- dehydroandrosterone
- dehydroandrosterone
- dehydroandrosterone sulfate
- dehydroepiandrosterone
- dehydroepiandrosterone
- dehydroepiandrosterone acetate
- dehydroepiandrosterone acetate
- dehydroepiandrosterone acetate
- dehydroepiandrosterone monosulfate
- dehydroepiandrosterone sulfate
- dehydroepiandrosterone sulphate
- dehydroisoandosterone 3-acetate
- dehydroisoandrosterone
- dehydroisoandrosterone
- dehydroisoandrosterone
- dehydroisoandrosterone acetate
- dehydroisoandrosterone sulfate
- dhea
- dhea
- dhea
- em-760
- em-760
- enzymatic therapy
- gl701
- gl701
- natrol dhea
- prasterone
- prasterone
- prasterone
- prasterone
- prasterone
- prasterone
- prasterone
- prasterone
- prasterone acetate
- prasterone acetate
- prasterone sulfate
- prasterone sulfate
- prasterone sulfate
- prasterone sulfate
- prasterone sulfate
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06611514 | Phase 3 | Oct 1, 2024 | University of Milan |
| NCT04982692 | Phase 3 | Jul 31, 2021 | Lee's Pharmaceutical |
| NCT04898556 | Phase 3 | Dec 22, 2020 | Instituto Palacios |
| NCT04705883 | Phase 4 | Sep 1, 2020 | University of Barcelona |
| NCT03740945 | Phase 3 | Jul 31, 2019 | AMAG Pharmaceuticals, Inc., EndoCeutics Inc., MacDonald Women's Hospital, Cleveland, The Jones Institute |
| NCT03854396 | Phase 3 | Jun 30, 2019 | AMAG Pharmaceuticals, Inc., University of Louisville |
| NCT03782480 | Phase 3 | Mar 2, 2019 | Center for Vulvovaginal Disorders, EndoCeutics Inc. |
| NCT03619005 | Phase 3 | Sep 30, 2018 | AMAG Pharmaceuticals, Inc., EndoCeutics Inc. |
| NCT03568604 | Phase 4 | Aug 7, 2018 | San Diego Sexual Medicine |
| NCT03287232 | Phase 3 | Oct 16, 2017 | EndoCeutics Inc., Maryland Center for Sexual Health |
| NCT02013544 | Phase 3 | Feb 1, 2014 | Eastern Virginia Medical School, EndoCeutics Inc. |
| NCT01535872 | Phase 3 | Feb 1, 2012 | KK Women's and Children's Hospital |
| NCT01376349 | Phase 3 | Jul 1, 2011 | Mayo Clinic, National Cancer Institute (NCI), University of Michigan |
| NCT01129830 | Early Phase 1 (Phase 1) | Jan 1, 2010 | Virginia Center for Reproductive Medicine |
| NCT00948857 | Phase 2/Phase 3 (Phase 3) | Jun 1, 2009 | Center for Human Reproduction |
| NCT00650754 | Phase 2/Phase 3 (Phase 3) | Mar 1, 2008 | Center for Human Reproduction |
| NCT00549081 | N/A | Jan 1, 2008 | Hebrew University, Tel Aviv University |
| NCT00419913 | Phase 2/Phase 3 (Phase 3) | Jan 1, 2007 | Center for Human Reproduction, Foundation for Reproductive Medicine |
| NCT00082511 | Phase 3 | Jul 1, 2003 | Genelabs Technologies |
| NCT00053560 | Phase 3 | Dec 1, 2002 | Genelabs Technologies |
Organizations
Research & Development (25)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| EndoCeutics Inc. | For profit | 5 | 4 | 1 | 2014 |
| AMAG Pharmaceuticals, Inc. | For profit | 3 | 0 | 1 | 2018 |
| Center for Human Reproduction | Academic/Hospital | 3 | 3 | 1 | 2007 |
| Genelabs Technologies | For profit | 3 | 3 | 1 | 1998 |
| Mayo Clinic | Academic/Hospital | 2 | 1 | 2 | 2000 |
| National Cancer Institute (NCI) | Government | 2 | 1 | 2 | 2000 |
| Bayer | For profit | 1 | 1 | 1 | 2002 |
| Center for Vulvovaginal Disorders | Academic/Hospital | 1 | 1 | 1 | 2019 |
| Eastern Virginia Medical School | Academic/Hospital | 1 | 0 | 1 | 2014 |
| Foundation for Reproductive Medicine | Academic/Hospital | 1 | 0 | 1 | 2007 |
| Hebrew University | Academic/Hospital | 1 | 1 | 1 | 2008 |
| Instituto Palacios | Academic/Hospital | 1 | 1 | 1 | 2020 |
| KK Women's and Children's Hospital | Academic/Hospital | 1 | 1 | 1 | 2012 |
| Lee's Pharmaceutical | For profit | 1 | 1 | 1 | 2021 |
| MacDonald Women's Hospital, Cleveland | Academic/Hospital | 1 | 0 | 1 | 2019 |
| Maryland Center for Sexual Health | Academic/Hospital | 1 | 0 | 1 | 2017 |
| Navitas Pharma | For profit | 1 | 0 | 1 | 2002 |
| San Diego Sexual Medicine | Academic/Hospital | 1 | 1 | 1 | 2018 |
| Tel Aviv University | Academic/Hospital | 1 | 0 | 1 | 2008 |
| The Jones Institute | Academic/Hospital | 1 | 0 | 1 | 2019 |
Marketing (4)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| AMAG Pharmaceuticals, Inc. | For profit | NDA2 | Nov 16, 2016 |
| Allergan PLC (2015) | For profit | NDA2 | Nov 16, 2016 |
| EndoCeutics Inc. | For profit | NDA | Nov 16, 2016 |
| Galen | For profit | MKTG | Nov 16, 2016 |