Levonorgestrel
Athentia Next, Balcoltra, Climara, Fallback Solo, Her Style, Kyleena, Liletta, Loseasonique, Mirena, One-step, Quartette, Seasonale, Seasonique, Skyla, Twirla, Tyblume (levonorgestrel) is a small molecule pharmaceutical. Levonorgestrel was first approved as Nordette-21 on 1982-05-10. The pharmaceutical is active against progesterone receptor.
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Trade Name
FDA
EMA
Athentia next, Fallback solo, Her style, Kyleena, Liletta, Mirena, Opcicon one-step, Plan b one-step, Skyla (generic drugs available since 1993-12-13, discontinued: Jadelle, Norplant, Norplant system, Plan b)
CombinationsBalcoltra, Climara, Loseasonique, Quartette, Seasonale, Seasonique, Twirla, Tyblume (generic drugs available since 1993-12-13, discontinued: Alesse, Aviane, Cerinta, Elifemme, Enpresse, Fayosim, Lessina, Levlite, Levora, Lybrel, Nordette, Orsythia, Portia, Preven emergency contraceptive, Sylevia, Triphasil, Trivora)
Drug Products
FDA
EMA
New Drug Application (NDA)
New Drug Application (NDA)
Abbreviated New Drug Application (ANDA)
Abbreviated New Drug Application (ANDA)
Estradiol
+
Levonorgestrel
Tradename | Company | Number | Date | Products |
---|---|---|---|---|
CLIMARA PRO | Bayer | N-021258 RX | 2003-11-21 | 1 products, RLD, RS |
Ethinyl estradiol
+
Levonorgestrel
Tradename | Company | Number | Date | Products |
---|---|---|---|---|
TWIRLA | Agile Therapeutics | N-204017 RX | 2020-02-14 | 1 products, RLD, RS |
BALCOLTRA | Avion Pharmaceuticals | N-208612 RX | 2018-01-09 | 1 products, RLD, RS |
TYBLUME | Exeltis | N-209405 RX | 2020-03-30 | 1 products, RLD, RS |
SEASONALE | Teva | N-021544 RX | 2003-09-05 | 1 products, RLD, RS |
SEASONIQUE | Teva | N-021840 RX | 2006-05-25 | 1 products, RLD, RS |
LOSEASONIQUE | Teva | N-022262 RX | 2008-10-24 | 1 products |
QUARTETTE | Teva | N-204061 RX | 2013-03-28 | 1 products, RLD, RS |
Show 8 discontinued
Levonorgestrel
Tradename | Company | Number | Date | Products |
---|---|---|---|---|
MIRENA | Bayer | N-021225 RX | 2000-12-06 | 1 products, RLD, RS |
SKYLA | Bayer | N-203159 RX | 2013-01-09 | 1 products, RLD, RS |
KYLEENA | Bayer | N-208224 RX | 2016-09-16 | 1 products, RLD, RS |
PLAN B ONE-STEP | Foundation Consumer Healthcare | N-021998 OTC | 2009-07-10 | 1 products, RLD, RS |
LILETTA | Medicines360 | N-206229 RX | 2015-02-26 | 1 products, RLD, RS |
Show 5 discontinued
Labels
FDA
EMA
Brand Name | Status | Last Update |
---|---|---|
afirmelle | ANDA | 2021-12-06 |
altavera | ANDA | 2023-03-02 |
ashlyna | ANDA | 2021-05-31 |
athentia next | ANDA | 2019-09-23 |
aviane | ANDA | 2022-11-15 |
ayuna | ANDA | 2021-11-26 |
balcoltra | New Drug Application | 2019-12-10 |
climara pro | New Drug Application | 2023-03-29 |
daysee | ANDA | 2019-11-27 |
dolishale | ANDA | 2021-01-03 |
Show 32 more
Indications
FDA
EMA
No data
Agency Specific
FDA
EMA
Expiration | Code | ||
---|---|---|---|
LEVONORGESTREL, MIRENA, BAYER HLTHCARE | |||
2023-08-20 | D-181 | ||
ETHINYL ESTRADIOL / LEVONORGESTREL, TYBLUME, EXELTIS USA INC | |||
2023-03-30 | NDF | ||
ETHINYL ESTRADIOL / LEVONORGESTREL, TWIRLA, AGILE | |||
2023-02-14 | NP |
Patent Expiration
Patent | Expires | Flag | FDA Information |
---|---|---|---|
Levonorgestrel, Liletta, Medicines360 | |||
11571328 | 2040-09-07 | DP | |
10028858 | 2034-03-22 | DP | U-2348 |
11090186 | 2033-10-24 | U-2348 | |
Levonorgestrel, Kyleena, Bayer Hlthcare | |||
9668912 | 2031-04-01 | DP | |
10987244 | 2031-04-01 | DP | |
9615965 | 2029-09-16 | DP | U-2003 |
10561524 | 2029-09-16 | U-2948 | |
7252839 | 2023-11-13 | DP | |
Ethinyl Estradiol / Levonorgestrel, Quartette, Teva Branded Pharm | |||
8415332 | 2029-03-11 | DP | |
8450299 | 2025-10-07 | U-1 | |
Ethinyl Estradiol / Levonorgestrel, Loseasonique, Teva Branded Pharm | |||
7855190 | 2028-12-05 | U-1 | |
7858605 | 2023-06-23 | DP | |
7615545 | 2023-06-15 | U-1 | |
Ethinyl Estradiol / Levonorgestrel, Twirla, Agile | |||
8246978 | 2028-08-26 | DP | |
8747888 | 2028-07-10 | DP | |
9050348 | 2028-07-10 | DP | |
Ethinyl Estradiol / Levonorgestrel, Balcoltra, Avion Pharms | |||
7838042 | 2027-06-01 | DP | U-3251 |
Ethinyl Estradiol / Levonorgestrel, Seasonique, Teva Branded Pharm | |||
7320969 | 2024-01-30 | U-828 |
ATC Codes
G: Genito urinary system and sex hormones
— G03: Sex hormones and modulators of the genital system
— G03A: Hormonal contraceptives for systemic use
— G03AA: Progestogens and estrogen systemic contraceptives, fixed combinations
— G03AA07: Levonorgestrel and ethinylestradiol
— G03AB: Progestogens and estrogens systemic contraceptives, sequential preparations
— G03AB03: Levonorgestrel and ethinylestradiol
— G03AC: Progestogen systemic hormonal contraceptives
— G03AC03: Levonorgestrel
— G03AD: Emergency contraceptive drugs
— G03AD01: Levonorgestrel
— G03F: Progestogens and estrogens in combination
— G03FA: Progestogens and estrogens, fixed combinations
— G03FA11: Levonorgestrel and estrogen
— G03FB: Progestogens and estrogens, sequential preparations
— G03FB09: Levonorgestrel and estrogen
HCPCS
Code | Description |
---|---|
J7296 | Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg |
J7297 | Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
J7301 | Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg |
J7306 | Levonorgestrel (contraceptive) implant system, including implants and supplies |
S4981 | Insertion of levonorgestrel-releasing intrauterine system |
Clinical
Clinical Trials
742 clinical trials
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Indications Phases 4
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Contraception | D003267 | 17 | 15 | 28 | 30 | 26 | 115 | ||
Menopause | D008593 | EFO_0003922 | N95 | 9 | 7 | 12 | 14 | 6 | 46 |
Infertility | D007246 | EFO_0000545 | 2 | 2 | 4 | 12 | 20 | 39 | |
Healthy volunteers/patients | — | 31 | 6 | 2 | 2 | 1 | 38 | ||
Breast neoplasms | D001943 | EFO_0003869 | C50 | 1 | 12 | 2 | 1 | 6 | 21 |
Endometriosis | D004715 | EFO_0001065 | N80 | 1 | 4 | 8 | 5 | 2 | 19 |
Endometrial hyperplasia | D004714 | N85.0 | — | 11 | 7 | 2 | 3 | 18 | |
Hot flashes | D019584 | — | 3 | 8 | 3 | 3 | 17 | ||
Polycystic ovary syndrome | D011085 | EFO_0000660 | E28.2 | 3 | — | — | 6 | 7 | 16 |
Menorrhagia | D008595 | N92.0 | — | — | 9 | 3 | 4 | 16 |
Show 74 more
Indications Phases 3
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Endometrial neoplasms | D016889 | EFO_0004230 | — | 6 | 3 | — | 1 | 8 | |
Adenomyosis | D062788 | EFO_1001757 | N80.0 | — | — | 1 | — | 6 | 7 |
Prostatic neoplasms | D011471 | C61 | — | 5 | 2 | — | — | 6 | |
Premenstrual syndrome | D011293 | N94.3 | 1 | 1 | 3 | — | 1 | 6 | |
Anorexia nervosa | D000856 | EFO_0004215 | F50.0 | 2 | 2 | 1 | — | — | 5 |
Schizophrenia | D012559 | EFO_0000692 | F20 | — | 3 | 2 | — | — | 5 |
Migraine disorders | D008881 | EFO_0003821 | G43 | 1 | 3 | 2 | — | — | 5 |
Hypertension | D006973 | EFO_0000537 | I10 | — | 2 | 1 | — | — | 3 |
Metabolic bone diseases | D001851 | HP_0000938 | — | 1 | 2 | — | — | 3 | |
Atrophy | D001284 | — | 2 | 1 | — | — | 3 |
Show 18 more
Indications Phases 2
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Covid-19 | D000086382 | U07.1 | — | 3 | — | — | — | 3 | |
Ovulation inhibition | D034445 | 1 | 2 | — | — | — | 3 | ||
Hemostasis | D006487 | — | 2 | — | — | — | 2 | ||
Neoplasms | D009369 | C80 | 1 | 1 | — | — | — | 2 | |
Endometrioid carcinoma | D018269 | — | 2 | — | — | — | 2 | ||
Feeding and eating disorders | D001068 | F50 | — | 2 | — | — | — | 2 | |
Bulimia nervosa | D052018 | EFO_0005204 | F50.2 | — | 2 | — | — | — | 2 |
Temporomandibular joint disorders | D013705 | M26.6 | — | 1 | — | — | 1 | 2 | |
Fibromyalgia | D005356 | EFO_0005687 | M79.1 | — | 1 | — | — | 1 | 2 |
Tuberculosis | D014376 | EFO_0000774 | A15-A19 | — | 1 | — | — | — | 1 |
Show 26 more
Indications Phases 1
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Therapeutic equivalency | D013810 | 10 | — | — | — | 1 | 11 | ||
Pharmacokinetics | D010599 | 6 | — | — | — | — | 6 | ||
Drug interactions | D004347 | 3 | — | — | — | 2 | 5 | ||
Type 2 diabetes mellitus | D003924 | EFO_0001360 | E11 | 3 | — | — | — | 1 | 4 |
Type 1 diabetes mellitus | D003922 | EFO_0001359 | E10 | 1 | — | — | — | 1 | 2 |
Hepatitis c | D006526 | B19.2 | 2 | — | — | — | — | 2 | |
Systemic lupus erythematosus | D008180 | EFO_0002690 | M32 | 1 | — | — | — | 1 | 2 |
Infections | D007239 | EFO_0000544 | 1 | — | — | — | — | 1 | |
Transgenes | D019076 | 1 | — | — | — | — | 1 | ||
Cerebral arterial diseases | D002539 | EFO_1000859 | 1 | — | — | — | — | 1 |
Show 12 more
Indications Without Phase
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Pregnancy | D011247 | EFO_0002950 | Z33.1 | — | — | — | — | 4 | 4 |
Heart failure | D006333 | EFO_0003144 | I50 | — | — | — | — | 3 | 3 |
Psychological sexual dysfunctions | D020018 | F52.0 | — | — | — | — | 2 | 2 | |
Pregnancy rate | D018873 | — | — | — | — | 2 | 2 | ||
Hormonal contraception | D000080282 | — | — | — | — | 2 | 2 | ||
Heart disease risk factors | D000082742 | — | — | — | — | 1 | 1 | ||
Premature menopause | D008594 | HP_0008209 | E28.31 | — | — | — | — | 1 | 1 |
Blood coagulation disorders | D001778 | EFO_0009314 | D68.9 | — | — | — | — | 1 | 1 |
Breast density | D000071060 | — | — | — | — | 1 | 1 | ||
Cognitive dysfunction | D060825 | G31.84 | — | — | — | — | 1 | 1 |
Show 26 more
Epidemiology
Epidemiological information for investigational and approved indications
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Drug
General
Drug common name | LEVONORGESTREL |
INN | levonorgestrel |
Description | Norgestrel, sold under the brand name Ovral among others, is a progestin medication which is used in birth control pills and in menopausal hormone therapy. It is available both in combination with an estrogen and alone. It is taken by mouth.
|
Classification | Small molecule |
Drug class | estrogens; progestins |
Image (chem structure or protein) | |
Structure (InChI/SMILES or Protein Sequence) | C#C[C@]1(O)CC[C@H]2[C@@H]3CCC4=CC(=O)CC[C@@H]4[C@H]3CC[C@@]21CC |
Identifiers
PDB | — |
CAS-ID | 6533-00-2 |
RxCUI | — |
ChEMBL ID | CHEMBL1389 |
ChEBI ID | 6443 |
PubChem CID | 16051930 |
DrugBank | DB00367 |
UNII ID | 5W7SIA7YZW (ChemIDplus, GSRS) |
Target
Variants
Clinical Variant
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Financial
Liletta - Allergan
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Liletta - Warner Chilcott
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Trends
PubMed Central
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Additional graphs summarizing 12,544 documents
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Safety
Black-box Warning
Black-box warning for: Altavera, Ashlyna, Ayuna, Balcoltra, Climara pro, Daysee
, Fayosim
, Iclevia, Introvale, Jaimiess, Kurvelo
, Levora, Lo simpesse, Loseasonique, Marlissa, Myzilra, Portia, Quartette, Rivelsa, Seasonique, Setlakin
, Twirla, Tyblume
Adverse Events
Top Adverse Reactions
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29,262 adverse events reported
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