Details
| Stereochemistry | ABSOLUTE |
| Molecular Formula | C23H30O4 |
| Molecular Weight | 370.4819 |
| Optical Activity | UNSPECIFIED |
| Defined Stereocenters | 6 / 6 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
CC(=O)O[C@]1(C(C)=O)C(=C)C[C@H]2[C@@H]3CCC4=CC(=O)CC[C@@H]4[C@H]3CC[C@]12C
InChI
InChIKey=CKFBRGLGTWAVLG-GOMYTPFNSA-N
InChI=1S/C23H30O4/c1-13-11-21-20-7-5-16-12-17(26)6-8-18(16)19(20)9-10-22(21,4)23(13,14(2)24)27-15(3)25/h12,18-21H,1,5-11H2,2-4H3/t18-,19+,20+,21-,22-,23-/m0/s1
| Molecular Formula | C23H30O4 |
| Molecular Weight | 370.4819 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ABSOLUTE |
| Additional Stereochemistry | No |
| Defined Stereocenters | 6 / 6 |
| E/Z Centers | 0 |
| Optical Activity | UNSPECIFIED |
Segesterone acetate (elcometrine), a progestin, is sold in combination with ethinyl estradiol under the brand name Annovera. Annovera is indicated for use by females of reproductive potential to prevent pregnancy. Segesterone acetate acts as an agonist of the progesterone receptor and it doesn’t possess estrogenic, androgenic, antiandrogenic, or antimineralocorticoid activity.
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: P06401 Gene ID: 5241.0 Gene Symbol: PGR Target Organism: Homo sapiens (Human) Sources: https://www.ncbi.nlm.nih.gov/pubmed/11108869 |
56.0 nM [EC50] | ||
Target ID: CHEMBL208 Sources: https://www.ncbi.nlm.nih.gov/pubmed/11108869 |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | Unknown Approved UseUnknown |
|||
| Preventing | ELMETRIN Approved UseUnknown |
|||
| Preventing | ANNOVERA Approved Useis indicated for use by females of reproductive potential to prevent pregnancy Launch Date2018 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
942.9 pg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/29409834/ |
200 μg 1 times / day steady-state, vaginal dose: 200 μg route of administration: Vaginal experiment type: STEADY-STATE co-administered: ESTRADIOL |
SEGESTERONE ACETATE serum | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: UNKNOWN |
|
1147 pg/mL |
0.15 mg 1 times / day steady-state, vaginal dose: 0.15 mg route of administration: Vaginal experiment type: STEADY-STATE co-administered: ETHINYL ESTRADIOL |
SEGESTERONE ACETATE serum | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: UNKNOWN |
|
294 pg/mL |
0.15 mg 1 times / day steady-state, vaginal dose: 0.15 mg route of administration: Vaginal experiment type: STEADY-STATE co-administered: ETHINYL ESTRADIOL |
SEGESTERONE ACETATE serum | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: UNKNOWN |
|
875 pg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/6509989/ |
22 mg single, vaginal dose: 22 mg route of administration: Vaginal experiment type: SINGLE co-administered: |
SEGESTERONE ACETATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: UNKNOWN |
|
0.423 nM EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8131396/ |
100 μg single, oral dose: 100 μg route of administration: Oral experiment type: SINGLE co-administered: |
SEGESTERONE ACETATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
38685.7 pg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/29409834/ |
200 μg 1 times / day steady-state, vaginal dose: 200 μg route of administration: Vaginal experiment type: STEADY-STATE co-administered: ESTRADIOL |
SEGESTERONE ACETATE serum | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: UNKNOWN |
|
15 ng × h/mL |
0.15 mg 1 times / day steady-state, vaginal dose: 0.15 mg route of administration: Vaginal experiment type: STEADY-STATE co-administered: ETHINYL ESTRADIOL |
SEGESTERONE ACETATE serum | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: UNKNOWN |
|
3.9 ng × h/mL |
0.15 mg 1 times / day steady-state, vaginal dose: 0.15 mg route of administration: Vaginal experiment type: STEADY-STATE co-administered: ETHINYL ESTRADIOL |
SEGESTERONE ACETATE serum | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: UNKNOWN |
|
323 nM × min EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8131396/ |
100 μg single, intravenous dose: 100 μg route of administration: Intravenous experiment type: SINGLE co-administered: |
SEGESTERONE ACETATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: UNKNOWN |
|
26 nM × min EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8131396/ |
100 μg single, oral dose: 100 μg route of administration: Oral experiment type: SINGLE co-administered: |
SEGESTERONE ACETATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
4.5 h |
0.15 mg 1 times / day steady-state, vaginal dose: 0.15 mg route of administration: Vaginal experiment type: STEADY-STATE co-administered: ETHINYL ESTRADIOL |
SEGESTERONE ACETATE serum | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: UNKNOWN |
|
4.5 h |
0.15 mg 1 times / day steady-state, vaginal dose: 0.15 mg route of administration: Vaginal experiment type: STEADY-STATE co-administered: ETHINYL ESTRADIOL |
SEGESTERONE ACETATE serum | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: UNKNOWN |
|
11.25 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/6509989/ |
22 mg single, vaginal dose: 22 mg route of administration: Vaginal experiment type: SINGLE co-administered: |
SEGESTERONE ACETATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: UNKNOWN |
|
158 min EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8131396/ |
100 μg single, intravenous dose: 100 μg route of administration: Intravenous experiment type: SINGLE co-administered: |
SEGESTERONE ACETATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: UNKNOWN |
|
60 min EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8131396/ |
100 μg single, oral dose: 100 μg route of administration: Oral experiment type: SINGLE co-administered: |
SEGESTERONE ACETATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
5% |
0.15 mg 1 times / day steady-state, vaginal dose: 0.15 mg route of administration: Vaginal experiment type: STEADY-STATE co-administered: ETHINYL ESTRADIOL |
SEGESTERONE ACETATE serum | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: UNKNOWN |
|
5% |
0.15 mg 1 times / day steady-state, vaginal dose: 0.15 mg route of administration: Vaginal experiment type: STEADY-STATE co-administered: ETHINYL ESTRADIOL |
SEGESTERONE ACETATE serum | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: UNKNOWN |
|
13% EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2272183/ |
SEGESTERONE ACETATE serum | Homo sapiens |
Doses
| Dose | Population | Adverse events |
|---|---|---|
0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
Disc. AE: Menometrorrhagia, Migraine headache... Other AEs: Migraine headache, Nausea and vomiting... AEs leading to discontinuation/dose reduction: Menometrorrhagia (1.7%) Other AEs:Migraine headache (1.3%) Vulvovaginal mycotic infection (1.3%) Nausea and vomiting (1.2%) Uterine myoma expulsion (1.4%) Migraine headache (38.6%) Sources: Nausea and vomiting (25%) Vulvovaginal mycotic infection (14.5%) Abdominal pain lower (13.3%) Dysmenorrhea (12.5%) Vaginal discharge (11.8%) Genitourinary tract infection (10%) Breast discomfort (9.5%) Disorder menstrual (7.5%) Diarrhea (7.2%) Pruritus genital (5.5%) Thrombosis NOS (>= 2 patients) Psychiatric disorder NOS (>= 2 patients) Drug hypersensitivity (>= 2 patients) Abortions spontaneous (>= 2 patients) |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Nausea and vomiting | 1.2% Disc. AE |
0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
| Migraine headache | 1.3% Disc. AE |
0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
| Vulvovaginal mycotic infection | 1.3% Disc. AE |
0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
| Uterine myoma expulsion | 1.4% Disc. AE |
0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
| Menometrorrhagia | 1.7% Disc. AE |
0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
| Genitourinary tract infection | 10% | 0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
| Vaginal discharge | 11.8% | 0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
| Dysmenorrhea | 12.5% | 0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
| Abdominal pain lower | 13.3% | 0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
| Vulvovaginal mycotic infection | 14.5% | 0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
| Nausea and vomiting | 25% | 0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
| Migraine headache | 38.6% | 0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
| Pruritus genital | 5.5% | 0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
| Diarrhea | 7.2% | 0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
| Disorder menstrual | 7.5% | 0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
| Breast discomfort | 9.5% | 0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
| Abortions spontaneous | >= 2 patients | 0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
| Drug hypersensitivity | >= 2 patients | 0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
| Psychiatric disorder NOS | >= 2 patients | 0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
| Thrombosis NOS | >= 2 patients | 0.15 mg 1 times / day multiple, vaginal Recommended Dose: 0.15 mg, 1 times / day Route: vaginal Route: multiple Dose: 0.15 mg, 1 times / day Sources: |
healthy, 18 - 40 years Health Status: healthy Age Group: 18 - 40 years Sex: F Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| unlikely | ||||
| unlikely | ||||
| unlikely | ||||
| unlikely | ||||
| unlikely | ||||
| unlikely | ||||
| unlikely | ||||
| unlikely | ||||
| unlikely | ||||
| unlikely | ||||
| unlikely | ||||
| unlikely | ||||
| unlikely | ||||
| unlikely | ||||
| unlikely | ||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/209627Orig1s000MultidisciplineR.pdf#page=70 Page: 227.0 |
unlikely |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| yes |
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
PubMed
| Title | Date | PubMed |
|---|---|---|
| Relative progestational and androgenic activity of four progestins used for male hormonal contraception assessed in vitro in relation to their ability to suppress LH secretion in the castrate male rat. | 2010-10-26 |
|
| Comparison of the impact of vaginal and oral administration of combined hormonal contraceptives on hepatic proteins sensitive to estrogen. | 2007-06 |
|
| Subdermal progestin implant (Nestorone) in the treatment of endometriosis: clinical response to various doses. | 2003-02 |
|
| Nestorone: a progestin with a unique pharmacological profile. | 2000-12-08 |
|
| Use of a single implant of elcometrine (ST-1435), a nonorally active progestin, as a long acting contraceptive for postpartum nursing women. | 1999-02 |
Patents
Sample Use Guides
Elcometrine is delivered within a single subdermal capsule of medical grade polydimethylsiloxane, containing 50 mg of elcometrine. In clinical trials, administration by a vaginal ring was investigated (150 mg of Nestorone and 15 mg of ethinyl estradiol). The development of transdermal gel containing elcometrine is also reported.
Route of Administration:
Other
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/11108869
Female Sprague–Dawley rats were ovariectomized and 1 week later, injected daily for 3 days with 1 mg 17 b-estradiol (E2) to induce synthesis of PR. The animals were killed on day 4, uteri were collected over dry ice and homogenized. Aliquot of cytosol were incubated overnight at 4°C in glass tubes with [3H]promegestone with or without cold nestorone at different concentrations. The bound and free radioactivity was separated by the dextran-charcoal method.
| Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 17:52:24 GMT 2025
by
admin
on
Mon Mar 31 17:52:24 GMT 2025
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| Record UNII |
9AMX4Q13CC
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| Record Status |
Validated (UNII)
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| Record Version |
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| Classification Tree | Code System | Code | ||
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NCI_THESAURUS |
C776
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C152316
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DB14583
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DE-09
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Segesterone acetate
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9AMX4Q13CC
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CHEMBL3707377
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m4856
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2055977
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7759-35-5
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DTXSID70998804
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108059
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3175
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300000034700
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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BINDER->LIGAND |
BINDING
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TARGET -> AGONIST |
EC50
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TARGET -> AGONIST |
EC50
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METABOLIC ENZYME -> SUBSTRATE |
MAJOR
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TARGET->ANALOGUE |
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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METABOLITE -> PARENT | |||
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METABOLITE INACTIVE -> PARENT | |||
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METABOLITE INACTIVE -> PARENT | |||
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METABOLITE -> PARENT | |||
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METABOLITE -> PARENT |
| Related Record | Type | Details | ||
|---|---|---|---|---|
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ACTIVE MOIETY |
| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
|---|---|---|---|---|---|---|
| Volume of Distribution | PHARMACOKINETIC |
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| Tmax | PHARMACOKINETIC |
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| Biological Half-life | PHARMACOKINETIC |
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