Drug intelligence / Profile preview

elagolix + estradiol + norethindrone acetate

Development stage
Approved
Lead developer
AbbVie
Modality
Small Molecules
Administration
Oral
01

Overview

Oriahnn is an FDA-approved oral fixed-dose combination prescription drug developed by AbbVie in collaboration with Neurocrine Biosciences. It is indicated for the management of heavy menstrual bleeding associated with uterine leiomyomas (fibroids) in premenopausal women. The combination consists of elagolix (a small-molecule gonadotropin-releasing hormone [GnRH] receptor antagonist), estradiol (an estrogen), and norethindrone acetate (a progestin). Elagolix suppresses ovarian hormone production by antagonizing the GnRH receptor, while the estradiol and norethindrone acetate components serve as 'add-back' therapy to mitigate hypoestrogenic side effects, such as bone mineral density loss and vasomotor symptoms. Due to the risk of irreversible bone loss, treatment with Oriahnn is limited to a maximum duration of 24 months.

Brand names
Oriahnn
Other names
elagolix/estradiol/norethindrone acetateelagolix, estradiol, and norethindrone acetateelagolix sodium + estradiol + norethindrone acetate
02

Targets

ESR1 (ERα)GnRHR (Gonadotropin-releasing hormone receptor)PR (Progesterone receptor)

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