Drug intelligence / Profile preview

ethinyl estradiol + norethindrone (Janssen Pharmaceutical)

Development stage
Phase 3
Lead developer
Janssen Pharmaceutical
Modality
Small Molecules
Administration
Oral
01

Overview

Ortho-Novum 777 is a triphasic oral contraceptive containing the synthetic estrogen ethinyl estradiol and the progestin norethindrone. It is indicated for the prevention of pregnancy. The triphasic regimen involves three distinct phases of hormone concentrations over a 21-day cycle, followed by a 7-day hormone-free interval, designed to mimic the natural menstrual cycle while maintaining contraceptive efficacy. The primary mechanism of action is the suppression of ovulation by inhibiting the release of gonadotropins (FSH and LH) from the pituitary gland. Additionally, it increases cervical mucus viscosity and alters the endometrial lining to further reduce the likelihood of conception and implantation. The drug was notably studied in the SELENA trial (Safety of Estrogens in Lupus Erythematosus - National Assessment) to assess its safety regarding disease flares in women with systemic lupus erythematosus (SLE).

Brand names
Ortho-Novum 777Ortho-Novum777Ortho-Novum-777
Other names
Ortho-Novum 7/7/7norethindrone and ethinyl estradiol (triphasic)
02

Targets

PR (Progesterone receptor)ESR2 (ERβ)ESR1 (ERα)AR (Adrenergic receptors)SHBG (Sex hormone-binding globulin)

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