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Ozarelix is a synthetic, highly modified fourth-generation linear decapeptide that acts as a gonadotropin-releasing hormone (GnRH) antagonist. It competitively binds to and blocks the GnRH receptor in the anterior pituitary gland, leading to rapid inhibition of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) secretion. In males, this results in decreased testosterone production, which can be beneficial for treating hormonally dependent diseases such as prostate cancer and benign prostatic hyperplasia (BPH). Ozarelix was developed as a long-lasting injectable formulation primarily for prostate cancer but was also investigated for BPH, endometriosis, Alzheimer's disease, and ovarian cancer. Development has been discontinued or terminated for most indications[1][2][3][4][5].
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