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This is a combination of three drugs: **nesolicaftor (PTI-428)**, an oral CFTR amplifier being investigated as part of combination regimens for cystic fibrosis; **ethinyl estradiol** and **levonorgestrel**, both well-established synthetic hormones used as active ingredients in combined oral contraceptives. Nesolicaftor increases production of functional CFTR protein, aiming to treat cystic fibrosis with F508del mutations. Ethinyl estradiol acts as a synthetic estrogen receptor agonist, while levonorgestrel is a synthetic progestin receptor agonist; together, these inhibit ovulation, alter cervical mucus, and change the endometrial lining to prevent pregnancy. No evidence was identified for clinical use, development, or investigation of this specific triple combination as a single therapy.
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