> Trialight public data. Index of pages: https://trialight.com/llms.txt
> Web page: https://trialight.com/data/asset/levonorgestrel-39655add-4fa8-46e3-b2a3-c0338caf8c0b
> Record changed: 2026-10-13

# Levonorgestrel

Highest phase reached

Approved

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1389)

Drug type

Small molecule

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1389)

First approval year

1982

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1389)

## Development status

**First approval year**

1982

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1389)

**Listing at source**

Listed

**Highest phase reached**

Approved

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1389)

## Names and chemistry

**Drug type**

Small molecule

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1389)

**Drug name**

Levonorgestrel

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1389)

**Molecular weight**

312.45

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1389)

**Structure (SMILES)**

C#C\[C@\]1(O)CC\[C@H\]2\[C@@H\]3CCC4=CC(=O)CC\[C@@H\]4\[C@H\]3CC\[C@@\]21CC

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1389)

### Brand names (122)

- athentia next
- Athentia next
- emerres
- Emerres
- emerres una
- Emerres una
- ezinelle
- Ezinelle
- fallback solo
- Fallback solo
- her style
- Her style
- isteranda
- Isteranda
- jadelle
- Jadelle
- jaydess
- Jaydess
- kyleena
- Kyleena
- levonelle
- Levonelle
- levonelle 2
- levonelle one step
- Levonelle one step

And 97 more, listed on the interactive page.

### Other names (140)

- (-)-13-ETHYL-17-HYDROXY-18,19-DINOR-17.ALPHA.-PREGN-4-EN-20-YN-3-ONE
- 13 ethyl 17 hydroxy 18 19 dinor 17 alpha pregn 4 en 20 yn 3 one
- 150 mcg levonorgestrel 30 mcg ethinyl estradiol
- 18 19 dinorpregn 4 en 20 yn 3 one 13 ethyl 17 hydroxy 17 alpha
- 18,19-DINORPREGN-4-EN-20-YN-3-ONE, 13-ETHYL-17-HYDROXY-, (17.ALPHA.)-(-)-
- afirmelle component levonorgestrel
- AFIRMELLE COMPONENT LEVONORGESTREL
- alesse component levonorgestrel
- ALESSE COMPONENT LEVONORGESTREL
- altavera component levonorgestrel
- ALTAVERA COMPONENT LEVONORGESTREL
- aviane component levonorgestrel
- AVIANE COMPONENT LEVONORGESTREL
- bay86 5028
- BAY86-5028
- ChloraPrep One Step
- ChloraPrep One-Step
- climara pro component levonorgestrel
- CLIMARA PRO COMPONENT LEVONORGESTREL
- elifemme component levonorgestrel
- ELIFEMME COMPONENT LEVONORGESTREL
- enpresse component levonorgestrel
- ENPRESSE COMPONENT LEVONORGESTREL
- implant with levonorgestrel
- IMPLANT WITH LEVONORGESTREL

And 115 more, listed on the interactive page.

## Identifiers

**CAS registry numbers**

- 797-63-7

**ChEMBL ID**

CHEMBL1389

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1389)

**InChIKey**

WWYNJERNGUHSAO-XUDSTZEESA-N

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1389)

**PubChem compound IDs**

- 13109

**RxNorm IDs (RxCUI)**

- 6373

**FDA ingredient codes (UNII)**

- 5W7SIA7YZW

### ATC classification codes (2)

- G03AC03
- G03AD01

Sources for recorded values

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1389)

## Regulatory information

### United States

**Applicant**

BAYER HLTHCARE

**Approval date**

6 Dec 2000

**Application number**

NDA021225

### Other regulatory facts

**Patents**

12

**Designations**

0

**Earliest recorded loss of exclusivity**

7 Sept 2040

**First in class**

No

**Fast track**

No

**Breakthrough designation**

No

**Orphan designation**

No

**Priority review**

No

**Orphan exclusivity**

No

**Accelerated approval**

No

**Availability**

Over the counter

## Pharmacology

### Drug classification

**Pharmacology name**

levonorgestrel

**Type**

Synthetic organic

**Drug name stem**

\-estr-; -gest-

**Approval recorded by Guide to Pharmacology**

Yes

#### Administration routes

- Oral
- Parenteral
- topical

### Mechanisms of action (2)

- **Action**  
Agonist

**Action type**  
Agonist

**Target**  
Progesterone receptor

**Gene symbol**  
PGR

**Protein identifier**  
P06401

**Primary target**  
Yes
- **Mechanism**  
Progesterone receptor agonist

**Action type**  
Agonist

**Target**  
Progesterone receptor

**Protein identifier**  
P06401

### Open Targets mechanisms

- **Mechanism**  
Progesterone receptor agonist

**Action type**  
Agonist

**Target**  
Progesterone receptor

### DrugCentral mechanisms

- **Action type**  
Agonist

**Gene symbol**  
PGR

**Protein identifier**  
P06401

**Organism**  
Homo sapiens

**Target development level**  
Clinical

### Investigated indications (21)

- **Condition**  
Leukemia, Lymphocytic, Chronic, B-Cell

**Highest recorded phase**  
1

**Condition identifier**  
EFO:0000095

**Subject identifier**  
D015451
- **Condition**  
HIV Infections

**Highest recorded phase**  
2

**Condition identifier**  
EFO:0000180

**Subject identifier**  
D015658
- **Condition**  
Diabetes Mellitus

**Highest recorded phase**  
1

**Condition identifier**  
EFO:0000400

**Subject identifier**  
D003920
- **Condition**  
HIV Infections

**Highest recorded phase**  
2

**Condition identifier**  
EFO:0000764

**Subject identifier**  
D015658
- **Condition**  
Endometriosis

**Highest recorded phase**  
3

**Condition identifier**  
EFO:0001065

**Subject identifier**  
D004715
- **Condition**  
Ovarian Neoplasms

**Highest recorded phase**  
2

**Condition identifier**  
EFO:0001075

**Subject identifier**  
D010051
- **Condition**  
Pregnancy

**Highest recorded phase**  
2

**Condition identifier**  
EFO:0002950

**Subject identifier**  
D011247
- **Condition**  
Pain

**Highest recorded phase**  
2

**Condition identifier**  
EFO:0003843

**Subject identifier**  
D010146
- **Condition**  
Hepatitis C, Chronic

**Highest recorded phase**  
1

**Condition identifier**  
EFO:0004220

**Subject identifier**  
D019698
- **Condition**  
Hepatitis B, Chronic

**Highest recorded phase**  
1

**Condition identifier**  
EFO:0004239

**Subject identifier**  
D019694
- **Condition**  
Non-alcoholic Fatty Liver Disease

**Highest recorded phase**  
1

**Condition identifier**  
EFO:1001249

**Subject identifier**  
D065626
- **Condition**  
Endometrial Neoplasms

**Highest recorded phase**  
2

**Condition identifier**  
EFO:1001512

**Subject identifier**  
D016889
- **Condition**  
Adenomyosis

**Highest recorded phase**  
2

**Condition identifier**  
EFO:1001757

**Subject identifier**  
D062788
- **Condition**  
Menorrhagia

**Highest recorded phase**  
4

**Condition identifier**  
HP:0000132

**Subject identifier**  
D008595
- **Condition**  
Bone Diseases, Metabolic

**Highest recorded phase**  
3

**Condition identifier**  
HP:0000938

**Subject identifier**  
D001851
- **Condition**  
Dysmenorrhea

**Highest recorded phase**  
3

**Condition identifier**  
HP:0100607

**Subject identifier**  
D004412
- **Condition**  
Neoplasms

**Highest recorded phase**  
1

**Condition identifier**  
MONDO:0004992

**Subject identifier**  
D009369
- **Condition**  
Diabetes Mellitus, Type 2

**Highest recorded phase**  
1

**Condition identifier**  
MONDO:0005148

**Subject identifier**  
D003924
- **Condition**  
Migraine Disorders

**Highest recorded phase**  
3

**Condition identifier**  
MONDO:0005277

**Subject identifier**  
D008881
- **Condition**  
Anorexia Nervosa

**Highest recorded phase**  
3

**Condition identifier**  
MONDO:0005351

**Subject identifier**  
D000856
- **Condition**  
Hemorrhage

**Highest recorded phase**  
3

**Condition identifier**  
MP:0001914

**Subject identifier**  
D006470

### Open Targets indications (53)

- **Condition identifier**  
EFO\_0000095

**Highest recorded phase**  
1
- **Condition identifier**  
EFO\_0000400

**Highest recorded phase**  
1
- **Condition identifier**  
EFO\_0000545
- **Condition identifier**  
EFO\_0000764

**Highest recorded phase**  
1
- **Condition identifier**  
EFO\_0001065
- **Condition identifier**  
EFO\_0001073
- **Condition identifier**  
EFO\_0001075

**Highest recorded phase**  
2
- **Condition identifier**  
EFO\_0002950
- **Condition identifier**  
EFO\_0002950

**Highest recorded phase**  
2
- **Condition identifier**  
EFO\_0003882
- **Condition identifier**  
EFO\_0005279
- **Condition identifier**  
EFO\_0009520
- **Condition identifier**  
EFO\_0009520

**Highest recorded phase**  
4
- **Condition identifier**  
EFO\_1000235

**Highest recorded phase**  
2
- **Condition identifier**  
EFO\_1000237
- **Condition identifier**  
GO\_0030728

**Highest recorded phase**  
2
- **Condition identifier**  
HP\_0000132
- **Condition identifier**  
HP\_0000132

**Highest recorded phase**  
4
- **Condition identifier**  
HP\_0000789
- **Condition identifier**  
HP\_0000855
- **Condition identifier**  
HP\_0000938

**Highest recorded phase**  
3
- **Condition identifier**  
HP\_0001007

**Highest recorded phase**  
2
- **Condition identifier**  
HP\_0001513

**Highest recorded phase**  
3
- **Condition identifier**  
HP\_0001891
- **Condition identifier**  
HP\_0002018

**Highest recorded phase**  
2

And 28 more, listed on the interactive page.

### Reported adverse events (61)

- **Event**  
abdominal pain

**Reports**  
2,616

**Reporting signal score**  
1,958.2
- **Event**  
abdominal pain lower

**Reports**  
3,135

**Reporting signal score**  
9,437.71
- **Event**  
acne

**Reports**  
471

**Reporting signal score**

568.07
- **Event**  
amenorrhoea

**Reports**  
990

**Reporting signal score**  
2,458.96
- **Event**  
anxiety

**Reports**  
1,501

**Reporting signal score**

798.355
- **Event**  
breast cancer female

**Reports**  
291

**Reporting signal score**

590.548
- **Event**  
breast pain

**Reports**  
259

**Reporting signal score**

441.457
- **Event**  
coital bleeding

**Reports**  
202

**Reporting signal score**

671.769
- **Event**  
contraindicated device used

**Reports**  
126

**Reporting signal score**

481.02
- **Event**  
depression

**Reports**  
1,535

**Reporting signal score**

858.633
- **Event**  
device misuse

**Reports**  
217

**Reporting signal score**

768.645
- **Event**  
device physical property issue

**Reports**  
220

**Reporting signal score**

479.352
- **Event**  
device use issue

**Reports**  
760

**Reporting signal score**  
2,300.04
- **Event**  
diarrhoea

**Reports**  
105

**Reporting signal score**  
1,041.22
- **Event**  
drug hypersensitivity

**Reports**  
20

**Reporting signal score**

585.325
- **Event**  
dysmenorrhoea

**Reports**  
343

**Reporting signal score**

795.683
- **Event**  
dyspareunia

**Reports**  
629

**Reporting signal score**  
2,032.73
- **Event**  
dyspnoea

**Reports**  
213

**Reporting signal score**

653.358
- **Event**  
ectopic pregnancy

**Reports**  
231

**Reporting signal score**

516.162
- **Event**  
ectopic pregnancy with intrauterine device

**Reports**  
198

**Reporting signal score**

758.274
- **Event**  
emotional distress

**Reports**  
1,026

**Reporting signal score**  
2,169.67
- **Event**  
expired device used

**Reports**  
295

**Reporting signal score**  
1,043.33
- **Event**  
fall

**Reports**  
36

**Reporting signal score**

608.091
- **Event**  
genital haemorrhage

**Reports**  
3,828

**Reporting signal score**  
14,516
- **Event**  
haemorrhage in pregnancy

**Reports**  
217

**Reporting signal score**

671.503

And 36 more, listed on the interactive page.

### Trial references (35)

- NCT00117260  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT00117260)
- NCT00196313  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT00196313)
- NCT00196365  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT00196365)
- NCT00909857  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT00909857)
- NCT00254800  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT00254800)
- NCT01508858  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT01508858)
- NCT00360490  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT00360490)
- NCT00393198  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT00393198)
- NCT00966264  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT00966264)
- NCT01165307  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT01165307)
- NCT03642210  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT03642210)
- NCT00445887  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT00445887)
- NCT00482963  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT00482963)
- NCT01789879  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT01789879)
- NCT02159131  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT02159131)
- NCT02722421  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT02722421)
- NCT00781456  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT00781456)
- NCT04007874  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04007874)
- NCT01125488  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT01125488)
- NCT02203331  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT02203331)
- NCT02599077  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT02599077)
- NCT01343771  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT01343771)
- NCT01570244  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT01570244)
- NCT01601366  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT01601366)
- NCT01695902  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT01695902)

And 10 more, listed on the interactive page.

## Chemical properties

**Hydrogen bond acceptors**

2

**Hydrogen bond donors**

1

**Polar surface area**

37.3

**Calculated partition coefficient (ALogP)**

3.88

**Calculated partition coefficient (XLogP)**

3.3

**Prodrug**

No

**Chirality**

Single enantiomer

**Inorganic**

No

**Rule-of-five violations**

0

**Rotatable bonds**

1

**Heavy atoms**

23

**Molecular formula**

C21H28O2

**Monoisotopic mass**

312.208930132

**Natural product**

Yes

## National Drug Codes

- 0023-5858
- 0480-3472
- 40032-622
- 50419-422
- 50419-423
- 50419-424
- 50419-491
- 50742-659
- 68462-637
- 71671-100

## Evidence counts

**Recorded assays**

3,285

**Active assays**

151

### Active assay types (4)

- Confirmatory
- Other
- Screening
- Summary

## Pharmacologic actions

- Contraceptive Agents, Hormonal  
Source: [id.nlm.nih.gov](https://id.nlm.nih.gov/mesh/D000080066.html)
- Contraceptive Agents, Female  
Source: [id.nlm.nih.gov](https://id.nlm.nih.gov/mesh/D003271.html)
- Contraceptives, Oral, Synthetic  
Source: [id.nlm.nih.gov](https://id.nlm.nih.gov/mesh/D003280.html)

## Biological measurements

### Observed measurements

#### Oral bioavailability

**Median**

87

**Mean**

87

**Minimum**

87

**Maximum**

87

**Unit**

%

**Assays**

1

**Standard deviation**

0

**Summary method**

median

**Censored results excluded**

0

**Other units excluded**

0

**Unknown units excluded**

0

#### Measurement types

- F

## Related records

### Trials (212)

- 'Levonorgestrel IUD Insertion After D&E Procedure
- "E4/DRSP Endocrine Function, Metabolic Control and Hemostasis Study"
- A Cross-sectional, Observational Multicenter Study to Assess the Reasons for Choosing the 3-year Hormonal IUD and Level of IUDs Knowledge Among Women Aged 18 to 29 Years
- A Drug Interaction Study of BIIB074 and an Oral Contraceptive Regimen
- A Drug-Drug Interaction Study of MK 8527 With a Combined Oral Contraceptive (LNG/EE)
- A Drug-drug Interaction Trial in Healthy Female Participants to Investigate the Effect of Aprocitentan on Combined Hormonal Contraceptives
- A Multi-center, Open-label, Randomized, Parallel Group Study to Evaluate Pharmacokinetic Profile, Effects on the Mechanisms of Contraceptive Efficacy and Safety of Two Progestin-only Patches Containing Different Doses of Levonorgestrel (LNG)
- A Multicenter Study to Evaluate the Effects of a 91-Day Extended Cycle Oral Contraceptive on Hemostatic Parameters in Healthy Women
- A Multicenter Study to Evaluate the Effects of a 91-day Oral Contraceptive on Bone Mineral Density in Adolescent Females
- A Multicenter Study to Evaluate the Efficacy of a 91-Day Extended Cycle Oral Contraceptive for Menstrually-Related Migraine Headaches
- A Multicenter Study to Evaluate the Safety of Seasonique, an Oral Contraceptive.
- A Pharmacokinetic Evaluation of Levonorgestrel Implant and Antiretroviral Therapy
- A Phase 1 Study to Assess the Effect of ABBV-722 on Ethinyl Estradiol and Levonorgestrel Drug Levels in Healthy Adult Female Participants
- A Phase I Study to Evaluate the PK and PD of a Single Injection of Levonorgestrel Butanoate for Female Contraception
- A Pilot Study of Early Postpartum Intrauterine Contraception
- A Pilot Study on Fertility Conservative Treatment of Atypical Endometrial Hyperplasia in Singapore
- A Postmarketing Open-Label Study to Assess Residual Levonorgestrel (LNG) and Ethinyl Estradiol (EE) Content of TWIRLA® (Levonorgestrel and Ethinyl Estradiol) Transdermal System
- A Research Study Looking at How the Compound NNC0194-0499 Works With Birth Control Pills in Women Not Able to Bear Children.
- A Research Study Looking at How the Compound NNC0487-0111 Works With Birth Control Pills and Affects Emptying of the Stomach in Women Not Able to Become Pregnant
- A Research Study Looking Into the Effect of NNC0519-0130 on Blood Levels of a Birth Control Pill and Emptying of the Stomach in Women After Menopause

### In development for (17)

- Adenomyosis Phase 2
- Anorexia nervosa Phase 3
- [B-cell chronic lymphocytic leukemia](https://trialight.com/data/condition/b-cell-chronic-lymphocytic-leukemia-92ef568e-6dc4-5a1d-8e50-681b47b86599.md) Phase 1
- [Cancer](https://trialight.com/data/condition/cancer-703b1dfc-4812-50eb-83f4-d7a205d16bdb.md) Phase 1
- [Chronic hepatitis B virus infection](https://trialight.com/data/condition/chronic-hepatitis-b-virus-infection-f0c75c88-745f-5098-8240-0ee9c839439b.md) Phase 1
- [Chronic hepatitis C virus infection](https://trialight.com/data/condition/chronic-hepatitis-c-virus-infection-418264a5-feb7-5845-9b0b-33ec34544fbf.md) Phase 1
- [Diabetes mellitus](https://trialight.com/data/condition/diabetes-mellitus-1a0391a8-9f84-5600-a2bf-ec97c2229de4.md) Phase 1
- Dysmenorrhea Phase 3
- [Endometrial carcinoma](https://trialight.com/data/condition/endometrial-carcinoma-d0794a04-ff16-5af6-8fb7-7b3d6bd6c537.md) Phase 2
- [Endometriosis](https://trialight.com/data/condition/endometriosis-3a5471b6-6d24-50b8-b1e6-8803dd78b0db.md) Phase 3
- [HIV infectious disease](https://trialight.com/data/condition/hiv-infectious-disease-1260f28c-d667-55f9-b221-15d5017fde05.md) Phase 2
- Metabolic bone disorder Phase 3
- [Metabolic dysfunction-associated steatohepatitis](https://trialight.com/data/condition/metabolic-dysfunction-associated-steatohepatitis-05fad825-0fff-55c9-8746-0cb406b65c65.md) Phase 1
- [Migraine disorder](https://trialight.com/data/condition/migraine-disorder-0a28e77d-6415-5582-980f-2d0721f95f76.md) Phase 3
- Ovarian carcinoma Phase 2
- Premenstrual tension Phase 3
- [Type 2 diabetes mellitus](https://trialight.com/data/condition/type-2-diabetes-mellitus-98e14a90-bb06-5174-90c7-901a0a259fb9.md) Phase 1

### Other linked conditions (5)

- Endometrial polyp
- Infertility disorder
- [Obesity disorder](https://trialight.com/data/condition/obesity-disorder-f3b57dc0-68ac-555c-8f13-0d81e595d9cb.md)
- Osteoporosis
- Temporomandibular joint disorder

### Targets (1)

- [PGR](https://trialight.com/data/target/pgr-4e536b31-8799-5ace-a427-be36fd8a5f9f.md) Progesterone receptor agonist

---

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