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Last Updated: March 20, 2025

CLINICAL TRIALS PROFILE FOR DEPO-ESTRADIOL


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505(b)(2) Clinical Trials for Depo-estradiol

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Formulation NCT00649896 ↗ Evaluation of Adhesion Quality of a New Formulation of the Mylan Estradiol Transdermal System 0.025 mg/Day and Climara® Transdermal System 0.025 mg/Day Completed Mylan Pharmaceuticals Phase 1 2003-08-01 The primary objective of this study was to compare the adhesive quality of a new formulation of the Mylan Estradiol Transdermal System with that of Climara® Transdermal System following a single system application in 80 healthy postmenopausal female volunteers. As a secondary objective, primary dermal irritation was assessed after removal of each transdermal system.
New Formulation NCT02253173 ↗ Estradiol Vaginal Softgel Capsules in Treating Symptoms of Vulvar and Vaginal Atrophy in Postmenopausal Women Completed TherapeuticsMD Phase 3 2014-09-01 This study will assess the safety and efficacy of a new formulation of vaginal estradiol for the treatment of symptoms of vulvar and vaginal atrophy in postmenopausal women.
OTC NCT02516202 ↗ The Vaginal Health Trial Completed Group Health Cooperative Phase 3 2016-04-01 This is a new application from the Menopause Strategies: Finding Lasting Answers for Symptoms and Health (MsFLASH) Clinical Trials network. Here we propose to conduct a large multicenter trial comparing two common treatments, a vaginal hormone tablet and an over-the-counter gel, with placebo to evaluate their effects on bothersome vaginal symptoms and sexual function, and to create a biorepository of specimens for future translational, mechanistic research on the etiology of vaginal symptoms.
OTC NCT02516202 ↗ The Vaginal Health Trial Completed Kaiser Permanente Phase 3 2016-04-01 This is a new application from the Menopause Strategies: Finding Lasting Answers for Symptoms and Health (MsFLASH) Clinical Trials network. Here we propose to conduct a large multicenter trial comparing two common treatments, a vaginal hormone tablet and an over-the-counter gel, with placebo to evaluate their effects on bothersome vaginal symptoms and sexual function, and to create a biorepository of specimens for future translational, mechanistic research on the etiology of vaginal symptoms.
OTC NCT02516202 ↗ The Vaginal Health Trial Completed Massachusetts General Hospital Phase 3 2016-04-01 This is a new application from the Menopause Strategies: Finding Lasting Answers for Symptoms and Health (MsFLASH) Clinical Trials network. Here we propose to conduct a large multicenter trial comparing two common treatments, a vaginal hormone tablet and an over-the-counter gel, with placebo to evaluate their effects on bothersome vaginal symptoms and sexual function, and to create a biorepository of specimens for future translational, mechanistic research on the etiology of vaginal symptoms.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for Depo-estradiol

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000559 ↗ Women's Estrogen/Progestin Lipid Lowering Hormone Atherosclerosis Regression Trial (WELL-HART) Completed National Heart, Lung, and Blood Institute (NHLBI) Phase 3 1995-03-01 To determine the effects, in postmenopausal women, of hormone replacement therapy on progression/regression of coronary heart disease, as measured by quantitative angiography.
NCT00000897 ↗ A Study to Evaluate the Effects of Different Methods of Birth Control on the Drug Actions of Zidovudine (an Anti-HIV Drug) in HIV-Positive Women and to Compare Zidovudine Metabolism in Men and Women Completed National Institute of Allergy and Infectious Diseases (NIAID) N/A 1969-12-31 The purpose of this study is to look at the effects of different methods of birth control (oral and injectable) on how the body absorbs, makes available, and removes zidovudine (ZDV). This study will also evaluate the differences in men and women in how the body absorbs, makes available, and removes ZDV. Past research has shown that the effectiveness of ZDV as an anti-HIV drug might be decreased in individuals who use certain methods of birth control. ZDV may also have different effects in men compared to women.
NCT00001202 ↗ Treatment of Boys With Precocious Puberty Completed Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Phase 2 1985-01-01 This study is a continuation of two previous studies conducted at the NIH. The first study , "Treatment of True Precocious Puberty with a Long-Acting Lutenizing Hormone Releasing Hormone Analog (D-Trp(6)-Pro(9)-Net-LHRH)" had less than optimal results. Some patients, all of whom were diagnosed with familial isosexual precocious puberty, had an inadequate response to the medication and were observed to have high levels of testosterone, advanced bone aging, and other complications of the disease. As a result these patients were enrolled in a second study In the second study, "Spironolactone Treatment for Boys with Familial Isosexual Precocious Puberty", - the patients received another medication, spironolactone (Aldactone). The drug blocked the effects of testosterone, -but bone age advancement did not improve. Some patients began experiencing gynecomastia (an abnormal growth of the male breasts). Researchers believe these may be the effects of elevated levels of estrodiol (a form of the female hormone, estrogen). In the present study, testolactone is added to the drug regimen to block the production of estrogen. The study therefore uses spironolactone to prevent the action of the male hormones (androgen) and testolactone to block the production of female hormones (estrogen). Deslorelin, an LHRH analog which works by turning off true (central) puberty, is added to the drug regimen once true puberty begins. This is because it is know that boys with familial male precocious puberty go into true puberty too early (despite treatment with spironolactone and testolactone), and when that happens, the spironolactone and testolactone are no longer as effective. The goal of the treatment is to delay sexual development until a more appropriate age and prevent short adult stature (height).
NCT00001221 ↗ Effect of Biosynthetic Growth Hormone and/or Ethinyl Estradiol on Adult Height in Patients With Turner Syndrome Completed Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Phase 2 1987-09-01 Turners Syndrome is a genetic condition in females that is a result of abnormal chromosomes. Girls with Turner syndrome are very short as children and as adults. Although their growth hormone secretion is almost always normal, giving injections of growth hormone to Turner syndrome girls may increase their rate of growth. In addition, most girls with Turner syndrome do not have normal ovaries. In normal girls the ovaries begin producing small amounts of the female sex hormone, estrogen at about 11 - 12 years of age. As girls grow older the level of estrogen increases. Estrogen is responsible for the changes in girls known as feminization. During feminization the hips grow wider, the breasts develop, there is an increase in the rate of growth, and eventually girls experience their first menstrual period. This study was designed to evaluate the effect of low dose estrogen, growth hormone, and the combination of low dose estrogen and growth hormone on adult height in girls with Turner syndrome. Patients will be entered into the study from ages 5 to 12 and will be randomly placed into one of four groups. 1. Group one will receive low dose estrogen 2. Group two will receive growth hormone 3. Group three will receive both low dose estrogen and growth hormone 4. Group four will receive a placebo "sugar pill" Once started, the treatment will continue until the patients approach their adult height, and growth slows to less than 1/2 inch over the preceding year. This usually occurs by the age of 15 or 16. Patients will be seen at the outpatient clinic every 6 months during the study and will receive a routine check-up with blood and urine tests, and hand/wrist X-rays to determine bone age. On patient's yearly visits they will have the density of bone measured in their spine and forearm.
NCT00001259 ↗ A Treatment Study for Premenstrual Syndrome (PMS) Completed National Institute of Mental Health (NIMH) Phase 1 1992-08-11 This study examines the effects of estrogen and progesterone on mood, the stress response, and brain function and behavior in women with premenstrual syndrome. Previously this study has demonstrated leuprolide acetate (Lupron (Registered Trademark)) to be an effective treatment for PMS. The current purpose of this study is to evaluate how low levels of estrogen and progesterone (that occur during treatment with leuprolide acetate) compare to menstrual cycle levels of estrogen and progesterone (given during individual months of hormone add-back) on a variety of physiologic measures (brain imaging, stress testing, etc.) in women with PMS. PMS is a condition characterized by changes in mood and behavior that occur during the second phase of the normal menstrual cycle (luteal phase). This study will investigate possible hormonal causes of PMS by temporarily stopping the menstrual cycle with leuprolide acetate and then giving, in sequence, the menstrual cycle hormones progesterone and estrogen. The results of these hormonal studies will be compared between women with PMS and healthy volunteers without PMS (see also protocol 92-M-0174). At study entry, participants will undergo a physical examination. Blood, urine, and pregnancy tests will be performed. Cognitive functioning and stress response will be evaluated during the study along with brain imaging and genetic studies.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Depo-estradiol

Condition Name

Condition Name for Depo-estradiol
Intervention Trials
Infertility 90
Contraception 80
Menopause 59
Breast Cancer 57
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Condition MeSH

Condition MeSH for Depo-estradiol
Intervention Trials
Infertility 126
Breast Neoplasms 97
Atrophy 35
Syndrome 35
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Clinical Trial Locations for Depo-estradiol

Trials by Country

Trials by Country for Depo-estradiol
Location Trials
Germany 77
China 75
Canada 61
Poland 55
Egypt 54
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Trials by US State

Trials by US State for Depo-estradiol
Location Trials
California 109
Florida 91
Texas 83
New York 77
Illinois 76
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Clinical Trial Progress for Depo-estradiol

Clinical Trial Phase

Clinical Trial Phase for Depo-estradiol
Clinical Trial Phase Trials
Phase 4 195
Phase 3 208
Phase 2/Phase 3 24
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Clinical Trial Status

Clinical Trial Status for Depo-estradiol
Clinical Trial Phase Trials
Completed 574
Recruiting 123
Unknown status 96
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Clinical Trial Sponsors for Depo-estradiol

Sponsor Name

Sponsor Name for Depo-estradiol
Sponsor Trials
National Cancer Institute (NCI) 51
Bayer 47
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) 38
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Sponsor Type

Sponsor Type for Depo-estradiol
Sponsor Trials
Other 929
Industry 443
NIH 177
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Depo-Estradiol: Clinical Trials, Market Analysis, and Projections

Introduction to Depo-Estradiol

Depo-Estradiol is a brand-name intramuscular injection containing estradiol cypionate, an oil-soluble ester of estradiol. It is primarily prescribed to alleviate moderate to severe vasomotor symptoms in menopausal women, such as hot flashes, night sweats, and flushing. Additionally, it is used for women with a deficiency in estrogen production and as hormonal therapy for transgender women[2][5].

Clinical Trials and Safety Profile

Women's Health Initiative (WHI) Clinical Trials

The Women's Health Initiative (WHI) clinical trials have provided significant insights into the risks associated with estrogen therapy. These trials have shown an increased risk of breast cancer for estrogen users, which is a critical consideration for Depo-Estradiol. The trials also highlight the importance of prescribing estrogens at the lowest effective doses and for the shortest duration consistent with treatment goals and risks for the individual woman[1].

Common Side Effects and Warnings

Depo-Estradiol is associated with several common side effects, including headache, bloating, stomach cramps, breast tenderness, irregular vaginal bleeding, and nausea or vomiting. More serious side effects include fluid retention, high blood pressure, high blood sugar levels, liver problems, uterine fibroids, vaginal yeast infections, and hair loss. The drug carries boxed warnings for increased risks of endometrial cancer, cardiovascular events, and other conditions such as deep vein thrombosis and stroke[2][5].

Market Analysis

Current Market Size and Growth

The market for injectable contraceptives and hormonal therapies, which includes Depo-Estradiol, is growing steadily. As of 2023, the injectable contraceptives market was valued at USD 352.43 million and is expected to reach USD 460.66 million by 2030, growing at a CAGR of 3.9%[3].

Competitive Landscape

While Depo-Estradiol is a significant player in the estrogen therapy market, it competes with other hormonal therapies and contraceptives. For instance, Depo-Provera, a progesterone-only injectable contraceptive, dominates a substantial portion of the market, particularly in the segment of long-acting reversible contraceptives[3][4].

Pricing and Accessibility

The average cash price of Depo-Estradiol is around $216.73 for a 5ml vial of 5mg/ml, although prices can vary by pharmacy. Discounts through programs like SingleCare can reduce the cost significantly, making the treatment more accessible to patients[2].

Market Projections

Increasing Demand for Hormonal Therapies

The demand for hormonal therapies, including Depo-Estradiol, is expected to increase due to the growing awareness of menopausal symptoms and the need for effective treatments. Additionally, the use of Depo-Estradiol in transgender healthcare is another factor contributing to its market growth[2].

Expanding Indications

Depo-Estradiol's use beyond menopausal symptoms, such as in the treatment of hypoestrogenism and as part of transgender hormone therapy, is likely to expand its market share. The drug's versatility in addressing various hormonal imbalances will continue to drive its adoption[2][5].

Challenges and Opportunities

Despite the growth potential, the market for Depo-Estradiol faces challenges such as the risk of serious side effects and the need for careful patient selection and monitoring. However, advancements in healthcare and increased awareness about the benefits of hormonal therapies are expected to mitigate these challenges and present opportunities for market expansion[1][5].

Key Players and Distribution

Manufacturers and Distributors

Depo-Estradiol is manufactured by Pfizer and distributed through various pharmacies and healthcare providers. The drug is widely available, and its distribution network is well-established, ensuring accessibility for patients[1][2].

Pharmacy Pricing and Discounts

Pharmacies such as CVS, Walmart, Walgreens, and others offer Depo-Estradiol with varying prices, and discount programs like SingleCare further reduce the cost, making the treatment more affordable for a broader patient base[2].

Conclusion

Depo-Estradiol remains a crucial treatment option for menopausal symptoms and other hormonal deficiencies. While it faces competition from other hormonal therapies and contraceptives, its established safety profile and efficacy ensure its continued relevance in the market.

Key Takeaways

  • Clinical Trials: Depo-Estradiol's safety profile is informed by clinical trials like the WHI, highlighting risks such as breast cancer and cardiovascular events.
  • Market Growth: The injectable contraceptives and hormonal therapies market is projected to grow at a CAGR of 3.9% from 2023 to 2030.
  • Pricing and Accessibility: The drug is available at various pharmacies with discounts through programs like SingleCare.
  • Expanding Indications: Depo-Estradiol's use extends beyond menopausal symptoms to include hypoestrogenism and transgender hormone therapy.
  • Challenges and Opportunities: The drug faces challenges related to side effects but benefits from increasing awareness and advancements in healthcare.

FAQs

What is Depo-Estradiol used for?

Depo-Estradiol is used to alleviate moderate to severe vasomotor symptoms in menopausal women, treat hypoestrogenism, and as part of hormonal therapy for transgender women[2][5].

What are the common side effects of Depo-Estradiol?

Common side effects include headache, bloating, stomach cramps, breast tenderness, irregular vaginal bleeding, and nausea or vomiting[2][5].

How often is Depo-Estradiol administered?

Depo-Estradiol is administered as an intramuscular injection every 3 to 4 weeks[2][5].

What are the serious risks associated with Depo-Estradiol?

Serious risks include increased risk of endometrial cancer, cardiovascular events, deep vein thrombosis, stroke, and other conditions such as liver problems and uterine fibroids[1][5].

Can Depo-Estradiol be used during pregnancy or breastfeeding?

No, Depo-Estradiol should not be used during pregnancy or breastfeeding due to potential risks to the fetus and the decrease in milk quality and quantity for nursing mothers[1][5].

Cited Sources

  1. Pfizer Labeling: DEPO®-ESTRADIOL Estradiol cypionate injection, USP.
  2. SingleCare: Depo-Estradiol Coupons & Prices.
  3. Stellar MR: Injectable Contraceptives Market - Industry Analysis and Forecast.
  4. Robert King Law Firm: Depo-Provera Lawsuit - January 2025 Update.
  5. eMPR: DEPO-ESTRADIOL Prescription & Dosage Information.

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