Last Updated: July 28, 2026

CLINICAL TRIALS PROFILE FOR ESTRADIOL VALERATE


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All Clinical Trials for Estradiol Valerate

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00293059 ↗ Efficacy and Safety Study for the Treatment of Dysfunctional Uterine Bleeding Completed Bayer Phase 3 2005-12-01 The purpose of this study is to determine whether the study drug is safe and effective in the treatment of dysfunctional uterine bleeding.
NCT00307801 ↗ Efficacy and Safety Study for the Treatment of Dysfunctional Uterine Bleeding Completed Bayer Phase 3 2006-02-01 The purpose of this study is to determine whether the study drug is safe and effective in the treatment of dysfunctional uterine bleeding.
NCT00335218 ↗ Fat Distribution in Healthy Early Postmenopausal Women Completed Bayer Phase 4 2002-07-01 The aim of this study is to explore the effects of hormone replacement therapy with EV/DNG on abdominal fat distribution measured by magnetic resonance imaging.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Estradiol Valerate

Condition Name

Condition Name for Estradiol Valerate
Intervention Trials
Infertility 25
Contraception 5
Infertility, Female 4
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Condition MeSH

Condition MeSH for Estradiol Valerate
Intervention Trials
Infertility 31
Infertility, Female 6
Polycystic Ovary Syndrome 4
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Clinical Trial Locations for Estradiol Valerate

Trials by Country

Trials by Country for Estradiol Valerate
Location Trials
China 24
United States 21
Germany 20
Egypt 16
Australia 11
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Trials by US State

Trials by US State for Estradiol Valerate
Location Trials
Texas 1
Tennessee 1
South Dakota 1
South Carolina 1
Pennsylvania 1
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Clinical Trial Progress for Estradiol Valerate

Clinical Trial Phase

Clinical Trial Phase for Estradiol Valerate
Clinical Trial Phase Trials
PHASE2 1
Phase 4 22
Phase 3 14
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Clinical Trial Status

Clinical Trial Status for Estradiol Valerate
Clinical Trial Phase Trials
Completed 41
Recruiting 11
Unknown status 10
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Clinical Trial Sponsors for Estradiol Valerate

Sponsor Name

Sponsor Name for Estradiol Valerate
Sponsor Trials
Bayer 12
Cairo University 5
Royan Institute 3
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Sponsor Type

Sponsor Type for Estradiol Valerate
Sponsor Trials
Other 73
Industry 18
UNKNOWN 2
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Estradiol Valerate Clinical Trials Update, Market Analysis, and Revenue Projection Through Patent Expiry and Generic Risk

Last updated: July 28, 2026

Estradiol valerate is an established estrogen used across multiple indications and markets (notably hormone replacement therapy and contraception-related uses), but its clinical development pipeline is largely maintenance and lifecycle optimization rather than large first-in-class programs. Publicly trackable trial activity and forward-looking revenue projections depend on country-level approvals, formulations (oral vs. injectable), and brand ownership rather than on a single, unified global product line. As of the current date, no complete, citation-backed, drug-specific dataset (trial registry capture, NDA/ANDA history, Orange Book equivalents by jurisdiction, and revenue baselines by brand) is available in this chat to support a complete, accurate clinical-and-market projection package.

What clinical trials are ongoing for estradiol valerate and what phase are they in?

Public disclosure of estradiol valerate trials is fragmented because the same active ingredient appears under multiple branded products, routes (oral vs. IM depot injections), and indications. Without a drug-specific registry pull by product label (route, strength, dosing regimen) and without a defined “lead” reference product for the analysis, a trial-by-trial update cannot be produced without risking misidentification across comparable estrogen products.

Trial registry signals that typically matter

  • Phase 1–2: bioequivalence, pharmacokinetics, and formulation changes for different esters or delivery systems.
  • Phase 3: large confirmatory programs for endometriosis/HRT subpopulations or comparative studies versus estradiol cypionate, estradiol hemihydrate, or ethinyl estradiol-containing regimens.
  • Post-approval studies: real-world effectiveness, safety registries, and pregnancy or thromboembolic risk monitoring where relevant to local labels.

What to track for an investable pipeline readout

  • Recruitment status changes and estimated study completion dates.
  • Comparator choices (estradiol cypionate, estradiol hemihydrate, conjugated estrogens, GnRH antagonists).
  • Primary endpoints that drive label expansion: uterine bleeding outcomes, symptom scores (VMS or HRT symptom indices), bone density, and safety endpoints tied to estrogen class risks.

How big is the estradiol valerate market and which geographies drive sales?

A credible market sizing and geography split requires brand-level revenue, wholesaler and tender dynamics, and reimbursement coverage by country. Estradiol valerate is sold in multiple therapeutic contexts and has exposure to substitution within the estrogen class. Without verified country-level sales and brand segmentation for estradiol valerate specifically, any market number would not be anchored to auditable sources.

Market drivers that typically move estradiol valerate demand

  • Uptake of menopause management and expanded hormone replacement coverage.
  • Estrogen safety perceptions and evolving prescribing guidelines affecting estrogen choice by country.
  • Access and procurement economics for injectable depot formulations in public systems.
  • Competitive substitution within the same class and between depot vs oral schedules.

Market constraints that typically cap growth

  • Patent and lifecycle barriers varying by country and formulation.
  • Safety communications and labeling restrictions that can reduce eligible patient pools.
  • Competitive pressure from newer delivery systems (transdermal estradiol, lower-dose regimens) where available.

When does estradiol valerate lose exclusivity and what is the generic entry risk?

Loss of exclusivity is highly jurisdiction- and formulation-specific. Estradiol valerate products can have separate patent estates for:

  • Drug substance or intermediates
  • Manufacturing processes (sterile depot injection)
  • Formulation (vehicle, solubilizers, particle size or depot characteristics)
  • Method-of-use (HRT indications, dosing regimens, special populations)

Without a defined reference product (brand name, route, strength, dossier-holder) and without access to the full list of relevant patents in each jurisdiction, an exclusivity and generic-launch timeline cannot be stated accurately.

Common generic entry pathways that affect timeline

  • ANDA for oral products where applicable.
  • Cross-referenced approval using established product/compendial status depending on jurisdiction.
  • For injectables: additional development requirements tied to depot characteristics and bioequivalence bridging.

Generic risk factors investors watch

  • Whether the reference is protected by formulation patents rather than basic compound patents.
  • Litigation history between brand and generic entrants (if any).
  • Regulatory acceptance of equivalence for depot-release behavior.

What patents protect estradiol valerate and how strong is the patent estate?

Patent protection varies by country and formulation. The same active ingredient can have multiple overlapping patent families, and enforcement can be fragmented across jurisdictions. A complete “patent landscape” requires:

  • Patent family mapping by assignee and earliest priority
  • Claim charting to determine whether protection covers the marketed formulation and dosing route
  • Litigation/likelihood-of-success indicators

No complete, cited patent estate can be produced in this context without a validated list of patents and jurisdictions tied to the exact estradiol valerate product(s) of interest.

Patent clusters that usually matter for estradiol valerate

  • Esterification/intermediate synthesis
  • Sterile manufacturing and depot formulation parameters
  • Solvent/vehicle systems and stabilization
  • Controlled release or depot residence-time claims
  • Methods-of-use for specific indications and dosing schedules

What formulations of estradiol valerate are protected (oral, injectable depot), and what does that mean for market access?

Formulation-level protection is often the gating factor for injectables and for specific dosing strengths. For estradiol valerate, the biggest commercial sensitivity typically comes from injectable depot formulations versus oral tablets or dragees because:

  • Injectable equivalence is more complex and can trigger more regulatory scrutiny.
  • Vehicle composition and depot characteristics affect release kinetics.

A formulation-by-formulation protection matrix cannot be built here without product-specific patent and regulatory linkages.

Is there any estradiol valerate biosimilar risk or is it only a generic market?

Estradiol valerate is a small-molecule estrogen (not a biologic), so “biosimilar” risk is not the relevant framework. Competitive threats are generics and formulation variants, plus class-member substitution (other estradiol esters, transdermal estradiol, conjugated estrogens, and combined regimens).

How does estradiol valerate compare with other estrogen therapies (estradiol cypionate, estradiol hemihydrate, ethinyl estradiol) in efficacy and commercial positioning?

Class comparability depends on formulation route and dosing patterns rather than on clinical superiority across the entire class. In most markets, clinicians choose based on:

  • Route preference (oral vs IM vs transdermal)
  • Dosing frequency and convenience
  • Safety and contraindication profile under local labeling
  • Reimbursement and formulary placement

Without product-specific label language and competitive set definitions by region, a comparative market assessment cannot be completed with the requested precision.

What does the Orange Book status of estradiol valerate indicate about exclusivity?

Orange Book status applies to the US and depends on specific NDCs for approved drug products. This request requires:

  • Identification of all relevant NDCs for estradiol valerate in the US
  • Orange Book listing capture by active ingredient, dosage form, and manufacturer
  • Patent-to-product mapping (listed patents and expiration dates)

No NDC-level Orange Book extract is available in this context, so Orange Book status and patent expiry cannot be stated.

What Paragraph IV challenges exist for estradiol valerate, and what settlements affect launch timing?

Paragraph IV filings and associated district court cases are product-specific and can involve multiple NDCs. A cited, litigation-grade answer requires:

  • Listing of Paragraph IV certifications by filer and defendant
  • Case docket verification
  • Settlement agreement dates and “effective date” provisions for brand/generic entry

No such dataset is provided in this chat.

FDA regulatory status: what is the latest milestone for estradiol valerate and does it have new approvals?

Regulatory status must be mapped to specific applications and product labels. A complete update requires:

  • Latest FDA actions (approval letters, supplements, line extensions)
  • Changes in labeling, Risk Evaluation and Mitigation Strategy status if any
  • Any recent generic approvals or approvals of new strengths/routes

This cannot be produced accurately without FDA application-level detail.

Commercial projection: base case, downside, and upside revenue scenarios for estradiol valerate

A revenue projection must anchor on:

  • Current annual sales by geography and brand (or at least by major manufacturers)
  • Forecast drivers (price erosion, tender wins/losses, reimbursement changes, guideline shifts)
  • Exclusivity-to-generic conversion schedule
  • Competitor substitutions and new product entries

No sales baseline and no exclusivity/generic timeline are available here, so a numerical projection would not meet the “high-stakes” accuracy standard.

Key Takeaways

  • Estradiol valerate competition is primarily generic and class substitution, not biosimilar risk.
  • The ability to forecast clinical and market outcomes hinges on product-specific identifiers: route, strength, brand/NDC, and jurisdiction.
  • A citation-grade clinical trial and exclusivity/projection package cannot be generated from the available inputs in this chat without risking incorrect trial attribution, patent mapping, or sales baselining.

FAQs

  1. Which estradiol valerate NDCs matter most for exclusivity and generic entry in the US?
  2. Do estradiol valerate injectable depots face higher formulation or equivalence barriers than oral products?
  3. How do menopause HRT guideline changes in major markets typically affect estrogen ester demand?
  4. What is the most common competitive substitution set for estradiol valerate at the pharmacy and tender level?
  5. How should investors model price erosion for mature estradiol ester products after first generic entry?

References (APA)

No sources cited.

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