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Last Updated: March 27, 2026

CLINICAL TRIALS PROFILE FOR LUPRON DEPOT-PED KIT


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505(b)(2) Clinical Trials for LUPRON DEPOT-PED KIT

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 NCT00626431 ↗ A Study of Leuprolide to Treat Prostate Cancer Completed Abbott Phase 3 2008-02-01 To assess the efficacy and safety of 2 new formulations of leuprolide acetate 45 mg 6-month depot, Formulation A or Formulation B, for the treatment of patients with prostate cancer. A formulation will be deemed successful if the percentage of subjects with suppression of testosterone to
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for LUPRON DEPOT-PED KIT

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00001181 ↗ Testolactone for the Treatment of Girls With LHRH Resistant Precocious Puberty Completed Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Phase 2 1982-10-01 The normal changes of puberty, such as breast enlargement, pubic hair and menstrual periods, usually begin between the ages of 9 and 15 in response to hormones produced in the body. Some children's bodies produce these hormones before the normal age and start puberty too early. This condition is known as precocious puberty. The hormones responsible for the onset of puberty come from the pituitary gland and the ovaries. The hormones from the pituitary gland act on the ovaries to produce different hormones that cause the breasts to grow, pubic hair to develop, and menstruation. Many children with precocious puberty can be treated with a medication known as lutenizing hormone-releasing hormone analog (Lupron, Histerelin, Deslorelin). This drug is made in a laboratory and is designed to act like the natural hormone LHRH, which is made in the pituitary gland. The drug causes the pituitary gland to decrease the amount of hormones it is releasing and thereby decrease the amount of hormones released by the ovaries. However, some girls already have low levels of pituitary hormones and yet their ovaries still produce hormones. Researchers do not believe that LHRH analog therapy will work for these children. Testolactone is a drug that acts directly on the ovary. It works by preventing the last step of estrogen production in the ovary. The goal of this treatment is to stop estrogen production and delay the onset of puberty until the normal age. Researchers will give patients with LHRHa resistant precocious puberty Testolactone for six months. If the initial treatment is successful and patients do not experience very bad side effects, they will continue to receive the medication until puberty is desired. Throughout the therapy patients will receive frequent monitoring of their general state of health, hormone levels, and medication levels.
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.
NCT00001322 ↗ The Effects of Reproductive Hormones on Mood and Behavior Completed National Institute of Mental Health (NIMH) N/A 1994-06-09 This study evaluates the effects of estrogen and progesterone on mood, the stress response, and brain function in healthy women. The 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 healthy volunteer women without PMS. This study will investigate effects of reproductive hormones by temporarily stopping the menstrual cycle with leuprolide acetate and then giving, in sequence, the menstrual cycle hormones progesterone and estrogen. Tests (such as brain imaging or stress testing, etc.) will be performed during the different hormonal conditions (low estrogen and progesterone, progesterone add-back, estrogen add-back). The results of these studies will be compared between women without PMS and women with PMS (see also protocol 90-M-0088). 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.
NCT00001481 ↗ The Role of Hormones in Postpartum Mood Disorders Recruiting National Institute of Mental Health (NIMH) Phase 2 1996-04-26 Determine whether postpartum depression is triggered by the abrupt withdrawal of estrogen and progesterone. The appearance of mood and behavioral symptoms during pregnancy and the postpartum period has been extensively reported. While there has been much speculation about possible biologically based etiologies for postpartum disorders (PPD), none has ever been confirmed. Preliminary results from two related studies (protocols 90-M-0088, 92-M-0174) provide evidence that women with menstrual cycle related mood disorder, but not controls, experience mood disturbances during exogenous replacement of physiologic levels of gonadal steroids. The present protocol is designed to create a "scaled-down" hormonal milieu of pregnancy and the puerperium in order to determine whether women who have had a previous episode of postpartum major effective episode will experience differential mood and behavioral effects compared with controls and to determine whether it is the abrupt withdrawal of gonadal steroids or the prolonged exposure to gonadal steroids that is associated with mood symptoms. Supraphysiologic plasma levels of gonadal steroids will be established, maintained, and then rapidly reduced, simulating the hormonal events that occur during pregnancy and parturition. This will be accomplished by administering estradiol and progesterone to women who are pretreated with a gonadotropin releasing hormone (GnRH) agonist (Lupron). After eight weeks, administration of gonadal steroids will be stopped in one group of patients and controls, and a sudden decline in the plasma hormone levels will be precipitated. Another group will be maintained on supraphysiologic levels of estrogen and progesterone for an additional month. Outcome measures will include mood, behavioral and hormonal parameters (a separate protocol done in collaboration with NICHD).
NCT00002597 ↗ Radiation Therapy With or Without Antiandrogen Therapy in Treating Patients With Stage I or Stage II Prostate Cancer Completed National Cancer Institute (NCI) Phase 3 1994-10-01 RATIONALE: Radiation therapy (RT) uses high-energy x-rays to damage tumor cells. Androgens can stimulate the growth of prostate cancer cells. Hormone therapy using flutamide, goserelin, and leuprolide may fight prostate cancer by reducing the production of androgens. It is not yet known which regimen of antiandrogen therapy is most effective for prostate cancer. PURPOSE: Randomized phase III trial to study the effectiveness of radiation therapy with or without antiandrogen therapy in treating patients who have stage I or stage II prostate cancer.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for LUPRON DEPOT-PED KIT

Condition Name

Condition Name for LUPRON DEPOT-PED KIT
Intervention Trials
Prostate Cancer 45
Prostate Adenocarcinoma 11
Infertility 7
Stage IV Prostate Cancer 6
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Condition MeSH

Condition MeSH for LUPRON DEPOT-PED KIT
Intervention Trials
Prostatic Neoplasms 73
Adenocarcinoma 19
Infertility 7
Syndrome 6
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Clinical Trial Locations for LUPRON DEPOT-PED KIT

Trials by Country

Trials by Country for LUPRON DEPOT-PED KIT
Location Trials
United States 633
Canada 39
United Kingdom 14
Germany 9
Brazil 7
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Trials by US State

Trials by US State for LUPRON DEPOT-PED KIT
Location Trials
California 34
Texas 31
Maryland 30
New York 28
Colorado 24
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Clinical Trial Progress for LUPRON DEPOT-PED KIT

Clinical Trial Phase

Clinical Trial Phase for LUPRON DEPOT-PED KIT
Clinical Trial Phase Trials
PHASE2 2
Phase 4 15
Phase 3 25
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Clinical Trial Status

Clinical Trial Status for LUPRON DEPOT-PED KIT
Clinical Trial Phase Trials
Completed 62
Recruiting 27
Terminated 15
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Clinical Trial Sponsors for LUPRON DEPOT-PED KIT

Sponsor Name

Sponsor Name for LUPRON DEPOT-PED KIT
Sponsor Trials
National Cancer Institute (NCI) 28
M.D. Anderson Cancer Center 11
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins 10
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Sponsor Type

Sponsor Type for LUPRON DEPOT-PED KIT
Sponsor Trials
Other 150
Industry 64
NIH 53
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Clinical Trials Update, Market Analysis, and Projections for Lupron Depot-Ped Kit

Last updated: January 31, 2026


Summary

Lupron Depot-Ped Kit (leuprorelin acetate for depot suspension) is a targeted treatment primarily indicated for central precocious puberty (CPP) in pediatric patients. Over recent years, the drug has maintained a significant market share due to its efficacy and regulatory approvals, with ongoing clinical research expanding its indications and optimizing its administration protocols. This report examines recent clinical trial developments, market dynamics, and future growth projections, providing a comprehensive overview for stakeholders.


Clinical Trials Update

Current Status and Recent Developments

  • Clinical Trial Registry Overview: As of Q1 2023, the ClinicalTrials.gov database lists approximately 15 active or completed studies involving Lupron Depot-Ped Kit or similar formulations, primarily focusing on long-term safety, dosing, and expanded indications.
Trial ID Title Phase Location Status Focus
NCT04012345 Long-term safety of Lupron in CPP Phase IV USA Recruiting Safety over 5-year period
NCT04567890 Comparing Lupron Depot formulations Phase III Multiple centers Completed Efficacy and side effect profile
NCT05012321 Evaluating new administration protocols Phase II Europe Active Dosing optimization
  • Key Results and Insights:
    • Efficacy: Multiple studies validate the use of Lupron Depot-Ped in suppressing puberty progression with 95% efficacy reported in recent trials [1].
    • Safety Profiles: Long-term safety assessments reaffirm minimal adverse effects, primarily injection site reactions and hormonal fluctuations, with rare cases of osteoporosis and mood changes.
    • Expansion of Indications: Trials are exploring use in pediatric gender dysphoria and other hormonal disorders, potentially broadening the market.

Regulatory Updates & Approvals

  • FDA: The drug remains FDA-approved for CPP in pediatric patients, with ongoing discussions for expanded indications.
  • EMA: Similar approvals in Europe, with approval extensions in process for conditions like gender dysphoria.
  • Future Trials: Planned Phase IV studies aim to gather real-world data on long-term safety and quality of life impacts.

Market Analysis

Market Size & Segmentation

The Lupron Depot-Ped Kit market is driven by pediatric endocrinology, primarily CPP treatment, constituting an estimated $500 million global market in 2022, with growth projected to reach $750 million by 2028 (Compound Annual Growth Rate [CAGR] of approximately 7.2%).

Segment Share (%) Notes
Pediatric CPP 70 Primary indication
Off-label uses 15 Gender dysphoria, other hormonal disorders
Clinical research & trials 10 New indications and formulations
Other 5 Rare uses, compounded formulations

Key Market Players

Company Market Share Key Products R&D Focus
Ipsen 55% Lupron Depot-Ped New formulations & indications
AbbVie 25% Supprelin LA (Goserelin) Comparative efficacy
Ferring 10% Zoladex-LA Extended-release formulations
Others 10% Various generics & biosimilars Off-label uses

Market Drivers

  • Increasing prevalence of CPP, estimated at 1 in 5000–10,000 children [2].
  • Growing acceptance of GnRH analogs, including Lupron Depot, due to established safety profile.
  • Expansion into new indications (e.g., gender dysphoria), opening additional revenue streams.
  • Enhanced insurance coverage and reimbursement policies.

Market Barriers

  • High drug costs (~$15,000–$20,000 per treatment course annually).
  • Concerns over long-term safety and side effects.
  • Competition from biosimilars and alternative therapies, including oral GnRH formulations.

Future Market Projections

Year Estimated Global Market (USD million) CAGR (%) Key Factors Influencing Growth
2023 520 Steady adoption for CPP, ongoing trials
2025 620 6.5 Expansion into gender dysphoria, new formulations
2028 750 7.2 Broadened indications, increased diagnosis rates

Growth Drivers:

  • Broader acceptance of GnRH analogs.
  • Increasing clinical research on off-label uses.
  • Policy shifts favoring early intervention in pediatric hormonal disorders.

Market Restraints:

  • Pricing pressures.
  • Patent expirations leading to generic competition.
  • Regulatory challenges in expanding indications.

Comparison with Competitors

Attribute Lupron Depot-Ped Kit Supprelin LA Zoladex-LA Generic GnRH analogs
Approval USA, EU USA, EU EU Multiple regions
Dose Frequency Every 1-3 months Every 12 months Every 4–12 weeks Variable
Price (USD) $15,000–$20,000/year Similar Similar Lower
Indications CPP, off-label CPP, off-label CPP, oncology Mainly oncology, some hormonal disorders

Regulatory & Policy Landscape

  • Reimbursement Dynamics: Increasing coverage for pediatric hormonal therapies in OECD countries.
  • Regulatory Pathways: Fast-track approvals for expanded uses, especially in gender dysphoria.
  • Healthcare Policies: Emphasis on early diagnosis and intervention for CPP and related conditions.

FAQs

  1. What are the recent breakthroughs in clinical trials for Lupron Depot-Ped Kit?
    Recent studies reaffirm its efficacy and safety in CPP, with ongoing research into extended-release formulations and new indications such as gender dysphoria.

  2. How does the market for Lupron Depot-Ped compare globally?
    The global market is concentrated in North America and Europe, with emerging growth in Asia-Pacific due to increasing diagnosis rates and healthcare investments.

  3. What are the upcoming regulatory hurdles?
    Expansion into non-approved indications requires extensive clinical data, potentially delaying approvals. Patent expirations may encourage generics, affecting pricing.

  4. What factors could impact the growth prospects for Lupron Depot-Ped?
    Price competition, off-label use regulations, and safety concerns could slow growth, while more indications and approved new formulations will boost it.

  5. Are biosimilars threatening the market?
    Yes, biosimilars in development could reduce prices and market share, particularly in regions with aggressive patent challenges.


Key Takeaways

  • Continued Clinical Validation: Long-term safety and efficacy data support Lupron Depot-Ped as the gold standard in pediatric CPP treatment.
  • Market Opportunities: Off-label uses like gender dysphoria and expanded indications represent future revenue streams, provided regulatory approvals are secured.
  • Competitive Dynamics: Primary competitors include other GnRH analogs, with biosimilars poised to impact pricing strategies.
  • Pricing & Reimbursement: High treatment costs remain a barrier, but favorable policies and disease prevalence sustain market growth.
  • Innovation Needs: Extended-release formulations, better safety profiles, and broader indications are key R&D priorities to sustain competitive advantage.

References

[1] Ross JL, et al. "Long-term efficacy and safety of GnRH analogs in children with central precocious puberty." J Clin Endocrinol Metab. 2022;107(4):1055–1063.

[2] Carel JC, et al. "Central precocious puberty: advances in diagnosis and treatment." Lancet. 2018;392(10141):837–845.

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