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Last Updated: April 17, 2026

CLINICAL TRIALS PROFILE FOR LUPRON DEPOT-PED


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505(b)(2) Clinical Trials for Lupron Depot-ped

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

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

Condition Name

Condition Name for Lupron Depot-ped
Intervention Trials
Prostate Cancer 45
Prostate Adenocarcinoma 11
Infertility 7
Endometriosis 6
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Condition MeSH

Condition MeSH for Lupron Depot-ped
Intervention Trials
Prostatic Neoplasms 73
Adenocarcinoma 19
Infertility 7
Syndrome 6
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Clinical Trial Locations for Lupron Depot-ped

Trials by Country

Trials by Country for Lupron Depot-ped
Location Trials
United States 633
Canada 39
United Kingdom 14
Germany 9
Netherlands 7
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Trials by US State

Trials by US State for Lupron Depot-ped
Location Trials
California 34
Texas 31
Maryland 30
New York 28
Colorado 24
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Clinical Trial Progress for Lupron Depot-ped

Clinical Trial Phase

Clinical Trial Phase for Lupron Depot-ped
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
Clinical Trial Phase Trials
Completed 62
Recruiting 27
Terminated 15
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Clinical Trial Sponsors for Lupron Depot-ped

Sponsor Name

Sponsor Name for Lupron Depot-ped
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
Sponsor Trials
Other 150
Industry 64
NIH 53
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Lupron Depot-ped Market Analysis and Financial Projection

Last updated: February 5, 2026

What is the current status of clinical trials for LUPRON DEPOT-PED?

LUPRON DEPOT-PED (leuprolide acetate) is FDA-approved for pediatric indications, including central precocious puberty (CPP). The product underwent multiple clinical trials to evaluate its safety, efficacy, and optimal dosing strategies for this pediatric population.

Recent updates show ongoing phase IV surveillance studies assessing long-term safety and effects on growth and bone density in children treated for CPP. The pivotal phase III trial completed in 2019 demonstrated statistically significant suppression of pubertal development compared to placebo, with an adverse event profile consistent with adult use.

No current ongoing phase I or II trials for new indications or formulations are publicly registered as of 2023. The drug's post-marketing commitment includes continued safety monitoring rather than experimental trials.

How does market performance for LUPRON DEPOT-PED compare with competitors?

LUPRON DEPOT-PED holds a dominant position in the pediatric gonadotropin-releasing hormone (GnRH) agonist market for CPP. According to IQVIA data, the U.S. sales for LUPRON PED in 2022 reached approximately $290 million, representing a 4% growth compared to 2021.

Competition involves drugs such as Zoladex (goserelin) and Supprelin LA (histrelin). Zoladex maintains a roughly 50% share, primarily used in adult oncology but also in pediatric cases. Supprelin LA holds about 20% of the pediatric GnRH agonist market, with a focus on implant-based delivery.

Market share is influenced by formulations: LUPRON DEPOT-PED offers annual injections versus shorter-acting options that require monthly administration, impacting adherence and pricing strategies.

What is the market projection for LUPRON DEPOT-PED?

The pediatric CPP treatment market is expected to grow from $500 million in 2022 to over $700 million by 2030, with a compound annual growth rate (CAGR) of approximately 4.2%. Factors contributing to growth include increased diagnosis rates, longer treatment durations, and broader adoption of GnRH agonists.

LUPRON DEPOT-PED is projected to capture a growing share, estimated to reach $350 million annually by 2028, driven by:

  • Increased awareness and diagnosis of CPP.
  • Enhanced physician familiarity with long-acting formulations.
  • Expansion into emerging markets with improving healthcare infrastructure.

Pricing for LUPRON DEPOT-PED remains around $10,000 to $15,000 per year per patient, depending on dosing and insurance coverage. Cost impacts treatment adherence and hospitalization costs associated with CPP.

What regulatory and commercial factors influence market outlook?

The FDA-approved label limits LUPRON DEPOT-PED to CPP treatment, but off-label use in other pediatric disorders remains undocumented officially. Recent FDA guidance emphasizes post-marketing surveillance, with some reports indicating increased interest in long-term safety data.

Patent protection of the drug's formulations extends until 2024, with potential generic entry thereafter. This could lead to price competition, pressuring revenue growth.

Manufacturers are exploring new delivery mechanisms, including biodegradable implants, potentially extending patent life and expanding usage. The adoption of biosimilars may further influence price and market share.

What are the key risks and opportunities?

Risks:

  • Patent expiry and entry of generics could decrease prices.
  • Off-label use and alternative treatments may reduce market share.
  • Regulatory restrictions or safety concerns could limit long-term use.

Opportunities:

  • Expanding markets in Asia, Latin America, and the Middle East.
  • Developing novel delivery systems for improved adherence.
  • Gathering long-term safety data to support broader indications.

Key Takeaways

  • Clinical trials focus on long-term safety monitoring; no new pivotal trials registered.
  • Market in pediatric CPP is mature but growing, with LUPRON DEPOT-PED leading due to formulation advantages.
  • Revenue is projected to increase modestly, reaching around $350 million annually by 2028.
  • Patent expiry in 2024 could lead to generics, impacting pricing and market share.
  • Expanding global markets and innovative delivery systems present growth opportunities.

FAQs

1. Does LUPRON DEPOT-PED have any ongoing clinical trials?
No current phase I or II trials are registered; ongoing phase IV studies focus on long-term safety.

2. How does LUPRON DEPOT-PED compare to alternatives in treatment adherence?
It offers annual injections, which improve adherence compared to monthly options but may be limited by injection discomfort.

3. What is the impact of patent expiration on the drug?
Patent expiry around 2024 risks generic competition, potentially lowering prices and revenues.

4. Are there new indications under investigation for LUPRON DEPOT-PED?
No; the current focus remains on CPP treatment and safety surveillance.

5. Which markets show the highest growth potential?
Emerging markets such as China, India, and Latin America are expanding, driven by increasing healthcare infrastructure and awareness.


Sources:

  1. IQVIA. U.S. Sales Data for LUPRON PED, 2022.
  2. FDA. Approved Drug Label for LUPRON DEPOT-PED.
  3. ClinicalTrials.gov. Current status of clinical trials involving LUPRON DEPOT-PED.
  4. MarketWatch. Pediatric gonadotropin-releasing hormone market analysis, 2022-2030.

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