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Distributor CDMO Produced in Asia | Employees: 50+ | Audit Report: Currently Eurofins has no report for this supplier. Contact them to let them know you're interested! Certifications: CoA | CEP All certificates GMP CEP USDMF ISO9001 CoA

Producer CDMO Produced in Asia | Employees: 25+ | Audit Report: Currently Eurofins has no report for this supplier. Contact them to let them know you're interested! Certifications: CoA All certificates MSDS BSE/TSE ISO9001 CoA

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Producer CDMO Produced in Asia | Employees: 10+ | Audit Report: Currently Eurofins has no report for this supplier. Contact them to let them know you're interested! Certifications: CoA All certificates FDA USDMF MSDS BSE/TSE CoA

Producer Produced in Asia | Employees: 1000+ | Audit Report: Currently Eurofins has no report for this supplier. Contact them to let them know you're interested! Certifications: CoA All certificates CoA

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Producer Produced in Asia | Audit Report: Currently Eurofins has no report for this supplier. Contact them to let them know you're interested! Certifications: CoA | CEP All certificates FDA CEP USDMF CoA WC

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Leuprolide | CAS No: 53714-56-0 | GMP-certified suppliers

A medication that addresses advanced prostate cancer, central precocious puberty, endometriosis symptoms, and preoperative management of anemia in uterine fibroids for diverse therapeutic applications.

Adrenal Cortex Hormones Agents Causing Muscle Toxicity Amino Acids, Peptides, and Proteins Antineoplastic Agents Antineoplastic Agents, Hormonal Antineoplastic and Immunomodulating Agents

Generic nameLeuprolide
Molecule typesmall molecule
CAS number53714-56-0
DrugBank IDDB00007
Approval statusApproved drug, Investigational drug
ATC codeL02AE51

Primary indications

  • Leuprolide is indicated for the treatment of advanced prostate cancer and as palliative treatment of advanced prostate cancer
  • It is also used for the treatment of pediatric patients with central precocious puberty (CPP)

Product Snapshot

  • Leuprolide is an injectable and implantable peptide API available mainly as solutions, suspensions, and extended‑release formulations
  • It is used for advanced prostate cancer, central precocious puberty, endometriosis symptoms, and preoperative management of anemia associated with uterine fibroids
  • It is approved in the US, EU, and Canada, with some formulations also listed as investigational

Clinical Overview

Leuprolide (CAS 53714-56-0) is a synthetic nonapeptide analogue of gonadotropin-releasing hormone designed to extend circulating half-life through incorporation of a D-leucyl residue. Its primary clinical indications include advanced prostate cancer, central precocious puberty, endometriosis in combination with norethisterone, and preoperative hematologic optimization in patients with uterine fibroids when used with iron supplementation. The molecule was first approved in 1985 as a daily subcutaneous formulation, with multiple long‑acting intramuscular and subcutaneous depot products later introduced, including six‑month dosing regimens used in global clinical practice.

Pharmacologically, leuprolide functions as a GnRH receptor superagonist. Initial activation of pituitary receptors produces a transient surge in luteinizing hormone, follicle-stimulating hormone, and downstream sex steroids. Continuous receptor stimulation over two to four weeks induces receptor desensitization and suppression of gonadotropin output, resulting in medical castration–level reductions in testosterone or estradiol. These endocrine effects are reversible upon cessation.

Key ADME characteristics reflect its peptide structure. Leuprolide is administered parenterally, displays an extended but still relatively short systemic half-life compared with endogenous GnRH, and undergoes enzymatic degradation to inactive peptide fragments. Renal elimination contributes to clearance, consistent with its designation among drugs primarily excreted renally.

Safety considerations differ across patient groups. In men with prostate cancer, the initial testosterone rise may precipitate tumour flare, bone pain, urinary obstruction, or spinal cord compression, and treatment is associated with risks of hyperglycemia, diabetes, cardiovascular events, QT prolongation, and convulsions. In women, the early estradiol increase may transiently worsen symptoms, and long‑term therapy is linked to bone mineral density loss. Combination therapy with norethisterone may increase risks of thromboembolic and visual events. In pediatric patients with central precocious puberty, transient pubertal progression, psychiatric symptoms, and convulsions have been reported.

For API procurement, sourcing should focus on peptide integrity, consistent impurity control, and validated manufacturing processes to ensure batch-to-batch reliability suitable for long‑acting injectable formulations.

Generic nameLeuprolide
Molecule typeSmall molecule
CAS53714-56-0
UNIIEFY6W0M8TG
DrugBank IDDB00007
SummaryLeuprolide is a GnRH receptor agonist that modulates the hypothalamic‑pituitary‑gonadal axis to regulate downstream production of sex steroids. Continuous receptor stimulation produces sustained suppression of LH and FSH release after an initial hormone surge. This pharmacologic reduction in gonadal steroid synthesis underlies its therapeutic use across hormone‑dependent conditions.
Mechanism of action

Gonadotropin-releasing hormone (GnRH) is a naturally occurring decapeptide that modulates the hypothalamic-pituitary-gonadal (HPG) axis. GnRH binds to corresponding receptors (GnRHRs) on the anterior pituitary gonadotropes, which in turn release luteinizing hormone (LH) and follicle-stimulating hormone (FSH); these, in turn, affect the downstream synthesis and release of the sex hormones testosterone, dihydrotestosterone, estrone, and estradiol. Despite the variety of conditions indicated for treatment with leuprolide, the mechanism of action underlying efficacy is the same in all cases. As a GnRHR agonist, leuprolide binds to and initially activates downstream LH and FSH release; this initial spike in gonadotropin levels is responsible for some of the adverse effects associated with treatment. After 2-4 weeks of treatment, continuous stimulation of GnRHR results in feedback inhibition and significant downregulation of LH, FSH, and their corresponding downstream effects, producing a therapeutic benefit. These effects are reversible upon treatment discontinuation.

Pharmacodynamics

Leuprolide is a gonadotropin-releasing hormone (GnRH) analogue that functions as a GnRH receptor superagonist.After an initial spike in GnRH-mediated steroidal production, including testosterone and estradiol, prolonged use results in a significant drop in circulating steroid levels, in line with those produced through other forms of androgen-deprivation therapy (ADT).The corresponding hormonal/steroidal changes produce specific adverse effects in different patient populations. In women undergoing treatment for endometriosis or uterine leiomyomata, careful consideration regarding pregnancy status is advised. The initial increase in estradiol levels may worsen symptoms such as pain and bleeding. Long-term use of leuprolide is associated with loss of bone mineral density. Patients co-administered with norethisterone may experience sudden vision loss, proptosis, diplopia, migraine, thrombophlebitis, and pulmonary embolism and may also be at higher risk of cardiovascular disease. Patients with a history of depression may experience severe recurrence of depressive symptoms. In men undergoing palliative treatment for advanced/metastatic prostate cancer, short-term spikes in testosterone levels may cause tumour flare and associated symptoms such as bone pain, hematuria, neuropathy, bladder and/or ureteral obstruction, and spinal cord compression. In addition, patients are at increased risk of developing hyperglycemia, diabetes, and cardiovascular disease, which may manifest through myocardial infarction, stroke, cardiac death, or prolonged QT/QTc interval. In addition, Leuprolide may cause convulsions and embryo-fetal toxicity. In pediatric patients undergoing treatment for central precocious puberty (CPP), the initial steroidal spike may be associated with increased clinical signs of puberty within 2-4 weeks of treatment initiation. In addition, leuprolide may cause convulsions and psychiatric symptoms, including irritability, impatience, aggression, anger, and crying.

Targets
TargetOrganismActions
Gonadotropin-releasing hormone receptorHumansagonist
AbsorptionLeuprolide is typically administered as a single-dose long-acting formulation employing either microsphere or biodegradable solid depot technologies.Regardless of the exact formulation and initial dose strength, the Cmax is typically achieved by 4-5 hours post-injection and displays large variability in the range of 4.6 - 212 ng/mL. Eventual steady-state kinetics are typically achieved by four weeks, with a narrower range of 0.1 - 2 ng/mL. No studies on the effects of food on absorption have been carried out.
Half-lifeLeuprolide has a terminal elimination half-life of approximately three hours.
Protein bindingLeuprolide displays in vitro binding to human plasma proteins between 43% and 49%.
MetabolismRadiolabeling studies suggest that leuprolide is primarily metabolized to inactive penta-, tri-, and dipeptide entities, which are likely further metabolized. It is expected that various peptidases encountered throughout systemic circulation are responsible for leuprolide metabolism.
Route of eliminationFollowing administration of 3.75 mg leuprolide depot suspension to three patients, less than 5% of the initial dose was recovered as unchanged or pentapeptide metabolite in the urine.
Volume of distributionLeuprolide has an apparent steady-state volume of distribution of 27 L following intravenous bolus administration to healthy males. The volume of distribution for indicated routes of subcutaneous or intramuscular injection has not been reported.
ClearanceLeuprolide administered as a 1 mg intravenous bolus in healthy males has a mean systemic clearance be