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Linzagolix

From Wikipedia, the free encyclopedia
Chemical compound

Pharmaceutical compound
Linzagolix
Clinical data
Pronunciation/ˌlɪnzəˈɡlɪks/
LINZ-ə-GOH-liks
Trade namesYselty
Other namesKLH-2109; OBE-2109
Routes of
administration
By mouth[1][2]
Drug classGnRH modulator;GnRH antagonist;Antigonadotropin
ATC code
Legal status
Legal status
Identifiers
  • 3-{5-[(2,3-difluoro-6-methoxyphenyl)methoxy]-2-fluoro-4-methoxyphenyl}-2,4-dioxo-1,2,3,4-tetrahydrothieno[3,4-d]pyrimidine-5-carboxylic acid
CAS Number
PubChemCID
ChemSpider
UNII
KEGG
ChEMBL
Chemical and physical data
FormulaC22H15F3N2O7S
Molar mass508.42 g·mol−1
3D model (JSmol)
  • COc1cc(F)c(-n2c(=O)[nH]c3csc(C(=O)O)c3c2=O)cc1OCc1c(OC)ccc(F)c1F
  • InChI=1S/C22H15F3N2O7S/c1-32-14-4-3-10(23)18(25)9(14)7-34-16-6-13(11(24)5-15(16)33-2)27-20(28)17-12(26-22(27)31)8-35-19(17)21(29)30/h3-6,8H,7H2,1-2H3,(H,26,31)(H,29,30)
  • Key:BMAAMIIYNNPHAB-UHFFFAOYSA-N

Linzagolix, sold under the brand nameYselty, is amedication used in the treatment ofuterine fibroids andendometriosis.[1][6][7] Linzagolix is asmall-molecule,non-peptide,orally activegonadotropin-releasing hormone antagonist (GnRH antagonist) developed byKissei Pharmaceutical and ObsEva.[8][9][2]

In June 2022, it was approved for medical use in the European Union and in the United Kingdom.[1][5][10]

Medical uses

[edit]

Linzagolix isindicated for treatment of moderate to severe symptoms ofuterine fibroids in adult women of reproductive age and for treatment of intractableendometriosis.[1][7]

Available forms

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Linzagolix is available as linzagolix choline, thecholinesalt of linzagolix, in the form of 100 and 200 mgfilm-coatedoraltablets.[6]

Pharmacology

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Pharmacodynamics

[edit]

Linzagolix acts as aselectiveantagonist of theGnRH receptor, thebiological target of GnRH.[6] By blocking this receptor, linzagolix prevents GnRH-mediatedsecretion of thegonadotropins,luteinizing hormone (LH) andfollicle-stimulating hormone (FSH), and prevents them from signaling thegonads to producesex hormones includingestrogens,progesterone, andandrogens.[6][11]

In clinical studies, linzagolix fully suppressed estradiol levels (median <20 pg/mL) in women at a dosage of 200 mg/day, whereas partial suppression of estradiol levels (median 20–60 pg/mL) occurred at a dosage 100 mg/day.[6] Progesterone levels were also variably suppressed with these dosages.[6]

Pharmacokinetics

[edit]

Theelimination half-life of linzagolix with repeated administration is approximately 15 hours.[6]

Society and culture

[edit]

Legal status

[edit]

On 16 December 2021, and on 22 April 2022, theCommittee for Medicinal Products for Human Use (CHMP) of theEuropean Medicines Agency (EMA) adopted a positive opinion, recommending the granting of a marketing authorization for the medicinal product Yselty, intended for the treatment of symptoms of uterine fibroids.[12] The applicant for this medicinal product is ObsEva Ireland Ltd.[12] Linzagolix was approved for medical use in the European Union in June 2022.[1][5]

Brand names

[edit]

Linzagolix is sold under the brand name Yselty.[6]

Availability

[edit]

Linzagolix is available in the European Union and in the United Kingdom.[6][10]

References

[edit]
  1. ^abcdef"Yselty EPAR".European Medicines Agency (EMA). 14 December 2021. Retrieved19 August 2022. Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
  2. ^abEzzati M, Carr BR (January 2015)."Elagolix, a novel, orally bioavailable GnRH antagonist under investigation for the treatment of endometriosis-related pain".Women's Health.11 (1):19–28.doi:10.2217/whe.14.68.PMID 25581052.
  3. ^"YSELTY (Theramex Australia Pty Ltd) | Therapeutic Goods Administration (TGA)". Archived fromthe original on 16 April 2025. Retrieved7 September 2025.
  4. ^"Linzagolix".Specialist Pharmacy Service. 8 August 2022. Archived fromthe original on 25 August 2022. Retrieved24 August 2022.
  5. ^abc"Yselty Product information". European Commission. EU/1/21/1606. Retrieved24 June 2022.
  6. ^abcdefghi"Yselty film-coated tablets"(PDF).Theramex Ireland Limited. European Medicines Agency.
  7. ^abEngland, N. H. S. (1 May 2025)."NHS England » New endometriosis pill on the NHS could benefit more than 1,000 women a year".www.england.nhs.uk. Retrieved22 May 2025.
  8. ^"Linzagolix - Kissei Pharmaceutical/ObsEva".AdisInsight. Springer Nature Switzerland AG.
  9. ^Chodankar R, Allison J (2018)."New Horizons in Fibroid Management".Current Obstetrics and Gynecology Reports.7 (2):106–115.doi:10.1007/s13669-018-0242-6.ISSN 2161-3303.
  10. ^ab"ObsEva Announces UK MHRA Marketing Authorization for Yselty (linzagolix), an Oral GnRH Antagonist, for the Treatment of Uterine Fibroids" (Press release). ObsEva. 28 June 2022. Retrieved24 August 2022 – via GlobeNewswire.
  11. ^Kotlyar AM, Pal L, Taylor HS (December 2021). "Eliminating Hormones With Orally Active Gonadotropin-releasing Hormone Antagonists".Clinical Obstetrics and Gynecology.64 (4):837–849.doi:10.1097/GRF.0000000000000664.PMID 34668887.S2CID 239034628.
  12. ^ab"Yselty: Pending EC decision".European Medicines Agency. 16 December 2021. Archived fromthe original on 18 December 2021. Retrieved18 December 2021. Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.

Further reading

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  • Dababou S, Garzon S, Laganà AS, Ferrero S, Evangelisti G, Noventa M, et al. (September 2021). "Linzagolix: a new GnRH-antagonist under investigation for the treatment of endometriosis and uterine myomas".Expert Opinion on Investigational Drugs.30 (9):903–911.doi:10.1080/13543784.2021.1957830.PMID 34278887.S2CID 236091261.

External links

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GnRHTooltip Gonadotropin-releasing hormone andgonadotropins
GnRH modulators
(incl.analogues)
Agonists
Antagonists
Gonadotropins
Preparations
Others
(indirect)
Progonadotropins
Antigonadotropins
GnRHTooltip Gonadotropin-releasing hormone receptor andgonadotropin receptormodulators
GnRHTooltip Gonadotropin-releasing hormone receptor
Gonadotropin
LH/hCGTooltip Luteinizing hormone/choriogonadotropin receptor
FSHTooltip Follicle-stimulating hormone receptor
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