elagolix   Click here for help

GtoPdb Ligand ID: 8362

Synonyms: compound 10b [PMID 19006286] | NBI-56418 | NBI56418 | Orilissa®
Approved drug PDB Ligand
elagolix is an approved drug (FDA (2018))
Compound class: Synthetic organic
Comment: Elagolix is a non-peptide gonadotrophin receptor (GnRHR) antagonist [1]. As of July 2018, it is the first and only FDA-approved oral GnRH antagonist available for the treatment of moderate to severe endometriosis pain.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 5
Hydrogen bond donors 2
Rotatable bonds 13
Topological polar surface area 102.56
Molecular weight 631.21
XLogP 7.35
No. Lipinski's rules broken 2
SMILES / InChI / InChIKey
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Canonical SMILES COc1cccc(c1F)c1c(=O)n(CC(c2ccccc2)NCCCC(=O)O)c(=O)n(c1C)Cc1c(F)cccc1C(F)(F)F
Isomeric SMILES COc1cccc(c1F)c1c(=O)n(C[C@@H](c2ccccc2)NCCCC(=O)O)c(=O)n(c1C)Cc1c(F)cccc1C(F)(F)F
InChI InChI=1S/C32H30F5N3O5/c1-19-28(21-11-6-14-26(45-2)29(21)34)30(43)40(18-25(20-9-4-3-5-10-20)38-16-8-15-27(41)42)31(44)39(19)17-22-23(32(35,36)37)12-7-13-24(22)33/h3-7,9-14,25,38H,8,15-18H2,1-2H3,(H,41,42)/t25-/m0/s1
InChI Key HEAUOKZIVMZVQL-VWLOTQADSA-N
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Summary of Clinical Use Click here for help
Elagolix is an approved monotherapy for the management of moderate to severe pain that is associated with endometriosis. Approval was granted by the FDA in May 2020, for the elagolix-containing medication Oriahnn® to be used for non-surgical management of heavy menstrual bleeding associated with uterine fibroids in pre-menopausal women. The Oriahnn® treatment regimen is 2 capsules/day, one taken in the morning (containing elagolix + estradiol + norethindrone acetate) and the other taken in the evening (elagolix only), for a maximum of 24 months.
Mechanism Of Action and Pharmacodynamic Effects Click here for help
As a GnRHR antagonist, elegolix will act to suppress the pituitary-gonadal axis, leading to decreased levels of gonadal sex hormones. This is of clinical benefit in hormone-sensitive diseases such as endometriosis.