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Analogous GnRH antagonist

Merck KGaA, Darmstadt, Germany · Phase 2 active Small molecule

This GnRH antagonist blocks gonadotropin-releasing hormone receptors to suppress luteinizing hormone and follicle-stimulating hormone, reducing sex hormone production.

This GnRH antagonist blocks gonadotropin-releasing hormone receptors to suppress luteinizing hormone and follicle-stimulating hormone, reducing sex hormone production. Used for Advanced prostate cancer (hormone-sensitive), Hormone-dependent breast cancer, Endometriosis.

At a glance

Generic nameAnalogous GnRH antagonist
Also known asCetrotide®
SponsorMerck KGaA, Darmstadt, Germany
Drug classGnRH antagonist
TargetGnRH receptor (GnRHR)
ModalitySmall molecule
Therapeutic areaOncology; Reproductive/Endocrinology
PhasePhase 2

Mechanism of action

GnRH antagonists directly bind to and inhibit GnRH receptors on pituitary gonadotroph cells, preventing the release of LH and FSH without an initial flare effect (unlike GnRH agonists). This leads to rapid suppression of testosterone in males and estrogen in females, making them useful for hormone-dependent conditions. The antagonist mechanism provides faster onset of action and avoids the transient hormone surge seen with agonists.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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