Last reviewed · How we verify

Estetrol oral tablet

Estetra · Phase 3 active Small molecule

Estetrol is a selective estrogen receptor modulator (SERM) that binds to estrogen receptors to provide estrogenic activity with a potentially improved safety profile.

Estetrol is a selective estrogen receptor modulator (SERM) that binds to estrogen receptors to provide estrogenic activity with a potentially improved safety profile. Used for Oral contraception, Hormone replacement therapy in menopausal women.

At a glance

Generic nameEstetrol oral tablet
Also known asE4 oral tablet
SponsorEstetra
Drug classSelective estrogen receptor modulator (SERM)
TargetEstrogen receptor alpha (ERα) and estrogen receptor beta (ERβ)
ModalitySmall molecule
Therapeutic areaGynecology / Contraception / Women's Health
PhasePhase 3

Mechanism of action

Estetrol is a naturally occurring estrogen metabolite that acts as a selective estrogen receptor modulator, activating estrogen receptors in a tissue-selective manner. Unlike conventional estrogens used in hormone therapy, estetrol may provide beneficial estrogenic effects while potentially reducing risks associated with traditional estrogen-based therapies. It is being developed as an oral contraceptive and for hormone replacement therapy applications.

Approved indications

Common side effects

Key clinical trials

Primary sources

Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.

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

Competitive intelligence

For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape: