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SH D 593 B (Miranova)

Bayer · Phase 3 active Small molecule

SH D 593 B is a selective progesterone receptor modulator that modulates progesterone signaling to treat gynecological and reproductive disorders.

SH D 593 B is a selective progesterone receptor modulator that modulates progesterone signaling to treat gynecological and reproductive disorders. Used for Uterine fibroids (leiomyomas), Endometriosis.

At a glance

Generic nameSH D 593 B (Miranova)
SponsorBayer
Drug classSelective progesterone receptor modulator (SPRM)
TargetProgesterone receptor (PR)
ModalitySmall molecule
Therapeutic areaGynecology / Reproductive Health
PhasePhase 3

Mechanism of action

As a selective progesterone receptor modulator (SPRM), SH D 593 B binds to progesterone receptors with tissue-selective activity, allowing both agonist and antagonist effects depending on the tissue context. This mechanism enables it to modulate endometrial proliferation and uterine contractility while potentially preserving ovarian function, making it suitable for conditions like uterine fibroids and endometriosis.

Approved indications

Common side effects

Key clinical trials

Primary sources

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