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Also known as: 65928-58-7, Dienogestrel, Dienogestril, Sts 557, Endometrion, Dienogestum
Molecular Formula
C20H25NO2
Molecular Weight
311.4  g/mol
InChI Key
AZFLJNIPTRTECV-FUMNGEBKSA-N
FDA UNII
46M3EV8HHE

Dienogest
Dienogest is an orally-active, semisynthetic, fourth generation, nonethinylated progestogen with antiproliferative, antiandrogenic, anti-inflammatory and antiangiogenic activities that is used in hormone therapy and as a female contraceptive. Upon oral administration, dienogest binds intracellular progesterone receptors which then translocate to the nucleus where the drug-receptor complex interacts with progesterone response elements, thus altering the expression of target genes. Dienogest reduces the production of estradiol, prevents ovulation and alters the cervical mucus and endometrium. In addition, dienogest appears to suppress the expression of cell cycle regulator cyclin D1. Altogether, this may prevent the growth of endometrial epithelial cells and may reduce symptoms associated with leiomyoma.
Dienogest is a Progestin.
1 2D Structure

Dienogest

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
2-[(8S,13S,14S,17R)-17-hydroxy-13-methyl-3-oxo-1,2,6,7,8,11,12,14,15,16-decahydrocyclopenta[a]phenanthren-17-yl]acetonitrile
2.1.2 InChI
InChI=1S/C20H25NO2/c1-19-8-6-16-15-5-3-14(22)12-13(15)2-4-17(16)18(19)7-9-20(19,23)10-11-21/h12,17-18,23H,2-10H2,1H3/t17-,18+,19+,20-/m1/s1
2.1.3 InChI Key
AZFLJNIPTRTECV-FUMNGEBKSA-N
2.1.4 Canonical SMILES
CC12CCC3=C4CCC(=O)C=C4CCC3C1CCC2(CC#N)O
2.1.5 Isomeric SMILES
C[C@]12CCC3=C4CCC(=O)C=C4CC[C@H]3[C@@H]1CC[C@]2(CC#N)O
2.2 Other Identifiers
2.2.1 UNII
46M3EV8HHE
2.3 Synonyms
2.3.1 MeSH Synonyms

1. 17 Alpha-cyanomethyl-17 Beta-hydroxy-13 Beta-methylgona-4,9-dien-3-one

2. 17 Alpha-cyanomethyl-17 Beta-hydroxyestra-4,9(10)-diene-3-one

3. 19-norpregna-4,9-diene-21-nitrile, 17-hydroxy-3-oxo-, (17alpha)-

4. Sts 557

5. Sts-557

2.3.2 Depositor-Supplied Synonyms

1. 65928-58-7

2. Dienogestrel

3. Dienogestril

4. Sts 557

5. Endometrion

6. Dienogestum

7. Dinagest

8. Natazia

9. Sts-557

10. Visanne

11. Mjr-35

12. 17alpha-17-hydroxy-3-oxo-19-norpregna-4,9-diene-21-nitrile

13. Bay86-5258

14. Bay 86-5258

15. 46m3ev8hhe

16. Zk 37659

17. 2-[(8s,13s,14s,17r)-17-hydroxy-13-methyl-3-oxo-1,2,6,7,8,11,12,14,15,16-decahydrocyclopenta[a]phenanthren-17-yl]acetonitrile

18. Chebi:70708

19. 17-alpha-cyanomethyl-17-beta-hydroxy-estra-4,9(10)-dien-3-one

20. M 18575

21. M-18575

22. 2-((8s,13s,14s,17r)-17-hydroxy-13-methyl-3-oxo-2,3,6,7,8,11,12,13,14,15,16,17-dodecahydro-1h-cyclopenta[a]phenanthren-17-yl)acetonitrile

23. Zk-37659

24. Dienogest [inn]

25. Dienogestum [latin]

26. (17-hydroxy-3-oxoestra-4,9-dien-17beta-yl)acetonitrile

27. 17alpha-cyanomethyl-17beta-hydroxyestra-4,9(10)-dien-3-one

28. [(17beta)-17-hydroxy-3-oxoestra-4,9-dien-17-yl]acetonitrile

29. Unii-46m3ev8hhe

30. Dienogest [usan:inn:ban]

31. Endometrion (tn)

32. (17&alpha

33. Dienogest [jan]

34. 17-cyanomethyl-17-hydroxy-estra-4,9-dien-3-one

35. Dienogest [mi]

36. Dienogest [usan]

37. 17-alpha-cyanomethyl-17-beta-hydroxyestra-4,9(10)-diene-3-one

38. Dienogest [vandf]

39. 19-norpregna-4,9-diene-21-nitrile, 17-hydroxy-3-oxo-, (17alpha)-

40. Dienogest [mart.]

41. 17-hydroxy-3-oxo-19-norpregna-4,9-diene-21-nitrile

42. Dienogest [who-dd]

43. Schembl37293

44. Dienogest (jan/usan/inn)

45. Gtpl7654

46. Sts557

47. Dienogest [orange Book]

48. Dienogest For System Suitability

49. Chembl1201864

50. Dienogest [ep Monograph]

51. Dienogest, >=98% (hplc)

52. Sh-t00660aa

53. Dtxsid80891478

54. 17-hydroxy-3-oxo-19-nor-17alpha-pregna-4,9-diene-21-nitrile

55. Bcp22681

56. Hy-b0084

57. Zinc4215629

58. Mfcd00868356

59. S1251

60. 19-norpregna-4,9-diene-21-nitrile, 17-hydroxy-3-oxo-, (17-alpha)-

61. Akos015840152

62. Akos015896680

63. Ac-2166

64. Ccg-267594

65. Cs-1782

66. Db09123

67. Ncgc00346502-04

68. D5230

69. D03799

70. Ab01566807_01

71. 928d587

72. Q139160

73. Sr-01000942230

74. Sr-01000942230-1

75. Brd-k50853363-001-02-3

76. Dienogest, Europepharmacopoeia (ep) Reference Standard

77. [(17?)-17-hydroxy-3-oxoestra-4,9-dien-17-yl]acetonitrile

78. 17-hydroxy-3-oxo-19-nor-17.alpha.-pregna-4,9-diene-21-nitrile

79. 19-norpregna-4,9-diene-21-nitrile, 17-hydroxy-3-oxo-, (17.alpha.)-

80. Dienogest For System Suitability, Europepharmacopoeia (ep) Reference Standard

81. 17-hydroxy-3-oxo-19-norpregna-4,9-diene-21-nitrile, 17-cyanomethyl-17-hydroxy-estra-4,9-dien-3-one

2.4 Create Date
2005-08-08
3 Chemical and Physical Properties
Molecular Weight 311.4 g/mol
Molecular Formula C20H25NO2
XLogP31.8
Hydrogen Bond Donor Count1
Hydrogen Bond Acceptor Count3
Rotatable Bond Count1
Exact Mass311.188529040 g/mol
Monoisotopic Mass311.188529040 g/mol
Topological Polar Surface Area61.1 Ų
Heavy Atom Count23
Formal Charge0
Complexity679
Isotope Atom Count0
Defined Atom Stereocenter Count4
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Indication

Indicated for use as the treatment of endometriosis alone and as a contraceptive in combination with ethinylestradiol.


Treatment of endometriosis


5 Pharmacology and Biochemistry
5.1 Pharmacology

Dienogest exhibits a very potent progestagenic effect in the endometrium, and causes endometrial atrophy after prolonged use . It also mediates an antiandrogenic effect that is equivalent to approximately one third that of cyproterone acetate. A dose of 2 mg inhibits the growth of ovarian follicles at 10 mm and maintains the concentration of progesterone at a low level, but has a weak inhibitory effect on FSH and LH. 1mg/kg of dienogest also directly inhibits ovulation. In clinical trials composing of patients with endometriosis, dienogest therapy effectively reduced painful symptoms and endometriotic lesions associated with the disorder. Dienogest displays no antiestrogenic activity as it activate neither estrogen receptor (ER) nor ER, and causes hypoestrogenic effects instead as it is shown to decrease the relative expressions of ER and ER. It has no glucocorticoid or mineralocorticoid effects. In combined oral contraceptive pills (COCP) with ethinyloestradiol, dienogest conjuction therapy effectively reduces the symptoms of acne and hirsutism, as well as improving excessively heavy or prolonged menstrual bleeding.


5.2 MeSH Pharmacological Classification

Antineoplastic Agents, Hormonal

Antineoplastic agents that are used to treat hormone-sensitive tumors. Hormone-sensitive tumors may be hormone-dependent, hormone-responsive, or both. A hormone-dependent tumor regresses on removal of the hormonal stimulus, by surgery or pharmacological block. Hormone-responsive tumors may regress when pharmacologic amounts of hormones are administered regardless of whether previous signs of hormone sensitivity were observed. The major hormone-responsive cancers include carcinomas of the breast, prostate, and endometrium; lymphomas; and certain leukemias. (From AMA Drug Evaluations Annual 1994, p2079) (See all compounds classified as Antineoplastic Agents, Hormonal.)


Contraceptives, Oral, Hormonal

Oral contraceptives which owe their effectiveness to hormonal preparations. (See all compounds classified as Contraceptives, Oral, Hormonal.)


Contraceptive Agents, Male

Chemical substances or agents with contraceptive activity in males. Use for male contraceptive agents in general or for which there is no specific heading. (See all compounds classified as Contraceptive Agents, Male.)


Hormone Antagonists

Chemical substances which inhibit the function of the endocrine glands, the biosynthesis of their secreted hormones, or the action of hormones upon their specific sites. (See all compounds classified as Hormone Antagonists.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
DIENOGEST
5.3.2 FDA UNII
46M3EV8HHE
5.3.3 Pharmacological Classes
Chemical Structure [CS] - Progesterone Congeners
5.4 ATC Code

G03DB08

S76 | LUXPHARMA | Pharmaceuticals Marketed in Luxembourg | Pharmaceuticals marketed in Luxembourg, as published by d'Gesondheetskeess (CNS, la caisse nationale de sante, www.cns.lu), mapped by name to structures using CompTox by R. Singh et al. (in prep.). List downloaded from https://cns.public.lu/en/legislations/textes-coordonnes/liste-med-comm.html. Dataset DOI:10.5281/zenodo.4587355


G - Genito urinary system and sex hormones

G03 - Sex hormones and modulators of the genital system

G03D - Progestogens

G03DB - Pregnadien derivatives

G03DB08 - Dienogest


5.5 Absorption, Distribution and Excretion

Absorption

Dienogest is rapidly absorbed following oral administration, with 91% bioavailability. The peak plasma concentration of 47 ng/mL is reached at about 1.5 hours after single ingestion of 2 mg. The stable concentrations of the drug are reached after two days of initial treatment.


Route of Elimination

The ratio of renal elimination to fecal elimination of dienogest is 3:1, where dienogest is predominantly excreted in the form of inactive metabolites. Most of orally administered drug is excreted in the urine within the first 24 hours of ingestion.


Volume of Distribution

The apparent volume of distribution (Vd/F) of dienogest is 40 L.


Clearance

The metabolic clearance rate from serum (Cl/F) is 64 mL/min.


5.6 Metabolism/Metabolites

Dienogest undergoes complete metabolism that is mainly mediated by CYP3A4. The metabolites are pharmacologically inactive and rapidly eliminated from the plasma.


5.7 Biological Half-Life

Elimination half-life of dienogest is around 9-10 hours. The half-life of urinary metabolites excretion is 14 hours.


5.8 Mechanism of Action

Dienogest acts as an agonist at the progesterone receptor (PR) with weak affinity that is comparable to that of progesterone but has a very potent progestagenic effect in the endometrium, causing endometrial atrophy after prolonged use. It promotes antiproliferative, immunologic and antiangiogenic effects on endometrial tissue. Dienogest reduces the level of endogenous production of oestradiol and thereby suppressing the trophic effects of oestradiol on both the eutopic and ectopic endometrium. Continous administration of dienogest results in hyperprogestogenic and moderately hypoestrogenic endocrine environment, which causes initial decidualization of endometrial tissue. It is an antagonist at androgen receptors, improve androgenic symptoms such as acne and hirsutism.


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DELHI","supplier":"CHEMO","supplierCountry":"ITALY","foreign_port":"BASLE","customer":"NAARI","customerCountry":"INDIA","quantity":"5.00","actualQuantity":"5","unit":"KGS","unitRateFc":"12000","totalValueFC":"65595.9","currency":"EUR","unitRateINR":"1089000","date":"15-Sep-2023","totalValueINR":"5445000","totalValueInUsd":"65595.9","indian_port":"Delhi Air","hs_no":"29372900","bill_no":"7852282","productDescription":"API","marketType":"REGULATED MARKET","country":"ITALY","selfForZScoreResived":"Pharma Grade","supplierPort":"BASLE","supplierAddress":"LUGANO BRANCH,VIA F. PELLI 17,P.O. BOX. 6901 LUGANO, SWITZERLAND","customerAddress":"C-3\/199, JANAK PURI,"},{"dataSource":"API Import","activeIngredients":"","year":"2024","qtr":"Q4","strtotime":1729103400,"product":"DIENOGEST (THIRD COUNTRY EXPORT UNDER PARA 2.46 OF EXIM POLICY 2015-20)","address":"114 MARINE CHAMBERS ,","city":"MAHARASHTRA","supplier":"SHANDONG CHENGHUI SHUANGDA PHARMACEUTICAL","supplierCountry":"CHINA","foreign_port":"BEIJING","customer":"SWATI SPENTOSE","customerCountry":"INDIA","quantity":"18.00","actualQuantity":"18","unit":"KGS","unitRateFc":"2900","totalValueFC":"52711.6","currency":"USD","unitRateINR":"246065","date":"17-Oct-2024","totalValueINR":"4429170","totalValueInUsd":"52711.6","indian_port":"Bombay Air","hs_no":"29349990","bill_no":"6173840","productDescription":"API","marketType":"REGULATED MARKET","country":"CHINA","selfForZScoreResived":"Pharma Grade","supplierPort":"BEIJING","supplierAddress":"UTICAL CO., LTD. ECONOMIC DEVELOPME NT ZONE,PINGYUAN COUNTY,DEZHOU,SHAN DONG,CHINA CHINA","customerAddress":"114 MARINE CHAMBERS ,"},{"dataSource":"API Import","activeIngredients":"","year":"2024","qtr":"Q4","strtotime":1731004200,"product":"DIENOGEST MICRO","address":"C-3\/199, JANAK PURI,","city":"NEW DELHI","supplier":"CHEMO","supplierCountry":"SWITZERLAND","foreign_port":"BASLE","customer":"NAARI","customerCountry":"INDIA","quantity":"5.00","actualQuantity":"5","unit":"KGS","unitRateFc":"10000","totalValueFC":"54658.1","currency":"EUR","unitRateINR":"922500","date":"08-Nov-2024","totalValueINR":"4612500","totalValueInUsd":"54658.1","indian_port":"Delhi Air","hs_no":"29339990","bill_no":"6575526","productDescription":"API","marketType":"REGULATED MARKET","country":"SWITZERLAND","selfForZScoreResived":"Pharma Grade","supplierPort":"BASLE","supplierAddress":"LUGANO BRANCH VIA F. PALLI 17, P.O. BOX, 6901 LUGANO SDNF CH","customerAddress":"C-3\/199, JANAK PURI,"}]
06-Feb-2021
24-Nov-2024
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Quantity (KGS) & Unit rate (USD/KGS) over time

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ABOUT THIS PAGE

Dienogest Manufacturers

A Dienogest manufacturer is defined as any person or entity involved in the manufacture, preparation, processing, compounding or propagation of Dienogest, including repackagers and relabelers. The FDA regulates Dienogest manufacturers to ensure that their products comply with relevant laws and regulations and are safe and effective to use. Dienogest API Manufacturers are required to adhere to Good Manufacturing Practices (GMP) to ensure that their products are consistently manufactured to meet established quality criteria.

click here to find a list of Dienogest manufacturers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PhamaCompass.

Dienogest Suppliers

A Dienogest supplier is an individual or a company that provides Dienogest active pharmaceutical ingredient (API) or Dienogest finished formulations upon request. The Dienogest suppliers may include Dienogest API manufacturers, exporters, distributors and traders.

click here to find a list of Dienogest suppliers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PharmaCompass.

Dienogest USDMF

A Dienogest DMF (Drug Master File) is a document detailing the whole manufacturing process of Dienogest active pharmaceutical ingredient (API) in detail. Different forms of Dienogest DMFs exist exist since differing nations have different regulations, such as Dienogest USDMF, ASMF (EDMF), JDMF, CDMF, etc.

A Dienogest DMF submitted to regulatory agencies in the US is known as a USDMF. Dienogest USDMF includes data on Dienogest's chemical properties, information on the facilities and procedures used, and details about packaging and storage. The Dienogest USDMF is kept confidential to protect the manufacturer’s intellectual property.

click here to find a list of Dienogest suppliers with USDMF on PharmaCompass.

Dienogest JDMF

The Pharmaceuticals and Medical Devices Agency (PMDA) established the Japan Drug Master File (JDMF), also known as the Master File (MF), to permit Japanese and foreign manufacturers of drug substances, intermediates, excipients, raw materials, and packaging materials (‘Products’) to voluntarily register confidential information about the production and management of their products in Japan.

The Dienogest Drug Master File in Japan (Dienogest JDMF) empowers Dienogest API manufacturers to present comprehensive information (e.g., production methods, data, etc.) to the review authority, i.e., PMDA (Pharmaceuticals & Medical Devices Agency).

PMDA reviews the Dienogest JDMF during the approval evaluation for pharmaceutical products. At the time of Dienogest JDMF registration, PMDA checks if the format is accurate, if the necessary items have been included (application), and if data has been attached.

click here to find a list of Dienogest suppliers with JDMF on PharmaCompass.

Dienogest CEP

A Dienogest CEP of the European Pharmacopoeia monograph is often referred to as a Dienogest Certificate of Suitability (COS). The purpose of a Dienogest CEP is to show that the European Pharmacopoeia monograph adequately controls the purity of Dienogest EP produced by a given manufacturer. Suppliers of raw materials can prove the suitability of Dienogest to their clients by showing that a Dienogest CEP has been issued for it. The manufacturer submits a Dienogest CEP (COS) as part of the market authorization procedure, and it takes on the role of a Dienogest CEP holder for the record. Additionally, the data presented in the Dienogest CEP (COS) is managed confidentially and offers a centralized system acknowledged by numerous nations, exactly like the Dienogest DMF.

A Dienogest CEP (COS) is recognised by all 36 nations that make up the European Pharmacopoeia Convention. Dienogest CEPs may be accepted in nations that are not members of the Ph. Eur. at the discretion of the authorities there.

click here to find a list of Dienogest suppliers with CEP (COS) on PharmaCompass.

Dienogest NDC

National Drug Code is a comprehensive database maintained by the FDA that contains information on all drugs marketed in the US. This directory includes information about finished drug products, unfinished drug products, and compounded drug products, including those containing Dienogest as an active pharmaceutical ingredient (API).

Finished drug products

The FDA updates the NDC directory daily. The NDC numbers for Dienogest API and other APIs are published in this directory by the FDA.

Unfinished drugs

The NDC unfinished drugs database includes product listing information submitted for all unfinished drugs, such as active pharmaceutical ingredients (APIs), drugs intended for further processing and bulk drug substances for compounding.

Pharmaceutical companies that manufacture Dienogest as an active pharmaceutical ingredient (API) must furnish the FDA with an updated record of all drugs that they produce, prepare, propagate, compound, or process for commercial distribution in the US at their facilities.

Compounded drug products

The NDC directory also contains data on finished compounded human drug products that contain Dienogest and are produced by outsourcing facilities. While these outsourcing facilities are not mandated to assign a Dienogest NDC to their finished compounded human drug products, they may choose to do so.

click here to find a list of Dienogest suppliers with NDC on PharmaCompass.

Dienogest GMP

Dienogest Active pharmaceutical ingredient (API) is produced in GMP-certified manufacturing facility.

GMP stands for Good Manufacturing Practices, which is a system used in the pharmaceutical industry to make sure that goods are regularly produced and monitored in accordance with quality standards. The FDA’s current Good Manufacturing Practices requirements are referred to as cGMP or current GMP which indicates that the company follows the most recent GMP specifications. The World Health Organization (WHO) has its own set of GMP guidelines, called the WHO GMP. Different countries can also set their own guidelines for GMP like China (Chinese GMP) or the EU (EU GMP).

PharmaCompass offers a list of Dienogest GMP manufacturers, exporters & distributors, which can be sorted by USDMF, JDMF, KDMF, CEP (COS), WC, API price, and more, enabling you to easily find the right Dienogest GMP manufacturer or Dienogest GMP API supplier for your needs.

Dienogest CoA

A Dienogest CoA (Certificate of Analysis) is a formal document that attests to Dienogest's compliance with Dienogest specifications and serves as a tool for batch-level quality control.

Dienogest CoA mostly includes findings from lab analyses of a specific batch. For each Dienogest CoA document that a company creates, the USFDA specifies specific requirements, such as supplier information, material identification, transportation data, evidence of conformity and signature data.

Dienogest may be tested according to a variety of international standards, such as European Pharmacopoeia (Dienogest EP), Dienogest JP (Japanese Pharmacopeia) and the US Pharmacopoeia (Dienogest USP).

Inform the supplier about your product requirements, specifying if you need a product with particular monograph like EP (Ph. Eur.), USP, JP, BP, or any other quality. In addition, clarify whether you need hydrochloride (HCl), anhydricum, base, micronisatum or a specific level of purity. To find reputable suppliers, utilize the filters and select those certified by GMP, FDA, or any other certification as per your requirement.
For your convenience, we have listed synonyms and CAS numbers to help you find the best supplier. The use of synonyms and CAS numbers can be helpful in identifying potential suppliers, but it is crucial to note that they might not always indicate the exact same product. It is important to confirm the product details with the supplier before making a purchase to ensure that it meets your requirements.
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