Clinical Trials

Numerous clinical trials across Phases 1 through 4 evaluate the therapeutic application of estradiol valerate for reproductive and gynecological conditions, including oral contraception, hormone replacement therapy, female infertility, endometrial dysfunction, and polycystic ovary syndrome. Spanning completed, active, and upcoming protocols, these studies highlight the drug's ongoing evaluation. Research is supported by major pharmaceutical sponsors, such as Bayer, alongside academic medical institutions including Meir Medical Center and Alexandria University.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07041814 NOT_YET_RECRUITING
Turner Syndrome
Universiti Kebangsaan Malaysia Medical Centre
2026-02-15 PHASE2
NCT07419594 RECRUITING
PTSD; Intrusive Memories; Intrusion Symptom; Trauma; Intrusion
Charite University, Berlin, Germany
2024-08-19
NCT07379502 NOT_YET_RECRUITING
PCOS (Polycystic Ovary Syndrome)
CMH Kharian Medical College
2026-03-05
NCT07727863 COMPLETED
PCOS GnRH Antagonist and GnRH Agonist IVF/ICSI Cycles; IVF Outcomes
Cairo University
2024-09-13
NCT03976544 TERMINATED
Miscarriage; Frozen Embryo Transfer; Natural Cycle; Hormone Replacement Therapy Cycle; Preimplantation Genetic Screening; Euploid Embryos
CRG UZ Brussel
2019-05-25 PHASE4
NCT02330757 UNKNOWN
Infertility
Mansoura University
2016-10-10 PHASE4
NCT06181305 UNKNOWN
IVF
Rahem Fertility Center
2024-02-24 PHASE4
NCT05227391 UNKNOWN
PCOS
Reproductive & Genetic Hospital of CITIC-Xiangya
2022-03-16
NCT04590417 ACTIVE_NOT_RECRUITING
Drug Interaction
Thai Red Cross AIDS Research Centre
2022-01-24
NCT05300841 UNKNOWN
PCOS; ICSI
Sohag University
2022-05-01 EARLY_PHASE1
NCT05332106 COMPLETED
Bioequivalence
Laboratorios Andromaco S.A.
2022-03-12 PHASE1
NCT04901377 Completed
Oral Contraception
Bayer
2021-06-24 --
NCT04002635 WITHDRAWN
Infertility, Female; Polycystic Ovary Syndrome; IVF; Ovulation Disorder
CRG UZ Brussel
2020-12-01 PHASE4
NCT05197374 COMPLETED
Female Infertility
Alexandria University
2020-06-01 PHASE4
NCT03854175 UNKNOWN
Infertility
Cairo University
2019-02
NCT03832894 UNKNOWN
Infertility
Cairo University
2018-12-01 PHASE3
NCT03788681 UNKNOWN
ICSI
Ain Shams University
2018-04-01 PHASE3
NCT06312033 COMPLETED
Emotion Regulation; Estradiol
International Research Training Group 2804
2018-08-01
NCT03301233 COMPLETED
Endometrial Thickness
Ain Shams University
2017-11-01
NCT03346317 UNKNOWN
Intrauterine Adhesion
Beijing Obstetrics and Gynecology Hospital
2017-11-16
NCT03155048 COMPLETED
Infertility
Memorial Sisli Hospital, Istanbul
2017-05-01
NCT02161614 COMPLETED
Flow-mediated Dilation Evaluation of the Brachial Artery
Federal University of Minas Gerais
2014-02
NCT01638923 COMPLETED
Metrorrhagia
Bayer
2012-06 PHASE3
NCT01419353 COMPLETED
Infertility
Meir Medical Center
2011-08 PHASE4
NCT01221831 COMPLETED
Contraception
Estetra
2010-09 PHASE2
NCT00755963 COMPLETED
Hormone Replacement
Medical University of Vienna
2009-05 PHASE4
NCT01120665 COMPLETED
Women's Health
University of Sao Paulo General Hospital
2002-02
NCT00805415 COMPLETED
Ovulation Inhibition
Bayer
2003-03 PHASE2
NCT00860964 COMPLETED
Osteoporosis
Peking Union Medical College
1998-02 PHASE4
NCT00463450 Completed
Hormone Replacement Therapy
Bayer|Navitas Life Sciences GmbH|LKF Laboratory
2002-05 Phase 3
NCT00463450 COMPLETED
Hormone Replacement Therapy
Bayer
2002-05 PHASE3
NCT00490308 UNKNOWN
Infertility
Assaf-Harofeh Medical Center
2007-08 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-02-02)

Check the Estradiol valerate product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Estradiol valerate acts as a synthetic ester prodrug that undergoes enzymatic cleavage to release 17β-estradiol, which selectively binds to intracellular nuclear estrogen receptors. Receptor binding triggers dimerization and transcriptional regulation of estrogen-responsive target genes, modulating cellular proliferation and tissue differentiation to effectively manage symptoms associated with hormone deficiency and female infertility.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.