Ganirelix works by blocking the action of GnRH on the pituitary gland, which rapidly suppresses the production and action of LH and follicle-stimulating hormone (FSH) . This suppression is crucial in preventing premature ovulation, which can result in the harvesting of immature eggs during assisted reproductive techniques such as in vitro fertilization (IVF) .
The preparation of Ganirelix involves a series of steps using solid-phase peptide synthesis (SPPS). The process includes:
Ganirelix undergoes various chemical reactions during its synthesis and application. The key reactions include: