Leuprolide is a peptide-based GnRH receptor superagonist. It is a synthetic 9-residue peptide analogue of GnRH, containing a single D-amino acid (D-leucyl) residue. This modification increases its circulating half-life from approximately three to four minutes to about three hours . By binding to the GnRH receptor (GnRHR), leuprolide induces downstream modulation of both gonadotropin hormone and sex steroid levels. Prolonged activation of GnRHR results in significant downregulation of sex steroid levels, which is primarily responsible for its clinical efficacy .
Leuprolide is used for various medical conditions, including:
Leuprolide is administered via injection, either intramuscularly or subcutaneously. The dosage and frequency of administration depend on the condition being treated. For instance, it can be given as a daily subcutaneous injection or as a long-acting intramuscular or subcutaneous product that can be dosed once every six months .
Common side effects of leuprolide include hot flashes, unstable mood, trouble sleeping, headaches, and pain at the injection site . Other potential side effects may include high blood sugar, allergic reactions, and problems with the pituitary gland . It is important to note that use during pregnancy may harm fetal development .
Leuprolide was first patented in 1973 and approved for medical use in the United States in 1985 . Since its initial approval, various formulations have been developed to improve patient compliance and convenience . It is also listed on the World Health Organization’s List of Essential Medicines, highlighting its importance in healthcare .