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chlormadinone acetate + ethinyl estradiol (Balianca / Belara / CG5025)

✓ Approved

Faes · AR · Small Molecule

What is chlormadinone acetate + ethinyl estradiol?

chlormadinone acetate + ethinyl estradiol is a small molecule developed by Faes. It is approved for therapeutic indications via oral (po).

Drug Profile

Brand NamesBalianca, Belara, CG5025
CompanyFaes
Drug ClassSmall Molecule
Molecular TargetAR, ESR1
RouteOral (PO)
StatusApproved

Mechanism of Action

Molecular Targets

chlormadinone acetate + ethinyl estradiol acts on 2 molecular targets:

ARandrogen receptor (TFM, NR3C4)
ESR1estrogen receptor 1 (ESR, ESTRR)
Want deeper analysis?Noah AI can explain complex mechanisms and compare to similar drugs.

Therapeutic Indications

chlormadinone acetate + ethinyl estradiol is developed for 2 unique indications across 2 therapeutic areas.

Therapeutic AreaConditionPhase
Reproductive system and breast disordersPolycystic ovaries✓ Approved
Endocrine disordersPolycystic ovarian syndrome✓ Approved

Related Research Articles

PubMedFood chemistry: X2026-08-26

Processing effects on metabolites and volatiles in turnip (Brassica rapa L.) products: a targeted metabolomics study.

Zhou Yuxuan Y, Liu Zimeng Z, Li Chunyan C, Wang Bin B et al.

Turnips are rich in phenolics, saponins, and glucosinolates, but how different processing forms reshape their nutritional composition, aroma characteristics, and metabolite profiles remains unclear. This study aimed to systematically compare raw turnip (LL) with four processed products, including oral liquid (KF), powder (FM), syrup (TJ), and tablets (PJ), and to identify processing-associated compositional and aroma differences. HS-SPME-GC-MS, sensory evaluation, antioxidant assays, and UPLC-Q Exactive/MS-based targeted metabolomics were integrated. FM showed the highest total sugar content (413.4 mg/g DW), whereas KF had the highest soluble sugar content (211.98 mg/g DW) and antioxidant capacity. PJ exhibited the highest total phenolic (3.62 mg GAE/g DW) and flavonoid contents (2.58 mg RE/g DW), retained relatively high saponin content (1.82 mg/g DW), and showed the greatest diversity of detectable polyphenolic metabolites. FM was enriched in dihydromyrcenol (513.31 μg/L), KF was characterized by phytol (77.15 μg/L), whereas TJ contained geosmin (161.29 μg/L), and PJ in nonanal (691.17 μg/L) and phenethyl acetate (208.27 μg/L). These findings provide an integrated basis for selecting processing strategies according to the desired compositional and aroma attributes of turnip-derived products.

PubMedChemistry & biodiversity2026-08-26

Gallic Acid-Rich Ephedra alata: Integrated Phytochemical Profiling, Aromatase Docking, and Optimized Extraction via Box-Behnken Design.

Chekroun-Bechlaghem Nadjat N, Belyagoubi-Benhammou Nabila N, Kaid Zineb Z, Zitouni Amel A et al.

This study investigated the phenolic composition and antioxidant potential of E. alata using an integrated approach combining phytochemical profiling, molecular docking, and Box-Behnken optimization of extraction conditions. Stem extracts were prepared by maceration, sonication, and ultrasound-assisted extraction using dichloromethane, acetone, ethyl acetate, methanol, and methanol/water. Solvent polarity markedly affected extraction efficiency, with methanol and aqueous methanol yielding the highest extraction rates (up to 26.11 ± 0.01%), total phenolics (58.09 ± 1.07 mg GAE/g DW), flavonoids (9.81 ± 0.11 mg CE/g DW), condensed tannins (635.23 ± 3.05 mg CE/g DW), antioxidant capacity (500.46 ± 55.10 mg AAE/g DW), and the lowest DPPH IC50 (0.005 ± 0.001 mg/mL). RP-HPLC-PDA identified nine phenolic compounds, with gallic acid as the predominant constituent. Molecular docking of gallic acid against human aromatase (CYP19A1) revealed favorable binding (ΔG = -5.88 kcal/mol; Ki = 49.38 µM), supported by hydrogen bonding and hydrophobic interactions. Box-Behnken response surface analysis generated significant quadratic models (R2 > 0.95), enabling optimization of extraction conditions for maximum phenolic recovery and antioxidant activity. These findings identify E. alata as a promising natural source of gallic acid and bioactive phenolic antioxidants.

PubMedJournal of the Endocrine Society2026-08-26

An observational study of menstrual function and related hormones before and after treatment of Cushing syndrome.

Brown Brielle M BM, McGlotten Raven R, Nieman Lynnette K LK, Elenius Henrik H

Although menstrual dysfunction occurs in Cushing syndrome (CS), drivers of its prevalence and prognosis are poorly documented. Assess the prevalence of menstrual dysfunction, time to resolution after restoration of eucortisolism, and predictive factors for development and resolution. Retrospective evaluation. Tertiary referral center. 93 women treated for CS from 1987 to 2024. Surgery, medical therapy, and/or irradiation to restore eucortisolism. Prevalence of affected menses; rate and time to return to baseline pattern after remission. Patient, hormonal, tumor, and treatment factors predicting resolution. Sixty-eight percent (95% CI 57-77%) of women with CS had affected menses. Compared with unaffected women, those with irregular menses had higher total testosterone (TT) (91.0 vs 32.6 ng/dL, P = .02), while amenorrheic women had lower estradiol (21.2 vs 41.9 pg/mL, P = .01) and LH (1.0 vs 3.5 U/L, P = .009). Gonadotropins correlated inversely with urine free cortisol (LH: r = -0.42, FSH: r = -0.30; both P < .05). TT had no correlation. Menses returned to baseline in 84% (95% CI 66-94%) of 31 women without cyclic CS at median 6 months after achieving eucortisolism. Extensive pituitary exploration, pituitary irradiation, and mitotane reduced the likelihood of menses returning to baseline. A higher body mass index (42.4 vs 30.8 kg/m2, P < .0001) predicted a delayed (>6 months) return to baseline. Two-thirds of women with CS have menstrual dysfunction due to cortisol-induced suppression of gonadotropins. In most women with minimal pituitary damage, menses return to baseline after a median of 6 months of eucortisolism. Significant overweight can delay resolution.

PubMedInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2026-08-26

Association of in vitro fertilization/intracytoplasmic sperm injection outcomes with metabolic syndrome parameters in women with polycystic ovary syndrome.

Ozelci Runa R, Aldemir Oya O, Dilbaz Serdar S, Dilbaz Berna B et al.

This study investigates the impact of metabolic syndrome parameters on female fertility and in vitro fertilization outcomes in women with polycystic ovary syndrome (PCOS). A total of 812 women with PCOS undergoing ovarian stimulation for in vitro fertilization (IVF) were included in this case control retrospective study. All subjects were divided into a metabolic syndrome (MetS) group and an absence of metabolic syndrome group (non-MetS) according to the National Cholesterol Education Program Adult Treatment Panel III guidelines. Patients with MetS had longer infertility duration compared with those without MetS. During ovarian stimulation, those with MetS required significantly higher and longer doses of gonadotropin and had higher peak estradiol levels, fewer retrieved oocytes. The clinical pregnancy and live birth rates were statistically significantly lower in women with MetS 78/235 (33.1%) versus 272/577 (47.1%) and miscarriage rate was significantly higher in women with MetS (10.2% vs. 7.9%, P = 0.045). Multivariate logistic regression analysis showed that the MetS parameters such as triglyceride, waist circumference, and body mass index were negatively associated with the clinical pregnancy rates. In a subgroup analysis comparing fresh and frozen cycle outcomes, subjects without MetS had significantly higher clinical and live birth rates than those with MetS in both fresh and frozen transfer cycles. MetS and PCOS might have a negative impact on female fecundity, suggesting a negative association of MetS and IVF cycle stimulation characteristics and clinical pregnancy outcomes. Therefore, it is important to screen for metabolic profiles prior to IVF treatment.

PubMedThe MAK collection for occupational health and safety2026-08-25

2-(Propyloxy)ethyl acetate: MAK Value Documentation, addendum - Translation of the German version from 2024.

Hartwig Andrea A, MAK Commission

The German Senate Commission for the Investigation of Health Hazards of Chemical Compounds in the Work Area (MAK Commission) re-evaluated the occupational exposure limit value (maximum concentration at the workplace, MAK value) for 2-(propyloxy)ethyl acetate (2-propoxyethyl acetate) [20706-25-6] considering all toxicological end points. 2-(Propyloxy)ethyl acetate is a haemolytic and irritant glycol ether acetate. Relevant studies were identified from a literature search. The haemolytic activity of 2-(propyloxy)ethyl acetate in vivo and data from other glycol ether acetates suggest that it is probably metabolized to 2-(propyloxy)ethanol. The haemolytic activity of both compounds is mediated by the corresponding alkoxy acid; in vitro, it was lower in human erythrocytes than in rat erythrocytes. The critical effect identified in a subchronic study in rats was irritation. A NOAEC (no observed adverse effect concentration) was not obtained. The systemic NOAEC relevant for humans is 211 ml/m3. In analogy to 2-(propyloxy)ethanol, the MAK value of 2-(propyloxy)ethyl acetate has been lowered to 10 ml/m3. This exposure limit protects workers also against systemic toxicity. The substance remains assigned to Peak Limitation Category I with an excursion factor of 2. The Commission has re-evaluated a prenatal toxicity study in rats, deriving a NOAEC for developmental toxicity of 200 ml/m3. The margin between the NOAEC and the MAK value is sufficient even after considering the increased respiratory volume at the workplace. Therefore, damage to the embryo or foetus is unlikely if the MAK value is not exceeded and 2-(propyloxy)ethyl acetate remains assigned to Pregnancy Risk Group C. Studies investigating the genotoxic and carcinogenic potential are not available. Percutaneous absorption can contribute significantly to systemic toxicity and 2-(propyloxy)ethyl acetate remains designated with the "H" notation. In a screening study with guinea pigs, no evidence of a skin sensitizing potential was observed.

PubMedInternational journal of molecular sciences2026-08-25

RETRACTED: Alqahtani et al. Preparation and Characterization of Poly(vinyl acetate-co-2-hydroxyethyl methacrylate) and In Vitro Application as Contact Lens for Acyclovir Delivery. Int. J. Mol. Sci. 2023, 24, 5483.

Alqahtani Saad Mohammed SM, Al Khulaifi Rana Salem RS, Alassaf Mohammed M, Saeed Waseem Sharaf WS et al.

The journal retracts the article titled "Preparation and Characterization of Poly(vinyl acetate-co-2-hydroxyethyl methacrylate) and In Vitro Application as Contact Lens for Acyclovir Delivery" [...].

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