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Estradiol/Norethindrone

Phase 3

Dyspareunia | Small molecule | Psychiatry |Teva Pharmaceutical Industries Limited|Trials Updated: Sep 30, 2026

Estradiol/Norethindrone target and mechanism

Molecular targetESR1
Target classAgonist
ModalitySmall molecule
ChEMBLCHEMBL135

Also known as Estradiol

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment1,050

FDA Designations

No designations recorded

Estradiol/Norethindrone clinical trials

Estradiol/Norethindrone · 1 trial · 1 indication

Phase 3 1
NCT05617820Study Comparing Estradiol Vaginal Inserts 4mcg To IMVEXXY ® (Estradiol Vaginal Inerts 4 mcg) In The Treatment Of Dyspareunia in Women With Vulvur and Vaginal AtrophyDyspareunia
COMPLETED1,050 Analytics
PHASE3COMPLETED
Study Comparing Estradiol Vaginal Inserts 4mcg To IMVEXXY ® (Estradiol Vaginal Inerts 4 mcg) In The Treatment Of Dyspareunia in Women With Vulvur and Vaginal Atrophy
DyspareuniaUnlock trial analytics

Study Endpoints

Primary Endpoints

Response Rate (Vaginal Cytology and Vaginal pH)
15 days

% Responders where a "Responder" is defined as a patient with: At least a 25% reduction from baseline in the sum of % basal/parabasal + % intermediate cells on vaginal cytology; and Vaginal pH \< 5.0 with a change from baseline vaginal pH of at least 0.5

Change in Most Bothersome Symptom (Dyspareunia)
15 days

Mean change from baseline to Day 15 in dyspareunia score (the self-identified most bothersome symptom in women with VVA). On a scale of 0 to 3, where 0 = none, 1=mild, 2=moderate and 3 = severe

Secondary Endpoints

Treatment Success in Most Bothersome Symptom
15 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Estradiol vaginal inserts, 4 mcgEXPERIMENTALEstradiol vaginal inserts, 4 mcg. Insert vaginally once daily for 14 days.
IMVEXXY® (estradiol vaginal inserts) 4 mcgACTIVE_COMPARATORIMVEXXY® (estradiol vaginal inserts) 4 mcg. Insert vaginally once for 14 days.
Placebo vaginal insertsPLACEBO_COMPARATORPlacebo vaginal inserts. Insert vaginally once for 14 days.

Interventions

NameTypeDescription
EstradiolDRUGVaginal Insert, 4 mcg tablet
ImvexxyDRUGEstradiol 4 mcg Vaginal Insert
PlaceboDRUGVehicle Vaginal Insert
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Eligibility Criteria

Age Range40 Years to 75 Years
SexFEMALE
Healthy VolunteersYes
Study Sites48

Inclusion Criteria: 1. Signed, IRB approved informed consent that meets all criteria of current FDA and local regulations. 2. Females aged 40-75 years inclusive who are postmenopausal, with at least: 1. 12 months of spontaneous amenorrhea (women \<55 year of age with history of hysterectomy wit...

Countries:United StatesEl SalvadorHonduras
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Frequently asked questions about Estradiol/Norethindrone

What is Estradiol/Norethindrone used for?

Estradiol/Norethindrone is being studied for the treatment of dyspareunia, which is painful sexual intercourse, in women with vulvar and vaginal atrophy. It is a small molecule combination therapy. The condition is associated with menopause and involves thinning and inflammation of vaginal tissues.

What does Estradiol/Norethindrone target?

Estradiol/Norethindrone targets the estrogen receptor 1 (ESR1) as an agonist. By activating ESR1, the estradiol component helps restore vaginal tissue, while norethindrone provides progestational activity. This mechanism is intended to alleviate symptoms of vulvar and vaginal atrophy, including dyspareunia.

Who makes Estradiol/Norethindrone?

Estradiol/Norethindrone is being developed by Teva Pharmaceutical Industries Limited, which trades under the ticker TEVA. Teva is a global pharmaceutical company headquartered in Israel.

What phase is Estradiol/Norethindrone in?

Estradiol/Norethindrone is in Phase 3 clinical development. It is an investigational product and has not been approved by the FDA for any indication. The Phase 3 trial has been completed.

What clinical trials is Estradiol/Norethindrone in?

Estradiol/Norethindrone has been evaluated in a Phase 3 clinical trial, NCT05617820, titled "Study Comparing Estradiol Vaginal Inserts 4mcg To IMVEXXY (Estradiol Vaginal Inserts 4 mcg) In The Treatment Of Dyspareunia in Women With Vulvar and Vaginal Atrophy." The trial enrolled 1,050 participants and was completed.

Is Estradiol/Norethindrone the same as Estradiol?

Estradiol/Norethindrone is also known as Estradiol/Norethindrone acetate or simply Estradiol. These names refer to the same combination product. The drug combines estradiol with norethindrone acetate.