Estrogen
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Summary
Estrogen (CHEMBL592868) is a phase-3 clinical-stage small molecule targeting SLC36A1, GPER1, and KCNMA1; indicated across 5 conditions including heart disorder and breast neoplasm.
At a glance
- Status: Max clinical phase 3 (not approved)
- Modality: Small molecule
- Targets: 6 (SLC36A1, GPER1, KCNMA1…)
- Indications: 5 conditions
- Clinical trials: 69
- Chemistry: 310.4 Da · C21H26O2
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL592868 |
| Name | Estrogen |
| Type | Small molecule |
| Max phase | 3 |
| FDA approved | no |
| PubChem CID | 21628493 |
| Molecular formula | C21H26O2 |
| Molecular weight | 310.4 |
| InChIKey | GJUHUIXJLZINMA-MJCUULBUSA-N |
SMILES: CC#C[C@@]1(CC[C@@H]2[C@@]1(CC[C@H]3[C@H]2CCC4=C3C=CC(=C4)O)C)O
IUPAC name: (8R,9S,13S,14S,17S)-13-methyl-17-prop-1-ynyl-7,8,9,11,12,14,15,16-octahydro-6H-cyclopenta[a]phenanthrene-3,17-diol
Also known as: Estrogen, estrogen, ESTROGEN
Targets
Targets
Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| SLC36A1 | Proton-coupled Amino acid Transporter 1 | Inhibition | 5.2 | 0.2% | Q7Z2H8 |
| GPER1 | GPER | Full agonist | 8.5 | 0.2% | Q99527 |
| KCNMA1 | KCa1.1 | 5.6 | 0.1% | Q12791 | |
| NR1I2 | Pregnane X receptor | Agonist | 0.3% | O75469 | |
| ESR1 | Estrogen receptor-α | Agonist | 9.82 | 1.7% | P03372 |
| ESR2 | Estrogen receptor-β | Agonist | 9.34 | 0.2% | Q92731 |
Broader ChEMBL bioactivity targets: 1 (assay-derived). Sample: Estrogen receptor.
Bioactivity
ChEMBL activities: 1 potent at pChembl ≥ 5 of 1 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| ESR1 | 10.55 | EC50 | 0.03 | nM | CHEMBL_ACT_3103528 |
Target pathways
Aggregated over 6 target gene(s): SLC36A1, GPER1, KCNMA1, NR1I2, ESR1, ESR2.
Top Reactome pathways
37 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Nuclear Receptor transcription pathway | 3 | ESR1, ESR2, NR1I2 |
| PIP3 activates AKT signaling | 2 | ESR1, ESR2 |
| Constitutive Signaling by Aberrant PI3K in Cancer | 2 | ESR1, ESR2 |
| SUMOylation of intracellular receptors | 2 | ESR1, NR1I2 |
| PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling | 2 | ESR1, ESR2 |
| ESR-mediated signaling | 2 | ESR1, ESR2 |
| Extra-nuclear estrogen signaling | 2 | ESR1, ESR2 |
| Hemostasis | 1 | KCNMA1 |
| Neuronal System | 1 | KCNMA1 |
| Nuclear signaling by ERBB4 | 1 | ESR1 |
| Ca2+ activated K+ channels | 1 | KCNMA1 |
| Potassium Channels | 1 | KCNMA1 |
| Amino acid transport across the plasma membrane | 1 | SLC36A1 |
| Peptide ligand-binding receptors | 1 | GPER1 |
| Transport of small molecules | 1 | SLC36A1 |
| Nitric oxide stimulates guanylate cyclase | 1 | KCNMA1 |
| Platelet homeostasis | 1 | KCNMA1 |
| cGMP effects | 1 | KCNMA1 |
| G alpha (i) signalling events | 1 | GPER1 |
| R-HSA-425393 | 1 | SLC36A1 |
| SLC-mediated transmembrane transport | 1 | SLC36A1 |
| Proton-coupled neutral amino acid transporters | 1 | SLC36A1 |
| Ovarian tumor domain proteases | 1 | ESR1 |
| TFAP2 (AP-2) family regulates transcription of growth factors and their receptors | 1 | ESR1 |
| RUNX1 regulates estrogen receptor mediated transcription | 1 | ESR1 |
| RUNX1 regulates transcription of genes involved in WNT signaling | 1 | ESR1 |
| Regulation of RUNX2 expression and activity | 1 | ESR1 |
| Estrogen-dependent gene expression | 1 | ESR1 |
| GPER1 signaling | 1 | GPER1 |
| Sensory processing of sound | 1 | KCNMA1 |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| positive regulation of transcription by RNA polymerase II | 4 |
| signal transduction | 4 |
| cellular response to estradiol stimulus | 3 |
| negative regulation of transcription by RNA polymerase II | 3 |
| regulation of DNA-templated transcription | 3 |
| positive regulation of DNA-templated transcription | 3 |
| monoatomic ion transport | 2 |
| positive regulation of cytosolic calcium ion concentration | 2 |
| positive regulation of gene expression | 2 |
| negative regulation of gene expression | 2 |
| cell differentiation | 2 |
| nuclear receptor-mediated steroid hormone signaling pathway | 2 |
| vasodilation | 2 |
| positive regulation of apoptotic process | 2 |
| steroid hormone receptor signaling pathway | 2 |
Indications & clinical
Indications
5 indications (0 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| heart disorder | 3 | MONDO:0005267 | EFO:0003777 |
| breast neoplasm | 3 | MONDO:0021100 | EFO:0003869 |
| Alzheimer disease | 3 | MONDO:0004975 | MONDO:0004975 |
2 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 69.
Phase distribution
| Phase | Trials |
|---|---|
| Not specified | 24 |
| PHASE4 | 15 |
| PHASE3 | 13 |
| PHASE2 | 11 |
| PHASE1/PHASE2 | 2 |
| EARLY_PHASE1 | 2 |
| PHASE2/PHASE3 | 1 |
| PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT05221021 | PHASE4 | RECRUITING | Vaginal Estradiol vs Oral Beta-3 Agonist for Overactive Bladder Syndrome |
| NCT05562518 | PHASE4 | ACTIVE_NOT_RECRUITING | GRACE-trial: a Randomized Active-controlled Trial for vulvovaGinal atRophy in breAst Cancer Patients on Endocrine Therapy. |
| NCT05704036 | PHASE4 | RECRUITING | Estrogen Supplementation and Bone Health in Women With CF |
| NCT07420218 | PHASE4 | NOT_YET_RECRUITING | Menopausal Hormones and Sympathetic Activation |
| NCT00229450 | PHASE4 | COMPLETED | Estrogen and Perimenopausal Depression |
| NCT01295892 | PHASE4 | COMPLETED | Chronic Effects of Estrogen in Microcirculation |
| NCT01833663 | PHASE4 | COMPLETED | Effectiveness and Safety Study of Solifenacin Succinate and Solifenacin Succinate + Estrogen to Treat OAB in Postmenopausal Women |
| NCT02427386 | PHASE4 | COMPLETED | Homeopathic Treatment of Chronic Pelvic Pain in Women With Endometriosis |
| NCT02835846 | PHASE4 | COMPLETED | Investigation of the Effect of the Female Urinary Microbiome on Incontinence |
| NCT02969590 | PHASE4 | COMPLETED | Regulation of Cervical Mucus Secretion |
| NCT03032848 | PHASE4 | COMPLETED | Vaginal Estrogens Comparative Trial on Pelvic Organ Prolapse Patients |
| NCT03120715 | PHASE4 | UNKNOWN | Pregnancy Outcome of Women Using Low Molecular Weight Heparin Before Frozen-thawed Embryo Transfer |
| NCT03996057 | PHASE4 | WITHDRAWN | Methenamine in a Non-antibiotic, Multimodal Approach to UTI Prevention |
| NCT04043520 | PHASE4 | UNKNOWN | Bioenergetic Effects of Aging and Menopause (BEAM) |
| NCT05753098 | PHASE4 | COMPLETED | Effect of Sildenafil Citrate Compared to Estrogen as Adjuvant Therapy for Unexplained Infertility |
| NCT06851754 | PHASE3 | RECRUITING | Hormone Replacement Therapy in Adolescents With Premature Ovarian Insufficiency |
| NCT00000176 | PHASE3 | COMPLETED | Alzheimer’s Disease Prevention Trial |
| NCT00000177 | PHASE3 | COMPLETED | Estrogen Hormone Protocol |
| NCT00000430 | PHASE3 | TERMINATED | Low-Dose Hormone Replacement Therapy and Alendronate for Osteoporosis |
| NCT00000482 | PHASE3 | COMPLETED | Coronary Drug Project |
| NCT00026039 | PHASE3 | COMPLETED | Women’s Estrogen for Stroke Trial (WEST) |
| NCT00029159 | PHASE3 | COMPLETED | The Effect of Androgen and Growth Hormone on Height and Learning in Girls With Turner Syndrome |
| NCT00043069 | PHASE3 | COMPLETED | Calcium With or Without Estrogen and/or Risedronate in Preventing Osteoporosis in Patients With Prostate Cancer |
| NCT00386022 | PHASE2/PHASE3 | UNKNOWN | The Effects of Aging and Estrogen on the Pituitary |
| NCT00827151 | PHASE3 | WITHDRAWN | Bone Mass Accrual in Adolescent Athletes |
| NCT01501422 | PHASE3 | COMPLETED | Effect of Estrogen Therapy on Objective Sleep Quality in Postmenopausal Women |
| NCT02419729 | PHASE3 | COMPLETED | Evaluation of Fractional CO2 Laser Treatment Efficacy and Comparison to Vaginal Estrogen Therapy in Postmenopausal Women With Vulvovaginal Atrophy |
| NCT03568708 | PHASE3 | COMPLETED | Primary Ovarian Insufficiency: Phenotype and Optimal Treatment |
| NCT05658874 | PHASE3 | TERMINATED | A Multidisciplinary, Multimodal Bundled Care Approach to Chronic Pelvic Pain |
| NCT03663543 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | Intravenous Estrogen in Kidney Transplant Study |
| NCT03875378 | PHASE2 | RECRUITING | Transdermal Estrogen in Women With Anorexia Nervosa |
| NCT06271551 | PHASE2 | NOT_YET_RECRUITING | Transdermal Estradiol and Exercise in Mitigating Adverse Effects of Androgen Deprivation Therapy for Prostate Cancer Radiation Therapy |
| NCT06318403 | PHASE2 | NOT_YET_RECRUITING | Estradiol Supplementation and Rotator Cuff Repair |
| NCT07466498 | PHASE2 | NOT_YET_RECRUITING | Estrogen to Improve Quality of Life for Men With Newly Diagnosed or Recurrent Metastatic Hormone Sensitive Prostate Cancer, EQUIP Trial |
| NCT00001752 | PHASE2 | COMPLETED | Vascular and Metabolic Effects of Hormone Therapy Combined With L-Arginine in Postmenopausal Women |
| NCT00001890 | PHASE2 | COMPLETED | Effects of Hormone Therapy on the Immune Systems of Postmenopausal Women With Chronic Infections |
| NCT00005768 | PHASE2 | UNKNOWN | Estrogen Modulation of Mood and Cognition Following Monoaminergic Depletion in Post-Menopausal Women |
| NCT00006399 | PHASE2 | COMPLETED | Effects of Estrogen on Memory in Post-Menopausal Women and Patients With Alzheimer’s Disease |
| NCT00018343 | PHASE2 | COMPLETED | Alzheimer’s Disease and Aging: Therapeutic Potential of Estrogen |
| NCT00332553 | PHASE2 | COMPLETED | Study of Hot Flashes and Night Sweats in Postmenopausal Women Receiving Combination Raloxifene and Oral Estrogen |
Clinical evidence (CIViC)
No CIViC predictive evidence (expected for non-precision-medicine drugs).
Pharmacology
Pharmacogenomics
No PharmGKB pharmacogenomic data curated for this drug.
Related molecules
Related molecules
Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.
427 molecules share ≥1 primary target. Top 60 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| ESTRADIOL | ChEMBL + PubChem | Phase 4 (approved) | ESR1, ESR2, GPER1, KCNMA1 |
| Fulvestrant | ChEMBL + PubChem | Phase 4 (approved) | ESR1, ESR2, GPER1, NR1I2 |
| Raloxifene | ChEMBL + PubChem | Phase 4 (approved) | ESR1, ESR2, GPER1, NR1I2 |
| Tamoxifen | ChEMBL + PubChem | Phase 4 (approved) | ESR1, ESR2, GPER1, NR1I2 |
| BOSENTAN | ChEMBL + PubChem | Phase 4 (approved) | ESR1, ESR2, NR1I2 |
| BITHIONOL | ChEMBL | Phase 4 (approved) | ESR1, ESR2, NR1I2 |
| DIETHYLSTILBESTROL | ChEMBL | Phase 4 (approved) | ESR1, ESR2, NR1I2 |
| ETHINYL ESTRADIOL | ChEMBL | Phase 4 (approved) | ESR1, ESR2, NR1I2 |
| LASOFOXIFENE | ChEMBL | Phase 4 (approved) | ESR1, ESR2, NR1I2 |
| MIFEPRISTONE | ChEMBL | Phase 4 (approved) | ESR1, ESR2, NR1I2 |
| Fidaxomicin | PubChem | Approved | ESR1, ESR2, NR1I2 |
| Pyrazinamide | PubChem | Approved | ESR1, ESR2, NR1I2 |
| CANNABIDIOL | ChEMBL + PubChem | Phase 4 (approved) | KCNMA1, NR1I2 |
| ALECTINIB | ChEMBL | Phase 4 (approved) | ESR1, NR1I2 |
| BAZEDOXIFENE | ChEMBL | Phase 4 (approved) | ESR1, ESR2 |
| BENZBROMARONE | ChEMBL | Phase 4 (approved) | ESR1, NR1I2 |
| BUTOCONAZOLE | ChEMBL | Phase 4 (approved) | ESR1, NR1I2 |
| CANDESARTAN CILEXETIL | ChEMBL | Phase 4 (approved) | ESR1, NR1I2 |
| CEFEPIME | ChEMBL | Phase 4 (approved) | ESR1, NR1I2 |
| CEFTAZIDIME | ChEMBL | Phase 4 (approved) | ESR1, NR1I2 |
| CISPLATIN | ChEMBL | Phase 4 (approved) | ESR1, ESR2 |
| DANAZOL | ChEMBL | Phase 4 (approved) | ESR1, NR1I2 |
| DAUNORUBICIN | ChEMBL | Phase 4 (approved) | ESR1, NR1I2 |
| DEMECLOCYCLINE | ChEMBL | Phase 4 (approved) | ESR2, NR1I2 |
| DESOGESTREL | ChEMBL | Phase 4 (approved) | ESR1, NR1I2 |
| DINOPROSTONE | ChEMBL | Phase 4 (approved) | ESR1, NR1I2 |
| ELACESTRANT | ChEMBL | Phase 4 (approved) | ESR1, ESR2 |
| ESTETROL | ChEMBL | Phase 4 (approved) | ESR1, ESR2 |
| ESTRIOL | ChEMBL | Phase 4 (approved) | ESR1, ESR2 |
| ESTRONE | ChEMBL | Phase 4 (approved) | ESR1, ESR2 |
| HEXACHLOROPHENE | ChEMBL | Phase 4 (approved) | ESR1, ESR2 |
| ISOCONAZOLE | ChEMBL | Phase 4 (approved) | ESR1, NR1I2 |
| LYMECYCLINE | ChEMBL | Phase 4 (approved) | ESR1, NR1I2 |
| MASOPROCOL | ChEMBL | Phase 4 (approved) | ESR1, NR1I2 |
| MEDROXYPROGESTERONE | ChEMBL | Phase 4 (approved) | ESR1, ESR2 |
| PHENOLPHTHALEIN | ChEMBL | Phase 4 (approved) | ESR1, ESR2 |
| SERTRALINE | ChEMBL | Phase 4 (approved) | ESR1, NR1I2 |
| SPIRONOLACTONE | ChEMBL | Phase 4 (approved) | ESR1, ESR2 |
| ACOLBIFENE | ChEMBL | Phase 3 | ESR1, ESR2 |
| AFIMOXIFENE | ChEMBL | Phase 3 | ESR1, ESR2 |
| AMCENESTRANT | ChEMBL | Phase 3 | ESR1, ESR2 |
| ARZOXIFENE | ChEMBL | Phase 3 | ESR1, ESR2 |
| BENSERAZIDE | ChEMBL | Phase 3 | ESR1, ESR2 |
| SURAMIN | ChEMBL | Phase 3 | ESR1, NR1I2 |
| ALFATRADIOL | ChEMBL | Phase 2 | ESR1, ESR2 |
| AUS-131 | ChEMBL | Phase 2 | ESR1, ESR2 |
| BENZETHONIUM | ChEMBL | Phase 2 | ESR1, NR1I2 |
| BRILANESTRANT | ChEMBL | Phase 2 | ESR1, ESR2 |
| CEPHACETRILE | ChEMBL | Phase 2 | ESR1, NR1I2 |
| CLEMIZOLE | ChEMBL | Phase 2 | ESR1, NR1I2 |
| DAIDZEIN | ChEMBL | Phase 2 | ESR1, ESR2 |
| DOMIPHEN | ChEMBL | Phase 2 | ESR1, NR1I2 |
| ERTEBEREL | ChEMBL | Phase 2 | ESR1, ESR2 |
| GENISTEIN | ChEMBL | Phase 2 | ESR1, ESR2 |
| GESTRINONE | ChEMBL | Phase 2 | ESR1, NR1I2 |
| GTX-758 | ChEMBL | Phase 2 | ESR1, ESR2 |
| IDOXIFENE | ChEMBL | Phase 2 | ESR1, ESR2 |
| LEVORMELOXIFENE | ChEMBL | Phase 2 | ESR1, ESR2 |
| MOXESTROL | ChEMBL | Phase 2 | ESR1, ESR2 |
| PIPENDOXIFENE | ChEMBL | Phase 2 | ESR1, ESR2 |
Related Atlas pages
- Genes: SLC36A1, GPER1, KCNMA1, NR1I2, ESR1, ESR2
- Diseases: heart disorder, breast neoplasm, Alzheimer disease
- Drugs: Estradiol, Fulvestrant, Raloxifene, Tamoxifen, Bosentan, Bithionol, Diethylstilbestrol, Ethinyl Estradiol, Lasofoxifene, Mifepristone, Fidaxomicin, Pyrazinamide, Cannabidiol, Alectinib, Bazedoxifene, Benzbromarone, Butoconazole, Candesartan Cilexetil, Cefepime, Ceftazidime, Cisplatin, Danazol, Daunorubicin, Demeclocycline, Desogestrel, Dinoprostone, Elacestrant, Estetrol, Estriol, Estrone, Hexachlorophene, Isoconazole, Lymecycline, Masoprocol, Medroxyprogesterone, Phenolphthalein, Sertraline, Spironolactone, Acolbifene, Afimoxifene, Amcenestrant, Arzoxifene, Benserazide, Suramin