Intranasal Nafarelin For Triggering Oocyte Maturation
Fundacion Dexeusn = 15414 Oct 2026 to est. 15 Jan 2028
Fertility Preservation
PepBank has 87 nafarelin studies with results. 82 of them gave nafarelin, with 549 results, grouped by what the studies measured. In each group, results from studies in people come first. Data as of 2026-10-30.
Searches 549 results and 224 papers. Newer studies from Europe PMC
Identifiers, parent molecule, targets and development stage, from curated data.
Nafarelin is a ten-residue GnRH agonist analog containing D-2-naphthylalanine at position 6. Its nasal product has indication-specific regimens.
| Target | Action | Evidence |
|---|---|---|
| Gonadotropin-releasing hormone receptorGNRHRP30968 (opens in a new tab) | Agonist | The label identifies GnRH agonism. UniProt P30968 identifies the human GNRHR receptor.Source (opens in a new tab) |
Residues, differences from the parent, calculated properties and 3D structure. Source values and calculated values are shown separately.
10 amino acids · 2 modifications
Calculated from the two sequences. Curated notes are shown as given.
8 of 10 aligned residues identical (80%) · 1 substitution · 1 non-canonical residue · Gonadorelin 1–10
Differences from the parent
Basis: Nafarelin replaces glycine at position 6 of gonadorelin with D-2-naphthylalanine. Human UniProt P01148 contains gonadoliberin-1 at precursor residues 24-33. This is an analog relation, not an identical natural peptide.
Calculated from the two sequences with @pepdb/chem alignToParent (ungapped unless a gap scores higher). The record’s curated notes are shown as given.
Some values cannot be calculated. The sequence has a non-canonical residue (X). Residue tables cover only the 20 standard amino acids.
@pepdb/chem 0.2.0 · EMBOSS pKa set · ExPASy residue masses
No charge curve
The sequence has a non-canonical residue (X). Residue tables cover only the 20 standard amino acids.
10 residues. Each residue counts in one class; F and W count as aromatic.
Loads the 3D viewer (3Dmol.js, about 150 KB) and the model file from AlphaFold DB (EMBL-EBI).
Draws the structure in your browser with RDKit (about 2.3 MB, loaded once).
SMILES fromPubChem CID 25077405(opens in a new tab)
CC(C)C[C@@H](C(=O)N[C@@H](CCCN=C(N)N)C(=O)N1CCC[C@H]1C(=O)NCC(=O)N)NC(=O)[C@@H](CC2=CC3=CC=CC=C3C=C2)NC(=O)[C@H](CC4=CC=C(C=C4)O)NC(=O)[C@H](CO)NC(=O)[C@H](CC5=CNC6=CC=CC=C65)NC(=O)[C@H](CC7=CN=CN7)NC(=O)[C@@H]8CCC(=O)N8People first in each area, then animals, then lab cells. Counts are exact and come from studies that gave the peptide.
PepBank reads each paper before it shows the results. This search looks in Europe PMC for newer papers that PepBank has not read yet.
Counts are exact and come from studies that gave the peptide.
Nafarelin has 224 linked papers. PepBank read up to 120 of the most-cited studies that gave it to people, up to 20 other studies, and the main trials.
Studies by year
87 of 224 studies have results (39%), published 1984 to 2015. Top row: every study. Bottom row: studies with results about Nafarelin, by class. The rows use different scales.
Studies224 in all, 1984 to 2026
Studies with results87 in all, 1984 to 2015
Retracted studies are left out. A study with results in two classes counts in both.
AI wrote and checked these results. AI can make mistakes, so check important results against the source.
Registered trials that test the peptide, with phase, status and dates. A dot marks trials with posted results.
10 trials match. Highest phase first. Data from ClinicalTrials.gov.
10 trials · 3 ongoing · 1 not yet recruiting · 3 completed · 1 stopped early
Protocol to Minimize Injections and Blood Draws for Women Undergoing in Vitro Fertilization
NCT028656811 Jul 2016 to 7 Jun 2017
Gonadotropin Releasing Hormone Agonist (GnRHa) Versus Estrogen and Progesterone for Luteal Support in High Responders
NCT0479733829 Dec 2017 to est. 30 Sept 2021
Comparison of Pregnancy Rates in Modified Natural Frozen Embryo Transfer (FET) Cycle After Luteal Support with GnRH Agonist Versus Progesterone
NCT06870266est. Mar 2025 to est. Jun 2027
10 trials · 3 ongoing · 1 not yet recruiting · 3 completed · 1 stopped early · source ClinicalTrials.gov (opens in a new tab)
Fundacion Dexeusn = 15414 Oct 2026 to est. 15 Jan 2028
Fertility Preservation
Assaf-Harofeh Medical Centern = 10029 Dec 2017 to est. 30 Sept 2021
Pregnancy Early · Miscarriage · Ovarian Hyperstimulation Syndrome
University of Oxfordn = 159Nov 2009 to May 2013
Infertility
Assistance Publique - Hôpitaux de Parisn = 65227 Jun 2024 to est. 27 Sept 2027
In Vitro Fertilization · ICSI Intracytoplasmic Spermatozoid Injection
Insel Gruppe AG, University Hospital Bernn = 0est. 1 May 2021 to est. 31 Mar 2024
Fertility Disorders
National Center for Complementary and Integrative Health (NCCIH)n = 50Sept 2002 to Aug 2006
Endometriosis · Pelvic Pain
Shaare Zedek Medical Centern = 150est. Mar 2025 to est. Jun 2027
Ivf · Frozen Embryo Transfer (FET)
Heli Alexandronin = 15018 May 2026 to est. 31 Dec 2026
GnRH Antagonist IVF Protocol · Fresh Embryo Transfer · Administration of Hormonal Luteal Support
Shaare Zedek Medical Centern = 1508 Jun 2020 to est. 1 Jan 2023
Use of GnRH Agonist Alone for Luteal Phase Support in Fresh IVF Cycles
New Hope Fertility Centern = 41 Jul 2016 to 7 Jun 2017
Infertility
2 more mention it but do not test it. They are not trials of Nafarelin: they only measure it (a blood level or an eligibility term) or name it in their text.
Studies on this peptide. Some have results. The others have none yet.
224 studies match. Retracted studies are left out.
Showing 22 of 224 studiesquery qry_273f6b7c0dbad155ed67484a
87 studies in all, 8 on this page
Randomized controlled trial · 1988
Henzl et al. 1988The New England journal of medicinen = 213cited by 226
PMID 2963213DOI 10.1056/nejm198802253180805PUB-02963213
Not a test of Nafarelin alone · 2015
Wang et al. 2015Molecular pharmaceuticscited by 193
PMID 25612507DOI 10.1021/mp500809fPUB-25612507
Non-randomized trial · 1988
Johansen et al. 1988The Journal of clinical endocrinology and metabolismn = 25cited by 100
PMID 2971080DOI 10.1210/jcem-67-4-701PUB-02971080
Randomized controlled trial · 1997
Hornstein et al. 1997Fertility and sterilityn = 93cited by 87
PMID 9389816DOI 10.1016/s0015-0282(97)00360-9PUB-09389816
Randomized controlled trial · 1994
Parazzini et al. 1994American journal of obstetrics and gynecologyn = 75cited by 76
PMID 7977520DOI 10.1016/0002-9378(94)90133-3PUB-07977520
Ex vivo tissue · mouse · 1994
Delgado-Charro et al. 1994Pharmaceutical researchcited by 68
PMID 7937551DOI 10.1023/a:1018910715229PUB-07937551
Animal study (in vivo) · rat · 1986
Sanders et al. 1986Journal of pharmaceutical sciencescited by 66
PMID 2941563DOI 10.1002/jps.2600750407PUB-02941563
Randomized controlled trial · 1995
Hornstein et al. 1995Fertility and sterilityn = 179cited by 65
PMID 7720940DOI 10.1016/s0015-0282(16)57530-xPUB-07720940
125 studies in all, 14 on this page
PubMed tag: none · 1987
Peters et al. 1987The New England journal of medicinecited by 198
PMID 2441256DOI 10.1056/nejm198709033171004PUB-02441256
PubMed tag: Clinical Trial, Comparative Study · 1994
Barnes et al. 1994The Journal of clinical endocrinology and metabolismcited by 196
PMID 7962325DOI 10.1210/jcem.79.5.7962325PUB-07962325
PubMed tag: none · 1989
Barnes et al. 1989The New England journal of medicinecited by 191
PMID 2521688DOI 10.1056/nejm198903023200904PUB-02521688
PubMed tag: none · 1992
Ehrmann et al. 1992The New England journal of medicinecited by 188
PMID 1319000DOI 10.1056/nejm199207163270304PUB-01319000
PubMed tag: Randomized Controlled Trial, Clinical Trial · 1994
Finkelstein et al. 1994The New England journal of medicinecited by 129
PMID 7969342DOI 10.1056/nejm199412153312404PUB-07969342
PubMed tag: Randomized Controlled Trial, Clinical Trial · 1993
Waller et al. 1993Fertility and sterilitycited by 127
PMID 8458449DOI 10.1016/s0015-0282(16)55791-4PUB-08458449
PubMed tag: none · 1994
Givens et al. 1994Fertility and sterilitycited by 91
PMID 7926111DOI 10.1016/s0015-0282(16)57066-6PUB-07926111
PubMed tag: none · 1989
Weber et al. 1989The Journal of urologycited by 85
PMID 2467015DOI 10.1016/s0022-5347(17)41083-4PUB-02467015
PubMed tag: Clinical Trial, Multicenter Study · 1991
Orwoll et al. 1991Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Researchcited by 84
PMID 2028837DOI 10.1002/jbmr.5650060213PUB-02028837
PubMed tag: none · 1994
Rosenfield et al. 1994The Journal of clinical endocrinology and metabolismcited by 73
PMID 7989476DOI 10.1210/jcem.79.6.7989476PUB-07989476
PubMed tag: Comparative Study · 1990
Riis et al. 1990The Journal of clinical endocrinology and metabolismcited by 70
PMID 2138631DOI 10.1210/jcem-70-4-920PUB-02138631
PubMed tag: Randomized Controlled Trial, Comparative Study · 2006
Rombauts et al. 2006Human reproduction (Oxford, England)cited by 66
PMID 16253978DOI 10.1093/humrep/dei302PUB-16253978
PubMed tag: none · 2003
Szymański et al. 2003Ginekologia polskacited by 64
PMID 14669450PUB-14669450
PubMed tag: none · 1994
Niwa et al. 1994Journal of pharmaceutical sciencescited by 63
PMID 8071830DOI 10.1002/jps.2600830527PUB-08071830
These studies name Nafarelin but give no result for it (for example, the results concern another peptide in the study).
Indexing hint: Animal study · 1984
Sanders et al. 1984Journal of pharmaceutical sciencescited by 101
PMID 6238157DOI 10.1002/jps.2600730927PUB-06238157
PubMed tag: Randomized Controlled Trial, Clinical Trial · 1998
Finkelstein et al. 1998JAMAcited by 91
PMID 9757854DOI 10.1001/jama.280.12.1067PUB-09757854
Indexing hint: Animal study · 1993
Haviv et al. 1993Journal of medicinal chemistrycited by 61
PMID 8381183DOI 10.1021/jm00055a007PUB-08381183
Page 1 of 2
Fertility and sterility · 1992
Randomized controlled trial · 7 results
Franco JG Jr · Journal of assisted reproduction and genetics · 2001
Randomized controlled trial · 7 results
Henzl MR · The New England journal of medicine · 1988
Randomized controlled trial · 9 results
Bergqvist A · Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology · 2000
Randomized controlled trial · 15 results
Agarwal SK · The Journal of reproductive medicine · 1997
Randomized controlled trial · 5 results
Zhao SZ · The Journal of reproductive medicine · 1999
Randomized controlled trial · 3 results
Simberg N · Acta obstetricia et gynecologica Scandinavica · 1998
Randomized controlled trial · 9 results
Hornstein MD · Fertility and sterility · 1995
Randomized controlled trial · 4 results
Ylikorkala O · Human reproduction (Oxford, England) · 1995
Randomized controlled trial · 8 results
Hornstein MD · Fertility and sterility · 1997
Randomized controlled trial · 3 results
Parazzini F · American journal of obstetrics and gynecology · 1994
Randomized controlled trial · 3 results
Shaw RW · American journal of obstetrics and gynecology · 1990
Randomized controlled trial · 2 results
Elgendy M · Human reproduction (Oxford, England) · 1998
Randomized controlled trial · 5 results
Cheng MH · Journal of the Chinese Medical Association : JCMA · 2005
Randomized controlled trial · 10 results
Audebert A · European journal of obstetrics, gynecology, and reproductive biology · 1998
Randomized controlled trial · 3 results
Fraser IS · The Australian & New Zealand journal of obstetrics & gynaecology · 1991
Randomized controlled trial · 15 results
Penzias AS · Obstetrics and gynecology · 1992
Randomized controlled trial · 6 results
Schmidt-Sarosi C · Journal of assisted reproduction and genetics · 1995
Randomized controlled trial · 11 results
Dantas ZN · Fertility and sterility · 1994
Randomized controlled trial · 6 results
Tahara M · Fertility and sterility · 2000
Randomized controlled trial · 6 results
Calvo Lugo GE · Ginecologia y obstetricia de Mexico · 2000
Randomized controlled trial · 4 results
Hickok LR · Fertility and sterility · 1991
Randomized controlled trial · 5 results
Bergqvist A · Acta obstetricia et gynecologica Scandinavica · 2001
Randomized controlled trial · 5 results
Kennedy SH · Fertility and sterility · 1990
Randomized controlled trial · 6 results
Dada T · Human reproduction (Oxford, England) · 1999
Randomized controlled trial · 8 results
Rai VS · Human reproduction (Oxford, England) · 2000
Randomized controlled trial · 2 results
Lockwood GM · Human reproduction (Oxford, England) · 1995
Randomized controlled trial · 12 results
Bergqvist A · Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology · 1997
Randomized controlled trial · 5 results
Corson SL · Fertility and sterility · 1993
Randomized controlled trial · 3 results
Goldman JA · Human reproduction (Oxford, England) · 1994
Randomized controlled trial · 5 results
Takeuchi S · Fertility and sterility · 2001
Randomized controlled trial · 4 results
Corson SL · International journal of fertility and menopausal studies · 1996
Randomized controlled trial · 1 result
Loh SK · Singapore medical journal · 1999
Randomized controlled trial · 2 results
Rolland R · American journal of obstetrics and gynecology · 1990
Non-randomized trial · 2 results
Orwoll ES · American journal of obstetrics and gynecology · 1994
Non-randomized trial · 4 results
Adamson GD · American journal of obstetrics and gynecology · 1997
Non-randomized trial · 4 results
Tanos V · Journal of assisted reproduction and genetics · 1995
Non-randomized trial · 5 results
Schachter M · Journal of assisted reproduction and genetics · 2001
Non-randomized trial · 8 results
Gudmundsson JA · Contraception · 1984
Non-randomized trial · 3 results
Nillius SJ · Journal of steroid biochemistry · 1985
Non-randomized trial · 2 results
Monroe SE · Fertility and sterility · 1985
Non-randomized trial · 11 results
Suh J · European journal of obstetrics, gynecology, and reproductive biology · 2004
Non-randomized trial · 3 results
Johansen JS · The Journal of clinical endocrinology and metabolism · 1988
Non-randomized trial · 10 results
Gudmundsson JA · Fertility and sterility · 1986
Non-randomized trial · 8 results
Kennedy SH · Obstetrics and gynecology · 1990
Non-randomized trial · 1 result
Brenner PF · Contraception · 1985
Non-randomized trial · 16 results
Newhall-Perry K · American journal of obstetrics and gynecology · 1995
Non-randomized trial · 6 results
Avrech OM · Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology · 1996
Non-randomized trial · 4 results
Whitehouse RW · Clinical endocrinology · 1990
Non-randomized trial · 3 results
Chaplin MD · American journal of obstetrics and gynecology · 1992
Non-randomized trial · 5 results
Approval and sport status, and the safety outcomes reported in study results. Laws and labels change, so check the regulator for the current status.
| Jurisdiction | Body | Status | As of | Source |
|---|---|---|---|---|
| US | FDA |
| 27 Oct 2026 | accessdata.fda.gov (opens in a new tab) |
| EU | EMA |
| 27 Oct 2026 | ema.europa.eu (opens in a new tab) |
| Sport | WADA | Banned in sport (WADA S2.2.1) WADA 2026 explicitly names nafarelin in S2.2.1. | 2026 List | wada-ama.org (opens in a new tab) |
117 safety results for Nafarelin.
In patients with endometriosis, the transaminase increase was significantly smaller with nafarelin than danazol (P less than 0.002).
Randomized controlled trialn = 307
In patients with endometriosis, a higher percentage of nafarelin users reported hot flashes than danazol users.
Randomized controlled trialn = 213
In women with endometriosis, adverse events did not differ significantly between nafarelin and goserelin.
Randomized controlled trialn = 213
In women with endometriosis, nafarelin caused significantly less bone mineral density loss than leuprolide depot.
Randomized controlled trialn = 192
In women with endometriosis, nafarelin was associated with significantly fewer days with moderate or severe hot flashes than leuprolide during treatment (P < .05).
Randomized controlled trialn = 192
In Taiwanese women with endometriosis, overall adverse event incidence did not differ significantly between nafarelin and danazol, except laboratory-related events.
Randomized controlled trialn = 59
In advanced endometriosis, treatment tolerance was the same with preoperative and postoperative nafarelin.
Randomized controlled trialn = 53
In patients with endometriosis, nafarelin and danazol had similar side-effect rates but different patterns.
Randomized controlled trialn = 49
The top 24 of 102 results.
The doses that these studies used. They are not recommendations.
200 micrograms twice dailyHuman
200 microg twice a dayHuman
400 or 800 micrograms per dayHuman
200 micrograms twice dailyHuman
800 microg/dayHuman
200 micrograms twice dailyHuman
6 of 88 shown
PepBank is a research reference. Talk to a doctor before you use any peptide.
Data version, change history and code for this peptide.
curl -s https:// pepbank.io/ v1/ briefs/ nafarelinEvidence summary for Nafarelin: counts by class, key results with sources, notices, data version.
In PepBank now:147 peptides, 6 blends and 13 other compounds97,577 study results from 17,383 studies8,473 clinical trialsUpdated
Top outcomes
The 8 outcome groups with the most study results, by evidence class.
Data version 308560. Bar length is the number of results, not the size of an effect.
Evidence matrix
Study results by outcome and evidence class. Arrows show how the measured outcome moved, not whether the change is good.
| Outcome group | Human | Animal | Lab | Computer model | Total |
|---|---|---|---|---|---|
| Sex hormones and fertilityReproductive and sexual health | Human: 264 results from 50 studies: 62 increase, 100 decrease, 58 no significant change, 1 mixed, 43 not reported. Strongest design: Randomized controlled trial | Animal: 67 results from 5 studies: 14 increase, 29 decrease, 11 no significant change, 3 mixed, 10 not reported. Strongest design: Animal study (in vivo) | No results | No results | 331 |
| Bone and jointMusculoskeletal | Human: 51 results from 12 studies: 16 increase, 17 decrease, 12 no significant change, 1 mixed, 5 not reported. Strongest design: Randomized controlled trial | No results | No results | No results | 51 |
| Adverse eventsWhole body | Human: 38 results from 21 studies: 9 increase, 7 decrease, 5 no significant change, 17 not reported. Strongest design: Randomized controlled trial | No results | No results | No results | 38 |
| PharmacokineticsPharmacology | Human: 17 results from 3 studies: 1 increase, 16 not reported. Strongest design: Non-randomized trial | Animal: 21 results from 5 studies: 2 increase, 2 decrease, 1 no significant change, 16 not reported. Strongest design: Animal study (in vivo) | Lab: 3 results from 1 study: 2 increase, 1 not reported. Strongest design: In vitro (cell-free) | No results | 41 |
| Organ injuryReproductive and sexual health | Human: 14 results from 7 studies: 1 increase, 3 decrease, 4 no significant change, 6 not reported. Strongest design: Randomized controlled trial | Animal: 3 results from 1 study: 2 decrease, 1 no significant change. Strongest design: Animal study (in vivo) | No results | No results | 17 |
| LipidsMetabolic and weight | Human: 11 results from 3 studies: 2 increase, 8 no significant change, 1 not reported. Strongest design: Randomized controlled trial | No results | No results | No results | 11 |
| PainReproductive and sexual health | Human: 8 results from 5 studies: 1 increase, 2 decrease, 4 no significant change, 1 mixed. Strongest design: Randomized controlled trial | No results | No results | No results | 8 |
| Hormone levelsEndocrine and hormones | Human: 6 results from 1 study: 2 increase, 2 decrease, 2 no significant change. Strongest design: Non-randomized trial | No results | No results | No results | 6 |
| Adrenal FunctionEndocrine and hormones | Human: 5 results from 1 study: 1 increase, 1 decrease, 3 no significant change. Strongest design: Non-randomized trial | No results | No results | No results | 5 |
| Liver fat and liver functionLiver | Human: 4 results from 2 studies: 1 increase, 1 decrease, 2 not reported. Strongest design: Randomized controlled trial | No results | No results | No results | 4 |
| Quality of lifeWhole body | Human: 4 results from 2 studies: 1 increase, 2 no significant change, 1 not reported. Strongest design: Randomized controlled trial | No results | No results | No results | 4 |
| Reproductive biomarkersReproductive and sexual health | Human: 4 results from 1 study: 1 increase, 1 decrease, 2 not reported. Strongest design: Observational study | No results | No results | No results | 4 |
12 outcome groups shown of 29 · 549 study results
Data version 308560. Shade grows with the number of results. Every cell shows the exact count.
Trials by phase
10 registered trials, grouped by phase and shown by status.
Source: ClinicalTrials.gov, data version 308560. Status is the registry status.