"CPA is almost completely metabolized via the cytochrome P450 isoenzyme CYP3A4, and its main metabolite is 15β-OHCPA."
Source: (April 2018). "Current understanding on pharmacokinetics, clinical efficacy and safety of progestins for treating pain associated to endometriosis". Expert Opin Drug Metab Toxicol14 (4): 399–415. DOI:10.1080/17425255.2018.1461840. PMID29617576.
"The major metabolic steps are hydroxylation and deacetylation, while the D4-double bond is preserved. The antiandrogenic activity of 15β-hydroxy-CPA is similar to that of CPA, but the progestogenic efficacy is only 10% of that of CPA [17]."
"[CPA is metabolised via various degradation pathways, including via hydroxylation and conjugation steps. The major metabolite in serum is 15β-hydroxy-CPA.]"
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