PTGER3 prostaglandin E receptor 3
ENSG00000050628 · protein coding · Open Targets profile
Receptor for prostaglandin E2 (PGE2) (PubMed:7883006, PubMed:7981210, PubMed:8117308, PubMed:8135729, PubMed:8307176). The activity of this receptor can couple to both the inhibition of adenylate cyclase mediated by G(i) proteins, and to an elevation of intracellular calcium (PubMed:7883006, PubMed:7981210, PubMed:8117308, PubMed:8135729). Required for normal development of fever in response to pyrinogens, including IL1B, prostaglandin E2 and bacterial lipopolysaccharide (LPS). Required for normal potentiation of platelet aggregation by prostaglandin E2, and thus plays a role in the regulation of blood coagulation. Required for increased HCO3(-) secretion in the duodenum in response to mucosal acidification, and thereby contributes to the protection of the mucosa against acid- induced ulceration. Not required for normal kidney function, normal urine volume and osmolality (By similarity). {ECO:0000250|UniProtKB:P30557, ECO:0000269|PubMed:7883006, ECO:0000269|PubMed:7981210, ECO:0000269|PubMed:8117308, ECO:0000269|PubMed:8135729, ECO:0000269|PubMed:8307176}.
Each band is a group of drugs. It runs from the kind of drug on the left to the furthest stage that drug has reached in any disease on the right. Thicker bands mean more drugs.
Approved bands are highlighted. Withdrawn means the drug was pulled from the market or from development. A combined phase counts as the later one (Phase 1/2 is shown as Phase 2). Hover a band for the drug names. Source: Open Targets Platform, fetched live.
Each row is a cancer, strongest overall evidence first. The two dots show how strong the inherited (germline) and tumour-mutation (somatic) evidence is; the line between them is the gap.
Scores run from 0 (no evidence) to 1 (strongest). A missing dot at 0 means Open Targets holds no evidence of that kind. Source: Open Targets Platform, fetched live.
Tractability
- Small molecule
- Approved Drug, Structure with Ligand, High-Quality Ligand, Druggable Family
- Antibody
- UniProt loc high conf, GO CC high conf, UniProt SigP or TMHMM
- PROTAC
- Small Molecule Binder
gnomAD loss of function constraint: o/e 0.6341400146484375 (upper bound 0.9055200219154358). Low values mean loss of function is poorly tolerated, a safety flag for inhibition.
Who runs trials of these drugs
Principal investigators and study chairs on 136 registry trials, updated in the last three years, of the most advanced drugs against PTGER3 (misoprostol, dinoprostone, sepetaprost), ranked by Phase 2+ trials. Live from ClinicalTrials.gov.
- Tiffany E AngeloStony Brook University Hospital Department of Anesthesiology · 2 of 2 trials Phase 2+
- Amr Fathy AhmedAin Shams Maternity Hospital · 1 of 1 trials Phase 2+
- Andrew D WeeksUniversity of Liverpool · 1 of 1 trials Phase 2+
- Angela BiancoIcahn School of Medicine at Mount Sinai · 1 of 1 trials Phase 2+
- Atiqa NoreenHilal-e-Ahmar Hospital, Faisalabad · 1 of 1 trials Phase 2+
- Caroline DIGUISTO– · 1 of 1 trials Phase 2+
- Coordinating InvestigatorIRCCS Istituto Nazionale dei Tumori · 1 of 1 trials Phase 2+
- Denis GallotUniversity Hospital, Clermont-Ferrand · 1 of 1 trials Phase 2+
- DILFUZA SULTANMURATOVAKazakhstans Medical Uivercity · 1 of 1 trials Phase 2+
- Franck PerrotinTours Universiity Hospital · 1 of 1 trials Phase 2+
- Grace LH WongChinese University of Hong Kong · 1 of 1 trials Phase 2+
- Haitham Mohamed SabaaAin Shams Maternity Hospital · 1 of 1 trials Phase 2+
- Hamdy Bakry AlqenawyAin Shams Maternity Hospital · 1 of 1 trials Phase 2+
- Lorie HarperDivision Chief, Maternal-Fetal Medicine · 1 of 1 trials Phase 2+
- M. Mukhlis Rudi PrihatnoUniversitas Jenderal Soedirman · 1 of 1 trials Phase 2+
Registry trials of misoprostol, dinoprostone, sepetaprost updated in the last three years, counted by the country group of their listed sites. A trial with sites in several groups counts in each; 124 of 124 have all sites in one country.
Site counts are not patients per country, and trials registered only outside ClinicalTrials.gov are not covered. Where sites are is a fact about the record, not a judgement of its quality. Europe is the EU and EEA, the UK and Switzerland. 12 trials list no sites and are left out. Source: ClinicalTrials.gov, fetched live.
58 trials of drugs against PTGER3 were stopped early; 5 give no reason
Terminated, withdrawn and suspended interventional trials of misoprostol, dinoprostone, sepetaprost, newest update first, live from ClinicalTrials.gov. Each reason is quoted exactly as the registry gives it; we do not sort reasons into safety, efficacy or business. Dates are the last registry update. Showing the 25 most recent of 58.
- terminated · 2026-10-15 · University Hospital, Clermont-Ferrand · Misoprostol Oral Tablet“futility”
- terminated · 2026-03-27 · Assistance Publique - Hôpitaux de Paris · Misoprostol“reason of halt prematurely: futility of the trial”
- terminated · 2026-01-26 · Baylor Research Institute · matched by the registry's drug synonyms“Difficulty in acquiring patients in a reasonable amount of time.”
- terminated · 2026-01-20 · University of California, San Francisco · Misoprostol“Lack of successful recruitment and loss of funding”
- terminated · 2025-11-17 · Hackensack Meridian Health · Prophylactic use of ibuprofen and ondansetron post misoprostol administration, Use of ibuprofen and ondansetron at symptom onset post misoprostol administration“Inability to recruit and staffing changes”
- withdrawn · 2025-09-04 · Institut National de la Santé Et de la Recherche Médicale, France · matched by the registry's drug synonyms“No participants enrolled”
- terminated · 2025-08-24 · Stanford University · Misoprostol 400mcg buccal“Recruitment not feasible for this patient population within study timeframe”
- withdrawn · 2025-06-06 · University of Chicago · matched by the registry's drug synonyms“Study has not received IRB approval.”
- terminated · 2025-01-17 · Hospital Kemaman · matched by the registry's drug synonyms“Poor recruitment”
- terminated · 2024-08-28 · University Hospital, Limoges · Dinoprostone“Not enough patients”
- terminated · 2024-08-15 · Centre Hospitalier Departemental Vendee · Dinoprostone“Delayed inclusion”
- withdrawn · 2024-07-31 · Assiut University · Misoprostol“no participants”
- terminated · 2023-11-07 · MemorialCare Health System · Misoprostol“Poor enrollment”
- terminated · 2023-10-30 · Bnai Zion Medical Center · Misoprostol Oral Tablet“RECRUTIMENT DIFICULTIES”
- withdrawn · 2023-09-28 · Montefiore Medical Center · Misoprostol“After significant delays study was never initiated. No participants enrolled”
- suspended · 2023-09-15 · Guangzhou Women and Children's Medical Center · matched by the registry's drug synonyms“understaffed”
- terminated · 2023-09-07 · Northwestern University · Misoprostol“The study was prematurely closed due to low enrollment rates.”
- terminated · 2023-07-25 · Gynuity Health Projects · Mifepristone + 2 doses of misoprostol 800 mcg“Enrollment”
- terminated · 2023-05-15 · University Hospital, Toulouse · Balloon catheter + oral misoprostol, Oral misoprostol alone“interim analyses”
- terminated · 2023-01-23 · Boston Medical Center · matched by the registry's drug synonyms“Inability to recruit more participants.”
- terminated · 2022-11-30 · Vanderbilt University Medical Center · Misoprostol 100Mcg Tab“Low enrollment”
- terminated · 2022-11-14 · South Warwickshire NHS Foundation Trust · 10 mg Dinoprostone; CTS, UK, 3 mg Dinoprostone vaginal tablet; Pfizer, UK“Inability to recruit more women because of the COVID-19 and staffing/resources issues”
- terminated · 2022-10-13 · Milton S. Hershey Medical Center · Misoprostol“Insufficient research staff to recruit and complete study”
- withdrawn · 2022-03-22 · University of Maryland, Baltimore · Misoprostol“in error”
- terminated · 2021-09-05 · Intermountain Health Care, Inc. · Outpatient Dinoprostone 10mg, Inpatient Dinoprostone 10 mg“Sponsor declined to provide further funding/product support.”
Paediatric incentives and obligations for PTGER3's drugs
For misoprostol, dinoprostone, sepetaprost: what EMA and FDA publish about paediatric plans, orphan status and pediatric approvals, and how many registered studies take children. Each line is a yes, no or not published fact from the record linked under it; none of it is a forecast.
- FDA pediatric target list: no · PTGER3 is not on the listRule: Target is on FDA's Pediatric Molecular Target List (relevant targets). Source: FDA Pediatric Molecular Target List (Listed as February 2026 on the FDA Pediatric Oncology page; the file served is 9.7.22_the_relevant_molecular_target_list.xlsx, whose Summary of Changes sheet is headed 'SEPTEMBER 2022 UPDATE' (footnote date 2022-09-01)), 2026-11-11
- EU paediatric investigation plan: yes · EMA/PE/0000245149 (mifepristone;misoprostol, Treatment of termination of pregnancy): W: decision granting a waiver in all age groups for all conditions or indications, 12 Jun 2025; EMEA-001601-PIP01-13 (misoprostol, Induction of labour): P: decision agreeing on a investigation plan, with or without partial waiver(s) and or deferral(s), 5 Jun 2015; EMEA-001159-PIP02-12 (misoprostol, Induction of labour): P: decision agreeing on a investigation plan, with or without partial waiver(s) and or deferral(s), 23 Jul 2012; compliance positive 11 Oct 2012; EMEA-000411-PIP01-08 (mifepristone;misoprostol, Medical Abortion): W: decision granting a waiver in all age groups for all conditions or indications, 11 Aug 2009Rule: An EMA PIP decision (agreement, modification or waiver) lists the drug as its active substance, exact name. Source: EMA data download (dated snapshot), 2026-11-11
- EU orphan designation: no · No EU orphan designation names misoprostol, dinoprostone, sepetaprostRule: An EU orphan designation lists the drug as its active substance (exact name) or belongs to a medicine that does; withdrawn and expired designations are listed with their status. Source: EMA data download (dated snapshot), 2026-11-11
- Authorised in the EU: no · EMA lists no centrally authorised medicine of misoprostol, dinoprostone, sepetaprostRule: An EMA medicine record lists the drug as its active substance or INN, exact name; national-only authorisations are not in this file. Source: EMA data download (dated snapshot), 2026-11-11
- FDA orphan designation: not published · FDA's orphan designation database turns away automated requests, so this app does not read it; search it by hand at the linkRule: Would be: an FDA orphan designation names the drug. Source: FDA orphan designations search
- FDA pediatric oncology approval: no · FDA's table lists no pediatric approval of misoprostol, dinoprostone, sepetaprostRule: FDA's Pediatric Oncology Drug Approvals table names the drug. Source: FDA Pediatric Oncology Drug Approvals (content current as of 2026-03-03), 2026-11-12
- Registered studies open to children: yes · 154 interventional studies of misoprostol, dinoprostone, sepetaprost include patients under 18; 4 are recruiting, not yet recruiting or activeRule: The registry's age group includes Child (birth to 17 years), which also counts studies that set no minimum age. Source: ClinicalTrials.gov search, 2026-11-12
Rare pediatric disease voucher. FDA, content current as of 29 Apr 2026: “As of February 3, 2026, enactment of the Consolidated Appropriations Act, 2026, the rare pediatric disease PRV program will sunset after September 30, 2029. FDA may not award any PRVs under this program after September 30, 2029.” Voucher sale prices are not shown here; they appear only as company-reported news. FDA: Rare Pediatric Disease Designation and Priority Review Voucher Programs
All 3 drugs and clinical candidates as a table
Each drug, stage and indication links to its Open Targets record, where the trials and approvals behind it are listed. Salt forms (for example a mesylate) are listed as Open Targets records them, as separate entries.
| Drug | Type | Highest stage | Indications | Source records |
|---|---|---|---|---|
| MISOPROSTOL | Small molecule | phase 4 | osteoarthritis, hemorrhage, duodenal ulcer, rheumatoid arthritis, peptic ulcer disease, gastroesophageal reflux disease, Miscarriage, Stillbirth, +26 more | Open Targets · ChEMBL |
| DINOPROSTONE | Small molecule | phase 4 | oligohydramnios, Neonatal sepsis, pregnancy, Premature rupture of membranes, post term pregnancy, Pain, uterine corpus leiomyoma, fetal growth restriction, +3 more | Open Targets · ChEMBL |
| SEPETAPROST | Small molecule | phase 3 | ocular hypertension, open-angle glaucoma | Open Targets · ChEMBL |