OncoSignal
Live from Open Targets Platform, fetched 2026-11-12 04:48 UTC. Every row links to its source record.

EDNRB endothelin receptor type B

ENSG00000136160 · protein coding · Open Targets profile

Non-specific receptor for endothelin 1, 2, and 3. Mediates its action by association with G proteins that activate a phosphatidylinositol-calcium second messenger system. .

4 of the 10 drugs recorded against EDNRB are approved, and 2 more reached Phase 3

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.

4 small molecule drugs at Approved: APROCITENTAN, BOSENTAN, AMBRISENTAN, MACITENTAN2 small molecule drugs at Phase 3: DARUSENTAN, TEZOSENTAN1 small molecule drug at Phase 2: ENRASENTAN2 small molecule drugs at Withdrawn: SITAXENTAN, SITAXENTAN SODIUM1 unknown drug at Phase 1: RG-7636Small molecule 9Unknown 1Approved 4Phase 3 2Phase 2 1Phase 1 1Withdrawn 2

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 Withdrawn means the drug was pulled from the market or from development.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.

In 2 of 15 cancers, the evidence for EDNRB comes mainly from inherited variants

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.

Inherited (germline) variantsMutations in tumours (somatic)
00.250.50.751colorectal cancercolorectal cancercolorectal cancer: germline 0.31melanomamelanomacervical carcinomacervical carcinomacervical carcinoma: germline 0.18glioblastomaglioblastomalung adenocarcinomalung adenocarcinomabreast cancerbreast cancerbreast carcinomabreast carcinomaLynch syndromeLynch syndromeoral cavity squamous cell carcinomaoral cavity squamous cell carcinomatriple-negative breast carcinomatriple-negative breast carcinomacolorectal carcinomacolorectal carcinomamutyh-associated polyposismutyh-associated polyposisattenuated familial adenomatous polypos…attenuated familial adenomatous polyposisneuroblastomaneuroblastomaneuroblastoma, susceptibility to, 2neuroblastoma, susceptibility to, 2

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, Human Protein Atlas loc
PROTAC
Half-life Data, Small Molecule Binder
Other modalities
Phase 1 Clinical

gnomAD loss of function constraint: o/e 0.3877300024032593 (upper bound 0.5749599933624268). 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 144 registry trials, updated in the last three years, of the most advanced drugs against EDNRB (aprocitentan, bosentan, ambrisentan, macitentan, darusentan, tezosentan, enrasentan), ranked by Phase 2+ trials. Live from ClinicalTrials.gov.

35 of 110 trials of drugs against EDNRB have sites only in Europe

Registry trials of aprocitentan, bosentan, ambrisentan, macitentan, darusentan, tezosentan, enrasentan 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; 82 of 110 have all sites in one country.

Sites only in this groupSites here and elsewhere
United StatesUnited States: 29 trials with sites only hereUnited States: 20 trials with sites here and elsewhere49ChinaChina: 6 trials with sites only hereChina: 15 trials with sites here and elsewhere21EuropeEurope: 35 trials with sites only hereEurope: 25 trials with sites here and elsewhere60JapanJapan: 3 trials with sites only hereJapan: 6 trials with sites here and elsewhere9OtherOther: 12 trials with sites only hereOther: 25 trials with sites here and elsewhere37

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. 34 trials list no sites and are left out. Source: ClinicalTrials.gov, fetched live.

75 trials of drugs against EDNRB were stopped early; 8 give no reason

Terminated, withdrawn and suspended interventional trials of aprocitentan, bosentan, ambrisentan, macitentan, darusentan, tezosentan, enrasentan, RG-7636, 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 75.

  • terminated · 2026-09-03 · Dr Sudarshan Rajagopal · Macitentan Tablets
    “Sponsor Requested”
  • terminated · 2026-07-06 · United Therapeutics · matched by the registry's drug synonyms
    “Sponsor decision”
  • suspended · 2026-06-15 · City of Hope Medical Center · Bosentan
    “Accrual Goal met”
  • terminated · 2025-06-27 · Actelion · Macitentan
    “The Sponsor decided to stop the study for futility based on a recommendation by the IDMC following a pre-planned interim analysis”
  • withdrawn · 2025-06-22 · Actelion · Macitentan
    “Due to Protocol AC-055B201 (MUSIC) not meeting it's primary end point”
  • withdrawn · 2025-03-30 · Actelion · Macitentan
    “Sponsor Decision”
  • withdrawn · 2025-02-20 · Franz Rischard, DO · matched by the registry's drug synonyms
    “Did not identify eligible candidates”
  • terminated · 2025-02-04 · Actelion · Bosentan
    “Terminated due to slow enrollment”
  • terminated · 2025-02-04 · Actelion · bosentan
    “Slow enrollment”
  • terminated · 2025-02-04 · Actelion · macitentan 10 mg
    “the absence of a positive trend in all efficacy parameters indicates that macitentan 10 mg does not have a beneficial effect in patients with HFpEF and PVD.”
  • terminated · 2025-02-04 · Actelion · Bosentan
    “Slow enrollment”
  • terminated · 2025-02-04 · Actelion · Bosentan
    “To be compliant with the timelines as agreed with Paediatric Committee (PC) within the Paediatric Investigational Plan”
  • terminated · 2025-02-04 · Actelion · Macitentan 3 mg, Macitentan 10 mg
    “company decision”
  • terminated · 2025-02-03 · Actelion · matched by the registry's drug synonyms
    “The sponsor decided to terminate the study.”
  • terminated · 2025-02-03 · Actelion · Bosentan
    “Slow enrollment”
  • terminated · 2024-10-15 · Duke University · matched by the registry's drug synonyms
    “Project was completed”
  • withdrawn · 2024-03-08 · University of Maryland, Baltimore · Macitentan 10mg
    “Study was cancelled by funding agency before starting enrollment.”
  • terminated · 2024-03-05 · United Therapeutics · matched by the registry's drug synonyms
    “Sponsor Decision”
  • withdrawn · 2024-02-20 · University of Missouri-Columbia · matched by the registry's drug synonyms
    “No participants enrolled”
  • terminated · 2024-01-03 · United Therapeutics · matched by the registry's drug synonyms
    “Study closed due to limited availability of eligible subjects and competition by for enrollment by other studies”
  • terminated · 2024-01-03 · United Therapeutics · matched by the registry's drug synonyms
    “Due to availability of eligible subjects at center and enrollment competition with other studies.”
  • withdrawn · 2023-12-19 · United Therapeutics · matched by the registry's drug synonyms
    No reason given
  • terminated · 2023-10-31 · University of Mississippi Medical Center · Bosentan 125 mg
    “Despite significant effort, we were unable to obtain the supply of drugs and supplements needed for the various arms of this Clinical Trial.”
  • terminated · 2023-03-21 · Noorik Biopharmaceuticals AG · Ambrisentan
    “Lack of recruitment”
  • terminated · 2023-03-07 · Actelion · macitentan 10 mg
    “As The RUBATO DB study (NCT03153137) did not show any benefit of treatment with macitentan in Fontan-palliated participants, the sponsor has decided to terminate the RUBATO OL study (NCT03775421). No new safety observations were made.”
Paediatric incentives and obligations for EDNRB's drugs

For aprocitentan, bosentan, ambrisentan, macitentan, darusentan, tezosentan, enrasentan, RG-7636: 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.

  • EU paediatric investigation plan: yes · EMEA-000434-PIP01-08-M10 (ambrisentan, Treatment of pulmonary arterial hypertension): PM: decision on the application for modification of an agreed PIP, 25 Oct 2024; EMEA-001032-PIP01-10-M07 (macitentan, Treatment of idiopathic pulmonary fibrosis;Treatment of pulmonary arterial hypertension;Treatment of systemic sclerosis): PM: decision on the application for modification of an agreed PIP, 1 Dec 2023; compliance positive 23 Feb 2024; EMEA-001032-PIP03-19 (macitentan, Treatment of functional single ventricle heart disease with total cavo-pulmonary connection): P: decision agreeing on a investigation plan, with or without partial waiver(s) and or deferral(s), 9 Jul 2021; EMEA-002030-PIP01-16 (ambrisentan, Treatment of pulmonary arterial hypertension): W: decision granting a waiver in all age groups for all conditions or indications, 30 Jan 2017; +4 more
    Rule: 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: yes · EU/3/09/707 withdrawn 28 Jan 2010: Treatment of idiopathic pulmonary fibrosis; EU/3/21/2428 withdrawn 20 May 2021: Treatment of functional single ventricle congenital heart disease; EU/3/21/2533 withdrawn 10 Dec 2021: Treatment of chronic thromboembolic pulmonary hypertension; EU/3/11/909 withdrawn 27 Sept 2011: Treatment of pulmonary arterial hypertension; +5 more
    Rule: 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: yes · Ambrisentan Viatris (previously Ambrisentan Mylan): authorised since 20 Jun 2019; Macitentan Accord: authorised since 24 Sept 2025; Macitentan AccordPharma: authorised since 24 Sept 2025; Opsumit: authorised since 20 Dec 2013; +6 more
    Rule: 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 link
    Rule: 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 aprocitentan, bosentan, ambrisentan, macitentan, darusentan, tezosentan, enrasentan, rg-7636
    Rule: 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 · 55 interventional studies of aprocitentan, bosentan, ambrisentan, macitentan, darusentan, tezosentan, enrasentan, rg-7636 include patients under 18; 3 are recruiting, not yet recruiting or active
    Rule: 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 10 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.

DrugTypeHighest stageIndicationsSource records
APROCITENTANSmall moleculeapprovalhypertensive disorder, essential hypertensionOpen Targets · ChEMBL
BOSENTANSmall moleculephase 4pulmonary arterial hypertension, pulmonary hypertension, systemic sclerosis, congenital heart disease, hypertensive disorder, ulcer disease, Eisenmenger syndrome, sickle cell disease, +26 moreOpen Targets · ChEMBL
AMBRISENTANSmall moleculephase 4pulmonary arterial hypertension, hypertensive disorder, pulmonary hypertension, idiopathic pulmonary fibrosis, Pulmonary arterial hypertension associated with portal hypertension, chronic thromboembolic pulmonary hypertension, COVID-19, asthma, +12 moreOpen Targets · ChEMBL
MACITENTANSmall moleculephase 4pulmonary arterial hypertension, hypertensive disorder, cardiovascular disorder, pulmonary hypertension, systemic sclerosis, ulcer disease, Eisenmenger syndrome, chronic thromboembolic pulmonary hypertension, +5 moreOpen Targets · ChEMBL
DARUSENTANSmall moleculephase 3hypotensive disorder, Hypertension resistant to conventional therapy, hypertensive disorder, coronary atherosclerosisOpen Targets · ChEMBL
TEZOSENTANSmall moleculephase 3heart disorder, pulmonary hypertension, heart failure, pulmonary arterial hypertensionOpen Targets · ChEMBL
ENRASENTANSmall moleculephase 2pulmonary arterial hypertensionOpen Targets · ChEMBL
RG-7636Unknownphase 1melanoma, uveal melanoma, mucosal melanoma, cutaneous melanomaOpen Targets · ChEMBL
SITAXENTANSmall moleculewithdrawalpulmonary arterial hypertension, hypertensive disorder, chronic kidney disease, coronary artery disorder, asthma, Reduced left ventricular ejection fractionOpen Targets · ChEMBL
SITAXENTAN SODIUMSmall moleculewithdrawalpulmonary hypertension, pulmonary arterial hypertensionOpen Targets · ChEMBL