PTGER4 prostaglandin E receptor 4
ENSG00000171522 · protein coding · Open Targets profile
Receptor for prostaglandin E2 (PGE2). The activity of this receptor is mediated by G(s) proteins that stimulate adenylate cyclase. Has a relaxing effect on smooth muscle. May play an important role in regulating renal hemodynamics, intestinal epithelial transport, adrenal aldosterone secretion, and uterine function.
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 Withdrawn means the drug was pulled from the market or from development.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
- GO CC high conf, UniProt loc med conf, UniProt SigP or TMHMM
- PROTAC
- Database Ubiquitination, Small Molecule Binder
gnomAD loss of function constraint: o/e 0.3313699960708618 (upper bound 0.5484899878501892). 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 45 registry trials, updated in the last three years, of the most advanced drugs against PTGER4 (dinoprostone, grapiprant, vorbipiprant, rivenprost), ranked by Phase 2+ trials. Live from ClinicalTrials.gov.
- Caroline DIGUISTO– · 1 of 1 trials Phase 2+
- Coordinating InvestigatorIRCCS Istituto Nazionale dei Tumori · 1 of 1 trials Phase 2+
- Filippo PietrantonioFondazione IRCCS - Istituto Nazionale dei Tumori di Milano · 1 of 1 trials Phase 2+
- Franck PerrotinTours Universiity Hospital · 1 of 1 trials Phase 2+
- M. Mukhlis Rudi PrihatnoUniversitas Jenderal Soedirman · 1 of 1 trials Phase 2+
- Niloy J SamadderUniversity of Wisconsin Carbone Cancer Center - University Hospital · 1 of 1 trials Phase 2+
- Perrine COSTE-MAZEAUUniversity Hospital, Limoges · 1 of 1 trials Phase 2+
- Rahana Abd RahmanNational University of Malaysia · 1 of 1 trials Phase 2+
- Sadia SaleemM.D. Anderson Cancer Center · 1 of 1 trials Phase 2+
- Yin Fong LeungThe University of Hong Kong · 1 of 1 trials Phase 2+
- Zohar NachumEmek Medical Center · 1 of 1 trials Phase 2+
- Ahmed Y GamalProfessor of Oral Medicine, Periodontology and Oral Diagnosis - Faculty of Dentistry - Ain Shams University, Professor of Periodontology - College of Oral and Dental Surgery - Misr University for Science and Technology · 0 of 1 trials Phase 2+
- Anh Nguyen DuyHanoi Obstetric and Gynecology Hospital · 0 of 1 trials Phase 2+
- Ben W MolMonash University · 0 of 1 trials Phase 2+
- Bernard MacatangayUniversity of Pittsburgh · 0 of 1 trials Phase 2+
Registry trials of dinoprostone, grapiprant, vorbipiprant, rivenprost 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; 45 of 45 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. Source: ClinicalTrials.gov, fetched live.
14 trials of drugs against PTGER4 were stopped early; 1 give no reason
Terminated, withdrawn and suspended interventional trials of dinoprostone, grapiprant, vorbipiprant, rivenprost, 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 14 most recent of 14.
- 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 · 2025-06-13 · M.D. Anderson Cancer Center · Grapiprant“Termination was requested by study supporter IKENA oncology”
- 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”
- suspended · 2023-09-15 · Guangzhou Women and Children's Medical Center · matched by the registry's drug synonyms“understaffed”
- 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 · 2021-09-05 · Intermountain Health Care, Inc. · Outpatient Dinoprostone 10mg, Inpatient Dinoprostone 10 mg“Sponsor declined to provide further funding/product support.”
- terminated · 2021-02-21 · Arrys Therapeutics · grapiprant and pembrolizumab“Based on the totality of the generated combined safety and efficacy data in the interim period, the company decided to terminate the combination study in NSCLC patients. There are no subjects on study drug at this time or in the EOT Follow-up period.”
- withdrawn · 2019-11-04 · University of Maryland, Baltimore · matched by the registry's drug synonyms“PI No Longer at University of Maryland. Now at Fox Chase”
- terminated · 2018-10-10 · Fate Therapeutics · matched by the registry's drug synonyms“Business decision”
- terminated · 2018-10-10 · Fate Therapeutics · matched by the registry's drug synonymsNo reason given
- terminated · 2012-08-23 · Ferring Pharmaceuticals · Dinoprostone“Study was early terminated due to problems enrolling adequate number of patients”
- terminated · 2009-04-28 · Kyoto University, Graduate School of Medicine · Rivenprost (drug)“terminated”
Paediatric incentives and obligations for PTGER4's drugs
For dinoprostone, grapiprant, vorbipiprant, rivenprost: 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 · PTGER4 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: no · No EMA paediatric investigation plan decision names dinoprostone, grapiprant, vorbipiprant, rivenprostRule: 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 dinoprostone, grapiprant, vorbipiprant, rivenprostRule: 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 dinoprostone, grapiprant, vorbipiprant, rivenprostRule: 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 dinoprostone, grapiprant, vorbipiprant, rivenprostRule: 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 · 33 interventional studies of dinoprostone, grapiprant, vorbipiprant, rivenprost include patients under 18; 1 is 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 4 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 |
|---|---|---|---|---|
| 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 |
| GRAPIPRANT | Small molecule | phase 2 | Pain, breast cancer, prostate cancer, lung cancer, non-small cell lung carcinoma, inflammatory breast carcinoma, colorectal cancer | Open Targets · ChEMBL |
| VORBIPIPRANT | Small molecule | phase 2 | rheumatoid arthritis, colorectal cancer, autoimmune disease, neoplasm | Open Targets · ChEMBL |
| RIVENPROST | Small molecule | phase 2 | bone fracture, ulcerative colitis | Open Targets · ChEMBL |