OncoSignal
Live from Open Targets Platform, fetched 2026-11-12 03:13 UTC. Every row links to its source record.

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.

1 of the 4 drugs recorded against PTGER4 is approved

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.

1 small molecule drug at Approved: DINOPROSTONE3 small molecule drugs at Phase 2: GRAPIPRANT, VORBIPIPRANT, RIVENPROSTSmall molecule 4Approved 1Phase 2 3

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 Withdrawn means the drug was pulled from the market or from development.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 13 of 15 cancers, the evidence for PTGER4 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 0.84polyp of colonpolyp of colonpolyp of colon: germline 0.73benign colon neoplasmbenign colon neoplasmbenign colon neoplasm: germline 0.73gastric carcinomagastric carcinomagastric carcinoma: germline 0.67colon carcinomacolon carcinomacolon carcinoma: germline 0.67colorectal carcinomacolorectal carcinomacolorectal carcinoma: germline 0.55colonic neoplasmcolonic neoplasmcolonic neoplasm: germline 0.54rectal neoplasmrectal neoplasmrectal neoplasm: germline 0.54anus neoplasmanus neoplasmanus neoplasm: germline 0.54colorectal adenomacolorectal adenomacolorectal adenoma: germline 0.53uterine corpus leiomyomauterine corpus leiomyomaoral mucosa leukoplakiaoral mucosa leukoplakiaoral mucosa leukoplakia: germline 0.27gastric cancergastric cancergastric cancer: germline 0.20breast cancerbreast cancergastric cardia carcinomagastric cardia carcinomagastric cardia carcinoma: germline 0.15

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.

25 of 45 trials of drugs against PTGER4 have sites only in countries outside the US, China, Europe and Japan

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.

Sites only in this groupSites here and elsewhere
United StatesUnited States: 5 trials with sites only hereUnited States: 0 trials with sites here and elsewhere5ChinaChina: 1 trials with sites only hereChina: 0 trials with sites here and elsewhere1EuropeEurope: 14 trials with sites only hereEurope: 0 trials with sites here and elsewhere14OtherOther: 25 trials with sites only hereOther: 0 trials with sites here and elsewhere25

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 synonyms
    No 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.

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.

DrugTypeHighest stageIndicationsSource records
DINOPROSTONESmall moleculephase 4oligohydramnios, Neonatal sepsis, pregnancy, Premature rupture of membranes, post term pregnancy, Pain, uterine corpus leiomyoma, fetal growth restriction, +3 moreOpen Targets · ChEMBL
GRAPIPRANTSmall moleculephase 2Pain, breast cancer, prostate cancer, lung cancer, non-small cell lung carcinoma, inflammatory breast carcinoma, colorectal cancerOpen Targets · ChEMBL
VORBIPIPRANTSmall moleculephase 2rheumatoid arthritis, colorectal cancer, autoimmune disease, neoplasmOpen Targets · ChEMBL
RIVENPROSTSmall moleculephase 2bone fracture, ulcerative colitisOpen Targets · ChEMBL