dinoprostone
Trade name: prostin e2
Approved
Aug 23, 1977
5-trans-Prostaglandin E2 is the trans isomer of prostaglandin E2 and a common impurity in commercial lots of PGE1, that occurs naturally in some gorgonian corals. 5-trans-Prostaglandin E2 , a more potent than prostaglandin E2 in activating adenylate cyclase in NCB-20 cell homogenates. 5-trans PGE2 accelerates fibrinolysis by enhancing plasminogen activation mediated by tissue-type plasminogen activator and It also inhibits platelet aggregation/ 5-trans-Prostaglandin E2 is used as a substance for the isolation of new naturally occuring prostaglandin 5-trans-PGA2 and in the synthesis of 5-trans-PGF2a. — NCATS
Clinical trial activity
80 trials · 67 clinical orgs · 4 marketing orgs
Earliest trial started Apr 1, 1999 (NCT03489928)
Timeline
1970s
- Aug 23, 1977
Upjohn — Earliest FDA Approval
- Aug 23, 1977
Pharmacia & Upjohn — NDA Secondary Org
- Aug 23, 1977
Pfizer — Marketing Organization
- Aug 23, 1977
Upjohn — NDA Organization
- Aug 23, 1977
Pfizer — NDA Secondary Org
2000s
- Jan 1, 2007
Earliest Phase 1 Sponsor(trial)
2010s
- Jan 1, 2012
Earliest Phase 2 Sponsor(trial)
Indications
Approved for
Studied for
- Abortion, Incomplete · Phase 2
- Abortion, Induced · Phase 2
- Abortion, Missed · Phase 2
- Apgar Score · Phase 4
- Cervical Ripening · Phase 4
- Cervix Uteri · Phase 2
- Cesarean Section · Phase 4
- Contraception · Phase 4
- Delivery, Obstetric · Phase 4
- Drug-Related Side Effects and Adverse Reactions · Phase 4
- Drugs, Investigational · Phase 3
- Fetal Death · Phase 1/Phase 2
- Fetal Development · Phase 4
- Fetal Growth Retardation · Phase 3
- Hysterectomy · Phase 3
- Hysteroscopy · Phase 4
- Infant, Premature · Phase 4
- Intrauterine Devices · Phase 4
- Labor, Induced · Phase 4
- Labor, Obstetric · Phase 4
- Labor Pain · Phase 3
- Live Birth · Phase 4
- Myoma · Phase 3
- Neonatology · Phase 4
- Obstetric Labor Complications · Phase 4
- Ovulation Induction · Phase 4
- Pre-Eclampsia · Phase 1/Phase 2
- Pregnancy · Phase 4
- Premature Rupture of Fetal Membranes · Phase 3
- Uterine Myomectomy · Phase 4
Mechanism of action
- Molecular identity unknownAGONIST
Molecular identity unknown agonist
- Prostaglandin E2 receptorAGONIST
Prostaglandin E2 receptor agonist
Approval history
- approvedPriority reviewAug 23, 1977
Chemistry & pharmacology
SMILES
CCCCC[C@H](O)\C=C\[C@H]1[C@H](O)CC(=O)[C@@H]1C\C=C/CCCC(O)=O- Mol. weight
- 352.4651 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral, Topical
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
Yes
Sources
- WikipediaProstaglandin E2 ↗
- NCATSK7Q1JQR04M ↗
- ChEMBLCHEMBL548 ↗
Also known as
- (15s)-prostaglandin e2
- (15s)-prostaglandin e2
- (5z,11alpha,13e,15s)-11,15-dihydroxy-9-oxoprosta-5,13-dien-1-oic acid
- (5z,11alpha,13e,15s)-11,15-dihydroxy-9-oxoprosta-5,13-dien-1-oic acid
- (5z,13e)-(15s)-11alpha,15-dihydroxy-9-oxoprost-13-enoate
- (5z,13e)-(15s)-11alpha,15-dihydroxy-9-oxoprost-13-enoate
- (5z,13e)-(15s)-11alpha,15-dihydroxy-9-oxoprosta-5,13-dienoate
- (5z,13e)-(15s)-11alpha,15-dihydroxy-9-oxoprosta-5,13-dienoate
- cervidil
- cervidil
- cervidil
- cerviprost
- dinoproston
- dinoproston
- dinoprostona
- dinoprostona
- dinoprostone
- dinoprostone
- dinoprostone
- dinoprostone
- dinoprostone
- dinoprostone
- dinoprostone
- dinoprostone
- dinoprostone
- dinoprostone
- dinoprostone
- dinoprostone
- dinoprostone beta-cyclodextrin clathrate
- dinoprostone beta-cyclodextrin clathrate
- dinoprostone prostaglandin e2
- dinoprostone prostaglandin e2
- dinoprostonum
- dinoprostonum
- (e,z)-(1r,2r,3r)-7-(3-hydroxy-2-((3s)-(3-hydroxy-1-octenyl))-5-oxocyclopentyl)-5-heptenoic acid
- (e,z)-(1r,2r,3r)-7-(3-hydroxy-2-((3s)-(3-hydroxy-1-octenyl))-5-oxocyclopentyl)-5-heptenoic acid
- minprositin e2
- minprostin
- minprostin
- pge2
- pge2
- pge2
- primiprost
- propess
- propess
- propess
- prostaglandin e2
- prostaglandin e2
- prostin e2
- prostin e2
- u-12062
- u-12062
- (z)-7-((1r,2r,3r)-3-hydroxy-2-((s,e)-3-hydroxyoct-1-enyl)-5-oxocyclopentyl)hept-5-enoic acid
- (z)-7-((1r,2r,3r)-3-hydroxy-2-((s,e)-3-hydroxyoct-1-enyl)-5-oxocyclopentyl)hept-5-enoic acid
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06803992 | Phase 4 | Jan 29, 2025 | Emek Medical Center |
| NCT06794385 | Phase 4 | Jan 22, 2025 | University of Ljubljana |
| NCT05774236 | Phase 3 | Mar 27, 2023 | Spanish Clinical Research Network, Universidad Carlos III Madrid, Universidad Complutense de Madrid |
| NCT06560515 | N/A | Aug 1, 2022 | Alexandria University |
| NCT05430711 | Phase 4 | Jun 30, 2022 | University of Ljubljana |
| NCT05342467 | Phase 2 | Nov 11, 2021 | National University of Malaysia |
| NCT04747301 | N/A | Mar 12, 2021 | Hanoi Obstetric and Gynecology Hospital, Hanoi Obstetrics and Gynecology Hospital, Monash University, My Duc Phu Nhuan Hospital |
| NCT04500496 | N/A | Sep 1, 2020 | Aswan University |
| NCT04500509 | N/A | Sep 1, 2020 | Aswan University |
| NCT04505917 | N/A | Sep 1, 2020 | Aswan University |
| NCT04505943 | N/A | Sep 1, 2020 | Aswan University |
| NCT04357002 | Phase 4 | Apr 30, 2020 | Cairo University |
| NCT04340778 | Phase 3 | Apr 30, 2020 | Cairo University |
| NCT04339361 | Phase 4 | Apr 25, 2020 | Cairo University |
| NCT04301349 | Phase 3 | Mar 15, 2020 | Cairo University |
| NCT04413890 | Phase 2 | Dec 16, 2019 | University Hospital Center of Martinique, University hospital of Martinique |
| NCT04080349 | Phase 4 | Sep 10, 2019 | Cairo University |
| NCT04080323 | Phase 3 | Sep 10, 2019 | Al Azhar University, Cairo University |
| NCT04080336 | Phase 4 | Sep 10, 2019 | Cairo University |
| NCT04080375 | Phase 3 | Sep 10, 2019 | Cairo University |
Organizations
Research & Development (67)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Cairo University | Academic/Hospital | 17 | 16 | 3 | 2018 |
| Ferring | For profit | 7 | 5 | 3 | 2006 |
| Seoul National University | Academic/Hospital | 5 | 5 | 2 | 2012 |
| Ain Shams University | Academic/Hospital | 4 | 4 | 2 | 2010 |
| Aswan University | Academic/Hospital | 4 | 4 | 1 | 2020 |
| Technion University | Academic/Hospital | 3 | 3 | 1 | 2016 |
| Medicem International | For profit | 2 | 0 | 2 | 2017 |
| Tel Aviv University | Academic/Hospital | 2 | 2 | 2 | 2016 |
| University of Copenhagen | Academic/Hospital | 2 | 1 | 2 | 2002 |
| University of Ljubljana | Academic/Hospital | 2 | 2 | 1 | 2022 |
| AFP Innovation Fund | Academic/Hospital | 1 | 0 | 1 | 2016 |
| Al Azhar University | Academic/Hospital | 1 | 0 | 1 | 2019 |
| Alexandria University | Academic/Hospital | 1 | 1 | 1 | 2022 |
| Aljazeera Hospital | Academic/Hospital | 1 | 1 | 1 | 2018 |
| Allegiance Health | Academic/Hospital | 1 | 1 | 1 | 2019 |
| Basque Health Service | Academic/Hospital | 1 | 1 | 1 | 2016 |
| Beni Suef University | Academic/Hospital | 1 | 1 | 1 | 2018 |
| Centre Hospitalier Departemental Vendee | Academic/Hospital | 1 | 1 | 1 | 2016 |
| Clinical Hospital Merkur | Academic/Hospital | 1 | 1 | 1 | 2018 |
| Cornell University | Academic/Hospital | 1 | 1 | 1 | 2002 |
Marketing (5)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Ferring | For profit | NDA2 | Mar 30, 1995 |
| Pfizer | For profit | MKTG | Aug 23, 1977 |
| Pfizer | For profit | NDA2 | Aug 23, 1977 |
| Pharmacia & Upjohn | For profit | NDA2 | Aug 23, 1977 |
| Upjohn | For profit | NDA | Aug 23, 1977 |