iloprost
Trade name: ventavis
Approved
Dec 29, 2004
Iloprost is a second generation structural analog of prostacyclin (PGI) with about ten-fold greater potency than the first generation stable analogs, such as carbaprostacyclin. Iloprost binds with equal affinity to human prostacyclin (Prostanoid IP) and prostaglandin EP1 receptors. Iloprost constricts the ilium and fundus circular smooth muscle as strongly as prostaglandin E2 (PGE2) itself. Iloprost inhibits the ADP, thrombin, and collagen-induced aggregation of human platelets. In whole animals, iloprost acts as a vasodilator, hypotensive, antidiuretic, and prolongs bleeding time. All of these properties help to antagonize the pathological changes that take place in the small pulmonary arteries of patients with pulmonary hypertension. Used for the treatment of pulmonary arterial hypertension. — NCATS
Clinical trial activity
73 trials · 68 clinical orgs · 4 marketing orgs
Earliest trial started Dec 1, 1995 (NCT00004786)
Timeline
1990s
- Jun 1, 1990
Schering AG — IND Organization
- Jun 1, 1990
Schering AG — IND Organization
- Jan 1, 1995
Earliest Phase 3 Sponsor(trial)
- Jan 1, 1997
Earliest Phase 2 Sponsor(trial)
2000s
2020s
- Feb 13, 2024
BTG — Marketing Organization
Indications
Studied for
- Acute Lung Injury · Phase 1
- Angioplasty, Balloon, Coronary · Phase 2/Phase 3
- Arterial Occlusive Diseases · Phase 2
- Arteriosclerosis · Phase 2
- Asthma · Early Phase 1
- Bronchi · Phase 2
- Carcinoma · Phase 2
- Coronary Angiography · Phase 2/Phase 3
- COVID-19 · Phase 2
- Diabetes Mellitus · Phase 2
- Endothelial Cells · Phase 2
- Healthy Volunteers · Phase 1/Phase 2
- Heart Arrest · Phase 2
- Heart Defects, Congenital · Phase 1/Phase 2
- Heart Failure, Diastolic · Phase 4
- Hypertension · Phase 4
- Hypertension, Pulmonary · Phase 4
- Hypertrophy, Left Ventricular · Phase 2
- Infections · Phase 2
- Lung Diseases · Phase 2
- Lung Neoplasms · Phase 2
- Multiple Organ Failure · Phase 2
- Myocardial Infarction · Phase 1/Phase 2
- Peripheral Arterial Disease · Phase 4
- Peripheral Nerve Injuries · Phase 2
- Persistent Fetal Circulation Syndrome · Phase 1/Phase 2
- Pneumonia · Phase 2
- Precancerous Conditions · Phase 2
- Pulmonary Arterial Hypertension · Phase 4
- Pulmonary Disease, Chronic Obstructive · Phase 4
- Pulmonary Fibrosis · Phase 2/Phase 3
- Raynaud Disease · Phase 3
- Renal Insufficiency, Chronic · Phase 2/Phase 3
- Respiratory Distress Syndrome · Phase 3
- Respiratory Insufficiency · Phase 2
- Sarcoidosis · Phase 4
- Scleroderma, Systemic · Phase 3
- Sclerosis · Phase 3
- Shock · Phase 3
- Shock, Septic · Phase 2/Phase 3
- Shoulder Fractures · Phase 1/Phase 2
Mechanism of action
- Prostanoid IP receptorAGONIST
PTGIR agonist
Approval history
- approvedPriority reviewDec 29, 2004
Chemistry & pharmacology
SMILES
CC#CCC(C)[C@H](O)\C=C\[C@H]1[C@H](O)C[C@@H]2C\C(C[C@H]12)=C/CCCC(O)=O- Mol. weight
- 360.4871 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Racemic Mixture
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral, Topical
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
Yes
Sources
- WikipediaIloprost ↗
- NCATSJED5K35YGL ↗
- ChEMBLCHEMBL494 ↗
Also known as
- ciloprost
- ciloprost
- ciloprost
- endoprost
- illoprost
- ilomedin
- ilomedin
- ilomedin
- iloprost
- iloprost
- iloprost
- iloprost
- iloprost
- iloprost
- iloprost
- iloprost
- iloprost
- iloprost
- iloprost
- iloprost
- ventavis
- ventavis
- ventavis
- ventavis
- zk-00036374
- zk-00036374
- zk36374
- zk 36374
- zk-36374
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07263958 | N/A | Dec 10, 2025 | University of Sao Paulo |
| NCT06429930 | Phase 1 | Sep 1, 2024 | Novotech, Pharmosa Biopharm Inc. |
| NCT06319274 | Phase 2 | Apr 15, 2024 | University of Copenhagen |
| NCT05938946 | Phase 1 | Aug 30, 2023 | Novotech, Pharmosa Biopharm Inc. |
| NCT05411107 | Phase 2 | Jan 23, 2023 | National Cancer Institute (NCI), Northwestern University |
| NCT04927039 | N/A | Jun 24, 2021 | Yonsei University |
| NCT04543682 | Phase 1/Phase 2 (Phase 2) | Jan 31, 2021 | Humboldt University |
| NCT04598191 | N/A | Nov 4, 2020 | Yonsei University |
| NCT04583046 | N/A | Oct 31, 2020 | Yonsei University |
| NCT04420741 | Phase 2 | Jun 1, 2020 | University of Copenhagen |
| NCT04445246 | Phase 2 | May 23, 2020 | Hamad Medical Corporation |
| NCT04040322 | Phase 3 | Oct 31, 2019 | Civi Biopharma, Inc., Eicos Sciences, Inc. |
| NCT04123444 | Phase 2/Phase 3 (Phase 3) | Oct 28, 2019 | Government of Denmark, Innovation Fund Denmark, University of Copenhagen |
| NCT03903939 | Phase 2 | May 22, 2019 | Aalborg University, Aarhus University, University of Copenhagen, University of Oslo, University of Southern Denmark |
| NCT03788837 | Phase 3 | Apr 17, 2019 | Assistance Publique - Hôpitaux de Paris |
| NCT03867097 | Phase 2 | Mar 4, 2019 | Civi Biopharma, Inc., Eicos Sciences, Inc. |
| NCT03111212 | Phase 3 | Jun 1, 2018 | University of Tuebingen |
| NCT03936140 | N/A | Jan 4, 2018 | Catholic University of Korea |
| NCT03620526 | Phase 4 | Nov 29, 2017 | National Taiwan University |
| NCT03044314 | Phase 4 | Jun 1, 2017 | Actelion, Duke University |
Organizations
Research & Development (68)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Actelion | For profit | 15 | 9 | 5 | 2004 |
| University of Copenhagen | Academic/Hospital | 8 | 6 | 2 | 2010 |
| Bayer | For profit | 7 | 4 | 4 | 1998 |
| Yonsei University | Academic/Hospital | 5 | 5 | 1 | 2015 |
| Duke University | Academic/Hospital | 3 | 2 | 2 | 2006 |
| Jiao Tong University | Academic/Hospital | 3 | 3 | 2 | 2007 |
| National Cancer Institute (NCI) | Government | 3 | 2 | 2 | 2001 |
| Catholic University of Korea | Academic/Hospital | 2 | 1 | 2 | 2010 |
| Civi Biopharma, Inc. | For profit | 2 | 0 | 2 | 2019 |
| CoTherix | For profit | 2 | 0 | 1 | 2004 |
| Eicos Sciences, Inc. | For profit | 2 | 2 | 2 | 2019 |
| Humboldt University | Academic/Hospital | 2 | 2 | 1 | 1997 |
| Justus Liebig University Giessen | Academic/Hospital | 2 | 1 | 2 | 2006 |
| Northwestern University | Academic/Hospital | 2 | 0 | 2 | 2015 |
| Novotech | For profit | 2 | 0 | 1 | 2023 |
| Pharmosa Biopharm Inc. | For profit | 2 | 2 | 1 | 2023 |
| Thrombologic ApS | For profit | 2 | 2 | 1 | 2010 |
| University of Heidelberg | Academic/Hospital | 2 | 2 | 2 | 2005 |
| University of Oklahoma | Academic/Hospital | 2 | 2 | 2 | 2006 |
| University of Pittsburgh | Academic/Hospital | 2 | 0 | 2 | 1995 |
Marketing (5)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Actelion | For profit | MKTG | Dec 29, 2004 |
| Actelion | For profit | NDA2 | Dec 29, 2004 |
| BTG | For profit | MKTG | Feb 13, 2024 |
| CoTherix | For profit | NDA | Dec 29, 2004 |
| Schering AG | For profit | IND | Jun 1, 1990 |