TheraRadar
Data updated: Jun 17, 2026

ALPROSTADIL

Prostaglandin Receptor Agonists
Cardiovascular Approved 1998-01-20

ALPROSTADIL is indicated for the treatment of Pulmonary Atresia; Pulmonary Stenosis; Tricuspid Atresia; Tetralogy of Fallot; Interruption of the Aortic Arch; Coarctation of the Aorta; Transposition of the Great Vessels; Congenital Heart Defects.

Source: FDA Label • MEITHEAL
2
Indications
--
Phase 3 Trials
28
Years on Market

Details

Status
Prescription
First Approved
1998-01-20
Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: ALPROSTADIL

ALPROSTADIL Approval History

1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
9 FDA actions from 1998 to 2020
Jun 2020 SUPPL
Label · Labeling
Sep 2002 SUPPL
Mfg · Manufacturing (CMC)
Apr 2001 SUPPL
Mfg · Manufacturing (CMC)

What ALPROSTADIL Treats

8 indications

ALPROSTADIL is approved for 8 conditions since its original approval in 1998. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Pulmonary Atresia
  • Pulmonary Stenosis
  • Tricuspid Atresia
  • Tetralogy of Fallot
  • Interruption of the Aortic Arch
  • Coarctation of the Aorta
  • Transposition of the Great Vessels
  • Congenital Heart Defects
Source: FDA Label

ALPROSTADIL Boxed Warning

WARNING Apnea is experienced by about 10 to 12% of neonates with congenital heart defects treated with alprostadil injection. Apnea is most often seen in neonates weighing less than 2 kg at birth and usually appears during the first hour of drug infusion. Therefore, respiratory status should be monitored throughout treatment, and alprostadil injection should be used where ventilatory assistance is immediately available....

ALPROSTADIL Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

Indication competitors

4

Same indication, different mechanism — what else might this patient receive?

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

Drugs Similar to ALPROSTADIL

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

PROSTIN VR PEDIATRIC
ALPROSTADIL
8 shared
Pfizer
Shared indications:
Pulmonary AtresiaPulmonary StenosisTricuspid Atresia +5 more
📋

Clinical Trial Registry

5 trials
Trial Sponsor ID Phase Status Title
NCT00610051 3-T02-07-0106 Ph 3 not yet recruiting ALP-1 Continuous Intravenous Infusion to Maintain Clinical Stability in Advanced Heart Failure
NCT02895373 ECMO_PGE1 ECMO_PGE1_2.1 Ph 2 terminated PGE1 as Additive Anticoagulant in ECMO-Therapy
NCT03296670 LSG1501104 Ph 4 completed Efficacy of Intracoronary Infusion of Different Medicine in STEMI Patients With CSFP
NCT02228850 NexMed 2014-RPS-001 Ph 2 completed Study of Acute Peripheral Vascular Effects, Safety and Tolerability in Subjects With Raynaud's Phenomenon Secondary to Systemic Sclerosis
NCT01776320 103243 Ph 4 withdrawn Efficacy, Safety and Satisfaction of VITAROS (Transdermal Topical Alprostadil) in Men With Erectile Dysfunction
🔬

Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

ALPROSTADIL FDA Label Details

Indications & Usage

ALPROSTADIL is indicated for the treatment of Pulmonary Atresia; Pulmonary Stenosis; Tricuspid Atresia; Tetralogy of Fallot; Interruption of the Aortic Arch; Coarctation of the Aorta; Transposition of the Great Vessels; Congenital Heart Defects.

⚠️ BOXED WARNING

WARNING Apnea is experienced by about 10 to 12% of neonates with congenital heart defects treated with alprostadil injection. Apnea is most often seen in neonates weighing less than 2 kg at birth and usually appears during the first hour of drug infusion. Therefore, respiratory status should be moni...

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Full clinical data, patents, trials, and competitive landscape for alprostadil.

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.