TheraRadar
Data updated: Jun 17, 2026

PROSTIN VR PEDIATRIC (alprostadil)

Prostaglandin Receptor Agonists
Cardiovascular Approved 1981-10-16

PROSTIN VR PEDIATRIC 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 • Pfizer
2
Indications
--
Phase 3 Trials
1
Priority Reviews
44
Years on Market

Details

Status
Prescription
First Approved
1981-10-16
Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: ALPROSTADIL

PROSTIN VR PEDIATRIC Approval History

1982
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Original
New Indication
New Form
Label Update
20 FDA actions from 1981 to 2025 · 1 indication expansions
Dec 2025 SUPPL
Label · Labeling
Jul 2019 SUPPL
Label · Labeling
Jun 2014 SUPPL Priority
Mfg · Manufacturing (CMC)

What PROSTIN VR PEDIATRIC Treats

8 indications

PROSTIN VR PEDIATRIC is approved for 8 conditions since its original approval in 1981. 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

PROSTIN VR PEDIATRIC Boxed Warning

WARNING Apnea is experienced by about 10 to 12% of neonates with congenital heart defects treated with PROSTIN VR PEDIATRIC Sterile Solution. 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 PROSTIN VR PEDIATRIC should be used where ventilatory assistance is immediately available....

PROSTIN VR PEDIATRIC Competitive Set

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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 PROSTIN VR PEDIATRIC

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

ALPROSTADIL
ALPROSTADIL
8 shared
MEITHEAL
Shared indications:
Pulmonary AtresiaPulmonary StenosisTricuspid Atresia +5 more
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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.

PROSTIN VR PEDIATRIC FDA Label Details

Indications & Usage

FDA Label (PDF)

PROSTIN VR PEDIATRIC 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 PROSTIN VR PEDIATRIC Sterile Solution. 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 statu...

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Data Sources

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