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Journal: Crystal structure of the human oxytocin receptor. (Pubmed Central) - Apr 12, 2022 Here, we report the crystal structure of human OTR in complex with retosiban, a nonpeptidic antagonist developed as an oral drug for the prevention of preterm labor...Furthermore, our structure in combination with experimental data allows the identification of a conserved neurohypophyseal receptor-specific coordination site for Mg that acts as potent, positive allosteric modulator for agonist binding. Together, these results further our molecular understanding of the oxytocin/vasopressin receptor family and will facilitate structure-guided development of new therapeutics.
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Clinical, Journal: Randomized Trials of Retosiban Versus Placebo or Atosiban in Spontaneous Preterm Labor. (Pubmed Central) - Jan 4, 2022 Key factors negatively affecting participation were patient and physician resistance to use of a placebo comparator, lack of investigator consensus on diagnostic criteria and acceptance of protocol procedures, and ethics committee decisions. Meaningful cooperation between pharmaceutical companies, regulatory authorities, and the obstetric community is essential for future development of drugs to treat sPTL.
- |||||||||| nolasiban (OBE001) / ObsEva, retosiban (GSK-221,149-A) / GSK
Review, Journal: Oxytocin antagonists for assisted reproduction. (Pubmed Central) - Nov 29, 2021 This conclusion is based on a phased study comprising three trials that provided low- to high-certainty evidence. Further large, well-designed RCTs, reporting on live births and adverse clinical outcomes, should focus on identifying the subgroups of women who are likely to benefit from this intervention.
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Clinical, Retrospective data, Review, Journal: Novel oxytocin receptor antagonists for tocolysis: a systematic review and meta-analysis of the available data on the efficacy, safety, and tolerability of retosiban. (Pubmed Central) - Oct 20, 2021 With the limited high quality evidence available, retosiban demonstrates no clear benefit over placebo in the management of preterm labor. Nevertheless, its favorable safety profile, oral bioavailability, and novel mechanism of action and the limited number of studies available for review warrant further analysis.
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Enrollment closed, Phase classification, Trial completion date, Trial primary completion date: ARIOS: Follow up Study to Assess Long Term Safety and Outcomes in Infants and Children Born to Mothers Participating in Retosiban Treatment Studies (clinicaltrials.gov) - Jun 13, 2019 P3, N=2100, Active, not recruiting, Active, not recruiting --> Completed | N=2100 --> 99 Phase classification: P2/3 --> P3 | Trial completion date: Jul 2022 --> Jul 2019 | Trial primary completion date: Jul 2022 --> Jul 2019 | Recruiting --> Active, not recruiting
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Clinical, P1 data, PK/PD data, Journal: A Phase 1 Randomized, Placebo-Controlled Study Assessing the Pharmacokinetics, Safety, and Tolerability of Retosiban in Healthy, Nonpregnant Japanese Subjects. (Pubmed Central) - Mar 29, 2019 The 2 doses of retosiban were well tolerated across both populations, and no ethnic difference was observed in the safety profile. Given the results of this study and the known safety profile and dosing flexibility in the phase 3 trials, ethnic-specific dose adjustment of retosiban is not considered necessary for the Japanese and general Asian population.
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