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OBE001

ObsEva SA · discontinued Small molecule

OBE001 is an oxytocin receptor antagonist that inhibits uterine contractions by blocking oxytocin signaling in myometrial smooth muscle.

OBE001 is a small-molecule oxytocin receptor antagonist developed by ObsEva SA for reproductive health indications, specifically preterm labor prevention and embryo transfer support in infertility. The drug works by blocking oxytocin signaling in uterine smooth muscle, thereby reducing uterine contractions and prolonging pregnancy or improving implantation conditions. Two Phase 2 trials were conducted: one in preterm labor (terminated early with N=10) and one in embryo transfer (completed with N=247), but the program was ultimately discontinued, indicating insufficient efficacy or commercial viability. OBE001 represented a non-oral formulation approach to tocolysis, differentiating it from oral agents but facing challenges in clinical development. The drug never reached regulatory approval or commercial launch. ObsEva SA reported $20M revenue in 2022, but OBE001 did not contribute meaningfully to the company's commercial portfolio.

At a glance

Generic nameOBE001
SponsorObsEva SA
Drug classOxytocin receptor antagonist; Tocolytic agent
TargetOxytocin receptor (OXTR)
ModalitySmall molecule
Therapeutic areaOther
Phasediscontinued

Mechanism of action

OBE001 works by antagonizing the oxytocin receptor, a G-protein coupled receptor expressed on uterine smooth muscle cells. Oxytocin is the natural hormone responsible for triggering uterine contractions during labor. By blocking this receptor, OBE001 suppresses spontaneous and induced myometrial contractions, thereby delaying or preventing preterm labor. In the context of assisted reproduction, the same mechanism may reduce uterine contractility during embryo transfer, potentially improving implantation rates by creating a more quiescent uterine environment. The drug was designed as a non-oral tocolytic agent, offering an alternative to existing oral or intravenous options.

Approved indications

No approved indications tracked.

Pipeline indications

Common side effects

No common side effects on file.

Drug interactions

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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