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Protein / target

5-hydroxytryptamine receptor 3A

Encoded byHTR3AP46098Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
23
Approved medicines
Open Targets target-level
View by indication →
30
Clinical trials
Small-molecule tractable
Druggability
Approved Drug

Protein at a glance

Biological role

Serotonin-gated monoatomic cation channel

Strongest disease association

Major depressive disorder

Via encoding gene HTR3A · Clinical evidence · score 0.60

Therapeutic position

Established drug target

Small molecules

Derived from structured UniProt, Open Targets and literature data on this page.

Protein profile

UniProt 2026_02

Canonical identity and biological annotation from UniProt.

Function overview

Forms serotonin (5-hydroxytryptamine/5-HT3)-activated cation-selective channel complexes, which when activated cause fast, depolarizing responses in neurons

Subcellular location

Postsynaptic cell membraneCell membrane
Domains and Gene Ontology detail (18)

Gene Ontology

  • Ccleavage furrow
  • Cneuron projection
  • Cplasma membrane
  • Cpostsynaptic membrane
  • Cserotonin-activated cation-selective channel complex
  • Csynapse
  • Ctransmembrane transporter complex
  • Fexcitatory extracellular ligand-gated monoatomic ion channel activity
  • Fidentical protein binding
  • Fligand-gated monoatomic ion channel activity involved in regulation of presynaptic membrane potential
  • Fserotonin binding
  • Fserotonin-gated monoatomic cation channel activity

478 aa · 55 kDa · 5 isoforms

Biological roles

What this protein does, drawn together from its UniProt function, Gene Ontology terms and Reactome pathways.

Synaptic signallingUniProt · GOIon channel gatingGOLigand-gated signallingGO
View supporting evidence

Synaptic signalling

  • ·Postsynaptic cell membrane
  • ·postsynaptic membrane
  • ·synapse
  • ·ligand-gated monoatomic ion channel activity involved in regulation of presynaptic membr…

Ion channel gating

  • ·excitatory extracellular ligand-gated monoatomic ion channel activity
  • ·ligand-gated monoatomic ion channel activity involved in regulation of presynaptic membr…
  • ·serotonin-gated monoatomic cation channel activity
  • ·transmitter-gated monoatomic ion channel activity involved in regulation of postsynaptic…

Ligand-gated signalling

  • ·excitatory extracellular ligand-gated monoatomic ion channel activity
  • ·ligand-gated monoatomic ion channel activity involved in regulation of presynaptic membr…
  • ·transmitter-gated monoatomic ion channel activity involved in regulation of postsynaptic…

Concepts derived from UniProt GO Reactome — each badge above shows which sources supported that role.

Approved medicines with mapped indications

1 medicine · 3 areas

Approved therapies targeting this protein, grouped by what they are approved to treat — the disease-first view of the medicines below. Relationships come from the canonical approved-indication graph (ChEMBL phase-4), the same source as the drug cards.

Nausea1 medicine
Postoperative Nausea and Vomiting1 medicine
Broader indication categories (1)
Neoplasms1 medicine

Broad umbrella indications (e.g. “Neoplasms”). Shown here because every medicine also appears under a more specific disease above — kept for completeness, de-emphasised for clarity.

23 medicines meet Open Targets' target-level approved-medicine definition; the 1 shown here are those on this page with a canonical approved disease indication in the graph. Approved indications from ChEMBL (phase-4), via the canonical drug→disease graph.

Drugs targeting this protein

1

How approved and investigational drugs engage this protein — mechanism and action type, direct vs complex targeting, and how broadly each acts across other targets. A drug-first view (the section above groups the approved ones disease-first); direct binders with few recorded targets are listed first.

ondansetron
Narrow target profileApprovedAntagonist

Serotonin 3a (5-HT3a) receptor antagonist

Indicated for Nausea, Postoperative Nausea and Vomiting, Neoplasms

Direct interaction with this protein · Only this protein recorded as a target

ChEMBL mechanism, action type, target identity and approved indications. Open Targets clinical status.

Translational evidence

Open Targets 26

Why this target matters therapeutically, strongest evidence first. Disease associations are gene-level (via the gene that encodes this protein) and open into the full confidence synthesis; the development universe, tractability and safety annotations are target-level, from Open Targets.

Strongest disease associations · via encoding gene HTR3A

Gene-level evidence surfaced through the gene HTR3A that encodes this protein — not a direct protein–disease relationship. Ranked by Forefront's causal-directness weighting, so genetically- and clinically-evidenced diseases lead over ones that merely share the literature.

Major depressive disorder
0.74Moderately supported

Clinical evidence dominant · Open Targets 0.60

Schizophrenia
0.74Moderately supported

Clinical evidence dominant · Open Targets 0.60

Neoplasms
0.73Moderately supported

Clinical evidence dominant · Open Targets 0.59

Irritable Bowel Syndrome
0.72Moderately supported

Clinical evidence dominant · Open Targets 0.58

Depressive Disorder
0.66Moderately supported

Clinical evidence dominant · Open Targets 0.53

View evidence synthesis (5)
Major depressive disorderModerately supported
0.74
agreement 0.590.90
Clinical97%Literature3%

Open Targets aggregate 0.60 · 2 independent evidence families

SchizophreniaModerately supported
0.74
agreement 0.580.89
Clinical97%Literature4%

Open Targets aggregate 0.60 · 2 independent evidence families

NeoplasmsModerately supported
0.73
agreement 0.580.89
Clinical97%Literature3%

Open Targets aggregate 0.59 · 2 independent evidence families

Irritable Bowel SyndromeModerately supported
0.72
agreement 0.560.87
Clinical94%Literature6%

Open Targets aggregate 0.58 · 2 independent evidence families

Depressive DisorderModerately supported
0.66
agreement 0.510.82
Clinical96%Literature4%

Open Targets aggregate 0.53 · 2 independent evidence families

The evidence agreement range shows how closely the independent evidence families agree — it is not a statistical confidence interval, and nothing here is fitted to outcome data. Derived from Open Targets evidence types under Forefront weighting; the per-type scores above show the calculation.

Show all associations
Major depressive disorder0.60
Schizophrenia0.60
Neoplasms0.59
Irritable Bowel Syndrome0.58
Depressive Disorder0.53

Drug development

29 compounds recorded · 23 approved · 4 in clinical development · 2 earlier-stage

Open Targets' development universe — every compound recorded against the target at any stage, not all approved medicines. Distinct from the 1 drug that targets this protein in Forefront's canonical graph (1 with a mapped approved indication, shown above): these count different sets and are not a subset relation.

View all recorded compounds (10)
AMISULPRIDEApproval
RENZAPRIDEPhase 3
ZIMELDINEApproval
DOLASETRONApproval
GRANISETRONApproval
TROPISETRONApproval
RAMOSETRONApproval
ZIMELDINE HYDROCHLORIDEUnknown
ONDANSETRONApproval
DEXFENFLURAMINE HYDROCHLORIDEUnknown

Open Targets known-drugs universe. Drug name and highest clinical stage only — the disease relationship is NOT read from this slice (it carries trial-context noise); approved indications come from the canonical graph above.

Tractability

Small moleculesStrong

Approved Drug and Structure with Ligand support this modality.

AntibodiesEmerging

Feasibility evidence (uniprot loc high conf and go cc high conf) — no clinical-stage drug of this modality recorded.

Protein degradersEmerging

Feasibility evidence (database ubiquitination and small molecule binder) — no clinical-stage drug of this modality recorded.

View underlying tractability evidence (9)
SM · Approved DrugSM · Structure with LigandSM · High-Quality LigandSM · Druggable FamilyAB · UniProt loc high confAB · GO CC high confAB · UniProt SigP or TMHMMPR · Database UbiquitinationPR · Small Molecule Binder

Raw Open Targets tractability assessment buckets, by modality.

Safety-related annotations

decreased memoryLynch et al. (2017)vomitingLynch et al. (2017)gastric emptyingBowes et al. (2012)increased gastrointestinal transitLynch et al. (2017)decreased painLynch et al. (2017)constipationBowes et al. (2012)constipationLynch et al. (2017)hard stoolLynch et al. (2017)possible increased heart rateBowes et al. (2012)decreased inflammationLynch et al. (2017)increased blood pressureLynch et al. (2017)receptor bindingToxCast

Terms indexed against this target in Open Targets' safety data, with their datasource. These are annotations, not causal claims: the direction of effect (whether activation or inhibition is implicated), species and evidence strength are not captured here, so an entry does not mean that modulating this target is known to cause that condition.

Clinical trials

30

Trials of drugs that target this protein — reached indirectly through those drugs, so a trial listed here studies the drug, not the protein. Ranked by active status, then clinical phase and recency, and spread across the targeting drugs.

View all trials (26)

RECRUITING · via ondansetron · NCT06382012

ACTIVE_NOT_RECRUITING · via ondansetron · NCT03817970

COMPLETED · via ondansetron · NCT05439772

COMPLETED · via ondansetron · NCT04745273

ClinicalTrials.gov via the drug-target graph.

What's happening now

5

Recent therapeutic activity around this target — regulatory actions, clinical trials and safety signals for a drug that targets this protein, plus publications where such a drug is a genuine subject. Every item is reached indirectly through the drug, not the protein itself; incidental mentions (a paper that merely measures a drug) and press items are excluded.

  1. Product recall2025-12-30

    Recall (Class II): ONDANSETRON

    fda · safety · fda · via ondansetron

  2. Safety communication2020-01-27

    Drug Safety Update: Ondansetron: small increased risk of oral clefts following use in the first 12 weeks of pregnancy

    mhra · safety · mhra · via ondansetron

  3. New publication2015-05-27
    Acute opioid withdrawal is associated with increased neural activity in reward-processing centers in healthy men: A functional magnetic resonance imaging study.

    Drug and alcohol dependence · 2015 · 18 citations · Europe PMC · via ondansetron

  4. Safety communication2014-12-11

    Drug Safety Update: Ondansetron (Zofran): important new intravenous dose restriction

    mhra · safety · mhra · via ondansetron

  5. New publication2014-12-04
    Ondansetron pharmacokinetics in pregnant women and neonates: towards a new treatment for neonatal abstinence syndrome.

    Clinical pharmacology and therapeutics · 2015 · 24 citations · Europe PMC · via ondansetron

Objective event titles are shown unmodified; the event kind and significance line are derived from structured fields. Forefront AttentionEvent stream aggregating Europe PMC Regulatory filings ClinicalTrials.gov.