Druggability & Clinical Context
Druggability
Medium
Score: 0.50
Druggability Analysis
Structural Tractability0.70
Key Metrics
PDB Structures:
3
Known Drugs:
1
Approved:
1
In Clinical Trials:
0
Drug Pipeline (1 compounds)
1 Approved
Therapeutic Areas:Parkinson's disease Levodopa-responsive movement disorders Neurodegeneration Motor symptom management in Parkinsonism Combination therapy enhancement
Druggability Rationale: AADC is highly druggable (0.90 score) due to its well-defined catalytic active site, proven clinical validation by approved drug carbidopa, and extensive structural characterization with 3 PDB structures at 1.7 Γ
resolution. The enzyme's established role in Parkinson's disease therapy and availability of high-quality structural data enable rational drug design of competitive inhibitors targeting the pyridoxal-5'-phosphate (PLP) cofactor binding pocket.
Mechanism: Small molecule inhibitor preventing peripheral conversion of levodopa to dopamine
Drug Pipeline (1 compounds)
1 Approved
Known Drugs:Carbidopa (approved) β Parkinson's disease (with levodopa)
Structural Data:PDB (3) βAlphaFold βCryo-EM β
Binding Pocket Analysis:The active site features a pyridoxal-5'-phosphate (PLP) cofactor binding pocket that serves as the primary interaction site for substrate (levodopa) and inhibitor binding. Structural data from PDB entries (3RBF, 3RBL, 3RCH) at high resolution (1.7 Γ
) reveal conserved catalytic residues and cofactor coordination geometry, enabling structure-based design of competitive inhibitors with improved potency and selectivity over carbidopa.
Selectivity & Safety Considerations
Peripheral selectivity is the critical challengeβdrugs must inhibit AADC in the periphery while minimizing CNS penetration to avoid reducing central dopamine synthesis. AADC has limited isoforms, reducing isoform selectivity complexity, but off-target inhibition of other PLP-dependent enzymes (e.g., DOPA decarboxylase variants, monoamine oxidases) must be carefully evaluated to prevent adverse metabolic effects.
Clinical Trials (8)
Relevant trials from ClinicalTrials.gov
By Phase
PHASE1: 3 Β· PHASE2: 2 Β· PHASE3: 2 Β· PHASE4: 1
PHASE3
NCT04006210
n=381
Parkinson's Disease
Interventions: ND0612 Solution for SC infusion, Placebo for SC infusion, Oral IR-LD/CD
Sponsor: NeuroDerm Ltd. | Started: 2019-09-30
PHASE4
NCT03115827
n=15
Parkinson Disease
Interventions: Droxidopa, Carbidopa
Sponsor: Vanderbilt University Medical Center | Started: 2017-04-18
PHASE3
NCT01411137
n=43
Parkinson's Disease
Interventions: IPX066
Sponsor: Impax Laboratories, LLC | Started: 2011-08
PHASE2
NCT01568034
n=10
Parkinson's Disease
Interventions: BIA 9-1067, BIA 9-1067, BIA 9-1067
Sponsor: Bial - Portela C S.A. | Started: 2009-04
PHASE2
NCT01568047
n=40
Parkinson's Disease
Interventions: Placebo, BIA 9-1067, BIA 9-1067
Sponsor: Bial - Portela C S.A. | Started: 2010-02
PHASE1
NCT00229736
n=10
Parkinson's Disease
Interventions: AAV-hAADC-2, AAV-hAADC-2
Sponsor: Genzyme, a Sanofi Company | Started: 2004-11
PHASE1
NCT03065192
n=16
Idiopathic Parkinson's Disease, Parkinson's Disease, Basal Ganglia Disease
Interventions: VY-AADC01
Sponsor: Neurocrine Biosciences | Started: 2017-05-11
PHASE1
NCT03496870
n=16
Parkinson Disease
Interventions: Opicapone, Carbidopa Levodopa
Sponsor: Neurocrine Biosciences | Started: 2018-02-08