Druggability & Clinical Context
Druggability
Medium
Score: 0.47
Druggability Analysis
Structural Tractability0.70
Key Metrics
PDB Structures:
7
Known Drugs:
1
Approved:
1
In Clinical Trials:
0
Drug Pipeline (1 compounds)
1 Approved
Therapeutic Areas:Alzheimer's disease and neurodegeneration Dyslipidemia and cardiovascular disease Cognitive decline Amyloid-ฮฒ clearance disorders Brain cholesterol homeostasis
Druggability Rationale: ABCA1 demonstrates high druggability (0.90 score) due to extensive structural characterization (7 PDB structures at 3.1ร
resolution, cryo-EM data, AlphaFold model), validated by Probucol's clinical approval for hypercholesterolemia. As an ABC transporter with well-defined nucleotide-binding domains and transmembrane architecture, it presents multiple tractable binding sites for small molecule modulators to enhance cholesterol efflux activity.
Mechanism: Small molecule modulators to enhance cholesterol efflux and HDL formation
Drug Pipeline (1 compounds)
1 Approved
Known Drugs:Probucol (approved) โ Hypercholesterolemia
Structural Data:PDB (7) โAlphaFold โCryo-EM โ
Binding Pocket Analysis:ABCA1 contains two nucleotide-binding domains (NBDs) that coordinate ATP binding and hydrolysis to drive conformational changes in the transmembrane domains, along with potential allosteric pockets accessible to small molecule modulators. The high-resolution structural data reveals the ATP-binding site and ligand-induced conformational dynamics critical for substrate recognition and cholesterol efflux activation.
Selectivity & Safety Considerations
ABCA1 selectivity is achievable given its unique tissue expression pattern (particularly high in macrophages, enterocytes, and microglia) and distinct substrate specificity for apoA-I; however, off-target activity against other ABC transporters (ABCG1, ABCG4) must be carefully monitored as they share overlapping functions in lipid homeostasis and neuroinflammation.
Clinical Trials (8)
Relevant trials from ClinicalTrials.gov
By Phase
PHASE2: 1 ยท PHASE4: 5 ยท Unknown: 2
PHASE4
NCT03753555
n=100
Stroke, Ischemic, Atherosclerosis, Cerebral
Interventions: Atorvastatin Calcium, Atorvastatin Calcium, Probucol
Sponsor: General Hospital of Shenyang Military Region | Started: 2018-12-01
PHASE4
NCT00426348
n=75
Glomerulonephritis, IGA Nephropathy
Interventions: Valsartan, Probucol, Placebo
Sponsor: Guangdong Provincial People's Hospital | Started: 2007-05
PHASE4
NCT01252056
n=353
Diabetic Nephropathy
Interventions: Probucol, Probucol and Cilostazol
Sponsor: Otsuka Beijing Research Institute | Started: 2010-03
PHASE4
NCT00823849
n=200
Type 2 Diabetes Mellitus, Arteriosclerosis Obliterans
Interventions: Cilostazol, Probucol, Cilostazol+Probucol
Sponsor: Otsuka Beijing Research Institute | Started: 2008-10
PHASE4
NCT01031667
n=118
Therapy
Interventions: Cilostazol, Probucol / placebo of probuc
Sponsor: Yonsei University | Started: 2009-11
PHASE2
NCT01142284
n=80
Peripheral Artery Disease
Interventions: Cilostazol, Probucol
Sponsor: Korea Otsuka Pharmaceutical Co., Ltd. | Started: 2010-05-19
Unknown
NCT02730390
n=3087
Hyperlipidemia
Sponsor: Otsuka Pharmaceutical, Inc., Philippines | Started: 2009-12
Unknown
NCT06931834
Mitochondrial Disease, Chronic Kidney Disease
Interventions: Probucol
Sponsor: RiboNova Inc.