Druggability & Clinical Context
Druggability
Medium
Score: 0.49
Druggability Analysis
Structural Tractability0.70
Key Metrics
PDB Structures:
9
Known Drugs:
1
Approved:
1
In Clinical Trials:
0
Drug Pipeline (1 compounds)
1 Approved
Therapeutic Areas:Asthma and allergic airway disease Neuroinflammation and neurodegeneration Alzheimer's disease Parkinson's disease Multiple sclerosis Inflammatory bowel disease Rheumatoid arthritis
Druggability Rationale: ALOX5 is highly druggable (0.90 score) as a validated enzyme target with a well-characterized active site, demonstrated by 9 available crystal structures and the FDA-approved drug zileuton. The high-resolution structural data (1.98 ร
) and multiple PDB complexes provide excellent templates for structure-based drug design, enabling optimization of potent and selective small molecule inhibitors targeting leukotriene synthesis.
Mechanism: Small molecule inhibitors blocking leukotriene synthesis
Drug Pipeline (1 compounds)
1 Approved
Known Drugs:Zileuton (approved) โ Asthma (repurposing potential)
Structural Data:PDB (9) โAlphaFold โCryo-EM โ
Binding Pocket Analysis:ALOX5 possesses a well-characterized catalytic iron-binding pocket within the active site, accessible through the 1.98 ร
resolution structures (PDB 3O8Y, 3V92-99, 6N2W). The binding pocket accommodates competitive inhibitors that chelate the catalytic iron and block substrate access, providing a defined target for structure-based optimization of improved scaffolds beyond zileuton.
Selectivity & Safety Considerations
ALOX5 selectivity is achievable due to distinct structural features separating it from other lipoxygenase isoforms (ALOX12, ALOX15); however, off-target lipoxygenase activity should be monitored given the mechanistic overlap within the family. Zileuton's clinical validation demonstrates that selective ALOX5 inhibition is achievable without prohibitive cross-reactivity.
Clinical Trials (7)
Relevant trials from ClinicalTrials.gov
By Phase
PHASE1: 3 ยท PHASE2: 2 ยท PHASE4: 2
PHASE4
NCT01805687
n=25
Asthma
Interventions: Zileuton extended release
Sponsor: Cornerstone Therapeutics Inc. | Started: 2013-03
PHASE4
NCT00575861
n=19
Asthma
Interventions: zileuton
Sponsor: Gelb, Arthur F., M.D. | Started: 2005-09
PHASE2
NCT00723021
n=15
Asthma
Interventions: PF-04191834, PF-04191834, PF-04191834
Sponsor: Pfizer | Started: 2008-07
PHASE1
NCT00299065
n=60
Asthma
Interventions: Zileuton injection
Sponsor: Critical Therapeutics | Started: 2006-01
PHASE1
NCT01136941
n=9
Sickle Cell Disease
Interventions: Zileuton
Sponsor: Children's Hospital Medical Center, Cincinnati | Started: 2010-09
PHASE1
NCT01021215
n=84
Tobacco Use Disorder
Interventions: Zileuton, Celecoxib, laboratory biomarker analysis
Sponsor: National Cancer Institute (NCI) | Started: 2010-05
PHASE2
NCT00098358
n=90
Acne Vulgaris
Interventions: Zileuton
Sponsor: Critical Therapeutics | Started: 2004-11