C1Q

Complement C1q

Score: 0.624 Price: $0.62 Low Druggability Status: active Wiki: C1Q
๐Ÿง  Neurodegeneration
HYPOTHESES
58
PAPERS
22
KG EDGES
1361
DEBATES
0

3D Protein Structure

🧬 C1Q โ€” PDB 1PK6 Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
Low
Score: 0.36
Clinical Stage
Approved
Target Class
Signaling Protein
Safety
0.45
Druggability Analysis
Drug Development0.75
Structural Tractability0.30
Target Class0.50
Safety Profile0.45
Key Metrics
PDB Structures:
0
Known Drugs:
1
Approved:
1
In Clinical Trials:
0
Drug Pipeline (1 compounds)
1 Approved
Therapeutic Areas:
Neurodegeneration/Alzheimer's disease Neuroinflammation Synaptic dysfunction Cold agglutinin disease Complement-mediated autoimmune disorders Neuropsychiatric disorders with neuroinflammatory component
Druggability Rationale: C1Q demonstrates medium druggability (0.55) supported by the clinical success of Sutimlimab, an approved monoclonal antibody, validating the target for therapeutic intervention. As a secreted signaling protein in the complement cascade, C1Q is inherently druggable via antibody-mediated neutralization, though small-molecule inhibitors face challenges due to the lack of a classical ATP-binding pocket and the protein's structural complexity.
Mechanism: Complement cascade inhibitor or antibody-mediated neutralization
Drug Pipeline (1 compounds)
1 Approved
Known Drugs:
Sutimlimab (approved) โ€” Cold agglutinin disease
Structural Data:
PDB โ€”AlphaFold โœ“Cryo-EM โœ“
Binding Pocket Analysis:

C1Q lacks a traditional small-molecule binding pocket, instead functioning as a scaffold protein with multiple protein-protein interaction surfaces for C1r/C1s binding and target recognition. Therapeutic engagement relies primarily on monoclonal antibodies targeting conformational epitopes or functional domains (such as the collagen-like region), as evidenced by Sutimlimab's mechanism; structural characterization via AlphaFold and cryo-EM supports antibody design but limits small-molecule optimization strategies.

🧬 3D Protein Structure

🧬 C1Q — PDB 1PK6 Click to expand interactive 3D viewer

Experimental structure from RCSB PDB | Powered by Mol* | Rotate: click+drag | Zoom: scroll

Selectivity & Safety Considerations

Selectivity is a critical challenge given C1Q's central role in both pathological complement activation and physiological immune homeostasis; therapeutic targeting must preserve beneficial functions (pathogen clearance, apoptotic cell clearance) while blocking aberrant neuroinflammatory signaling. Antibody-based approaches offer superior selectivity through epitope selection, whereas pan-complement inhibitors risk broad immunosuppression.

Clinical Trials (4)

Relevant trials from ClinicalTrials.gov

Active
1
Completed
3
Total Enrollment
473
By Phase
PHASE3: 3 ยท Unknown: 1
Cold Agglutinin Disease Real World Evidence Registry Recruiting
Unknown NCT05791708 n=400
Cold Agglutinin Disease (CAD), Cold Agglutinin Syndrome (CAS)
Interventions: Sutimlimab
Sponsor: RECORDATI GROUP | Started: 2019-12-12
A Study to Assess the Efficacy and Safety of BIVV009 (Sutimlimab) in Participants With Primary Cold Agglutinin Disease W Completed
PHASE3 NCT03347396 n=24
Agglutinin Disease, Cold
Interventions: BIVV009
Sponsor: Bioverativ, a Sanofi company | Started: 2018-03-05
A Study to Assess the Efficacy and Safety of BIVV009 (Sutimlimab) in Participants With Primary Cold Agglutinin Disease W Completed
PHASE3 NCT03347422 n=42
Cold Agglutinin Disease
Interventions: sutimlimab (BIVV009), placebo
Sponsor: Bioverativ, a Sanofi company | Started: 2018-03-17
Sutimlimab (BIVV009) for the Adult Participants With Cold Agglutinin Disease (CAD) Who Have Completed Phase 3 Studies (C Completed
PHASE3 NCT05132127 n=7
Cold Agglutinin Disease
Interventions: sutimlimab
Sponsor: Sanofi | Started: 2021-11-11

Linked Hypotheses (0)

No linked hypotheses

Linked Experiments (2)

Bidirectional Mendelian randomization analysis of C1Q and ischemic stroke0.900
Bidirectional Mendelian randomization analysis of C1Q and ischemic stroke0.900

Scoring Dimensions

Portfolio 0.64 (25%) Druggability 0.36 (20%) Evidence 0.78 (20%) Safety 0.45 (15%) Competitive 0.40 (10%) Connectivity 0.90 (10%) 0.624 composite

Knowledge Graph (20)

activates (2)

C1Q โ†’ C1QA
C1Q โ†’ C1QC

associated with (2)

C1Q โ†’ neurodegeneration
C1Q โ†’ APOE

co discussed (11)

C1Q โ†’ NAMPT
C1Q โ†’ GPX4
C1Q โ†’ PLA2G6
C1Q โ†’ MMP2
C1Q โ†’ C3
...and 6 more

expressed in (1)

C1Q โ†’ SPI1

inhibits (1)

C1Q โ†’ RAB11

interacts with (1)

C1Q โ†’ C3

therapeutic target (2)

C1Q โ†’ MTOR
C1Q โ†’ CLPP

Debate History (0)

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