Druggability & Clinical Context
Druggability
Low
Score: 0.41
Target Class
Signaling Protein
Druggability Analysis
Structural Tractability0.70
Key Metrics
PDB Structures:
4
Known Drugs:
1
Approved:
0
In Clinical Trials:
1
Drug Pipeline (1 compounds)
1 Phase II
Therapeutic Areas:Alzheimer's disease and neurodegeneration Neuroinflammation Synaptic dysfunction and synaptopathy Microglial activation disorders Complement-mediated neurological diseases Multiple sclerosis Traumatic brain injury
Druggability Rationale: C1QA demonstrates medium druggability (0.55) supported by strong structural data (4 PDB structures at 1.25 Γ
resolution, AlphaFold and cryo-EM availability) and clinical validation via ANX005 in Phase 2 trials. However, as a secreted signaling protein component of the C1 complex, it is inherently challenging to drug with small molecules, favoring antibody-based or protein-based therapeutic modalities over traditional ligand approaches.
Mechanism: Complement cascade inhibitor or antibody-mediated neutralization
Drug Pipeline (1 compounds)
1 Phase II
Known Drugs:ANX005 (phase_2) β complement-mediated diseases
Structural Data:PDB (4) βAlphaFold βCryo-EM β
Binding Pocket Analysis:C1QA lacks a traditional small-molecule binding pocket; instead, therapeutic engagement occurs through antibody epitope recognition or protein-protein interaction interfaces within the C1 complex. The collagen-like domain and globular head region (characterized by the high-resolution structures) serve as primary interaction sites for antibody binding and C1r/C1s recruitment rather than small-molecule ligand binding.
Selectivity & Safety Considerations
C1QA selectivity is primarily a concern at the pathway level rather than isoform level, as antibody-mediated approaches (like ANX005) must distinguish between C1q and related complement components (C1r, C1s) to avoid unintended pathway inhibition. Off-target risks include broader complement system suppression affecting immune homeostasis and infection susceptibility.
Clinical Trials (7)
Relevant trials from ClinicalTrials.gov
By Phase
PHASE1: 2 Β· PHASE2: 3 Β· PHASE3: 2
PHASE3
NCT07020819
n=30
Guillain-Barre Syndrome
Interventions: Tanruprubart
Sponsor: Annexon, Inc. | Started: 2025-09-12
PHASE3
NCT04701164
n=242
Guillain-Barre Syndrome
Interventions: ANX005, Placebo
Sponsor: Annexon, Inc. | Started: 2020-12-17
PHASE2
NCT04569435
n=17
Amyotrophic Lateral Sclerosis
Interventions: ANX005
Sponsor: Annexon, Inc. | Started: 2021-01-15
PHASE2
NCT04514367
n=28
Huntington Disease
Interventions: ANX005
Sponsor: Annexon, Inc. | Started: 2020-08-17
PHASE2
NCT04691570
n=6
Warm Autoimmune Hemolytic Anemia (wAIHA)
Interventions: ANX005
Sponsor: Annexon, Inc. | Started: 2021-11-10
PHASE1
NCT04035135
n=14
Guillain-BarrΓ© Syndrome
Interventions: ANX005, Intravenous immunoglobulin
Sponsor: Annexon, Inc. | Started: 2020-01-29
PHASE1
NCT03010046
n=27
Safety and Tolerability in Healthy Volun
Interventions: ANX005, IVIg, Placebos
Sponsor: Annexon, Inc. | Started: 2016-12