C1QA

Complement C1q A Chain

Score: 0.580 Price: $0.58 Low Druggability Status: active Wiki: C1QA
🧠 Neurodegeneration
HYPOTHESES
5
PAPERS
44
KG EDGES
193
DEBATES
0

3D Protein Structure

🧬 C1QA β€” PDB 1PK6 Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
Low
Score: 0.41
Clinical Stage
Phase II
Target Class
Signaling Protein
Safety
0.45
Druggability Analysis
Drug Development0.35
Structural Tractability0.70
Target Class0.50
Safety Profile0.45
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) βœ“AlphaFold βœ“Cryo-EM βœ“
5HBA5HKJ5HZF6Z6V
UniProt: A0A8Q3SI59
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.

🧬 3D Protein Structure

🧬 C1QA — PDB 1PK6 Click to expand interactive 3D viewer

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

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.

3D Protein Structure

PDB: Open in RCSB AlphaFold model

Interactive 3D viewer powered by RCSB PDB / Mol*. Use mouse to rotate, scroll to zoom.

Clinical Trials (7)

Relevant trials from ClinicalTrials.gov

Active
1
Completed
5
Total Enrollment
364
By Phase
PHASE1: 2 Β· PHASE2: 3 Β· PHASE3: 2
An Open Label Clinical Study to Evaluate Tanruprubart (Also Commonly Known as ANX005) in Participants With Guillain-Barr Recruiting
PHASE3 NCT07020819 n=30
Guillain-Barre Syndrome
Interventions: Tanruprubart
Sponsor: Annexon, Inc. | Started: 2025-09-12
Efficacy and Safety of ANX005 in Subjects With Guillain-BarrΓ© Syndrome Completed
PHASE3 NCT04701164 n=242
Guillain-Barre Syndrome
Interventions: ANX005, Placebo
Sponsor: Annexon, Inc. | Started: 2020-12-17
Study of ANX005 in Adults With Amyotrophic Lateral Sclerosis (ALS) Completed
PHASE2 NCT04569435 n=17
Amyotrophic Lateral Sclerosis
Interventions: ANX005
Sponsor: Annexon, Inc. | Started: 2021-01-15
An Open Label Study of ANX005 in Subjects With, or at Risk for, Manifest Huntington's Disease Completed
PHASE2 NCT04514367 n=28
Huntington Disease
Interventions: ANX005
Sponsor: Annexon, Inc. | Started: 2020-08-17
Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of ANX005 in Participants With Warm Autoimmune Hemolytic Ane Completed
PHASE2 NCT04691570 n=6
Warm Autoimmune Hemolytic Anemia (wAIHA)
Interventions: ANX005
Sponsor: Annexon, Inc. | Started: 2021-11-10
A Clinical Study of ANX005 and IVIG in Subjects With Guillain BarrΓ© Syndrome (GBS) Completed
PHASE1 NCT04035135 n=14
Guillain-BarrΓ© Syndrome
Interventions: ANX005, Intravenous immunoglobulin
Sponsor: Annexon, Inc. | Started: 2020-01-29
Single Dose Study of ANX005 in Healthy Volunteers Terminated
PHASE1 NCT03010046 n=27
Safety and Tolerability in Healthy Volun
Interventions: ANX005, IVIg, Placebos
Sponsor: Annexon, Inc. | Started: 2016-12

Linked Hypotheses (6)

Complement C1q Suppression as Mechanism Linking Exercise Plasma to PV Interneuron Protection0.560
Complement C1q Mimetic Decoy Therapy0.479
Complement C1q Subtype Switching0.437
Complement C1QA Spatial Gradient in Cortical Layers0.428
Complement-Mediated Synaptic Protection0.410
Complement-Mediated Synaptic Pruning Dysregulation0.398

Linked Experiments (0)

No linked experiments

Scoring Dimensions

Portfolio 0.60 (25%) Druggability 0.41 (20%) Evidence 0.59 (20%) Safety 0.45 (15%) Competitive 0.40 (10%) Connectivity 0.90 (10%) 0.580 composite

Knowledge Graph (20)

activates (6)

C1QA β†’ SPP1
C1QA β†’ GRN
C1QA β†’ C1QC
C1QA β†’ CTSB
C1QA β†’ C1Q
...and 1 more

associated with (4)

C1QA β†’ neurodegeneration
C1QA β†’ APOE
C1QA β†’ CR1
C1QA β†’ GBM

co discussed (3)

C1QA β†’ CERS2
C1QA β†’ CX3CR1
C1QA β†’ ANXA1

expressed in (2)

C1QA β†’ SPI1
C1QA β†’ RAGE

implicated in (4)

C1QA β†’ GBM
C1QA β†’ ischemic stroke
C1QA β†’ LOAD
C1QA β†’ stroke

regulates (1)

C1QA β†’ complement activation

Debate History (0)

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