Druggability & Clinical Context
Druggability
Medium
Score: 0.50
Target Class
Signaling Protein
Druggability Analysis
Structural Tractability0.85
Key Metrics
PDB Structures:
33
Known Drugs:
2
Approved:
1
In Clinical Trials:
1
Drug Pipeline (2 compounds)
1 Approved ยท 1 Phase III
Therapeutic Areas:Paroxysmal nocturnal hemoglobinuria (PNH) Geographic atrophy (age-related macular degeneration) Alzheimer's disease Neuroinflammation and neurodegeneration C3 glomerulopathy Post-stroke neuroprotection Traumatic brain injury
Druggability Rationale: C3 is highly druggable (0.75 score) due to its well-characterized structure with 33 PDB entries at 1.7ร
resolution, enabling rational drug design of small molecule convertase inhibitors. The existence of approved (Pegcetacoplan) and phase-3 (APL-2) therapeutics validates the target's clinical tractability, though pegcetacoplan's peptide nature suggests alternative modalities may complement small molecule approaches.
Mechanism: Small molecule inhibitor of complement activation or convertase activity
Drug Pipeline (2 compounds)
1 Approved ยท 1 Phase III
Known Drugs:Pegcetacoplan (approved) โ Paroxysmal nocturnal hemoglobinuria
APL-2 (phase_3) โ Geographic atrophy
Structural Data:PDB (33) โAlphaFold โCryo-EM โ
Binding Pocket Analysis:C3 contains a thioester-containing pocket critical for covalent bond formation during complement activation, as well as convertase binding interfaces exploitable by small molecule inhibitors targeting the C3a/C3b conversion step. High-resolution structural data (1.7ร
) and AlphaFold predictions enable structure-based drug design targeting these allosteric and active-site regulatory mechanisms.
Selectivity & Safety Considerations
C3 selectivity is advantageous since it targets the central hub of complement activation, but inhibition may lack isoform selectivity due to structural conservation across complement proteins. Off-target risk includes potential disruption of legitimate immune complement responses needed for pathogen clearance and homeostasis, necessitating careful dosing and patient monitoring.
Clinical Trials (8)
Relevant trials from ClinicalTrials.gov
By Phase
PHASE1: 1 ยท PHASE2: 3 ยท PHASE3: 3 ยท Unknown: 1
PHASE3
NCT07020832
n=320
Delayed Graft Function, End Stage Renal Disease, Deceased Donor Kidney Transplant
Interventions: Pegcetacoplan, Placebo
Sponsor: Apellis Pharmaceuticals, Inc. | Started: 2026-02
Unknown
NCT05776472
n=200
Paroxysmal Nocturnal Hemoglobinuria
Interventions: Pegcetacoplan
Sponsor: Swedish Orphan Biovitrum | Started: 2023-06-26
PHASE2
NCT04572854
n=13
C3G, IC-MPGN, Renal Transplant
Interventions: Pegcetacoplan
Sponsor: Apellis Pharmaceuticals, Inc. | Started: 2021-09-07
PHASE3
NCT03525613
n=637
Geographic Atrophy
Interventions: APL-2, APL-2, Sham Procedure
Sponsor: Apellis Pharmaceuticals, Inc. | Started: 2018-08-31
PHASE3
NCT04770545
n=792
Geographic Atrophy Secondary to Age-rela
Interventions: PEGCETACOPLAN (APL-2)
Sponsor: Apellis Pharmaceuticals, Inc. | Started: 2021-03-04
PHASE2
NCT03453619
n=21
IgA Nephropathy, Lupus Nephritis, Membranous Nephropathy
Interventions: APL-2
Sponsor: Apellis Pharmaceuticals, Inc. | Started: 2018-02-26
PHASE2
NCT03593200
n=4
PNH
Interventions: Pegcetacoplan
Sponsor: Apellis Pharmaceuticals, Inc. | Started: 2018-08-16
PHASE1
NCT02461771
n=13
Neovascular Age-Related Macular Degenera
Interventions: Pegcetacoplan
Sponsor: Apellis Pharmaceuticals, Inc. | Started: 2015-01-28