C3

Complement C3

Score: 0.716 Price: $0.72 Medium Druggability Status: active Wiki: C3
๐Ÿง  Neurodegeneration
HYPOTHESES
145
PAPERS
22
KG EDGES
7190
DEBATES
0

3D Protein Structure

🧬 C3 โ€” PDB 2A73 Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
Medium
Score: 0.50
Clinical Stage
Approved
Target Class
Signaling Protein
Safety
0.40
Druggability Analysis
Drug Development0.80
Structural Tractability0.85
Target Class0.50
Safety Profile0.40
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) โœ“AlphaFold โœ“Cryo-EM โœ“
2A782A9K2GOX2NOJ3BW8+28 more
UniProt: P01024
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.

🧬 3D Protein Structure

🧬 C3 — PDB 2A73 Click to expand interactive 3D viewer

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

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.

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 (8)

Relevant trials from ClinicalTrials.gov

Active
3
Completed
5
Total Enrollment
2,000
By Phase
PHASE1: 1 ยท PHASE2: 3 ยท PHASE3: 3 ยท Unknown: 1
A Phase 3 Study to Evaluate the Efficacy and Safety of Pegcetacoplan in Adults at High Risk of Delayed Graft Function (D Recruiting
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
A Real World Effectiveness Study of Pegcetacoplan in Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH) Recruiting
Unknown NCT05776472 n=200
Paroxysmal Nocturnal Hemoglobinuria
Interventions: Pegcetacoplan
Sponsor: Swedish Orphan Biovitrum | Started: 2023-06-26
Study Assessing the Safety and Efficacy of Pegcetacoplan in Post-Transplant Recurrence of C3G or IC-MPGN Active Not Recruiting
PHASE2 NCT04572854 n=13
C3G, IC-MPGN, Renal Transplant
Interventions: Pegcetacoplan
Sponsor: Apellis Pharmaceuticals, Inc. | Started: 2021-09-07
A Study to Compare the Efficacy and Safety of Intravitreal APL-2 Therapy With Sham Injections in Patients With Geographi Completed
PHASE3 NCT03525613 n=637
Geographic Atrophy
Interventions: APL-2, APL-2, Sham Procedure
Sponsor: Apellis Pharmaceuticals, Inc. | Started: 2018-08-31
An Extension Study to Evaluate the Long-term Safety and Efficacy of Pegcetacoplan (APL-2) in Subjects With Geographic At Completed
PHASE3 NCT04770545 n=792
Geographic Atrophy Secondary to Age-rela
Interventions: PEGCETACOPLAN (APL-2)
Sponsor: Apellis Pharmaceuticals, Inc. | Started: 2021-03-04
Phase II Study Assessing Safety and Efficacy of APL-2 in Glomerulopathies Completed
PHASE2 NCT03453619 n=21
IgA Nephropathy, Lupus Nephritis, Membranous Nephropathy
Interventions: APL-2
Sponsor: Apellis Pharmaceuticals, Inc. | Started: 2018-02-26
A Phase IIa Study to Assess the Safety, Efficacy, and Pharmacokinetics of Subcutaneously Administered Pegcetacoplan (APL Completed
PHASE2 NCT03593200 n=4
PNH
Interventions: Pegcetacoplan
Sponsor: Apellis Pharmaceuticals, Inc. | Started: 2018-08-16
Assessment of Safety, Tolerability and Pharmacokinetics of Intravitreal Pegcetacoplan (APL-2) for Patients With Wet AMD Completed
PHASE1 NCT02461771 n=13
Neovascular Age-Related Macular Degenera
Interventions: Pegcetacoplan
Sponsor: Apellis Pharmaceuticals, Inc. | Started: 2015-01-28

Linked Hypotheses (0)

No linked hypotheses

Linked Experiments (0)

No linked experiments

Scoring Dimensions

Portfolio 0.74 (25%) Druggability 0.50 (20%) Evidence 0.95 (20%) Safety 0.40 (15%) Competitive 0.40 (10%) Connectivity 0.90 (10%) 0.716 composite

Knowledge Graph (20)

associated with (1)

C3 โ†’ neurodegeneration

co discussed (16)

C3 โ†’ PLA2G4A
C3 โ†’ GFAP
C3 โ†’ TNF
C3 โ†’ C5
C3 โ†’ TET2
...and 11 more

implicated in (1)

C3 โ†’ neurodegeneration

interacts with (1)

C3 โ†’ C1Q

participates in (1)

C3 โ†’ C1q / complement-mediated synapse elimination

Debate History (0)

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