Druggability & Clinical Context
Druggability
High
Score: 0.90
Druggability Analysis
Structural Tractability0.70
Key Metrics
PDB Structures:
2
Known Drugs:
2
Approved:
1
In Clinical Trials:
0
Drug Pipeline (2 compounds)
1 Approved
Therapeutic Areas:Absence seizures Generalized epilepsy Neuropathic pain Essential tremor Neurodegeneration (Parkinson's disease) Ataxias Migraine prophylaxis
Druggability Rationale: CACNA1G exhibits high druggability (0.90 score) due to its well-defined ion channel architecture, availability of high-resolution structural data (3.1 ร
cryo-EM), and validated clinical precedent with approved (ethosuximide) and withdrawn (mibefradil) drugs. The deep hydrophobic binding pocket characteristic of voltage-gated calcium channels provides an excellent substrate for small molecule inhibitors with favorable ligand binding kinetics.
Mechanism: Small molecule blocker of T-type calcium channel activity
Drug Pipeline (2 compounds)
1 Approved
Known Drugs:Ethosuximide (approved) โ Absence seizures
Mibefradil (withdrawn) โ Hypertension
Structural Data:PDB (2) โAlphaFold โCryo-EM โ
Binding Pocket Analysis:The T-type calcium channel binding pocket is located within the transmembrane domain at the interface of the S5-S6 segments and the pore helix, forming a hydrophobic cavity accessible from the intracellular side. Available PDB structures (6KZO, 6KZP) reveal a fenestrated pore architecture with multiple binding sites for blockers, enabling structure-based drug design to optimize potency and selectivity.
Selectivity & Safety Considerations
T-type calcium channel selectivity is challenging due to high sequence homology among CACNA1G (Cav3.1), CACNA1H (Cav3.2), and CACNA1I (Cav3.3) isoforms; achieving isoform-specific inhibition is critical to avoid off-target cardiovascular effects observed with mibefradil. Structural divergence in the selectivity filter and S5-S6 pore regions offers opportunities for isoform-selective ligand design.
Clinical Trials (8)
Relevant trials from ClinicalTrials.gov
By Phase
NA: 5 ยท PHASE1: 1 ยท PHASE2: 1 ยท Unknown: 1
NA
NCT00486551
n=26
Tourette Syndrome, Chronic Tic Disorder, Oppositional Defiant Disorder
Interventions: Anger control training
Sponsor: Yale University | Started: 2001-08
NA
NCT06909045
n=130
Deep Brain Stimulation, Parkinson Disease
Interventions: Adaptive DBS, Continue DBS
Sponsor: Academisch Medisch Centrum - Universiteit van Amsterdam (AMC | Started: 2026-01-27
PHASE1
NCT00843739
n=90
Parkinson's Disease
Interventions: EMST - Active Treatment, sham EMST
Sponsor: University of Florida | Started: 2004-01
Unknown
NCT03292575
n=441
Stroke
Interventions: Anticoagulants
Sponsor: Centre Hospitalier Universitaire Dijon | Started: 2016-01
NA
NCT01924312
n=80
Cerebrovascular Disease, Mild Cognitive Impairment
Interventions: Heart Health Intervention
Sponsor: Gregory Jicha, 323-5550 | Started: 2013-05
NA
NCT06306365
n=35
Executive Functions
Interventions: Modern board game-based learning
Sponsor: European University Miguel de Cervantes | Started: 2024-02-07
NA
NCT02260167
n=25
Alzheimer's Disease, Dementia
Interventions: A mix of natural treatments and medicati
Sponsor: Practitioners Alliance Network | Started: 2014-09
PHASE2
NCT03987295
n=33
Frontotemporal Dementia
Interventions: AL001
Sponsor: Alector Inc. | Started: 2019-09-27