Druggability & Clinical Context
Druggability
Low
Score: 0.30
Druggability Analysis
Structural Tractability0.70
Key Metrics
PDB Structures:
2
Known Drugs:
4
Approved:
0
In Clinical Trials:
1
Drug Pipeline (4 compounds)
2 Preclinical
Therapeutic Areas:Neurodegenerative diseases (autophagy dysfunction-linked neurodegeneration) Frontotemporal dementia (FTD-related CHMP mutations) Cancer (ESCRT-dependent survival and exosome biogenesis) Viral infections (HIV, dengue - ESCRT-dependent budding) Lysosomal storage disorders Membrane trafficking disorders
Druggability Rationale: CHMP4B presents low druggability (0.30 score) due to its role as a structural ESCRT-III component lacking defined ligand-binding pockets; while 2 crystal structures (PDB: 3C3Q, 3UM3) at 1.7ร
resolution exist, the target primarily functions through transient protein-protein interactions rather than orthosteric binding sites, making traditional small-molecule inhibition challenging despite preclinical ESCRT modulators (ML-SI3, Spautin-1) showing pathway-level effects.
Mechanism: CHMP4B-targeting drugs would inhibit or modulate ESCRT-III complex assembly and membrane scission, disrupting cellular degradation pathways (autophagy, lysosomal trafficking) and potentially inhibiting viral budding or cancer cell survival. Therapeutics could involve blocking protein-protein interactions within the ESCRT complex or stabilizing/destabilizing CHMP4B conformational states.
Drug Pipeline (4 compounds)
2 Preclinical
Known Drugs:ML-SI3 (ESCRT modulator) (preclinical) โ Cancer and viral infection (ESCRT-dependent processes)
Spautin-1 (research) โ Autophagy modulation through ESCRT disruption
VPS34 inhibitors (SAR405, VPS34-IN1) (phase1) โ Advanced malignancies via ESCRT-autophagy pathway
ALIX antagonists (investigational) (preclinical) โ Viral infections and membrane trafficking disorders
Structural Data:PDB (2) โAlphaFold โCryo-EM โ
Binding Pocket Analysis:CHMP4B lacks classical small-molecule binding pockets; structural data suggest potential allosteric modulation sites at protein-protein interaction interfaces (CHMP3/CHMP2B binding regions) or cryptic pockets addressable through conformational stabilization strategies; most promising approach involves targeting transient oligomerization states or membrane-binding surfaces rather than deep orthosteric cavities.
Selectivity & Safety Considerations
Selectivity remains a major challenge as CHMP4B is one of six ESCRT-III paralogs with overlapping functions; inhibition of CHMP4B may be compensated by CHMP2B, CHMP3, or CHMP6 activity, limiting therapeutic specificity and potentially causing off-target effects on essential cellular degradation pathways; isoform-selective modulation would require targeting unique conformational states or interaction surfaces rather than conserved catalytic sites.
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