Druggability & Clinical Context
Druggability
Low
Score: 0.41
Druggability Analysis
Structural Tractability0.70
Key Metrics
PDB Structures:
5
Known Drugs:
3
Approved:
0
In Clinical Trials:
0
Drug Pipeline (3 compounds)
3 Preclinical
Therapeutic Areas:Neuroinflammation Neurodegeneration (Alzheimer's disease, Parkinson's disease) Neuroimmune disorders Microglial activation disorders Inflammatory neuropathies
Druggability Rationale: CMKLR1 exhibits moderate druggability (0.60) as a validated GPCR target with substantial structural support including 5 PDB structures at 2.81 ร
resolution and AlphaFold models, enabling rational drug design. However, the limited clinical advancement (Phase 2) and absence of approved therapeutics suggest challenges in selectivity, potency, or translating preclinical efficacy to clinically meaningful endpoints in neuroinflammatory indications.
Mechanism: GPCR antagonist or agonist modulating chemerin signaling
Drug Pipeline (3 compounds)
3 Preclinical
Known Drugs:ฮฑ-NETA (research_tool)
CCX832 (preclinical)
Chemerin-derived peptides (research_tool)
Structural Data:PDB (5) โAlphaFold โCryo-EM โ
Binding Pocket Analysis:The orthosteric binding pocket is likely formed by transmembrane helices (TM3, TM5, TM6, TM7) typical of chemokine receptors, with structural data from 7YKD and related PDBs revealing potential allosteric modulation sites in the extracellular loops and intracellular regions. The moderate resolution (2.81 ร
) and availability of multiple conformational states support structure-based optimization of both orthosteric antagonists and allosteric modulators.
Selectivity & Safety Considerations
CMKLR1 selectivity against other chemokine receptors (CCR1-10, CX3CR1, XCR1) is critical given the high homology within GPCR chemokine receptor families; off-target immunomodulatory effects represent a significant risk. The presence of multiple structural conformations across PDB entries suggests potential for achieving ligand selectivity through conformational state targeting.
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