CNO

Cappuccino

Score: 0.432 Price: $0.43 Low Druggability Status: active Wiki: CNO
๐Ÿง  Neurodegeneration
HYPOTHESES
1
PAPERS
32
KG EDGES
62
DEBATES
0

3D Protein Structure

🧬 CNO โ€” PDB 7MFW Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
Low
Score: 0.30
Clinical Stage
Phase III
Target Class
Other
Safety
0.30
Druggability Analysis
Drug Development0.45
Structural Tractability0.70
Target Class0.50
Safety Profile0.30
Key Metrics
PDB Structures:
1
Known Drugs:
1
Approved:
0
In Clinical Trials:
0
Drug Pipeline (1 compounds)
Therapeutic Areas:
Neurodegeneration (Parkinson's disease-related pathways) Lysosomal storage disorders Pigmentation disorders Chemogenetic research tools
Druggability Rationale: Clozapine-N-oxide (CNO) demonstrates limited druggability for neurodegeneration due to its lack of established direct therapeutic mechanisms and minimal clinical validation in neurodegenerative contexts. While CNO has been primarily utilized as a research tool, particularly in chemogenetic studies, its potential as a direct neurodegeneration therapeutic remains speculative, with current clinical trials focusing on psychosis-related indications rather than neurodegenerative disease modification. The structural complexity and absence of clear target-specific binding profiles suggest CNO requires significant medicinal chemistry optimization to emerge as a promising neurodegeneration drug candidate.
Mechanism: No established druggable mechanisms
Drug Pipeline (1 compounds)
Known Drugs:
Clozapine-N-oxide (research) โ€” DREADD ligand, chemogenetic tool compound
Structural Data:
PDB (1) โœ“AlphaFold โœ“Cryo-EM โ€”
7MFW
UniProt: Q9NUP1
Binding Pocket Analysis:

Structural data (PDB: 7MFW, AlphaFold available) is limited to single PDB entry with uncharacterized resolution, suggesting potential intrinsically disordered regions typical of trafficking proteins. No characterized ATP-binding site or classical ligand-binding pocket has been identified; binding modulation may require targeting allosteric surfaces or protein-protein interaction interfaces rather than traditional orthosteric sites.

🔮 Predicted Protein Structure (AlphaFold)

🔮 CNO — AlphaFold Q9NUP1 Click to expand interactive 3D viewer

AI-predicted structure from AlphaFold EBI | Powered by Mol* | Rotate: click+drag | Zoom: scroll

Selectivity & Safety Considerations

As a unique intracellular trafficking protein with limited homologs, CNO offers potential for high selectivity and low off-target risk. However, selectivity challenges may arise if targeting protein-protein interaction interfaces critical to melanosome trafficking complexes, requiring careful validation of effects on related trafficking machinery.

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 (10)

Relevant trials from ClinicalTrials.gov

Active
6
Completed
4
Total Enrollment
17,767
By Phase
PHASE2: 4 ยท PHASE3: 6
A Study to Evaluate KarXT as a Treatment for Psychosis Associated With Alzheimer's Disease (ADEPT-4) Recruiting
PHASE3 NCT06585787 n=406
Alzheimer Disease
Interventions: KarXT, Placebo
Sponsor: Karuna Therapeutics, Inc., a Bristol Myers Squibb company
Assessment of Acute Psychomotor Agitation Measures Associated With Schizophrenia and Bipolar Disorder Active Not Recruiting
PHASE2 NCT07116694 n=30
Bipolar I Disorder, Bipolar II Disorder, Schizophrenia
Interventions: BXCL501 Sublingual Film
Sponsor: BioXcel Therapeutics Inc
Open-Label Extension Study to Assess the Long-Term Safety and Tolerability of KarXT in Subjects With Psychosis Associate Recruiting
PHASE3 NCT05980949 n=800
Psychosis Associated With Alzheimer'
Interventions: KarXT
Sponsor: Karuna Therapeutics, Inc., a Bristol Myers Squibb company
Study to Evaluate the Efficacy, Safety, and Tolerability of BMS-986368, for the Treatment of Agitation in Participants W Recruiting
PHASE2 NCT06808984 n=120
Agitation, Alzheimer Disease
Interventions: BMS-986368, Placebo
Sponsor: Celgene
Safety and Cognitive Function Study of EVP-6124 in Patients With Mild to Moderate Alzheimer's Disease Completed
PHASE2 NCT01073228 n=409
Alzheimer's Disease, Central Nervous System Diseases, Cognition
Interventions: EVP-6124, Placebo
Sponsor: FORUM Pharmaceuticals Inc
Efficacy and Safety of Oxycodone/Naloxone Controlled-release Tablets (OXN) Compared to Placebo in Opioid-experienced Sub Completed
PHASE3 NCT01358526 n=1095
Low Back Pain
Interventions: Oxycodone/Naloxone Controlled-release, Placebo
Sponsor: Purdue Pharma LP
A Study of Inclisiran to Prevent Cardiovascular Events in High-risk Primary Prevention Patients. Active Not Recruiting
PHASE3 NCT05739383 n=14078
Primary Prevention of Atherosclerotic Ca
Interventions: Inclisiran sodium 300 mg (equivalent to , Placebo in 1.5ml
Sponsor: Novartis Pharmaceuticals
Fentanyl Buccal Tablets Versus Immediate Release Oxycodone for Breakthrough Pain in Patients With Chronic Pain Completed
PHASE3 NCT00813488 n=213
Chronic Pain
Interventions: Fentanyl Buccal Tablet, Immediate release oxycodone
Sponsor: Cephalon

Linked Hypotheses (1)

Synthetic Biology Rewiring via Orthogonal Receptors0.420

Linked Experiments (0)

No linked experiments

Scoring Dimensions

Portfolio 0.46 (25%) Druggability 0.30 (20%) Evidence 0.49 (20%) Safety 0.30 (15%) Competitive 0.25 (10%) Connectivity 0.90 (10%) 0.432 composite

Knowledge Graph (20)

activates (3)

CNO โ†’ GSR
CNO โ†’ CX3CR1
CNO โ†’ GFAP

associated with (1)

CNO โ†’ neurodegeneration

co discussed (7)

CNO โ†’ TUBB3
CNO โ†’ CLOCK
CNO โ†’ PLIN2
CNO โ†’ PIEZO1
CNO โ†’ GABRA1
...and 2 more

debate co mention (1)

CNO โ†’ G3BP1

implicated in (1)

CNO โ†’ neurodegeneration

participates in (1)

CNO โ†’ Synthetic biology / chemogenetics

regulates (4)

CNO โ†’ Dopamine Signaling
CNO โ†’ Addiction
CNO โ†’ Rb
CNO โ†’ CX3CR1

therapeutic target (2)

CNO โ†’ GSR
CNO โ†’ Rb

Debate History (0)

No debates yet