CRH

Corticotropin Releasing Hormone

Score: 0.538 Price: $0.54 Low Druggability Status: active Wiki: CRH
🧠 Neurodegeneration
HYPOTHESES
1
PAPERS
18
KG EDGES
281
DEBATES
0

3D Protein Structure

🧬 CRH — PDB 4Z9R Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
Low
Score: 0.34
Clinical Stage
Approved
Target Class
Ligand
Safety
0.60
Druggability Analysis
Drug Development0.60
Structural Tractability0.70
Target Class0.50
Safety Profile0.60
Key Metrics
PDB Structures:
4
Known Drugs:
1
Approved:
0
In Clinical Trials:
0
Drug Pipeline (1 compounds)
Therapeutic Areas:
Major depressive disorder Anxiety disorders Post-traumatic stress disorder (PTSD) Chronic stress-related neurodegeneration Cognitive decline and dementia Neuroinflammation HPA axis-mediated disorders
Druggability Rationale: CRH (Corticotropin-Releasing Hormone) represents a challenging but promising neurotherapeutic target with low druggability, primarily due to its complex stress-response signaling mechanism. While antalarmin demonstrates initial proof-of-concept as a CRH receptor antagonist, the limited structural data and complex receptor dynamics suggest significant medicinal chemistry optimization would be required to develop clinically effective neurodegeneration therapeutics. The presence of AlphaFold structural predictions and multiple PDB structures provides a computational foundation for rational drug design, though translating these insights into selective, blood-brain barrier-penetrant small molecules remains a substantial scientific challenge.
Mechanism: CRH receptor antagonist blocking stress hormone signaling
Drug Pipeline (1 compounds)
Known Drugs:
Antalarmin (clinical_trial) — stress-related disorders
Structural Data:
PDB (4) ✓AlphaFold ✓Cryo-EM ✓
1ZVV2AK72RLZ3EHU
UniProt: P06850
Binding Pocket Analysis:

The CRH-R1 receptor contains an extracellular ligand-binding domain characteristic of class B GPCRs, with multiple high-resolution structures revealing a shallow peptide-recognition surface rather than a classic deep pocket; known antagonists like Antalarmin occupy an allosteric or partially-overlapping site distinct from the native CRH N-terminal binding region.

🧬 3D Protein Structure

🧬 CRH — PDB 4Z9R Click to expand interactive 3D viewer

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

Selectivity & Safety Considerations

Selectivity is a primary concern due to CRH receptor subtypes (CRH-R1 and CRH-R2) with distinct CNS and peripheral roles; selective CRH-R1 antagonism is preferred to avoid compensatory peripheral stress responses. Off-target GPCR cross-reactivity represents a significant risk, requiring careful structure-activity relationship optimization.

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
2
Completed
7
Total Enrollment
5,224
By Phase
NA: 1 · PHASE2: 2 · PHASE3: 2 · PHASE4: 1 · Unknown: 4
Taxonomy of Neurodegenerative Diseases : Observational Study in Alzheimer's Disease and Parkinson's Disease Completed
Unknown NCT05040048 n=220
Alzheimer's Disease, Parkinson's Disease
Interventions: Clinical, biological and imaging assessm
Sponsor: Institut National de la Santé Et de la Recherche Médicale, F
Simvastatin Therapy in Smith-Lemli-Opitz Syndrome Completed
PHASE2 NCT00064792 n=23
Smith-Lemli-Opitz Syndrome
Interventions: Simvastatin Susp., OraPlus
Sponsor: Forbes Porter, M.D.
Master Framework For Relapse or Refractory Acute Myeloid Leukemia Recruiting
Unknown NCT06459024 n=4000
Acute Myeloid Leukemia, in Relapse, Acute Myeloid Leukemia Refractory
Interventions: Registration into the STREAM platform
Sponsor: Istituto Romagnolo per lo Studio dei Tumori Dino Amadori IRS
BOTOX® Treatment in Pediatric Lower Limb Spasticity Completed
PHASE3 NCT01603628 n=384
Pediatrics, Muscle Spasticity, Cerebral Palsy
Interventions: botulinum toxin Type A, Normal Saline (Placebo)
Sponsor: Allergan
Corticotropin-Releasing Hormone Receptor 1 (CRH1) Antagonism in Anxious Alcoholics^ Completed
PHASE2 NCT01227980 n=70
Alcohol-Related Disorders, Alcohol Dependence, Alcoholism
Interventions: Pexacerfont, Placebo
Sponsor: National Institute on Alcohol Abuse and Alcoholism (NIAAA)
XERECEPT® (hCRF) for Patients Requiring Dexamethasone to Treat Edema Associated With Brain Tumors Completed
PHASE3 NCT00088166 n=200
Brain Edema, Brain Tumor
Interventions: hCRF, placebo hCRF
Sponsor: Celtic Pharma Development Services
CIK Cell Therapy for Relapsed or Refractory Acute B-Lymphoblastic Leukemia: Prognostic Impact on Patients With Early CAR Recruiting
NA NCT06389305 n=213
B-cell Acute Lymphoblastic Leukemia, Acute Lymphoblastic Leukemia, in Relapse, Refractory Acute Lymphoid Leukemia
Interventions: peripheral blood lymphocytes, CIK cell
Sponsor: Beijing GoBroad Hospital
Pituitary Functions After Traumatic Brain Injury (TBI) and/or Subarachnoid Hemorrhage (SAH) Completed
Unknown NCT00507104 n=100
Traumatic Brain Injury, Subarachnoid Hemorrhage, Hypopituitarism
Sponsor: University of Erlangen-Nürnberg Medical School

Linked Hypotheses (0)

No linked hypotheses

Linked Experiments (0)

No linked experiments

Scoring Dimensions

Portfolio 0.54 (25%) Druggability 0.34 (20%) Evidence 0.61 (20%) Safety 0.60 (15%) Competitive 0.40 (10%) Connectivity 0.90 (10%) 0.538 composite

Knowledge Graph (20)

activates (1)

CRH JUN

associated with (4)

CRH neurodegeneration
CRH NR3C1
CRH JUN
CRH TNF

co discussed (6)

CRH BDNF
CRH ULK1
CRH SNCA
CRH ANGPT1
CRH PDGFRB
...and 1 more

expressed in (6)

CRH AVP
CRH POMC
CRH CRHR1
CRH NR3C1
CRH ESR1
...and 1 more

interacts with (3)

CRH NR3C1
CRH TNFA
CRH FKBP5

Debate History (0)

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