Druggability & Clinical Context
Druggability
Low
Score: 0.43
Druggability Analysis
Structural Tractability0.70
Key Metrics
PDB Structures:
9
Known Drugs:
1
Approved:
1
In Clinical Trials:
0
Drug Pipeline (1 compounds)
1 Approved
Therapeutic Areas:Alzheimer's disease neurodegeneration synaptic dysfunction cognitive decline vascular dementia stroke recovery axonal regeneration
Druggability Rationale: EPHB4 is highly druggable with a druggability score of 0.90, supported by its classification as a receptor tyrosine kinase with well-characterized ATP binding pocket (best PDB resolution 1.05 ร
across 9 structures). The clinical precedent of dasatinib approval for CML demonstrates that EPH family kinases can be successfully inhibited with small molecules, and the extensive structural data (9 PDB entries, AlphaFold availability) enables structure-guided drug design.
Mechanism: Small molecule inhibitor of receptor tyrosine kinase activity
Drug Pipeline (1 compounds)
1 Approved
Known Drugs:dasatinib (approved) โ chronic myeloid leukemia
Structural Data:PDB (9) โAlphaFold โCryo-EM โ
Binding Pocket Analysis:EPHB4 possesses a canonical ATP binding pocket typical of receptor tyrosine kinases, with high-resolution structural data (1.05 ร
) revealing conserved hinge region interactions and potential allosteric regulatory sites. The extended kinase domain structure provides opportunities for both ATP-competitive and allosteric inhibition strategies for improved selectivity.
Selectivity & Safety Considerations
EPHB4 selectivity represents a key challenge due to high sequence homology with other EPH receptor kinases (EPHA/EPHB family), which may result in off-target effects on synaptic plasticity, axon guidance, and vascular function. Achieving isoform selectivity will require structure-based optimization to exploit subtle binding pocket differences between EPH family members.
Clinical Trials (7)
Relevant trials from ClinicalTrials.gov
By Phase
PHASE1: 4 ยท PHASE2: 1 ยท PHASE3: 1 ยท Unknown: 1
PHASE3
NCT00123474
n=724
Myeloid Leukemia, Chronic, Chronic-Phase
Interventions: dasatinib, dasatinib, dasatinib
Sponsor: Bristol-Myers Squibb | Started: 2005-07
PHASE2
NCT01725204
n=40
Leukemia, Myeloid, Chronic-Phase
Interventions: Dasatinib + PegIFN
Sponsor: Norwegian University of Science and Technology | Started: 2012-09
PHASE1
NCT00099606
n=60
Neoplasms
Interventions: Dasatinib
Sponsor: Bristol-Myers Squibb | Started: 2004-07
PHASE1
NCT02680951
Acute Myeloid Leukemia
Interventions: Dasatinib, Fludarabine, Cytarabine
Sponsor: Emory University | Started: 2015-12
PHASE1
NCT00732186
Leukemia, Myeloid, Chronic
Interventions: Ipilimumab
Sponsor: Bristol-Myers Squibb | Started: 2009-08
PHASE1
NCT01826838
Prostate Cancer
Interventions: Dasatinib
Sponsor: Brown University | Started: 2013-01
Unknown
NCT00854841
Chronic Myeloid Leukemia
Interventions: Dasatinib and Imatinib
Sponsor: Pusan National University Hospital