Druggability & Clinical Context
Druggability
Medium
Score: 0.51
Druggability Analysis
Structural Tractability0.85
Key Metrics
PDB Structures:
24
Known Drugs:
1
Approved:
1
In Clinical Trials:
0
Drug Pipeline (1 compounds)
1 Approved
Therapeutic Areas:Autoimmune disorders (myasthenia gravis, CIDP) Multiple sclerosis and neuroinflammatory diseases Neuromyelitis optica spectrum disorder Autoimmune hemolytic anemia IgG-mediated neurodegeneration
Druggability Rationale: FCGRT is highly druggable (score: 0.90) due to its well-characterized structure (24 PDB entries, 1.85 Γ
resolution), validated by the FDA-approved monoclonal antibody efgartigimod for myasthenia gravis. As a cell-surface transporter with extracellular epitopes, it is ideally suited for antibody-based therapeutics that can block FcRn-mediated IgG recycling without requiring intracellular penetration.
Mechanism: Monoclonal antibody blocking FcRn-mediated IgG recycling
Drug Pipeline (1 compounds)
1 Approved
Known Drugs:efgartigimod (approved) β myasthenia gravis
Structural Data:PDB (24) βAlphaFold βCryo-EM β
Binding Pocket Analysis:The FcRn binding pocket is a pH-dependent interaction site located in the extracellular domain that accommodates the Fc region of IgG (exemplified by PDB 3M17, 3M1B); the pocket features histidine residues crucial for pH-sensitive binding at endosomal pH (~6.0) versus neutral pH, making it an ideal epitope for competitive monoclonal antibodies like efgartigimod.
Selectivity & Safety Considerations
Selectivity is less challenging for antibody-based FcRn modulators compared to small molecules, as the target lacks major tissue isoforms and the extracellular domain is immunologically distinct. However, off-target effects may include modulation of albumin recycling and systemic IgG reduction, requiring careful monitoring of immune homeostasis.
Clinical Trials (6)
Relevant trials from ClinicalTrials.gov
By Phase
PHASE1: 1 Β· PHASE2: 2 Β· PHASE3: 1 Β· PHASE4: 1 Β· Unknown: 1
PHASE4
NCT07072988
n=50
Myasthenia Gravis, Generalized
Interventions: Efgartigimod
Sponsor: Centre Hospitalier Universitaire de Nice | Started: 2025-09-19
Unknown
NCT07294170
n=70
Myasthenia Gravis, MG, gMG
Interventions: Efgartigimod IV, Empasiprubart IV
Sponsor: argenx | Started: 2025-12-19
PHASE2
NCT06203457
n=24
Primary SjΓΆgren's Syndrome
Interventions: Efgartigimod
Sponsor: argenx | Started: 2023-11-29
PHASE1
NCT04564066
n=54
Healthy Volunteers
Interventions: efgartigimod IV, efgartigimod PH20 SC
Sponsor: argenx | Started: 2020-08-18
PHASE2
NCT05918978
n=33
Post-COVID Postural Orthostatic Tachycar
Interventions: Efgartigimod
Sponsor: argenx | Started: 2023-06-20
PHASE3
NCT04274452
Primary Immune Thrombocytopenia (ITP)
Interventions: efgartigimod, Placebo
Sponsor: argenx | Started: 2020-06-29