FCGRT

Fc fragment of IgG receptor and transporter

Score: 0.675 Price: $0.68 Medium Druggability Status: active Wiki: FCGRT
🧠 Neurodegeneration
HYPOTHESES
1
PAPERS
17
KG EDGES
41
DEBATES
0

3D Protein Structure

🧬 FCGRT β€” PDB 1I1A Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
Medium
Score: 0.51
Clinical Stage
Approved
Target Class
Transporter
Safety
0.70
Druggability Analysis
Drug Development0.75
Structural Tractability0.85
Target Class0.70
Safety Profile0.70
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) βœ“AlphaFold βœ“Cryo-EM βœ“
3M173M1B4K714N0U5BJT+19 more
UniProt: A0AB39TYH5
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.

🧬 3D Protein Structure

🧬 FCGRT — PDB 1I1A Click to expand interactive 3D viewer

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

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.

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 (6)

Relevant trials from ClinicalTrials.gov

Active
2
Completed
2
Total Enrollment
231
By Phase
PHASE1: 1 Β· PHASE2: 2 Β· PHASE3: 1 Β· PHASE4: 1 Β· Unknown: 1
Evaluate the Benefit of Corticoid Sparing in Elderly With Generalized AntiRAch Myasthenia Gravis Treated With IV or SC E Recruiting
PHASE4 NCT07072988 n=50
Myasthenia Gravis, Generalized
Interventions: Efgartigimod
Sponsor: Centre Hospitalier Universitaire de Nice | Started: 2025-09-19
ADAPT Forward - Master Protocol of a Platform Study to Evaluate the Safety and Efficacy of Multiple Regimens in Particip Recruiting
Unknown NCT07294170 n=70
Myasthenia Gravis, MG, gMG
Interventions: Efgartigimod IV, Empasiprubart IV
Sponsor: argenx | Started: 2025-12-19
Open-Label Extension Study to Evaluate the Safety of Efgartigimod in Adult Patients With Primary SjΓΆgren's Syndrome Completed
PHASE2 NCT06203457 n=24
Primary SjΓΆgren's Syndrome
Interventions: Efgartigimod
Sponsor: argenx | Started: 2023-11-29
A Phase 1 Study to Compare the Safety and Effect of Efgartigimod as an Intravenous Infusion With the Effect of Efgartigi Completed
PHASE1 NCT04564066 n=54
Healthy Volunteers
Interventions: efgartigimod IV, efgartigimod PH20 SC
Sponsor: argenx | Started: 2020-08-18
Open Label Extension of Efgartigimod in Adults With Post-COVID-19 POTS Terminated
PHASE2 NCT05918978 n=33
Post-COVID Postural Orthostatic Tachycar
Interventions: Efgartigimod
Sponsor: argenx | Started: 2023-06-20
A Study to Assess the Efficacy and Safety of Efgartigimod in Adult Patients With Primary Immune Thrombocytopenia (ITP) Withdrawn
PHASE3 NCT04274452
Primary Immune Thrombocytopenia (ITP)
Interventions: efgartigimod, Placebo
Sponsor: argenx | Started: 2020-06-29

Linked Hypotheses (1)

Dual-Domain Antibodies with Engineered Fc-FcRn Affinity Modulation0.566

Linked Experiments (1)

Pharmacokinetic evaluation of humanized mAbs in IgG1-Fc humanized mice0.800

Scoring Dimensions

Portfolio 0.69 (25%) Druggability 0.51 (20%) Evidence 0.44 (20%) Safety 0.70 (15%) Competitive 0.40 (10%) Connectivity 0.90 (10%) 0.675 composite

Knowledge Graph (20)

associated with (3)

FCGRT β†’ neurodegeneration
FCGRT β†’ Myasthenia Gravis
FCGRT β†’ schizophrenia

biomarker for (1)

FCGRT β†’ myasthenia gravis

co discussed (6)

FCGRT β†’ CLDN5
FCGRT β†’ LDLR
FCGRT β†’ ABCB1
FCGRT β†’ LRP1
FCGRT β†’ TFR1
...and 1 more

expressed in (2)

FCGRT β†’ FcRn
FCGRT β†’ midbrain

implicated in (1)

FCGRT β†’ neurodegeneration

interacts with (1)

FCGRT β†’ SARS-CoV-2

involved in (1)

FCGRT β†’ neuroinflammation

mediates (2)

FCGRT β†’ Antibody-Mediated Immunity
FCGRT β†’ Antibody Half-Life Extension

modulates (1)

FCGRT β†’ Anti-SARS-CoV-2 Antibodies

participates in (1)

FCGRT β†’ Neonatal Fc receptor / antibody transcytosis

regulates (1)

FCGRT β†’ IVIg Effectiveness

Debate History (0)

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