Druggability & Clinical Context
Druggability
Low
Score: 0.41
Druggability Analysis
Structural Tractability0.85
Key Metrics
PDB Structures:
24
Known Drugs:
2
Approved:
0
In Clinical Trials:
0
Drug Pipeline (2 compounds)
2 Preclinical
Therapeutic Areas:Neurodegeneration (Parkinson's disease, Alzheimer's disease, ALS) Stroke/ischemic injury Traumatic brain injury Ferroptosis-dependent cancers (oncology) Spinal cord injury
Druggability Rationale: GPX4 demonstrates medium druggability (0.55) with clear structural tractability evidenced by 24 PDB structures at 1.01 Γ
resolution and active investigation of tool compounds (RSL3, ML210). However, the target's essential cytoprotective function against ferroptosis presents a double-edged challenge: inhibitors show cancer research potential but carry high neurotoxicity risk, while activators require overcoming the enzyme's already-efficient catalytic mechanism and potential off-target effects on related peroxidases.
Mechanism: Small molecule inhibitor or activator of peroxidase activity
Drug Pipeline (2 compounds)
2 Preclinical
Known Drugs:RSL3 (investigational) β Cancer research tool
ML210 (investigational) β Research tool compound
Structural Data:PDB (24) βAlphaFold βCryo-EM β
Binding Pocket Analysis:The active site features a selenocysteine residue (Sec47 in human GPX4) coordinated by structural cysteines, creating a highly specialized catalytic pocket optimized for lipid hydroperoxide reduction; structural data suggests potential allosteric modulation sites distinct from the active site that could enable selective activation without direct active site competition with physiological substrates.
Selectivity & Safety Considerations
GPX4 selectivity is complicated by structural similarity to other glutathione peroxidases (GPX1-GPX3, GPX5-GPX8), requiring careful ligand design to avoid off-target peroxidase inhibition that could dysregulate redox homeostasis. Tissue-specific expression patterns (particularly high in nervous system and testis) may enable some selectivity advantage through pharmacokinetics, but active site conservation poses inherent selectivity challenges.
Clinical Trials (10)
Relevant trials from ClinicalTrials.gov
By Phase
NA: 3 Β· PHASE2: 3 Β· Unknown: 4
Unknown
NCT06863116
n=45
Peri-Implantitis and Peri-implant Mucosi, Hypoxia, Ferroptosis
Sponsor: Ege University | Started: 2023-05-15
PHASE2
NCT03476044
n=80
Postoperative Myalgia
Interventions: Placebo, Selenium
Sponsor: Assiut University | Started: 2018-06-01
Unknown
NCT06554392
n=85
Spondyloarthropathy
Interventions: Blood sample
Sponsor: Assiut University | Started: 2024-09-01
NA
NCT06003855
n=12
Peripheral Artery Disease
Interventions: Supervised exercise therapy
Sponsor: VA Office of Research and Development | Started: 2023-10-01
NA
NCT04513015
n=155
Inflammatory Bowel Diseases
Interventions: Antioxidant diet, Normal dietetic scheme
Sponsor: UniversitΓ Politecnica delle Marche | Started: 2019-12-15
NA
NCT07260942
n=120
Systemic Lupus Erythematosus
Interventions: blood sample
Sponsor: University Hospital, Bordeaux | Started: 2025-12
Unknown
NCT05269901
n=40
Epilepsy
Interventions: SLC7A11, GPX4, P53
Sponsor: Affiliated Hospital of Jiangnan University | Started: 2021-01-20
Unknown
NCT01810822
n=1396
Diabetic Nephropathy
Sponsor: University of Sao Paulo General Hospital | Started: 1994-05