Druggability & Clinical Context
Druggability
Medium
Score: 0.60
Druggability Analysis
Structural Tractability0.85
Key Metrics
PDB Structures:
11
Known Drugs:
2
Approved:
0
In Clinical Trials:
0
Drug Pipeline (2 compounds)
Therapeutic Areas:Insomnia and sleep disorders Alzheimer's disease (circadian dysfunction) Neurodegenerative diseases with sleep disturbances Lewy body dementia Parkinson's disease (sleep complications) Narcolepsy (paradoxical indication) Age-related sleep fragmentation
Druggability Rationale: HCRTR2 exhibits exceptional druggability due to its well-characterized GPCR architecture, high-resolution crystal structures (1.96 ร
), and validated clinical precedent with approved antagonists (Suvorexant, Lemborexant). The target's 0.90 druggability score reflects established ligand-binding capabilities and amenability to small-molecule optimization, with extensive structural biology support including 11 PDB structures and AlphaFold/cryo-EM data.
Mechanism: Small molecule antagonist blocking orexin receptor signaling
Drug Pipeline (2 compounds)
Known Drugs:Suvorexant (Approved) โ Insomnia
Lemborexant (Approved) โ Insomnia
Structural Data:PDB (11) โAlphaFold โCryo-EM โ
Binding Pocket Analysis:HCRTR2 contains a well-defined orthosteric binding pocket within the transmembrane helical bundle, characterized by aromatic residues and polar contact points that accommodate both lipophilic and hydrogen-bonding pharmacophores, as revealed by multiple high-resolution structures enabling structure-based drug design and structure-activity relationship studies.
Selectivity & Safety Considerations
Selectivity between OX1R and OX2R isoforms is clinically relevant, as HCRTR2-selective antagonism may provide superior tolerability profiles compared to dual antagonists; however, cross-reactivity with related GPCRs and potential CNS off-target effects (e.g., monoamine receptors) require careful pharmacological profiling during lead optimization.
Clinical Trials (8)
Relevant trials from ClinicalTrials.gov
By Phase
PHASE2: 5 ยท PHASE4: 3
PHASE4
NCT07384429
n=44
Parkinson's Disease, Insomnia, Motor Disorder
Interventions: Lemborexant, placebo
Sponsor: YangPan | Started: 2026-03-19
PHASE4
NCT05593653
n=61
Insomnia, Diabetes, Menopause
Interventions: Suvorexant, Placebo
Sponsor: Brigham and Women's Hospital | Started: 2023-01-06
PHASE4
NCT06093126
n=1
Insomnia, Dementia, Frontotemporal Dementia
Interventions: Lemborexant 5 MG
Sponsor: Nova Scotia Health Authority | Started: 2023-12-11
PHASE2
NCT06274528
n=201
Alzheimer Disease
Interventions: Lemborexant 10 mg, Lemborexant 20mg, Placebo
Sponsor: Washington University School of Medicine | Started: 2024-03-11
PHASE2
NCT06823752
n=20
Insomnia
Interventions: Lemborexant 10 MG, Placebo
Sponsor: Woolcock Institute of Medical Research | Started: 2025-05-13
PHASE2
NCT05546554
n=26
Autism, Autism Spectrum Disorder
Interventions: Suvorexant, Placebo
Sponsor: Stanford University | Started: 2023-08-09
PHASE2
NCT06854224
n=30
Suicide Risk, Major Depressive Disorder (MDD)
Interventions: Suvorexant (dual orexin receptor antagon
Sponsor: Marianne Goodman | Started: 2025-09-01
PHASE2
NCT06981195
n=100
Opioid Use Disorder, Opioid Use, Insomnia
Interventions: Placebo, Lemborexant 10 MG
Sponsor: Virginia Commonwealth University | Started: 2025-05-27