HCRTR2

Hypocretin Receptor 2

Score: 0.655 Price: $0.65 Medium Druggability Status: active Wiki: HCRTR2
๐Ÿง  Neurodegeneration
HYPOTHESES
3
PAPERS
57
KG EDGES
74
DEBATES
0

3D Protein Structure

🧬 HCRTR2 โ€” PDB 7LS3 Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
Medium
Score: 0.60
Clinical Stage
Approved
Target Class
Gpcr
Safety
0.70
Druggability Analysis
Drug Development0.60
Structural Tractability0.85
Target Class0.85
Safety Profile0.70
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) โœ“AlphaFold โœ“Cryo-EM โœ“
4S0V5WQC5WS36TPG6TPJ+6 more
UniProt: S4WX84
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.

🧬 3D Protein Structure

🧬 HCRTR2 — PDB 7LS3 Click to expand interactive 3D viewer

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

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.

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 (8)

Relevant trials from ClinicalTrials.gov

Active
8
Completed
0
Total Enrollment
483
By Phase
PHASE2: 5 ยท PHASE4: 3
Effects of Lemborexant on Motor-sleep Comorbidity in Parkinson's Disease Recruiting
PHASE4 NCT07384429 n=44
Parkinson's Disease, Insomnia, Motor Disorder
Interventions: Lemborexant, placebo
Sponsor: YangPan | Started: 2026-03-19
Efficacy of Suvorexant in the Treatment of Insomnia in Midlife Women With Pre-Diabetes Recruiting
PHASE4 NCT05593653 n=61
Insomnia, Diabetes, Menopause
Interventions: Suvorexant, Placebo
Sponsor: Brigham and Women's Hospital | Started: 2023-01-06
Lemborexant for Insomnia in a Patient With Dementia: An N-of-1 Trial Recruiting
PHASE4 NCT06093126 n=1
Insomnia, Dementia, Frontotemporal Dementia
Interventions: Lemborexant 5 MG
Sponsor: Nova Scotia Health Authority | Started: 2023-12-11
DORA and LP in Alzheimer's Disease Biomarkers Recruiting
PHASE2 NCT06274528 n=201
Alzheimer Disease
Interventions: Lemborexant 10 mg, Lemborexant 20mg, Placebo
Sponsor: Washington University School of Medicine | Started: 2024-03-11
A Dual Orexin Receptor Antagonist to Reduce Biomarkers of Neurodegeneration in Adults With Insomnia. Recruiting
PHASE2 NCT06823752 n=20
Insomnia
Interventions: Lemborexant 10 MG, Placebo
Sponsor: Woolcock Institute of Medical Research | Started: 2025-05-13
Trial of Suvorexant for Sleep in Children With Autism Recruiting
PHASE2 NCT05546554 n=26
Autism, Autism Spectrum Disorder
Interventions: Suvorexant, Placebo
Sponsor: Stanford University | Started: 2023-08-09
Orexin Antagonism for Suicide Risk: A Proof-of-Concept Clinical Trial Recruiting
PHASE2 NCT06854224 n=30
Suicide Risk, Major Depressive Disorder (MDD)
Interventions: Suvorexant (dual orexin receptor antagon
Sponsor: Marianne Goodman | Started: 2025-09-01
Effects of Lemborexant on Insomnia and Its Relationship to Mood and Behavior on Opioid Use Disorder Subjects Recruiting
PHASE2 NCT06981195 n=100
Opioid Use Disorder, Opioid Use, Insomnia
Interventions: Placebo, Lemborexant 10 MG
Sponsor: Virginia Commonwealth University | Started: 2025-05-27

Linked Hypotheses (1)

Orexin-Microglia Modulation Therapy0.488

Linked Experiments (0)

No linked experiments

Scoring Dimensions

Portfolio 0.66 (25%) Druggability 0.60 (20%) Evidence 0.52 (20%) Safety 0.70 (15%) Competitive 0.25 (10%) Connectivity 0.75 (10%) 0.655 composite

Knowledge Graph (20)

associated with (1)

HCRTR2 โ†’ neurodegeneration

co discussed (14)

HCRTR2 โ†’ CLOCK
HCRTR2 โ†’ BDNF
HCRTR2 โ†’ AQP4
HCRTR2 โ†’ MTNR1A
HCRTR2 โ†’ CX3CR1
...and 9 more

interacts with (1)

HCRTR2 โ†’ HCRTR1

regulates (1)

HCRTR2 โ†’ HCRTR1

therapeutic target (3)

HCRTR2 โ†’ PNOC
HCRTR2 โ†’ TRPC6
HCRTR2 โ†’ HCRTR1

Debate History (0)

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