Druggability & Clinical Context
Druggability
Medium
Score: 0.46
Druggability Analysis
Structural Tractability0.95
Key Metrics
PDB Structures:
60
Known Drugs:
3
Approved:
0
In Clinical Trials:
2
Drug Pipeline (3 compounds)
2 Phase III ยท 1 Preclinical
Therapeutic Areas:Neurodegenerative diseases (Parkinson's, Alzheimer's, Huntington's) Protein misfolding disorders (prion diseases, amyloidosis) Cancer (HSP70 inhibition as oncology strategy) Ischemic neuroprotection Spinal muscular atrophy (SMA)
Druggability Rationale: HSPA1A demonstrates medium druggability (0.60) supported by 60 PDB structures with excellent resolution (1.34 ร
), multiple phase 3 clinical candidates (17-AAG, Ganetespib), and a well-characterized ATP-binding pocket. However, the challenge lies in achieving selective modulation of chaperone function without triggering unwanted stress responses, and the target's highly conserved nature across HSP70 family members complicates isoform selectivity.
Mechanism: Small molecule activators or allosteric modulators of chaperone function
Drug Pipeline (3 compounds)
2 Phase III ยท 1 Preclinical
Known Drugs:17-AAG (phase_3) โ cancer
Ganetespib (phase_3) โ cancer
VER-155008 (research_tool) โ cancer research
Structural Data:PDB (60) โAlphaFold โCryo-EM โ
Binding Pocket Analysis:HSPA1A contains a canonical ATP-binding site in the nucleotide-binding domain (NBD) that has been extensively targeted by HSP90 inhibitors like 17-AAG, as well as allosteric pockets amenable to small molecule modulators that enhance chaperone-substrate binding without direct nucleotide displacement. Structural data reveals multiple potential allosteric sites suitable for selective activators.
Selectivity & Safety Considerations
Selectivity remains a significant challenge due to high sequence homology among HSP70 isoforms (HSPA1A, HSPA1B, HSPA2); off-target engagement with other heat shock proteins and potential immune activation through stress response pathways must be carefully managed. Allosteric modulation strategies may offer better selectivity than direct ATP-site inhibitors.
Clinical Trials (6)
Relevant trials from ClinicalTrials.gov
By Phase
PHASE1: 4 ยท PHASE2: 2
PHASE2
NCT01677455
n=51
Breast Cancer, HER-2 Positive Breast Cancer, Triple Negative Breast Cancer
Interventions: ganetespib
Sponsor: Synta Pharmaceuticals Corp. | Started: 2012-07
PHASE2
NCT01039519
n=27
Gastrointestinal Stromal Tumor
Interventions: Ganetespib
Sponsor: Synta Pharmaceuticals Corp. | Started: 2010-01
PHASE1
NCT02060253
n=9
HER2-positive Breast Cancer, Male Breast Cancer, Recurrent Breast Cancer
Interventions: ganetespib, paclitaxel, trastuzumab
Sponsor: Memorial Sloan Kettering Cancer Center | Started: 2014-04
PHASE1
NCT01554969
n=16
Rectal Cancer
Interventions: capecitabine + ganetespib
Sponsor: Emory University | Started: 2012-05
PHASE1
NCT01579994
n=13
Advanced Lung Cancer
Interventions: Ganetespib (STA-9090) and crizotinib
Sponsor: Memorial Sloan Kettering Cancer Center | Started: 2012-04-16
PHASE1
NCT02192541
n=5
Neoplasms
Interventions: Ziv-Aflibercept, Ganetespib
Sponsor: National Cancer Institute (NCI) | Started: 2014-12-02