Druggability & Clinical Context
Druggability
High
Score: 0.90
Druggability Analysis
Structural Tractability0.85
Key Metrics
PDB Structures:
12
Known Drugs:
2
Approved:
0
In Clinical Trials:
0
Drug Pipeline (2 compounds)
Therapeutic Areas:Acute myeloid leukemia (AML) Neurodegenerative diseases (Parkinson's, Alzheimer's) Mitochondrial dysfunction disorders Oxidative stress-related neuroinflammation Gliomas and brain tumors Metabolic neuroprotection
Druggability Rationale: IDH2 is highly druggable (score: 0.90) due to its well-defined active site suitable for small molecule inhibition, strong structural characterization with 12 PDB structures at 1.54 ร
resolution, and clinical validation via two FDA-approved drugs (Enasidenib, Ivosidenib) targeting mutant IDH2 in AML. The enzyme's role as a metabolic checkpoint with a conserved catalytic pocket makes it amenable to selective inhibitor design.
Mechanism: Small molecule inhibitor of mutant IDH2 enzyme activity
Drug Pipeline (2 compounds)
Known Drugs:Enasidenib (Approved) โ Acute myeloid leukemia
Ivosidenib (Approved) โ Acute myeloid leukemia
Structural Data:PDB (12) โAlphaFold โCryo-EM โ
Binding Pocket Analysis:IDH2 features a conserved isocitrate/substrate binding pocket at the active site with a characteristic metal coordination site (typically Mg2+) that stabilizes substrate binding; small molecule inhibitors exploit mutations in this pocket (R140Q, R172K) that are prevalent in hematologic malignancies, achieving selectivity through mutation-specific binding geometries revealed across the 12 available crystal structures.
Selectivity & Safety Considerations
Selectivity between IDH2 and the cytosolic isoform IDH1 is critical to avoid off-target metabolic disruption; existing approved drugs achieve this through mitochondrial-targeting and mutant-selective binding modes. Cross-reactivity with other TCA cycle dehydrogenases (IDH1, SDH) requires careful structural optimization to minimize systemic metabolic toxicity.
Clinical Trials (8)
Relevant trials from ClinicalTrials.gov
By Phase
NA: 5 ยท PHASE1: 1 ยท PHASE2: 1 ยท Unknown: 1
NA
NCT00486551
n=26
Tourette Syndrome, Chronic Tic Disorder, Oppositional Defiant Disorder
Interventions: Anger control training
Sponsor: Yale University | Started: 2001-08
NA
NCT06909045
n=130
Deep Brain Stimulation, Parkinson Disease
Interventions: Adaptive DBS, Continue DBS
Sponsor: Academisch Medisch Centrum - Universiteit van Amsterdam (AMC | Started: 2026-01-27
PHASE1
NCT00843739
n=90
Parkinson's Disease
Interventions: EMST - Active Treatment, sham EMST
Sponsor: University of Florida | Started: 2004-01
Unknown
NCT03292575
n=441
Stroke
Interventions: Anticoagulants
Sponsor: Centre Hospitalier Universitaire Dijon | Started: 2016-01
NA
NCT01924312
n=80
Cerebrovascular Disease, Mild Cognitive Impairment
Interventions: Heart Health Intervention
Sponsor: Gregory Jicha, 323-5550 | Started: 2013-05
NA
NCT06306365
n=35
Executive Functions
Interventions: Modern board game-based learning
Sponsor: European University Miguel de Cervantes | Started: 2024-02-07
NA
NCT02260167
n=25
Alzheimer's Disease, Dementia
Interventions: A mix of natural treatments and medicati
Sponsor: Practitioners Alliance Network | Started: 2014-09
PHASE2
NCT03987295
n=33
Frontotemporal Dementia
Interventions: AL001
Sponsor: Alector Inc. | Started: 2019-09-27