Druggability & Clinical Context
Druggability
Low
Score: 0.33
Druggability Analysis
Structural Tractability0.30
Key Metrics
PDB Structures:
0
Known Drugs:
3
Approved:
0
In Clinical Trials:
1
Drug Pipeline (3 compounds)
1 Phase II ยท 2 Preclinical
Therapeutic Areas:Neurodegenerative diseases (Alzheimer's disease, Parkinson's disease) Blood-brain barrier dysfunction Neuroinflammation Cerebral amyloid angiopathy Stroke and ischemic brain injury Fibrosis and extracellular matrix remodeling diseases
Druggability Rationale: LOXL1-4 demonstrates medium druggability (0.50) despite lacking crystal structures, supported by the advancement of small molecule inhibitors (PXS-5153A) and monoclonal antibodies (Simtuzumab) into preclinical and Phase 2 stages. The copper-dependent catalytic domain presents a tractable binding pocket for small molecule inhibition, though the absence of PDB structures and limited structural data somewhat constrain rational drug design efforts.
Mechanism: Small molecule enzyme inhibitors targeting the catalytic domain
Drug Pipeline (3 compounds)
1 Phase II ยท 2 Preclinical
Known Drugs:BAPN (research_tool)
PXS-5153A (preclinical)
Simtuzumab (phase_2)
Structural Data:PDB โAlphaFold โCryo-EM โ
Binding Pocket Analysis:The catalytic domain accommodates copper cofactors and substrate-binding residues typical of amine oxidases, though detailed pocket geometry remains uncharacterized without experimental crystal structures; AlphaFold predictions provide computational models that could guide initial docking studies and structure-activity relationship optimization around the lysine oxidation mechanism.
Selectivity & Safety Considerations
Selectivity among the four LOXL isoforms (LOXL1-4) remains a significant challenge given their structural homology and overlapping catalytic mechanisms, requiring careful optimization to avoid off-target effects on the canonical LOX enzyme. Achieving isoform-selective inhibition will be critical for reducing potential compensatory pathway activation and systemic side effects related to collagen crosslinking in peripheral tissues.
Clinical Trials (6)
Relevant trials from ClinicalTrials.gov
PHASE2
NCT01452308
n=20
Liver Fibrosis
Interventions: Simtuzumab
Sponsor: Gilead Sciences | Started: 2011-11
PHASE2
NCT02466516
n=72
Non-Alcoholic Steatohepatitis (NASH)
Interventions: SEL, SIM
Sponsor: Gilead Sciences | Started: 2015-06-08
PHASE2
NCT01672853
n=235
Primary Sclerosing Cholangitis (PSC)
Interventions: Simtuzumab, Placebo
Sponsor: Gilead Sciences | Started: 2013-03-04
PHASE2
NCT01479465
n=266
Colorectal Cancer
Interventions: Simtuzumab, Placebo to match SIM, Leucovorin
Sponsor: Gilead Sciences | Started: 2011-12
PHASE2
NCT01672866
n=222
Liver Fibrosis Due to NASH
Interventions: Placebo, SIM
Sponsor: Gilead Sciences | Started: 2012-12-05
PHASE2
NCT01672879
n=259
Liver Fibrosis Due to NASH
Interventions: Placebo, SIM
Sponsor: Gilead Sciences | Started: 2012-10-29