Druggability & Clinical Context
Druggability
Low
Score: 0.40
Druggability Analysis
Structural Tractability0.70
Key Metrics
PDB Structures:
1
Known Drugs:
1
Approved:
0
In Clinical Trials:
0
Drug Pipeline (1 compounds)
Therapeutic Areas:Alzheimer's disease Parkinson's disease stroke/ischemic neurodegeneration neuroinflammation traumatic brain injury age-related cognitive decline
Druggability Rationale: PLA2G4A is highly druggable (0.80 score) as an enzyme target with a well-defined catalytic active site suitable for small molecule inhibitors. The existence of tool compounds like arachidonyl trifluoromethyl ketone and high-resolution structural data (2.4 ร
PDB 6IEJ) provide validated binding templates for competitive inhibitor design.
Mechanism: Small molecule inhibitor of cytosolic phospholipase A2 enzymatic activity
Drug Pipeline (1 compounds)
Known Drugs:Arachidonyl trifluoromethyl ketone (tool_compound) โ research
Structural Data:PDB (1) โAlphaFold โCryo-EM โ
Binding Pocket Analysis:The catalytic active site accommodates substrate phospholipids and calcium cofactors, with the 2.4 ร
resolution structure revealing conserved catalytic residues and substrate-binding grooves typical of serine esterases. Structural data supports design of competitive inhibitors that exploit the phospholipid binding pocket and calcium-dependent conformational dynamics.
Selectivity & Safety Considerations
Selectivity remains a challenge given the PLA2 family's structural homology; distinguishing PLA2G4A from other Group IVA isoforms and non-selective phospholipase inhibition requires careful active site targeting. Off-target effects on other arachidonic acid-releasing phospholipases may limit therapeutic window.
Clinical Trials (5)
Relevant trials from ClinicalTrials.gov
By Phase
NA: 1 ยท PHASE1: 3 ยท PHASE2: 1
PHASE1
NCT02130661
Alzheimer's Disease
Interventions: Rilapladib 25 mg, Rilapladib 250 mg, Itraconazole
Sponsor: GlaxoSmithKline | Started: 2017-10
NA
NCT03841539
n=209
Alzheimer Disease
Interventions: Mediterranean Diet, Study Supplement, Low-fat Diet
Sponsor: University of Kansas Medical Center | Started: 2019-03-07
PHASE2
NCT01428453
n=124
Alzheimer's Disease
Interventions: 250mg rilapladib, placebo
Sponsor: GlaxoSmithKline | Started: 2011-10-01
PHASE1
NCT01978327
n=12
Alzheimer's Disease
Interventions: GSK2647544, drug-drug interaction
Sponsor: GlaxoSmithKline | Started: 2013-11-22
PHASE1
NCT01702467
n=27
Alzheimer's Disease
Interventions: GSK2647544, Placebo
Sponsor: GlaxoSmithKline | Started: 2012-10-19