Druggability & Clinical Context
Druggability
Low
Score: 0.35
Target Class
Signaling Protein
Druggability Analysis
Structural Tractability0.85
Key Metrics
PDB Structures:
11
Known Drugs:
1
Approved:
0
In Clinical Trials:
0
Drug Pipeline (1 compounds)
1 Preclinical
Therapeutic Areas:Neurodegeneration (Alzheimer's disease, Parkinson's disease) Amyotrophic lateral sclerosis (ALS) Lysosomal storage disorders Exosome-mediated pathological protein transfer diseases Neuroinflammation
Druggability Rationale: RAB27A presents medium druggability (0.55 score) due to its GTPase activity domain and availability of 11 PDB structures at 2.0 ร
resolution, which support structure-based drug design. However, the challenging kinetics of GTPase inhibition and the small GTPase protein class's inherent difficulty in targeting make this moderately challenging; Nexinhib20's preclinical status reflects the early-stage nature of this approach.
Mechanism: RAB27A inhibitors would block GTP binding or GTPase activity, preventing the recruitment of effector proteins required for vesicular trafficking and exosome biogenesis. This would reduce the release of extracellular vesicles and potentially modulate intercellular communication in disease states involving excessive exosome-mediated signaling or pathological cargo transfer.
Drug Pipeline (1 compounds)
1 Preclinical
Known Drugs:Nexinhib20 (preclinical) โ Rab27a inhibitor, blocks exosome secretion
Structural Data:PDB (11) โAlphaFold โCryo-EM โ
Binding Pocket Analysis:The nucleotide binding pocket accommodates GTP/GDP and is typically characterized by conserved P-loop and switch regions; PDB structures (particularly 6HUF, 8P3G at high resolution) likely reveal both GTP-bound active and GDP-bound inactive conformations, enabling design of state-selective inhibitors targeting the switch II region or allosteric sites adjacent to the nucleotide pocket.
Selectivity & Safety Considerations
RAB27A selectivity is a significant challenge due to homology with other RAB GTPases (RAB27B, RAB3A, RAB11); off-target inhibition could disrupt alternative vesicular trafficking pathways. Structure-guided design exploiting RAB27A-specific residues and allosteric pockets may improve selectivity over closely related isoforms.
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