Druggability & Clinical Context
Druggability
Medium
Score: 0.49
Target Class
Structural Protein
Druggability Analysis
Structural Tractability0.95
Key Metrics
PDB Structures:
187
Known Drugs:
2
Approved:
0
In Clinical Trials:
2
Drug Pipeline (2 compounds)
1 Phase II ยท 1 Phase I
Therapeutic Areas:Parkinson's disease Lewy body dementia Multiple system atrophy Neurodegeneration Alpha-synucleinopathies
Druggability Rationale: SNCA demonstrates high druggability (0.80 score) despite being an intrinsically disordered protein, supported by 187 PDB structures, cryo-EM data, and active clinical programs (Prasinezumab in Phase 2). The extensive structural characterization and successful immunotherapy approaches validate this target's tractability for both monoclonal antibodies targeting aggregates and small molecules preventing pathological conformational transitions.
Mechanism: Immunotherapy targeting alpha-synuclein aggregates or small molecules preventing aggregation
Drug Pipeline (2 compounds)
1 Phase II ยท 1 Phase I
Known Drugs:Prasinezumab (phase_2) โ Parkinson's disease
Cinpanemab (phase_1) โ Parkinson's disease
Structural Data:PDB (187) โAlphaFold โCryo-EM โ
Binding Pocket Analysis:Structural data reveals multiple binding surfaces on alpha-synuclein's intrinsically disordered regions involved in self-association and aggregation, with high-resolution structures (1.23 ร
best resolution) enabling identification of conformational epitopes for antibodies and allosteric pockets for aggregation inhibitors. Key structural regions include the NAC domain and C-terminal tail, which are critical for fibril formation and accessible to both immunological and small molecule interventions.
Selectivity & Safety Considerations
Selectivity is minimally challenged as SNCA is a unique gene with limited isoforms, though off-target engagement with beta-synuclein and gamma-synuclein family members must be considered for small molecule approaches. Immunotherapy selectivity is inherently high, targeting pathological aggregates rather than native monomeric forms.
Clinical Trials (8)
Relevant trials from ClinicalTrials.gov
By Phase
EARLY_PHASE1: 1 ยท NA: 4 ยท PHASE2: 1 ยท Unknown: 2
Unknown
NCT05062512
n=250
Neuro-Degenerative Disease, Dementia
Sponsor: Ontario Neurodegeneration Disease Research Initiative | Started: 2021-08-26
Unknown
NCT06349538
n=100
Essential Tremor
Interventions: Clinical examination, blood draw, cerebr
Sponsor: Medical University of Graz | Started: 2024-04-04
NA
NCT07299279
n=150
Parkinson Disease
Interventions: Aerobic exercise for >_75 minutes/wee
Sponsor: Fondazione Policlinico Universitario Agostino Gemelli IRCCS | Started: 2025-06-09
PHASE2
NCT05287503
n=65
Parkinson Disease, GBA Gene Mutation
Interventions: Ambroxol Hydrochloride, Placebo
Sponsor: Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta | Started: 2022-03-09
NA
NCT07474779
n=160
Parkinson's Disease (PD), GBA1 Parkinson Disease, REM Sleep Behavior Disorder (iRBD)
Interventions: brain imaging, blood draw, Skin biopsy
Sponsor: University of Pavia | Started: 2026-02
NA
NCT05769699
n=200
Parkinson Disease
Interventions: blood sample
Sponsor: Fondazione Policlinico Universitario Agostino Gemelli IRCCS | Started: 2022-02-10
NA
NCT07480187
n=340
Parkinson Disease, Synucleinopathy, Alzheimer Disease
Interventions: biomarkers
Sponsor: Azienda Ospedaliera di Perugia | Started: 2023-05-20
EARLY_PHASE1
NCT07348250
n=22
Parkinson's Disease (PD), Parkinson's Disease, Parkinson's Disease (Disorder)
Interventions: [18F]MK-0947
Sponsor: Invicro | Started: 2025-12-08