Druggability & Clinical Context
Druggability
Low
Score: 0.43
Target Class
Transcription Factor
Druggability Analysis
Structural Tractability0.85
Key Metrics
PDB Structures:
29
Known Drugs:
1
Approved:
0
In Clinical Trials:
0
Drug Pipeline (1 compounds)
1 Preclinical
Therapeutic Areas:Amyotrophic Lateral Sclerosis (ALS) Frontotemporal Dementia (FTD) TDP-43 Proteinopathies Neurodegeneration Protein Aggregation Disorders
Druggability Rationale: TARDBP presents significant druggability challenges due to its classification as a transcription factor with intrinsic RNA-binding function, which typically lack well-defined small molecule binding pockets suitable for conventional drug design. However, the target remains tractable given 29 available PDB structures with 0.75 ร
resolution, cryo-EM data, and successful proof-of-concept with Tofersen (antisense oligonucleotide), suggesting that indirect modulation or allosteric approaches may overcome the low 0.30 druggability score better than orthosteric inhibition.
Mechanism: RNA-binding and transcription regulation, challenging for small molecule targeting
Drug Pipeline (1 compounds)
1 Preclinical
Known Drugs:Tofersen (investigational) โ ALS
Structural Data:PDB (29) โAlphaFold โCryo-EM โ
Binding Pocket Analysis:TARDBP contains two tandem RNA recognition motifs (RRM1/RRM2) with characteristic ฮฒ-sheet sandwich folds that bind single-stranded RNA through conserved aromatic residues; high-resolution structures reveal both the RNA-binding cleft and potential allosteric pockets near the linker region between domains, though the primary challenge lies in targeting loss-of-function aggregation and cytoplasmic mislocalization rather than catalytic inhibition.
Selectivity & Safety Considerations
Selectivity challenges are moderate since TDP-43 is predominantly expressed in neurons and muscle, reducing potential off-target toxicity in other tissues; however, the RNA-binding domain is shared across multiple RBP families, requiring careful structural selectivity to avoid inhibiting related proteins like FUS or hnRNPs that may compensate for TDP-43 loss.
Clinical Trials (7)
Relevant trials from ClinicalTrials.gov
By Phase
PHASE1: 1 ยท PHASE3: 3 ยท Unknown: 3
Unknown
NCT07259980
n=125
Amyotrophic Lateral Sclerosis
Interventions: Tofersen
Sponsor: Biogen | Started: 2026-03-31
PHASE3
NCT04856982
n=158
Amyotrophic Lateral Sclerosis Associated
Interventions: Tofersen, Placebo
Sponsor: Biogen | Started: 2021-05-17
PHASE3
NCT03070119
n=139
ALS Caused by Superoxide Dismutase 1 (SO
Interventions: Tofersen
Sponsor: Biogen | Started: 2017-03-08
PHASE3
NCT02623699
n=176
Amyotrophic Lateral Sclerosis
Interventions: Tofersen, Placebo
Sponsor: Biogen | Started: 2016-01-20
PHASE1
NCT03764488
n=8
Healthy Volunteers
Interventions: Tofersen, 99mTc-MAG3-BIIB067
Sponsor: Biogen | Started: 2018-12-20
Unknown
NCT04972487
Superoxide Dismutase 1-Amyotropic Latera
Interventions: Tofersen
Sponsor: Biogen
Unknown
NCT05725759
n=10
Amyotrophic Lateral Sclerosis, Lou Gehrig Disease, Familial Amyotrophic Lateral Sclerosis
Interventions: Rehabilitation
Sponsor: Washington University School of Medicine | Started: 2022-11-08