Druggability & Clinical Context
Druggability
Low
Score: 0.44
Druggability Analysis
Structural Tractability0.70
Key Metrics
PDB Structures:
4
Known Drugs:
2
Approved:
0
In Clinical Trials:
0
Drug Pipeline (2 compounds)
Therapeutic Areas:Parkinson's disease Alzheimer's disease Neurodegeneration Iron overload disorders Drug delivery to CNS Ferroptosis-related diseases Neuroinflammation
Druggability Rationale: TFR1 is highly druggable (0.80 score) due to its cell-surface receptor localization, well-characterized structure (4 PDB entries at 1.85 Γ
resolution), and validated mechanism with approved iron chelators and clinical-stage antibodies. The receptor's critical role in iron homeostasis and established pharmacology via both small-molecule and biologic modalities supports therapeutic tractability.
Mechanism: Monoclonal antibodies targeting receptor or iron chelation affecting iron uptake
Drug Pipeline (2 compounds)
Known Drugs:Deferasirox (Approved) β Iron chelation
Anti-TfR1 antibodies (Clinical trials) β Drug delivery
Structural Data:PDB (4) βAlphaFold βCryo-EM β
Binding Pocket Analysis:Structural data reveals a well-defined extracellular binding region suitable for antibody epitope targeting (PDB: 3S9L-3S9N, 6S9J); the iron-binding pocket within the transferrin-TFR1 complex (1.85 Γ
resolution) provides a validated site for small-molecule iron chelators to modulate receptor-ligand interactions and downstream iron uptake.
Selectivity & Safety Considerations
TFR1 is ubiquitously expressed across tissues, presenting selectivity challenges for systemic approaches; however, monoclonal antibodies offer improved selectivity through epitope-specific targeting, while brain delivery can be achieved via BBB-penetrant antibodies or transferrin conjugates. Iron chelators targeting TFR1-mediated uptake may show off-target effects on systemic iron metabolism and require careful dose titration.
Clinical Trials (8)
Relevant trials from ClinicalTrials.gov
By Phase
PHASE1: 1 Β· PHASE2: 6 Β· PHASE4: 1
PHASE2
NCT00879242
n=20
Beta Thalassemia Transfusion Dependent
Interventions: Deferasirox
Sponsor: Novartis Pharmaceuticals | Started: 2009-02
PHASE2
NCT01254227
n=60
Cardiac Iron Overload
Interventions: Deferasirox and Deferoxamine
Sponsor: Novartis Pharmaceuticals | Started: 2011-01
PHASE2
NCT01273766
n=16
Acute Undifferentiated Leukemia, Adult Acute Lymphoblastic Leukemia in Re, Adult Acute Myeloid Leukemia in Remissio
Interventions: deferasirox, laboratory biomarker analysis, enzyme-linked immunosorbent assay
Sponsor: Wake Forest University Health Sciences | Started: 2011-01
PHASE2
NCT00419770
n=20
Mucormycosis
Interventions: deferasirox, Placebo, Liposomal amphotericin B
Sponsor: Lundquist Institute for Biomedical Innovation at Harbor-UCLA | Started: 2007-10
PHASE2
NCT00379483
n=66
Transfusional Iron Overload
Interventions: Deferasirox
Sponsor: Novartis Pharmaceuticals | Started: 2002-07
PHASE1
NCT00419172
n=22
Healthy
Interventions: Deferasirox, Rifampicin
Sponsor: Novartis | Started: 2007-01
PHASE4
NCT01326845
n=12
Myelodysplastic Syndrome, Transfusional Iron Overload
Interventions: Deferasirox
Sponsor: Novartis Pharmaceuticals | Started: 2011-12
PHASE2
NCT01058369
n=2
Myelodysplastic Syndromes
Interventions: Deferasirox (Novartis Pharma)
Sponsor: University of Erlangen-NΓΌrnberg Medical School | Started: 2010-04