Druggability & Clinical Context
Druggability
Medium
Score: 0.47
Druggability Analysis
Structural Tractability0.85
Key Metrics
PDB Structures:
19
Known Drugs:
2
Approved:
0
In Clinical Trials:
0
Drug Pipeline (2 compounds)
Therapeutic Areas:Neurodegenerative diseases (Alzheimer's, Parkinson's) Iron overload disorders Neuroinflammation Ferroptosis-related pathologies Targeted drug delivery to CNS
Druggability Rationale: TFRC is highly druggable (0.80 score) due to its well-characterized receptor structure with 19 PDB entries at high resolution (1.85 Γ
), enabling rational design of both monoclonal antibodies and small-molecule iron chelators. The target's established mechanism of action with approved drugs (Deferasirox) and ongoing clinical-stage antibody therapies demonstrates clear validation for therapeutic intervention.
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 (19) βAlphaFold βCryo-EM β
Binding Pocket Analysis:TFRC features a large extracellular binding pocket for transferrin-iron complex recognition, characterized by conserved histidine and aspartate residues coordinating iron binding; antibody epitopes target conformational regions on the ectodomain that allosterically modulate transferrin binding and receptor internalization. Cryo-EM and high-resolution crystal structures (1.85 Γ
) provide detailed maps of both the transferrin-binding interface and potential allosteric pockets for small-molecule modulators.
Selectivity & Safety Considerations
TFRC selectivity is generally favorable as the transferrin receptor isoform is the primary iron uptake mechanism in most tissues; however, off-target effects on systemic iron homeostasis and potential impacts on erythropoiesis must be carefully monitored. Monoclonal antibodies offer superior selectivity compared to broad iron chelators, reducing systemic iron dysregulation.
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