Druggability & Clinical Context
Druggability
Low
Score: 0.44
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:Neurodegeneration (Alzheimer's disease) Multiple sclerosis Pulmonary fibrosis Hepatic fibrosis Oncology (solid tumors) Chronic inflammation Neuroinflammation Gliosis-related disorders
Druggability Rationale: TGFB1 demonstrates high druggability (0.80 score) due to its well-characterized protein structure with 19 PDB entries at 2.21 ร
resolution, enabling rational design of both monoclonal antibodies and small molecule inhibitors. The existence of clinical-stage candidates (Fresolimumab, Galunisertib) and proven ligand-binding mechanisms validate target tractability, though the pleiotropic nature of TGF-ฮฒ signaling necessitates careful therapeutic window management.
Mechanism: Monoclonal antibodies neutralizing TGF-ฮฒ1 or small molecule inhibitors of TGF-ฮฒ signaling
Drug Pipeline (2 compounds)
Known Drugs:Fresolimumab (Clinical trials) โ Fibrosis
Galunisertib (Clinical trials) โ Cancer
Structural Data:PDB (19) โAlphaFold โCryo-EM โ
Binding Pocket Analysis:TGFB1 features a characteristic cytokine binding interface recognized by neutralizing antibody epitopes mapped in crystal structures (3KFD, 4KV5), with a buried hydrophobic core stabilized by multiple disulfide bonds. Small molecule inhibitors typically target the type I/II receptor binding surfaces or allosteric pockets rather than a classical ATP-binding site, as revealed by cryo-EM and high-resolution structural data.
Selectivity & Safety Considerations
TGF-ฮฒ1 selectivity over TGF-ฮฒ2 and TGF-ฮฒ3 isoforms is critical, as pan-TGF-ฮฒ inhibition may cause immunosuppression and increased infection risk. Monoclonal antibodies offer superior isoform selectivity compared to receptor antagonists, though small molecule inhibitors targeting downstream signaling (ALK5) may lack TGFB1-specific discrimination.
Clinical Trials (8)
Relevant trials from ClinicalTrials.gov
By Phase
PHASE1: 6 ยท PHASE2: 2
PHASE2
NCT01401062
n=23
Metastatic Breast Cancer
Interventions: Fresolimumab, Radiation Therapy
Sponsor: Weill Medical College of Cornell University | Started: 2011-07
PHASE2
NCT02008318
n=43
Myelodysplastic Syndromes
Interventions: Galunisertib, Placebo
Sponsor: Eli Lilly and Company | Started: 2014-03
PHASE1
NCT02581787
n=28
Stage IA Non-Small Cell Lung Carcinoma, Stage IB Non-Small Cell Lung Carcinoma
Interventions: Fresolimumab, Stereotactic Body Radiation Therapy
Sponsor: Maximilian Diehn | Started: 2016-08
PHASE1
NCT03064074
n=11
Osteogenesis Imperfecta
Interventions: Fresolimumab
Sponsor: Baylor College of Medicine | Started: 2017-11-15
PHASE1
NCT03206177
n=26
Carcinosarcoma, Ovarian
Interventions: Galunisertib, Paclitaxel, Carboplatin
Sponsor: University of Oklahoma | Started: 2017-08-23
PHASE1
NCT01373164
n=170
Neoplasms, Neoplasm Metastasis, Pancreatic Cancer
Interventions: Galunisertib, Gemcitabine, Placebo
Sponsor: Eli Lilly and Company | Started: 2011-06
PHASE1
NCT02752919
n=40
Healthy
Interventions: Galunisertib
Sponsor: Eli Lilly and Company | Started: 2016-04
PHASE1
NCT02423343
n=41
Solid Tumor, Non-Small Cell Lung Cancer Recurrent, Hepatocellular Carcinoma Recurrent
Interventions: Galunisertib, Nivolumab
Sponsor: Eli Lilly and Company | Started: 2015-01-01