Druggability & Clinical Context
Druggability
Low
Score: 0.29
Druggability Analysis
Structural Tractability0.30
Key Metrics
PDB Structures:
0
Known Drugs:
1
Approved:
0
In Clinical Trials:
0
Drug Pipeline (1 compounds)
1 Preclinical
Druggability Rationale: BDNF presents low druggability (0.30 score) primarily due to its protein nature, poor blood-brain barrier penetration, and limited structural characterization (no PDB structures available despite AlphaFold predictions). While protein replacement and small molecule mimetic approaches are theoretically viable, as evidenced by preclinical Dihexa development, the absence of well-defined ligand binding pockets and high protein instability significantly hamper traditional drug development strategies.
Mechanism: Protein replacement therapy or small molecule mimetic
Drug Pipeline (1 compounds)
1 Preclinical
Known Drugs:Dihexa (preclinical) โ Alzheimer's disease
Structural Data:PDB โAlphaFold โCryo-EM โ
Selectivity & Safety Considerations
BDNF selectivity is less relevant than isoform considerations, as the mature and pro-BDNF forms have distinct biological activities and potential opposing effects. Off-target risks primarily involve non-specific neurotrophic pathway activation; selectivity against other neurotrophins (NGF, NT-3, NT-4) is critical to avoid unintended cellular proliferation or pain sensitization.
Clinical Trials (4)
Relevant trials from ClinicalTrials.gov
By Phase
NA: 1 ยท PHASE1: 1 ยท PHASE2: 1 ยท Unknown: 1
PHASE1
NCT05040217
n=12
Alzheimer's Disease, Mild Cognitive Impairment
Interventions: AAV2-BDNF Gene Therapy, AAV2-BDNF Gene Therapy
Sponsor: Mark Tuszynski | Started: 2022-02-07
PHASE2
NCT00095355
n=35
Huntington's Disease
Interventions: Lithium, Divalproex
Sponsor: National Institute of Neurological Disorders and Stroke (NIN | Started: 2004-10
NA
NCT02968875
n=54
Alzheimer's Disease
Interventions: Endurance Training, therapeutic education meetings
Sponsor: University Hospital Center of Martinique | Started: 2015-07
Unknown
NCT05569083
n=350
Cognitive Decline, Mild Cognitive Impairment, Alzheimer Disease
Interventions: Genetic analysis of APOE and BDNF genes., EEG recording, CSF collection and AD biomarker measurem
Sponsor: Azienda Ospedaliero-Universitaria Careggi | Started: 2020-10-01