C1Q

Complement C1q

Score: 0.586 Price: $0.59 Low Druggability Status: active Wiki: C1Q
๐Ÿง  Neurodegeneration
HYPOTHESES
58
PAPERS
22
KG EDGES
1361
DEBATES
1

3D Protein Structure

🧬 C1Q โ€” PDB 1PK6 Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
Low
Score: 0.36
Clinical Stage
Approved
Target Class
Signaling Protein
Safety
0.45
Druggability Analysis
Drug Development0.75
Structural Tractability0.30
Target Class0.50
Safety Profile0.45
Key Metrics
PDB Structures:
0
Known Drugs:
1
Approved:
1
In Clinical Trials:
0
Drug Pipeline (1 compounds)
1 Approved
Druggability Rationale: C1Q demonstrates medium druggability (0.55) supported by the clinical success of Sutimlimab, an approved monoclonal antibody, validating the target for therapeutic intervention. As a secreted signaling protein in the complement cascade, C1Q is inherently druggable via antibody-mediated neutralization, though small-molecule inhibitors face challenges due to the lack of a classical ATP-binding pocket and the protein's structural complexity.
Mechanism: Complement cascade inhibitor or antibody-mediated neutralization
Drug Pipeline (1 compounds)
1 Approved
Known Drugs:
Sutimlimab (approved) โ€” Cold agglutinin disease
Structural Data:
PDB โ€”AlphaFold โœ“Cryo-EM โœ“

🧬 3D Protein Structure

🧬 C1Q — PDB 1PK6 Click to expand interactive 3D viewer

Experimental structure from RCSB PDB | Powered by Mol* | Rotate: click+drag | Zoom: scroll

Selectivity & Safety Considerations

Selectivity is a critical challenge given C1Q's central role in both pathological complement activation and physiological immune homeostasis; therapeutic targeting must preserve beneficial functions (pathogen clearance, apoptotic cell clearance) while blocking aberrant neuroinflammatory signaling. Antibody-based approaches offer superior selectivity through epitope selection, whereas pan-complement inhibitors risk broad immunosuppression.

Clinical Trials (4)

Relevant trials from ClinicalTrials.gov

Active
1
Completed
3
Total Enrollment
473
By Phase
PHASE3: 3 ยท Unknown: 1
Cold Agglutinin Disease Real World Evidence Registry Recruiting
Unknown NCT05791708 n=400
Cold Agglutinin Disease (CAD), Cold Agglutinin Syndrome (CAS)
Interventions: Sutimlimab
Sponsor: RECORDATI GROUP | Started: 2019-12-12
A Study to Assess the Efficacy and Safety of BIVV009 (Sutimlimab) in Participants With Primary Cold Agglutinin Disease W Completed
PHASE3 NCT03347396 n=24
Agglutinin Disease, Cold
Interventions: BIVV009
Sponsor: Bioverativ, a Sanofi company | Started: 2018-03-05
A Study to Assess the Efficacy and Safety of BIVV009 (Sutimlimab) in Participants With Primary Cold Agglutinin Disease W Completed
PHASE3 NCT03347422 n=42
Cold Agglutinin Disease
Interventions: sutimlimab (BIVV009), placebo
Sponsor: Bioverativ, a Sanofi company | Started: 2018-03-17
Sutimlimab (BIVV009) for the Adult Participants With Cold Agglutinin Disease (CAD) Who Have Completed Phase 3 Studies (C Completed
PHASE3 NCT05132127 n=7
Cold Agglutinin Disease
Interventions: sutimlimab
Sponsor: Sanofi | Started: 2021-11-11

Linked Hypotheses (1)

Tripartite Synapse Cell Type-Nonautonomous Crosstalk: Coordinated Failure0.510

Linked Experiments (2)

Bidirectional Mendelian randomization analysis of C1Q and ischemic stroke0.900
Bidirectional Mendelian randomization analysis of C1Q and ischemic stroke0.900

Scoring Dimensions

Portfolio 0.64 (25%) Druggability 0.36 (20%) Evidence 0.78 (20%) Safety 0.45 (15%) Competitive 0.40 (10%) Connectivity 0.90 (10%) 0.586 composite

Knowledge Graph (20)

associated with (1)

C1Qneurodegeneration

co discussed (17)

MMP9C1QSLC7A11C1QAQP4C1QCD38C1QC1QNAMPT
▸ Show 12 more
C1QGPX4C1QPLA2G6C1QMMP2C1QC3C1QPLA2G4ACGASC1QC1QIL1BC1QDNASE2C1QSTING1HK2C1QTREM2C1QP2RY12C1Q

interacts with (2)

C1QC3C3C1Q

Debate History (1)

Should C1Q (Complement C1q) be prioritized as a therapeutic target for neurodege2026-04-21