Druggability & Clinical Context
Druggability
Medium
Score: 0.55
Target Class
Transcription Factor
Druggability Analysis
Structural Tractability0.70
Key Metrics
PDB Structures:
7
Known Drugs:
3
Approved:
0
In Clinical Trials:
0
Drug Pipeline (3 compounds)
2 Preclinical
Druggability Rationale: FOXO1 presents medium druggability (0.55 score) due to its transcription factor nature, which traditionally poses challenges for small molecule modulation; however, the availability of 7 crystal structures at high resolution (1.6 Å) and successful tool compounds (AS1842856) demonstrate feasibility of targeting protein-DNA and cofactor interactions. The existing preclinical pipeline for metabolic and neurodegenerative indications validates the therapeutic potential despite the inherent difficulty of modulating transcriptional activity.
Mechanism: Small molecule modulation of protein-DNA interactions or cofactor binding
Drug Pipeline (3 compounds)
2 Preclinical
Known Drugs:AS1842856 (tool_compound) — research tool for FOXO1 inhibition
FOXO1 siRNA (preclinical) — metabolic disorders
Compound 1 (FOXO1-targeting small molecule) (preclinical) — diabetes
Structural Data:PDB (7) ✓AlphaFold ✓Cryo-EM —
Selectivity & Safety Considerations
FOXO1 selectivity is complicated by its membership in the FOXO family (FOXO1/3/4/6), which share highly homologous DNA-binding domains and overlapping cellular functions; achieving isoform selectivity will likely require targeting divergent cofactor-binding regions or protein-protein interaction interfaces rather than the conserved forkhead domain itself.
Clinical Trials (8)
Relevant trials from ClinicalTrials.gov
By Phase
NA: 5 · PHASE1: 1 · PHASE2: 1 · Unknown: 1
NA
NCT00486551
n=26
Tourette Syndrome, Chronic Tic Disorder, Oppositional Defiant Disorder
Interventions: Anger control training
Sponsor: Yale University | Started: 2001-08
NA
NCT06909045
n=130
Deep Brain Stimulation, Parkinson Disease
Interventions: Adaptive DBS, Continue DBS
Sponsor: Academisch Medisch Centrum - Universiteit van Amsterdam (AMC | Started: 2026-01-27
PHASE1
NCT00843739
n=90
Parkinson's Disease
Interventions: EMST - Active Treatment, sham EMST
Sponsor: University of Florida | Started: 2004-01
Unknown
NCT03292575
n=441
Stroke
Interventions: Anticoagulants
Sponsor: Centre Hospitalier Universitaire Dijon | Started: 2016-01
NA
NCT01924312
n=80
Cerebrovascular Disease, Mild Cognitive Impairment
Interventions: Heart Health Intervention
Sponsor: Gregory Jicha, 323-5550 | Started: 2013-05
NA
NCT06306365
n=35
Executive Functions
Interventions: Modern board game-based learning
Sponsor: European University Miguel de Cervantes | Started: 2024-02-07
NA
NCT02260167
n=25
Alzheimer's Disease, Dementia
Interventions: A mix of natural treatments and medicati
Sponsor: Practitioners Alliance Network | Started: 2014-09
PHASE2
NCT03987295
n=33
Frontotemporal Dementia
Interventions: AL001
Sponsor: Alector Inc. | Started: 2019-09-27