Atrioventricular block
diseaseOn this page
Also known as atrioventricular block (disease)AV blockAV nodal blockAVB
Summary
Atrioventricular block (MONDO:0000465) is a disease caused by variants in DES and LMNA, with 3 cohort genes (15 GWAS associations across 16 studies) and 72 clinical trials. Top therapeutic interventions include adenosine and methoprene.
At a glance
- Causal genes: DES (GenCC Strong), LMNA (GenCC Strong)
- Cohort genes: 3
- GWAS associations: 15
- ClinVar variants: 2
- Clinical trials: 72
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | atrioventricular block |
| Mondo ID | MONDO:0000465 |
| MeSH | D054537 |
| DOID | DOID:0050820 |
| SNOMED CT | 233917008 |
| UMLS | C0004245 |
| MedGen | 13956 |
| Is cancer (heuristic) | no |
Also known as: atrioventricular block · atrioventricular block (disease) · AV block · AV nodal block · AVB
Data availability: 2 ClinVar variants · 15 GWAS associations (16 studies) · 3 GenCC gene-disease records · 1 HPO phenotype.
Disease family
An umbrella term covering 4 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › cardiovascular disorder › heart disorder › heart conduction disease › atrioventricular block
Related subtypes (9): short QT syndrome, sinoatrial node disorder, Wolff-Parkinson-White syndrome, postural orthostatic tachycardia syndrome, Brugada syndrome, catecholaminergic polymorphic ventricular tachycardia, progressive familial heart block, sinoatrial block, NKX2.5-related congenital, conduction and myopathic heart disease
Subtypes (4): first-degree atrioventricular block, second-degree atrioventricular block, third-degree atrioventricular block, congenital heart block
Genetics & variants
GWAS landscape
15 GWAS associations across 16 studies. Top hits map to 7 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs11191794 | 9e-23 | SH3PXD2A | C | 0.12 |
| rs10428132 | 7e-21 | SCN10A | T | 0.11 |
| chr3:38774832 | 1e-18 | C | 0.1 | |
| rs56005624 | 1e-18 | CCDC141 | T | 0.14 |
| rs72840788 | 6e-18 | BAG3 | G | 0.13 |
| chr2:179837282 | 6e-15 | C | 0.12 | |
| rs6785918 | 3e-13 | SENP2 | A | 0.09 |
| rs6801957 | 8e-13 | SCN10A | ? | 0.82 |
| rs1895583 | 9e-13 | TBX5 | A | 0.09 |
| chr3:185344539 | 2e-11 | T | 0.08 | |
| rs144629944 | 2e-08 | NAP1L4P2 - SERPINA7P1 | ? | |
| rs137860803 | 2e-07 | FHIT | ? |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90475953 | Verma A | 2024 | 14,859 | 424,492 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90477911 | Verma A | 2024 | 6,274 | 443,107 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90477907 | Verma A | 2024 | 2,893 | 116,164 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90480156 | Verma A | 2024 | 2,893 | 116,164 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90436100 | Zhou W | 2018 | 2,125 | 380,919 | Efficiently controlling for case-control imbalance and sample relatedness in large-scale genetic association studies. |
| GCST90477906 | Verma A | 2024 | 958 | 58,122 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90477910 | Verma A | 2024 | 856 | 120,644 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90480154 | Verma A | 2024 | 856 | 120,644 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90080003 | Backman JD | 2021 | 841 | 387,048 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90083989 | Backman JD | 2021 | 841 | 387,048 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 0 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 12 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 10 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 0 |
| unknown | 2 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 8 |
| unknown | 3 |
| intergenic_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs11191794 | 10 | 103756763 | C>T | 0.286 | intron_variant | SH3PXD2A | 9e-23 | Tier 4: intronic/intergenic |
| rs10428132 | 3 | 38736063 | T>A,C,G | 0.363 | intron_variant | SCN10A | 7e-21 | Tier 4: intronic/intergenic |
| chr3:38774832 | 0.405 | 1e-18 | Tier 4: intronic/intergenic | |||||
| rs56005624 | 2 | 178909907 | T>G | 0.133 | intron_variant | CCDC141 | 1e-18 | Tier 4: intronic/intergenic |
| rs72840788 | 10 | 119656173 | G>A,T | 0.165 | intron_variant | BAG3 | 6e-18 | Tier 4: intronic/intergenic |
| chr2:179837282 | 0.197 | 6e-15 | Tier 4: intronic/intergenic | |||||
| rs6785918 | 3 | 185612843 | A>C,G,T | 0.354 | intron_variant | SENP2 | 3e-13 | Tier 4: intronic/intergenic |
| rs6801957 | 3 | 38725824 | T>A,C,G | 0.05 | intron_variant | SCN10A | 8e-13 | Tier 4: intronic/intergenic |
| rs1895583 | 12 | 114369080 | A>C,G,T | 0.292 | intron_variant | TBX5 | 9e-13 | Tier 4: intronic/intergenic |
| chr3:185344539 | 0.342 | 2e-11 | Tier 4: intronic/intergenic | |||||
| rs144629944 | X | 106504108 | C>G,T | intergenic_variant | NAP1L4P2 - SERPINA7P1 | 2e-08 | Tier 4: intronic/intergenic | |
| rs137860803 | 3 | 61020602 | A>C | intron_variant | FHIT | 2e-07 | Tier 4: intronic/intergenic |
ClinVar germline variants
2 retrieved; paginated sample, class counts are floors:
1 pathogenic/likely pathogenic, 1 uncertain significance
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 9385 | NM_000335.5(SCN5A):c.4780G>A (p.Asp1594Asn) | SCN5A | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 9387 | NM_000335.5(SCN5A):c.892G>A (p.Gly298Ser) | SCN5A | Uncertain significance | criteria provided, multiple submitters, no conflicts |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 55 · Orphanet: 32 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
GenCC gene–disease validity (cohort genes)
the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| DES | Strong | Autosomal dominant | atrioventricular block | 15 |
| LMNA | Strong | Autosomal dominant | atrioventricular block | 40 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| DES | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| DES | Orphanet:85146 | Neurogenic scapuloperoneal syndrome, Kaeser type |
| DES | Orphanet:98909 | Desminopathy |
| LMNA | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| LMNA | Orphanet:157973 | Congenital muscular dystrophy due to LMNA mutation |
| LMNA | Orphanet:1662 | Restrictive dermopathy |
| LMNA | Orphanet:168796 | Heart-hand syndrome, Slovenian type |
| LMNA | Orphanet:2229 | Dilated cardiomyopathy-hypergonadotropic hypogonadism syndrome |
| LMNA | Orphanet:2348 | Familial partial lipodystrophy, Dunnigan type |
| LMNA | Orphanet:280365 | Autosomal semi-dominant severe lipodystrophic laminopathy |
| LMNA | Orphanet:293888 | Inherited isolated arrhythmogenic cardiomyopathy, dominant-left variant |
| LMNA | Orphanet:293899 | Inherited isolated arrhythmogenic ventricular dysplasia, biventricular variant |
| LMNA | Orphanet:293910 | Inherited isolated arrhythmogenic cardiomyopathy, dominant-right variant |
| LMNA | Orphanet:300751 | Familial dilated cardiomyopathy with conduction defect due to LMNA mutation |
| LMNA | Orphanet:363618 | LMNA-related cardiocutaneous progeria syndrome |
| LMNA | Orphanet:54260 | Left ventricular noncompaction |
| LMNA | Orphanet:675396 | Epithelioid hemangioma |
| LMNA | Orphanet:740 | Hutchinson-Gilford progeria syndrome |
| LMNA | Orphanet:79084 | Familial partial lipodystrophy, Köbberling type |
| LMNA | Orphanet:79474 | Atypical Werner syndrome |
| LMNA | Orphanet:90153 | Mandibuloacral dysplasia with type A lipodystrophy |
| LMNA | Orphanet:98853 | Autosomal dominant Emery-Dreifuss muscular dystrophy |
| LMNA | Orphanet:98855 | Autosomal recessive Emery-Dreifuss muscular dystrophy |
| LMNA | Orphanet:98856 | Charcot-Marie-Tooth disease type 2B1 |
| SCN5A | Orphanet:101016 | Romano-Ward syndrome |
| SCN5A | Orphanet:130 | Brugada syndrome |
| SCN5A | Orphanet:1344 | Isolated atrial standstill |
| SCN5A | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| SCN5A | Orphanet:166282 | Hereditary sick sinus syndrome |
| SCN5A | Orphanet:228140 | Idiopathic ventricular fibrillation |
| SCN5A | Orphanet:334 | Hereditary atrial fibrillation |
| SCN5A | Orphanet:871 | Hereditary progressive cardiac conduction defect |
Cohort genes → proteins
3 cohort genes, 3 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 3 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| DES | HGNC:2770 | ENSG00000175084 | P17661 | Desmin | gencc |
| LMNA | HGNC:6636 | ENSG00000160789 | P02545 | Prelamin-A/C | gencc |
| SCN5A | HGNC:10593 | ENSG00000183873 | Q14524 | Sodium channel protein type 5 subunit alpha | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| DES | Desmin | Muscle-specific type III intermediate filament essential for proper muscular structure and function. |
| LMNA | Prelamin-A/C | Lamins are intermediate filament proteins that assemble into a filamentous meshwork, and which constitute the major components of the nuclear lamina, a fibrous layer on the nucleoplasmic side of the inner nuclear membrane. |
| SCN5A | Sodium channel protein type 5 subunit alpha | Pore-forming subunit of Nav1.5, a voltage-gated sodium (Nav) channel that directly mediates the depolarizing phase of action potentials in excitable membranes. |
Protein-family classification
Druggable: 1 · Difficult: 0 · Unknown: 2 · Druggable fraction: 0.33
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Ion channel | 1 | 37.2× | 0.053 |
| Other/Unknown | 2 | 1.2× | 0.587 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| DES | Other/Unknown | no | Intermed_filament_DNA-bd, IF_conserved, IF_rod_dom | |
| LMNA | Other/Unknown | no | Lamin_tail_dom, IF_conserved, Lamin_tail_dom_sf | |
| SCN5A | Ion channel | yes | Na_channel_asu, Ion_trans_dom, Na_channel_a5su |
Expression context
Cohort genes with no expression data: 0.
2 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 3 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| apex of heart | 2 |
| gastrocnemius | 1 |
| saphenous vein | 1 |
| mucosa of stomach | 1 |
| nipple | 1 |
| skin of abdomen | 1 |
| cardiac ventricle | 1 |
| heart left ventricle | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| DES | 280 | broad | marker | apex of heart, saphenous vein, gastrocnemius |
| LMNA | 295 | ubiquitous | marker | nipple, mucosa of stomach, skin of abdomen |
| SCN5A | 161 | broad | yes | apex of heart, heart left ventricle, cardiac ventricle |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| LMNA | 7,173 |
| DES | 2,486 |
| SCN5A | 2,090 |
Structural data
PDB: 2 · AlphaFold-only: 1 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| LMNA | P02545 | 28 |
| SCN5A | Q14524 | 16 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| DES | P17661 | 77.73 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 24. Enrichment computed across 3 evidence-associated genes (3 with Reactome annotation).
Pathways by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 3 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Breakdown of the nuclear lamina | 1 | 1268.9× | 0.019 | LMNA |
| Depolymerization of the Nuclear Lamina | 1 | 253.8× | 0.023 | LMNA |
| Initiation of Nuclear Envelope (NE) Reformation | 1 | 200.3× | 0.023 | LMNA |
| IRE1alpha activates chaperones | 1 | 173.0× | 0.023 | LMNA |
| Deregulated CDK5 triggers multiple neurodegenerative pathways in Alzheimer’s disease models | 1 | 173.0× | 0.023 | LMNA |
| Nuclear Envelope Breakdown | 1 | 152.3× | 0.023 | LMNA |
| Interaction between L1 and Ankyrins | 1 | 122.8× | 0.023 | SCN5A |
| Unfolded Protein Response (UPR) | 1 | 119.0× | 0.023 | LMNA |
| Phase 0 - rapid depolarisation | 1 | 115.3× | 0.023 | SCN5A |
| Striated Muscle Contraction | 1 | 102.9× | 0.023 | DES |
| Oncogenic MAPK signaling | 1 | 82.8× | 0.026 | LMNA |
| XBP1(S) activates chaperone genes | 1 | 71.8× | 0.028 | LMNA |
| Signaling by BRAF and RAF1 fusions | 1 | 56.8× | 0.032 | LMNA |
| Meiotic synapsis | 1 | 47.0× | 0.036 | LMNA |
| L1CAM interactions | 1 | 40.1× | 0.040 | SCN5A |
| Cardiac conduction | 1 | 36.2× | 0.041 | SCN5A |
| Muscle contraction | 1 | 25.7× | 0.054 | SCN5A |
| Diseases of signal transduction by growth factor receptors and second messengers | 1 | 18.9× | 0.069 | LMNA |
| Axon guidance | 1 | 15.1× | 0.082 | SCN5A |
| Nervous system development | 1 | 14.3× | 0.082 | SCN5A |
| Cellular responses to stress | 1 | 12.3× | 0.091 | LMNA |
| Cellular responses to stimuli | 1 | 10.5× | 0.101 | LMNA |
| Developmental Biology | 1 | 4.8× | 0.202 | SCN5A |
| Disease | 1 | 4.4× | 0.212 | LMNA |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 3 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| nuclear envelope organization | 2 | 660.9× | 2e-04 | DES, LMNA |
| bundle of His cell action potential | 1 | 2808.7× | 0.004 | SCN5A |
| AV node cell to bundle of His cell communication | 1 | 2808.7× | 0.004 | SCN5A |
| membrane depolarization during Purkinje myocyte cell action potential | 1 | 1872.4× | 0.004 | SCN5A |
| membrane depolarization during bundle of His cell action potential | 1 | 1872.4× | 0.004 | SCN5A |
| membrane depolarization during atrial cardiac muscle cell action potential | 1 | 1872.4× | 0.004 | SCN5A |
| DNA double-strand break attachment to nuclear envelope | 1 | 1872.4× | 0.004 | LMNA |
| establishment or maintenance of microtubule cytoskeleton polarity | 1 | 1404.3× | 0.004 | LMNA |
| AV node cell action potential | 1 | 1404.3× | 0.004 | SCN5A |
| nuclear pore localization | 1 | 1123.5× | 0.004 | LMNA |
| membrane depolarization during AV node cell action potential | 1 | 1123.5× | 0.004 | SCN5A |
| membrane depolarization during SA node cell action potential | 1 | 1123.5× | 0.004 | SCN5A |
| regulation of ventricular cardiac muscle cell membrane depolarization | 1 | 936.2× | 0.004 | SCN5A |
| negative regulation of mesenchymal cell proliferation | 1 | 936.2× | 0.004 | LMNA |
| SA node cell action potential | 1 | 936.2× | 0.004 | SCN5A |
| cardiac ventricle development | 1 | 802.5× | 0.004 | SCN5A |
| response to denervation involved in regulation of muscle adaptation | 1 | 802.5× | 0.004 | SCN5A |
| regulation of atrial cardiac muscle cell membrane repolarization | 1 | 802.5× | 0.004 | SCN5A |
| brainstem development | 1 | 702.2× | 0.004 | SCN5A |
| positive regulation of action potential | 1 | 702.2× | 0.004 | SCN5A |
| skeletal muscle organ development | 1 | 702.2× | 0.004 | DES |
| protein localization to nuclear envelope | 1 | 702.2× | 0.004 | LMNA |
| regulation of protein localization to nucleus | 1 | 702.2× | 0.004 | LMNA |
| regulation of atrial cardiac muscle cell membrane depolarization | 1 | 624.1× | 0.004 | SCN5A |
| negative regulation of cardiac muscle hypertrophy in response to stress | 1 | 624.1× | 0.004 | LMNA |
| membrane depolarization during action potential | 1 | 561.7× | 0.004 | SCN5A |
| atrial cardiac muscle cell action potential | 1 | 561.7× | 0.004 | SCN5A |
| ventricular cardiac muscle cell development | 1 | 510.7× | 0.005 | LMNA |
| membrane depolarization during cardiac muscle cell action potential | 1 | 468.1× | 0.005 | SCN5A |
| regulation of cardiac muscle cell contraction | 1 | 374.5× | 0.006 | SCN5A |
Therapeutics
Drugs indicated for this disease
0 approved, 2 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Dexamethasone | Phase 3 (in late-stage trials) |
| Human Immunoglobulin G | Phase 3 (in late-stage trials) |
Drug target analysis
Approved (phase 4): 2 · Phase ≥3: 2 · Phased (≥1): 2 · Undrugged: 1
Druggability breadth: 2 of 3 evidence-associated genes (67%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| LMNA | BEPRIDIL |
| SCN5A | BEPRIDIL |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| LMNA | 823 | 4 |
| SCN5A | 108 | 4 |
| DES | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| BEPRIDIL | 4 | LMNA, SCN5A |
| PHENYLBUTAZONE | 4 | LMNA |
| CEFOTAXIME SODIUM | 4 | LMNA |
| DIENESTROL | 4 | LMNA |
| IFOSFAMIDE | 4 | LMNA |
| PROGESTERONE | 4 | LMNA |
| CLOTRIMAZOLE | 4 | LMNA |
| DAPSONE | 4 | LMNA |
| AMINOCAPROIC ACID | 4 | LMNA |
| FLUCONAZOLE | 4 | LMNA |
| COLCHICINE | 4 | LMNA |
| NABUMETONE | 4 | LMNA |
| OXAPROZIN | 4 | LMNA |
| BUMETANIDE | 4 | LMNA |
| GLIPIZIDE | 4 | LMNA |
| BROMFENAC | 4 | LMNA |
| ROPIVACAINE | 4 | LMNA |
| TIZANIDINE | 4 | LMNA |
| METAXALONE | 4 | LMNA |
| CARBAMAZEPINE | 4 | LMNA, SCN5A |
| SALMETEROL XINAFOATE | 4 | LMNA |
| AMIODARONE HYDROCHLORIDE | 4 | LMNA |
| METHYL SALICYLATE | 4 | LMNA |
| DIBUCAINE | 4 | LMNA, SCN5A |
| PHENELZINE | 4 | LMNA |
| HYDROCORTISONE ACETATE | 4 | LMNA |
| BRETYLIUM TOSYLATE | 4 | LMNA |
| IMIPRAMINE | 4 | LMNA, SCN5A |
| FURAZOLIDONE | 4 | LMNA |
| DROPERIDOL | 4 | LMNA, SCN5A |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 0.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| SCN5A | 594 | Binding:380, Functional:98, ADMET:72, Toxicity:43, Unclassified:1 |
| LMNA | 12 | Binding:9, Functional:3 |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| SCN5A | 594 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 3; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| BEPRIDIL | 4 | LMNA, SCN5A |
| PHENYLBUTAZONE | 4 | LMNA |
| CEFOTAXIME SODIUM | 4 | LMNA |
| DIENESTROL | 4 | LMNA |
| IFOSFAMIDE | 4 | LMNA |
| PROGESTERONE | 4 | LMNA |
| CLOTRIMAZOLE | 4 | LMNA |
| DAPSONE | 4 | LMNA |
| AMINOCAPROIC ACID | 4 | LMNA |
| FLUCONAZOLE | 4 | LMNA |
| COLCHICINE | 4 | LMNA |
| NABUMETONE | 4 | LMNA |
| OXAPROZIN | 4 | LMNA |
| BUMETANIDE | 4 | LMNA |
| GLIPIZIDE | 4 | LMNA |
| BROMFENAC | 4 | LMNA |
| ROPIVACAINE | 4 | LMNA |
| TIZANIDINE | 4 | LMNA |
| METAXALONE | 4 | LMNA |
| CARBAMAZEPINE | 4 | LMNA, SCN5A |
| SALMETEROL XINAFOATE | 4 | LMNA |
| AMIODARONE HYDROCHLORIDE | 4 | LMNA |
| METHYL SALICYLATE | 4 | LMNA |
| DIBUCAINE | 4 | LMNA, SCN5A |
| PHENELZINE | 4 | LMNA |
| HYDROCORTISONE ACETATE | 4 | LMNA |
| BRETYLIUM TOSYLATE | 4 | LMNA |
| IMIPRAMINE | 4 | LMNA, SCN5A |
| FURAZOLIDONE | 4 | LMNA |
| DROPERIDOL | 4 | LMNA, SCN5A |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 2 | LMNA, SCN5A |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 1 | DES |
Undrugged target profiles
1 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| DES | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 72.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 66 |
| PHASE4 | 4 |
| PHASE3 | 1 |
| PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00292383 | PHASE4 | UNKNOWN | Ventricular Pacing Site Selection (V-PASS) |
| NCT00559143 | PHASE4 | WITHDRAWN | Biventricular Alternative Pacing |
| NCT01019213 | PHASE4 | COMPLETED | Acute and Chronic Effect of His-pacing in Consecutive Patients With AV-block |
| NCT01717469 | PHASE4 | UNKNOWN | Safety and the Effects of Isolated Left Ventricular Pacing in Patients With Bradyarrhythmias |
| NCT00925691 | PHASE3 | COMPLETED | Comparison of SEPTal and Apical Pacing Sites in PerManent Right Ventricular Pacing |
| NCT02462941 | PHASE1 | COMPLETED | Analysis of Adenosine on Sinus and Atrioventricular Nodal Conduction in the Pediatric Transplanted Heart |
| NCT04624763 | Not specified | ACTIVE_NOT_RECRUITING | Protection of Cardiac Function With Left Bundle Branch Pacing in Patients With Atrioventricular Block |
| NCT04926792 | Not specified | ENROLLING_BY_INVITATION | Taiwan Registry for Leadless Pacemaker |
| NCT05585411 | Not specified | RECRUITING | PReventive Effect Of Left Bundle Branch Area Pacing Versus righT vEntricular paCing on All Cause deaTh, Heart Failure Progression, and Ventricular dysSYNChrony in Patients With Substantial Ventricular Pacing (PROTECT-SYNC): Multicenter Prospective Randomized Controlled Trial |
| NCT05650658 | Not specified | RECRUITING | Left vs Left Randomized Clinical Trial |
| NCT05774262 | Not specified | RECRUITING | Pacemaker Implantation Versus Cardioneuroablation for Functional Atrioventricular Block |
| NCT05856799 | Not specified | ACTIVE_NOT_RECRUITING | Danish Randomized Trial on Leadless vs Transvenous Pacing |
| NCT06023784 | Not specified | NOT_YET_RECRUITING | The Impact of LBBAP vs RVP on the Incidence of New-onset Atrial Fibrillation in Patients With Atrioventricular Block |
| NCT06197503 | Not specified | RECRUITING | Randomized Study of Physiological vs Right Ventricular Pacing in Patients With Normal Ventricular Function Post TAVI |
| NCT06324682 | Not specified | RECRUITING | ConTempoRary Cardiac Stimulation in Clinical practicE: lEft, BivEntriculAr, Right, and conDuction System Pacing |
| NCT06540079 | Not specified | ACTIVE_NOT_RECRUITING | BIOTRONIK Conduction System Pacing With the Solia Lead - Solia CSP S |
| NCT06587672 | Not specified | NOT_YET_RECRUITING | Factors Affecting Selection of Leadless Pacemaker and Atrioventricular Synchronous Pacing Status |
| NCT06707662 | Not specified | RECRUITING | Left Septal Pacing or Left Bundle Branch Pacing to Avoid Left Ventricle Systolic Dysfunction |
| NCT06843135 | Not specified | NOT_YET_RECRUITING | Synchrony in Cardiac Conduction: Assessing the Effects of Pacing on Cardiac Performance Through Magnetic Resonance Imaging and Advanced ECG-imaging |
| NCT06910059 | Not specified | ACTIVE_NOT_RECRUITING | The CT-verified Data Collection Study to Investigate the Correlation Between the Leadless Pacemaker Tip Location and Echo, ECG |
| NCT07118358 | Not specified | RECRUITING | BIOTRONIK Investigation of the LivIQ Leadless Pacemaker System |
| NCT07209852 | Not specified | RECRUITING | Safety, Performance, and Clinical Benefit of Pacing the Left Bundle Branch Area - Post-Market Clinical Follow-up |
| NCT07236489 | Not specified | RECRUITING | Trial Evaluating the Benefit of Left Bundle Branch Area Stimulation Compared With Conventional Pacing in Post-TAVI Atrioventricular Atrioventricular Block |
| NCT07250529 | Not specified | RECRUITING | Left Bundle Branch Pacing vs Right Ventricular Pacing on AHRE Burden in Patients With Preserved LVEF |
| NCT07276490 | Not specified | RECRUITING | Central Haemodynamics and Pacing for AV Block |
| NCT07279207 | Not specified | NOT_YET_RECRUITING | PACE-AF: Prospective Analysis of Cardiac Electrostimulation and Atrial Fibrillation |
| NCT07279870 | Not specified | RECRUITING | RandomIsed sTudy of Physiologic cArdiac stimuLation in patIents With Atrio-ventricular Conduction Disease |
| NCT07356505 | Not specified | RECRUITING | Efficacy and Safety of Micra AV2 Transcatheter Pacing System |
| NCT07461935 | Not specified | NOT_YET_RECRUITING | ALPs Single ChambEr New Device |
| NCT07464041 | Not specified | RECRUITING | Left Bundle Branch Area Pacing Versus Right Ventricular Pacing in Atrioventricular Block With Preserved Ejection Fraction |
| NCT07469579 | Not specified | NOT_YET_RECRUITING | ALPs Single ChambEr New Device Study |
| NCT07521800 | Not specified | RECRUITING | Remote ECG Monitoring Post TAVI |
| NCT07608822 | Not specified | NOT_YET_RECRUITING | BIO|STREAM.CSP CLS |
| NCT00187278 | Not specified | COMPLETED | Biopace Study: Biventricular Pacing for Atrioventricular Block to Prevent Cardiac Desynchronization |
| NCT00228241 | Not specified | UNKNOWN | Left Ventricular Function and Remodelling During Permanent Pacing |
| NCT00267098 | Not specified | COMPLETED | Biventricular Versus Right Ventricular Pacing in Heart Failure Patients With Atrioventricular Block (BLOCK HF) |
| NCT00627328 | Not specified | COMPLETED | The Atrial High Rate Episodes in Pacemaker Patients |
| NCT01441583 | Not specified | COMPLETED | Ingenio Device Algorithm Study |
| NCT01798043 | Not specified | TERMINATED | Impact of Septal Vs Apical Pacing on Right and Left Ventricular Performance |
| NCT01922518 | Not specified | COMPLETED | Impact of Right Ventricular Pacing Determined by Electrocardiography |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| ADENOSINE | 4 | 1 |
| METHOPRENE | 2 | 1 |
| CHEMBL606298 | 0 | 1 |