Eye disorder

disease
On this page

Also known as disease of eyedisease of eyeball of camera-type eyedisease or disorder of eyeball of camera-type eyedisorder of eyedisorder of eyeball of camera-type eyeeye diseaseeyeball of camera-type eye diseaseeyeball of camera-type eye disease or disorderglobe disease

Summary

Eye disorder (MONDO:0005328) is a disease (an umbrella term covering 120 Mondo subtypes) caused by EPHA2 (GenCC Strong), with 2 cohort genes (103 GWAS associations across 89 studies) and 213 clinical trials. Top therapeutic interventions include brimonidine, timolol, and lisinopril anhydrous.

At a glance

  • Causal gene: EPHA2 (GenCC Strong)
  • Umbrella term: 120 Mondo subtypes
  • Cohort genes: 2
  • GWAS associations: 103
  • ClinVar variants: 1
  • Clinical trials: 213

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical nameeye disorder
Mondo IDMONDO:0005328
EFOEFO:0003966
MeSHD005128
DOIDDOID:1242, DOID:5614
NCITC26767
SNOMED CT371405004
UMLSC0015397
MedGen5092
Anatomy (UBERON)UBERON:0000019, UBERON:0010230
Is cancer (heuristic)no

Also known as: disease of eye · disease of eyeball of camera-type eye · disease or disorder of eyeball of camera-type eye · disorder of eye · disorder of eyeball of camera-type eye · eye disease · eye disorder · eyeball of camera-type eye disease · eyeball of camera-type eye disease or disorder · globe disease

Data availability: 1 ClinVar variant · 103 GWAS associations (89 studies) · 1 GenCC gene-disease record.

Disease family

An umbrella term covering 120 Mondo subtypes.

Classification path: disease › human disease › disease by body system or component › disorder of orbital regioneye disorder

Related subtypes (3): eye adnexa disorder, orbit neoplasm, orbital dermoid cyst

Subtypes (120): ptosis, eye accommodation disease, corneal disorder, asthenopia, lens disorder, keratomalacia, scleral disorder, ocular siderosis, coloboma, luxation of globe, mucopolysaccharidosis type 1, lacrimal apparatus disorder, Foster-Kennedy syndrome, anterior dislocation of lens, uveal disorder, eyelid disorder, ocular hypotension, scotoma, exophthalmos, ophthalmia nodosa, eye degenerative disorder, refractive error, glaucoma, retinal disorder, eye allergy, ocular vascular disorder, optic neuritis, conjunctival disorder, ocular hypertension, Tietz syndrome, Alagille syndrome, glaucoma-sleep apnea syndrome, Marshall syndrome, microcornea-glaucoma-absent frontal sinuses syndrome, nail-patella syndrome, oculodentodigital dysplasia, piebaldism, Sturge-Weber syndrome, cerebrotendinous xanthomatosis, ocular cystinosis, alpha-mannosidosis, megalocornea-intellectual disability syndrome, mucolipidosis type IV, mucopolysaccharidosis type 6, Netherton syndrome, galactosialidosis, Niemann-Pick disease type A, ocular motor apraxia, Cogan type, Peters plus syndrome, isolated Pierre-Robin syndrome, ectodermal dysplasia-blindness syndrome, Sandhoff disease, SHORT syndrome, Sjogren-Larsson syndrome, Smith-Lemli-Opitz syndrome, Tay-Sachs disease, tyrosinemia type II, Ito hypomelanosis, X-linked cone dysfunction syndrome with myopia, red color blindness, oculocerebrorenal syndrome, Lowry-MacLean syndrome, pigment dispersion syndrome, hereditary hyperferritinemia with congenital cataracts, dyssegmental dysplasia-glaucoma syndrome, mevalonic aciduria, familial cavitary optic disk anomaly, blindness - scoliosis - arachnodactyly syndrome, fatty acyl-CoA reductase 1 deficiency, microcephaly-intellectual disability-sensorineural hearing loss-epilepsy-abnormal muscle tone syndrome, neurotrophic keratopathy, Cogan syndrome, atopic keratoconjunctivitis, rhizomelic chondrodysplasia punctata, Ehlers-Danlos syndrome, kyphoscoliotic type 1, IRVAN syndrome, Rothmund-Thomson syndrome type 2, microcornea-corectopia-macular hypoplasia syndrome, isolated anophthalmia-microphthalmia syndrome, Spasmus nutans, toxic maculopathy due to antimalarial drugs, syndromic recessive X-linked ichthyosis, acute zonal occult outer retinopathy, acute annular outer retinopathy, phakomatosis pigmentovascularis, lamellar ichthyosis, idiopathic linear interstitial keratitis, chondroectodermal dysplasia with night blindness, galactosemia, GM1 gangliosidosis, Gaucher disease, visual snow syndrome, extensive peripapillary myelinated nerve fibers, IgG4-related ophthalmic disorder, global developmental delay-visual anomalies-progressive cerebellar atrophy-truncal hypotonia syndrome, vernal keratoconjunctivitis, Gardner syndrome, anterior segment dysgenesis, isolated ankyloblepharon filiforme adnatum, hereditary optic neuropathy, essential strabismus, Axenfeld anomaly, eye neoplasm, isolated blepharochalasis, punctate inner choroidopathy, eye infectious disorder, vitreous body disorder, 9q33.3q34.11 microdeletion syndrome, autoimmune/inflammatory optic neuropathy, LTBP2-related ocular dysgenesis, ocular growth disorder, ocular dysgenesis caused by defects in PAX6 regulation, choroidal neovascularization, anterior segment developmental abnormality with extraocular manifestations, congenital optic disk excavation, neuroocular syndrome, isolated angioid streaks, multiple evanescent white dot syndrome, stellate multiform amelanotic choroidopathy, macular telangiectasia

Genetics & variants

GWAS landscape

103 GWAS associations across 89 studies. Top hits map to 27 distinct genes (as reported by GWAS).

Top associations by p-value

rsIDp-valueGeneRisk alleleOdds ratio
chr10:1224541556e-65A0.17
chr1:1966947832e-50T0.13
rs121934461e-33LAMA2?
rs5249521e-27LINC02252 - GJD2?
rs77448135e-23KCNQ5?
rs116062501e-20LRRC4C?
rs71845224e-18RBFOX1?
chr17:796149324e-18?
chr6:326586611e-16T0.08
rs100895176e-16TOX-DT - RNA5SP267?
rs1386506176e-16BICC1?
rs105293263e-15TMCO1?
rs31381427e-14RDH5?
rs108245398e-14KCNMA1?
rs76781234e-13CFAP299?
rs5300840154e-13MIR8062 - RN7SL547PC1.98
rs1848457404e-13CRTAMA2.08
rs1451883405e-13RNU6-187P - RNA5SP112C2.56
rs92733425e-13HLA-DQA1 - HLA-DQB1T0.14
rs5773953371e-12SPARTC3.44
rs129505112e-12FLJ40194?
rs5461229076e-12CBFA2T3G2.64
rs1930034416e-12LINC02852 - NAG3.27
rs5423410997e-12SPATA33G2.84
rs25732221e-11ECEL1 - PRSS56?
rs5763821011e-11RBMXP1 - PRR11P1T2.19
rs1454619251e-11RNU5A-7P - C12orf56C2.45
rs24724932e-11ABCA1 - CT70?
rs5621301722e-11PCP4 - DSCAMT2.56
rs5629447782e-11RARBG2.13

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST90044334Jiang L2021115,30432,675A generalized linear mixed model association tool for biobank-scale data.
GCST90038600Donertas HM202183,484401,114Common genetic associations between age-related diseases.
GCST90078870Backman JD202168,925360,799Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90082856Backman JD202168,925360,799Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90042878Jiang L202165,649389,331A generalized linear mixed model association tool for biobank-scale data.
GCST90134550Xue Z202243,87744,373Genome-wide association meta-analysis of 88,250 individuals highlights pleiotropic mechanisms of five ocular diseases in UK Biobank.
GCST90038640Donertas HM202119,915464,683Common genetic associations between age-related diseases.
GCST90079435Backman JD20218,73429,064Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90083421Backman JD20218,73429,064Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90044339Jiang L20218,289139,690A generalized linear mixed model association tool for biobank-scale data.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding1
Tier 2: splice/UTR1
Tier 3: regulatory0
Tier 4: intronic/intergenic48

MAF distribution

BucketVariants
common (>=0.05)23
low_freq (0.01-0.05)0
rare (<0.01)19
unknown8

Functional consequences

ConsequenceCount
intron_variant30
unknown8
intergenic_variant7
non_coding_transcript_exon_variant2
synonymous_variant1
3_prime_UTR_variant1
missense_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
chr10:1224541556e-65Tier 4: intronic/intergenic
chr1:1966947832e-50Tier 4: intronic/intergenic
rs121934466129498893A>G0.05intron_variantLAMA21e-33Tier 4: intronic/intergenic
rs5249521534713685T>A,C0.05intron_variantLINC02252 - GJD21e-27Tier 4: intronic/intergenic
rs7744813672933566C>A,G,T0.05intron_variantKCNQ55e-23Tier 4: intronic/intergenic
rs116062501140127750G>A0.05intron_variantLRRC4C1e-20Tier 4: intronic/intergenic
rs7184522167410698A>G0.05intron_variantRBFOX14e-18Tier 4: intronic/intergenic
chr17:796149324e-18Tier 4: intronic/intergenic
chr6:326586611e-16Tier 4: intronic/intergenic
rs10089517859266162C>A0.05intron_variantTOX-DT - RNA5SP2676e-16Tier 4: intronic/intergenic
rs1386506171058575314C>CA0.05intron_variantBICC16e-16Tier 4: intronic/intergenic
rs105293261165750115A>ATCTT0.05intron_variantTMCO13e-15Tier 4: intronic/intergenic
rs31381421255721801C>A,T0.05synonymous_variantRDH57e-14Tier 4: intronic/intergenic
rs108245391077397375A>C0.05intron_variantKCNMA18e-14Tier 4: intronic/intergenic
rs7678123480451251G>A,C0.05intron_variantCFAP2994e-13Tier 4: intronic/intergenic
rs530084015207557366C>T0.001intergenic_variantMIR8062 - RN7SL547P4e-13Tier 4: intronic/intergenic
rs18484574011122848161A>G0.002intron_variantCRTAM4e-13Tier 4: intronic/intergenic
rs1451883402177027148C>T0.001intron_variantRNU6-187P - RNA5SP1125e-13Tier 4: intronic/intergenic
rs9273342632655666T>C,G0.183intergenic_variantHLA-DQA1 - HLA-DQB15e-13Tier 4: intronic/intergenic
rs5773953371336322179C>G,T0.001intron_variantSPART1e-12Tier 4: intronic/intergenic
rs129505111749243576C>T0.05intergenic_variantFLJ401942e-12Tier 4: intronic/intergenic
rs5461229071688889516G>A0intron_variantCBFA2T36e-12Tier 4: intronic/intergenic
rs1930034411595080126G>A0non_coding_transcript_exon_variantLINC02852 - NA6e-12Tier 4: intronic/intergenic
rs5423410991689668122G>A,C0intron_variantSPATA337e-12Tier 4: intronic/intergenic
rs25732222232509806G>A,C0.05intron_variantECEL1 - PRSS561e-11Tier 4: intronic/intergenic
rs576382101648663495T>A0.001intergenic_variantRBMXP1 - PRR11P11e-11Tier 4: intronic/intergenic
rs1454619251264263332C>A,T0.001intron_variantRNU5A-7P - C12orf561e-11Tier 4: intronic/intergenic
rs24724939104933567G>A,C,T0.05intron_variantABCA1 - CT702e-11Tier 4: intronic/intergenic
rs5621301722139994217T>C0.001intergenic_variantPCP4 - DSCAM2e-11Tier 4: intronic/intergenic
rs562944778325253113G>T0.001intron_variantRARB2e-11Tier 4: intronic/intergenic

ClinVar germline variants

1 retrieved; paginated sample, class counts are floors:

1 pathogenic

ClinVarVariant (HGVS)GeneClassificationReview
190959NM_145200.5(CABP4):c.646C>T (p.Arg216Ter)CABP4Pathogeniccriteria provided, multiple submitters, no conflicts

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 10 · Orphanet: 6 · 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.

GeneClassificationInheritanceDiseaseRecords
EPHA2DefinitiveAutosomal dominantcataract 6 multiple types10

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
EPHA2Orphanet:441447Early-onset posterior subcapsular cataract
EPHA2Orphanet:98991Early-onset nuclear cataract
EPHA2Orphanet:98993Early-onset posterior polar cataract
EPHA2Orphanet:98994Total early-onset cataract
CABP4Orphanet:714070Incomplete congenital stationary night blindness, Schubert-Bornschein type
CABP4Orphanet:98784Sleep-related hypermotor epilepsy

Cohort genes → proteins

2 cohort genes, 2 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence2

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
EPHA2HGNC:3386ENSG00000142627P29317Ephrin type-A receptor 2gencc
CABP4HGNC:1386ENSG00000175544P57796Calcium-binding protein 4clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
EPHA2Ephrin type-A receptor 2Receptor tyrosine kinase which binds promiscuously membrane-bound ephrin-A family ligands residing on adjacent cells, leading to contact-dependent bidirectional signaling into neighboring cells.
CABP4Calcium-binding protein 4Involved in normal synaptic function through regulation of Ca(2+) influx and neurotransmitter release in photoreceptor synaptic terminals and in auditory transmission.

Protein-family classification

Druggable: 1 · Difficult: 0 · Unknown: 1 · Druggable fraction: 0.5

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.

FamilyGenesFoldFDR
Kinase113.9×0.142
Other/Unknown10.9×0.805

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
EPHA2Kinaseyes2.7.10.1Prot_kinase_dom, EPH_LBD, Ser-Thr/Tyr_kinase_cat_dom
CABP4Other/UnknownnoEF_hand_dom, EF-hand-dom_pair, EF_Hand_1_Ca_BS

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)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)0
broad (>20)2
unknown0

Top tissues across cohort

TissueCohort genes
esophagus mucosa1
lower esophagus mucosa1
pharyngeal mucosa1
cardia of stomach1
vena cava1
ventral tegmental area1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
EPHA2224ubiquitousmarkerlower esophagus mucosa, esophagus mucosa, pharyngeal mucosa
CABP4226broadmarkervena cava, cardia of stomach, ventral tegmental area

Protein interactions among cohort

Intra-cohort edges: 0.

Hub genes (top 10 by interactor count)

SymbolInteractor count
EPHA24,794
CABP41,897

Structural data

PDB: 1 · AlphaFold-only: 1 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
EPHA2P29317103

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
CABP4P5779665.01

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 12. Enrichment computed across 2 evidence-associated genes (1 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 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
EPHA-mediated growth cone collapse1380.7×0.008EPHA2
RHOV GTPase cycle1285.5×0.008EPHA2
RHOU GTPase cycle1278.5×0.008EPHA2
RND1 GTPase cycle1265.6×0.008EPHA2
RND3 GTPase cycle1259.6×0.008EPHA2
RND2 GTPase cycle1259.6×0.008EPHA2
EPH-ephrin mediated repulsion of cells1219.6×0.008EPHA2
EPH-Ephrin signaling1165.5×0.009EPHA2
RHOG GTPase cycle1148.3×0.009EPHA2
RAC2 GTPase cycle1126.9×0.009EPHA2
RAC3 GTPase cycle1119.0×0.009EPHA2
RAC1 GTPase cycle161.1×0.016EPHA2

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 2 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
notochord cell development18426.0×0.004EPHA2
axial mesoderm formation14213.0×0.004EPHA2
notochord formation12808.7×0.004EPHA2
negative regulation of lymphangiogenesis12808.7×0.004EPHA2
cAMP metabolic process12106.5×0.004EPHA2
pericyte cell differentiation11685.2×0.004EPHA2
photoreceptor cell morphogenesis11404.3×0.004CABP4
regulation of blood vessel endothelial cell migration11404.3×0.004EPHA2
retinal bipolar neuron differentiation11404.3×0.004CABP4
blood vessel endothelial cell proliferation involved in sprouting angiogenesis11203.7×0.004EPHA2
negative regulation of chemokine production11053.2×0.004EPHA2
lens fiber cell morphogenesis11053.2×0.004EPHA2
regulation of lamellipodium assembly1936.2×0.004EPHA2
positive regulation of bicellular tight junction assembly1842.6×0.004EPHA2
mammary gland epithelial cell proliferation1766.0×0.004EPHA2
retinal cone cell development1702.2×0.004CABP4
branching involved in mammary gland duct morphogenesis1702.2×0.004EPHA2
response to growth factor1702.2×0.004EPHA2
negative regulation of cell adhesion mediated by integrin1648.1×0.004EPHA2
bone remodeling1468.1×0.005EPHA2
post-anal tail morphogenesis1366.4×0.006EPHA2
activation of GTPase activity1366.4×0.006EPHA2
central nervous system neuron differentiation1300.9×0.007EPHA2
regulation of ERK1 and ERK2 cascade1290.6×0.007EPHA2
neural tube development1263.3×0.007EPHA2
phototransduction1247.8×0.007CABP4
regulation of angiogenesis1210.7×0.008EPHA2
cell motility1200.6×0.009EPHA2
osteoclast differentiation1172.0×0.009EPHA2
ephrin receptor signaling pathway1172.0×0.009EPHA2

Therapeutics

Drugs indicated for this disease

41 approved, 3 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.

DrugDevelopment status
AcetylcysteineApproved (phase 4)
Alclometasone DipropionateApproved (phase 4)
AlteplaseApproved (phase 4)
Ascorbic AcidApproved (phase 4)
BendazacApproved (phase 4)
BetamethasoneApproved (phase 4)
BromfenacApproved (phase 4)
CenegerminApproved (phase 4)
Cortisone AcetateApproved (phase 4)
CyclosporineApproved (phase 4)
CysteamineApproved (phase 4)
DesonideApproved (phase 4)
DexamethasoneApproved (phase 4)
DexpanthenolApproved (phase 4)
DiclofenacApproved (phase 4)
DifluprednateApproved (phase 4)
Fluocinolone AcetonideApproved (phase 4)
FluorometholoneApproved (phase 4)
FlurbiprofenApproved (phase 4)
HeparinApproved (phase 4)
HydrocortisoneApproved (phase 4)
IndomethacinApproved (phase 4)
KetorolacApproved (phase 4)
LifitegrastApproved (phase 4)
Loteprednol EtabonateApproved (phase 4)
MedrysoneApproved (phase 4)
NepafenacApproved (phase 4)
OcriplasminApproved (phase 4)
PegcetacoplanApproved (phase 4)
PiroxicamApproved (phase 4)
Potassium IodideApproved (phase 4)
PrednisoloneApproved (phase 4)
RetinolApproved (phase 4)
RiboflavinApproved (phase 4)
RimexoloneApproved (phase 4)
Salicylic AcidApproved (phase 4)
SirolimusApproved (phase 4)
Sodium ChlorideApproved (phase 4)
TriamcinoloneApproved (phase 4)
VareniclineApproved (phase 4)
Voretigene NeparvovecApproved (phase 4)
InosinePhase 3 (in late-stage trials)
PhenylephrinePhase 3 (in late-stage trials)
TropicamidePhase 3 (in late-stage trials)

Earlier-phase candidates (phase 2, investigational — efficacy not yet established): AMA0076, Anecortave Acetate, Azithromycin, Hydrocodone.

Drug target analysis

Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 1

Druggability breadth: 1 of 2 evidence-associated genes (50%) 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.

SymbolExample approved molecule
EPHA2PONATINIB

Top cohort targets by molecule count

SymbolMoleculesMax phase
EPHA2504
CABP400

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
PONATINIB4EPHA2
FEDRATINIB4EPHA2
TIVOZANIB4EPHA2
SORAFENIB4EPHA2
DASATINIB ANHYDROUS4EPHA2
REGORAFENIB4EPHA2
CABOZANTINIB4EPHA2
VANDETANIB4EPHA2
NILOTINIB4EPHA2
BOSUTINIB4EPHA2
TOVORAFENIB4EPHA2
NINTEDANIB4EPHA2
DASATINIB4EPHA2
CRIZOTINIB4EPHA2
SARACATINIB3EPHA2
LINIFANIB3EPHA2
TESEVATINIB3EPHA2
ALVOCIDIB3EPHA2
ALISERTIB3EPHA2
LESTAURTINIB3EPHA2
DORAMAPIMOD2EPHA2
NEFLAMAPIMOD2EPHA2
FORETINIB2EPHA2
ILORASERTIB2EPHA2
CEP-324962EPHA2
BAFETINIB2EPHA2
SAPITINIB2EPHA2
OSI-6322EPHA2
GOLVATINIB2EPHA2
PEXMETINIB2EPHA2

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 1.

Cohort genes with ChEMBL bioactivity (full, sorted by assay count)

SymbolAssaysType breakdown
EPHA2567Binding:565, Functional:1, ADMET:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
EPHA22.7.10.1receptor protein-tyrosine kinase

Cohort genes with high screening signal

≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.

SymbolChEMBL assays
EPHA2567

Pharmacogenomics

Cohort genes with a PharmGKB record: 2; 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.

CompoundMax phaseCohort target (bioactivity)
PONATINIB4EPHA2
FEDRATINIB4EPHA2
TIVOZANIB4EPHA2
SORAFENIB4EPHA2
DASATINIB ANHYDROUS4EPHA2
REGORAFENIB4EPHA2
CABOZANTINIB4EPHA2
VANDETANIB4EPHA2
NILOTINIB4EPHA2
BOSUTINIB4EPHA2
TOVORAFENIB4EPHA2
NINTEDANIB4EPHA2
DASATINIB4EPHA2
CRIZOTINIB4EPHA2
SARACATINIB3EPHA2
LINIFANIB3EPHA2
TESEVATINIB3EPHA2
ALVOCIDIB3EPHA2
ALISERTIB3EPHA2
LESTAURTINIB3EPHA2
DORAMAPIMOD2EPHA2
NEFLAMAPIMOD2EPHA2
FORETINIB2EPHA2
ILORASERTIB2EPHA2
CEP-324962EPHA2
BAFETINIB2EPHA2
SAPITINIB2EPHA2
OSI-6322EPHA2
GOLVATINIB2EPHA2
PEXMETINIB2EPHA2

Druggability pyramid

Cohort genes binned by druggability tier (high → low):

TierDefinitionGenesSymbols
AApproved (phase 4 drug)1EPHA2
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug0
DDruggable family + AlphaFold only, no drug0
EDifficult family or no structure, no drug1CABP4

Undrugged target profiles

1 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).

SymbolChEMBL assaysDrugged partners (top 3)
CABP40

Clinical trials & evidence

Clinical trials

Clinical trials: 213.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified137
PHASE219
PHASE116
PHASE313
PHASE1/PHASE29
PHASE48
PHASE2/PHASE37
EARLY_PHASE14

Top trials by phase / activity

NCTPhaseStatusTitle
NCT07266948PHASE4RECRUITINGImpact of TRYPTYR on a Patient’s Quality of Life and Ability to Perform Work
NCT07267299PHASE4NOT_YET_RECRUITINGSwitching From Restasis to TRYPTYR
NCT07267481PHASE4NOT_YET_RECRUITINGSwitching From Xiidra to TRYPTYR
NCT07434635PHASE4RECRUITINGAPPRAISE: Assessment of Pain and Posterior Synechiae Reduction With Atropine, an Investigation of Post-Surgical Eyes
NCT00911924PHASE4COMPLETEDA Prospective, Unmasked Evaluation of the iStent in Patients With Primary Open-Angle Glaucoma
NCT00913029PHASE4COMPLETEDEvaluation of the iStent Versus Two Ocular Hypotensive Agents in Patients With Primary Open-angle Glaucoma (POAG)
NCT00957190PHASE4COMPLETEDThe DIOXXACT Trial(Diurnal IOP and OBF Xalatan vs Xalatan And Cosopt Trial)
NCT03148132PHASE4COMPLETEDVEGF Concentrations After Intravitreal Bevacizumab vs Ranibizumab as a Treatment for Type 1 ROP
NCT03913143PHASE2/PHASE3ACTIVE_NOT_RECRUITINGA Study to Evaluate Efficacy, Safety, Tolerability and Exposure After a Repeat-dose of Sepofarsen (QR-110) in LCA10 (ILLUMINATE)
NCT04663750PHASE3RECRUITINGVitrectomy, Subretinal Tissue Plasminogen Activator (TPA) and Intravitreal Gas for Submacular Haemorrhage Secondary to Exudative (Wet) Age-related Macular Degeneration (TIGER).
NCT05276063PHASE2/PHASE3ACTIVE_NOT_RECRUITINGA Phase 2b, Study of Linsitinib in Subjects With Active, Moderate to Severe Thyroid Eye Disease (TED)
NCT06112340PHASE2/PHASE3RECRUITINGExtension Study of Two Doses of Linsitinib in Subjects With Active, Moderate to Severe Thyroid Eye Disease (TED)
NCT06601101PHASE3RECRUITINGEffects of Topical Insulin on Corneal Epithelium Healing After Corneal Crosslinking in Patients With Keratoconus
NCT06891443PHASE3RECRUITINGStudy to Evaluate Sepofarsen in Subjects With Leber Congenital Amaurosis (LCA) Type 10 (HYPERION)
NCT00120432PHASE3COMPLETEDSingle Dose of 1% Tropicamide and 10% Phenylephrine for Pupillary Dilation
NCT00333203PHASE3COMPLETEDNext Generation Ophthalmic Irrigating Solution Posterior Segment Study
NCT00370734PHASE2/PHASE3UNKNOWNEffect of Percutaneous Botulinum Toxin A Injection on Natural Course of Upper Lid Retraction in Thyroid Eye Disease
NCT02157077PHASE3COMPLETEDAflibercept After Ranibizumab in Exudative Age-related Macular Degeneration
NCT03954626PHASE3COMPLETEDStudy to Collect Safety and ECG Data on Brolucizumab 6 mg Intravitreal Treatment in Patients With Wet AMD
NCT04149210PHASE3COMPLETEDFLuorometholone as Adjunctive MEdical Therapy for TT Surgery (FLAME) Trial
NCT04855045PHASE2/PHASE3UNKNOWNAn Open-label, Dose Escalation and Double-masked, Randomized, Controlled Trial Evaluating Safety and Tolerability of Sepofarsen in Children (<8 Years of Age) With LCA10 Caused by Mutations in the CEP290 Gene.
NCT05158296PHASE2/PHASE3TERMINATEDStudy to Evaluate the Efficacy Safety and Tolerability of Ultevursen in Subjects With RP Due to Mutations in Exon 13 of the USH2A Gene (Sirius)
NCT05158699PHASE3TERMINATEDEffectiveness of Periocular Drug Injection in CATaract Surgery
NCT05176717PHASE2/PHASE3TERMINATEDStudy to Evaluate the Efficacy Safety and Tolerability of QR-421a in Subjects With RP Due to Mutations in Exon 13 of the USH2A Gene With Early to Moderate Vision Loss (Celeste)
NCT05656027PHASE3COMPLETEDPhase 3 Evaluation of the Safety and Efficacy of LNZ100 & LNZ101 for the Treatment of Presbyopia
NCT05728944PHASE3COMPLETEDPhase 3 Efficacy Study of LNZ100 & LNZ101 for the Treatment of Presbyopia
NCT05753189PHASE3COMPLETEDPhase 3 Safety Study of LNZ100 and LNZ101 for the Treatment of Presbyopia Subjects
NCT06045299PHASE3COMPLETEDEvaluation of the Efficacy and Safety of LNZ101 and LNZ100 for the Presbyopia
NCT04123626PHASE1/PHASE2ACTIVE_NOT_RECRUITINGA Study to Evaluate the Safety and Tolerability of QR-1123 in Subjects With Autosomal Dominant Retinitis Pigmentosa Due to the P23H Mutation in the RHO Gene
NCT06394232PHASE1/PHASE2RECRUITINGSafety & Efficacy of Eyecyte-RPE™ in Patients With Geographic Atrophy Secondary to Dry Age-related Macular Degeneration.
NCT07174687PHASE2RECRUITINGSGLT2 Inhibitors in Geographic Atrophy
NCT07413172PHASE2NOT_YET_RECRUITINGAutologous Serum Tears With Hyaluronate vs Balanced Salt Solution for Moderate-to-Severe Dry Eye
NCT00123279PHASE2COMPLETEDIntravitreal Microplasmin in Patients Undergoing Surgical Vitrectomy
NCT00211432PHASE2COMPLETEDTreatment of Pseudovitellium Detachment With Open-Label Anecortave Acetate Sterile Suspension (15 mg)
NCT00315640PHASE2COMPLETEDAnecortave Acetate for Treatment of Steroid Induced Intraocular Pressure (IOP) Elevation
NCT01016873PHASE2COMPLETEDINTREPID - IRay Plus Anti-VEGF Treatment For Patients With Wet AMD
NCT01399515PHASE2COMPLETEDEfficacy and Safety of Oral Valproic Acid for Retinitis Pigmentosa
NCT01494805PHASE1/PHASE2COMPLETEDSafety and Efficacy Study of rAAV.sFlt-1 in Patients With Exudative Age-Related Macular Degeneration
NCT01521065PHASE2UNKNOWNAn Open-label Study to Evaluate the Clinical and Economic Benefits of I-Ray in Patients With Choroidal Neovascularization Secondary to Age-related Macular Degeneration
NCT01648452PHASE1/PHASE2COMPLETEDCNTF Implants for CNGB3 Achromatopsia

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
BRIMONIDINE48
TIMOLOL43
LISINOPRIL ANHYDROUS42
AFLIBERCEPT41
AMLODIPINE41
ATROPINE41
BETA CAROTENE41
BEVACIZUMAB41
BROMFENAC41
FLUORESCEIN41
FLUOROMETHOLONE41
LATANOPROST41
OCRIPLASMIN41
RANIBIZUMAB41
TRIAMCINOLONE ACETONIDE41
VALPROIC ACID41
ACECLIDINE37
AMA007633
ANECORTAVE ACETATE32
LINSITINIB32
LAQUINIMOD31
RESVERATROL31
SOZINIBERCEPT31
SEPOFARSEN24
ACOLTREMON23
BENZALKONIUM CHLORIDE21
FOSELUTOCLAX21
ULTEVURSEN21
X-8221
CHEMBL116412301