Safety and efficacy of anti-tau monoclonal antibody gosuranemab in progressive supranuclear palsy: a phase 2, randomized, placebo-controlled trial

Autor: Kubra Kamisoglu, Ikuko Aiba, Adam L. Boxer, Michael J Wald, Irene Litvan, Liz Gedney, Michael Grundman, Lili Yang, Danielle Graham, Tien Dam, Joseph Kupferman, Günter U. Höglinger, Anthony E. Lang, Kristine Harper, John O'Gorman, Beth Tidemann-Miller, Samantha Budd Haeberlein, Lawrence I. Golbe, Huw R. Morris, Jean-Christophe Corvol
Rok vydání: 2020
Předmět:
Male
Placebo-controlled study
adverse effects [Antibodies
Monoclonal
Humanized]

Medical and Health Sciences
Gastroenterology
law.invention
Randomized controlled trial
law
Monoclonal
Clinical endpoint
Supranuclear Palsy
Humanized
therapeutic use [Antibodies
Monoclonal
Humanized]

General Medicine
etiology [Pneumonia]
Treatment Outcome
6.1 Pharmaceuticals
Female
Supranuclear Palsy
Progressive

medicine.medical_specialty
drug therapy [Supranuclear Palsy
Progressive]

Clinical Trials and Supportive Activities
Immunology
MAPT protein
human

tau Proteins
Placebo
Antibodies
Monoclonal
Humanized

Antibodies
General Biochemistry
Genetics and Molecular Biology

Progressive supranuclear palsy
Progressive
Double-Blind Method
Clinical Research
Internal medicine
medicine
Humans
ddc:610
Adverse effect
Aged
business.industry
Evaluation of treatments and therapeutic interventions
Pneumonia
medicine.disease
PASSPORT Study Group
Brain Disorders
Discontinuation
immunology [tau Proteins]
Clinical trial
gosuranemab
business
Zdroj: Nature medicine 27(8), 1451-1457 (2021). doi:10.1038/s41591-021-01455-x
Nature medicine, vol 27, iss 8
ISSN: 1546-170X
DOI: 10.1038/s41591-021-01455-x
Popis: A randomized, double-blind, placebo-controlled, 52-week study (no. NCT03068468) evaluated gosuranemab, an anti-tau monoclonal antibody, in the treatment of progressive supranuclear palsy (PSP). In total, 486 participants dosed were assigned to either gosuranemab (n = 321) or placebo (n = 165). Efficacy was not demonstrated on adjusted mean change of PSP Rating Scale score at week 52 between gosuranemab and placebo (10.4 versus 10.6, P = 0.85, primary endpoint), or at secondary endpoints, resulting in discontinuation of the open-label, long-term extension. Unbound N-terminal tau in cerebrospinal fluid decreased by 98% with gosuranemab and increased by 11% with placebo (P
Databáze: OpenAIRE