Evidence map›Paper›PMID 35500536›Full record

Trial reportEBioMedicine2022

Safety, tolerability and pharmacokinetics of the oligomer modulator anle138b with exposure levels sufficient for therapeutic efficacy in a murine Parkinson model: A randomised, double-blind, placebo-controlled phase 1a trial.

Johannes Levin, Nand Sing, Sue Melbourne, Amber Morgan, Carla Mariner, Maria Grazia Spillantini, Michal Wegrzynowicz, Jeffrey W Dalley, Simon Langer, Sergey Ryazanov and 7 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in EBioMedicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 44 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 3 pooled it
9.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04208152 phase1completednot on this map

A First-in-Human Study to Assess the Safety, Tolerability and Pharmacokinetics of anle138b in Healthy Male and Female Subjects

TypeinterventionalSponsorMODAG GmbHRan2019 to 2020Enrolled68ConditionsHealthy VolunteersArmsanle138b, Placebo
NCT05532358 phase1completednot on this map

An Open-Label, One-Sequence, Two-Part Drug-Drug Interaction Study in Healthy Volunteers to Assess the CYP1A2 and CYP3A4 Perpetrator Interaction Potential and CYP1A2 Victim Potential of TEV-56286 (anle138b)

TypeinterventionalSponsorMODAG GmbHRan2022 to 2023Enrolled54ConditionsHealthy VolunteersArmsanle138b (TEV-56286), Fluvoxamine 100 mg QD for 5 days
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 3 syntheses or guidelines pooled it, 79 citations in OpenAlex.

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  13. Neuroprotection in Parkinson Disease.Neurology and therapy · 2025
    Review
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  16. Ensemble Docking for Intrinsically Disordered Proteins.Journal of chemical information and modeling · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 6 institutions in 3 countries.

Johannes LevinMODAG GmbH, Wendelsheim, Germany; Munich Cluster for Systems Neurology (SyNergy), Munich, Germany.; Department of Neurology, Ludwig-Maximilians-University Munich, Germany. Electronic address: levin@modag.net.
Nand SingQuotient Sciences, Mere Way, Ruddington Fields, Ruddington, Nottingham NG11 6JS, UK.
Sue MelbourneQuotient Sciences, Mere Way, Ruddington Fields, Ruddington, Nottingham NG11 6JS, UK.
Amber MorganQuotient Sciences, Mere Way, Ruddington Fields, Ruddington, Nottingham NG11 6JS, UK.
Carla MarinerQuotient Sciences, Mere Way, Ruddington Fields, Ruddington, Nottingham NG11 6JS, UK.
Maria Grazia SpillantiniDepartment of Clinical Neurosciences, University of Cambridge, The Clifford Allbutt Building, Cambridge, CB2 0AH, UK.
Michal WegrzynowiczDepartment of Clinical Neurosciences, University of Cambridge, The Clifford Allbutt Building, Cambridge, CB2 0AH, UK.; Laboratory of Molecular Basis of Neurodegeneration, Mossakowski Medical Research Institute, Polish Academy of Sciences, Warsaw, Poland.
Jeffrey W DalleyDepartment of Psychology, University of Cambridge, Downing Street, Cambridge CB2 3EB, UK; Department of Psychiatry, Hershel Smith Building for Brain and Mind Sciences, Addenbrooke's Hospital, Cambridge CB2 0SZ.
Simon LangerDepartment of Psychology, University of Cambridge, Downing Street, Cambridge CB2 3EB, UK.
Sergey RyazanovMODAG GmbH, Wendelsheim, Germany; Department of NMR based structural Biology, Max Planck Institute for Biophysical Chemistry, 37077, Göttingen, Germany.
Andrei LeonovMODAG GmbH, Wendelsheim, Germany; Department of NMR based structural Biology, Max Planck Institute for Biophysical Chemistry, 37077, Göttingen, Germany.
Christian GriesingerDepartment of NMR based structural Biology, Max Planck Institute for Biophysical Chemistry, 37077, Göttingen, Germany; Cluster of Excellence "Multiscale Bioimaging: From Molecular Machines to Networks of Excitable Cells" (MBExC), University of Göttingen, Göttingen, Germany.
Felix SchmidtMODAG GmbH, Wendelsheim, Germany.
Daniel WeckbeckerMODAG GmbH, Wendelsheim, Germany.
Kai PragerMODAG GmbH, Wendelsheim, Germany.
Torsten MatthiasMODAG GmbH, Wendelsheim, Germany.
Armin GieseMODAG GmbH, Wendelsheim, Germany; Center for Neuropathology and Prion Research, Ludwig-Maximilians-University Munich, Germany. Electronic address: giese@modag.net.
Quotient Clinical (United Kingdom) · GBUniversity of Cambridge · GBMax Planck Institute for Biophysical Chemistry · DELudwig-Maximilians-Universität München · DEMunich Cluster for Systems Neurology · DENanoscale Microscopy and Molecular Physiology of the Brain Cluster of Excellence 171 — DFG Research Center 103 · DE

Funding

Parkinson's UK G-0701Parkinson's UK G-1102Parkinson's UK G-1703
6 · The paper itself

Abstract

backgroundSynucleinopathies such as Parkinson ́s disease (PD), Dementia with Lewy bodies (DLB) and Multiple System Atrophy (MSA) are characterized by deposition of misfolded and aggregated α-synuclein. Small aggregates (oligomers) of α-synuclein have been shown to be the most relevant neurotoxic species and are targeted by anle138b, an orally bioavailable small molecule compound which shows strong disease-modifying effects in animal models of synucleinopathies.

methodsAnle138b was studied in a single-centre, double-blind, randomised, placebo-controlled single ascending dose (SAD) and multiple ascending dose (MAD) study in healthy subjects. Eligible participants were randomly assigned (1:1 for sentinel subjects and 1:5 for main group) to placebo or anle138b (dose range 50 mg to 300 mg per day), respectively. In addition, the effect of food on the pharmakokinetics of anle138b in healthy subjects was examined in doses of 150 mg per day. Participants were randomized to treatment sequence (fed→fasted) or (fasted→fed). Treatment was administered orally in hard gelatine capsules containing either 10 mg or 30 mg of anle138b or excipient only. The primary endpoints were safety and tolerability, the secondary endpoint was pharmakokinetics. Data from all randomized individuals were evaluated. CLINICALTRIALS: gov-identifier: NCT04208152. EudraCT-number: 2019-004218-33.

findingsBetween December 17

interpretationThe favourable safety and PK profile of anle138b in doses resulting in exposures above the fully effective plasma level in a mouse Parkinson model warrant further clinical trials in patients with synucleinopathies.

fundingThis study was funded by MODAG GmbH and by the Michael J. Fox foundation for Parkinson's Research.

Indexed as

Parkinson DiseaseSynucleinopathiesalpha-SynucleinAnimalsBenzodioxolesDisease Models, AnimalDouble-Blind MethodHumansMicePyrazoles3-(1,3-benzodioxol-5-yl)-5-(3-bromophenyl)-1H-pyrazolealpha-SynucleinBenzodioxolesPyrazolesAnle138bDisease modificationMultiple system atrophyParkinson diseaseProtein aggregationα-synuclein

Identifiers

PMID35500536
PMCPMC9065877
OpenAlexW4225100577

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.