In vivo effects of the alpha-synuclein misfolding inhibitor minzasolmin supports clinical development in Parkinson’s disease

Abstract Direct targeting of alpha-synuclein (ASYN) has emerged as a disease-modifying strategy for Parkinson’s disease and other synucleinopathies which is being approached using both small molecule compounds and ASYN-targeted biologics. Minzasolmin (UCB0599) is an orally bioavailable and brain-pen...

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Main Authors: Diana L. Price, Asma Khan, Rachel Angers, Alvaro Cardenas, Maria Key Prato, Massimo Bani, Douglas W. Bonhaus, Martin Citron, Anja-Leona Biere
Format: Article
Language:English
Published: Nature Portfolio 2023-07-01
Series:npj Parkinson's Disease
Online Access:https://doi.org/10.1038/s41531-023-00552-7
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author Diana L. Price
Asma Khan
Rachel Angers
Alvaro Cardenas
Maria Key Prato
Massimo Bani
Douglas W. Bonhaus
Martin Citron
Anja-Leona Biere
author_facet Diana L. Price
Asma Khan
Rachel Angers
Alvaro Cardenas
Maria Key Prato
Massimo Bani
Douglas W. Bonhaus
Martin Citron
Anja-Leona Biere
author_sort Diana L. Price
collection DOAJ
description Abstract Direct targeting of alpha-synuclein (ASYN) has emerged as a disease-modifying strategy for Parkinson’s disease and other synucleinopathies which is being approached using both small molecule compounds and ASYN-targeted biologics. Minzasolmin (UCB0599) is an orally bioavailable and brain-penetrant small molecule ASYN misfolding inhibitor in clinical development as a disease-modifying therapeutic for Parkinson’s disease. Herein the results of preclinical evaluations of minzasolmin that formed the basis for subsequent clinical development are described. Pharmacokinetic evaluations of intraperitoneal 1 and 5 mg/kg minzasolmin in wildtype mice revealed parallel and dose-proportional exposures in brain and plasma. Three-month administration studies in the Line 61 transgenic mouse model of PD were conducted to measure ASYN pathology and other PD-relevant endpoints including markers of CNS inflammation, striatal DAT labeling and gait. Reductions in ASYN pathology were correlated with improved aspects of gait and balance, reductions in CNS inflammation marker abundance, and normalized striatal DAT levels. These findings provide support for human dose determinations and have informed the translational strategy for clinical trial design and biomarker selection for the ongoing clinical studies of minzasolmin in patients living with early-stage Parkinson’s disease (ClinicalTrials.gov ID: NCT04658186; EudraCT Number 2020–003265).
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spelling doaj.art-528ea93e40cf43c7b16378bd59b03e202024-03-17T12:19:24ZengNature Portfolionpj Parkinson's Disease2373-80572023-07-019111210.1038/s41531-023-00552-7In vivo effects of the alpha-synuclein misfolding inhibitor minzasolmin supports clinical development in Parkinson’s diseaseDiana L. Price0Asma Khan1Rachel Angers2Alvaro Cardenas3Maria Key Prato4Massimo Bani5Douglas W. Bonhaus6Martin Citron7Anja-Leona Biere8Neuropore Therapies, Inc.Neuropore Therapies, Inc.UCB Biopharma SPRLUCB Biopharma SPRLUCB Biopharma SPRLUCB Biopharma SPRLNeuropore Therapies, Inc.UCB Biopharma SPRLUCB Biopharma SPRLAbstract Direct targeting of alpha-synuclein (ASYN) has emerged as a disease-modifying strategy for Parkinson’s disease and other synucleinopathies which is being approached using both small molecule compounds and ASYN-targeted biologics. Minzasolmin (UCB0599) is an orally bioavailable and brain-penetrant small molecule ASYN misfolding inhibitor in clinical development as a disease-modifying therapeutic for Parkinson’s disease. Herein the results of preclinical evaluations of minzasolmin that formed the basis for subsequent clinical development are described. Pharmacokinetic evaluations of intraperitoneal 1 and 5 mg/kg minzasolmin in wildtype mice revealed parallel and dose-proportional exposures in brain and plasma. Three-month administration studies in the Line 61 transgenic mouse model of PD were conducted to measure ASYN pathology and other PD-relevant endpoints including markers of CNS inflammation, striatal DAT labeling and gait. Reductions in ASYN pathology were correlated with improved aspects of gait and balance, reductions in CNS inflammation marker abundance, and normalized striatal DAT levels. These findings provide support for human dose determinations and have informed the translational strategy for clinical trial design and biomarker selection for the ongoing clinical studies of minzasolmin in patients living with early-stage Parkinson’s disease (ClinicalTrials.gov ID: NCT04658186; EudraCT Number 2020–003265).https://doi.org/10.1038/s41531-023-00552-7
spellingShingle Diana L. Price
Asma Khan
Rachel Angers
Alvaro Cardenas
Maria Key Prato
Massimo Bani
Douglas W. Bonhaus
Martin Citron
Anja-Leona Biere
In vivo effects of the alpha-synuclein misfolding inhibitor minzasolmin supports clinical development in Parkinson’s disease
npj Parkinson's Disease
title In vivo effects of the alpha-synuclein misfolding inhibitor minzasolmin supports clinical development in Parkinson’s disease
title_full In vivo effects of the alpha-synuclein misfolding inhibitor minzasolmin supports clinical development in Parkinson’s disease
title_fullStr In vivo effects of the alpha-synuclein misfolding inhibitor minzasolmin supports clinical development in Parkinson’s disease
title_full_unstemmed In vivo effects of the alpha-synuclein misfolding inhibitor minzasolmin supports clinical development in Parkinson’s disease
title_short In vivo effects of the alpha-synuclein misfolding inhibitor minzasolmin supports clinical development in Parkinson’s disease
title_sort in vivo effects of the alpha synuclein misfolding inhibitor minzasolmin supports clinical development in parkinson s disease
url https://doi.org/10.1038/s41531-023-00552-7
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