Table 2.
GBA-targeting treatments for PD in the clinical phase aiming at modulation of glycosphingolipid turnover and restoration of enzyme function
GBA | MOVES-PD study Part 1 | MOVES-PD study Part 2 | AiM-PD | |||
---|---|---|---|---|---|---|
Compound | Venglustat (GZ/SAR402671) | Ambroxol | RTB101 | LTI-291 | PR001 | |
Administration | Oral | Oral | Oral | Oral | Injections | |
Sponsor | Sanofi | UCL and Cure PD Trust | Restorbio | LTI/Allergan | Prevail | |
RCT No | NCT02906020 | NCT02941822 | (NL7061; NTR7299)a | |||
Mechanism |
Glucosylceramide synthase inhibiton; reduction of GBA-related GSLs |
GCase activation | TORC1 inhibition | GCase activation | Gene therapy, AAV-based | |
Status | Completed |
Recruiting, estimated primary completion 2021 |
Estimated completion 04-2018 | Ongoing; data expected 2020 | Recruiting in Leiden (NL) | Clinical centers initiated |
Phase | 2 | 2a | 1b/2a | 1b | 1b | |
Design | Multicenter, randomized, double-blind, placebo–controlled, sequential cohort | Prospective, single-centre, open label | Multicenter 2:1 randomized double-blind, placebo-controlled | Multicenter, 2:1 randomized, double-blind, placebo-controlled | Randomized, placebo-controlled, double-blind, parallel study | Randomized, double-blind, sham procedure-controlled, ascending dose study |
Total N of part | 17 | 10 + 10 | 45 | Apprx. 40 | 30/16 | |
GBA-PD | ||||||
Idiopathic PD | No | No | ||||
Age | 18–80 yrs (mean 58 yrs) | 40–80 yrs | 18 years or older | |||
Duration | 36 weeks | 52 weeks + 104 weeks extension | 6 months | 4 weeks | 28 days | |
Doses tested | 3 escalating doses | 1 dose | 5 escalating doses | 300 mg; ± sirolimus | 10 or 60 mg once daily | Two escalating dose cohorts |
asee https://www.trialregister.nl/trial/7061 for more information