» Articles » PMID: 38356474

Phase 1 Study of Latozinemab in Progranulin-associated Frontotemporal Dementia

Overview
Date 2024 Feb 15
PMID 38356474
Authors
Affiliations
Soon will be listed here.
Abstract

Introduction: Heterozygous mutations in the gene lead to reduced progranulin (PGRN) levels in plasma and cerebrospinal fluid (CSF) and are causative of frontotemporal dementia (FTD) with > 90% penetrance. Latozinemab is a human monoclonal immunoglobulin G1 antibody that is being developed to increase PGRN levels in individuals with FTD caused by heterozygous loss-of-function mutations.

Methods: A first-in-human phase 1 study was conducted to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of multiple-dose intravenous administration of latozinemab in eight symptomatic participants with FTD caused by a heterozygous loss-of-function mutation (FTD-).

Results: Latozinemab demonstrated favorable safety and PK/PD profiles. Multiple-dose administration of latozinemab increased plasma and CSF PGRN levels in participants with FTD- to levels that approximated those seen in healthy volunteers.

Discussion: Data from the first-in-human phase 1 study support further development of latozinemab for the treatment of FTD-.

Highlights: mutations decrease progranulin (PGRN) and cause frontotemporal dementia (FTD).Latozinemab is being developed as a PGRN-elevating therapy.Latozinemab demonstrated a favorable safety profile in a phase 1 clinical trial.Latozinemab increased PGRN levels in the CNS of symptomatic FTD- participants.

Citing Articles

Histone post-translational modification and heterochromatin alterations in neurodegeneration: revealing novel disease pathways and potential therapeutics.

Fisher R, Torrente M Front Mol Neurosci. 2024; 17:1456052.

PMID: 39346681 PMC: 11427407. DOI: 10.3389/fnmol.2024.1456052.


Phase 1 study of latozinemab in progranulin-associated frontotemporal dementia.

Ward M, Carter L, Huang J, Maslyar D, Budda B, Paul R Alzheimers Dement (N Y). 2024; 10(1):e12452.

PMID: 38356474 PMC: 10865485. DOI: 10.1002/trc2.12452.

References
1.
Renton A, Majounie E, Waite A, Simon-Sanchez J, Rollinson S, Gibbs J . A hexanucleotide repeat expansion in C9ORF72 is the cause of chromosome 9p21-linked ALS-FTD. Neuron. 2011; 72(2):257-68. PMC: 3200438. DOI: 10.1016/j.neuron.2011.09.010. View

2.
Kurnellas M, Mitra A, Schwabe T, Paul R, Arrant A, Roberson E . Latozinemab, a novel progranulin-elevating therapy for frontotemporal dementia. J Transl Med. 2023; 21(1):387. PMC: 10268535. DOI: 10.1186/s12967-023-04251-y. View

3.
Ghidoni R, Benussi L, Glionna M, Franzoni M, Binetti G . Low plasma progranulin levels predict progranulin mutations in frontotemporal lobar degeneration. Neurology. 2008; 71(16):1235-9. DOI: 10.1212/01.wnl.0000325058.10218.fc. View

4.
Seelaar H, Rohrer J, Pijnenburg Y, Fox N, Van Swieten J . Clinical, genetic and pathological heterogeneity of frontotemporal dementia: a review. J Neurol Neurosurg Psychiatry. 2010; 82(5):476-86. DOI: 10.1136/jnnp.2010.212225. View

5.
Youn B, Bang S, Kloting N, Park J, Lee N, Oh J . Serum progranulin concentrations may be associated with macrophage infiltration into omental adipose tissue. Diabetes. 2008; 58(3):627-36. PMC: 2646061. DOI: 10.2337/db08-1147. View