Evidence map›Paper›PMID 29522513›Full record

ArticlePloS one2018

Fosmetpantotenate (RE-024), a phosphopantothenate replacement therapy for pantothenate kinase-associated neurodegeneration: Mechanism of action and efficacy in nonclinical models.

Daniel Elbaum, Maria G Beconi, Edith Monteagudo, Annalise Di Marco, Maria S Quinton, Kathryn A Lyons, Andrew Vaino, Steven Harper

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.9field-weighted citation impact, top 14% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 26 citations in OpenAlex.

  1. Fosmetpantotenate Randomized Controlled Trial in Pantothenate Kinase-Associated Neurodegeneration.Movement disorders : official journal of the Movement Disorder Society · 2021
    Trial
  2. Review
  3. Review
  4. Metabolomic and proteomic applications to exercise biomedicine.Translational exercise biomedicine · 2024
    Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Bi-Allelic Mutations in ZebrafishInternational journal of molecular sciences · 2022
    Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. The ProTide Prodrug Technology: Where Next?ACS medicinal chemistry letters · 2019
    Article
  20. Article
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

8 authors at 1 institution in 1 country.

Daniel ElbaumResearch and Development, Retrophin Inc., Cambridge, Massachusetts, United States of America.ORCID 0000-0002-6012-7965
Maria G BeconiResearch and Development, Retrophin Inc., Cambridge, Massachusetts, United States of America.
Edith MonteagudoPreclinical Research, IRBM Science Park SpA, Pomezia, Rome, Italy.
Annalise Di MarcoIn-vitro Pharmacology, IRBM Science Park SpA, Pomezia, Rome, Italy.
Maria S QuintonResearch and Development, Retrophin Inc., Cambridge, Massachusetts, United States of America.
Kathryn A LyonsIndependent consultant, Holland, New York, United States of America.
Andrew VainoResearch and Development, Retrophin Inc., Cambridge, Massachusetts, United States of America.
Steven HarperMedicinal Chemistry, IRBM Science Park SpA, Pomezia, Rome, Italy.
IRBM Science Park · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In cells, phosphorylation of pantothenic acid to generate phosphopantothenic acid by the pantothenate kinase enzymes is the first step in coenzyme A synthesis. Pantothenate kinase 2, the isoform localized in neuronal cell mitochondria, is dysfunctional in patients with pantothenate kinase-associated neurodegeneration. Fosmetpantotenate is a phosphopantothenic acid prodrug in clinical development for treatment of pantothenate kinase-associated neurodegeneration, which aims to replenish phosphopantothenic acid in patients. Fosmetpantotenate restored coenzyme A in short-hairpin RNA pantothenate kinase 2 gene-silenced neuroblastoma cells and was permeable in a blood-brain barrier model. The rate of fosmetpantotenate metabolism in blood is species-dependent. Following up to 700 mg/kg orally, blood exposure to fosmetpantotenate was negligible in rat and mouse, but measurable in monkey. Consistent with the difference in whole blood half-life, fosmetpantotenate dosed orally was found in the brains of the monkey (striatal dialysate) but was absent in mice. Following administration of isotopically labeled-fosmetpantotenate to mice, ~40% of liver coenzyme A (after 500 mg/kg orally) and ~50% of brain coenzyme A (after 125 μg intrastriatally) originated from isotopically labeled-fosmetpantotenate. Additionally, 10-day dosing of isotopically labeled-fosmetpantotenate, 12.5 μg, intracerebroventricularly in mice led to ~30% of brain coenzyme A containing the stable isotopic labels. This work supports the hypothesis that fosmetpantotenate acts to replace reduced phosphopantothenic acid in pantothenate kinase 2-deficient tissues.

Indexed as

Disease Models, AnimalAnimalsBlood-Brain BarrierCell Line, TumorCoenzyme AHumansMacaca fascicularisMaleMice, Inbred C57BLNeuronsPantothenate Kinase-Associated NeurodegenerationPantothenic AcidPhosphotransferases (Alcohol Group Acceptor)ProdrugsRats, Sprague-DawleyRNA InterferenceCoenzyme Afosmetpantotenatepantothenate kinasePantothenic Acidphosphopantothenic acidPhosphotransferases (Alcohol Group Acceptor)Prodrugs

Identifiers

PMID29522513
PMCPMC5844530
OpenAlexW2793992286

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.