Evidence map›Paper›PMID 30992659›Full record

Trial reportDrug design, development and therapy2019

A first-in-human study to investigate the safety, tolerability, pharmacokinetics, and pharmacodynamics of KM-819 (FAS-associated factor 1 inhibitor), a drug for Parkinson's disease, in healthy volunteers.

Wonsuk Shin, Kyoung Soo Lim, Min-Kyoung Kim, Hyun Sook Kim, Jihwa Hong, Stanford Jhee, Joseph Kim, Sungeun Yoo, Yeon-Tae Chung, Jae Moon Lee and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug design, development and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Neuroprotection in Parkinson Disease.Neurology and therapy · 2025
    Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Recent Advances in Clinical Trials in Multiple System Atrophy.Current neurology and neuroscience reports · 2024
    Review
  10. Article
  11. Alpha and Beta Synucleins: From Pathophysiology to Clinical Application as Biomarkers.Movement disorders : official journal of the Movement Disorder Society · 2022
    Review
  12. Review
  13. Review
  14. 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

11 authors at 3 institutions in 2 countries.

Wonsuk ShinDepartment of Clinical Pharmacology and Therapeutics, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Republic of Korea, dooycho@cha.ac.kr.
Kyoung Soo LimDepartment of Clinical Pharmacology and Therapeutics, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Republic of Korea, dooycho@cha.ac.kr.
Min-Kyoung KimDepartment of Clinical Pharmacology and Therapeutics, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Republic of Korea, dooycho@cha.ac.kr.
Hyun Sook KimDepartment of Neurology, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Republic of Korea.
Jihwa HongDepartment of Scientific Affairs, PAREXEL International, Waltham, MA, USA.
Stanford JheeDepartment of Scientific Affairs, PAREXEL International, Waltham, MA, USA.
Joseph KimDepartment of Scientific Affairs, PAREXEL International, Waltham, MA, USA.
Sungeun YooKainos Medicine Inc., Seongnam, Republic of Korea.
Yeon-Tae ChungKainos Medicine Inc., Seongnam, Republic of Korea.
Jae Moon LeeKainos Medicine Inc., Seongnam, Republic of Korea.
Doo-Yeoun ChoDepartment of Clinical Pharmacology and Therapeutics, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Republic of Korea, dooycho@cha.ac.kr.
CHA University Bundang Medical Center · KRKorean Academy of Science and Technology · KRPAREXEL International (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKM-819 is a novel FAS-associated factor 1 (FAF1) inhibitor, and a neuroprotective agent, under clinical development for the treatment of Parkinson's disease as a disease-modifying drug.

methodsThis first-in-human, single and multiple ascending dose study investigated the safety, tolerability, pharmacokinetics, and pharmacodynamics of KM-819 in healthy volunteers. Additionally, the effect of age on safety and pharmacokinetics were assessed. The starting dose was determined considering the no observed adverse effect level based on preclinical studies, and the dose escalations in subsequent cohorts were decided based on safety, tolerability, and pharmacokinetic data from previous dose cohorts.

resultsAfter a single dose, the KM-819 plasma exposure showed a less than dose-proportional increase across a dose range of 10-400 mg. After repeated dosing, KM-819 plasma exposure increased in an approximately dose-proportional manner across the evaluated dose range (30-400 mg once daily for 7 days). The mean elimination half-life was 1.8 to 4.8 h with the lower KM-819 doses (≤30 mg), which increased to around 9 h with the higher doses (100-400 mg). When administered to the elderly population, KM-819 plasma exposure increased to 102% after a 200 mg once-daily dosing for 7 days. No clear treatment-related effects on the estimated pharmacodynamic variables were observed. Single or multiple doses of KM-819 were generally well tolerated.

conclusionThe data from this study can be used to guide rational drug dosing and choose therapeutic regimens in subsequent clinical studies.

Indexed as

Adaptor Proteins, Signal TransducingAdministration, OralAdultApoptosis Regulatory ProteinsDose-Response Relationship, DrugDrug Administration ScheduleDrug ToleranceHealthy VolunteersHumansMaleNeuroprotective AgentsOrganic ChemicalsParkinson DiseaseAdaptor Proteins, Signal TransducingApoptosis Regulatory ProteinsFAF1 protein, humanKM-819Neuroprotective AgentsOrganic Chemicalsfirst-in-humanKM-819pharmacodynamicspharmacokineticssafety

Identifiers

PMID30992659
PMCPMC6445238
OpenAlexW2922882148

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.