Evidence map›Paper›PMID 33351971›Full record

Trial reportBritish journal of clinical pharmacology2021

First-in-man study to investigate safety, pharmacokinetics and exploratory pharmacodynamics of HTL0018318, a novel M

Charlotte Bakker, Tim Tasker, Jan Liptrot, Ellen P Hart, Erica S Klaassen, Samantha Prins, Thalia F van der Doef, Giles A Brown, Alastair Brown, Miles Congreve and 5 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of clinical pharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.7field-weighted citation impact, top 34% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

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  7. Muscarinic control of cardiovascular function in humans: a review of current clinical evidence.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2024
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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

15 authors at 5 institutions in 3 countries.

Charlotte BakkerCentre for Human Drug Research (CDHR), Leiden, Netherlands.ORCID 0000-0001-9822-2354
Tim TaskerSosei Heptares, Cambridge, UK.
Jan LiptrotSosei Heptares, Cambridge, UK.
Ellen P HartCentre for Human Drug Research (CDHR), Leiden, Netherlands.
Erica S KlaassenCentre for Human Drug Research (CDHR), Leiden, Netherlands.
Samantha PrinsCentre for Human Drug Research (CDHR), Leiden, Netherlands.
Thalia F van der DoefCentre for Human Drug Research (CDHR), Leiden, Netherlands.
Giles A BrownOMass Therapeutics Ltd, Oxford, UK.
Alastair BrownSosei Heptares, Cambridge, UK.
Miles CongreveSosei Heptares, Cambridge, UK.
Malcolm WeirSosei Heptares, Cambridge, UK.
Fiona H MarshallMerck Sharp & Dohme Limited, London, UK.
David M CrossCross Pharma Consulting Limited, Cambridge, UK.
Geert Jan GroeneveldCentre for Human Drug Research (CDHR), Leiden, Netherlands.
Pradeep J NathanSosei Heptares, Cambridge, UK.
Centre for Human Drug Research · NLHeptares Therapeutics (United Kingdom) · GBLeiden University Medical Center · NLMSD (UK) Limited (United Kingdom) · GBUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsHTL0018318 is a selective M

methodsThis randomized, double-blind, placebo-controlled study in 40 healthy younger adult and 57 healthy elderly subjects, investigated oral doses of 1-35 mg HTL0018318. Pharmacodynamic assessments were performed using a battery of neurocognitive tasks and electrophysiological measurements. Cerebrospinal fluid concentrations of HTL0018318 and food effects on pharmacokinetics of HTL0018318 were investigated in an open label and partial cross-over design in 14 healthy subjects.

resultsPharmacokinetics of HTL0018318 were well-characterized showing dose proportional increases in exposure from 1-35 mg. Single doses of HTL0018318 were associated with mild dose-related adverse events of low incidence in both younger adult and elderly subjects. The most frequently reported cholinergic AEs included hyperhidrosis and increases in blood pressure up to 10.3 mmHg in younger adults (95% CI [4.2-16.3], 35-mg dose) and up to 11.9 mmHg in elderly subjects (95% CI [4.9-18.9], 15-mg dose). There were no statistically significant effects on cognitive function but the study was not powered to detect small to moderate effect sizes of clinical relevance.

conclusionHTL0018318 showed well-characterized pharmacokinetics and following single doses were generally well tolerated in the dose range studied. These provide encouraging data in support of the development for HTL0018318 for Alzheimer's disease and other dementias.

Indexed as

Alzheimer DiseaseAdultAgedArea Under CurveCross-Over StudiesDose-Response Relationship, DrugDouble-Blind MethodHumansAlzheimer's diseasehealthy subjectsmuscarinicpharmacokineticssafety

Identifiers

PMID33351971
PMCPMC8359307
OpenAlexW3113707451

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.