Evidence map›Paper›PMID 33576113›Full record

ArticleBritish journal of clinical pharmacology2021

A randomized single and multiple ascending dose study in healthy volunteers of LTI-291, a centrally penetrant glucocerebrosidase activator.

Jonas M den Heijer, Annelieke C Kruithof, Guido van Amerongen, Marieke L de Kam, Eva Thijssen, Hendrika W Grievink, Matthijs Moerland, Mike Walker, Kees Been, Renato Skerlj and 6 more

Open access · hybridAbstract read
In one paragraph

Article 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 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. The Race to Salvage Glucocerebrosidase: Understanding Small-Molecule Therapies for GBA1-Associated Parkinsonism.Movement disorders : official journal of the Movement Disorder Society · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. International Genetic Testing and Counseling Practices for Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2023
    Article
  12. Review
  13. iPSC-derived neural precursor cells engineeringMolecular therapy. Methods & clinical development · 2023
    Article
  14. Parkinson's disease therapy: what lies ahead?Journal of neural transmission (Vienna, Austria : 1996) · 2023
    Review
  15. Review
  16. Recent Advances in Drug Therapy for Parkinson's Disease.Internal medicine (Tokyo, Japan) · 2023
    Review
  17. Targeting protein clearance pathways inExpert opinion on therapeutic targets · 2022
    Article
  18. Review
  19. Glucocerebrosidase mutations and Parkinson disease.Journal of neural transmission (Vienna, Austria : 1996) · 2022
    Review
  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

16 authors at 5 institutions in 3 countries.

Jonas M den HeijerCentre for Human Drug Research, Leiden, The Netherlands.ORCID 0000-0002-2272-7978
Annelieke C KruithofCentre for Human Drug Research, Leiden, The Netherlands.
Guido van AmerongenCentre for Human Drug Research, Leiden, The Netherlands.
Marieke L de KamCentre for Human Drug Research, Leiden, The Netherlands.
Eva ThijssenCentre for Human Drug Research, Leiden, The Netherlands.
Hendrika W GrievinkCentre for Human Drug Research, Leiden, The Netherlands.
Matthijs MoerlandCentre for Human Drug Research, Leiden, The Netherlands.
Mike WalkerCertara, QSP, Canterbury, CT2 7FG, UK.
Kees BeenLysosomal Therapeutics Inc., Cambridge, MA, USA.
Renato SkerljLysosomal Therapeutics Inc., Cambridge, MA, USA.
Craig JustmanLysosomal Therapeutics Inc., Cambridge, MA, USA.
Lindsay DudgeonLysosomal Therapeutics Inc., Cambridge, MA, USA.
Peter LansburyLysosomal Therapeutics Inc., Cambridge, MA, USA.
Valerie C CullenLysosomal Therapeutics Inc., Cambridge, MA, USA.
Dana C HiltLysosomal Therapeutics Inc., Cambridge, MA, USA.
Geert Jan GroeneveldCentre for Human Drug Research, Leiden, The Netherlands.
Leiden University Medical Center · NLLysosomal Therapeutics (United States) · USCentre for Human Drug Research · NLHarvard University · USUniversity of Kent · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsA mutation in the GBA1 gene is the most common genetic risk factor for developing Parkinson's disease. GBA1 encodes the lysosomal enzyme glucosylceramidase beta (glucocerebrosidase, GCase) and mutations decrease enzyme activity. LTI-291 is an allosteric modulator of GCase, enhancing its activity. These first-in-human studies evaluated the safety, tolerability, pharmacokinetics and pharmacodynamics of single and multiple ascending doses of LTI-291 in healthy volunteers.

methodsIn the single ascending dose (SAD) study, 40 healthy volunteers were randomly assigned to LTI-291 (n = 8 per dose level) or placebo (n = 2 per dose level). Single doses of 3, 10, 30 and 90 mg LTI-291 were investigated. In the multiple ascending dose (MAD) study, 40 healthy middle-aged or elderly volunteers were randomly assigned to LTI-291 (n = 8 per dose level) or placebo (n = 2 per dose level). Fourteen consecutive daily doses of 3, 10, 30 and 60 mg LTI-291 or placebo were administered. In both the SAD and MAD studies, glycosphingolipid levels were measured and a test battery of neurocognitive tasks was performed.

resultsLTI-291 was generally well tolerated and no deaths or treatment-related SAEs occurred and no subject withdrew from a study due to AEs. C

conclusionsThese first-in-human studies demonstrated that LTI-291 was well tolerated when given orally once daily for 14 consecutive days. This supports the continued clinical development and the exploration of LTI-291 effects in a GBA1-mutated Parkinson population.

Indexed as

GlucosylceramidaseParkinson DiseaseAgedArea Under CurveDose-Response Relationship, DrugDouble-Blind MethodHealthy VolunteersHumansMiddle AgedGlucosylceramidaseclinical trialdisease modificationGBAParkinson's diseasephase 1

Identifiers

PMID33576113
PMCPMC8451761
OpenAlexW3127859441

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.