Evidence map›Paper›PMID 35241644›Full record

Trial reportNature communications2022

An orally available, brain penetrant, small molecule lowers huntingtin levels by enhancing pseudoexon inclusion.

Caroline Gubser Keller, Youngah Shin, Alex Mas Monteys, Nicole Renaud, Martin Beibel, Natalia Teider, Thomas Peters, Thomas Faller, Sophie St-Cyr, Judith Knehr and 11 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIClinical Trial, Phase I
In one paragraph

Trial report in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02268552 (An Open Label Multi-part First-in-human Study of Oral LMI070 in Infants With Type 1 Spinal Muscular Atrophy), which is not on this map. Cited by 71 papers.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed
11.5field-weighted citation impact, top 1% 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.

NCT02268552 phase1 / phase2completednot on this map

An Open Label Multi-part First-in-human Study of Oral LMI070 in Infants With Type 1 Spinal Muscular Atrophy

TypeinterventionalSponsorNovartis PharmaceuticalsRan2015 to 2022Enrolled40ConditionsSpinal Muscular AtrophyArmsbranaplam
3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 118 citations in OpenAlex.

  1. Trial
  2. Trial
  3. The cellular landscape of druggable RNA-binding proteins.Nature reviews. Drug discovery · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Depleting prion protein using splice-switching small molecules.bioRxiv : the preprint server for biology · 2026
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Sequence-Independent RNA Sensing in Living Mammalian Cells.bioRxiv : the preprint server for biology · 2025
    Article
  19. Article
  20. Article

11 more citing papers are in PubMed but not listed here.

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

21 authors at 4 institutions in 3 countries.

Caroline Gubser Keller *Novartis Institutes for Biomedical Research, Basel, Switzerland.ORCID 0000-0001-9459-6076
Youngah Shin *Novartis Institutes for Biomedical Research, Cambridge, MA, USA.
Alex Mas Monteys *The Raymond G Perelman Center for Cellular and Molecular Therapeutics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Nicole RenaudNovartis Institutes for Biomedical Research, Cambridge, MA, USA.
Martin BeibelNovartis Institutes for Biomedical Research, Basel, Switzerland.
Natalia TeiderNovartis Institutes for Biomedical Research, Cambridge, MA, USA.
Thomas PetersNovartis Institutes for Biomedical Research, Basel, Switzerland.
Thomas FallerNovartis Institutes for Biomedical Research, Basel, Switzerland.
Sophie St-CyrThe Raymond G Perelman Center for Cellular and Molecular Therapeutics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID 0000-0003-2448-9202
Judith KnehrNovartis Institutes for Biomedical Research, Basel, Switzerland.
Guglielmo RomaNovartis Institutes for Biomedical Research, Basel, Switzerland.
Alejandro ReyesNovartis Institutes for Biomedical Research, Basel, Switzerland.
Marc HildNovartis Institutes for Biomedical Research, Cambridge, MA, USA.ORCID 0000-0001-6039-2518
Dmitriy LukashevNovartis Institutes for Biomedical Research, Cambridge, MA, USA.
Diethilde TheilNovartis Institutes for Biomedical Research, Basel, Switzerland.
Natalie DalesNovartis Institutes for Biomedical Research, Cambridge, MA, USA.ORCID 0000-0002-2369-7221
Jang-Ho ChaNovartis Institutes for Biomedical Research, Cambridge, MA, USA.
Beth BorowskyNovartis Pharmaceuticals, East Hanover, NJ, USA.
Ricardo DolmetschNovartis Institutes for Biomedical Research, Cambridge, MA, USA.
Beverly L DavidsonThe Raymond G Perelman Center for Cellular and Molecular Therapeutics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. davidsonbl@chop.edu.ORCID 0000-0002-3715-6290
Rajeev SivasankaranNovartis Institutes for Biomedical Research, Cambridge, MA, USA. rajeev.sivasankaran@novartis.com.ORCID 0000-0003-3917-0181
Novartis (United States) · USNovartis (Switzerland) · CHChildren's Hospital of Philadelphia · USNovartis (China) · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Huntington's Disease (HD) is a progressive neurodegenerative disorder caused by CAG trinucleotide repeat expansions in exon 1 of the huntingtin (HTT) gene. The mutant HTT (mHTT) protein causes neuronal dysfunction, causing progressive motor, cognitive and behavioral abnormalities. Current treatments for HD only alleviate symptoms, but cerebral spinal fluid (CSF) or central nervous system (CNS) delivery of antisense oligonucleotides (ASOs) or virus vectors expressing RNA-induced silencing (RNAi) moieties designed to induce mHTT mRNA lowering have progressed to clinical trials. Here, we present an alternative disease modifying therapy the orally available, brain penetrant small molecule branaplam. By promoting inclusion of a pseudoexon in the primary transcript, branaplam lowers mHTT protein levels in HD patient cells, in an HD mouse model and in blood samples from Spinal Muscular Atrophy (SMA) Type I patients dosed orally for SMA (NCT02268552). Our work paves the way for evaluating branaplam's utility as an  HD therapy, leveraging small molecule splicing modulators to reduce expression of dominant disease genes by driving pseudoexon inclusion.

Indexed as

Huntington DiseaseAnimalsBrainDisease Models, AnimalHumansHuntingtin ProteinMiceOligonucleotides, AntisenseTrinucleotide Repeat ExpansionHuntingtin ProteinOligonucleotides, Antisense

Identifiers

PMID35241644
PMCPMC8894458
OpenAlexW4221115405

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.