Evidence map›Paper›PMID 40166927›Full record

Trial reportAnnals of clinical and translational neurology2025

Phase 1, First-In-Human, Single-/Multiple-Ascending Dose Study of Iluzanebart in Healthy Volunteers.

Andreas Meier, Spyros Papapetropoulos, Andrew Marsh, Kelly Neelon, David Stiles, Ryan O'Mara, Evan A Thackaberry, Marco Colonna, Raj Rajagovindan

Abstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Annals of clinical and translational neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. TREM2-Targeting peptide tracer for neuroinflammation PET imaging.European journal of nuclear medicine and molecular imaging · 2026
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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

9 authors.

Andreas MeierFormerly Vigil Neuroscience, Inc., Watertown, Massachusetts, USA.
Spyros PapapetropoulosFormerly Vigil Neuroscience, Inc., Watertown, Massachusetts, USA.
Andrew MarshFormerly Vigil Neuroscience, Inc., Watertown, Massachusetts, USA.
Kelly NeelonFormerly Vigil Neuroscience, Inc., Watertown, Massachusetts, USA.
David StilesFormerly Vigil Neuroscience, Inc., Watertown, Massachusetts, USA.
Ryan O'MaraVigil Neuroscience, Inc., Watertown, Massachusetts, USA.
Evan A ThackaberryVigil Neuroscience, Inc., Watertown, Massachusetts, USA.
Marco ColonnaDepartment of Pathology and Immunology, Washington University School of Medicine, St Louis, Missouri, USA.
Raj RajagovindanFormerly Vigil Neuroscience, Inc., Watertown, Massachusetts, USA.

Funding

Vigil Neuroscience Inc
6 · The paper itself

Abstract

objectiveTo evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of iluzanebart, a fully human monoclonal antibody TREM2 (triggering receptor expressed on myeloid cells 2) agonist, after single- (SAD) and multiple-ascending-dose (MAD) administration.

methodsHealthy adult volunteers (N = 136) received intravenous placebo or iluzanebart 1-60 mg/kg (SAD) or 10-60 mg/kg (MAD) followed by serial pharmacokinetics and safety assessments. Safety assessments included adverse events (AEs), vital signs, electrocardiograms, and clinical laboratory evaluations. Pharmacokinetics were assessed through noncompartmental analysis. The study also included open-label cohorts (3, 10, 20, 40, 60 mg/kg SAD; 10, 20, 40 mg/kg MAD) for cerebrospinal fluid (CSF) collection for exploratory pharmacodynamic biomarker analysis.

resultsIluzanebart was safe and well tolerated following single and multiple doses of up to 60 mg/kg. Most AEs were mild and resolved spontaneously. The most frequently reported AE was pruritus. No serious AEs or investigational product-related clinically meaningful changes in vital signs, electrocardiograms, or laboratory assessments were reported. Iluzanebart serum exposure was related to dose, with a 29-day half-life that is supportive of monthly dosing and confirmed central nervous system (CNS) exposure (≈0.15% CSF-to-serum ratio). Durable and dose-dependent target engagement, evidenced by marked reductions in soluble TREM2 and increased soluble CSF1R (colony-stimulating factor 1 receptor) and osteopontin/SPP1 (secreted phosphoprotein 1) levels in CSF, was observed, indicating that iluzanebart changes microglial activity following single and repeat dosing.

interpretationIluzanebart demonstrated favorable safety, tolerability, pharmacokinetics, and pharmacological activity in the CNS, supporting further clinical development for adult-onset leukoencephalopathy with axonal spheroids and pigmented glia.

Indexed as

Antibodies, MonoclonalAntibodies, Monoclonal, HumanizedMembrane GlycoproteinsReceptors, ImmunologicAdolescentAdultDose-Response Relationship, DrugFemaleHealthy VolunteersHumansMaleMiddle AgedYoung AdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedMembrane GlycoproteinsReceptors, ImmunologicTREM2 protein, humanadult‐onset leukoencephalopathy with axonal spheroids and pigmented gliaCSF‐1 receptoriluzanebartmicrogliaTREM2

Identifiers

PMID40166927
PMCPMC12093347

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Registered trials

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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.