Evidence map›Paper›PMID 41014124›Full record

Trial reportMovement disorders : official journal of the Movement Disorder Society2025

AZP2006 in Progressive Supranuclear Palsy: Outcomes from a Phase 2a Multicenter, Randomized Trial, and Open-Label Extension on Safety, Biomarkers, and Disease Progression.

Jean-Christophe Corvol, Mickael Alexandre Obadia, Caroline Moreau, Louise-Laure Mariani, Jean-Philippe Brandel, David Devos, Sara Sambin, Nicolas Carrière, Günter Höglinger, Marie Lebouteux and 8 more

Abstract readRandomized Controlled TrialMulticenter StudyClinical Trial, Phase II
In one paragraph

Trial report in Movement disorders : official journal of the Movement Disorder Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

18 authors.

Jean-Christophe CorvolSorbonne Université, Assistance Publique Hôpitaux de Paris, Paris Brain Institute, ICM, Inserm, CNRS, Department of Neurology, CIC Neurosciences, Hôpital Pitié-Salpêtrière, Paris, France.ORCID https://orcid.org/0000-0001-7325-0199
Mickael Alexandre ObadiaHospital Foundation Adolphe de Rothschild, Neurology Federation, Parkinson Unit, Paris, France.
Caroline MoreauLille University. Inserm 1172, Department of Neurology, CHU Lille, Lille, France.
Louise-Laure MarianiSorbonne Université, Assistance Publique Hôpitaux de Paris, Paris Brain Institute, ICM, Inserm, CNRS, Department of Neurology, CIC Neurosciences, Hôpital Pitié-Salpêtrière, Paris, France.
Jean-Philippe BrandelHospital Foundation Adolphe de Rothschild, Neurology Federation, Parkinson Unit, Paris, France.
David DevosLille University. Inserm 1172, Department of Neurology, CHU Lille, Lille, France.
Sara SambinSorbonne Université, Assistance Publique Hôpitaux de Paris, Paris Brain Institute, ICM, Inserm, CNRS, Department of Neurology, CIC Neurosciences, Hôpital Pitié-Salpêtrière, Paris, France.
Nicolas CarrièreLille University. Inserm 1172, Department of Neurology, CHU Lille, Lille, France.
Günter HöglingerDepartment of Neurology, LMU University Hospital, Ludwig-Maximilians-Universität (LMU), German Center for Neurodegenerative Diseases (DZNE), Cluster for Systems Neurology (SyNergy), Munich, Germany.ORCID https://orcid.org/0000-0001-7587-6187
Marie LebouteuxHospital Foundation Adolphe de Rothschild, Neurology Federation, Parkinson Unit, Paris, France.
Graziella MangoneSorbonne Université, Assistance Publique Hôpitaux de Paris, Paris Brain Institute, ICM, Inserm, CNRS, Department of Neurology, CIC Neurosciences, Hôpital Pitié-Salpêtrière, Paris, France.
Noelle CallizotAlzprotect, Loos, France.
Aurélien BlondelAlzprotect, Loos, France.
Olivier DefertAlzprotect, Loos, France.
Cecilia EstrellaAlzprotect, Loos, France.
Artin KarapetAlzprotect, Loos, France.
Philippe VerwaerdeAlzprotect, Loos, France.ORCID https://orcid.org/0000-0002-0184-1990
Luc DefebvreLille University. Inserm 1172, Department of Neurology, CHU Lille, Lille, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim was to evaluate the safety, tolerability, pharmacokinetics, and potential clinical efficacy of AZP2006, an oral pleiotropic drug modulating progranulin levels, in patients with progressive supranuclear palsy (PSP), a rare tauopathy.

methodsA randomized, double-blind, placebo-controlled, parallel-group trial was conducted at three sites in France. Eligible participants (age 40-80 years, diagnosed with probable or possible PSP) were randomized to receive AZP2006 (60 mg once per day [QD] or 80/50 mg QD [80 mg for 10 days followed by 50 mg]) or placebo for 12 weeks. Assessments included safety, pharmacokinetics (plasma and whole blood), pharmacodynamics (cerebrospinal fluid and plasma biomarkers), and exploratory clinical efficacy (PSP rating scale, clinical global impression, and activities of daily living). Approximately 2 years post-trial, an open-label extension (OLE) enrolled 15 patients who received active treatment (AZP2006) for 6 months.

resultsForty-one patients were screened, 36 randomized, and 34 completed the study. AZP2006 demonstrated acceptable tolerability and safety with no treatment-related serious adverse events. Pharmacokinetic analysis confirmed rapid absorption, a long half-life (60 mg: 764.3 hours; 80/50 mg: 684.7 hours), and steady-state by day 45 (60 mg) and day 28 (80/50 mg). Biomarker analyses indicated blood-brain barrier crossing, target engagement, and stabilized progranulin levels. Trends in efficacy favored slower disease progression in AZP2006 groups. The OLE demonstrated a slowed progression of the disease and revealed no notable safety concerns.

conclusionsAZP2006 was well-tolerated and demonstrated favorable trends in biomarker and clinical outcomes. These preliminary signals support further investigation to determine whether a meaningful clinical benefit can be achieved in PSP with AZP2006. © 2025 The Author(s). Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Indexed as

Supranuclear Palsy, ProgressiveAdultAgedAged, 80 and overBiomarkersDisease ProgressionDouble-Blind MethodFemaleHumansMaleMiddle AgedProgranulinsTreatment OutcomeBiomarkersProgranulinslysosomeprogranulinprogressive supranuclear palsytauopathy

Identifiers

PMID41014124
PMCPMC12710188

What OpenQuestion holds

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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.