Evidence map›Paper›PMID 41919006›Full record

ArticleBMJ neurology open2026

Two phase 1 randomised studies investigating the safety and pharmacokinetics of bepranemab in healthy participants of different ethnicities.

Tim J Buchanan, Colin Ewen, Irene Rebollo Mesa, Massimiliano Germani, Shikiko Watanabe, Joby Jose, Omobola Famodimu, Anny-Odile Colson, Steven De Bruyn

2 registry-linked trialsAbstract readComment
In one paragraph

Article in BMJ neurology open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03464227 phase1completednot on this map

A Subject-Blind, Investigator-Blind, Randomized, Placebo-Controlled, First-in-Human Study to Evaluate Safety and Tolerability, Pharmacokinetics, and Pharmacodynamics of Single Ascending Intravenous Doses of UCB0107 in Healthy Male Subjects

TypeinterventionalSponsorUCB Biopharma S.P.R.L.Ran2018 to 2018Enrolled52ConditionsHealthy Male VolunteersArmsUCB0107, Placebo
NCT03605082 phase1completednot on this map

A Single-center, Investigator-blind, Subject Blind, Randomized, Placebo-controlled Study to Evaluate Safety and Tolerability and Pharmacokinetics of Single Doses of UCB0107 in Healthy Japanese Subjects

TypeinterventionalSponsorUCB Biopharma S.P.R.L.Ran2018 to 2019Enrolled24ConditionsHealthy Japanese VolunteersArmsUCB0107, Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Tim J BuchananUCB, Braine-l'Alleud, Belgium.ORCID https://orcid.org/0000-0003-1218-5420
Colin EwenUCB, Slough, UK.
Irene Rebollo MesaUCB, Madrid, Spain.
Massimiliano GermaniUCB, Braine-l'Alleud, Belgium.
Shikiko WatanabeUCB, Braine-l'Alleud, Belgium.
Joby JoseUCB, Slough, UK.
Omobola FamodimuUCB, Oakville, Ontario, Canada.
Anny-Odile ColsonUCB, Braine-l'Alleud, Belgium.
Steven De BruynUCB, Braine-l'Alleud, Belgium.ORCID https://orcid.org/0009-0001-4853-7339

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Bepranemab is a recombinant, humanised, full-length IgG4 monoclonal antibody targeting a mid-region tau epitope. Two phase 1 studies assessed the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of bepranemab. Methods: UP0047 (NCT03464227) and UP0065 (NCT03605082) were phase 1, double-blind, placebo-controlled, single-dose, dose-escalation studies of intravenous bepranemab in healthy participants (Caucasian and Japanese descent, respectively). Primary endpoint: safety and tolerability of single ascending doses of bepranemab. PK were assessed in serum and cerebrospinal fluid (CSF); PD (levels of free tau) in CSF. A physiologically based PK/PD (PBPK/PD) model was developed to predict dose response. Results: UP0047: Caucasian participants (N=52) were randomised to bepranemab 0.3 mg/kg, n=2; 1 mg/kg, n=6; 3 mg/kg, n=6; 10 mg/kg, n=6; 30 mg/kg, n=6; 60 mg/kg, n=6; 120 mg/kg, n=6; placebo, n=14). UP0065: participants of Japanese descent (N=24) were randomised to bepranemab 30 mg/kg, n=6; 60 mg/kg, n=6; 120 mg/kg, n=6; placebo, n=6). No serious treatment-emergent adverse events (TEAEs) or discontinuations due to TEAEs were observed. One participant (bepranemab 60 mg/kg) experienced treatment-related TEAEs of headache (moderate intensity), nausea and vomiting (mild intensity). There was no effect of ethnicity on PK parameters. A dose-response effect of bepranemab on free tau levels was observed. Data applied to a PBPK/PD model supported a dose of 90 mg/kg of bepranemab every 4 weeks to achieve a reduction in mean change from baseline in free tau levels of up to 90%. Conclusions: Safety, PK and PD data support continued investigation of bepranemab for the treatment of tauopathies.

Indexed as

ALZHEIMER'S DISEASECLINICAL NEUROLOGYRANDOMISED TRIALSSUPRANUCLEAR PALSY

Identifiers

PMID41919006
PMCPMC13034317

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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.