PMID- 30581980 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220330 IS - 2352-8737 (Electronic) IS - 2352-8737 (Linking) VI - 4 DP - 2018 TI - A randomized, single ascending dose study of intravenous BIIB092 in healthy participants. PG - 746-755 LID - 10.1016/j.trci.2018.10.007 [doi] AB - INTRODUCTION: Extracellular tau is hypothesized to mediate the onset and progression of tauopathies, including Alzheimer's disease, progressive supranuclear palsy, and a subset of frontotemporal lobar degenerations. A putative strategy for treating these disorders is to reduce extracellular tau levels using tau-directed immunotherapy. The results of the first-in-human study of BIIB092 (formerly BMS-986168/IPN007), a humanized monoclonal antibody that binds to N-terminal tau, are reported here. This randomized, double-blind, single ascending dose study evaluated the safety, tolerability, pharmacokinetics, pharmacodynamics, and immunogenicity profile of BIIB092 after a single intravenous infusion in healthy participants. METHODS: Sixty-five participants were randomized to receive a single intravenous infusion of placebo or BIIB092 at doses of 21, 70, 210, 700, 2100, or 4200 mg (or 700 or 2100 mg for Japanese participants). Serial blood and cerebrospinal fluid samples were obtained for assessment of pharmacokinetic parameters and unbound N-terminal tau suppression. RESULTS: There were no deaths, serious adverse events (AEs), severe AEs, or discontinuations due to an AE. The majority of AEs were mild. Serum BIIB092 concentrations increased in a dose-proportional manner and suppressed unbound cerebrospinal fluid N-terminal tau by 67%-97% at 28 days after dose, with doses of >/=210 mg producing persistent unbound N-terminal tau suppression over 12 weeks. Levels of cerebrospinal fluid N-terminal tau suppression were similar for Japanese and non-Japanese participants. DISCUSSION: BIIB092 was generally safe and well tolerated after a single dose of up to 4200 mg, and up to 2100 mg in Japanese participants. BIIB092 exhibited a dose-dependent increase in the extent and duration of unbound N-terminal tau suppression. FAU - Qureshi, Irfan A AU - Qureshi IA AD - Bristol-Myers Squibb, Lawrenceville, NJ, USA. FAU - Tirucherai, Giridhar AU - Tirucherai G AD - Bristol-Myers Squibb, Lawrenceville, NJ, USA. FAU - Ahlijanian, Michael K AU - Ahlijanian MK AD - Bristol-Myers Squibb, Lawrenceville, NJ, USA. FAU - Kolaitis, Gerry AU - Kolaitis G AD - Bristol-Myers Squibb, Lawrenceville, NJ, USA. FAU - Bechtold, Clifford AU - Bechtold C AD - Bristol-Myers Squibb, Lawrenceville, NJ, USA. FAU - Grundman, Michael AU - Grundman M AD - Global R&D Partners, LLC, San Diego, CA, USA. AD - University of California San Diego, San Diego, CA, USA. LA - eng PT - Journal Article DEP - 20181217 PL - United States TA - Alzheimers Dement (N Y) JT - Alzheimer's & dementia (New York, N. Y.) JID - 101650118 PMC - PMC6298197 OTO - NOTNLM OT - Alzheimer's disease OT - Phase 1 OT - Progressive supranuclear palsy OT - Tau OT - Tauopathy EDAT- 2018/12/26 06:00 MHDA- 2018/12/26 06:01 PMCR- 2018/12/17 CRDT- 2018/12/25 06:00 PHST- 2018/12/25 06:00 [entrez] PHST- 2018/12/26 06:00 [pubmed] PHST- 2018/12/26 06:01 [medline] PHST- 2018/12/17 00:00 [pmc-release] AID - S2352-8737(18)30069-6 [pii] AID - 10.1016/j.trci.2018.10.007 [doi] PST - epublish SO - Alzheimers Dement (N Y). 2018 Dec 17;4:746-755. doi: 10.1016/j.trci.2018.10.007. eCollection 2018.