Safety and tolerability of intravenous liposomal GM1 in patients with Parkinson disease: A single center open-label clinical phase I trial (NEON trial)

Stefan Halbherr, Stefanie Lerch, Sebastian Bellwald, Petra Polakova, Bettina Bannert, Marie Roumet, Roch-Philippe Charles, Martin A. Walter, Corrado Bernasconi, Camille Peitsch, Pascal C. Baumgartner, Céline Kaufmann, Heinrich P. Mattle, Alain Kaelin-Lang, Andreas Hartmann, Michael Schuepbach
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Abstract

Background: Parkinson disease (PD) is a chronic progressive neurodegenerative disorder leading to motor and non- motor impairment often resulting in severe loss of quality of life. There are symptomatic treatments without effect on the progression of PD. A disease-modifying treatment that could ideally stop the neurodegenerative process is direly needed. Monosialotetrahexosylganglioside (GM1) is a promising molecule with neuroprotective effects in preclinical models of PD and has yielded encouraging results in patients with PD in a randomized placebo-controlled trial. Talineuren (TLN) is a liposomal formulation of GM1 that has been shown to cross the blood-brain barrier in animals. We assessed the safety and pharmacokinetics of TLN in patients with PD.
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帕金森病患者静脉注射脂质体 GM1 的安全性和耐受性:单中心开放标签临床 I 期试验(NEON 试验)
背景:帕金森病(PD)是一种慢性进行性神经退行性疾病,会导致运动和非运动功能障碍,通常会严重影响患者的生活质量。目前有一些对症治疗方法,但对帕金森病的进展没有效果。我们迫切需要一种能够理想地阻止神经退行性病变进程的疾病改变治疗方法。单唾液酸四己基神经节苷脂(GM1)是一种很有前景的分子,在临床前的帕金森氏症模型中具有神经保护作用,在随机安慰剂对照试验中对帕金森氏症患者产生了令人鼓舞的结果。Talineuren (TLN)是一种GM1脂质体制剂,已被证明能在动物体内穿过血脑屏障。我们评估了 TLN 在帕金森氏症患者中的安全性和药代动力学。
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