A phase 1 study to evaluate the safety and pharmacokinetics of PQ912, a glutaminyl cyclase inhibitor, in healthy subjects

Inge Lues1, Frank Weber1, Antje Meyer1, Uli Bühring1, Torsten Hoffmann1, Kerstin Kühn-Wache1, Susanne Manhart1, Ulrich Heiser1, Rolf Pokorny2, Joseph Chiesa3, Konrad Glund1
1Probiodrug AG, Halle (Saale), Germany
2Covance Clinical Research Unit AG, Allschwil (Basel), Switzerland
3Covance Clinical Research Unit Ltd, Leeds, UK

Tóm tắt

AbstractIntroductionPyroglutamate‐amyloid‐β (pE‐Aβ) peptides are major components of Aβ‐oligomers and Aβ‐plaques, which are regarded as key culprits of Alzheimer's disease (AD) pathology. PQ912 is a competitive inhibitor of the enzyme glutaminyl cyclase (QC), essential for the formation of pE‐Aβ peptides.MethodsA randomized, double‐blind, placebo‐controlled, single‐ and multiple‐ascending oral dose study investigated the safety, pharmacokinetics, and pharmacodynamics of PQ912 in healthy nonelderly and elderly subjects.ResultsPQ912 was considered safe and well tolerated with dose‐proportional pharmacokinetics up to doses of 200 mg. At higher doses up to 1800 mg, exposure was supraproportional and exposure in elderly subjects was approximately 1.5‐ to 2.1‐fold higher. Exposure in cerebrospinal fluid (CSF) was approximately 20% of the unbound drug in plasma, and both serum and CSF QC activity was inhibited in a dose‐related manner.DiscussionThis first‐in‐man study of a compound‐targeting QC inhibition justifies further development of PQ912 for the treatment of AD.

Tài liệu tham khảo

Black R., 2013, Safety, pharmacokinetics and pharmacodynamics of PQ912, the first glutaminyl cyclase (QC) inhibitor to treat Alzheimer's disease, in healthy elderly subjects, Alzheimers Dement, 9, 280, 10.1016/j.jalz.2013.05.559 Weber F Lues I Meyer A Hoffmann T Pokorny R Lopez L et al. A phase 1 study assessing safety pharmacokinetics and pharmacodynamics of PQ912 the first glutaminyl cyclase (QC) inhibitor to treat AD. International conference on Alzheimer's and Parkinson's disease 2013; abstract 1453. 10.1186/alzrt86 Ghezzi L., 2013, Disease‐modifying drugs in Alzheimer's disease, Drug Des Devel Ther, 7, 1471 10.1126/science.1566067 10.1126/science.1072994 10.1007/s00401-006-0077-5 10.1002/ana.410370305 10.1016/S0014-5793(04)00300-X 10.1038/nm.1872 10.1111/j.1742-4658.2009.07337.x 10.1007/s00702-009-0314-x 10.1007/s00401-010-0685-y 10.3233/JAD-131535 10.1016/j.biocel.2010.08.015 De Kimpe L., 2012, Disturbed Ca2+ homeostasis increases glutaminyl cyclase expression; connecting two early pathogenic events in Alzheimer's disease in vitro, PLoS One, 7, 9, 10.1371/journal.pone.0044674 10.1046/j.1471-4159.2002.01107.x 10.1111/j.1471-4159.2012.07707.x 10.1016/S0197-4580(98)00033-5 10.1002/bip.21271 10.1021/jp412743s 10.1002/psc.2456 10.1007/s00401-015-1386-3 10.1074/jbc.M110.185819 10.3233/JAD-141356 10.1073/pnas.0504184102 10.1006/abio.2001.5560 10.1016/j.cca.2007.12.010 T Valenti M., 2013, Increased glutaminyl cyclase expression in peripheral blood of Alzheimer disease patients, J Alzheimers Dis, 34, 263, 10.3233/JAD-120517 M Nussbaum J., 2012, Prion‐like behaviour and tau‐dependent cytotoxicity of pyroglutamylated amyloid‐ß, Nature, 485, 651, 10.1038/nature11060 10.2174/138920008783331077