IP Library › Granted Patent US 12,595,295
Granted Patent B2
US 12,595,295 · App. 16/936,457 · Granted Apr 7, 2026

Dosing regimes for treatment of synucleinopathies

Inventors: Jay Soto (San Francisco, CA); Daniel Keith Ness (San Mateo, CA); Martin Koller (Rancho Santa Fe, CA); Diane Mould (Fort Myers, FL); Frank Boess (Basel, CH); Meret Martin-Facklam (Basel, CH); Valerie Cosson (Basel, CH); Hans Peter Grimm (Basel, CH); Ronald Gieschke (Basel, CH); Sara Belli (Basel, CH); Silke Weber (Basel, CH)
Assignees: Prothena Biosciences Limited; Hoffmann-La Roche, Inc.
C07K16/18A61B5/0004A61B5/4848A61K9/0019A61K31/198A61P25/16A61P25/28C07K16/2857A61B5/11A61B5/1101A61B5/4082A61K2039/505A61K2039/545
View Patent ↗
Loading inventors, assignments & file history…
Monitor This Case
Get email alerts when status or documents change.
Order Certified Copies
Most orders are placed with the USPTO same day — all within 24 business hours.
Order via The Patent Place →
Pre-filled with this patent's details
Quick Facts
Patent No.
US 12,595,295
App. No.
16/936,457
Granted
Apr 7, 2026
Kind
B2
Abstract

The invention provides dosage regimes for treatment of synucleinopathies. In one regime, a subject receives 3000-5000 mg of an antibody intravenously every 3-5 weeks. In another regime, a subject receives 1300-1700 mg of an antibody intravenously every 3-5 weeks.

Claims (16)

1 . A method of treating or effecting prophylaxis of a subject having Parkinson's disease, comprising intravenously administering to the subject a dose of 1500 mg of an antibody or an antigen binding fragment thereof against alpha-synuclein at intervals of 3-5 weeks, wherein the antibody comprises a heavy chain variable region comprising SEQ ID NO:10, respectively, and a light chain comprising SEQ ID NO:5.

2 . The method of claim 1 , wherein the antibody comprises a heavy chain comprising SEQ ID NO:37 and a light chain comprising SEQ ID NO:32, wherein the C-terminal lysine of SEQ ID NO:37 may be absent.

3 . The method of claim 1 , wherein the antibody is of human IgG 1 isotype.

4 . The method of claim 1 , wherein the interval is 4 weeks.

5 . The method of claim 1 , wherein the subject receives the antibody every 4 weeks for at least 52 weeks.

6 . The method of claim 5 , wherein the subject has early-stage Parkinson's Disease.

7 . The method of claim 1 , wherein the subject is not receiving symptomatic treatment for Parkinson's disease concomitant with the antibody.

8 . The method of claim 1 , wherein the antibody is administered concomitantly with levodopa.

9 . The method of claim 1 , wherein administering the antibody is preceded by administering a loading dose of 2000 mg of the antibody and optionally uptitration at one or more subsequent dose at greater or equal to 2000 mg but less than 3500 mg until a dose of 3500 mg is reached, all doses being separated by intervals of 3-5 weeks.

10 . The method of claim 1 , further comprising monitoring the subject for a change in movement, cognitive deficit, autonomic dysfunction, gastrointestinal dysfunction, visual hallucination or a psychological symptom.

11 . The method of claim 10 , wherein the monitoring comprises

(a) providing a subject with a mobile device programmed to receive and transmit data acquired from sensors internal and/or external to the device relating to movement deficits of a subject having or suspected of having a synucleinopathy, whereafter the subject undergoes a series of movements to reveal movement deficits, if present, and the internal or external sensors of the device acquire data relating to the movements;

(b) collecting data transmitted from the mobile device; and

(c) comparing the data acquired from the subjects with control data to assess presence or extent of movement deficits in the subject.

12 . The method of claim 11 , wherein the mobile device is programmed to receive and transmit data from at least two external sensors attached to upper and lower limbs of the subject.

13 . The method of claim 11 , wherein the mobile device is carried by the subject and acquires data from an internal sensor.

Assignments (5)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Mar 10, 2026
From: F. HOFFMANN-LA ROCHE AG
To: HOFFMANN-LA ROCHE INC.
Reel/Frame 074023/0722 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 25, 2026
From: MOULD, DIANE
To: PROTHENA BIOSCIENCES LIMITED
Reel/Frame 073887/0107 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 25, 2026
From: SOTO, JAY; NESS, DANIEL KEITH; KOLLER, MARTIN
To: PROTHENA BIOSCIENCES INC.
Reel/Frame 073887/0158 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 25, 2026
From: PROTHENA BIOSCIENCES INC.
To: PROTHENA BIOSCIENCES LIMITED
Reel/Frame 073887/0237 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 25, 2026
From: BELLI, SARA; BOESS, FRANK; COSSON, VALERIE; GRIMM, HANS PETER; GIESCHKE, RONALD; MARTIN-FACKLAM, MERET; WEBER, SILKE
To: F. HOFFMANN-LA ROCHE AG
Reel/Frame 073887/0258 →
Continuity (3)
Continuation 16145618 · Sep 28, 2018
Provisional Application 62564992 · Sep 28, 2017
Related Publication 20210079103A1 · Mar 18, 2021
References Cited (89)
US 8940276B2 · Weihofen et al. · 2015 [cited by applicant]
US 9580493B2 · Weihofen et al. · 2017 [cited by applicant]
US 20050240086A1 · Akay · 2005 [cited by applicant]
US 20060122472A1 · Pullman · 2006 [cited by applicant]
US 20070092889A1 · Cox et al. · 2007 [cited by applicant]
US 20080014194A1 · Schenk et al. · 2008 [cited by applicant]
US 20100076348A1 · Mcnames et al. · 2010 [cited by applicant]
US 20110230513A1 · Lamensdorf et al. · 2011 [cited by applicant]
US 20130123666A1 · Giuffrida et al. · 2013 [cited by applicant]
US 20150073310A1 · Pracar et al. · 2015 [cited by applicant]
US 20150079074A1 · Garidel · 2015 [cited by examiner]
US 20160108113A1 · Ayalon · 2016 [cited by examiner]
US 20180126158A1 · Perez et al. · 2018 [cited by applicant]
US 20220031561A1 · Zhao · 2022 [cited by applicant]
US 20220098291A1 · Pagano et al. · 2022 [cited by applicant]
JP A2009291379 · 2009 [cited by applicant]
WO WO2006020581 · 2006 [cited by applicant]
WO WO2012177972 · 2012 [cited by applicant]
WO WO2015001504 · 2015 [cited by applicant]
WO WO2015075635 · 2015 [cited by applicant]
WO WO2015118534 · 2015 [cited by applicant]
WO WO2018178950 · 2018 [cited by applicant]
Yang K et al. Objective and quantitative assessment of motor function in Parkinson's disease—from the perspective of practical applications. Ann Transl Med. Mar. 2016, 4(5): 90; 8 pages. (Year: 2016). [cited by examiner]
Ashraf et al., “Constipation in Parkinson's disease: objective assessment and response to psyllium.” Movement Disorders 12(6):946-51 (Nov. 1997). [cited by applicant]
Cheng et al., “Human activity recognition from sensor-based large-scale continuous monitoring of Parkinson's disease patients.” CHASE '17 Proceedings of the Second IEEE/ACM International Conference on Connected Health: … [cited by applicant]
Conway et al., “Acceleration of oligomerization, not fibrillization, is a shared property of both alpha-synuclein mutations linked to early-onset Parkinson's disease: implications for pathogenesis and therapy.” Proc Nat… [cited by applicant]
Feany & Bender, “A [cited by applicant]
Galasko et al., “Clinical-neuropathological correlations in Alzheimer's disease and related dementias.” Arch. Neurol. 51(9):888-95 (Sep. 1994). [cited by applicant]
Krüger et al., “Ala30Pro mutation in the gene encoding alpha-synuclein in Parkinson's disease.” Nature Gen. 18(2):106-8 (Feb. 1998). [cited by applicant]
Lipsmeier et al., “Successful passive monitoring of early-stage Parkinson's disease patient mobility in Phase I RG7935/PRX002 clinical trial with smartphone sensors.” Mov Disord. Abstracts of the 21st International Cong… [cited by applicant]
Masliah et al., “Dopaminergic loss and inclusion body formation in alpha-synuclein mice: implications for neurodegenerative disorders.” Science 287(5456):1265-9 (Feb. 2000). [cited by applicant]
Masliah et al., “Passive immunization reduces behavioral and neuropathological deficits in an alpha-synuclein transgenic model of Lewy body disease.” PLoS ONE 6(4):e19338 (Apr. 2011). [cited by applicant]
Mckeith et al., “Consensus guidelines for the clinical and pathologic diagnosis of dementia with Lewy bodies (DLB): report of the consortium on DLB international workshop.” Neurology, 47(5):1113-24 (Nov. 1996). [cited by applicant]
Ondo et al., “Placebo-controlled trial of lubiprostone for constipation associated with Parkinson disease.” Neurology, 78(21):1650-54 (May 2012; Epub May 9, 2012). [cited by applicant]
Ordóñez & Roggen, “Deep Convolutional and LSTM Recurrent Neural Networks for Multimodal Wearable Activity Recognition.” Sensors, 16(1):E115 (Jan. 2016). [cited by applicant]
Polymeropoulos et al., “Mutation in the alpha-synuclein gene identified in families with Parkinson's disease.” Science 276(5321):2045-7 (Jun. 1997). [cited by applicant]
Rai et al., “Zee: zero-effort crowdsourcing for indoor localization.” Mobicom '12 Proceedings of the 18th annual International conference on Mobile computing and networking; pp. 293-304, Istanbul, Turkey (Aug. 22-26, 20… [cited by applicant]
Spillantini et al., “Alpha-synuclein in Lewy bodies.” Nature, 388(6645):839-40 (Aug. 1997). [cited by applicant]
Stisen et al., “Smart Devices are Different: Assessing and MitigatingMobile Sensing Heterogeneities for Activity Recognition.” SenSys '15 Proceedings of the 13th ACM Conference on Embedded Networked Sensor Systems, Seou… [cited by applicant]
Takeda et al., “Abnormal accumulation of NACP/alpha-synuclein in neurodegenerative disorders.” Am. J. Pathol. 152(2):367-72 (Feb. 1998). [cited by applicant]
Ueda et al., “Molecular cloning of cDNA encoding an unrecognized component of amyloid in Alzheimer disease.” Proc. Natl. Acad. Sci. USA, 90(23):11282-6 (Dec. 1993). [cited by applicant]
Wakabayashi et al., “NACP, a presynaptic protein, immunoreactivity in Lewy bodies in Parkinson's disease.” Neurosci. Lett. 239(1):45-8 (Dec. 1997). [cited by applicant]
Weiss & Lockhart, “The Impact of Personalization on Smartphone-Based Activity Recognition.” In Papers from the AAAI-12 Workshop on Activity Context Representation: Techniques and Languages, AAAI Technical Report WS-12-0… [cited by applicant]
Zijlstra et al., “Sit-stand and stand-sit transitions in older adults and patients with Parkinson's disease: event detection based on motion sensors versus force plates.” J. Neuroengineering and Rehabilitation 9:75 (Oct… [cited by applicant]
Leiber et al., Motion Sensors to Assess and Monitor Medical and Surgical Management of Parkinson Disease. World Neurosurg. Aug. 2015;84(2):561-6. doi: 10.1016/j.wneu.2015.03.024. Epub Mar. 28, 2015. [cited by applicant]
Pagano, G., et al., “Trial of Prasinezumab in Early-State Parkinson's Disease”, The New England Journal of Medicine, 387:421-32 (2022). [cited by applicant]
Pagano, G., et al, “Pasadena: A phase 2 study to evaluate the safety and efficacy of prasinezumab in early Parkinson's disease: Part 1 Week-52 results”, International Parkinson and Movement Disorder Society Virtual Cong… [cited by applicant]
Beach et al., “Arizona Parkinson's Disease Consortium. Unified staging system for Lewy body disorders: correlation with nigrostriatal degeneration, cognitive impairment and motor dysfunction.” Acta Neuropathol. 117:613-… [cited by applicant]
Bhidayasiri et al., “Different diagnostic criteria for Parkinson disease: What are the pitfalls?” J Neural Transm. 120:619-25 (2013). [cited by applicant]
Brettschneider et al., “Spreading of pathology in Neurodegenerative diseases: a focus on human studies.” Nat Rev Neurosci. 16:109-120 (2015). [cited by applicant]
Cheng et al., “Clinical progression in Parkinson disease and the neurobiology of axons.” Ann Neurol. 67:715-25 (2010). [cited by applicant]
Clinical Trial No. NCT02095171 “Single Ascending Dose Study of PRX002 in Healthy Subjects” last updated Feb. 10, 2015, pp. 1-10. [cited by applicant]
Clinical Trial No. NCT03100149 “A Study to Evaluate the Efficacy of Prasinezumab (RO7046015/PRX002) in Participants With Early Parkinson's Disease (PASADENA).” Study registration posted Apr. 4, 2017. pp. 1-13. [cited by applicant]
De Lau et al. “Prognosis of Parkinson disease: risk of dementia and mortality: the Rotterdam Study.” Arch Neurol. 62:1265-69 (2005). [cited by applicant]
Dehay et al., “Targeting α-synuclein for treatment of Parkinson's disease mechanistic and therapeutic considerations.” Lancet Neurol. 14:855-66 (2015). [cited by applicant]
Del Din et al., “Free-living gait characteristics in ageing and Parkinson's disease: impact of environment and ambulatory bout length.” J. Neuroengineering and Rehabilitation, 13:46 (2016). [cited by applicant]
Desplats et al., “Inclusion formation and neuronal cell death through neuron-to-neuron transmission of alpha-synuclein.” PNAS 106:13010-13015 (2009). [cited by applicant]
Dunning et al., “What's to like about the prion-like hypothesis for the spreading of aggregated alpha-synuclein in Parkinson disease?” Prion 7:92-97 (2013). [cited by applicant]
Fereshtehnejad et al., “New Clinical Subtypes of Parkinson Disease and Their Longitudinal progression: A Prospective Cohort Comparison With Other Phenotypes.” JAMA Neurol. 72:863-873 (2015). [cited by applicant]
Freundt et al., “Neuron-to-Neuron transmission of α-synuclein fibrils through axonal transport.” Ann Neurol. 72:517-524 (2012). [cited by applicant]
Games et al. Reducing C-terminal-truncated alpha-synuclein by immunotherapy attenuates neurodegeneration and propagation in Parkinson's disease-like models. J Neurosci. 34:9441-54 (2014). [cited by applicant]
Gelb et al., “Diagnostic Criteria for Parkinson Disease.” Arch Neurol. 56:33-39 (1999). [cited by applicant]
Gen Bank, Accession No. P37840. Oct. 1, 1994, www.ncbi.nlm.nih.gov. (Year record was published: 1994). [cited by applicant]
Gibb & Lees, “The relevance of Lewy body to the pathogenesis of idiopathic Parkinson's disease.” J Neurol Neurosurg Psych. 51:745-52 (1988). [cited by applicant]
Goetz et al. “Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS): scale presentation and clinimetric testing results.” Mov Disord 23:2129-70 (2008). [cited by applicant]
Jankovic et al. “Safety and tolerability of multiple ascending doses of PRX002/RG7935, an anti-alpha-synuclein monoclonal antibody, in patients with Parkinson Disease: A randomized clinical trial.” JAMA Neurol 75:1206-1… [cited by applicant]
Kowal et al. “The current and projected economic burden of Parkinson's disease in the United States.” Mov Disord 28:311-18 (2013). [cited by applicant]
Lang & Espay, “Disease Modification in Parkinson's Disease Current Approaches, Challenges, and Future Considerations.” Mov Disord. 33:660-77 (2018). [cited by applicant]
Lee et al., “Intravesicular localization and exocytosis of alpha-synuclein and its aggregates.” J Neurosci. 25:6016-24 (2005). [cited by applicant]
Lipsmeier et al. “Evaluation of smartphone-based testing to generate exploratory outcome measures in a phase 1 Parkinson's disease clinical trial: Remote PD Testing with Smartphones.” Movement Disorders. Apr. 27, 2018 h… [cited by applicant]
Luk et al., “Pathological α-synuclein transmission initiates Parkinson-like neurodegeneration in nontransgenic mice.” Science. 338:949-53 (2012). [cited by applicant]
Marek et al. “Longitudinal follow-up of SWEDD subjects in the PRECEPT Study.” Neurology 82:1791-97 (2014). [cited by applicant]
Masliah et al., “Effects of alpha-synuclein immunization in a mouse model of Parkinson's disease.” Neuron. 46:857-68 (2005). [cited by applicant]
Masuda-Suzukake et al., “Prion-like spreading of pathological α-synuclein in brain.” Brain. 136:1128-38 (2013). [cited by applicant]
National Institute of Neurological Disorders and Stroke (NINDS) “Parkinson's Disease Information Page.” Accessed Feb. 3, 2022, pp. 1-7. [cited by applicant]
Parkinson's Foundation. www.parkinson.org/Understanding-Parkinsons/Statistics. Accessed Feb. 3, 2022, pp. 1-9. [cited by applicant]
Postuma et al. “The new definition and diagnostic criteria of Parkinson's disease.” Lancet Neurol 15(6):546-48 (2016). [cited by applicant]
Schenk et al. “First-in-human assessment of PRX002, an anti-alpha-synuclein monoclonal antibody, in healthy volunteers.” Mov Disord 32:211-18 (2017). [cited by applicant]
Shankar et al. “Assessment and reporting of the clinical immunogenicity of therapeutic proteins and peptides—harmonized terminology and tactical recommendations.” The AAPS Journal 16 (2014). [cited by applicant]
Simuni et al. “Longitudinal Change of Clinical and Biological Measures in Early Parkinson's Disease: Parkinson's Progression Markers Initiative Cohort: Early PD and MDS-UPDRS and Dat Binding Change.” Mov Disord. 33:771-… [cited by applicant]
Spencer et al., “Anti-α-synuclein immunotherapy reduces α-synuclein propagation in the axon and degeneration in combines viral vector and transgenic model of synucleinopathy.” Acta Neuropathol Commun. 5:7 (2017). [cited by applicant]
Spillantini et al., “alpha-Synuclein in filamentous inclusions of Lewy bodies from Parksinon's disease and dementia with lewy bodies.” Proc Natl Acad Sci USA. 95:6469-73 (1998). [cited by applicant]
Sprenger “Management of Motor and Non-Motor Symptoms in Parkinson's Disease.” CNS Drugs 27:259-72 (2013). [cited by applicant]
The MDS-sponsored Revision of the Unified Parkinson's Disease Rating Scale, International Parkinson and Movement Disorder Society, 2008, pp. 1-33. last updated Aug. 2019. [cited by applicant]
Volpicelli-Daley et al., “Exogenous α-synuclein fibrils induce Lewy body pathology leading to synaptic dysfunction and neuron death.” Neuron. 72:57-71 (2011). [cited by applicant]
Weintraub et al., “Parkinson's Disease: The Quintessential Neuropsychiatric Disorder.” Mov Disord 26:1022-31 (2011). [cited by applicant]
Belousov et al. “Clinical pharmacokinetics. Practice of drug dosing” M. Litterra p. 288 (2005). [cited by applicant]
Kharkevich et al. “Pharmacology: Textbook—9th ed., revised, enlarged and corrected” Moscow: GEOTAR-Media p. 736 (2006). [cited by applicant]
Office Action of Russian Patent Application 2023107315 issued Feb. 10, 2025, 6 pages (attached to show relevance of Belousov et al and Kharkevich et al). [cited by applicant]