%0 Journal Article %A Höglinger, Günter %A Vandenberghe, Wim %A Woitalla, Dirk %A Corvol, Jean-Christophe %A Van Tricht, Hans %A Ewen, Colin %A Van Den Steen, Bart %A Rebollo Mesa, Irene %A Germani, Massimiliano %A Garric, Elodie %A Arnould, Tasmin %A Jose, Joby %A Strong, Nancy %A De Bruyn, Steven %A Buchanan, Tim J %T Safety, tolerability and biomarker results of bepranemab in participants with progressive supranuclear palsy: a randomised, multicentre, double-blind, placebo-controlled, phase 1b trial. %J BMJ neurology open %V 8 %N 1 %@ 2632-6140 %C London %I BMJ Publishing Group %M DZNE-2026-00253 %P e001396 %D 2026 %X Preclinical evidence suggests targeting the mid-region of tau as a viable therapeutic strategy in diseases such as progressive supranuclear palsy (PSP): a rare, fatal, neurodegenerative tauopathy with no currently approved treatments. Bepranemab is a recombinant, humanised, full-length immunoglobulin G4 monoclonal antibody binding to a mid-region tau epitope. We assessed safety, tolerability and pharmacokinetics of bepranemab in participants with PSP.PSP003 (NCT04185415), a multicentre, double-blind, placebo-controlled, phase 1b study, recruited participants in hospital settings across 13 centres. Participants (aged ≥40 years) met Movement Disorder Society-PSP criteria for possible/probable PSP, could walk ≥5 steps with minimal/no assistance and were stable on treatment for ≥2 weeks prior to baseline. Participants were randomised 3:1 to receive intravenous bepranemab (90 mg/kg) or placebo every 4 weeks for 52 weeks. Primary endpoint: incidence of treatment-emergent adverse events (TEAEs) from baseline to last visit.Twenty-five participants were enrolled (male: 44 %K ALZHEIMER'S DISEASE (Other) %K CLINICAL NEUROLOGY (Other) %K RANDOMISED TRIALS (Other) %K SUPRANUCLEAR PALSY (Other) %F PUB:(DE-HGF)16 %9 Journal Article %$ pmid:41789119 %2 pmc:PMC12958890 %R 10.1136/bmjno-2025-001396 %U https://pub.dzne.de/record/285476