Landmark 159 · Trial in people
BEACON BIIB122 in LRRK2 carriers
Will tell us whether the drug is safe in LRRK2 carriers and changes cell markers. It cannot show whether it slows Parkinson's.
In short
After the LRRK2 inhibitor failed in broad early Parkinson's, Denali is testing it in people who carry a LRRK2 mutation; data expected first half of 2027.
- What it is
- Trial in people
- Outcome
- Result due Mar 2027
- When
- 2024–2027
- Size
- 50 people · Phase 2
- Approach
- Treat the inherited causes
- Research lane
- LRRK2
- Trial registry
- NCT06602193
- Last checked
- 19 Oct 2026
The research record
This is the project's file for this landmark, as written and checked. Sources are listed at the end; anything not yet confirmed is marked "Not yet verified".
Who
Denali Therapeutics, which continues the study alone after Biogen and Denali stopped BIIB122 development in idiopathic Parkinson's.
What is being tested
BIIB122 (a LRRK2 kinase inhibitor, from landmark 7) against placebo for 12 weeks, then open-label, in people with a pathogenic LRRK2 variant. Phase 2a, 50 people (registry NCT06602193), started 24 October 2024; status active, not recruiting; primary completion estimated March 2027. It follows the missed LUMA trial in landmark 145.
What would count as success
It is a short biology study: safety, drug levels and biomarkers of lysosomal pathway engagement. No clinical-slowing endpoint, so it cannot prove benefit.
The drug's Phase 1 and 1b studies are in landmark 229.
Sources
- Clinical Trials Arena (results expected first half of 2027)
- Biogen/Denali LUMA update, 21 May 2026 (via Barchart)
- ClinicalTrials.gov NCT06602193 (API, 19 Oct 2026; no results posted)
- Not yet verified: funding (sources disagree); the main outcome measures in the registry; any 2026 progress report beyond the company's "first half of 2027" timing.
How it connects
Built on
- tests The LRRK2 gene: the first gene-based drug target · 2004
- builds on DNL151 (BIIB122) Phase 1 and 1b · 2021
- responds to BIIB122 / DNL151 (LUMA) · 2026
Led to
None recorded.