Landmark 294 · Trial in people

TB006 (galectin-3 antibody)

Will tell us, early on, whether an antibody against galectin-3 changes symptom scores compared with placebo. It cannot prove slowing.

In short

TrueBinding is testing a monthly infusion of an antibody against galectin-3, a sugar-binding protein that drives microglial inflammation, in 62 people with early Parkinson's; enrolment is closed and the primary data are due about November 2026.

What it is
Trial in people
Outcome
Result due Nov 2026
When
2025–2026
Size
62 people · Phase 2
Approach
Look beyond the brain
Research lane
Inflammation & immunity
Trial registry
NCT06773962
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

TrueBinding, Inc. (US). The drug was first tried in Alzheimer's disease.

What happened

  • Trial (NCT06773962). Phase 2a, randomised, double-blind, placebo-controlled, multicentre. Planned 62 people aged 50 to 80 with Parkinson's for under 5 years, mild symptoms, on no treatment or immediate-release levodopa only. TB006 or placebo by intravenous infusion, monthly (company release). Started 20 March 2025; status active, not recruiting; estimated primary completion 28 November 2026.
  • Measures. Primary: change in a Parkinson's rating scale score (the registry does not say which) and adverse events. Secondary: patient and clinician views of severity.
  • Idea (company). TB006 is a humanised IgG4 antibody that neutralises galectin-3. The company proposes this lets toxic oligomers (small synuclein clusters) come apart, calms pro-inflammatory microglia and helps lysosomes. These are hypotheses.
  • FDA. The IND was cleared in November 2024. In Alzheimer's, a Phase 1b/2 reportedly showed a "positive trend" on cognition, with no stated significance.

Why it moved us toward a cure

Small synuclein oligomers kill dopamine neurons in rats (landmark 92), and activated microglia have marked the nigra since 1988 (landmark 52). TB006 tests one drug aimed at both. It also takes an Alzheimer's-stage antibody into Parkinson's.

Outcome

Pending. No Parkinson's data. A 62-person Phase 2a with a rating-scale primary can show only an early signal; it cannot prove slowing.

Sources

How it connects

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Led to

None recorded.

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