MPLT: Mixed Results
MapLight Therapeutics' autism drug shows mixed potential in adolescents, missing primary endpoint but demonstrating improvements in irritability among a subgroup
MapLight Therapeutics Inc. (NASDAQ: MPLT ) reported mixed topline results from its Phase 2 IRIS study of ML-004 in patients with autism spectrum disorder .
The trial missed the trial’s primary endpoint while demonstrating clinically meaningful improvements in irritability among a subgroup of adolescents. • MapLight Therapeutics stock is among today’s top performers.
What’s fueling MPLT momentum? The findings, shared on Monday, could support further development of the drug in a more targeted patient population, reinforcing analysts’ views that ML-004 may still hold significant commercial potential .
Primary Endpoint Missed In Broad Autism Population The IRIS study enrolled 161 participants, including 102 adolescents and 59 adults, and was designed as an exploratory Phase 2 trial to assess multiple clinical outcomes and identify the most suitable development strategy for ML-004.
The study failed to achieve its primary endpoint, which measured changes from baseline through week 12 in caregiver-reported social communication scores using the Autism Behavioral Inventory Social Communication Domain .
MapLight noted that social communication remains an area without approved pharmacological treatments and that validated measures capable of detecting treatment-related changes continue to be actively studied.
Read Also: MapLight's Psychosis Drug Could Deliver Billion-Dollar Upside, Says Analyst Adolescent Subgroup Demonstrates Strong Irritability Benefit Despite the primary endpoint miss, ML-004 produced encouraging results in a prespecified subgroup of adolescents ages 12 to 17 who entered the study with moderate or greater irritability .
Among these participants, ML-004 generated clinically meaningful improvements versus placebo on the Aberrant Behavior Checklist-Irritability subscale, with a least squares mean difference of negative 9.58 and an effect size of 1.33.
The company also reported favorable results on the Clinician Global Impression-Improvement irritability domain, where adolescents receiving ML-004 showed greater improvement than those receiving a placebo.
Treatment benefits appeared strongest among adolescents with the highest baseline irritability levels.
In the broader population of participants with elevated irritability scores, ML-004 achieved an effect size of 0.64 on a key secondary endpoint, although the result did not reach nominal statistical significance .
Safety Profile Remains Favorable MapLight said ML-004 was generally well tolerated, with all treatment-emergent adverse events classified as mild to moderate.
No serious or severe adverse events occurred among participants receiving ML-004.
By comparison, placebo-treated participants experienced two severe treatment-emergent adverse events and one serious adverse event.
Investigators observed no extrapyramidal adverse events in patients receiving ML-004, while average weight gain during the study was lower in the treatment arm than in the placebo group .
MPLT Stock Price Activity : MapLight Therapeutics shares were up 5.52% at $30.41 at the time of publication on Monday, according to Benzinga Pro data .
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