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Alzheimer's Association International Conference 2026
July 12-15, 2026 | London, United Kingdom, and Online

402
Phase 1 Study And Population Pharmacokinetic Characterization Of GB-5001, A Long-acting Intramuscular Donepezil
Poster Presenter
Authors
Jung Sunwoo, Jongmi Lee, Eunyoung Seol, Ye Chan Park, Yun Kim, Jin-Gyu Jung, Jang Hee Hong
Affiliations
Clinical Trials Center, Chungnam National University Hospital, Daejeon, Republic of Korea, R&D Center, G2GBio, Inc., Cheongju, Republic of Korea, Department of Medical Science, Chungnam National University College of Medicine, Daejeon, Republic of Korea, College of Pharmacy, Daegu Catholic University, Gyeongbuk, Republic of Korea, Department of Family Medicine, Chungnam National University College of Medicine, Daejeon, Republic of Korea, Department of Pharmacology, Chungnam National University College of Medicine, Daejeon, Republic of Korea
Part of Topic
◆ GB-5001 was well tolerated in healthy male volunteers, with injection-site reactions being the most common adverse events and generally mild in severity.
◆ Following the single intramuscular administration, GB-5001 demonstrated approximately dose-proportional donepezil exposure over the 70-280 mg dose range.
◆ The prolonged absorption profile, characterized by delayed Tmax and extended apparent half-life, supports the feasibility of once-monthly intramuscular dosing.
◆ At steady-state, monthly GB-5001 maintained sustained plasma donepezil exposure with lower peak-to-trough fluctuation than daily oral donepezil.
◆ An integrated population pharmacokinetic model, informed by both the phase 1 study and the Indonesian pilot study, supported predictable accumulation and steady-state exposure comparable to oral donepezil.
GB-5001 was well tolerated in healthy male volunteers; injection-site reactions were the most common AEs and were generally mild.
SAD demonstrated linear, approximately dose-proportional PK over 70–280 mg IM, with a flip-flop profile (median Tmax 619.19–1176.00 h; mean t½ 286.91–314.3 h).
MAD steady-state data confirm sustained plasma exposure (Cav,ss ≈ 20 ng/mL at 140 mg q4w) with markedly lower fluctuation than daily oral donepezil.
The integrated PopPK model (two-compartment, parallel IM depots) supports GB-5001 as a once-monthly IM alternative providing predictable accumulation and steady-state exposure.
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