Alberto Espay, MD, FAAN, University of Cincinnati, Cincinnati, OH, discusses the growth of genetic subtyping in clinical trials for Parkinson’s disease (PD), as well as the remaining knowledge gaps preventing therapeutic advances. Two major genetic drivers of PD have been identified as GBA and LRRK2 mutations, carriers of which are beginning to be categorized as separate subtypes in clinical trials. However, evidence is starting to suggest that heterogeneous pathogenic mechanisms in PD underly further subtypes within these genetic subtypes, which are critical to the success of a treatment. This interview took place during the American Academy of Neurology (AAN) 2021 Annual Meeting.