Cited by 547Alzheimer's disease research and treatmentsDementia and Cognitive Impairment ResearchCholinesterase and Neurodegenerative Diseases

Alzheimer’s disease: Recent treatment strategies

Vaz, Miguel, Silvestre, Samuel·2020·European Journal of Pharmacology

Abstract

Alzheimer Disease (AD) is a neurodegenerative disease characterized by two neuropathological hallmarks: extracellular deposition of amyloid plaques and intracellular neurofibrillary tangles. Current treatment for AD (donepezil, galantamine, rivastigmine and memantine) is only symptomatic and has modest benefits. Thus, the development of drugs with the potential to change the progression of the disease has been a priority. Therapies targeting amyloid β have been the focus for almost 30 years. However, highly promising drugs recently failed to show clinical benefits in phase III trials. Even the positive findings presented by Biogen on Aducanumab are not entirely clear and further data is necessary to confirm its validity. Therefore, researchers are turning their efforts around to tau-targeting therapies, since tau protein appears to be better correlated with the severity of cognitive decline than amyloid β. Currently, most anti-tau agents in clinical trials are immunotherapies and they are in the early stages of clinical research. Four monoclonal antibodies anti-tau (Gosuranemab, Tilavonemab, Semorinemab and Zagotenemab) and one anti-tau vaccine (AADvac1) have reached phase II, so far. In this review, we discuss the potential disease-modifying agents tested in clinical trials and update the information of drugs that are still under clinical evaluation.

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Crossref · 10.1016/j.ejphar.2020.173554

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Authors
Vaz, M., & Silvestre, S.
Affiliations
University of Beira Interior (PT)
Corresponding author
Silvestre, Samuel
Venue
European Journal of Pharmacology
Publisher
Elsevier BV
Published
2020-11
Volume
887
Pages
173554
ISSN
0014-2999 (ISSN-L)
OpenAlex
W3085706776
Cited by
547
References
172
Citations by year
2026: 40 · 2025: 87 · 2024: 108 · 2023: 131 · 2022: 117 · 2021: 59 · 2020: 5
FWCI
10.02
Type
journal article
Language
en
Open access
closed
Locations
  • European Journal of Pharmacology (publishedVersion)
  • PubMed (publishedVersion)
Funders
Fundação para a Ciência e a Tecnologia (CENTRO-01-0145-FEDER-000013, POCI-01-0145-FEDER-007491, UID/Multi/00709/2019)
Topics
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Pharmacology › Cholinesterase and Neurodegenerative Diseases
Keywords
Alzheimer's disease, disease-modifying therapy, amyloid-beta, aducanumab, amyloid plaques, neurofibrillary tangles, cholinesterase inhibitors, memantine, clinical trials
MeSH terms
Alzheimer Disease, Animals, Antibodies, Monoclonal, Humans, Immunotherapy, Amyloid beta-Peptides, tau Proteins, Tauopathies

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