Clinical trials of new drugs for Alzheimer disease: a 2020–2023 update

Abstract Alzheimer's disease (AD) is the leading cause of dementia, presenting a significant unmet medical need worldwide. The pathogenesis of AD involves various pathophysiological events, including the accumulation of amyloid and tau, neuro-inflammation, and neuronal injury. Clinical trials f...

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Main Authors: Li-Kai Huang, Yi-Chun Kuan, Ho-Wei Lin, Chaur-Jong Hu
Format: Article
Language:English
Published: BMC 2023-10-01
Series:Journal of Biomedical Science
Subjects:
Online Access:https://doi.org/10.1186/s12929-023-00976-6
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author Li-Kai Huang
Yi-Chun Kuan
Ho-Wei Lin
Chaur-Jong Hu
author_facet Li-Kai Huang
Yi-Chun Kuan
Ho-Wei Lin
Chaur-Jong Hu
author_sort Li-Kai Huang
collection DOAJ
description Abstract Alzheimer's disease (AD) is the leading cause of dementia, presenting a significant unmet medical need worldwide. The pathogenesis of AD involves various pathophysiological events, including the accumulation of amyloid and tau, neuro-inflammation, and neuronal injury. Clinical trials focusing on new drugs for AD were documented in 2020, but subsequent developments have emerged since then. Notably, the US-FDA has approved Aducanumab and Lecanemab, both antibodies targeting amyloid, marking the end of a nearly two-decade period without new AD drugs. In this comprehensive report, we review all trials listed in clinicaltrials.gov, elucidating their underlying mechanisms and study designs. Ongoing clinical trials are investigating numerous promising new drugs for AD. The main trends in these trials involve pathophysiology-based, disease-modifying therapies and the recruitment of participants in earlier stages of the disease. These trends underscore the significance of conducting fundamental research on pathophysiology, prevention, and intervention prior to the occurrence of brain damage caused by AD.
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spelling doaj.art-f9b90e7313dd47d099a43581187cdb162023-11-26T13:55:14ZengBMCJournal of Biomedical Science1423-01272023-10-0130111910.1186/s12929-023-00976-6Clinical trials of new drugs for Alzheimer disease: a 2020–2023 updateLi-Kai Huang0Yi-Chun Kuan1Ho-Wei Lin2Chaur-Jong Hu3PhD Program in Medical Neuroscience, College of Medical Science and Technology, Taipei Medical UniversityTaipei Neuroscience Institute, Taipei Medical UniversitySchool of Medicine, College of Medicine, Taipei Medical UniversityPhD Program in Medical Neuroscience, College of Medical Science and Technology, Taipei Medical UniversityAbstract Alzheimer's disease (AD) is the leading cause of dementia, presenting a significant unmet medical need worldwide. The pathogenesis of AD involves various pathophysiological events, including the accumulation of amyloid and tau, neuro-inflammation, and neuronal injury. Clinical trials focusing on new drugs for AD were documented in 2020, but subsequent developments have emerged since then. Notably, the US-FDA has approved Aducanumab and Lecanemab, both antibodies targeting amyloid, marking the end of a nearly two-decade period without new AD drugs. In this comprehensive report, we review all trials listed in clinicaltrials.gov, elucidating their underlying mechanisms and study designs. Ongoing clinical trials are investigating numerous promising new drugs for AD. The main trends in these trials involve pathophysiology-based, disease-modifying therapies and the recruitment of participants in earlier stages of the disease. These trends underscore the significance of conducting fundamental research on pathophysiology, prevention, and intervention prior to the occurrence of brain damage caused by AD.https://doi.org/10.1186/s12929-023-00976-6Alzheimer diseaseClinical trialsAnti-amyloidAnti-tauNeuroprotectionCognitive enhancement
spellingShingle Li-Kai Huang
Yi-Chun Kuan
Ho-Wei Lin
Chaur-Jong Hu
Clinical trials of new drugs for Alzheimer disease: a 2020–2023 update
Journal of Biomedical Science
Alzheimer disease
Clinical trials
Anti-amyloid
Anti-tau
Neuroprotection
Cognitive enhancement
title Clinical trials of new drugs for Alzheimer disease: a 2020–2023 update
title_full Clinical trials of new drugs for Alzheimer disease: a 2020–2023 update
title_fullStr Clinical trials of new drugs for Alzheimer disease: a 2020–2023 update
title_full_unstemmed Clinical trials of new drugs for Alzheimer disease: a 2020–2023 update
title_short Clinical trials of new drugs for Alzheimer disease: a 2020–2023 update
title_sort clinical trials of new drugs for alzheimer disease a 2020 2023 update
topic Alzheimer disease
Clinical trials
Anti-amyloid
Anti-tau
Neuroprotection
Cognitive enhancement
url https://doi.org/10.1186/s12929-023-00976-6
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