Non-Amyloid Alzheimer's Trials Tracker

Non-Amyloid Alzheimer's Clinical Trials

Tracking current Phase 1, 2, and 3 trials targeting tau, TREM2, vascular, metabolic, and APOE pathways

28

USA Trials

12

Phase 2 Trials

7

Phase 3 Trials

15

Recruiting Now

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Trial & MechanismPhaseStatusLocationLast UpdatedResults
Tau-targeting antisense oligonucleotide
Reduces tau production by targeting MAPT mRNA. Phase 1 showed up to 50% reduction in CSF tau.
Phase 2 RecruitingMultiple US SitesMar 15, 2023
TREM2 activation to enhance microglial function
Monoclonal antibody activating TREM2 receptor. Phase 1 showed good safety and target engagement.
Phase 2 ActiveMultiple US SitesFeb 28, 2023
Intensive blood pressure control for dementia prevention
Follow-up to SPRINT MIND, testing intensive vs standard BP control on dementia risk in older adults.
Phase 3 RecruitingMultiple US SitesApr 5, 2023
Pioglitazone effects on brain glucose metabolism
Testing if pioglitazone improves brain glucose utilization in early Alzheimer's via FDG-PET imaging.
Phase 2 ActiveMultiple US SitesJan 20, 2023
Small molecule to correct ApoE4 structure
Small molecule that converts ApoE4 to ApoE3-like structure. Phase 1 completed with favorable safety.
Phase 1 CompletedMultiple US SitesDec 10, 2022
Mesenchymal stem cells for neuroprotection
Intravenous mesenchymal stem cells to reduce neuroinflammation and promote synaptic repair.
Phase 2 RecruitingMultiple US SitesMar 30, 2023
Multidomain lifestyle intervention
US version of FINGER study testing combined physical activity, nutrition, cognitive training, and health monitoring.
Phase 3 ActiveMultiple US SitesFeb 15, 2023
Tau antibody targeting extracellular tau
Humanized monoclonal antibody binding to tau protein. Previous trials showed target engagement but mixed cognitive results.
Phase 2 ActiveMultiple US SitesMar 22, 2023
Second-generation TREM2 activator
Optimized TREM2 agonist with improved blood-brain barrier penetration. Early data shows enhanced microglial phagocytosis.
Phase 1 RecruitingMultiple US SitesApr 2, 2023
Latest Results Summary
BIIB080 (IONIS-MAPTRx) - Phase 1b Results

Published in Nature Medicine (Jan 2023): Dose-dependent reduction of tau protein (up to 50% in CSF) with good safety profile. No serious adverse events reported.

AL002 - Phase 1 Results

Presented at CTAD (Dec 2022): Well-tolerated with dose-dependent TREM2 engagement. Biomarker changes suggest target engagement and potential disease modification.

ApoE4 Structure Corrector - Phase 1 Results

Presented at AAIC (Jul 2022): Favorable safety profile with evidence of target engagement. CSF biomarkers showed reduced neuroinflammation markers.

SPRINT MIND - 7-Year Follow-up

Published in JAMA (Mar 2023): Intensive blood pressure control associated with 19% reduction in mild cognitive impairment and 15% reduction in dementia risk.