[HTML][HTML] Treating Alzheimer's disease with monoclonal antibodies: current status and outlook for the future

ND Prins, P Scheltens - Alzheimer's research & therapy, 2013 - Springer
ND Prins, P Scheltens
Alzheimer's research & therapy, 2013Springer
In the past decade, Alzheimer's disease drug discovery has been directed at 'disease
modifying drugs' that are able to counteract the progression of Alzheimer's disease by
intervening in specific parts of its neuropathological process. Passive immunization with
monoclonal antibodies (mAbs) may be able to clear toxic amyloid-β species either directly or
through microglia or complement activation, thereby halting the amyloid cascade and
preventing neurodegeneration and cognitive and functional decline. Thus far, results from …
Abstract
In the past decade, Alzheimer’s disease drug discovery has been directed at ‘disease modifying drugs’ that are able to counteract the progression of Alzheimer’s disease by intervening in specific parts of its neuropathological process. Passive immunization with monoclonal antibodies (mAbs) may be able to clear toxic amyloid-β species either directly or through microglia or complement activation, thereby halting the amyloid cascade and preventing neurodegeneration and cognitive and functional decline. Thus far, results from two large phase 3 trial programs with bapineuzumab and solaneuzumab, respectively, have brought rather disappointing results. Possible explanations could be that these compounds were either targeting the wrong amyloid-β species, or were given too late in the disease process. Several new mAbs targeting various amyloid-β epitopes are now being tested in ongoing phase 2 and 3 clinical trials. The present review discusses the various mAbs aimed at amyloid-β, summarizes trial results and provides an outlook for the future.
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