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Table 3 Ongoing phase 3 trials on anti-amyloid and non-anti-amyloid therapy in AD by year 2023 [129]

From: Targeting the molecular web of Alzheimer’s disease: unveiling pathways for effective pharmacotherapy

Agent

Mechanism of action

Target type and therapeutic purpose

Clinical Trials gov identifier

Start date

Status of estimated primary completion date

Crenezumab

Monoclonal antibody directed at oligomers

Remove amyloid

NCT02670083

Dec 2013

March 2022

Gantenerumab

Monoclonal antibody

Remove amyloid

NCT02051608

NCT01224106

Nov 2010

Nov 2022 Active

Not recruiting

GV-971(sodium oligomannate)

Aβ aggregation inhibitor

Amyloid-related

NCT02293915

Oct 2022

Oct 2026

AXS-05

(dextromethorphan and bupropion)

Sigma-1 receptor agonist, NMDA receptor antagonist and dopamine-nor epinephrine reuptake inhibitor

Neurotransmitter based; BPSD (agitation)

NCT0494755

NCT05557409

June 2021

Sept 2022

June 2023

June 2025

Recruiting

Aducanumab

Selectively binding amyloid aggregates in both the oligomeric and fibrillary states rather than amyloid monomers

Remove amyloid

NCT04241068

NCT05310071

Mar 2022

June 2022

Oct 2023

Dec 2025

Ongoing

AGB101

(Levetiracetam)

SV2A Modulator, CA3 area downregulation

Synaptic plasticity, neuroprotection

NCT03486938

Dec 2022

Dec 2025

Donepezil

Acetylcholinesterase inhibitor, adipokine modulation

Neurotransmitter receptor

NCT04661280

NCT05592678

Feb 2022

Feb 2023

Aug 2024

Feb 2027

E2814

Anti -tau monoclonal antibody

Tau

NCT01760005

NCT05269394

Dec 2012

Dec 2021

Oct 2027

Jul 2017

Lecanemab

Anti-amyloid monoclonal antibody directed at amyloid protofibrils and amyloid plaques

NCT01760005

NCT03887455

NCT04468659

NCT05269394

Dec 2012

Mar 2019

Jul 2020

Dec 2021

Oct 2027

Sept 2027

Oct 2027

Jul 2027

Solanezumab

Anti-amyloid monoclonal antibody directed at amyloid monomers

NCT01760005

NCT02008357

Dec 2012

Feb 2014

Oct 2027

Dec 2022

  1. NCT, National Clinical Trial; GV-971, sodium oligomannate; AXS-05, dextromethorphan and bupropion; NMDA, N-methyl-D-aspartate; BPSD, behavioral and psychological symptoms of dementia, AGB101, low dose preparation of levetiracetam; SV2A, synaptic vesicle glycoprotein 2A; CA3, Cornu ammonis; E2814, high affinity antibody targeting microtubule binding repeat domain of tau; Tau, tubulin associated unit; Aβ, amyloid beta