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Table 3 Tau therapeutics in phase II (as of February 28, 2023)

From: The therapeutic landscape of tauopathies: challenges and prospects

Molecule type

Company name

Drug name

Indication

Route of administration

Mechanism of action

ASO

Biogen

BIIB 080 (IONIS-MAPTRx)

AD, dementia associated with AD

Intrathecal

ASO acts by targeting tau/MAPT.

mAb

Genentech

Semorinemab

AD

IV, parenteral

Anti-tau mAb acts by targeting misfolded tau.

Johnson & Johnson

JNJ-3657 (JNJ-63733657)

AD, dementia

IV

A mAb that targets p-tau.

UCB Biopharma

Bepranemab (UCB-0107, RG 6416)

PSP, AD, tauopathies

IV

Recombinant humanized IgG4P.

Plasma protein fraction

Alkahest

GRF-6019 (ALK 6019)

AD

IV

Proprietary plasma fractions replenish the positive functional chronokines that decrease with age.

Protein

INmune Bio

Pegipanermin (XProâ„¢; XPro1595; DN-TNF; INB 03)

AD

Subcutaneous

TNFR1 antagonist, prevents differentiation and function of myeloid-derived suppressor cells.

Small molecule

Asceneuron

ASN120290 (ASN-561, ASN90)

PSP

Oral

Protein O-GlcNAcase inhibitor.

EIP Pharma

Neflamapimod (VX 745)

AD

Oral

Inhibitor of the alpha isoform of the protein enzyme p38 mitogen-activated protein kinase (p38 MAPK alpha).

Eli Lilly and Co

LY-3372689

AD

Oral

Protein O-GlcNAcase inhibitor.

Oryzon Genomics SA

Vafidemstat (ORY-2001, CNS optimized LSD1 inhibitor)

AD

Oral

Inhibitor of monoamine oxidase type B (MAO-B) and lysine-specific demethylase 1 (LSD1, KDM1A).

PharmatrophiX

LM-11A31BHS

AD

Oral

Blocks the interaction between beta-amyloid peptide and p75NTR, down-regulating the signaling pathways and up-regulating survival signaling.

reMYND

REM-0046127 (ReS-19 T)

AD

Oral

Restores calcium dyshomeostasis.

T3D Therapeutics

T3D-959

AD

Oral

Dual agonist of the peroxisome proliferator-activated nuclear receptor delta/gamma, aka PPARδ/γ (metabolism/glycolytic pathways).

Univ. of California, Irvine

Nicotinamide

AD

Oral

Histone deacetylase inhibitor to reduce tau-induced microtubule depolymerization and tau phosphorylation.

Vivoryon Therapeutics N.V

Varoglutamstat (PQ912)

AD

Oral

Blocks the enzyme glutaminyl cyclase (QPCT), which catalyzes the formation of N3pE amyloid. In addition, QPCTL, an isoform of QPCT, is also required for the stability and full potency of the proinflammatory protein CCL2, reducing neuroinflammation. CCL2 is also a promoter of tau pathology.

Vaccine

AC Immune SA (in collaboration with Janssen)

JACI-35054; ACI-35030 (ACI-35, Anti-p-tau vaccine; liposomal anti-p-tau vaccine)

AD, tauopathies

Parenteral

Immune stimulator. Liposomal vaccine based on SupraAntigen technology platform administered through parenteral route. Targets p-tau.