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Table 4 Tau therapeutics in phase I or reported as being in filing for IND/CTA (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

Novartis AG

NIO-752 (NIO 752; NIO752; tau antagonist)

PSP

Intrathecal

ASO that acts by targeting tau/MAPT.

Fusion protein

Proclara Biosciences

NPT-088

AD

IV

Ig fusion protein that acts by targeting APP, ⍺-syn, prion, and tau protein and is developed based on “General Amyloid Interaction Motif” technology. Blocks aggregate formation of Aꞵ and tau.

mAb

Aprinoia Therapeutics

APNmAb-005 (APN 005)

AD, FTD

Undisclosed

Acts as a tau protein inhibitor and is claimed to have selectivity to toxic tau species.

H. Lundbeck AS

LuAF-87908

AD, tauopathies

IV

Humanized mouse IgG1 mAb to p-tau protein.

Merck & Co

MK-2214

AD

Undisclosed

An anti-tau mAb.

Ta-1505

AD

Undisclosed

Inhibits pSer413-tau to inhibit excessive phosphorylation of tau.

Prothena

PRX-005

Phase I for AD; preclinical for CTE, FTD, PSP

Subcutaneous

The mAb functions as MAPT inhibitor.

Small molecule

Alterity Therapeutics

AHT-434 (PBT-434)

MSA (Ph. II); CBD, PD, PSP (Ph. I in Australia only)

Oral

Inhibitor of metal-protein interaction. Prevents cell death by inhibiting the interaction between dopamine and iron and stops the accumulation of ⍺-syn (possibly tau too). It also elevates levels of the protective protein called DJ-1, reducing the rise of oxidative stress.

Anavex Life Sciences

ANAVEX 3–71 (AF-710B)

AD, FTD, PD

Oral

Induces a synchronized sigma-1 receptor activation and M1 muscarinic allosteric/bi-topic modulation via super-sensitization of M1mAChR, through a hypothetical heteromerization with Sig1R. Decreases Aꞵ, tau-hyperphosphorylation, GSK3beta activation, and prevents apoptosis and mitochondrial dysfunction via increased Bcl2.

BeyondBio Inc

BEY-2153

AD

Oral

Acts as a tau and Aꞵ protein inhibitor.

Biogen Inc

BIIB-113

AD

Oral

Protein O-GlcNAcase inhibitor.

Cortice Biosciences

ARC-100 (TPI 287)

AD, PSP, CBD

IV, oral

Microtubule inhibitor. Binds to tubulin and stabilizes microtubules, resulting in inhibition of microtubule assembly/disassembly dynamics, cell cycle arrest at the G2/M phase, and apoptosis.

Eli Lilly and Co

ACI-3024 (morphomer tau aggregation inhibitors)

AD, tauopathies

Oral

Reduction of tau aggregation. Selective binding to tau, no binding to the monomeric form of tau, and selective binding to AD brain-derived pathological tau.

Neurokine Therapeutics

MW-150

AD, dementia, tauopathies

Oral

General mechanism for reducing neuroinflammation through selective inhibition of mitogen-activated protein kinase p38 (p38MAPK).

Oligomerix Inc

OLX-07010 (TO-0582)

AD, FTD, tauopathies

Undisclosed

Acts by targeting tau oligomer formation.

Revivo Therapeutics

RIV-5061 (RIV-1061)

AD; cognitive impairment in IND/CTA phase

Undisclosed

Immediate release formulation of nomethiazole. It acts by targeting APP and NFTs. The drug candidate works by inhibiting and reducing tau protein from forming PHFs.

Unknown

PharmacoBio (formerly Dadang & BIO Co. Ltd.)

DDNA-0101

Dementia associated with AD (in IND/CTA)

Undisclosed

Aggregation inhibitor for tau and APP. Also prevents the hydrolysis of acetylcholine and enhances cholinergic function. Developed based on gut-brain microbiota axis platform.

Vaccine

Vitruvian Biomedical

YM-7555, reported to be in IND/CTA filed phase

AD (in IND/CTA)

Undisclosed

DNA vaccine that comprises human Aꞵ 1–42 and human tau 379–408 sequences connected to both ends of the Fc portion of immunoglobulin.