Alzheimer's drug trials adopt cancer's multi-target approach

Alzheimer's trials are shifting to a multi-target approach inspired by cancer research, even after failures with Novo Nordisk's semaglutide. Only two drugs, Eli Lilly's Kisunla and Eisai and Biogen's Leqembi, are widely approved to slow progression. This evolution treats the brain-wasting disease as a complex system, seeking new ways to halt it amid its global impact.

Alzheimer's disease causes about 60% of the over 55 million global dementia cases, marked by amyloid and tau protein buildup in the brain.

Just two drugs are widely approved to slow its advance: Eli Lilly's Kisunla and Leqembi from Eisai and Biogen. Both reduce progression by roughly 30% through removal of toxic amyloid plaques.

Experts highlight a pivotal shift in trials, exemplified by the unsuccessful testing of Novo Nordisk's blockbuster GLP-1 drug semaglutide for Alzheimer's. These efforts underscore viewing the brain-wasting condition as a network of complex pathways, akin to recent transformations in cancer therapeutics.

Adopting cancer's multi-target playbook, researchers are advancing to pinpoint additional targets and methods for arresting the disease more comprehensively.

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Researcher analyzing brain MRI scans related to Alzheimer's drug lecanemab study, showing amyloid clearance but no glymphatic improvement.
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Studi menemukan lecanemab membersihkan amiloid tetapi tidak menunjukkan pemulihan jangka pendek pada sistem pembersihan limbah otak

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Peneliti di Universitas Metropolitan Osaka melaporkan bahwa meskipun obat Alzheimer lecanemab mengurangi plak amiloid, pengukuran MRI tidak menemukan perbaikan pada sistem pembersihan limbah glymphatic otak tiga bulan setelah pengobatan dimulai, yang menekankan kompleksitas penyakit dan kebutuhan pendekatan multi-target.

Brazil's National Health Surveillance Agency (Anvisa) approved the drug lecanemabe, marketed as Leqembi, on Thursday, January 8, for patients with early-stage Alzheimer's. The monoclonal antibody, administered via infusion, slows disease progression in individuals with mild cognitive impairment and confirmed beta-amyloid protein in the brain. The approval marks progress, though it is not a cure.

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Chinese biotech firm SciNeuro Pharmaceuticals has partnered with Swiss pharmaceutical giant Novartis in a deal worth nearly $1.7 billion to develop treatments for Alzheimer's disease, which affects some 55 million people worldwide. The agreement grants Novartis exclusive worldwide rights to develop and commercialise SciNeuro's antibody candidates for the progressive brain disease. SciNeuro's novel amyloid beta-targeted antibody programme leverages proprietary blood-brain barrier shuttle technology to help more of the drug cross into the brain where Alzheimer's damage occurs.

Peneliti dari MIT dan Universitas Stanford telah mengembangkan molekul multifungsi bernama AbLecs untuk memblokir pos pemeriksaan kekebalan berbasis gula pada sel kanker. Pendekatan ini bertujuan meningkatkan imunoterapi dengan memungkinkan sel kekebalan menargetkan tumor lebih baik. Uji awal pada sel dan tikus menunjukkan hasil menjanjikan dalam meningkatkan respons anti-tumor.

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Prof KVS Hari, director of the Centre for Brain Research at IISc Bengaluru, emphasized digital biomarkers for early detection and prevention of dementia. He noted that India's rapidly aging population makes dementia a major public health challenge. The centre focuses on data collection and AI to understand disease progression in the Indian context.

Para ilmuwan di Northwestern Medicine telah mengembangkan antibodi yang melawan penyamaran berbasis gula kanker pankreas, memungkinkan sistem kekebalan tubuh menyerang tumor lebih efektif. Dalam studi pada tikus, terapi tersebut memperlambat pertumbuhan tumor dengan memulihkan aktivitas imun. Tim sedang menyiapkan antibodi untuk uji coba manusia.

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Peneliti yang dipimpin Mass General Brigham dan Technical University of Munich melaporkan bahwa tirzepatide dan semaglutide terkait dengan penurunan signifikan serangan jantung, stroke, dan kematian pada orang dewasa dengan diabetes tipe 2 yang berisiko kardiovaskular tinggi. Menggunakan hampir satu juta catatan asuransi, analisis Nature Medicine menemukan perlindungan jantung yang kuat dan dini dari kedua obat berbasis GLP-1, dengan perbedaan hanya sederhana di antara keduanya.

 

 

 

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