Table 1.
Immunization | Name | Drug | Clinical trials | Effects on biomarkers | Major adverse events |
---|---|---|---|---|---|
Active | AN1792 | Aβ-42 with Qs21 as adjuvant | Phase II | Clearence of amyloid plaques | Meningoencephalitis and cerebral microhemorrhage |
Affitope AD02 | Peptide mimicking B-cell epitope peptide, Aβ1–6 with no sequence similarities | Phase II ongoing | No results posted | No results posted | |
ACC-001 | Aβ1–6 conjugated to the mutated diphtheria toxin protein CRM19 | Phase II ongoing | No results posted | No results posted | |
CAD106 | B-cell epitope peptide, Aβ1–6, which is coupled to a bacteriophage coat protein | Phase II | Increase of total Aβ levels and reduced free Aβ in plasma | None related to immunized group | |
ACI-24 | Liposome-based vaccine with tetra-palmitoylated Aβ1–15 | Phase I/IIa | No results posted | No results posted | |
Passive | Bapineuzumab | IgG1 isotype targeting Aβ1–5 | Phase II | Reduction of cerebral Aβ, CSF p-tau, and total tau levels | Vasogenic cerebral edema |
Solanezumab | IgG1 isotype targeting Aβ13–28 | Phase II | Increase in CSF Aβ-40, Aβ-42 levels and reduced CSF levels of free Aβ-40 | None related to immunized group | |
Gantenerumab | IgG1 isotype targeting Aβ1–11 | Small group of patients | Reduction of amyloid plaques | Vasogenic edema | |
Crenezumab | IgG4 isotype targeting Aβ12–23 | Phase I | Increase in total plasma Aβ-40 and total Aβ-42 levels | None related to immunized group | |
IVIG | Pool mixture of immunoglobulin from healthy people | Phase II/III | Reduction of amyloid plaques and plasma Aβ-42 levels | Ischemic stroke and microbleeds |
Abbreviations: Aβ, amyloid beta; CSF, cerebrospinal fluid; Ig, immunoglobulin; IVIG, intravenous immunoglobulin; p-tau, phosphorylated tau.