Table 2.
S. No. | Name of Drug | Action of Drug |
Clinical
Status |
Models | Effects | Refs. | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
1. | CPC-201 (Donepezil + Solifenacin) | Acetylcholine-neurotransmitter based | Phase 2 | Patients with AD type dementia | Cholinergic signaling is improved | [150] | |||||
2. | Galantamine | Anti-cholinesterase, Allosteric modulator of nAChRs |
FDA approved | Patients with dementia related to cerebrovascular disease | Prevent and slow down the symptoms | [151] | |||||
3. | Bisnorcymserine | Anti-Butyrylcholinesterase, amyloid protein precursor inhibitor | Phase 1 | AD patients above 55 years of age | Neurotransmission of acetylcholine | [152] | |||||
4. | TRx0237 (LMTX) |
Anti-tau | Phase 3 | Patients with mild form of AD up to 89 years of age | Inhibits misfolded tau protein aggregation | [153] | |||||
5. | NP001 | Anti-inflammatory | Phase 1 | Neuroinflammation in mild to moderate form of AD patients | Activates the immune system | [154] | |||||
6. | Solanezumab | Anti-amyloid | Phase 3 | Mild dementia in patients due to AD | Slow down cognitive decline and decrease fibrillary plaques | [155] | |||||
7. | BAN2401 | Anti-amyloid immunotherapy | Phase 3 | Transgenic mouse models | Reduction amyloid beta protofibrils, cognitive decline and APOE4 | [156] | |||||
8. | Candesartan | Neuroprotective, glial cell functions | FDA approved | Spontaneous hypertensive rats | Targets on vascular functioning, angiotensin II type 1 receptor blocker | [157] | |||||
9. | ANAVEX2-73 | Anti-tau, metabolic | High dose – Phase 2, Mid dose -Phase 3 |
In-vivo mouse models of AD | Reduce tau phosphorylation and cell signaling is improved | [158] | |||||
10. | Bryostatin-1 | Anti-amyloid, prevent tumor growth | Phase 2 | Mild to moderate form of AD in patients | Improved cellular processes | [159] | |||||
11. | Donepezil | Anti-cholinesterase | FDA approved | Mild to moderate form of AD in patients | Slow down the symptoms of AD | [160] | |||||
12. | Memantine | Glutamate – NMDA receptor antagonist |
FDA approved | Moderate to severe form of AD in patients | Slow down the symptoms in learning and memory pathways | [161] | |||||
13. | Formoterol | Metabolic | Phase 2 | Ts65Dn Mouse model | Improvement in multicellular pathways | [162] | |||||
14. | hUCB-MSCs | Regenerative | Phase 1 | Zebrafish, murid rodents, nonhuman primates and invertebrates such as Drosophila and C elegans | Regenerating neurons, proliferation of K562 (an erythromyeloblastoid cell line) and the cytokine secretion pattern | [163] | |||||
15. | Semorinemab | Anti-tau monoclonal antibody | Phase 2 | Mouse models and clinical patients of AD | Targets N-terminus of all six isoforms of human type tau | [164] [https://clinicaltrials.gov/ct2/show/NCT03828747] | |||||
S. No. | Name of Drug | Action of Drug |
Clinical Status |
Models | Effects | Refs. | |||||
16. | STA-1 | Neuroprotective | Phase 2 | Patients with vascular dementia, Caenorhabditis elegans | Reduction in oxidative stress | [165] | |||||
17. | Probucol | Neuroprotective, anti-inflammatory | Phase 2 | Aged male rats (26 months old) | Synaptic functions improve and APOE gene activity is induced | [166] | |||||
18. | DAOIB | Neurotransmitter-NMDA based | Phase 2 | Behavioral and psychological patients of AD | NMDA activity is enhanced | [153] | |||||
19. | Ifenprodil | Neuroprotective | Phase 1 | In-vitro and in-vivo models | NMDA receptor antagonist -inhibits receptors containing NR2B subunits | [167] | |||||
20. | Riluzole | Neuroprotective, inhibits release of glutamic acid | Phase 2 | 5XFAD Transgenic mouse models of familial AD | Protection of neurons in brain | [168] | |||||
21. | Saracatinib | Anti-tau based therapy | Phase 1 | Transgenic mouse models | Fyn kinase inhibitor to inhibit synaptotoxicity | [49] | |||||
22. | Morin | Interacts with nucleic acids, proteins and enzymes | - | Rats | Acts on free radicals, reduces oxidative stress and hyperammonemia | [169] |