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@ARTICLE{Courade:283060,
author = {Courade, Jean-Philippe and Zetterberg, Henrik and
Höglinger, Günter U and Dewachter, Ilse},
title = {{T}he evolving landscape of {A}lzheimer's disease therapy:
{F}rom {A}β to tau.},
journal = {Cell},
volume = {188},
number = {26},
issn = {0092-8674},
address = {[Cambridge, Mass.]},
publisher = {Cell Press},
reportid = {DZNE-2025-01467},
pages = {7337 - 7354},
year = {2025},
abstract = {A marked evolution in Alzheimer's disease (AD) therapy
research is ongoing. In this perspective, we highlight
emerging outcomes of tau-targeting approaches with
disease-modifying potential evidenced by PET-based slowing
of tau accumulation and early signs of cognitive benefit. We
outline how decades of iterative amyloid β (Aβ)-trial
refinement leading to the recent successes of approved
anti-Aβ therapies have set the stage for accelerated
optimization of next-generation trials. We summarize key
learnings from first-generation tau immunotherapies and how
these paved the way for early achievements in tau trials,
while many challenges remain. Finally, we discuss the
back-translation of clinical outcomes into fundamental
insights on human tau pathobiology, and we outline
challenges and future directions for AD therapy development
including combination therapy and targets beyond Aβ/tau.
Together, this provides a framework for next-generation AD
and tau-therapy development toward increasingly efficient
disease-halting interventions.},
subtyp = {Review Article},
keywords = {Alzheimer Disease: therapy / Alzheimer Disease: metabolism
/ Alzheimer Disease: drug therapy / Alzheimer Disease:
pathology / Humans / tau Proteins: metabolism / tau
Proteins: antagonists $\&$ inhibitors / Amyloid
beta-Peptides: metabolism / Amyloid beta-Peptides:
antagonists $\&$ inhibitors / Immunotherapy: methods /
Animals / Clinical Trials as Topic / A(I)TN (Other) / ASO
(Other) / AT(X)N (Other) / ATN (Other) / Abeta therapy
(Other) / Alzheimer's disease (Other) / PET imaging (Other)
/ amyloid (Other) / anti-sense oligonucleotides (Other) /
clinical trial (Other) / immunization (Other) / inflammation
(Other) / neurodegeneration (Other) / next-generation
therapies (Other) / tau (Other) / tau therapy (Other) /
tauopathies (Other) / therapy development (Other) / trial
(Other) / tau Proteins (NLM Chemicals) / Amyloid
beta-Peptides (NLM Chemicals)},
cin = {Clinical Research (Munich)},
ddc = {610},
cid = {I:(DE-2719)1111015},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:41448139},
doi = {10.1016/j.cell.2025.11.033},
url = {https://pub.dzne.de/record/283060},
}