Review Article

Targeting Beta Amyloid: A Clinical Review of Immunotherapeutic Approaches in Alzheimer's Disease

Table 2

Passive immunotherapy agents.

Drug nameSponsor(s)Mechanism of actionStatusKey clinical dataSource of key clinical data

BapineuzumabJANSSEN Alzheimer Immunotherapy Research & Development, LLC.; Pfizer Inc.Humanized mAb that targets the N-terminal region of AβPhase 3No significant differences compared with placebo in primary outcomes (ADAS-Cog or DAD); potential treatment differences based on ApoE4 carrier status[51]
IVIG (Gammagard)Baxter International Inc.Intravenous Ig; contains antibodies against AβPhase 3Significant differences compared with placebo in primary outcome measures (ADAS-Cog and ADCS-CGIC)[78]
SolanezumabEli Lilly and CompanyHumanized monoclonal antibody against the mid-domain of AβPhase 3Favorable safety profile: no evidence of meningoencephalitis, microhemorrhage, or ARIA-E[60]
GantenerumabHoffmann-La Roche, Inc.Monoclonal antibody that targets AβPhase 2No clinical data have been presented to date
IVIG (Octagam)Octapharma AGIntravenous Ig; contains antibodies against AβPhase 2No clinical data have been presented to date
IVIG (Newgam)Sutter HealthIntravenous Ig; contains antibodies against AβPhase 2No clinical data have been presented to date
PonezumabPfizer Inc.Humanized IgG2deltaA monoclonal antibody that binds to amino acids 33–40 of the Aβ 1−40 peptidePhase 22 phase 1 studies showed favorable safety profiles, with no microhemorrhage, ARIA-E, or encephalitis[67, 68]
BAN2401Eisai Co., Ltd.Humanized monoclonal antibody that selectively recognizes and eliminates Aβ protofibrilsPhase INo clinical data have been presented to date

Aβ: beta amyloid; ApoE4: apolipoprotein E4A; DAS-Cog: Alzheimer’s Disease Assessment Scale-Cognitive Subscale; DAD: Disability Assessment for Dementia; Ig: immunoglobulin.