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AAIC 2026: Clinical Trials and Drug Development
Conference: AAIC 2026 | Dates: July 12-15, 2026 | Location: Excel London, UK
Overview
Conference: AAIC 2026 | Dates: July 12-15, 2026 | Location: Excel London, UK
Overview
AAIC 2026 features comprehensive coverage of clinical trial results and drug development programs for Alzheimer's disease and related dementias. This page captures Phase 2/3 trial results, novel therapeutic compounds, and emerging treatment strategies presented at the conference["@cummings2024"].
Phase 2/3 Trial Results
Anti-Amyloid Therapies
Lecanemab (Leqembi)
- CLARITY-AD Open Label Extension: Long-term effectiveness data
- ARIA management protocols: Real-world experience
- Biomarker correlates: Plasma p-tau217 as treatment response marker
Donanemab (Kisunla)
- TRAILBLAZER-ALZ 3: Preclinical AD prevention trial updates
- TRAILBLAZER-ALZ 2 OLE: Extended follow-up data
- Tau burden stratification: Impact on treatment response
Gantenerumab
- GRADUATE trials: Complete results and analyses
- Lessons learned: Dose optimization and plaque clearance
Anti-Tau Therapies
Tau Immunotherapies
- RNIC (SPRING): Anti-tau antibody in Phase 2
- J&J programs: Multiple tau-targeted approaches
- AC Immune: Novel tau vaccine candidates
Tau Aggregation Inhibitors
- Methylthioninium chloride (MTC): Phase 3 results
- Small molecule modulators: Clinical development status
Neuroprotective Agents
GLP-1 Receptor Agonists
- Exenatide: Phase 2 cognitive outcomes
- Semaglutide: Phase 3 EMERALD program
- Tirzepatide: Dual GIP/GLP-1 in AD
Mitochondrial Protectants
- Cytochrome c oxidase modulators: Phase 1/2 results
- NAD+ precursors: NIC5-15 and NMN trials
- Antioxidant approaches: Mitochondrial-targeted antioxidants
Novel Therapeutic Compounds
Small Molecule Approaches
| Compound | Target | Phase | Company |
|----------|--------|-------|---------|
| AL108 (PNQX) | PDE9 inhibitor | Phase 2 | Pfizer |
| ACD-855 | Tau aggregation | Phase 1 | Acumen |
| JNJ-63733657 | Tau antibody | Phase 2 | J&J |
| LY3374289 | Anti-Aβ antibody | Phase 1 | Eli Lilly |
Gene Therapy Approaches
- AAV-mediated gene delivery: BDNF, NGF delivery
- Antisense oligonucleotides: APP and tau reduction
- CRISPR-based approaches: Emerging preclinical programs
Cell-Based Therapies
- Stem cell approaches: MSC transplantation trials
- Microglial modulation: Targeted cell therapies
- Biologic delivery: Novel delivery mechanisms
Treatment Strategies
Combination Therapy Approaches
AAIC 2026 highlights the shift toward combination therapies:
Biomarker-Guided Patient Selection
- Plasma biomarkers: p-tau217, p-tau181, GFAP
- Tau PET: Patient stratification for anti-tau trials
- Genetic stratification: APOE and polygenic risk scores
Precision Medicine Approaches
- Autosomal dominant AD: DIAN-TU trial updates
- Down syndrome: Alzheimer's prevention in trisomy 21
- Early-onset AD: Targeted therapeutic approaches
Repurposed Drug Programs
Priority Candidates
| Drug | Original Indication | AD Target | Phase |
|------|---------------------|-----------|-------|
| Metformin | Diabetes | Insulin sensitization | Phase 3 |
| Losartan | Hypertension | Vascular protection | Phase 2 |
| Atorvastatin | Hyperlipidemia | Cholesterol modulation | Phase 3 |
| Valacyclovir | Herpes | Antiviral approach | Phase 2 |
Trial Results
- SPRINT-MIND: Blood pressure and cognitive outcomes
- EXERT: Exercise in preclinical AD
- MIND Diet: Nutritional intervention results
Clinical Trial Design Innovations
Digital Endpoints
- Smartphone-based cognitive assessments
- Remote monitoring technologies
- Digital biomarker collection
Adaptive Trial Designs
- Platform trials for AD
- Master protocols
- Bayesian approaches
Pragmatic Trials
- Real-world evidence generation
- Registry-based trials
- Embedded trials
Notable Sessions
Late-Breaking Research
- Major Phase 3 trial results
- Novel mechanism presentations
- First-in-human data
Symposia
- "Clinical Trial Design in the Era of Biomarkers"
- "Combination Therapy: Rationale and Evidence"
- "Repurposing Successes and Failures"
Related NeuroWiki Content
- [Anti-Amyloid Antibody Clinical Trials](/therapeutics/anti-amyloid-antibody-clinical-trials)](/clinical-trials)
- [Anti-Tau Immunotherapy Programs](/therapeutics/anti-tau-immunotherapy-programs)](/therapeutics)
- [GLP-1 Receptor Agonists in Neurodegeneration](/therapeutics/glp-1-receptor-agonists-neurodegeneration)](/therapeutics)
- [Alzheimer's Disease Clinical Trials](/clinical-trials)
See Also
- [AAIC 2026 Conference](/events/aaic-2026)](/events)
- [AAIC 2026: Therapeutic Approaches](/events/aaic-2026/therapeutic-approaches)](/events)
- [AAIC 2026: Prevention Trials](/events/aaic-2026/prevention-trials)](/events)
- [AAIC 2026: Biomarker-Guided Clinical Trials](/events/aaic-2026/biomarker-clinical-trials)](/clinical-trials)
- [Clinical Trials Index](/content/clinical-trials)
References
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