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Alzheimer's Updates: Axsome's AXS-05, Semaglutide Trials, and Gut Microbiome Links

7 months ago1 min read

Key Insights

  • Axsome Therapeutics' AXS-05 met its primary endpoint in a Phase III trial for Alzheimer's disease agitation, showing promise for managing this challenging symptom.

  • Clinical trials investigating semaglutide (Ozempic, Wegovy) as a potential early treatment for Alzheimer's disease are anticipated to conclude in 2025.

  • Research links Alzheimer's disease-associated CD83(+) microglia with increased immunoglobulin G4 and human cytomegalovirus in the gut, vagal nerve, and brain, suggesting a microbiome connection.

Axsome Therapeutics has announced positive results from its ACCORD-2 phase III trial of AXS-05 (dextromethorphan-bupropion) in patients with agitation related to Alzheimer's disease. The trial met its primary endpoint, offering a potential new treatment option for this common and distressing symptom.

Semaglutide as a Potential Alzheimer's Therapy

Two clinical trials are underway to evaluate semaglutide (Ozempic, Wegovy) as a possible early intervention for Alzheimer's disease. Results from these trials are expected in 2025, and could offer a novel approach to disease modification.

Gut Microbiome and Alzheimer's Disease

Emerging research suggests a link between the gut microbiome and Alzheimer's disease. A recent study found that Alzheimer's disease-associated CD83(+) microglia were associated with increased immunoglobulin G4 and human cytomegalovirus in the gut, vagal nerve, and brain, highlighting a potential role for the gut-brain axis in the pathogenesis of Alzheimer's.

Other Alzheimer's Updates

A phase IIa trial investigating nicotinamide in individuals with mild cognitive impairment or mild dementia found the treatment to be safe but ineffective in altering Alzheimer's biomarkers.
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