Dementia Drugs in Trials: UK and Worldwide
Dementia continues to impact millions worldwide, causing significant challenges with memory, thinking, and daily functioning, with Alzheimer's disease being the most prevalent form. Over the past two years, from October 2023 to October 2025, researchers have made notable strides in testing new drugs aimed at slowing or halting the disease's progression. This article provides an overview of key drugs in various trial phases during this period, including expected completion dates and results from concluded trials. Drawing from recent reports and updates, we'll use straightforward language to make the information accessible, while including a section on trials anticipated to begin after 2025.
As a major global health concern, dementia affects over 55 million people, with projections suggesting this could double by 2050 without breakthroughs.
In the UK alone, more than a million individuals are expected to live with dementia by 2025, rising to two million by 2051.
While existing medications manage symptoms like confusion, emerging therapies target underlying causes such as protein build-ups in the brain. Clinical trials evaluate safety and efficacy across phases: Phase 1 focuses on safety in small groups, Phase 2 assesses benefits in moderate-sized cohorts, and Phase 3 confirms results in large populations, often leading to regulatory approval.
The last two years have sparked optimism, with approvals for drugs like lecanemab and donanemab in the US and UK. These anti-amyloid therapies clear harmful plaques from the brain, slowing decline by 27% to 35% in early-stage patients.
However, they come with risks like brain swelling or bleeding, affecting up to 30% in some trials.
These advancements represent a shift toward disease-modifying treatments, fuelling a robust pipeline. As of January 2025, 182 trials are evaluating 138 novel drugs, a 9% increase from the previous year, with most targeting Alzheimer's.
The UK contributes significantly, hosting around 9% of global trials, supported by organisations like Alzheimer's Research UK and government-funded hubs.
We'll break down the drugs by phase, highlighting those active or concluded since October 2023, with start dates where available, expected end dates, and outcomes for finished trials. Data is sourced from recent pipeline reports and updates as of late October 2025.
Recent Finished Trials and Results
Several trials wrapped up between 2023 and 2025, yielding a mix of successes and setbacks that inform future efforts.
Lecanemab: an anti-amyloid antibody, concluded its major Phase 3 Clarity AD trial in 2023, involving 1,795 participants. It demonstrated a 27% reduction in cognitive decline, with mostly mild side effects, leading to US approval in 2023 and UK approval in 2024, though not yet on the NHS due to cost concerns.
Recent analyses in 2025 suggest it may also benefit high-risk groups like APOE4 carriers, potentially preventing dementia onset if given early.
Donanemab: another amyloid-clearing drug, finished its Phase 3 Trailblazer-ALZ 2 trial in 2024, showing a 35% slowdown in decline for early-stage patients, despite risks like brain bleeds in some. It gained US approval in July 2024, with UK evaluation ongoing.
Aduhelm (aducanumab): similar in mechanism, saw ongoing studies through 2023 but was withdrawn in 2024 after data revealed limited benefits and high side effects.
Gantenerumab: Roche's amyloid-targeting drug, failed its Phase 3 trials in late 2023, not sufficiently slowing decline despite safety.
Troriluzole: designed to protect brain cells, completed Phase 3 in 2024 but missed key goals, showing no significant symptom improvement, though further testing is planned.
Simufilam: from Cassava Sciences, ended its Phase 3 in late 2024 without benefits, amid data integrity concerns that were later resolved, but the drug didn't advance.
Varoglutamstat: an anti-inflammatory, flopped in Phase 2 in July 2025, proving safe but ineffective for cognition.
Latozinemab (AL001): Alector's hopefully promised drug for frontotemporal dementia, failed its Phase 3 INFRONT-3 trial in October 2025, showing no major aid, though the company is exploring next steps.
ALZ-801: an oral amyloid blocker, finished Phase 3 in 2025 with positive results, slowing decline and reducing brain shrinkage in APOE4 carriers, offering hope for gene-specific treatments.
These outcomes highlight that amyloid therapies work best early on, while other targets like tau and inflammation require refinement. Non-drug trials, such as those on blood pressure control and multivitamins, also showed benefits in preventing decline.
Ongoing Phase 3 Trials
Phase 3 trials, the largest and most definitive, are confirming efficacy for several drugs active in the last two years. As of 2025, 48 such trials assess 33 agents, with 12 expected to conclude this year.
Here's a bullet-point summary of key ones:
Semaglutide (Novo Nordisk): A GLP-1 agonist repurposed from diabetes to reduce brain inflammation; started in 2021 with ongoing arms since 2023; expected end late 2025; ongoing, with early data suggesting slower decline in over 3,000 participants.
Dextromethorphan plus quinidine (Avanir): Targets agitation via NMDA antagonism; began 2023; expected end 2025; ongoing to ease behavioural symptoms without heavy sedation.
Nabilone (various sponsors): A cannabinoid for agitation and sleep; started 2023; expected end 2025; ongoing, building on small studies showing mood improvements.
Trontinemab (Roche): An anti-tau antibody; Phase 3 launched 2024, with new trials announced August 2025; expected end 2026; ongoing, focusing on tau tangles, with recruitment expanding.
Posdinemab (Eli Lilly): Anti-tau therapy; started 2024; expected end 2026; ongoing with fast-track status, aiming to block tau spread.
Remternetug (Eli Lilly): Rapid amyloid remover via IV; Phase 3 from 2023; expected end 2025; ongoing, with data imminent.
Hydromethylthionine (TauRx): Slows tau aggregation; ongoing since 2023; expected end 2025; mixed early data but continuing.
AR1001: For early Alzheimer's efficacy and safety; ongoing; primary completion expected soon.
Valiltramiprosate (ALZ-801 variant): Oral amyloid inhibitor; Phase 3 ongoing; expected end 2025.
These trials emphasize diversity, including repurposed drugs and biomarkers for better patient selection, potentially leading to approvals by 2026 if successful.
Ongoing Phase 2 Trials
Phase 2 trials, numbering 86 and testing 75 drugs in 2025, evaluate preliminary benefits in mid-sized groups.
Many launched or progressed in the last two years, exploring innovative mechanisms.
Fosgonimeton (Athira Pharma): Enhances growth factors for brain repair; started 2023; expected end 2026; ongoing for mild Alzheimer's.
Xanamem (Actinogen): Blocks cortisol to protect memory; began 2024; expected end 2026 with interim results.
AL002 (Alector): Boosts immune response via TREM2; started 2023; expected end 2025, though related trials failed, prompting redesigns.
CT1812 (Cognition Therapeutics): Protects synapses by blocking sigma-2; began 2023; expected end 2025.
TB006 (TrueBinding): Anti-galectin-3 to reduce plaques; started 2024; expected end 2026.
Pepinemab (Vaccinex): Inhibits semaphorin signals to prevent cell death; began 2023; expected end 2025.
Bepranemab (UCB): Anti-tau to slow spread; started 2024; expected end 2026.
Blarcamesine (Anavex): Nerve cell protector; Phase 2/3 mixed but seeking approval.
Other notable approaches include gene therapies like AAV2-BDNF, stem cell injections with varied results, and anti-inflammatories like baricitinib. These trials are pivotal for advancing diverse strategies beyond amyloid.
Ongoing Phase 1 Trials
With 48 trials testing 39 agents, Phase 1 emphasizes safety in small groups, many introducing novel ideas since 2023.
The number grew from 27 to 48 in a year, reflecting innovation.
ACI-35 (AC Immune): Tau vaccine to boost immunity; started 2024; expected end 2025.
LU AF87908 (Lundbeck): Anti-tau antibody; began 2023; expected end 2025.
ABBV-916 (AbbVie): Improved amyloid antibody; started 2024; expected end 2026, with positive early data.
VA-AD (Vaxxinity): Amyloid vaccine; began 2023; expected end 2025.
PMN310 (ProMIS): Selective amyloid binder for fewer side effects; started 2024; expected end 2025.
SHR-1707 (Hengrui): Amyloid remover; began 2023; expected end 2025.
Emerging tech like CRISPR gene editing and nanoparticles for brain delivery are in early testing, not yet in humans for dementia. These foundational trials pave the way for future phases.
UK Specific Trials
The UK is a hub for dementia research, with 55 active trials, many global with local sites or UK-led.
Initiatives like the Dementia Trials Accelerator expand networks across England and Scotland.
Lecanemab and donanemab included UK participants, with follow-ups ongoing. A groundbreaking Phase 1 for THN391 started in Edinburgh in September 2025, the world's first, infusing four participants over ten months to target fibrin in Alzheimer's.
UCL's ALN-APP gene-silencing trial, started 2023 and expanded 2024, turns off harmful genes in early-onset cases.
A nationwide blood test trial, launched September 2025 by UCL and others, aims to transform diagnosis by 2029, recruiting thousands for accuracy checks; ends 2026.
Re:Cognition Health oversees multiple studies for mild impairment, while Dementias Platform UK runs READ-OUT for biomarker detection.
Semaglutide includes UK sites, with results due September 2025.
Roche's trontinemab recruits UK patients from September 2025.
Alzheimer's Research UK funds vaccines and antibodies, and government hubs facilitate participation, emphasizing early diagnosis and diverse therapies.
UK Specific Trials
The dementia drug landscape has evolved rapidly over the past two years, with approvals, failures, and a diverse pipeline offering renewed hope. While challenges remain, such as side effects and access, ongoing trials could deliver more treatments soon, particularly in the UK where research infrastructure is strong.
Future efforts post-2025 promise even broader innovations. If eligible, consider participating in trials to contribute to this vital progress - science is steadily moving toward better outcomes for those affected.
Looking ahead, several trials are slated for 2026 or beyond, building on current progress and addressing gaps.
A UNM-led tau vaccine trial begins early 2026, promoting healthy proteins over 12 months.
Alector plans redesigned trials post-2025 failure, targeting frontotemporal dementia in 2026-2027.
Part the Cloud grants fund gene-targeting therapies starting 2026.UCSF's repurposed cancer drugs, which reverse Alzheimer's gene changes, may enter human trials in 2026.
APOE gene therapy expansions are planned post-2025, alongside more stem cell and vaccine studies.
Preventive anti-amyloid trials, like extensions of AHEAD, will test pre-symptomatic intervention into 2026 and beyond.
Some ongoing Phase 3s, like trontinemab, extend to October 2026 for full data.
These initiatives focus on prevention, genetics, and novel targets, expanding options as the pipeline grows.