Frontotemporal dementia
Targeting tau pathology to advance new treatments for a disease that can affect people from the age of 40
A faster neurodegenerative process
Behavioural variant frontotemporal dementia (bvFTD), originally known as Pick’s disease, is the most common type of frontotemporal dementia, and can cause early and progressive changes in personality, emotional ‘blunting’ and loss of empathy. The underlying pathology is similar to that found in Alzheimer’s disease but affects a different region of the brain and also tends to affect people at a younger age.
The average age of onset of FTD is between 40 and 60 years. In bvFTD, the neurodegenerative process progresses faster than in Alzheimer’s disease, initially affecting the frontal and temporal lobes, which govern behaviour and emotion. Atrophy in these regions of the brain was recently found to be associated with core clinical symptoms in patients with bvFTD.1 As the disease progresses, other parts of the brain are affected, eventually producing a global dementia.
A treatment for rare diseases
Aggregates of tau, and another protein called TDP-43, each account for about 50% of patients with bvFTD1. The active component at the heart of our second generation TAI has been found to act on the aggregation of the TDP-43 protein in a similar way to its action on aggregation of tau protein. In 2010, our drug was granted Orphan Designation, a drug that’s developed to treat a rare disease, affecting a relatively small proportion of the population. We completed a Phase III clinical trial of our lead compound in bvFTD, published here.
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References
- Vuksanovic V, Staff RT, Ahearn T, et al. (2016) Frontotemporal atrophy and clinical estimates of disease severity in behavioural variant frontotemporal dementia: The role of cognitive reserve. Presented at the Alzheimer’s Research UK Conference, Manchester, UK.