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From Our Neurons to Yours

Why new Alzheimer's drugs don't work | Mike Greicius, Stanford University School of Medicine

Sep 12, 2024
Mike Greicius, a Stanford neurologist and expert on Alzheimer's treatments, discusses the recent surge of amyloid-clearing drugs. He critiques their effectiveness, suggesting they may cause more harm than good. Greicius highlights the skepticism among doctors regarding these drugs due to minimal cognitive benefits seen in trials. He also explores genetic factors influencing Alzheimer's risk and the shift in research focus from amyloid to tau proteins, offering a glimpse of hope for more effective therapies in the future.
25:48

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • Mike Greicius criticizes the new Alzheimer’s drugs for their minimal clinical benefits and potential harmful side effects for patients.
  • There is growing optimism for future Alzheimer’s therapies targeting tau proteins and genetic factors, shifting focus away from amyloid plaques.

Deep dives

Concerns About New Alzheimer's Treatments

Recent developments in Alzheimer's treatment include the introduction of three new drugs aimed at eliminating amyloid plaques in the brain, which have been linked to the disease. However, concerns have been raised about their effectiveness, particularly by neurologist Mike Gratius, who asserts that the clinical improvements observed in trials are minimal and may not reflect real benefits for patients. For instance, the reported changes on clinical outcome measures were between a quarter and two-thirds of a point, far less than the one to two-point change necessary for clinicians to note a significant difference in patient condition. Gratius believes that the drugs may be ineffective, and even harmful, given the serious side effects linked to their use.

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