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Chunk #33 — Therapeutic approaches to toxic tau gain of function — Approach 4: active immune clearance of tau

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Targeting tau: Clinical trials and novel therapeutic approaches.
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However, one past trial targeting amyloid with active immunotherapy (AN1792), caused a life-threatening T-cell mediated meningoencephalitis in 6% of patients, leading to trial termination and subsequent caution regarding this approach. [90] Early studies using full-length human tau inoculation in mouse models also provoked inflammation and further tau aggregation, further limiting initial enthusiasm for active immunization [91]. Subsequent vaccination strategies have avoided full-length tau, employing tau fragments, which have not demonstrated off-target immune response, though efficacy has yet to be evaluated.