RT Journal Article SR Electronic T1 Alzheimer’s disease: many failed trials, so where do we go from here? JF Journal of Investigative Medicine JO J Investig Med FD BMJ Publishing Group Ltd SP 1135 OP 1140 DO 10.1136/jim-2020-001297 VO 68 IS 6 A1 Allison Bethanne Reiss A1 Amy D Glass A1 Thomas Wisniewski A1 Benjamin Wolozin A1 Irving H Gomolin A1 Aaron Pinkhasov A1 Joshua De Leon A1 Mark M Stecker YR 2020 UL http://hw-f5-jim.highwire.org/content/68/6/1135.abstract AB Alzheimer’s disease (AD) is a neurodegenerative brain disorder associated with relentlessly progressive cognitive impairment and memory loss. AD pathology proceeds for decades before cognitive deficits become clinically apparent, opening a window for preventative therapy. Imbalance of clearance and buildup of amyloid β and phosphorylated tau proteins in the central nervous system is believed to contribute to AD pathogenesis. However, multiple clinical trials of treatments aimed at averting accumulation of these proteins have yielded little success, and there is still no disease-modifying intervention. Here, we discuss current knowledge of AD pathology and treatment with an emphasis on emerging biomarkers and treatment strategies.