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Buntanetap + sildenafil is a small molecule combination therapy being developed by Annovis Bio for the treatment of neurodegenerative diseases, including Alzheimer's disease and dementia. Buntanetap (formerly ANVS401) is an orally administered, brain-penetrant small molecule that inhibits the translation of neurotoxic proteins such as amyloid precursor protein (APP), alpha-synuclein, and tau by binding to the iron-responsive element (IRE) in the 5' untranslated region of their mRNA. Sildenafil, the active ingredient in Viagra, is a phosphodiesterase type 5 (PDE5) inhibitor that has demonstrated neuroprotective potential and the ability to lower neurotoxic tau levels in clinical and preclinical models. Early preclinical data suggests a strong synergistic effect from combining these two agents, potentially restoring cognitive function to healthy levels or improving it beyond normal. The combination is currently in Phase 2 development.
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