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Neurofibrillary tangles are associated with tau pathology in Alzheimer disease (AD). To investigate the safety and efficacy of leuco-methylthioninium bis(hydromethanesulfonate) (LMTM), an investigational selective tau-aggregation inhibitor, as a disease-modifying treatment for mild-to-moderate AD, researchers conducted an international, randomized, placebo-controlled, manufacturer-funded, phase III clinical trial. Primary outcomes included scores on the Alzheimer's Disease Assessment Scale–Cognitive Subscale (ADAS-Cog) and the Alzheimer's Disease Co-operative Study–Activities of Daily Living Inventory (ADCS-ADL) scales. Secondary outcomes included lateral ventricular volume, global impression of change, and Mini-Mental State Examination (MM…