Roughly 5.7 million Americans live with Alzheimer’s, the neurodegenerative disease that slowly deteriorates memory and other cognitive abilities. For more than 25 years, many experts have pushed beta-amyloid, a protein fragment that builds up in the brain in plaques, as one of the main suspects behind the disease. Pharmaceutical companies are chasing beta-amyloid hard, racing to develop drugs to fight plaque buildup and hopefully, in turn, improve patients’ brain function. But 2018 was a mixed bag for those potential treatments.