The tau protein has proven to be a quite difficult target for the pharmacotherapy of neurodegenerative diseases. While reduction or prevention of its hyperphosphorylation has been pursued for many years, inhibiting O-glycoprotein-2-acetamido-2-deoxy-β-D-glucopyranosidase (O-GlcNAcase, OGA) is a new route. Chronic inhibition of OGA reduces pathological tau in the brain of rTg4510 transgenic mice, most likely by directly increasing O-GlcNAcylation of tau, reducing its aggregation and the subsequent deleterious post-translational modifications [1,2]. Eli Lilly, IN, USA is highly active in this field; they acquired the tau PET tracer program developed by Siemens Medical Solutions USA, Inc., in 2013, and its antibody LY-3303560 (directed against aggregated tau) is in clinical trials. Now the company has filed a patent application claiming a single compound (a quite unusual move nowadays) as an OGA inhibitor, for the treatment of Alzheimer's disease, the mild cognitive impairment preceding it and for progressive supranuclear palsy. For the last-mentioned condition the Swiss company Asceneuron (Lausanne, Switzerland) SA (a spinout of Merck Serono's [Darmstadt, Germany] Alzheimer portfolio) is planning a Phase II trial for its lead OGA inhibitor, ASN120290. For more OGA inhibitors, see Janssen Pharmaceutica's (Beerse, Belgium) WO/2018/109198 (reviewed in PPA 7[6]). One problem with such compounds is that they are potentially diabetogenic: streptozotocin and alloxan both are OGA inhibitors [3].