Evidence map›Paper›PMID 24581702›Full record

ReviewThe Lancet. Neurology2014

Outcome markers for clinical trials in cerebral amyloid angiopathy.

Steven M Greenberg, Rustam Al-Shahi Salman, Geert Jan Biessels, Mark van Buchem, Charlotte Cordonnier, Jin-Moo Lee, Joan Montaner, Julie A Schneider, Eric E Smith, Meike Vernooij and 1 more

Open access · greenAbstract readReview
In one paragraph

Review in The Lancet. Neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 4 pooled it
13.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 4 syntheses or guidelines pooled it, 147 citations in OpenAlex.

  1. Prevalence of cerebral amyloid angiopathy: A systematic review and meta-analysis.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2022
    Pooled it
  2. Pooled it
  3. Neurology · 2019
    Pooled it
  4. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 11 institutions in 6 countries.

Steven M GreenbergStroke Research Center, Massachusetts General Hospital, Boston, MA, USA. Electronic address: sgreenberg@partners.org.
Rustam Al-Shahi SalmanDivision of Clinical Neurosciences, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Geert Jan BiesselsBrain Centre Rudolf Magnus, University Medical Center of Utrecht, Utrecht, Netherlands.
Mark van BuchemDepartment of Radiology, Leiden University Medical Center, Leiden, Netherlands.
Charlotte CordonnierDepartment of Neurology, Universite Lille Nord de France EA 1046, Lille University Hospital, Lille, France.
Jin-Moo LeeDepartment of Neurology, Department of Radiology, and Department of Biomedical Engineering, Washington University School of Medicine, St Louis, MO, USA.
Joan MontanerDepartment of Neurology, Vall d'Hebron University Hospital and Research Institute, Autonomus University of Barcelona, Barcelona, Spain.
Julie A SchneiderDepartment of Pathology and Department of Neurological Sciences, Rush University Medical Center, Chicago, IL, USA.
Eric E SmithHotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.
Meike VernooijDepartment of Radiology and Epidemiology, Erasmus University Medical Center, Rotterdam, Netherlands.
David J WerringUCL Institute of Neurology, London, UK.
Erasmus MC · NLLeiden University Medical Center · NLMassachusetts General Hospital · USRush University Medical Center · USUniversitat de Barcelona · ESUniversité Lille Nord de France · FRUniversity College London · GBUniversity Medical Center Utrecht · NLUniversity of Calgary · CAUniversity of Edinburgh · GBWashington University in St. Louis · US

Funding

Vascular Dysfunction in Cerebral Amyloid AngiopathyR01AG026484 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI GREENBERG, STEVEN M · 2005 to 2019
$7.5M
Early Detection of Cerebral Amyloid AngiopathyR01NS070834 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI GREENBERG, STEVEN M · 2010 to 2014
$2.3M
Untangling Amyloid Plaques With ProteasesR01NS067905 · NINDS · WASHINGTON UNIVERSITY · PI LEE, JIN-MOO · 2009 to 2010
$850k
ENHANCING LYSOSOME BIOGENESIS TO PREVENT AMYLOID PLAQUE PATHOGENESISR21NS082529 · NINDS · WASHINGTON UNIVERSITY · PI LEE, JIN-MOO · 2013 to 2014
$416k
Medical Research Council G1002605NIA NIH HHS R01 AG026484NINDS NIH HHS R01 NS067905NINDS NIH HHS R01 NS070834NINDS NIH HHS R21 NS082529
6 · The paper itself

Abstract

Efforts are underway for early-phase trials of candidate treatments for cerebral amyloid angiopathy, an untreatable cause of haemorrhagic stroke and vascular cognitive impairment. A major barrier to these trials is the absence of consensus on measurement of treatment effectiveness. A range of potential outcome markers for cerebral amyloid angiopathy can be measured against the ideal criteria of being clinically meaningful, closely representative of biological progression, efficient for small or short trials, reliably measurable, and cost effective. In practice, outcomes tend either to have high clinical salience but low statistical efficiency, and thus more applicability for late-phase studies, or greater statistical efficiency but more limited clinical meaning. The most statistically efficient markers might be those that are potentially reversible with treatment, although their clinical significance remains unproven. Many of the candidate outcomes for cerebral amyloid angiopathy trials are probably applicable also to other small-vessel brain diseases.

Indexed as

BiomarkersCerebral Amyloid AngiopathyHumansTreatment OutcomeBiomarkers

Identifiers

PMID24581702
PMCPMC4085787
OpenAlexW2125469441

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.