Evidence map›Paper›PMID 28460541›Full record

ArticleExpert opinion on investigational drugs2017

Why do trials for Alzheimer's disease drugs keep failing? A discontinued drug perspective for 2010-2015.

Dev Mehta, Robert Jackson, Gaurav Paul, Jiong Shi, Marwan Sabbagh

Abstract read
In one paragraph

Article in Expert opinion on investigational drugs, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 332 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
332citing papers in PubMed, 3 pooled it
43.0field-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

332 citing papers in PubMed, 3 syntheses or guidelines pooled it, 611 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Regional effects of gantenerumab on neuroimaging biomarkers in the DIAN-TU-001 trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Trial
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Protein kinases as therapeutic targets in Alzheimer's disease: challenges, insights, and new frontiers.Medicinal chemistry research : an international journal for rapid communications on design and mechanisms of action of biologically active agents · 2026
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

272 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Dev Mehtaa Alzheimer's and Memory Disorders Division , Barrow Neurological Institute, St. Joseph's Hospital and Medical Center , Phoenix , Arizona , USA.
Robert Jacksona Alzheimer's and Memory Disorders Division , Barrow Neurological Institute, St. Joseph's Hospital and Medical Center , Phoenix , Arizona , USA.
Gaurav Paula Alzheimer's and Memory Disorders Division , Barrow Neurological Institute, St. Joseph's Hospital and Medical Center , Phoenix , Arizona , USA.
Jiong Shia Alzheimer's and Memory Disorders Division , Barrow Neurological Institute, St. Joseph's Hospital and Medical Center , Phoenix , Arizona , USA.
Marwan Sabbagha Alzheimer's and Memory Disorders Division , Barrow Neurological Institute, St. Joseph's Hospital and Medical Center , Phoenix , Arizona , USA.
St. Joseph's Hospital and Medical Center · USBarrow Neurological Institute · US

Funding

Research Education ComponentP30AG019610 · NIA · SUN HEALTH RESEARCH INSTITUTE · PI REIMAN, ERIC MICHAEL · 2001 to 2020
$32.5M
NIA NIH HHS P30 AG019610
6 · The paper itself

Abstract

introductionThere are dozens of drugs in development for AD with billions of dollars invested. Despite the massive investment in AD drugs and a burgeoning pipeline, there have been more setbacks and failures than treatment successes. Areas covered: The classes of drugs that have failed to date include the monoclonal antibodies, the gamma secretase inhibitors, dimebon, neurochemical enhancers, and one tau drug. Data for these compounds were sought through a PubMed search and a clinicaltrials.gov search. Expert opinion: The obvious question to be posed is: Why are they failing? Is the treatment of symptomatic dementia too late? Are the therapeutic targets incorrect? Are the clinical methodologies imprecise, misleading, or inaccurate? This review summarizes the drugs that have failed during 2010-2015 and offers possible theories as to why they have failed.

Indexed as

Treatment FailureAlzheimer DiseaseClinical Trials as TopicDrug DesignDrugs, InvestigationalHumansDrugs, InvestigationalAlzheimer’sAmyloidclinical trialsdimebonmonoclonal antibodiessecretase inhibitors

Identifiers

PMID28460541
PMCPMC5576861
OpenAlexW2610795807

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.