Evidence map›Paper›PMID 28582280›Full record

Trial reportAlzheimer disease and associated disorders

Lorazepam Challenge for Individuals at Varying Genetic Risk for Alzheimer Disease.

Cynthia M Stonnington, Brian Harel, Dona E C Locke, Joseph G Hentz, Nan Zhang, Paul Maruff, Richard J Caselli

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Alzheimer disease and associated disorders. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 45% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
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

7 authors at 3 institutions in 1 country.

Cynthia M StonningtonDepartments of Psychiatry and Psychology.
Brian HarelCogstate Ltd, Melbourne, Vic., Australia.
Dona E C LockeDepartments of Psychiatry and Psychology.
Joseph G HentzBiostatistics, Mayo Clinic in Arizona, Scottsdale, AZ.
Nan ZhangBiostatistics, Mayo Clinic in Arizona, Scottsdale, AZ.
Paul MaruffCogstate Ltd, Melbourne, Vic., Australia.
Richard J CaselliNeurology.
Mayo Clinic in Arizona · USNeurology, Inc · USPfizer (United States) · US

Funding

Research Education ComponentP30AG019610 · NIA · SUN HEALTH RESEARCH INSTITUTE · PI REIMAN, ERIC MICHAEL · 2001 to 2020
$32.5M
PET, APOE & the Preclinical Course of Alzheimer's DiseaseR01AG031581 · NIA · BANNER ALZHEIMER'S INSTITUTE · PI CASELLI, RICHARD J., REIMAN, ERIC MICHAEL · 2008 to 2018
$16.6M
NIA NIH HHS P30 AG019610NIA NIH HHS R01 AG031581
6 · The paper itself

Abstract

introductionThis study set out to clarify the differential acute cognitive impact of lorazepam based on varying genetic risk for Alzheimer disease.

methodsFifty-seven cognitively unimpaired individuals aged 51 to 88, genotyped according to apolipoprotein E (APOE) and translocase of outer mitochondrial membrane (40 homolog) poly-T lengths, completed cognitive testing before, 2.5 and 5 hours after receiving a 1 mg dose of lorazepam.

resultsPost-lorazepam, there were significant (P<0.05) declines from baseline in memory, psychomotor processing speed, and executive function. At 2.5 hours, the magnitude of this lorazepam-induced cognitive change was significantly greater in the APOE3/4 group than in the APOE3/3 group for tests of working memory and visuospatial memory/executive function. At 5 hours postchallenge, verbal memory and working memory deficits persisted in the APOE3/4 group compared with the APOE3/3 group. At 5 hours after lorazepam challenge, as compared with the very long/very long group, the short/short group performed slightly worse on a test of working memory (P<0.05), but no other differences were observed among translocase of the outer mitochondrial membrane 40 homolog poly-T variant groups. DISCUSSION: The lorazepam challenge may be unmasking presymptomatic cognitive dysfunction associated with APOE4 carriage.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseApolipoprotein E4Apolipoproteins ECognitionFemaleGABA ModulatorsGenotypeHumansLorazepamMaleMiddle AgedApoE protein, humanApolipoprotein E4Apolipoproteins EGABA ModulatorsLorazepam

Identifiers

PMID28582280
PMCPMC5699956
OpenAlexW2620625818

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.