Evidence map›Paper›PMID 29761523›Full record

Observational studyStatistics in medicine2018

A novel cognitive disease progression model for clinical trials in autosomal-dominant Alzheimer's disease.

Guoqiao Wang, Scott Berry, Chengjie Xiong, Jason Hassenstab, Melanie Quintana, Eric M McDade, Paul Delmar, Matteo Vestrucci, Gopalan Sethuraman, Randall J Bateman and 1 more

4 registry-linked trialsAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Statistics in medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
–field-weighted citation impact
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.

NCT01760005 phase2 / phase3active not recruitingnot on this map

A Phase II/III Multicenter Randomized, Double-Blind, Placebo-Controlled Platform Trial of Potential Disease Modifying Therapies Utilizing Biomarker, Cognitive, and Clinical Endpoints in Dominantly Inherited Alzheimer's Disease

TypeinterventionalSponsorWashington University School of MedicineRan2012 to 2028Enrolled490ConditionsAlzheimers Disease, Dementia, Alzheimers Disease, FamilialArmsGantenerumab, Solanezumab, Matching Placebo (Gantenerumab), Matching Placebo (Solanezumab), E2814
NCT04623242 phase2 / phase3completednot on this map

A Phase II/III Randomized, Double-Blind, Placebo-Controlled, Cognitive Endpoint, Multi-Center Study of Potential Disease Modifying Therapies in Individuals at Risk for and With Dominantly Inherited Alzheimer's Disease

TypeinterventionalSponsorWashington University School of MedicineRan2012 to 2020Enrolled194ConditionsAlzheimers Disease, Dementia, Alzheimers Disease, FamilialArmsGantenerumab, Solanezumab, Matching Placebo (Gantenerumab), Matching Placebo (Solanezumab)
NCT05552157 phase2 / phase3recruitingnot on this mapstarted 2024, after this paper: background citation

A Phase II/III Multicenter Randomized, Double-Blind, Placebo-Controlled, Two-Stage Adaptive Design, Platform Trial of Investigational Treatments for Primary Prevention of Disease Progression in Dominantly Inherited Alzheimer's Disease

TypeinterventionalSponsorWashington University School of MedicineRan2024 to 2034Enrolled280ConditionsAlzheimers Disease, Dementia, Alzheimers Disease, FamilialArmsRemternetug (SC), Matching Placebo (Remternetug)
NCT06424236 phase2 / phase3terminatednot on this mapstarted 2020, after this paper: background citation

A Phase II/III Multicenter Randomized, Double-Blind, Placebo-Controlled Platform Trial of Potential Disease Modifying Therapies Utilizing Biomarker, Cognitive, and Clinical Endpoints in Dominantly Inherited Alzheimer's Disease

TypeinterventionalSponsorWashington University School of MedicineRan2020 to 2023Enrolled73ConditionsAlzheimers Disease, Dementia, Alzheimers Disease, FamilialArmsGantenerumab
3 · Its place in the literature

Who cites it

38 citing papers in PubMed.

  1. The relationship of soluble tau species with Alzheimer's disease amyloid plaque removal and tau pathology.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Trial
  2. Trial
  3. Trial
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  7. Review
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  13. Longitudinal associations between self-reported exercise levels and cognition in ADAD.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. A framework for translating tauopathy therapeutics: Drug discovery to clinical trials.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Review
  19. Statistical considerations when estimating time-saving treatment effects in Alzheimer's disease clinical trials.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  20. 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

11 authors.

Guoqiao WangDivision of Biostatistics, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0002-6808-8737
Scott BerryBerry Consultants, Austin, TX, USA.
Chengjie XiongDivision of Biostatistics, Washington University School of Medicine, St. Louis, MO, USA.
Jason HassenstabDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Melanie QuintanaBerry Consultants, Austin, TX, USA.ORCID 0000-0002-1763-2704
Eric M McDadeDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Paul DelmarF. Hoffmann-La Roche Ltd., Basel, Switzerland.
Matteo VestrucciF. Hoffmann-La Roche Ltd., Basel, Switzerland.
Gopalan SethuramanLilly Research Laboratories, Indianapolis, IN, USA.
Randall J BatemanDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Dominantly Inherited Alzheimer Network Trials Unit

Funding

Smartphone-Based "Burst" Cognitive AssessmentsP01AG003991 · NIA · WASHINGTON UNIVERSITY · PI Tammie Lee Smith Benzinger · 1985 to 2026
$69.5M
Imaging CoreU19AG032438 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2010 to 2025
$53.9M
WASHINGTON UNIVERSITY ALZHEIMERS DISEASE RESEARCH CENTERP50AG005681 · NIA · WASHINGTON UNIVERSITY · PI MORRIS, JOHN · 1985 to 2019
$52.1M
DIAN-TU Next Generation Prevention Trial - Data Request Management SupplementR01AG053267 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2017 to 2023
$34.9M
Dominantly Inherited Alzheimer's Network Trials Unit - Adaptive Prevention TrialR01AG046179 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2014 to 2019
$26.6M
Dominantly Inherited Alzheimer NetworkUF1AG032438 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2014 to 2017
$21.6M
DOMINANTLY INHERITED ALZHEIMER NETWORK TRIAL: AN OPPORTUNITY TO PREVENT DEMENTIAU01AG042791 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2013 to 2018
$8.9M
Antecedent Biomarker Changes in AD: Ordering, Stages, and Implications for TrialsRF1AG053550 · NIA · WASHINGTON UNIVERSITY · PI XIONG, CHENGJIE · 2016 to 2016
$3.4M
DIAN-TU: Next Generation Prevention TrialR56AG053267 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2016 to 2016
$3.2M
NIA NIH HHS P01 AG003991NIA NIH HHS P50 AG005681NIA NIH HHS R01 AG046179NIA NIH HHS R01 AG053267NIA NIH HHS R56 AG053267NIA NIH HHS RF1 AG053550NIA NIH HHS U01 AG042791NIA NIH HHS U19 AG032438NIA NIH HHS UF1 AG032438
6 · The paper itself

Abstract

Clinical trial outcomes for Alzheimer's disease are typically analyzed by using the mixed model for repeated measures (MMRM) or similar models that compare an efficacy scale change from baseline between treatment arms with or without participants' disease stage as a covariate. The MMRM focuses on a single-point fixed follow-up duration regardless of the exposure for each participant. In contrast to these typical models, we have developed a novel semiparametric cognitive disease progression model (DPM) for autosomal dominant Alzheimer's disease based on the Dominantly Inherited Alzheimer Network (DIAN) observational study. This model includes 3 novel features, in which the DPM (1) aligns and compares participants by disease stage, (2) uses a proportional treatment effect similar to the concept of the Cox proportional hazard ratio, and (3) incorporates extended follow-up data from participants with different follow-up durations using all data until last participant visit. We present the DPM model developed by using the DIAN observational study data and demonstrate through simulation that the cognitive DPM used in hypothetical intervention clinical trials produces substantial gains in power compared with the MMRM.

Indexed as

Models, StatisticalAlzheimer DiseaseClinical Trials as TopicDisease ProgressionHumansLongitudinal StudiesResearch DesignAlzheimer's diseasedisease progression modelmixed effects model for repeated measuresproportional treatment effect

Identifiers

PMID29761523
PMCPMC6105413

What OpenQuestion holds

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Registered trials

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.