Evidence map›Paper›PMID 33304987›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)2020

Targeting abnormal metabolism in Alzheimer's disease: The Drug Repurposing for Effective Alzheimer's Medicines (DREAM) study.

Rishi J Desai, Vijay R Varma, Tobias Gerhard, Jodi Segal, Mufaddal Mahesri, Kristyn Chin, Edward Nonnenmacher, Avinash Gabbeta, Anup M Mammen, Sudhir Varma and 4 more

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.0field-weighted citation impact, top 10% 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

18 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. An epidemiological introduction to human metabolomic investigations.Trends in endocrinology and metabolism: TEM · 2023
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. 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

14 authors at 7 institutions in 2 countries.

Rishi J DesaiDivision of Pharmacoepidemiology and Pharmacoeconomics Department of Medicine Brigham and Women's Hospital and Harvard Medical School Boston Massachusetts USA.
Vijay R VarmaClinical and Translational Neuroscience Section Laboratory of Behavioral Neuroscience National Institute on Aging Baltimore Maryland USA.
Tobias GerhardCenter for Pharmacoepidemiology and Treatment Science Ernest Mario School of Pharmacy Rutgers University New Brunswick New Jersey USA.
Jodi SegalDepartment of Medicine Johns Hopkins University School of Medicine Baltimore Maryland USA.
Mufaddal MahesriDivision of Pharmacoepidemiology and Pharmacoeconomics Department of Medicine Brigham and Women's Hospital and Harvard Medical School Boston Massachusetts USA.
Kristyn ChinDivision of Pharmacoepidemiology and Pharmacoeconomics Department of Medicine Brigham and Women's Hospital and Harvard Medical School Boston Massachusetts USA.
Edward NonnenmacherCenter for Pharmacoepidemiology and Treatment Science Ernest Mario School of Pharmacy Rutgers University New Brunswick New Jersey USA.
Avinash GabbetaCenter for Pharmacoepidemiology and Treatment Science Ernest Mario School of Pharmacy Rutgers University New Brunswick New Jersey USA.
Anup M MammenGlycoscience Group NCBES National Centre for Biomedical Engineering Science National University of Ireland Galway Galway Ireland.
Sudhir VarmaHiThru Analytics Princeton New Jersey USA.
Daniel B HortonCenter for Pharmacoepidemiology and Treatment Science Ernest Mario School of Pharmacy Rutgers University New Brunswick New Jersey USA.
Seoyoung C KimDivision of Pharmacoepidemiology and Pharmacoeconomics Department of Medicine Brigham and Women's Hospital and Harvard Medical School Boston Massachusetts USA.
Sebastian SchneeweissDivision of Pharmacoepidemiology and Pharmacoeconomics Department of Medicine Brigham and Women's Hospital and Harvard Medical School Boston Massachusetts USA.
Madhav ThambisettyClinical and Translational Neuroscience Section Laboratory of Behavioral Neuroscience National Institute on Aging Baltimore Maryland USA.
Rutgers, The State University of New Jersey · USHarvard University · USBrigham and Women's Hospital · USNational Institute on Aging · USEP Analytics (United States) · USJohns Hopkins Medicine · USOllscoil na Gaillimhe – University of Galway · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug discovery for disease-modifying therapies for Alzheimer's disease and related dementias (ADRD) based on the traditional paradigm of experimental animal models has been disappointing. We describe the rationale and design of the Drug Repurposing for Effective Alzheimer's Medicines (DREAM) study, an innovative multidisciplinary alternative to traditional drug discovery. First, we use a systems biology perspective in the "hypothesis generation" phase to identify metabolic abnormalities that may either precede or interact with the accumulation of ADRD neuropathology, accelerating the expression of clinical symptoms of the disease. Second, in the "hypothesis refinement" phase we propose use of large patient cohorts to test whether drugs approved for other indications that also target metabolic drivers of ADRD pathogenesis might alter the trajectory of the disease. We emphasize key challenges in population-based pharmacoepidemiologic studies aimed at quantifying the association between medication use and ADRD onset and outline robust causal inference principles to safeguard against common pitfalls. Candidate ADRD treatments emerging from this approach will hold promise as plausible disease-modifying therapies for evaluation in randomized controlled trials.

Indexed as

Alzheimer's diseasedementiadrug repurposingpharmacoepidemiology

Identifiers

PMID33304987
PMCPMC7690721
OpenAlexW3110370330

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.