Evidence map›Paper›PMID 33614888›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)2021

Rasagiline effects on glucose metabolism, cognition, and tau in Alzheimer's dementia.

Dawn C Matthews, Aaron Ritter, Ronald G Thomas, Randolph D Andrews, Ana S Lukic, Carolyn Revta, Jefferson W Kinney, Babak Tousi, James B Leverenz, Howard Fillit and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02359552 (A 24-week, Three-site, Randomized, Double Blind, Placebo Controlled, Parallel Group, Proof-of-concept Study to Evaluate Rasagiline in the Regional Brain Metabolism on FDG PET in Patients With Mild to Moderate Alzheimer's Disease), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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.

NCT02359552 phase2completednot on this map

A 24-week, Three-site, Randomized, Double Blind, Placebo Controlled, Parallel Group, Proof-of-concept Study to Evaluate Rasagiline in the Regional Brain Metabolism on FDG PET in Patients With Mild to Moderate Alzheimer's Disease

TypeinterventionalSponsorThe Cleveland ClinicRan2015 to 2019Enrolled50ConditionsAlzheimer's DiseaseArmsRasagiline, Placebo
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Dopamine System Dysfunction in Alzheimer's Disease.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2025
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  19. Monoamine oxidase binding not expected to significantly affect [European journal of nuclear medicine and molecular imaging · 2022
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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

13 authors at 9 institutions in 1 country.

Dawn C MatthewsADM Diagnostics, Inc. Northbrook Illinois USA.
Aaron RitterCleveland Clinic Lou Ruvo Center for Brain Health Las Vegas Nevada USA.
Ronald G ThomasDepartment of Family Medicine and Public Health UCSD La Jolla California USA.
Randolph D AndrewsADM Diagnostics, Inc. Northbrook Illinois USA.
Ana S LukicADM Diagnostics, Inc. Northbrook Illinois USA.
Carolyn RevtaAlzheimer's Disease Cooperative Study University of California San Diego School of Medicine La Jolla California USA.
Jefferson W KinneyDepartment of Brain Health University of Nevada Las Vegas Las Vegas Nevada USA.
Babak TousiNeurologic Institute Cleveland Clinic Cleveland Ohio USA.
James B LeverenzCleveland Clinic Lou Ruvo Center for Brain Health Cleveland Ohio USA.
Howard FillitAlzheimer's Drug Discovery Foundation New York New York USA.
Kate ZhongCNS Innovations LLC Henderson Nevada USA.
Howard H FeldmanDepartment of Neurosciences Alzheimer's Disease Cooperative Study San Diego University of California La Jolla California USA.
Jeffrey CummingsCleveland Clinic Lou Ruvo Center for Brain Health Las Vegas Nevada USA.
AC Diagnostics (United States) · USAlzheimer’s Disease Neuroimaging Initiative · USUniversity of Nevada, Las Vegas · USAlzheimer's Drug Discovery Foundation · USCleveland Clinic · USCleveland Research (United States) · USLou Ruvo Brain Institute · USSun Innovations (United States) · USUC San Diego Health System · US

Funding

Renewal of Centers of Biomedical Research Excellence (COBRE) (Phase 2) CNTN - ResubmissionP20GM109025 · NIGMS · CLEVELAND CLINIC FOUNDATION · PI JESSICA KIRKLAND CALDWELL · 2015 to 2026
$22.8M
NVEDARC Clinical CoreP20AG068053 · NIA · CLEVELAND CLINIC FOUNDATION · PI FOX, ROBERT J. · 2020 to 2022
$3.3M
NIA NIH HHS P20 AG068053NIGMS NIH HHS P20 GM109025
6 · The paper itself

Abstract

backgroundA Phase II proof of concept (POC) randomized clinical trial was conducted to evaluate the effects of rasagiline, a monoamine oxidase B (MAO-B) inhibitor approved for Parkinson disease, in mild to moderate Alzheimer's disease (AD). The primary objective was to determine if 1 mg of rasagiline daily for 24 weeks is associated with improved regional brain metabolism (fluorodeoxyglucose-positron emission tomography [FDG-PET]) compared to placebo. Secondary objectives included measurement of effects on tau PET and evaluation of directional consistency of clinical end points.

methodsThis was a double-blind, parallel group, placebo-controlled, community-based, three-site trial of 50 participants randomized 1:1 to receive oral rasagiline or placebo (NCT02359552). FDG-PET was analyzed for the presence of an AD-like pattern as an inclusion criterion and as a longitudinal outcome using prespecified regions of interest and voxel-based analyses. Tau PET was evaluated at baseline and longitudinally. Clinical outcomes were analyzed using an intention-to-treat (ITT) model.

resultsFifty patients were randomized and 43 completed treatment. The study met its primary end point, demonstrating favorable change in FDG-PET differences in rasagiline versus placebo in middle frontal ( DISCUSSION: These outcomes illustrate the potential benefits of rasagiline on clinical and neuroimaging measures in patients with mild to moderate AD. Rasagiline appears to affect neuronal activity in frontostriatal pathways, with associated clinical benefit potential warranting a more fully powered trial. This study illustrated the potential benefit of therapeutic repurposing and an experimental medicine proof-of-concept design with biomarkers to characterize patient and detect treatment response.

Indexed as

Alzheimer's diseasedopamineFDG‐PETflortaucipirglucose metabolismMAO‐BQoL‐ADrasagilinetau PET

Identifiers

PMID33614888
PMCPMC7882538
OpenAlexW3129800934

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.