Evidence map›Paper›PMID 35310526›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)2022

Exploratory imaging outcomes of a phase 1b/2a clinical trial of allopregnanolone as a regenerative therapeutic for Alzheimer's disease: Structural effects and functional connectivity outcomes.

Adam C Raikes, Gerson D Hernandez, Dawn C Matthews, Ana S Lukic, Meng Law, Yonggang Shi, Lon S Schneider, Roberta D Brinton

Erratum issued 2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.2field-weighted citation impact, top 12% 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.

NCT02221622 phase1completednot on this map

Allopregnanolone Regenerative Therapeutic for MCI/AD: Dose Finding Phase 1

TypeinterventionalSponsorUniversity of Southern CaliforniaRan2014 to 2018Enrolled24ConditionsMild Cognitive Impairment, Alzheimer DiseaseArmsAllopregnanolone injection (intravenous solution), Placebo injection (intravenous solution)
NCT04838301 phase2active not recruitingnot on this mapstarted 2023, after this paper: background citation

Safety and Efficacy of Allopregnanolone (Allo) as a Regenerative Therapeutic for Alzheimer's Disease: Multicenter, Double-Blind, Randomized, Placebo-Controlled, Phase 2 Clinical Trial

TypeinterventionalSponsorUniversity of ArizonaRan2023 to 2027Enrolled100ConditionsAlzheimer Dementia, Late Onset Alzheimer Disease, Neurodegenerative DiseasesArmsAllopregnanolone, Placebo
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
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  10. Neurosteroid enantiomers as potentially novel neurotherapeutics.Neuroscience and biobehavioral reviews · 2023
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 2 countries.

Adam C RaikesCenter for Innovation in Brain Science University of Arizona Tucson Arizona USA.
Gerson D HernandezCenter for Innovation in Brain Science University of Arizona Tucson Arizona USA.
Dawn C MatthewsDepartments of Pharmacology and Neurology, College of Medicine ADM Diagnostics Northbrook Illinois USA.
Ana S LukicDepartments of Pharmacology and Neurology, College of Medicine ADM Diagnostics Northbrook Illinois USA.
Meng LawDepartment of Radiology Alfred Health Department of Neuroscience and Computer Systems Engineering Monash University Melbourne Australia.
Yonggang ShiStevens Neuroimaging and Informatics Institute Keck School of Medicine University of Southern California Los Angeles California USA.
Lon S SchneiderKeck School of Medicine University of Southern California Los Angeles California USA.
Roberta D BrintonCenter for Innovation in Brain Science University of Arizona Tucson Arizona USA.
AC Diagnostics (United States) · USUniversity of Southern California · USAlfred Health · AUArizona Science Center · USCenter for Innovation · USUniversity of Arizona · US

Funding

Research Education ComponentP30AG019610 · NIA · SUN HEALTH RESEARCH INSTITUTE · PI REIMAN, ERIC MICHAEL · 2001 to 2020
$32.5M
USCADRC Diversity Supplement PachicanoP30AG066530 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI HELENA Chang CHUI, ARTHUR W TOGA · 2020 to 2026
$27.8M
Research Education ComponentP30AG072980 · NIA · BANNER HEALTH · PI Nicholas Ashton · 2021 to 2026
$24.9M
Allopregnanolone a Regenerative Therapy for Alzheimer's: FDA-Required ToxicologyU01AG047222 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BRINTON, ROBERTA EILEEN · 2014 to 2018
$2.9M
Allopregnanolone Regenerative Therapeutic for MCI/AD: Dose Finding Phase IUF1AG046148 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BRINTON, ROBERTA EILEEN, SCHNEIDER, LON S · 2013 to 2013
$2.4M
Development of Allopregnanolone as a Neurogenic Regenerative TherapeuticU01AG031115 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BRINTON, ROBERTA EILEEN · 2008 to 2012
$2.4M
NIA NIH HHS P30 AG019610NIA NIH HHS P30 AG066530NIA NIH HHS P30 AG072980NIA NIH HHS U01 AG031115NIA NIH HHS U01 AG047222NIA NIH HHS UF1 AG046148
6 · The paper itself

Abstract

Introduction: Allopregnanolone (ALLO), an endogenous neurosteroid, promoted neurogenesis and oligogenesis and restored cognitive function in animal models of Alzheimer's disease (AD). Based on these discovery research findings, we conducted a randomized-controlled phase 1b/2a multiple ascending dose trial of ALLO in persons with early AD (NCT02221622) to assess safety, tolerability, and pharmacokinetics. Exploratory imaging outcomes to determine whether ALLO impacted hippocampal structure, white matter integrity, and functional connectivity are reported. Methods: Twenty-four individuals participated in the trial ( Results: Rate of decline in hippocampal volume was slowed, and in some cases reversed, in the ALLO group compared to placebo. Gain of hippocampal volume was evident in Discussion: Indicators of regeneration from previous preclinical studies and these exploratory MRI-based outcomes from this phase 1b/2a clinical cohort support advancement to a phase 2 proof-of-concept efficacy clinical trial of ALLO as a regenerative therapeutic for mild AD (REGEN-BRAIN study; NCT04838301).

Indexed as

allopregnanoloneAlzheimer's diseasefunctional connectivityhippocampal volumeregenerative therapeuticwhite matter integrity

Identifiers

PMID35310526
PMCPMC8919249
OpenAlexW4220700431

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.