Evidence map›Paper›PMID 35388413›Full record

ArticleAmerican journal of epidemiology2022

Aduhelm, the Newly Approved Medication for Alzheimer Disease: What Epidemiologists Can Learn and What Epidemiology Can Offer.

M Maria Glymour, Jennifer Weuve, Carole Dufouil, Elizabeth Rose Mayeda

Open access · greenAbstract read
In one paragraph

Article in American journal of epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 4% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. A call for clinical trial globalization in Alzheimer's disease and related dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    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

4 authors at 1 institution in 1 country.

M Maria Glymour
Jennifer Weuve
Carole Dufouil
Elizabeth Rose Mayeda
Bordeaux Population Health · FR

Funding

Closing the gap between observational research and randomized trials for prevention of Alzheimer's Disease and dementiaR01AG057869 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRAFF, REBECCA ELIZABETH, POWER, MELINDA C · 2018 to 2022
$3.9M
Air Pollution and Alzheimer's Dementia: Neuropathologic and Olfactory Mechanisms in Multi-Ethnic Longitudinal CohortsR01AG067497 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI PINTO, JAYANT M, WEUVE, JENNIFER · 2020 to 2024
$3.8M
Air pollution and noise exposures in relation to dementia: from brain imaging markers to clinical diseaseR01AG065359 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI WEUVE, JENNIFER · 2020 to 2023
$2.3M
Racial Disparities in Alzheimer's Disease and Related Dementias: The Role of Blood Pressure Throughout AdulthoodR00AG053410 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MAYEDA, ELIZABETH ROSE · 2018 to 2020
$710k
Optimizing generalizability of biomarker studies for Alzheimer’s disease and related dementias with epidemiologic toolsR56AG069126 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MAYEDA, ELIZABETH ROSE · 2021 to 2021
$583k
Methods in Longitudinal Dementia (MELODEM) InitiativeR13AG064971 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Jennifer Weuve · 2019 to 2026
$400k
NIA NIH HHS R00 AG053410NIA NIH HHS R01 AG057869NIA NIH HHS R01 AG065359NIA NIH HHS R01 AG067497NIA NIH HHS R13 AG064971NIA NIH HHS R56 AG069126
6 · The paper itself

Abstract

Alzheimer disease (AD) is a progressive disorder common among older adults and culminating in profound cognitive impairments and high mortality risk. The US Food and Drug Administration (FDA) recently provided accelerated approval for Aduhelm, a medication for AD treatment. Aduhelm (Biogen Inc., Cambridge, Massachusetts) has been described as the first disease-modifying treatment for AD but has not been demonstrated to improve patients' cognitive or functional outcomes. In this commentary, we describe why Aduhelm approval was controversial and aspects of the current evidence of special pertinence to epidemiologists. The FDA decision was based primarily on 2 randomized controlled trials (RCTs), both terminated early, with conflicting findings about the cognitive benefits of Aduhelm. Both RCTs showed important adverse effects of the medication. The FDA cited the documented reduction in brain amyloid, an AD biomarker hypothesized as a surrogate outcome, to justify accelerated approval. Despite lack of racial/ethnic diversity in the RCT participants, concerns about health disparities have been invoked to argue for public funding of this expensive medication. The Centers for Medicare and Medicaid Services recently made a "Coverage with Evidence Development" determination for Aduhelm and similar medications. We end by describing how innovative study designs could accelerate postapproval research and evaluate the proposed surrogate outcomes.

Indexed as

Alzheimer DiseaseDrug ApprovalAgedAntibodies, Monoclonal, HumanizedEpidemiologistsHumansUnited StatesUnited States Food and Drug AdministrationaducanumabAntibodies, Monoclonal, HumanizedAlzheimer diseasehealth disparitiespharmacoepidemiologyrandomized controlled trialsregulatory epidemiologyresearch methods

Identifiers

PMID35388413
PMCPMC9614924
OpenAlexW4225768993

What OpenQuestion holds

Textmetadata
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.