Evidence map›Paper›PMID 36447240›Full record

ReviewAlzheimer's research & therapy2022

Gantenerumab: an anti-amyloid monoclonal antibody with potential disease-modifying effects in early Alzheimer's disease.

Randall J Bateman, Jeffrey Cummings, Scott Schobel, Stephen Salloway, Bruno Vellas, Mercè Boada, Sandra E Black, Kaj Blennow, Paulo Fontoura, Gregory Klein and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Alzheimer's research & therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 2 pooled it
10.4field-weighted citation impact, top 1% 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

62 citing papers in PubMed, 2 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Two Phase 3 Trials of Gantenerumab in Early Alzheimer's Disease.The New England journal of medicine · 2023
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  11. Phagocytes as plaque catalysts: Human macrophages generate seeding-competent Aβ42 fibrils with cross-seeding activity.Proceedings of the National Academy of Sciences of the United States of America · 2026
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2 more citing papers are in PubMed but not listed here.

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 10 institutions in 7 countries.

Randall J BatemanDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA. batemanr@wustl.edu.
Jeffrey CummingsDepartment of Brain Health, Chambers-Grundy Center for Transformative Neuroscience, School of Integrated Health Sciences, University of Nevada Las Vegas, Las Vegas, NV, USA.
Scott SchobelProduct Development, F. Hoffmann-La Roche, Basel, Switzerland.
Stephen SallowayDepartments of Psychiatry, Human Behavior, and Neurology, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Bruno VellasDepartment of Geriatric Internal Medicine, UMR 1295 Mixed Unit INSERM - Université Toulouse III Paul Sabatier, Toulouse University Hospital, Toulouse, France.
Mercè BoadaAce Alzheimer Center Barcelona - Universitat Internacional de Catalunya, Barcelona, Spain.
Sandra E BlackDivision of Neurology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Kaj BlennowDepartment of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden.
Paulo FontouraProduct Development, F. Hoffmann-La Roche, Basel, Switzerland.
Gregory KleinRoche Pharma Research and Early Development, F. Hoffmann-La Roche, Basel, Switzerland.
Sheila Seleri AssunçãoUS Medical Affairs, Genentech Inc., a member of the Roche Group, South San Francisco, CA, USA.
Janice SmithProduct Development, Roche Products Ltd., Welwyn Garden City, UK.
Rachelle S DoodyProduct Development, F. Hoffmann-La Roche, Basel, Switzerland.
Roche (Switzerland) · CHBiomedical Research Networking Center on Neurodegenerative Diseases · ESBrown University · USRoche (United Kingdom) · GBRoche (United States) · USSahlgrenska University Hospital · SEUniversité Toulouse III - Paul Sabatier · FRUniversity of Nevada, Las Vegas · USUniversity of Toronto · CAWashington University in St. Louis · US

Funding

DIAN-TU Primary Prevention Trial NfL Characterization Admin SuppU01AG059798 · NIA · WASHINGTON UNIVERSITY · PI MCDADE, ERIC MARTIN · 2018 to 2025
$97.9M
DIAN-TU: Tau Next Generation Prevention Trial - Administrative SupplementR01AG068319 · NIA · WASHINGTON UNIVERSITY · PI RANDALL J BATEMAN · 2020 to 2026
$81.4M
Imaging CoreU19AG032438 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2010 to 2025
$53.9M
Trial-Ready Cohort for Preclinical/Prodromal Alzheimer's DiseaseR01AG053798 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI AISEN, PAUL S., CUMMINGS, JEFFREY L. · 2017 to 2022
$39.4M
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
Translational and Therapeutics CoreP30AG072959 · NIA · CLEVELAND CLINIC LERNER COM-CWRU · PI Mark J Lowe · 2021 to 2026
$23.9M
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
Chronic Traumatic Encephalopathy: Detection, Diagnosis, Course, and Risk FactorsU01NS093334 · NINDS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI CUMMINGS, JEFFREY L., REIMAN, ERIC MICHAEL · 2016 to 2022
$17.0M
DOMINANTLY INHERITED ALZHEIMER NETWORK TRIAL: AN OPPORTUNITY TO PREVENT DEMENTIAU01AG042791 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2013 to 2018
$8.9M
Blood amyloid-beta relationship with amyloid plaques and CSF amyloid-betaRF1AG061900 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2019 to 2020
$6.9M
CNS TAU KINETICS IN ALZHEIMER'S DISEASER01NS095773 · NINDS · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2016 to 2020
$3.6M
NIA NIH HHS P20 AG068053NIA NIH HHS P30 AG072959NIA NIH HHS R01 AG046179NIA NIH HHS R01 AG053267NIA NIH HHS R01 AG053798NIA NIH HHS R01 AG068319NIA NIH HHS R21 AG067559NIA NIH HHS R35 AG071476NIA NIH HHS RF1 AG061900NIA NIH HHS U01 AG042791NIA NIH HHS U01 AG059798NIA NIH HHS U19 AG032438NIGMS NIH HHS P20 GM109025NINDS NIH HHS R01 NS095773NINDS NIH HHS U01 NS093334
6 · The paper itself

Abstract

backgroundThis review describes the research and development process of gantenerumab, a fully human anti-amyloid monoclonal antibody in development to treat early symptomatic and asymptomatic Alzheimer's disease (AD). Anti-amyloid monoclonal antibodies can substantially reverse amyloid plaque pathology and may modify the course of the disease by slowing or stopping its clinical progression. Several molecules targeting amyloid have failed in clinical development due to drug-related factors (e.g., treatment-limiting adverse events, low potency, poor brain penetration), study design/methodological issues (e.g., disease stage, lack of AD pathology confirmation), and other factors. The US Food and Drug Administration's approval of aducanumab, an anti-amyloid monoclonal antibody as the first potential disease-modifying therapy for AD, signaled the value of more than 20 years of drug development, adding to the available therapies the first nominal success since cholinesterase inhibitors and memantine were approved. BODY: Here, we review over 2 decades of gantenerumab development in the context of scientific discoveries in the broader AD field. Key learnings from the field were incorporated into the gantenerumab phase 3 program, including confirmed amyloid positivity as an entry criterion, an enriched clinical trial population to ensure measurable clinical decline, data-driven exposure-response models to inform a safe and efficacious dosing regimen, and the use of several blood-based biomarkers. Subcutaneous formulation for more pragmatic implementation was prioritized as a key feature from the beginning of the gantenerumab development program.

conclusionThe results from the gantenerumab phase 3 programs are expected by the end of 2022 and will add critical information to the collective knowledge on the search for effective AD treatments.

Indexed as

Alzheimer DiseaseAmyloidosisAmyloidogenic ProteinsAntibodies, Monoclonal, HumanizedAsymptomatic DiseasesHumansPlaque, AmyloidUnited StatesAmyloidogenic ProteinsAntibodies, Monoclonal, HumanizedgantenerumabAlzheimer’s diseaseAmyloidBiomarkersClinical developmentDementiaGantenerumabMonoclonal antibodyNeurodegeneration

Identifiers

PMID36447240
PMCPMC9707418
OpenAlexW4310985942

What OpenQuestion holds

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LicenceCC BY
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.