Evidence map›Paper›PMID 37388759›Full record

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

Donanemab exposure and efficacy relationship using modeling in Alzheimer's disease.

Ivelina Gueorguieva, Brian A Willis, Laiyi Chua, Kay Chow, C Steven Ernest, Jian Wang, Sergey Shcherbinin, John R Sims, Emmanuel Chigutsa

Abstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Trial
  2. Donanemab exposure-response in early symptomatic Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Rock inhibitors in Alzheimer's disease.Frontiers in aging · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. 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

9 authors.

Ivelina GueorguievaEli Lilly and Company Bracknell UK.
Brian A WillisFormer Employee of Eli Lilly and Company Indianapolis Indiana USA.
Laiyi ChuaEli Lilly and Company Singapore Singapore.
Kay ChowEli Lilly and Company Bracknell UK.
C Steven ErnestEli Lilly and Company Indianapolis Indiana USA.
Jian WangEli Lilly and Company Indianapolis Indiana USA.
Sergey ShcherbininEli Lilly and Company Indianapolis Indiana USA.
John R SimsEli Lilly and Company Indianapolis Indiana USA.
Emmanuel ChigutsaEli Lilly and Company Indianapolis Indiana USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDonanemab is an amyloid-targeting therapy that specifically targets brain amyloid plaques. The objective of these analyses was to characterize the relationship of donanemab exposure with plasma biomarkers and clinical efficacy through modeling.

methodsData for the analyses were from participants with Alzheimer's disease from the phase 1 and TRAILBLAZER-ALZ studies. Indirect-response models were used to fit plasma phosphorylated tau 217 (p-tau217) and plasma glial fibrillated acidic protein (GFAP) data over time. Disease-progression models were developed using pharmacokinetic/pharmacodynamic modeling.

resultsThe plasma p-tau217 and plasma GFAP models adequately predicted the change over time, with donanemab resulting in decreased plasma p-tau217 and plasma GFAP concentrations. The disease-progression models confirmed that donanemab significantly reduced the rate of clinical decline. Simulations revealed that donanemab slowed disease progression irrespective of baseline tau positron emission tomography (PET) level within the evaluated population. DISCUSSION: The disease-progression models show a clear treatment effect of donanemab on clinical efficacy regardless of baseline disease severity.

Indexed as

Alzheimer's diseaseamyloid plaquesClinical Dementia Rating‐Sum of Boxesdonanemabintegrated Alzheimer’s Disease Rating Scalemodelingpharmacokinetics/pharmacodynamicsplasma glial fibrillary acidic proteinplasma phosphorylated tau 217tau

Identifiers

PMID37388759
PMCPMC10301702

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Registered trials

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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.