Evidence map›Paper›PMID 37848035›Full record

ReviewCell2023

Accelerating Alzheimer's therapeutic development: The past and future of clinical trials.

Adam L Boxer, Reisa Sperling

Abstract readReview
In one paragraph

Review in Cell, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 129 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
129citing papers in PubMed, 4 pooled it
–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

129 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Eligibility for donanemab trial in a population-based study of cognitive aging.The journal of prevention of Alzheimer's disease · 2025
    Trial
  9. Trial
  10. Trial
  11. Review
  12. Article
  13. Article
  14. Article
  15. Predicting continuous amyloid PET levels with CSF and plasma brain-derived p-tau217.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  16. Observational
  17. Beyond theJCO precision oncology · 2026
    Review
  18. Article
  19. Review
  20. Article

69 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

2 authors.

Adam L BoxerMemory and Aging Center, Department of Neurology, Weill Institute of Neuroscience, University of California, San Francisco, San Francisco, CA, USA. Electronic address: adam.boxer@ucsf.edu.
Reisa SperlingCenter for Alzheimer Research and Treatment, Department of Neurology, MassGeneral Brigham, Harvard Medical School, Boston, MA, USA.

Funding

The Alzheimer's Clinical Trial Consortium - Down Syndrome Network (ACTC- DSN)U24AG057437 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Paul S. Aisen, RONALD C PETERSEN · 2018 to 2026
$198.4M
Technology and Remote Assessment CoreU19AG063911 · NIA · MAYO CLINIC ROCHESTER · PI Bradley F Boeve · 2019 to 2026
$120.9M
TDP-43 Loss-of-Function: Biology to BiomarkersP01AG019724 · NIA · UNIVERSITY OF PENNSYLVANIA · PI Jennifer Merrilees · 2002 to 2026
$67.2M
The Alzheimer's Disease Tau Platform Clinical TrialR01AG078457 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BOXER, ADAM L., JOHNSON, KEITH A. · 2023 to 2024
$60.7M
Vascular factors, physical activity, and inflammation as modulators of neurodegenerative and cognitive trajectories (Project 2)P01AG036694 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI REISA A. SPERLING · 2010 to 2026
$50.2M
Combination anti-amyloid therapy for preclinical Alzheimer's diseaseR01AG061848 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI AISEN, PAUL S., JOHNSON, KEITH A. · 2018 to 2024
$43.9M
Anti-Amyloid Treatment in Asymptomatic Alzheimer's Disease (A4) Open-Label Extension StudyR01AG063689 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI AISEN, PAUL S., SPERLING, REISA A. · 2019 to 2024
$30.8M
The A3 Study: Ante-Amyloid Prevention of Alzheimer's diseaseR01AG054029 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI AISEN, PAUL S., JOHNSON, KEITH A. · 2016 to 2023
$20.9M
The Four Repeat Tauopathy Neuroimaging InitiativeR01AG038791 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BOXER, ADAM L. · 2010 to 2020
$18.1M
Biomarker Evaluation in Young Onset Dementia from Diverse Populations (BEYONDD)R56AG075744 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BOXER, ADAM L., BYRD, DESIREE A · 2022 to 2022
$6.1M
Neurodevelopment in children from families with genetic frontotemporal dementia and Alzheimer’s diseaseR01AG071756 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SUZEE EURIE LEE · 2022 to 2026
$4.1M
Veri-T: A phase 1 Placebo-Controlled Trial of Verdiperstat in Semantic Variant Primary Progressive Aphasia Due to Underlying FTLD-TDPR01AG073482 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ADAM L. BOXER, Peter Alexander Ljubenkov · 2021 to 2026
$3.3M
NIA NIH HHS P01 AG019724NIA NIH HHS P01 AG036694NIA NIH HHS R01 AG038791NIA NIH HHS R01 AG054029NIA NIH HHS R01 AG061848NIA NIH HHS R01 AG063689NIA NIH HHS R01 AG071756NIA NIH HHS R01 AG073482NIA NIH HHS R01 AG078457NIA NIH HHS R56 AG075744NIA NIH HHS RF1 AG077557NIA NIH HHS U19 AG063911NIA NIH HHS U24 AG057437
6 · The paper itself

Abstract

Alzheimer's disease (AD) research has entered a new era with the recent positive phase 3 clinical trials of the anti-Aβ antibodies lecanemab and donanemab. Why did it take 30 years to achieve these successes? Developing potent therapies for reducing fibrillar amyloid was key, as was selection of patients at relatively early stages of disease. Biomarkers of the target pathologies, including amyloid and tau PET, and insights from past trials were also critical to the recent successes. Moving forward, the challenge will be to develop more efficacious therapies with greater efficiency. Novel trial designs, including combination therapies and umbrella and basket protocols, will accelerate clinical development. Better diversity and inclusivity of trial participants are needed, and blood-based biomarkers may help to improve access for medically underserved groups. Incentivizing innovation in both academia and industry through public-private partnerships, collaborative mechanisms, and the creation of new career paths will be critical to build momentum in these exciting times.

Indexed as

Alzheimer DiseaseDrug DevelopmentAmyloid beta-PeptidesAmyloidogenic ProteinsAntibodies, MonoclonalBiomarkersClinical Trials as TopicHumansAmyloid beta-PeptidesAmyloidogenic ProteinsAntibodies, MonoclonalBiomarkers

Identifiers

PMID37848035
PMCPMC10625460

What OpenQuestion holds

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LicenceTDM
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.