Evidence map›Paper›PMID 38081829›Full record

ArticleNature communications2023

High-throughput target trial emulation for Alzheimer's disease drug repurposing with real-world data.

Chengxi Zang, Hao Zhang, Jie Xu, Hansi Zhang, Sajjad Fouladvand, Shreyas Havaldar, Feixiong Cheng, Kun Chen, Yong Chen, Benjamin S Glicksberg and 3 more

Abstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 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

40 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  7. Review
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  9. Review
  10. Review
  11. MOSIC: Model-Agnostic Optimal Subgroup Identification with Multi-Constraint for Improved Reliability.KDD : proceedings. International Conference on Knowledge Discovery & Data Mining · 2026
    Article
  12. Article
  13. Review
  14. Review
  15. Alzheimer Combination Therapies: Overview and Scenarios.The journal of prevention of Alzheimer's disease · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. A Deep Subgrouping Framework for Precision Drug Repurposing via Emulating Clinical Trials on Real-world Patient Data.KDD : proceedings. International Conference on Knowledge Discovery & Data Mining · 2025
    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

13 authors.

Chengxi ZangDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.ORCID 0000-0002-8244-9551
Hao ZhangDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.ORCID 0000-0002-2928-2692
Jie XuDepartment of Health Outcomes & Biomedical Informatics, University of Florida, Gainesville, FL, USA.
Hansi ZhangDepartment of Health Outcomes & Biomedical Informatics, University of Florida, Gainesville, FL, USA.
Sajjad FouladvandInstitude for Biomedical Informatics (IBI) and Department of Computer Science, University of Kentucky, Lexington, KY, USA.
Shreyas HavaldarHasso Plattner Institute for Digital Health at Mount Sinai, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Feixiong ChengGenomic Medicine Institute, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, USA.ORCID 0000-0002-1736-2847
Kun ChenDepartment of Statistics, University of Connecticut, Storrs, CT, USA.ORCID 0000-0003-3579-5467
Yong ChenDepartment of Biostatistics, Epidemiology and Informatics (DBEI), the Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Benjamin S GlicksbergHasso Plattner Institute for Digital Health at Mount Sinai, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0003-4515-8090
Jin ChenInstitude for Biomedical Informatics (IBI) and Department of Computer Science, University of Kentucky, Lexington, KY, USA.
Jiang BianDepartment of Health Outcomes & Biomedical Informatics, University of Florida, Gainesville, FL, USA.ORCID 0000-0002-2238-5429
Fei WangDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA. few2001@med.cornell.edu.ORCID 0000-0001-9459-9461

Funding

Kentucky CAN HEAL (Communities and Networks Helping End Addiction Long-term)UM1DA049406 · NIDA · UNIVERSITY OF KENTUCKY · PI WALSH, SHARON L. · 2019 to 2022
$81.7M
University of Kentucky Alzheimer's Disease Research CenterP30AG072946 · NIA · UNIVERSITY OF KENTUCKY · PI LINDA J VAN ELDIK · 2021 to 2026
$23.5M
Renewal of Centers of Biomedical Research Excellence (COBRE) (Phase 2) CNTN - ResubmissionP20GM109025 · NIGMS · CLEVELAND CLINIC FOUNDATION · PI Robert J. Fox, Jefferson Kinney · 2015 to 2026
$22.8M
Endophenotype Network-based Approaches to Prediction and Population-based Validation of In Silico Drug Repurposing for Alzheimer's DiseaseR01AG066707 · NIA · CLEVELAND CLINIC LERNER COM-CWRU · PI Feixiong Cheng · 2020 to 2026
$4.9M
SYSTEMATIC DRUG REPURPOSING TARGETING IMMUNE ACTIVATION NETWORKS IN ALZHEIMER'S DISEASE (AD)RF1AG059319 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI EHRLICH, MICHELLE E, GANDY, SAMUEL E. · 2018 to 2018
$4.2M
ACTS (AD Clinical Trial Simulation): Developing Advanced Informatics Approaches for an Alzheimer's Disease Clinical Trial Simulation SystemR01AG084236 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Jiang Bian, Cui Tao · 2023 to 2026
$4.1M
TREM2 Genotype-Informed Drug Repurposing and Combination Therapy Design for Alzheimer’s DiseaseR01AG076448 · NIA · CLEVELAND CLINIC LERNER COM-CWRU · PI Feixiong Cheng, Li Gan · 2022 to 2026
$4.0M
Alzheimer's MultiOme Data Repurposing: Artificial Intelligence, Network Medicine, and Therapeutics DiscoveryU01AG073323 · NIA · CLEVELAND CLINIC LERNER COM-CWRU · PI BEKRIS, LYNN, CHENG, FEIXIONG · 2021 to 2025
$4.0M
TRiPOD: Toward Reusable Phenotypes in Observational Data for AD/ADRD - managing definitions and correcting biasR01AG073435 · NIA · UNIVERSITY OF PENNSYLVANIA · PI CHEN, YONG, XU, HUA · 2021 to 2025
$3.9M
Computational Drug Repurposing for AD/ADRD with Integrative Analysis of Real World Data and Biomedical KnowledgeR01AG076234 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Jiang Bian, Fei Wang · 2022 to 2026
$3.8M
An end-to-end informatics framework to study Multiple Chronic Conditions (MCC)'s impact on Alzheimer's disease using harmonized electronic health recordsR01AG083039 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI BIAN, JIANG, JIANG, XIAOQIAN · 2023 to 2025
$3.4M
Developing Suicide Risk Algorithms for Diverse Clinical Settings using Data FusionR01MH124740 · NIMH · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI ASELTINE, ROBERT H, CHEN, KUN · 2020 to 2023
$3.2M
NCI NIH HHS R01 CA246418NCI NIH HHS R21 CA245858NIAID NIH HHS R01 AI172875NIA NIH HHS K08 AG065463NIA NIH HHS P30 AG072946NIA NIH HHS R01 AG066707NIA NIH HHS R01 AG073435NIA NIH HHS R01 AG076234NIA NIH HHS R01 AG076448NIA NIH HHS R01 AG080624NIA NIH HHS R01 AG080991NIA NIH HHS R01 AG082118NIA NIH HHS R01 AG083039NIA NIH HHS R01 AG084236NIA NIH HHS R01 AG084250NIA NIH HHS R21 AG068717NIA NIH HHS R21 AG083003NIA NIH HHS R56 AG069880NIA NIH HHS R56 AG074001NIA NIH HHS R56 AG074604NIA NIH HHS RF1 AG059319NIA NIH HHS RF1 AG072449NIA NIH HHS RF1 AG077820NIA NIH HHS RF1 AG082211NIA NIH HHS RF1 AG084178NIA NIH HHS U01 AG073323NIDA NIH HHS UM1 DA049406NIGMS NIH HHS P20 GM109025NIMH NIH HHS R01 MH124740NINDS NIH HHS RF1 NS133812NLM NIH HHS R01 LM013519NLM NIH HHS R01 LM014344
6 · The paper itself

Abstract

Target trial emulation is the process of mimicking target randomized trials using real-world data, where effective confounding control for unbiased treatment effect estimation remains a main challenge. Although various approaches have been proposed for this challenge, a systematic evaluation is still lacking. Here we emulated trials for thousands of medications from two large-scale real-world data warehouses, covering over 10 years of clinical records for over 170 million patients, aiming to identify new indications of approved drugs for Alzheimer's disease. We assessed different propensity score models under the inverse probability of treatment weighting framework and suggested a model selection strategy for improved baseline covariate balancing. We also found that the deep learning-based propensity score model did not necessarily outperform logistic regression-based methods in covariate balancing. Finally, we highlighted five top-ranked drugs (pantoprazole, gabapentin, atorvastatin, fluticasone, and omeprazole) originally intended for other indications with potential benefits for Alzheimer's patients.

Indexed as

Alzheimer DiseaseAtorvastatinDrug RepositioningHumansPropensity ScoreAtorvastatin

Identifiers

PMID38081829
PMCPMC10713627

What OpenQuestion holds

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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.