Evidence map›Paper›PMID 38356475›Full record

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

The HOPE4MCI study: A randomized double-blind assessment of AGB101 for the treatment of MCI due to AD.

Richard Mohs, Arnold Bakker, Sharon Rosenzweig-Lipson, Michael Rosenblum, Russell L Barton, Marilyn S Albert, Sharon Cohen, Scott Zeger, Michela Gallagher

Open access · goldAbstract 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 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
8.2field-weighted citation impact, top 2% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Digital cognitive phenotyping enhances risk stratification in preclinical Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  4. Excitation-inhibition homeostasis in Alzheimer's disease: a selective multiscale review of mechanisms, sex differences, and therapeutic opportunities.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Altered NPTX2 dynamics associated with impaired cognitive aging.bioRxiv : the preprint server for biology · 2025
    Article
  9. Article
  10. Article
  11. Integrating plasma p-tau217 and digital cognitive assessments for early detection in Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Cognitive modeling of the Mnemonic Similarity Task as a digital biomarker for Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  18. Article
  19. Article
  20. Review
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 at 3 institutions in 2 countries.

Richard MohsAgeneBio, Inc. Baltimore Maryland USA.
Arnold BakkerDepartment of Psychiatry and Behavioral Sciences Johns Hopkins University School of Medicine Baltimore Maryland USA.ORCID https://orcid.org/0000-0003-0417-641X
Sharon Rosenzweig-LipsonAgeneBio, Inc. Baltimore Maryland USA.
Michael RosenblumDepartment of Biostatistics Johns Hopkins University Bloomberg School of Public Health Baltimore Maryland USA.
Russell L BartonAgeneBio, Inc. Baltimore Maryland USA.
Marilyn S AlbertDepartment of Neurology Johns Hopkins University School of Medicine Baltimore Maryland USA.
Sharon CohenToronto Memory Program Toronto Ontario Cananda.
Scott ZegerDepartment of Biostatistics Johns Hopkins University Bloomberg School of Public Health Baltimore Maryland USA.
Michela GallagherAgeneBio, Inc. Baltimore Maryland USA.ORCID https://orcid.org/0000-0002-9585-6500
Johns Hopkins University · USAgeneBio (United States) · USToronto Public Health · CA

Funding

Research Education ComponentP30AG066507 · NIA · JOHNS HOPKINS UNIVERSITY · PI MARILYN S. ALBERT · 2020 to 2026
$29.3M
A Phase 3 Pivotal Trial of AGB101 to Slow Progression in MCI due to Alzheimer's DiseaseR01AG061091 · NIA · AGENEBIO, INC. · PI MOHS, RICHARD CHARLES · 2018 to 2022
$24.2M
PHASE II/III trial for Slowing Progression in Mild Cognitive ImpairmentR01AG048349 · NIA · JOHNS HOPKINS UNIVERSITY · PI ALBERT, MARILYN S., GALLAGHER, MICHELA · 2015 to 2021
$7.6M
A Phase 3 pivotal trial of AGB101 to slow progression in MCI due to Alzheimer's DiseaseR56AG055416 · NIA · AGENEBIO, INC. · PI MOHS, RICHARD CHARLES · 2017 to 2017
$4.0M
NIA NIH HHS P30 AG066507NIA NIH HHS R01 AG048349NIA NIH HHS R01 AG061091NIA NIH HHS R56 AG055416
6 · The paper itself

Abstract

introductionIn addition to the accumulation of amyloid plaques and neurofibrillary tangles, the presence of excess neural activity is a pathological hallmark of Alzheimer's disease (AD) and a prognostic indicator for progression of AD pathology and clinical/cognitive worsening in mild cognitive impairment due to Alzheimer's disease (MCI due to AD). The HOPE4MCI clinical study tested the efficacy of a therapeutic with demonstrated ability to normalize heightened neural activity in the hippocampus in a randomized controlled trial of 78 weeks duration in patients with MCI due to AD.

methodsOne hundred and sixty-four participants were randomized to placebo (

resultsThe mean change in CDR-SB was estimated to be 1.12 (95% confidence interval [CI]: 0.66, 1.69) for the AGB101 arm and 1.22 (95% CI: 0.75, 1.78) for the placebo arm. The estimated difference between arms is -0.10 (95% CI: -0.85, 0.58), which was not statistically significant. In a prespecified analysis, the difference was -0.45 (95% CI: -1.43, 0.53) for ApoE-4 noncarriers and -0.10 (95% CI: -0.92, 0.72) for apolipoprotein E (ApoE)-4 carriers. DISCUSSION: The possibility that ApoE-4 carriers and noncarriers will respond differently to therapeutic intervention is consistent with recently reported findings from biologics and the present results show further testing of AGB101 in patients with MCI due to AD who are noncarriers of the ApoeE-4 allele is warranted. Conclusions from the HOPE4MCI study are limited primarily due to the small sample size and results can only be regarded as a guide to future research.

Indexed as

AGB101Alzheimer's diseaseclinical trialhippocampuslevetiracetammild cognitive impairment

Identifiers

PMID38356475
PMCPMC10865488
OpenAlexW4391177132

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.