Evidence map›Paper›PMID 38480678›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2024

Adapting prescribing criteria for amyloid-targeted antibodies for adults with Down syndrome.

Hampus Hillerstrom, Richard Fisher, Matthew P Janicki, Brian Chicoine, Bradley T Christian, Anna Esbensen, Lucille Esralew, Juan Fortea, Sigan Hartley, Jason Hassenstab and 12 more

Open access · hybridAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
5.8field-weighted citation impact, top 3% 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

12 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Article
  3. Use of anti-amyloid-β monoclonal antibodies in persons with Down syndrome Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  4. Article
  5. Review
  6. Implications and opportunities regarding biological frameworks in overt and prodromal dementia with Lewy bodies.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  7. Review
  8. The striatum is an early, accurate indicator of amyloid burden using [Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  9. Article
  10. Review
  11. Article
  12. Adapting prescribing criteria for amyloid-targeted antibodies for adults with Down syndrome.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    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

22 authors at 16 institutions in 7 countries.

Hampus HillerstromLuMind IDSC Foundation, Burlington, Massachusetts, USA.
Richard FisherLuMind IDSC Foundation, Burlington, Massachusetts, USA.
Matthew P JanickiDepartment of Disability and Human Development, University of Illinois Chicago, Chicago, Illinois, USA.ORCID 0000-0003-1053-1748
Brian ChicoineAdvocate Health, Advocate Medical Group Adult Down Syndrome Center, Advocate Lutheran General Hospital Family Medicine Residency, Park Ridge, Illinois, USA.
Bradley T ChristianWaisman Center IDDRC, University of Wisconsin, Madison, Wisconsin, USA.
Anna EsbensenDivision of Developmental and Behavioral Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati Children's Hospital, Cincinnati, Ohio, USA.
Lucille EsralewCalifornia Department of Developmental Services, Sacramento, California, USA.
Juan ForteaBiomedical Research Institute Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Sigan HartleyWaisman Center IDDRC, University of Wisconsin, Madison, Wisconsin, USA.
Jason HassenstabDepartments of Neurology and Psychological & Brain Sciences, Knight Alzheimer Disease Research Center, Washington University, St. Louis, Missouri, USA.
Seth M KellerNational Task Group on Intellectual Disabilities and Dementia Practices, Rockport, Maine, USA.
Sharon Krinsky-McHaleDepartment of Psychology, New York State Institute for Basic Research in Developmental Disabilities, Island, New York, USA.
Florence LaiMGH Neurology Research, Mass General Brigham Hospital, Massachusetts General Hospital, Boston, Massachusetts, USA.
Johannes LevinDepartment of Neurology & German Center of Neurodegenerative Diseases (DZNE) e.V., Ludwig-Maximilians University, Munich, Germany.
Mary McCarronTrinity Centre for Ageing and Intellectual Disability, Trinity College, University of Dublin, Dublin, Ireland.
Eric McDadeDepartments of Neurology and Psychological & Brain Sciences, Knight Alzheimer Disease Research Center, Washington University, St. Louis, Missouri, USA.
Anne Sophie RebillatOutpatient Department, Institut Jerome Lejeune, Paris, France.
Herminia Diana RosasMGH Neurology Research, Mass General Brigham Hospital, Massachusetts General Hospital, Boston, Massachusetts, USA.
Wayne SilvermanDepartment of Pediatrics, University of California Irvine, Irvine, California, USA.
Andre StrydomInstitute of Psychiatry, Psychology and Neuroscience, Kings College, London, UK.
Shahid H ZamanDepartment of Psychiatry, Cambridge Intellectual and Developmental Disabilities Research Group, Cambridge University, Cambridge, UK.
Henrik ZetterbergInstitute for Stroke and Dementia Research, Sahlgrenska Academy at the University of Gothenburg, Molndal, Sweden.
Sahlgrenska University Hospital · SEUniversity of Wisconsin–Madison · USAdvocate Lutheran General Hospital · USCalifornia Department of Health Care Services · USCincinnati Children's Hospital Medical Center · USFondation Jérôme-Lejeune · FRHarvard University · USKing's College London · GBMassachusetts General Hospital · USNew York State Office for People With Developmental Disabilities · USTrinity College Dublin · IEUniversitat Autònoma de Barcelona · ESUniversity of California, Irvine · USUniversity of Cambridge · GBUniversity of Illinois Chicago · USUrology Associates · US

Funding

Project 3: Biomarkers for DS Clinical TrialsU19AG068054 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LEE, JOSEPH HYUNGWOO · 2020 to 2025
$103.7M
CDC HHSHealthy Brain Initiative NU58DP006782-01-00NCCDPHP CDC HHSNIA NIH HHS U19 AG068054NIH HHS
6 · The paper itself

Abstract

Prior authorization criteria for Federal Drug Administration (FDA) approved immunotherapeutics, among the class of anti-amyloid monoclonal antibodies (mAbs), established by state drug formulary committees, are tailored for adults with late-onset Alzheimer's disease. This overlooks adults with Down syndrome (DS), who often experience dementia at a younger age and with different diagnostic assessment outcomes. This exclusion may deny DS adults access to potential disease-modifying treatments. To address this issue, an international expert panel convened to establish adaptations of prescribing criteria suitable for DS patients and parameters for access to Centers for Medicare & Medicaid Services (CMS) registries. The panel proposed mitigating disparities by modifying CMS and payer criteria to account for younger onset age, using alternative language and assessment instruments validated for cognitive decline in the DS population. The panel also recommended enhancing prescribing clinicians' diagnostic capabilities for DS and initiated awareness-raising activities within healthcare organizations. These efforts facilitated discussions with federal officials, aimed at achieving equity in access to anti-amyloid immunotherapeutics, with implications for national authorities worldwide evaluating these and other new disease-modifying therapeutics for Alzheimer's disease.

Indexed as

Down SyndromeAdultAlzheimer DiseaseAntibodies, MonoclonalHumansImmunotherapyUnited StatesAntibodies, MonoclonalAlzheimer's diseaseanti‐amyloid immunotherapeuticsdementiaDown syndromedrug formulariesprescribing criteria

Identifiers

PMID38480678
PMCPMC11095423
OpenAlexW4392816537

What OpenQuestion holds

Textmetadata
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.