Evidence map›Paper›PMID 38575854›Full record

ArticleBMC neurology2024

Evaluating the effect of rapamycin treatment in Alzheimer's disease and aging using in vivo imaging: the ERAP phase IIa clinical study protocol.

Jonas E Svensson, Martin Bolin, Daniel Thor, Pete A Williams, Rune Brautaset, Marcus Carlsson, Peder Sörensson, David Marlevi, Rubens Spin-Neto, Monika Probst and 4 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06022068 (Evaluating Rapamycin Treatment in Alzheimer's Disease Using Positron Emission Tomography), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
13.1field-weighted citation impact, top 1% 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.

NCT06022068 phase1 / phase2completednot on this map

Evaluating Rapamycin Treatment in Alzheimer's Disease Using Positron Emission Tomography (ERAP)

TypeinterventionalSponsorKarolinska InstitutetRan2023 to 2025Enrolled14ConditionsAlzheimer DiseaseArmsSirolimus
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 34 citations in OpenAlex.

  1. mTORC2-NaChannels (Austin, Tex.) · 2026
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  4. Anatomy of a Setback: A Taxonomy of Clinical Trial Failures in Alzheimer's Disease and Strategic Lessons for the Future.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
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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

14 authors at 5 institutions in 6 countries.

Jonas E SvenssonDepartment of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet and Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
Martin BolinDepartment of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet and Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
Daniel ThorDepartment of Medical Radiation Physics and Nuclear Medicine, Karolinska University Hospital, Stockholm, Sweden.
Pete A WilliamsDepartment of Clinical Neuroscience, Division of Eye and Vision, St. Erik Eye Hospital, Karolinska Institutet, Stockholm, Sweden.
Rune BrautasetDepartment of Clinical Neuroscience, Division of Eye and Vision, St. Erik Eye Hospital, Karolinska Institutet, Stockholm, Sweden.
Marcus CarlssonDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Peder SörenssonDepartment of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
David MarleviDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Rubens Spin-NetoDepartment of Dentistry and Oral Health, Section for Oral Radiology, Aarhus University, Aarhus C, Denmark.
Monika ProbstDepartment of Diagnostic and Interventional Neuroradiology, Klinikum Rechts Der Isar, School of Medicine, Technical University of Munich, Munich, Germany.
Göran HagmanTheme Inflammation and Aging, Karolinska University Hospital, Stockholm, Sweden.
Anton Forsberg MorénDepartment of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet and Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
Miia KivipeltoTheme Inflammation and Aging, Karolinska University Hospital, Stockholm, Sweden.
Pontus Plavén-SigrayDepartment of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet and Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden. pontus.plaven-sigray@ki.se.
Karolinska Institutet · SEKarolinska University Hospital · SEStockholm Health Care Services · SEAarhus University · DKTechnical University of Munich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRapamycin is an inhibitor of the mechanistic target of rapamycin (mTOR) protein kinase, and preclinical data demonstrate that it is a promising candidate for a general gero- and neuroprotective treatment in humans. Results from mouse models of Alzheimer's disease have shown beneficial effects of rapamycin, including preventing or reversing cognitive deficits, reducing amyloid oligomers and tauopathies and normalizing synaptic plasticity and cerebral glucose uptake. The "Evaluating Rapamycin Treatment in Alzheimer's Disease using Positron Emission Tomography" (ERAP) trial aims to test if these results translate to humans through evaluating the change in cerebral glucose uptake following six months of rapamycin treatment in participants with early-stage Alzheimer's disease.

methodsERAP is a six-month-long, single-arm, open-label, phase IIa biomarker-driven study evaluating if the drug rapamycin can be repurposed to treat Alzheimer's disease. Fifteen patients will be included and treated with a weekly dose of 7 mg rapamycin for six months. The primary endpoint will be change in cerebral glucose uptake, measured using [ DISCUSSION: The ERAP study is a clinical trial using in vivo imaging biomarkers to assess the repurposing of rapamycin for the treatment of Alzheimer's disease. If successful, the study would provide a strong rationale for large-scale evaluation of mTOR-inhibitors as a potential disease-modifying treatment in Alzheimer's disease.

trial registrationClinicalTrials.gov ID NCT06022068, date of registration 2023-08-30.

Indexed as

Alzheimer DiseaseCognition DisordersAgingAmyloid beta-PeptidesClinical Trials, Phase II as TopicGlucoseHumansPositron-Emission TomographyTOR Serine-Threonine KinasesAmyloid beta-PeptidesGlucoseTOR Serine-Threonine KinasesAgingAlzheimer’s diseaseClinical trialCTGeroprotectionMRIOCTPETRapamycinSirolimus

Identifiers

PMID38575854
PMCPMC10993488
OpenAlexW4393947688

What OpenQuestion holds

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Registered trials

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.