Evidence map›Paper›PMID 38940656›Full record

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

Plasma pTau217 predicts continuous brain amyloid levels in preclinical and early Alzheimer's disease.

Viswanath Devanarayan, Thomas Doherty, Arnaud Charil, Pallavi Sachdev, Yuanqing Ye, Leema Krishna Murali, Daniel A Llano, Jin Zhou, Larisa Reyderman, Harald Hampel and 3 more

4 registry-linked trialsAbstract 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. It is linked to 4 registered trials, which are not on this map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 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.

NCT02956486 phase3terminatednot on this map

A Placebo-Controlled, Double-Blind, Parallel-Group, 24 Month Study With an Open-Label Extension Phase to Evaluate the Efficacy and Safety of Elenbecestat (E2609) in Subjects With Early Alzheimer's Disease

TypeinterventionalSponsorEisai Co., Ltd.Ran2016 to 2020Enrolled2,212ConditionsAlzheimer's DiseaseArmsElenbecestat, Placebo
NCT03036280 no registry record found
NCT03887455 phase3active not recruitingnot on this map

A Placebo-Controlled, Double-Blind, Parallel-Group, 18-Month Study With an Open-Label Extension Phase to Confirm Safety and Efficacy of BAN2401 in Subjects With Early Alzheimer's Disease

TypeinterventionalSponsorEisai Inc.Ran2019 to 2029Enrolled1,906ConditionsEarly Alzheimer's DiseaseArmsLecanemab IV, Placebo, Lecanemab SC
NCT04468659 phase3active not recruitingnot on this map

AHEAD 3-45 Study: A Placebo-Controlled, Double-Blind, Parallel-Treatment Arm, 216 Week Study With an Extension Phase to Evaluate Efficacy and Safety of Treatment With BAN2401 in Subjects With Preclinical Alzheimer's Disease and Elevated Amyloid (A45 Trial) and in Subjects With Early Preclinical Alzheimer's Disease and Intermediate Amyloid (A3 Trial)

TypeinterventionalSponsorEisai Inc.Ran2020 to 2031Enrolled1,400ConditionsPreclinical Alzheimer's Disease, Early Preclinical Alzheimer's DiseaseArmsLecanemab, Placebo
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. 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
  9. Exploring longitudinal relationships among Alzheimer's disease biomarkers.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Emerging directions in tauopathy research.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  16. Article
  17. Article
  18. Article
  19. Brain health care accelerator: A primary care-centered model for scaling dementia diagnosis and care.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  20. 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.

Viswanath DevanarayanEisai Inc., Clinical Evidence Generation, Nutley, New Jersey, USA.ORCID 0000-0003-2059-9252
Thomas DohertyEisai Ltd., Clinical Evidence Generation, Hatfield, UK.
Arnaud CharilEisai Inc., Clinical Evidence Generation, Nutley, New Jersey, USA.
Pallavi SachdevEisai Inc., Clinical Evidence Generation, Nutley, New Jersey, USA.
Yuanqing YeEisai Inc., Clinical Evidence Generation, Nutley, New Jersey, USA.
Leema Krishna MuraliEisai Inc., Clinical Evidence Generation, Nutley, New Jersey, USA.
Daniel A LlanoCarle Illinois College of Medicine, Urbana, Illinois, USA.
Jin ZhouEisai Inc., Clinical Evidence Generation, Nutley, New Jersey, USA.
Larisa ReydermanEisai Inc., Clinical Evidence Generation, Nutley, New Jersey, USA.
Harald HampelEisai Inc., Clinical Evidence Generation, Nutley, New Jersey, USA.
Lynn D KramerEisai Inc., Clinical Evidence Generation, Nutley, New Jersey, USA.
Shobha DhaddaEisai Inc., Clinical Evidence Generation, Nutley, New Jersey, USA.
Michael C IrizarryEisai Inc., Clinical Evidence Generation, Nutley, New Jersey, USA.

Funding

Eisai Inc.
6 · The paper itself

Abstract

backgroundThis study investigated the potential of phosphorylated plasma Tau217 ratio (pTau217R) and plasma amyloid beta (Aβ) 42/Aβ40 in predicting brain amyloid levels measured by positron emission tomography (PET) Centiloid (CL) for Alzheimer's disease (AD) staging and screening.

methodsQuantification of plasma pTau217R and Aβ42/Aβ40 employed immunoprecipitation-mass spectrometry. CL prediction models were developed on a cohort of 904 cognitively unimpaired, preclinical and early AD subjects and validated on two independent cohorts.

resultsModels integrating pTau217R outperformed Aβ42/Aβ40 alone, predicting amyloid levels up to 89.1 CL. High area under the receiver operating characteristic curve (AUROC) values (89.3% to 94.7%) were observed across a broad CL range (15 to 90). Utilizing pTau217R-based models for low amyloid levels reduced PET scans by 70.5% to 78.6%. DISCUSSION: pTau217R effectively predicts brain amyloid levels, surpassing cerebrospinal fluid Aβ42/Aβ40's range. Combining it with plasma Aβ42/Aβ40 enhances sensitivity for low amyloid detection, reducing unnecessary PET scans and expanding clinical utility. CLINICALTRIALS: GOV IDENTIFIERS: NCT02956486 (MissionAD1), NCT03036280 (MissionAD2), NCT04468659 (AHEAD3-45), NCT03887455 (ClarityAD) HIGHLIGHTS: Phosphorylated plasma Tau217 ratio (pTau217R) effectively predicts amyloid-PET Centiloid (CL) across a broad spectrum. Integrating pTau217R with Aβ42/Aβ40 extends the CL prediction upper limit to 89.1 CL. Combined model predicts amyloid status with high accuracy, especially in cognitively unimpaired individuals. This model identifies subjects above or below various CL thresholds with high accuracy. pTau217R-based models significantly reduce PET scans by up to 78.6% for screening out individuals with no/low amyloid.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesBrainPositron-Emission Tomographytau ProteinsAgedBiomarkersClinical Trials as TopicCohort StudiesFemaleHumansMaleMiddle AgedPeptide FragmentsPhosphorylationAmyloid beta-Peptidesamyloid beta-protein (1-40)BiomarkersPeptide Fragmentstau Proteinsblood‐based biomarkersdiagnosisdisease continuumdisease stagingpatient monitoringpatient screeningprediction

Identifiers

PMID38940656
PMCPMC11350129

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.