Evidence map›Paper›PMID 39030734›Full record

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

Pharmacoepidemiology evaluation of bumetanide as a potential candidate for drug repurposing for Alzheimer's disease.

Jasmine Morales, Nico Gabriel, Loki Natarajan, Andrea Z LaCroix, Aladdin H Shadyab, Ronghui Xu, James Silverman, Howard H Feldman, Inmaculada Hernandez, Powder for Pennies Collaboration

Abstract 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

10 authors.

Jasmine MoralesHerbert Wertheim School of Public Health & Human Longevity Science, University of California, San Diego, La Jolla, California, USA.ORCID 0009-0003-8721-6049
Nico GabrielDivision of Clinical Pharmacy, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, La Jolla, California, USA.
Loki NatarajanHerbert Wertheim School of Public Health & Human Longevity Science, University of California, San Diego, La Jolla, California, USA.
Andrea Z LaCroixHerbert Wertheim School of Public Health & Human Longevity Science, University of California, San Diego, La Jolla, California, USA.
Aladdin H ShadyabHerbert Wertheim School of Public Health & Human Longevity Science, University of California, San Diego, La Jolla, California, USA.
Ronghui XuHerbert Wertheim School of Public Health & Human Longevity Science, University of California, San Diego, La Jolla, California, USA.
James SilvermanAlzheimer's Disease Cooperative Study, University of California, San Diego, School of Medicine, La Jolla, California, USA.
Howard H FeldmanAlzheimer's Disease Cooperative Study, University of California, San Diego, School of Medicine, La Jolla, California, USA.
Inmaculada HernandezDivision of Clinical Pharmacy, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, La Jolla, California, USA.
Powder for Pennies Collaboration

Funding

UCSD Shiley-Marcos Alzheimer's Disease Research Center P30P30AG062429 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI JAMES B BREWER · 2019 to 2026
$34.9M
Research Education ComponentP30AG066518 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI KEVIN M DUFF, Lisa C Silbert · 2020 to 2026
$28.6M
Single cell and tissue level functional genomic analysis of astrocyte-related mechanisms in tauopathyK08NS105916 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI REXACH, JESSICA E · 2019 to 2023
$1.1M
NIA NIH HHS P30 AG062429NIA NIH HHS P30 AG066518NINDS NIH HHS K08 NS105916USC UCSD Epstein Family Alzheimer's Disease Research Collaboration
6 · The paper itself

Abstract

introductionBumetanide, a loop diuretic, was identified as a candidate drug for repurposing for Alzheimer's disease (AD) based on its effects on transcriptomic apolipoprotein E signatures. Cross-sectional analyses of electronic health records suggest that bumetanide is associated with decreased prevalence of AD; however, temporality between bumetanide exposure and AD development has not been established.

methodsWe evaluated Medicare claims data using Cox proportional hazards regression to evaluate the association between time-dependent use of bumetanide and time to first AD diagnosis while controlling for patient characteristics. Multiple sensitivity analyses were conducted to test the robustness of the findings.

resultsWe sampled 833,561 Medicare beneficiaries, 60.8% female, with mean (standard deviation) age of 70.4 (12). Bumetanide use was not significantly associated with AD risk (hazard ratio 1.05; 95% confidence interval, 0.99-1.10). DISCUSSION: Using a nationwide dataset and a retrospective cohort study design, we were not able to identify a time-dependent effect of bumetanide lowering AD risk. HIGHLIGHTS: Bumetanide was identified as a candidate for repurposing for Alzheimer's disease (AD). We evaluated the association between bumetanide use and risk of AD. We used Medicare data and accounted for duration of bumetanide use. Bumetanide use was not significantly associated with risk of AD.

Indexed as

Alzheimer DiseaseBumetanideDrug RepositioningMedicarePharmacoepidemiologyAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleProportional Hazards ModelsSodium Potassium Chloride Symporter InhibitorsUnited StatesBumetanideSodium Potassium Chloride Symporter InhibitorsAlzheimer's diseasedrug repurposingloop diureticspharmacoepidemiology

Identifiers

PMID39030734
PMCPMC11350022

What OpenQuestion holds

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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.