Evidence map›Paper›PMID 39748842›Full record

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

The HOPE4MCI study: AGB101 treatment slows progression of entorhinal cortex atrophy in

Arnold Bakker, Nisha Rani, Richard Mohs, Michela Gallagher

Erratum issuedAbstract 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. An erratum has been issued. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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.

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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. 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
  4. Review
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  7. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Arnold BakkerDepartment of Psychiatry and Behavioral Sciences Johns Hopkins University School of Medicine Baltimore Maryland USA.ORCID https://orcid.org/0000-0003-0417-641X
Nisha RaniDepartment of Psychiatry and Behavioral Sciences Johns Hopkins University School of Medicine Baltimore Maryland USA.
Richard MohsAgeneBio, Inc. Baltimore Maryland USA.
Michela GallagherDepartment of Psychological and Brain Sciences Johns Hopkins University Baltimore Maryland USA.

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

Introduction: Hippocampal hyperactivity is a hallmark of prodromal Alzheimer's disease (AD) that predicts progression in patients with amnestic mild cognitive impairment (aMCI). AGB101 is an extended-release formulation of levetiracetam in the dose range previously demonstrated to normalize hippocampal activity and improve cognitive performance in aMCI. The HOPE4MCI study was a 78-week trial to assess the progression of MCI due to AD. As reported in Mohs et al., the decline in the Clinical Dementia Rating Sum of Boxes score (CDR-SB) was reduced by 40% in apolipoprotein E ( Methods: Structural magnetic resonance imaging scans obtained at baseline and after 78 weeks were analyzed using the Automated Segmentation of Hippocampal Subfields software providing volume measures of key structures of the medial temporal lobe relevant to AD progression. Blood samples collected at 78 weeks in the study were analyzed for plasma biomarkers. Results: Treatment with AGB101 significantly reduced atrophy of the left entorhinal cortex (ERC) compared to placebo. This reduction in atrophy was correlated with less decline in the CDR-SB score over 78 weeks and with lower neurofilament light chain (NfL), a marker of neurodegeneration. Discussion: The HOPE4MCI study showed that Highlights: AGB101 slows entorhinal cortex (ERC) atrophy in apolipoprotein E (

Indexed as

AGB101Alzheimer's diseaseclinical trialentorhinal cortex atrophylevetiracetammild cognitive impairment

Identifiers

PMID39748842
PMCPMC11694516

What OpenQuestion holds

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Registered trials

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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.