Evidence map›Paper›PMID 40413110›Full record

Trial reportThe journal of prevention of Alzheimer's disease2025

Lower baseline amyloid beta burden is associated with greater percent of amyloid beta positron emission tomography reduction and better clinical outcomes in the aducanumab Phase 3 trials ENGAGE and EMERGE in early Alzheimer's disease.

Jackson Burton, Holly M Brothers, R Matthew Hutchison, Jennifer Murphy, Tao Sun, Gersham Dent, Gioacchino Curiale, Ken Kowalski

2 registry-linked trialsAbstract readClinical Trial, Phase III
In one paragraph

Trial report in The journal of prevention of Alzheimer's disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this 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.

NCT02477800 phase3terminatednot on this map

A Phase 3 Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Aducanumab (BIIB037) in Subjects With Early Alzheimer's Disease

TypeinterventionalSponsorBiogenRan2015 to 2019Enrolled1,653ConditionsAlzheimer's DiseaseArmsAducanumab (BIIB037), Placebo
NCT02484547 phase3terminatednot on this map

A Phase 3 Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Aducanumab (BIIB037) in Subjects With Early Alzheimer's Disease

TypeinterventionalSponsorBiogenRan2015 to 2019Enrolled1,643ConditionsAlzheimer's DiseaseArmsAducanumab (BIIB037), Placebo
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Circulating Biomarkers for the Early Diagnosis of Alzheimer's Disease.International journal of molecular sciences · 2025
    Review
  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

8 authors.

Jackson BurtonBiogen Inc., Cambridge, MA, USA. Electronic address: Jackson.Burton@Biogen.com.
Holly M BrothersBiogen Inc., Cambridge, MA, USA.
R Matthew HutchisonBiogen Inc., Cambridge, MA, USA.
Jennifer MurphyBiogen Inc., Cambridge, MA, USA.
Tao SunBiogen Inc., Cambridge, MA, USA.
Gersham DentBiogen Inc., Cambridge, MA, USA.
Gioacchino CurialeBiogen Inc., Cambridge, MA, USA.
Ken KowalskiKowalski PMetrics Consulting, LLC, Naples, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAducanumab is a human immunoglobulin G1 anti-amyloid beta antibody for early-stage Alzheimer's disease. After the discontinuation of the aducanumab clinical program and market withdrawal, the Phase 3 data were further assessed to characterize the relationship between baseline amyloid beta load, degree of amyloid beta removal, and subsequent clinical outcomes to provide context for future research.

objectivesThis analysis leveraged modelling techniques to impute missing amyloid beta positron emission tomography values and better understand the relationship between baseline amyloid beta positron emission tomography status, amyloid beta positron emission tomography reduction, and clinical outcomes in the aducanumab Phase 3 ENGAGE and EMERGE (NCT02477800/NCT02484547) studies.

designExploratory data analysis.

settingA previously developed model which characterized the relationship between aducanumab exposure and amyloid beta positron emission tomography standard uptake value ratio was updated to impute centiloid values for participants not enrolled in the amyloid beta positron emission tomography substudy. Additional clinically-relevant variables were also summarized.

participants1876 participants with baseline amyloid beta positron emission tomography and clinical endpoints in a pooled ENGAGE/EMERGE dataset at week 78.

interventionAducanumab MEASUREMENTS: Amyloid burden measured by centiloids and clinical endpoints.

resultsIn older participants whose baseline amyloid beta burden is lower than the average trial population, exposure to aducanumab provides greater clinical benefit across cognitive and functional endpoints.

conclusionsThe relationship between baseline amyloid beta load and treatment benefit in a large population after exposure to an amyloid beta-directed antibody provides insight into which subpopulations are likely to benefit from this class of treatment.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesAntibodies, Monoclonal, HumanizedPositron-Emission TomographyAgedBrainFemaleHumansMaleTreatment OutcomeaducanumabAmyloid beta-PeptidesAntibodies, Monoclonal, HumanizedAmyloid beta centiloidsClinical outcomesExposure-responsePharmacokinetics-pharmacodynamicsTreatment related amyloid clearance

Identifiers

PMID40413110
PMCPMC12321606

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.