Evidence map›Paper›PMID 40491259›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Integrating plasma p-tau217 and digital cognitive assessments for early detection in Alzheimer's disease.

Casey R Vanderlip, Craig E L Stark

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Trial
  2. Digital cognitive phenotyping enhances risk stratification in preclinical Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  6. Combining p-tau217 and digital cognitive testing to predict cognitive decline.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  7. Article
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  10. Integrating plasma p-tau217 and digital cognitive assessments for early detection in Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Casey R VanderlipDepartment of Neurobiology and Behavior, University of California Irvine, Irvine, California, USA.ORCID 0000-0002-8233-5829
Craig E L StarkDepartment of Neurobiology and Behavior, University of California Irvine, Irvine, California, USA.

Funding

The Alzheimer's Disease Research Center at the University of California, IrvineP30AG066519 · NIA · UNIVERSITY OF CALIFORNIA-IRVINE · PI Mathew Mark Blurton-Jones · 2020 to 2026
$27.9M
Development of the mnemonic similarity task as a tool to address age and dementia-related memory declineR01AG066683 · NIA · UNIVERSITY OF CALIFORNIA-IRVINE · PI STARK, CRAIG E · 2020 to 2024
$1.9M
NIA NIH HHS P30 AG066519NIA NIH HHS R01 AG066683
6 · The paper itself

Abstract

introductionPlasma phosphorylated tau (p-tau)217 is an early Alzheimer's disease (AD) biomarker, but the timing of pathological changes and cognitive decline varies substantially. Digital cognitive assessments can detect subtle cognitive changes, suggesting they may complement p-tau217 for early detection. Here, we evaluate whether combining these tools improves the detection of individuals at risk for future decline.

methodsWe analyzed 954 amyloid-positive cognitively unimpaired individuals who completed a digital cognitive assessment and a blood test for p-tau217, assessing their ability to predict future decline on the Preclinical Alzheimer Cognitive Composite (PACC) and Mini-Mental State Examination (MMSE).

resultsCombining performance on a digital cognitive assessment with p-tau217 improved identification of individuals who declined on the PACC and MMSE in the next 5 years. The predictive value was stronger in apolipoprotein E ε4 noncarriers but did not differ by sex. DISCUSSION: This approach offers a sensitive method for identifying individuals at high risk for AD-related cognitive decline. HIGHLIGHTS: Combining plasma phosphorylated tau 217 with baseline digital cognitive assessment improved the prediction of cognitive decline on gold-standard neuropsychological tests over the next 5 years, achieving greater accuracy than either measure alone. This combination also predicted a decline in a global cognitive screening test. Pairing a blood test with a digital cognitive assessment offers a scalable and feasible approach for Alzheimer's disease screening.

Indexed as

Alzheimer DiseaseCognitive Dysfunctiontau ProteinsAgedAged, 80 and overBiomarkersEarly DiagnosisFemaleHumansMaleMental Status and Dementia TestsNeuropsychological TestsPhosphorylationBiomarkersMAPT protein, humantau ProteinsAlzheimer's diseasedigital cognitive assessmentsearly detectionlow‐burden measuresmemoryphosphorylated tau 217

Identifiers

PMID40491259
PMCPMC12149436

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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.