Evidence map›Paper›PMID 40660741›Full record

Trial reportAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Regional effects of gantenerumab on neuroimaging biomarkers in the DIAN-TU-001 trial.

Austin McCullough, Charles D Chen, Brian A Gordon, Nelly Joseph-Mathurin, Clifford R Jack, Robert Koeppe, Russ Hornbeck, Deborah Koudelis, Nicole S McKay, Diana A Hobbs and 42 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Regional effects of gantenerumab on neuroimaging biomarkers in the DIAN-TU-001 trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Trial
  2. Article
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  4. Review
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  6. Review
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

52 authors.

Austin McCulloughWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Charles D ChenWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Brian A GordonWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Nelly Joseph-MathurinWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Clifford R JackMayo Clinic, Rochester, Minnesota, USA.
Robert KoeppeUniversity of Michigan, Ann Arbor, Michigan, USA.
Russ HornbeckWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Deborah KoudelisWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Nicole S McKayWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Diana A HobbsWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Shaney FloresWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Sarah J KeefeWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Neelum T AggarwalRush University Medical Center, Chicago, Illinois, USA.
Ricardo F AllegriInstitute for Neurological Research FLENI, Buenos Aires, Argentina.
Sarah B BermanUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Thomas BirdUniversity of Washington, Seattle, Washington, USA.
Sandra E BlackSunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
William S BrooksNeuroscience Research Australia, Randwick, New South Wales, Australia.
Jasmeer P ChhatwalMassachusetts General Hospital, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Gregory S DayMayo Clinic, Jacksonville, Florida, USA.
Martin R FarlowIndiana University School of Medicine, Indianapolis, Indiana, USA.
Nick C FoxUK Dementia Research Institute and Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, UK.
Serge GauthierMcGill Center for Studies in Aging, McGill University, Montréal, Quebec, Canada.
Lawrence S HonigColumbia University Irving Medical Center, New York, New York, USA.
Ging-Yuek HsiungUniversity of British Columbia, Vancouver, British Columbia, Canada.
Mathias JuckerGerman Center for Neurodegenerative Diseases (DZNE), Tübingen, Germany.
Johannes LevinGerman Center for Neurodegenerative Diseases (DZNE), Munich, Germany.
Mario MasellisSunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Colin MastersUniversity of Melbourne, Parkville, Victoria, Australia.
Patricio Chrem MendezInstitute for Neurological Research FLENI, Buenos Aires, Argentina.
John M RingmanKeck School of Medicine, University of Southern California, Los Angeles, California, USA.
B Joy SniderWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Stephen SallowayButler Hospital, Providence, Rhode Island, USA.
Peter R SchofieldNeuroscience Research Australia, Randwick, New South Wales, Australia.
Hiroyuki ShimadaOsaka City University, Sumiyoshi-ku, Osaka, Japan.
Kazushi SuzukiNational Defense Medical College, Tokorozawa, Saitama, Japan.
Christopher H van DyckYale School of Medicine, New Haven, Connecticut, USA.
Gregory KleinHoffmann-La Roche Ltd, Basel, Switzerland.
David B CliffordWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Carlos CruchagaWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Jason HassenstabWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Yan LiWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Eric McDadeWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Susan MillsWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
John C MorrisWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Richard J PerrinWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Charlene Supnet-BellWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Guoqiao WangWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Chengjie XiongWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Randall J BatemanWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
Tammie L S BenzingerWashington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.
DIAN‐TU Study Team

Funding

Smartphone-Based "Burst" Cognitive AssessmentsP01AG003991 · NIA · WASHINGTON UNIVERSITY · PI JOHN MORRIS · 1985 to 2026
$69.5M
Imaging CoreU19AG032438 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2010 to 2025
$53.9M
The natural history of AB accumulation in preclinical ADP01AG026276 · NIA · WASHINGTON UNIVERSITY · PI MORRIS, JOHN · 2005 to 2025
$49.5M
DIAN-TU Next Generation Prevention Trial - Data Request Management SupplementR01AG053267 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2017 to 2023
$34.9M
Research Education ComponentP30AG066444 · NIA · WASHINGTON UNIVERSITY · PI Susan Lynn Stark · 2020 to 2026
$28.7M
Dominantly Inherited Alzheimer's Network Trials Unit - Adaptive Prevention TrialR01AG046179 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2014 to 2019
$26.6M
DOMINANTLY INHERITED ALZHEIMER NETWORK TRIAL: AN OPPORTUNITY TO PREVENT DEMENTIAU01AG042791 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2013 to 2018
$8.9M
Translational Imaging Research Program in Radiopharmaceutical SciencesT32AG078117 · NIA · WASHINGTON UNIVERSITY · PI Tammie Lee Smith Benzinger, Vijay Sharma · 2022 to 2026
$1.9M
Evaluation of the neurovascular unit in the setting of pathogenesis and treatment of autosomal dominant Alzheimer diseaseK01AG080123 · NIA · WASHINGTON UNIVERSITY · PI Nelly Cecile Joseph-Mathurin · 2023 to 2026
$376k
Alzheimer's Association AARF-21-722077Avid RadiopharmaceuticalsBrightFocus Foundation A2022013FCerveau Technologies, Cogstate, and SignantEli Lilly and CompanyF. Hoffman-LaRoche LtdF. Hoffman-LaRoche Ltd.GHR FoundationNIA NIH HHS K01 AG080123NIA NIH HHS P01 AG003991NIA NIH HHS P01 AG026276NIA NIH HHS P30 AG066444NIA NIH HHS R01 AG046179NIA NIH HHS R01 AG053267NIA NIH HHS T32 AG078117NIA NIH HHS U01 AG042791NIA NIH HHS U19 AG032438NIH HHS R01AG046179NIH HHS R01AG053267NIH HHS R01AG053267-S1NIH HHS R01AG053267-S2NIH HHS T32AG078117-01NIH HHS U01AG042791NIH HHS U01AG042791-S1N.J.M. 1K01AG080123N.J.M. AARFD-20-681815
6 · The paper itself

Abstract

introductionMonoclonal anti-amyloid therapies are now accessible, but how these treatments influence changes within the brain is still not clear. We investigated overall and regional change in amyloid removal, glucose metabolism, and atrophy in trial participants with dominantly inherited Alzheimer's disease (DIAD).

methodsIn the DIAN-TU-001 trial, 92 carriers received gantenerumab or placebo and underwent serial neuroimaging assessments including [

resultsGantenerumab significantly reduced PiB-PET uptake overall and in most regions and showed no changes in FDG-PET or MRI measures. Drug effects were associated with baseline PiB-PET uptake, and the largest effects occurred in medial regions. DISCUSSION: Treated DIAD participants, and especially those with higher amyloid burden, showed a decrease in PiB-PET uptake, which was more pronounced in the basal ganglia and medial frontal structures. These results may inform patient response and future drug trial design. HIGHLIGHTS: Gantenerumab unevenly decreased Aβ burden as measured by PiB-PET across brain regions. The strongest decrease in PiB-PET uptake was in basal ganglia and medial frontal structures. Variable drug effect on Aβ was partly due to the amount of burden present before treatment. There was no regional effect on FDG-PET metabolism or MRI volumetrics after 4 years.

Indexed as

Alzheimer DiseaseAntibodies, Monoclonal, HumanizedBrainAgedAmyloid beta-PeptidesAniline CompoundsBiomarkersFemaleFluorodeoxyglucose F18HumansMagnetic Resonance ImagingMaleMiddle AgedNeuroimagingPositron-Emission TomographyThiazoles2-(4'-(methylamino)phenyl)-6-hydroxybenzothiazoleAmyloid beta-PeptidesAniline CompoundsAntibodies, Monoclonal, HumanizedBiomarkersFluorodeoxyglucose F18gantenerumabThiazolesamyloid targeted monoclonal antibodyautosomal dominant Alzheimer's disease (ADAD)DIAN‐TUdominantly inherited Alzheimer's disease (DIAD)FDG‐PETgantenerumabimaging outcomesMRI measuresPETregional PiB‐PET uptakeregional variability

Identifiers

PMID40660741
PMCPMC12260115

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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.