Evidence map›Paper›PMID 40911712›Full record

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

Clinical progression on CDR-SB©: Progression-free time at each 0.5 unit level in dominantly inherited and sporadic Alzheimer's disease populations.

Guoqiao Wang, Yan Li, Eric McDade, Chengjie Xiong, Sarah M Hartz, Randall J Bateman, John C Morris, Lon S Schneider, Alzheimer's Disease Neuroimaging Initiative

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 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

5 · Who and what money

Authors and funding

9 authors.

Guoqiao WangDepartment of Neurology, Washington University, School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-6808-8737
Yan LiDepartment of Neurology, Washington University, School of Medicine, St. Louis, Missouri, USA.
Eric McDadeDepartment of Neurology, Washington University, School of Medicine, St. Louis, Missouri, USA.
Chengjie XiongDivision of Biostatistics, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA.
Sarah M HartzDepartment of Psychiatry, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA.
Randall J BatemanDepartment of Neurology, Washington University, School of Medicine, St. Louis, Missouri, USA.
John C MorrisDepartment of Neurology, Washington University, School of Medicine, St. Louis, Missouri, USA.
Lon S SchneiderDepartment of Psychiatry and The Behavioral Sciences, Department of Neurology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Alzheimer's Disease Neuroimaging Initiative

Funding

Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
DIAN-TU Primary Prevention Trial NfL Characterization Admin SuppU01AG059798 · NIA · WASHINGTON UNIVERSITY · PI MCDADE, ERIC MARTIN · 2018 to 2025
$97.9M
DIAN-TU: Tau Next Generation Prevention Trial - Administrative SupplementR01AG068319 · NIA · WASHINGTON UNIVERSITY · PI RANDALL J BATEMAN · 2020 to 2026
$81.4M
Imaging CoreU19AG032438 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2010 to 2025
$53.9M
DIAN-TU Next Generation Prevention Trial - Data Request Management SupplementR01AG053267 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2017 to 2023
$34.9M
USCADRC Diversity Supplement PachicanoP30AG066530 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI HELENA Chang CHUI, ARTHUR W TOGA · 2020 to 2026
$27.8M
Dominantly Inherited Alzheimer's Network Trials Unit - Adaptive Prevention TrialR01AG046179 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2014 to 2019
$26.6M
MAPPING THE HUMAN CONNECTOME DURING TYPICAL AGINGU01AG052564 · NIA · WASHINGTON UNIVERSITY · PI SALAT, DAVID H, TERPSTRA, MELISSA J · 2016 to 2020
$18.9M
DOMINANTLY INHERITED ALZHEIMER NETWORK TRIAL: AN OPPORTUNITY TO PREVENT DEMENTIAU01AG042791 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2013 to 2018
$8.9M
DIAN-TU Primary Prevention TrialR01AG059798 · NIA · WASHINGTON UNIVERSITY · PI Eric Martin McDade · 2026 to 2026
$2.2M
Department of Defense W81XWH-12-2-0012Ministry of Health & Welfare and Ministry of Science and ICT, Republic of Korea HI21C0066National Institute on Aging (NIA), the Alzheimer's Association SG-20-690363-DIANNational Institute on Aging of the National Institutes of Health 1U01AG059798National Institute on Aging of the National Institutes of Health P30AG066530National Institute on Aging of the National Institutes of Health R01AG046179National Institute on Aging of the National Institutes of Health R01AG053267National Institute on Aging of the National Institutes of Health R01AG053267-S1National Institute on Aging of the National Institutes of Health R01AG068319National Institute on Aging of the National Institutes of Health U01AG042791National Institute on Aging of the National Institutes of Health U01AG042791-S1National Institute on Aging of the National Institutes of Health U01AG052564NIA NIH HHS P30 AG066530NIA NIH HHS R01 AG046179NIA NIH HHS R01 AG053267NIA NIH HHS R01 AG059798NIA NIH HHS R01 AG068319NIA NIH HHS U01 AG024904NIA NIH HHS U01 AG042791NIA NIH HHS U01 AG052564NIA NIH HHS U01 AG059798NIA NIH HHS U19 AG032438NIH HHS U01 AG024904The Dominantly Inherited Alzheimer Network U19AG032438
6 · The paper itself

Abstract

introductionClinical Dementia Rating Sum of Boxes (CDR-SB) is a reliable and clinically meaningful composite for assessing treatment effects in Alzheimer's disease (AD) clinical trials. Small CDR-SB differences at the end of a trial often lead to controversy in deriving clinically meaningful interpretations.

methodsWe estimated progression-free time (PFT) participants remained at each 0.5 unit CDR-SB increment in dominantly inherited AD (DIAD) and sporadic AD populations, evaluating its potential as an alternative measure of treatment effects.

resultsPFT is longer at CDR-SB ≤ 2.0 (1-2 years) and shorter at CDR-SB ≥ 5 (≤ 0.33) in the Alzheimer's Disease Neuroimaging Initiative cohort. The DIAD cohort showed similar but shorter times. Using PFT, continuous lecanemab treatment for 3 years is estimated to delay disease progression by 0.62 years in the sporadic population. DISCUSSION: PFT provides a benchmark for expressing clinical progression and treatment effects and can be applied particularly during open-label extensions and single-arm trials without placebo comparisons. HIGHLIGHTS: We estimated the progression-free time at each 0.5 unit Clinical Dementia Rating Sum of Boxes increment in dominantly inherited Alzheimer's disease (AD) and sporadic AD populations. We proposed using progression-free time to estimate treatment effects in open-label extension or single-arm studies. If further validated, progression-free time could serve as a benchmark for assessing clinical progression and treatment effects.

Indexed as

Alzheimer DiseaseDisease ProgressionMental Status and Dementia TestsAgedCohort StudiesFemaleHumansMaleMiddle AgedNeuropsychological TestsAlzheimer's diseaseClinical Dementia Rating Sum of Boxesclinically meaningful interpretationdisease progression modelprogression‐free time

Identifiers

PMID40911712
PMCPMC12412749

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.