Evidence map›Paper›PMID 40917102›Full record

ArticleNPJ dementia2025

Independent validation of the PrecivityAD2™ blood test to identify presence or absence of brain amyloid pathology in individuals with cognitive impairment.

Justine Coppinger, Tim West, Kris M Kirmess, Ilana Fogelman, Sutapa Ray, Philip B Verghese, Joel B Braunstein, Kevin E Yarasheski, Alzheimer’s Disease Neuroimaging Initiative (ADNI)

Abstract read
In one paragraph

Article in NPJ dementia, 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.

Justine CoppingerC2N Diagnostics, LLC, St. Louis, MO USA.
Tim WestC2N Diagnostics, LLC, St. Louis, MO USA.ORCID 0000-0003-3267-8249
Kris M KirmessC2N Diagnostics, LLC, St. Louis, MO USA.
Ilana FogelmanC2N Diagnostics, LLC, St. Louis, MO USA.ORCID 0000-0001-8550-7625
Sutapa RayC2N Diagnostics, LLC, St. Louis, MO USA.
Philip B VergheseC2N Diagnostics, LLC, St. Louis, MO USA.
Joel B BraunsteinC2N Diagnostics, LLC, St. Louis, MO USA.ORCID 0000-0002-1155-0206
Kevin E YarasheskiC2N Diagnostics, LLC, St. Louis, MO USA.ORCID 0000-0001-5436-2451
Alzheimer’s Disease Neuroimaging Initiative (ADNI)

Funding

Project 1U19AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI Leslie Michael Shaw · 2016 to 2026
$226.7M
Plasma Abeta isoform concentrations in cognitively impaired patients at risk for amyloidosisR44AG059489 · NIA · C2N DIAGNOSTICS, LLC · PI WEST, TIM · 2018 to 2020
$2.0M
NIA NIH HHS R44 AG059489NIA NIH HHS U19 AG024904
6 · The paper itself

Abstract

The diagnostic performance of the Amyloid Probability Score 2 (APS2; the algorithmic result of the PrecivityAD2™ blood test) was originally trained and validated in two cohorts of cognitively impaired (CI) individuals and is in clinical use. Here, we further test the repeatability and reliability of the prespecified APS2 algorithm and cut point in an independent cohort. APS2 diagnostic performance was determined using amyloid positron emission tomography (PET) as the reference standard. Concordance with amyloid PET was high (AUC-ROC 0.95 (95% CI): 0.93-0.98); 54% of participants had a positive APS2. The previously validated APS2 cut point yielded an overall accuracy of 91% (95% CI: 86-94%), sensitivity 90% (95% CI: 83-94%) and specificity 92% (95% CI: 84-96%). Our findings demonstrate that the prespecified APS2 algorithm and cut point are repeatable, reliable, robust, accurate, and generalizable for identifying brain beta-amyloid pathology in patients with cognitive impairment and being evaluated in a clinical care setting.

Indexed as

Biological techniquesBiomarkersDiagnostic markersNeurological disordersNeurologyNeurosciencePathologyPositron-emission tomography

Identifiers

PMID40917102
PMCPMC12411272

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.