Evidence map›Paper›PMID 41070709›Full record

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

Lecanemab treatment for Alzheimer's Disease of varying severities and associated plasma biomarkers monitoring: A multi-center real-world study in China.

Sihui Chen, Ruwei Ou, Qianqian Wei, Chunyu Li, Wei Song, Bi Zhao, Jing Yang, Jiajia Fu, Yuanzheng Ma, Jiyong Liu and 10 more

Abstract readMulticenter Study
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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Regulatory, clinical, and post-marketing challenges of lecanemab for Alzheimer's disease: insights from real-world data.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
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  3. Lecanemab use in Chinese patients with Alzheimer's disease: a 12-month multicenter real-world study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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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

20 authors.

Sihui ChenDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Ruwei OuDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Qianqian WeiDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Chunyu LiDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Wei SongDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Bi ZhaoDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Jing YangDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Jiajia FuDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Yuanzheng MaDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Jiyong LiuDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Xiangming WangDepartment of Neurology, Central Hospital of Panzhihua, Middle Section of Panzhihua Avenue, Dong District, Panzhihua, Sichuan, China.
Dengfu FangDepartment of Neurology, Suining First People's Hospital, Suining, Sichuan, China.
Tao HuDepartment of Neurology, The Affiliated Hospital of Sichuan Nursing Vocational College, Sichuan Provincial Third People's Hospital, Chengdu, Sichuan, China.
Li XiaoDepartment of Neurology, Sichuan Provincial Fifth People's Hospital, Chengdu, Sichuan, China.
Shushan ZhangDepartment of Neurology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China.
Rui HuangDepartment of Neurology, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.
Xiaoyan GuoDepartment of Neurology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Fei FengDepartment of Neurology, Zunyi First People's Hospital, Zunyi, GuiZhou, China.
Xueping ChenDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.ORCID 0000-0003-4290-7404
Huifang ShangDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Funding

Beijing E town Coorperation & Development Foundation YCXJ-JZ-2022-007National Natural Science Foundation of China 82271272Science and Technology Bureau Fund of Sichuan Province of China 2023YFQ0098the Sci-Tech Innovation 2023 "Brain Science and Brain-like Research No.2022ZD0211605the Sichuan Provincial Cadre Healthcare Research Project 2025-108
6 · The paper itself

Abstract

introductionWe investigated real-world efficacy, safety, and plasma biomarker dynamics of Lecanemab in Chinese patients with Alzheimer's disease (AD).

methodsA multi-center prospective cohort study enrolled 68 AD patients. Cognitive scales and plasma biomarkers were assessed at baseline (V0), 2.5 months (V1), and 7 months (V2).

resultsAlzheimer's Disease Assessment Scale-Cognitive Subscale 14-item version (ADAS-cog14) scores improved significantly at both follow-ups, and plasma p-tau181 consistently declined. Both p-tau181 and p-tau217 correlated with cognition and partially predicted treatment response (area under the curve [AUC] = 0.734 and 0.713). Mixed-effects modeling confirmed their dynamic association with ADAS-cog14 scores. Subgroup analyses indicated benefits across sex and apolipoprotein E4 status, while moderate-to-severe cases showed limited response. Lecanemab was well tolerated, with asymptomatic amyloid-related imaging abnormalities in 17.65% and mild infusion reactions in 5.88%. DISCUSSION: These findings support the short-term efficacy and safety of Lecanemab in early AD and highlight plasma biomarkers as a treatment-responsive biomarker. HIGHLIGHTS: Lecanemab improved cognitive function in Chinese patients with mild cognitive impairment due to Alzheimer's disease (AD-MCI) and mild AD over a short period. Plasma p-tau181 and p-tau217 showed significant correlation with cognitive scores, and their baseline level could partially predict the efficacy of lecanemab. Lecanemab showed a favorable safety profile with low, manageable rates of amyloid-related imaging abnormalities (ARIA) and infusion reactions.

Indexed as

Alzheimer DiseaseAgedAged, 80 and overAmyloid beta-PeptidesBiomarkersChinaFemaleHumansMaleMiddle AgedNeuropsychological TestsProspective StudiesSeverity of Illness Indextau ProteinsTreatment OutcomeAmyloid beta-PeptidesBiomarkerstau ProteinsAlzheimer's diseaselecanemabplasma biomarkersreal‐world study

Identifiers

PMID41070709
PMCPMC12511950

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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.