Evidence map›Paper›PMID 42421820›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)

The Indiana University Brain Health Program to deliver amyloid-targeted therapy to Alzheimer's disease patients.

Jared R Brosch, Sophia Wang, Liana G Apostolova, Atul Agarwal, Jason W Allen, Laurie Gutmann, Meredith Tobar, Linda Gonzalez, Dontraelle Johnson, Lindsay Treadway and 11 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

21 authors.

Jared R BroschIndiana University School of Medicine Indianapolis Indiana USA.
Sophia WangIndiana University School of Medicine Indianapolis Indiana USA.
Liana G ApostolovaIndiana University School of Medicine Indianapolis Indiana USA.
Atul AgarwalIndiana University School of Medicine Indianapolis Indiana USA.
Jason W AllenIndiana University School of Medicine Indianapolis Indiana USA.
Laurie GutmannIndiana University School of Medicine Indianapolis Indiana USA.
Meredith TobarIndiana University School of Medicine Indianapolis Indiana USA.
Linda GonzalezIndiana University School of Medicine Indianapolis Indiana USA.
Dontraelle JohnsonIndiana University School of Medicine Indianapolis Indiana USA.
Lindsay TreadwayIndiana University School of Medicine Indianapolis Indiana USA.
Julie ConnollyIndiana University School of Medicine Indianapolis Indiana USA.
Angela TangIndiana University School of Medicine Indianapolis Indiana USA.
Ethan LettichIndiana University School of Medicine Indianapolis Indiana USA.
Sam DaviesIndiana University School of Medicine Indianapolis Indiana USA.
Nancy KuhnIndiana University School of Medicine Indianapolis Indiana USA.
Dustin B HammersIndiana University School of Medicine Indianapolis Indiana USA.
David ClarkIndiana University School of Medicine Indianapolis Indiana USA.
Martin FarlowIndiana University School of Medicine Indianapolis Indiana USA.
Deanna R WillisDepartment of Family Medicine Indiana University School of Medicine Indianapolis Indiana USA.
Nicole FowlerDepartment of Medicine Indiana University School of Medicine Indianapolis Indiana USA.
Donna M WilcockIndiana University School of Medicine Indianapolis Indiana USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Indiana University Brain Health Program was developed to support safe implementation of amyloid-targeting therapies (ATTs) for early Alzheimer's disease (AD).

methodsWe established Neurology Brain Health Navigators (neuroBHNs) to extend our Brain Health Navigator model into specialty care. NeuroBHNs pre-screen patients for ATT eligibility, coordinate biomarker and imaging evaluation, provide structured education, and guide treatment initiation and monitoring. The program includes a dedicated social worker and insurance pre-authorization specialist to streamline infusion access. Blood pressure is monitored at each visit, and infusions are deferred if readings exceed 140/90 mmHg.

resultsThrough December 16, 2025, 243 patients initiated lecanemab therapy. Apolipoprotein E (APOE) ε4 homozygotes were not excluded; 74% of treated patients carried at least one Apoε4 allele. The ARIA rate was 13.2%, and 40% of patients experienced infusion-related reactions.

conclusionsA navigator-centered model can efficiently deliver ATT while supporting structured education, screening, and safety monitoring, potentially contributing to favorable safety outcomes.

Indexed as

Alzheimer's diseaseamyloidARIAclinical implementationdementiaimmunotherapy, infusion‐related reactionmild cognitive impairment

Identifiers

PMID42421820
PMCPMC13344895

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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.