Evidence map›Paper›PMID 42746101›Full record

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

Effect of choline supplementation in presymptomatic

William J Ray, Yaima L Lightfoot, Ronnie T Trinh, Janelle Fawver-Kahle, Susan Cooper, Li-Huei Tsai, Jonathan Bortz, Isis Trujillo-Gonzalez, Tianheng Zhang, Hulin Wu and 2 more

Registry-linked trialAbstract 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. It is linked to trial NCT05880849 (Testing Whether Choline Normalizes Lipid Metabolism in APOE4 Carriers), which is not on this map. Not yet cited in PubMed.

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

NCT05880849 phase1completednot on this map

Testing Whether Choline Normalizes Lipid Metabolism in APOE4 Carriers

TypeinterventionalSponsorPaul E SchulzRan2023 to 2025Enrolled15ConditionsAlzheimer DiseaseArmsCholine
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

William J RayBelfer Neurodegeneration Consortium, Therapeutics Discovery Division University of Texas MD Anderson Cancer Center Houston Texas USA.ORCID https://orcid.org/0000-0002-4491-167X
Yaima L LightfootBelfer Neurodegeneration Consortium, Therapeutics Discovery Division University of Texas MD Anderson Cancer Center Houston Texas USA.
Ronnie T TrinhBelfer Neurodegeneration Consortium, Therapeutics Discovery Division University of Texas MD Anderson Cancer Center Houston Texas USA.
Janelle Fawver-KahleBelfer Neurodegeneration Consortium, Therapeutics Discovery Division University of Texas MD Anderson Cancer Center Houston Texas USA.
Susan CooperNeurocognitive Disorders Center McGovern Medical School at UTHealth Houston Houston Texas USA.
Li-Huei TsaiPicower Institute for Learning and Memory Department of Brain and Cognitive Sciences Massachusetts Institute of Technology Cambridge Massachusetts USA.
Jonathan BortzBalchem Corporation Montvale New Jersey USA.
Isis Trujillo-GonzalezNutrition Research Institute University of North Carolina at Chapel Hill Kannapolis North Carolina USA.
Tianheng ZhangDepartment of Biostatistics & Data Science School of Public Health UTHealth Houston Houston Texas USA.
Hulin WuDepartment of Biostatistics & Data Science School of Public Health UTHealth Houston Houston Texas USA.
Guadalupe J Ortiz IvNeurocognitive Disorders Center McGovern Medical School at UTHealth Houston Houston Texas USA.
Paul E SchulzNeurocognitive Disorders Center McGovern Medical School at UTHealth Houston Houston Texas USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWith the advent of early detection biomarkers, it is possible to envision testing preventive strategies that delay the onset of Alzheimer's disease (AD). The ε4 allele of apolipoprotein E (

methodsIn a 6-month open-label phase 1 study (NCT05880849), asymptomatic

resultsCholine was well tolerated with no serious adverse events. Treatment increased plasma and CSF choline and betaine, indicating systemic and CNS exposure. Exploratory lipidomics identified changes in plasma PC species and, in CSF, increases in ceramides and cholesterol esters. Although this study was not powered to assess biomarker efficacy, CSF neurofilament light (NfL) was lower at the end of treatment, and CSF phosphoserine-181 tau (pTau181)/amyloid beta (Aβ)42 and plasma pTau217 showed directionally similar trends. DISCUSSION: These findings support randomized placebo-controlled trials of choline in at-risk populations and illustrate how fluid biomarkers and omics can de-risk AD prevention studies.

Indexed as

APOE ε4biomarkerscholinepresymptomatic Alzheimer's disease

Identifiers

PMID42746101
PMCPMC13575335

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Registered trials

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.