Evidence map›Paper›PMID 42746606›Full record

ArticleNeurology open access2026

Clinical Practice Outcomes With Lecanemab for Alzheimer Disease.

Andy J Liu, Alexander A Moghadam, Mohammad Samsul Alam, Michael W Lutz, Amber Navarra, Sheng Luo, Laura A Wang, Jeffrey R Petrella, Heather Whitson, Richard J O'Brien and 8 more

Abstract read
In one paragraph

Article in Neurology open access, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

18 authors.

Andy J LiuDepartment of Neurology, Duke University School of Medicine, Durham, NC.
Alexander A MoghadamDepartment of Psychiatry and Behavioral Sciences (Neurocognitive Disorders Program), Duke University School of Medicine, Durham, NC.
Mohammad Samsul AlamDepartment of Biostatistics and Bioinformatics, Duke University, Durham, NC.
Michael W LutzDepartment of Neurology, Duke University School of Medicine, Durham, NC.
Amber NavarraDepartment of Psychiatry and Behavioral Sciences (Neurocognitive Disorders Program), Duke University School of Medicine, Durham, NC.
Sheng LuoDepartment of Biostatistics and Bioinformatics, Duke University, Durham, NC.
Laura A WangDepartment of Psychiatry and Behavioral Sciences (Neurocognitive Disorders Program), Duke University School of Medicine, Durham, NC.
Jeffrey R PetrellaDepartment of Radiology (Division of Neuroradiology), Duke University School of Medicine, Durham, NC.
Heather WhitsonDepartment of Medicine (Division of Geriatric), Duke University School of Medicine, Durham, NC.
Richard J O'BrienDepartment of Neurology, Duke University School of Medicine, Durham, NC.
Kim G JohnsonDepartment of Psychiatry and Behavioral Sciences (Neurocognitive Disorders Program), Duke University School of Medicine, Durham, NC.
Daniel ParkerDepartment of Medicine (Division of Geriatric), Duke University School of Medicine, Durham, NC.
Cynthia BeamDepartment of Neurology, Duke University School of Medicine, Durham, NC.
Michelle SanfilippoDepartment of Neurology, Duke University School of Medicine, Durham, NC.
Heba Al-SahlaniDepartment of Neurology, Duke University School of Medicine, Durham, NC.
Sandra CobbDepartment of Neurology, Duke University School of Medicine, Durham, NC.
My Y LiuDepartment of Anesthesiology, University of North Carolina-Chapel Hill, Chapel Hill, NC.
P Murali DoraiswamyDepartment of Psychiatry and Behavioral Sciences (Neurocognitive Disorders Program), Duke University School of Medicine, Durham, NC.

Funding

Research Education Component CoreP30AG072958 · NIA · DUKE UNIVERSITY · PI Heather E. Whitson · 2021 to 2026
$24.1M
NIA NIH HHS P30 AG072958
6 · The paper itself

Abstract

Background and Objectives: Lecanemab, an antiamyloid monoclonal antibody, received US Food and Drug Administration approval in July 2023 to treat amyloid-positive early stages of Alzheimer disease (AD) and has since been adopted in many countries. The primary objective was to assess amyloid-related imaging abnormality (ARIA) incidence and serious adverse events. Secondary objectives included identifying ARIA predictors and evaluating its effect on 12-month cognitive change. Methods: We performed a retrospective, single-site observational study in patients treated with lecanemab at the Duke University (May 2023-June 2025). Eligible patients met National Institute on Aging-Alzheimer's Association criteria for mild cognitive impairment or mild AD with confirmed amyloid pathology. Treatment protocols and MRI interpretations were standardized. Results: Among 230 patients (68% MCI; mean age 73.6; 50.9% female; 67.4% allele producing the ε4 type of apolipoprotein E [ Discussion: Despite the limitations of a single-site cohort, these findings inform real-world lecanemab safety and efficacy. Dual ARIA-E peaks at ~10 and ~25 weeks underscore the need for ongoing MRI monitoring. Although several markers showed modest negative predictive value, none reliably predicted ARIA. Improved markers to predict and monitor ARIA are needed to optimize cognitive outcomes.

Identifiers

PMID42746606
PMCPMC13576937

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.