Evidence map›Paper›PMID 42750195›Full record

ReviewAlzheimer's & dementia : the journal of the Alzheimer's Association2026

Operationalizing Alzheimer's disease trials in the era of targeted therapies.

Jagan A Pillai, Suvarna Alladi, Brian S Appleby, Jared Robert Brosch, Kristian Steen Frederiksen, Douglas Galasko, Oscar L Lopez, James B Leverenz, Andrew J Saykin, Jonathan M Schott and 3 more

Abstract readReview
In one paragraph

Review in Alzheimer's & dementia : the journal of the Alzheimer's Association, 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

13 authors.

Jagan A PillaiCenter for Brain Health Cleveland Clinic, Neurological Institute, Cleveland, Ohio, USA.
Suvarna AlladiDepartment of Neurology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.
Brian S ApplebyCleveland Alzheimer's Disease Research Center, Cleveland, Ohio, USA.
Jared Robert BroschDepartment of Neurology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Kristian Steen FrederiksenDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Douglas GalaskoDepartment of Neurosciences, University of California San Diego, San Diego, California, USA.
Oscar L LopezDepartment of Neurology, Division of Cognitive & Behavioral Neurology, Pittsburgh, Pennsylvania, USA.
James B LeverenzCleveland Alzheimer's Disease Research Center, Cleveland, Ohio, USA.
Andrew J SaykinIndiana Alzheimer Disease Research Center, Indianapolis, Indiana, USA.
Jonathan M SchottUK Dementia Research Institute at UCL, London, UK.
Sudha SeshadriGlenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases, University of Texas Health Sciences Center, San Antonio, Texas, USA.
Babak TousiCenter for Brain Health Cleveland Clinic, Neurological Institute, Cleveland, Ohio, USA.
David A WolkPenn Institute on Aging, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Funding

UCSD Shiley-Marcos Alzheimer's Disease Research Center P30P30AG062429 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI JAMES B BREWER · 2019 to 2026
$34.9M
Research Education ComponentP30AG066468 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI C. Elizabeth Shaaban · 2020 to 2026
$29.4M
Research Education ComponentP30AG072979 · NIA · UNIVERSITY OF PENNSYLVANIA · PI DAVID A WOLK · 2021 to 2026
$24.8M
Research Education ComponentP30AG072976 · NIA · INDIANA UNIVERSITY INDIANAPOLIS · PI ANDREW J SAYKIN · 2021 to 2026
$24.1M
South Texas Alzheimer's Disease Research CenterP30AG066546 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Sudha Seshadri · 2021 to 2026
$24.0M
Translational and Therapeutics CoreP30AG072959 · NIA · CLEVELAND CLINIC LERNER COM-CWRU · PI JAGAN AYYAPPAN PILLAI · 2021 to 2026
$23.9M
Dementia with Lewy Bodies Consortium - Supplement for ASL sequenceU01NS100610 · NINDS · SEATTLE INST FOR BIOMEDICAL/CLINICAL RES · PI GALASKO, DOUGLAS R, LEVERENZ, JAMES BRUCE · 2016 to 2025
$14.0M
NIA NIH HHS P30 AG062429NIA NIH HHS P30AG062429NIA NIH HHS P30 AG066468NIA NIH HHS P30AG066468NIA NIH HHS P30 AG066546NIA NIH HHS P30AG066546NIA NIH HHS P30 AG072959NIA NIH HHS P30 AG072976NIA NIH HHS P30AG072976NIA NIH HHS P30 AG072979NIA NIH HHS P30AG072979NIA NIH HHS P30AG72959NINDS NIH HHS U01 NS100610NINDS NIH HHS U01NS100610
6 · The paper itself

Abstract

The therapeutic landscape of Alzheimer's disease (AD) is rapidly evolving with the clinical adoption of anti-amyloid monoclonal antibodies (mAbs) despite an incomplete understanding of disease mechanisms, progression, and heterogeneity. Designing both observational longitudinal cohorts and clinical trials with novel mAbs in mind is imperative. These studies should capture mAb type, dosing, duration, degree of amyloid clearance, and downstream effects on neurodegeneration to interpret outcomes. Observational cohorts can compare treated and untreated populations, track biomarker trajectories, assess co-pathologies, and evaluate social determinants of health. Future trials must address variability in treatment response, identify resistant subgroups, and include long-term follow-up to assess durability and post-treatment effects. Combination therapy trials should be stage specific, pairing novel agents with mAbs and incorporating broader stratification beyond traditional biomarkers to reflect clinical and pathological heterogeneity. Integrating biological and clinical outcomes, with digital biomarkers and responder-enrichment strategies will enable more precise, mechanism-driven, and individualized therapeutic approaches in AD.

Indexed as

Alzheimer DiseaseAntibodies, MonoclonalClinical Trials as TopicAmyloid beta-PeptidesBiomarkersHumansAmyloid beta-PeptidesAntibodies, MonoclonalBiomarkersAlzheimer's diseaseanti‐amyloid monoclonal antibodiesbiomarkersclinical trial designdisease heterogeneityobservational clincial trialsprecision medicinetherapeutic clinical trials

Identifiers

PMID42750195
PMCPMC13583052

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.