Utility of plasma neurofilament light and total tau for clinical trials in Alzheimer's disease.

Alzheimer's disease NfL biomarkers blood biomarkers clinical trials dementia fluid biomarkers neurofilament light plasma biomarkers total tau t‐tau

Journal

Alzheimer's & dementia (Amsterdam, Netherlands)
ISSN: 2352-8729
Titre abrégé: Alzheimers Dement (Amst)
Pays: United States
ID NLM: 101654604

Informations de publication

Date de publication:
2020
Historique:
received: 08 06 2020
revised: 30 07 2020
accepted: 30 07 2020
entrez: 30 9 2020
pubmed: 1 10 2020
medline: 1 10 2020
Statut: epublish

Résumé

Several blood-based biomarkers are associated with neuronal injury, but their utility in interventional clinical trials is unclear. This study retrospectively evaluated the utility of plasma neurofilament light (NfL) and total tau (t-tau) in an 18-month trial in mild Alzheimer's disease (AD). Correlation and conditional independence analyses and Gaussian graphical models were used to investigate cross-sectional and longitudinal relations between NfL, t-tau, and clinical scales. NfL had a stronger association than t-tau with clinical scales; t-tau did not hold additional information to that given by NfL ( Plasma NfL is superior to t-tau in mild AD. The ability of NfL to detect changes before clinical manifestations makes it a promising biomarker of drug response in trials of disease-modifying drugs.

Identifiants

pubmed: 32995466
doi: 10.1002/dad2.12099
pii: DAD212099
pmc: PMC7507310
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e12099

Informations de copyright

© 2020 The Authors. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring published by Wiley Periodicals, Inc. on behalf of Alzheimer's Association.

Déclaration de conflit d'intérêts

Kaj Blennow has served as a consultant, on advisory boards, or on data monitoring committees for Abcam, Axon, Biogen, Julius Clinical, Lilly, MagQu, Novartis, Roche Diagnostics, and Siemens Healthineers; and is a co‐founder of Brain Biomarker Solutions in Gothenburg AB (BBS), which is a part of the GU Ventures Incubator Program. Henrik Zetterberg has served on scientific advisory boards for Denali, Roche Diagnostics, Wave, Samumed, and CogRx; has given lectures in symposia sponsored by Fujirebio, Alzecure and Biogen; and is a co‐founder of Brain Biomarker Solutions in Gothenburg AB (BBS), which is a part of the GU Ventures Incubator Program. Niklas Mattsson‐Carlgren has no disclosures.

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Auteurs

Lars Lau Raket (LL)

H. Lundbeck A/S Valby Denmark.
Clinical Memory Research Unit Department of Clinical Sciences Lund University Malmö Sweden.

Line Kühnel (L)

H. Lundbeck A/S Valby Denmark.
Department of Mathematical Sciences University of Copenhagen Copenhagen Denmark.

Ellen Schmidt (E)

H. Lundbeck A/S Valby Denmark.

Kaj Blennow (K)

Clinical Neurochemistry Laboratory Sahlgrenska University Hospital Mölndal Sweden.
Department of Psychiatry and Neurochemistry Institute of Neuroscience and Physiology the Sahlgrenska Academy at the University of Gothenburg Mölndal Sweden.

Henrik Zetterberg (H)

Clinical Neurochemistry Laboratory Sahlgrenska University Hospital Mölndal Sweden.
Department of Psychiatry and Neurochemistry Institute of Neuroscience and Physiology the Sahlgrenska Academy at the University of Gothenburg Mölndal Sweden.
Department of Neurodegenerative Disease UCL Institute of Neurology London UK.
UK Dementia Research Institute at UCL London UK.

Niklas Mattsson-Carlgren (N)

Clinical Memory Research Unit Department of Clinical Sciences Lund University Malmö Sweden.
Department of Neurology Skåne University Hospital Lund Sweden.
Wallenberg Centre for Molecular Medicine Lund University Lund Sweden.

Classifications MeSH