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Joseph‐Mathurin N, Llibre‐Guerra JJ, Li Y, McCullough AA, Hofmann C, Wojtowicz J, Park E, Wang G, Preboske GM, Wang Q, Gordon BA, Chen CD, Flores S, Aggarwal NT, Berman SB, Bird TD, Black SE, Borowski B, Brooks WS, Chhatwal JP, Clarnette R, Cruchaga C, Fagan AM, Farlow M, Fox NC, Gauthier S, Hassenstab J, Hobbs DA, Holdridge KC, Honig LS, Hornbeck RC, Hsiung GR, Jack CR, Jimenez‐Velazquez IZ, Jucker M, Klein G, Levin J, Mancini M, Masellis M, McKay NS, Mummery CJ, Ringman JM, Shimada H, Snider BJ, Suzuki K, Wallon D, Xiong C, Yaari R, McDade E, Perrin RJ, Bateman RJ, Salloway SP, Benzinger TL, Clifford DB. Amyloid-Related Imaging Abnormalities in the DIAN-TU-001 Trial of Gantenerumab and Solanezumab: Lessons from a Trial in Dominantly Inherited Alzheimer Disease. Ann Neurol 2022; 92:729-744. [PMID: 36151869 PMCID: PMC9828339 DOI: 10.1002/ana.26511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Revised: 09/12/2022] [Accepted: 09/15/2022] [Indexed: 01/12/2023]
Abstract
OBJECTIVE To determine the characteristics of participants with amyloid-related imaging abnormalities (ARIA) in a trial of gantenerumab or solanezumab in dominantly inherited Alzheimer disease (DIAD). METHODS 142 DIAD mutation carriers received either gantenerumab SC (n = 52), solanezumab IV (n = 50), or placebo (n = 40). Participants underwent assessments with the Clinical Dementia Rating® (CDR®), neuropsychological testing, CSF biomarkers, β-amyloid positron emission tomography (PET), and magnetic resonance imaging (MRI) to monitor ARIA. Cross-sectional and longitudinal analyses evaluated potential ARIA-related risk factors. RESULTS Eleven participants developed ARIA-E, including 3 with mild symptoms. No ARIA-E was reported under solanezumab while gantenerumab was associated with ARIA-E compared to placebo (odds ratio [OR] = 9.1, confidence interval [CI][1.2, 412.3]; p = 0.021). Under gantenerumab, APOE-ɛ4 carriers were more likely to develop ARIA-E (OR = 5.0, CI[1.0, 30.4]; p = 0.055), as were individuals with microhemorrhage at baseline (OR = 13.7, CI[1.2, 163.2]; p = 0.039). No ARIA-E was observed at the initial 225 mg/month gantenerumab dose, and most cases were observed at doses >675 mg. At first ARIA-E occurrence, all ARIA-E participants were amyloid-PET+, 60% were CDR >0, 60% were past their estimated year to symptom onset, and 60% had also incident ARIA-H. Most ARIA-E radiologically resolved after dose adjustment and developing ARIA-E did not significantly increase odds of trial discontinuation. ARIA-E was more frequently observed in the occipital lobe (90%). ARIA-E severity was associated with age at time of ARIA-E. INTERPRETATION In DIAD, solanezumab was not associated with ARIA. Gantenerumab dose over 225 mg increased ARIA-E risk, with additional risk for individuals APOE-ɛ4(+) or with microhemorrhage. ARIA-E was reversible on MRI in most cases, generally asymptomatic, without additional risk for trial discontinuation. ANN NEUROL 2022;92:729-744.
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Affiliation(s)
- Nelly Joseph‐Mathurin
- Mallinckrodt Institute of RadiologyWashington University School of MedicineSt. LouisMO
| | | | - Yan Li
- Department of NeurologyWashington University School of MedicineSt. LouisMO
| | - Austin A. McCullough
- Mallinckrodt Institute of RadiologyWashington University School of MedicineSt. LouisMO
| | - Carsten Hofmann
- Pharmaceutical Sciences, Roche Innovation Center BaselF. Hoffmann‐La Roche Ltd.BaselSwitzerland
| | - Jakub Wojtowicz
- Product Development, Clinical SafetyF. Hoffmann‐La Roche Ltd.BaselSwitzerland
| | - Ethan Park
- Division of BiostatisticsWashington University School of MedicineSt. LouisMO
| | - Guoqiao Wang
- Division of BiostatisticsWashington University School of MedicineSt. LouisMO
| | | | - Qing Wang
- Mallinckrodt Institute of RadiologyWashington University School of MedicineSt. LouisMO
| | - Brian A. Gordon
- Mallinckrodt Institute of RadiologyWashington University School of MedicineSt. LouisMO
| | - Charles D. Chen
- Mallinckrodt Institute of RadiologyWashington University School of MedicineSt. LouisMO
| | - Shaney Flores
- Mallinckrodt Institute of RadiologyWashington University School of MedicineSt. LouisMO
| | - Neelum T. Aggarwal
- Department of Neurological SciencesRush University Medical CenterChicagoIL
| | - Sarah B. Berman
- Departments of Neurology and Clinical and Translational ScienceUniversity of PittsburghPittsburghPA
| | - Thomas D. Bird
- Department of NeurologyUniversity of WashingtonSeattleWA
| | - Sandra E. Black
- Department of Medicine (Neurology), Sunnybrook Health Sciences CentreSunnybrook Research Institute, University of TorontoTorontoOntarioCanada
| | | | - William S. Brooks
- Neuroscience Research AustraliaUniversity of New South WalesNew South WalesAustralia
| | - Jasmeer P. Chhatwal
- Department of NeurologyBrigham and Women's Hospital, Massachusetts General HospitalBostonMA
| | - Roger Clarnette
- Department of Internal Medicine, Medical SchoolUniversity of Western AustraliaCrawleyAustralia
| | - Carlos Cruchaga
- Department of PsychiatryWashington University School of MedicineSt. LouisMO
| | - Anne M. Fagan
- Department of NeurologyWashington University School of MedicineSt. LouisMO
| | - Martin Farlow
- Department of NeurologyIndiana University School of MedicineIndianapolisIN
| | - Nick C. Fox
- UCL Queen Square Institute of NeurologyUniversity College LondonLondonUK
| | - Serge Gauthier
- McGill Center for Studies in AgingMcGill UniversityMontrealQuebecCanada
| | - Jason Hassenstab
- Mallinckrodt Institute of RadiologyWashington University School of MedicineSt. LouisMO
- Psychological and Brain SciencesWashington University School of MedicineSt. LouisMO
| | - Diana A. Hobbs
- Mallinckrodt Institute of RadiologyWashington University School of MedicineSt. LouisMO
| | | | | | - Russ C. Hornbeck
- Mallinckrodt Institute of RadiologyWashington University School of MedicineSt. LouisMO
| | - Ging‐Yuek R. Hsiung
- Department of MedicineUniversity of British ColumbiaVancouverBritish ColumbiaCanada
| | | | | | - Mathias Jucker
- German Center for Neurodegenerative Diseases (DZNE)Hertie Institute for Clinical Brain Research, University of TübingenTübingenGermany
| | - Gregory Klein
- Clinical Imaging, Biomarkers & Translational TechnologiesF. Hoffmann‐La Roche Ltd.BaselSwitzerland
| | - Johannes Levin
- German Center for Neurodegenerative Diseases (DZNE), Department of Neurology, Ludwig‐Maximilians‐Universität MünchenMunich Cluster for Systems Neurology (SyNergy)MunichGermany
| | | | - Mario Masellis
- Department of Medicine (Neurology), Sunnybrook Health Sciences CentreSunnybrook Research Institute, University of TorontoTorontoOntarioCanada
| | - Nicole S. McKay
- Mallinckrodt Institute of RadiologyWashington University School of MedicineSt. LouisMO
| | | | - John M. Ringman
- Department of Neurology, Keck School of MedicineUniversity of Southern CaliforniaLos AngelesCA
| | - Hiroyuki Shimada
- Diagnostic and Interventional Radiology, Graduate School of MedicineOsaka City UniversityOsakaJapan
| | - B. Joy Snider
- Department of NeurologyWashington University School of MedicineSt. LouisMO
| | - Kazushi Suzuki
- Department of Internal MedicineNational Defense Medical CollegeSaitamaJapan
| | | | - Chengjie Xiong
- Division of BiostatisticsWashington University School of MedicineSt. LouisMO
| | | | - Eric McDade
- Department of NeurologyWashington University School of MedicineSt. LouisMO
| | - Richard J. Perrin
- Department of NeurologyWashington University School of MedicineSt. LouisMO
- Department of Pathology & ImmunologyWashington University School of MedicineSt. LouisMO
| | - Randall J. Bateman
- Department of NeurologyWashington University School of MedicineSt. LouisMO
| | - Stephen P. Salloway
- Department of NeurologyAlpert Medical School of Brown University, Butler HospitalProvidenceRI
| | - Tammie L.S. Benzinger
- Mallinckrodt Institute of RadiologyWashington University School of MedicineSt. LouisMO
| | - David B. Clifford
- Department of NeurologyWashington University School of MedicineSt. LouisMO
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Quiroz YT, Solis M, Aranda MP, Arbaje AI, Arroyo‐Miranda M, Cabrera LY, Carrasquillo MM, Corrada MM, Crivelli L, Diminich ED, Dorsman KA, Gonzales M, González HM, Gonzalez‐Seda AL, Grinberg LT, Guerrero LR, Hill CV, Jimenez‐Velazquez IZ, Guerra JJL, Lopera F, Maestre G, Medina LD, O'Bryant S, Peñaloza C, Pinzon MM, Mavarez RVP, Pluim CF, Raman R, Rascovsky K, Rentz DM, Reyes Y, Rosselli M, Tansey MG, Vila‐Castelar C, Zuelsdorff M, Carrillo M, Sexton C. Addressing the disparities in dementia risk, early detection and care in Latino populations: Highlights from the second Latinos & Alzheimer's Symposium. Alzheimers Dement 2022; 18:1677-1686. [PMID: 35199931 PMCID: PMC9399296 DOI: 10.1002/alz.12589] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Revised: 12/20/2021] [Accepted: 12/21/2021] [Indexed: 02/05/2023]
Abstract
The Alzheimer's Association hosted the second Latinos & Alzheimer's Symposium in May 2021. Due to the COVID-19 pandemic, the meeting was held online over 2 days, with virtual presentations, discussions, mentoring sessions, and posters. The Latino population in the United States is projected to have the steepest increase in Alzheimer's disease (AD) in the next 40 years, compared to other ethnic groups. Latinos have increased risk for AD and other dementias, limited access to quality care, and are severely underrepresented in AD and dementia research and clinical trials. The symposium highlighted developments in AD research with Latino populations, including advances in AD biomarkers, and novel cognitive assessments for Spanish-speaking populations, as well as the need to effectively recruit and retain Latinos in clinical research, and how best to deliver health-care services and to aid caregivers of Latinos living with AD.
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Affiliation(s)
- Yakeel T. Quiroz
- Harvard Medical SchoolMassachusetts General HospitalBostonMassachusettsUSA
| | | | | | - Alicia I. Arbaje
- Division of Geriatric Medicine and GerontologyJohns Hopkins School of MedicineBaltimoreMarylandUSA
- Department of Health Policy and ManagementJohns Hopkins Bloomberg School of Public HealthBaltimoreMarylandUSA
| | | | - Laura Y. Cabrera
- The Pennsylvania State UniversityDepartment of Engineering Science and MechanicsUniversity ParkPennsylvaniaUSA
| | | | | | - Lucia Crivelli
- FleniDepartment of Cognitive NeurologyBuenos AiresArgentina
| | | | | | - Mitzi Gonzales
- The University of Texas Health Science Center at San AntonioSan AntonioTexasUSA
| | - Héctor M. González
- Department of NeurosciencesUniversity of California, San DiegoSan DiegoCaliforniaUSA
| | | | - Lea T. Grinberg
- University of California, San FranciscoSan FranciscoCaliforniaUSA
| | - Lourdes R. Guerrero
- David Geffen School of Medicine at University of California, Los AngelesLos AngelesCaliforniaUSA
| | | | - Ivonne Z. Jimenez‐Velazquez
- Medicine DepartmentUniversity of Puerto Rico School of MedicineMedical Sciences CampusSan JuanPuerto RicoUSA
| | | | - Francisco Lopera
- Neuroscience Group of AntioquiaUniversity of AntioquiaMedellinColombia
| | | | | | - Sid O'Bryant
- University of North Texas Health Science CenterFort WorthTexasUSA
| | - Claudia Peñaloza
- Department of CognitionDevelopment and Educational PsychologyUniversity of BarcelonaBarcelonaSpain
| | - Maria Mora Pinzon
- Department of Family Medicine and Community HealthUniversity of Wisconsin–MadisonMadisonWisconsinUSA
- Wisconsin Alzheimer's InstituteUniversity of Wisconsin–MadisonMadisonWisconsinUSA
| | - Rosa V. Pirela Mavarez
- University of Texas Rio Grande ValleySchool of Medicine, Department of Human GeneticsEdinburgTexasUSA
- Rio Grande Valley Alzheimer's Disease Resources Center for Minority Aging ResearchUniversity of Texas Rio Grande ValleySchool of MedicineEdinburgTexasUSA
| | - Celina F. Pluim
- Harvard Medical SchoolMassachusetts General HospitalBostonMassachusettsUSA
| | - Rema Raman
- Alzheimer's Therapeutic Research InstituteUniversity of Southern CaliforniaSan DiegoCaliforniaUSA
| | - Katya Rascovsky
- Department of NeurologyUniversity of PennsylvaniaPhiladelphiaPennsylvaniaUSA
| | | | | | - Monica Rosselli
- Department of PsychologyFlorida Atlantic UniversityBoca RatonFloridaUSA
| | | | | | - Megan Zuelsdorff
- University of Wisconsin–Madison School of NursingMadisonWisconsinUSA
- Wisconsin Alzheimer's Disease Research CenterMadisonWisconsinUSA
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Wu Y, Kralj C, Acosta D, Guerra M, Huang Y, Jotheeswaran AT, Jimenez‐Velazquez IZ, Liu Z, Llibre Rodriguez JJ, Salas A, Sosa AL, Alkholy R, Prince M, Prina AM. The association between, depression, anxiety, and mortality in older people across eight low- and middle-income countries: Results from the 10/66 cohort study. Int J Geriatr Psychiatry 2020; 35:29-36. [PMID: 31608478 PMCID: PMC6916169 DOI: 10.1002/gps.5211] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2019] [Accepted: 09/15/2019] [Indexed: 12/20/2022]
Abstract
OBJECTIVES Depression and anxiety are common mental disorders in later life. Few population-based studies have investigated their potential impacts on mortality in low- and middle-income countries (LMICs). The aim of this study is to examine the associations between depression, anxiety, their comorbidity, and mortality in later life using a population-based cohort study across eight LMICs. METHODS This analysis was based on the 10/66 cohort study including 15 991 people aged 65 years or above in Cuba, Dominican Republic, Venezuela, Mexico, Peru, Puerto Rico, China, and India, with an average follow-up time of 3.9 years. Subthreshold and clinical levels of depression were determined using EURO-D and ICD-10 criteria, and anxiety was based on Geriatric Mental State (GMS)-Automated Geriatric Examination for Computer Assisted Taxonomy (AGECAT). Cox proportional hazard modelling was used to estimate how having depression, anxiety, or both was associated with mortality adjusting for sociodemographic and health factors. RESULTS Participants with clinical depression (hazard ratio [HR]: 1.45; 95% CI, 1.24-1.70) and subthreshold anxiety (HR: 1.26; 95% CI, 1.15-1.38) had higher risk of mortality than those without the conditions after adjusting for sociodemographic factors and health conditions. Comorbidity of depression and anxiety was associated with a 30% increased risk of mortality but the effect sizes varied across countries (Higgins I2 = 58.8%), with the strongest association in India (HR: 1.99; 95% CI, 1.21-3.27). CONCLUSIONS Depression and anxiety appear to be associated with mortality in older people living in LMICs. Variation in effect sizes may indicate different barriers to health service access across countries. Future studies may investigate underlying mechanisms and identify potential interventions to reduce the impact of common mental disorders.
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Affiliation(s)
- Yu‐Tzu Wu
- King's College London, Social Epidemiology Research Group, Health Service and Population ResearchInstitute of Psychiatry, Psychology & NeuroscienceLondonUK
| | | | - Daisy Acosta
- Internal Medicine Department, Geriatric SectionUniversidad Nacional Pedro Henriquez Ureña (UNPHU)Santo DomingoDominican Republic
| | - Mariella Guerra
- Psychogeriatric UnitNational Institute of Mental Health Honorio Delgado Hideyo Noguchi, Lima, Peru and Centro de la Memoria y Desordenes RelacionadosLimaPerú
| | - Yueqin Huang
- Peking University, Institute of Mental HealthBeijingChina
| | | | - Ivonne Z. Jimenez‐Velazquez
- Internal Medicine Department, Geriatrics Program, School of Medicine, Medical Sciences CampusUniversity of Puerto RicoSan JuanPuerto Rico
| | - Zhaorui Liu
- Peking University, Institute of Mental HealthBeijingChina
| | | | - Aquiles Salas
- Medicine Department, Caracas University Hospital, Faculty of MedicineUniversidad Central de VenezuelaCaracasVenezuela
| | - Ana Luisa Sosa
- National Institute of Neurology and Neurosurgery of MexicoNational Autonomous University of MexicoMexico CityMexico
| | - Rasha Alkholy
- King's College London, Social Epidemiology Research Group, Health Service and Population ResearchInstitute of Psychiatry, Psychology & NeuroscienceLondonUK
| | - Martin Prince
- King's College LondonGlobal Health InstituteLondonUK
| | - A. Matthew Prina
- King's College London, Social Epidemiology Research Group, Health Service and Population ResearchInstitute of Psychiatry, Psychology & NeuroscienceLondonUK
- King's College LondonGlobal Health InstituteLondonUK
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Sepulveda V, Arnold SE, Jimenez‐Velazquez IZ, Wojna V. [P4–477]: ARE INSULIN RESISTANCE AND CEREBROSPINAL FLUID BIOMARKERS CORRELATED IN PUERTO RICANS WITH MINIMAL COGNITIVE IMPAIRMENT AND EARLY ALZHEIMER's DISEASE? Alzheimers Dement 2017. [DOI: 10.1016/j.jalz.2017.07.638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Vanessa Sepulveda
- University of Puerto Rico, School of MedicineSan JuanPuerto RicoUSA
- Massachusetts General HospitalCharlestownMAUSA
| | - Steven E. Arnold
- University of Puerto Rico, School of MedicineSan JuanPuerto RicoUSA
| | | | - Valerie Wojna
- University of Puerto Rico, School of MedicineSan JuanPuerto RicoUSA
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Reitz C, Tang M, Reyes‐Dumeyer D, Kunkle BW, Hamilton‐Nelson KL, Lantigua R, Medrano M, Martin ER, Jimenez‐Velazquez IZ, Pericak‐Vance MA, Mayeux R, Beecham GW. [P2–105]: COLLECTION OF MULTIPLEX FAMILIES WITH UNEXPLAINED EARLY‐ONSET ALZHEIMER's DISEASE FOR GENOMIC RESEARCH. Alzheimers Dement 2017. [DOI: 10.1016/j.jalz.2017.06.755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
| | - Min Tang
- Columbia UniversityNew YorkNYUSA
| | | | - Brian W. Kunkle
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of MedicineMiamiFLUSA
- University of Miami Miller School of MedicineMiamiFLUSA
| | - Kara L. Hamilton‐Nelson
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of MedicineMiamiFLUSA
| | | | - Martin Medrano
- Pontificia Universidad Catolica Madre y MaestraSantiagoDominican Republic
| | - Eden R. Martin
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of MedicineMiamiFLUSA
| | | | - Margaret A. Pericak‐Vance
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of MedicineMiamiFLUSA
| | | | - Gary W. Beecham
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of MedicineMiamiFLUSA
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