Image of Targeted Screening for Alzheimer’s Disease Clinical Trials Using Data-Driven Disease Progression Models

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Targeted Screening for Alzheimer’s Disease Clinical Trials Using Data-Driven Disease Progression Models



Heterogeneity in Alzheimer’s disease progression contributes to the ongoing failure to demonstrate efficacy of putative disease-modifying therapeutics that have been trialed over the past two decades. Any treatment effect present in a subgroup of trial participants (responders) can be diluted by non-responders who ideally should have been screened out of the trial. How to identify (screen-in) the most likely potential responders is an important question that is still without an answer. Here, we pilot a computational screening tool that leverages recent advances in data-driven disease progression modeling to improve stratification. This aims to increase the sensitivity to treatment effect by screening out non-responders, which will ultimately reduce the size, duration, and cost of a clinical trial. We demonstrate the concept of such a computational screening tool by retrospectively analyzing a completed double-blind clinical trial of donepezil in people with amnestic mild cognitive impairment (clinicaltrials.gov: NCT00000173), identifying a data-driven subgroup having more severe cognitive impairment who showed clearer treatment response than observed for the full cohort.


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Series Title
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Call Number
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Publisher Frontiers in Artificial Intelligence : Switzerland.,
Collation
006
Language
English
ISBN/ISSN
2624-8212
Classification
NONE
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Edition
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Specific Detail Info
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Statement of Responsibility

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Scopus Q3

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