Evidence map›Paper›PMID 34726348›Full record

Trial reportAlzheimer's & dementia : the journal of the Alzheimer's Association2022

Neuropsychological, neuropsychiatric, and quality-of-life assessments in Alzheimer's disease patients treated with plasma exchange with albumin replacement from the randomized AMBAR study.

Mercè Boada, Oscar L López, Javier Olazarán, Laura Núñez, Michael Pfeffer, Orlando Puente, Gerard Piñol-Ripoll, José E Gámez, Fernando Anaya, Dobri Kiprov and 7 more

Open access · greenAbstract readClinical Trial, Phase IIClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 6% of its field
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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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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

17 authors at 11 institutions in 4 countries.

Mercè BoadaResearch Center and Memory Clinic, Fundació ACE, Institut Català de Neurociències Aplicades-Universitat Internacional de Catalunya, Barcelona, Spain.
Oscar L LópezDepartments of Neurology and Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Javier OlazaránNeurology Service, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Laura NúñezAlzheimer's Research Group, Grifols, Barcelona, Spain.
Michael PfefferMedical Services, Allied Biomedical Research Institute, Inc., Miami, Florida, USA.
Orlando PuenteCenter for Prevention of Alzheimer's Disease, Miami Dade Medical Research Institute, Miami, Florida, USA.
Gerard Piñol-RipollCognitive Disorders Unit, Clinical Neuroscience Research, IRB Lleida-Hospital Universitari Santa Maria, Lleida, Spain.
José E GámezPsychiatry Department, Galiz Research, Hialeah, Florida, USA.
Fernando AnayaNephrology Service, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Dobri KiprovApheresis Care Group and Fresenius Medical Care, San Francisco, California, USA.
Montserrat AlegretResearch Center and Memory Clinic, Fundació ACE, Institut Català de Neurociències Aplicades-Universitat Internacional de Catalunya, Barcelona, Spain.
Carlota GrifolsAlzheimer's Research Group, Grifols, Barcelona, Spain.
Miquel BarcelóAlzheimer's Research Group, Grifols, Barcelona, Spain.
Jordi BozzoAlzheimer's Research Group, Grifols, Barcelona, Spain.
Zbigniew M SzczepiorkowskiDepartment of Pathology and Laboratory Medicine, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Antonio PáezAlzheimer's Research Group, Grifols, Barcelona, Spain.ORCID 0000-0003-1756-4534
AMBAR Trial Group
Grifols (Spain) · ESHospital General Universitario Gregorio Marañón · ESAllied Biomedical Research Institute · USDartmouth–Hitchcock Medical Center · USFresenius Medical Care (United States) · USFundació ACE · ESGaliz Research · USHospital Universitari de Santa Maria · ESInstituto de Salud Carlos III · ESMiami Dade College · USUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe report the effects of plasma exchange (PE) with albumin replacement on neuropsychological, neuropsychiatric, and quality-of-life (QoL) outcomes in mild-to-moderate Alzheimer's disease (AD) patients in a phase 2b/3 trial (Alzheimer's Management by Albumin Replacement [AMBAR] study).

methodsThree hundred forty-seven patients were randomized into placebo (sham-PE) and three PE-treatment arms with low/high doses of albumin, with/without intravenous immunoglobulin (IVIG). Specific test measurements were performed at baseline; month 2 (weekly conventional PE); months 6, 9, and 12 (monthly low-volume PE [LVPE]); and month 14.

resultsThe PE-treated mild-AD cohort improved their language fluency and processing speed versus placebo at month 14 (effect sizes: >100%; P-values: .03 to .001). The moderate-AD cohort significantly improved short-term verbal memory (effect sizes: 94% to >100%; P-values: .02 to .003). The progression of the neuropsychiatric symptoms of PE-treated was similar to placebo. Mild-AD patients showed improved QoL (P-values: .04 to .008). DISCUSSION: PE-treated AD patients showed improvement in memory, language abilities, processing speed, and QoL-AD. No worsening of their psychoaffective status was observed.

Indexed as

Alzheimer DiseasePlasma ExchangeAlbuminsHumansMethacrylatesNeuropsychological TestsQuality of LifeAlbuminsMethacrylatesalbuminalbuteinAlzheimer's diseaseclinical trialplasma exchangeplasmapheresis

Identifiers

PMID34726348
PMCPMC9540900
OpenAlexW3209209067

What Socratic 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 Socratic graph.