Evidence mapPaperPMID 42130608Full record

ArticleAlzheimer's & dementia (New York, N. Y.)

Vascular cognitive impairment and dementia drug-development pipeline 2025.

Ying Xu, Perminder S Sachdev, Matthew J Lennon

Abstract read
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Article in Alzheimer's & dementia (New York, N. Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

3 authors.

Ying XuCentre for Healthy Brain Aging (CHeBA), Discipline of Psychiatry and Mental Health, School of Clinical Medicine Faculty of Medicine and Health, UNSW Sydney Australia.
Perminder S SachdevCentre for Healthy Brain Aging (CHeBA), Discipline of Psychiatry and Mental Health, School of Clinical Medicine Faculty of Medicine and Health, UNSW Sydney Australia.
Matthew J LennonCentre for Healthy Brain Aging (CHeBA), Discipline of Psychiatry and Mental Health, School of Clinical Medicine Faculty of Medicine and Health, UNSW Sydney Australia.ORCID https://orcid.org/0000-0001-7097-3666

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere are currently no approved medicines for vascular cognitive impairment and dementia (VCID).

methodsWe reviewed clinical trials across nine registries and included, summarized, and evaluated trials that had not yet published peer-reviewed results by August 22, 2025.

resultsWe found 88 clinical trials using 62 drugs. Cardiovascular disease-targeted therapies accounted for 37% (23 drugs). Synthetic and plant-based cognitive function enhancers accounted for 21% (13 drugs) each. Drugs targeting neuropsychiatric symptoms comprised 10% of the pipeline (six agents), biological disease-targeted therapies 5% (three agents), and other drugs 6% (four agents). There were 30 trials assessing 25 drugs in Phase 4, 24 trials assessing 21 drugs in Phase 3, 29 trials assessing 28 drugs in Phase 2, and five trials assessing four drugs in Phase 1. DISCUSSION: While small relative to Alzheimer's disease (138 drugs, 182 trials in 2025), the drug pipeline for VCID shows some promise and will require further investment.

Indexed as

medicinesvascular cognitive impairment, vascular dementia

Identifiers

PMID42130608
PMCPMC13160922

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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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.