Evidence map›Paper›PMID 42423023›Full record

ReviewBJPsych open2026

Efficacy, safety and policy implications of anti-amyloid monoclonal antibodies for Alzheimer's disease: protocol for a living systematic review and meta-analysis.

Saehyeon Kim, Haruhiko Oda, Rie Oyama, Rei Makishi, Sohail Bade, Sahil Bade, Irshad Ally, Yuka Iijima, Yuki Gibo, Kota Minami and 8 more

Abstract readReview
In one paragraph

Review in BJPsych open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
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

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

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

18 authors.

Saehyeon KimDepartment of Medicine, SUNY Upstate Medical University, USA.ORCID https://orcid.org/0000-0003-4028-3837
Haruhiko OdaHyogo Mental Health Centre, Hyogo, Japan.
Rie OyamaGeneral Internal Medicine, Saint Marianna University School of Medicine Hospital, Japan.
Rei MakishiFaculty of Medicine, University of the Ryukyus, Japan.
Sohail BadeDepartment of Family Medicine, SUNY Upstate Medical University, USA.
Sahil BadeDepartment of Family Medicine, SUNY Upstate Medical University, USA.
Irshad AllyBiomedical Informatics, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, USA.
Yuka IijimaJohns Hopkins Bloomberg School of Public Health, Johns Hopkins University, USA.
Yuki GiboFaculty of Medicine, University of the Ryukyus, Japan.
Kota MinamiMedical Training Centre, Saga University Hospital, Saga, Japan.
Fumitoshi FukuzawaMorningside/West, Icahn School of Medicine at Mount Sinai, USA.
Shohei SanjiDepartment of Psychiatry, National Centre Hospital, National Centre of Neurology and Psychiatry, Kodaira, Japan.
Kentaro InamineFaculty of Medicine, University of the Ryukyus, Japan.
Hironori KishiFaculty of Medicine, University of the Ryukyus, Japan.
Sunjun HuhShizuoka General Hospital, Shizuoka, Japan.
Takaki TanifujiDepartment of Pharmacology, UT Health San Antonio, The University of Texas at San Antonio, USA.
Mone NagahiroFaculty of Medicine, University of the Ryukyus, Japan.
Norio WatanabeDepartment of Psychiatry, Soseikai General Hospital, Kyoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDementia affects approximately 6-13% of adults aged 65 years and older, with Alzheimer's disease accounting for most cases. Established symptomatic therapies, including acetylcholinesterase inhibitors and memantine, provide limited benefit and do not modify disease progression. Multiple monoclonal antibodies (mABs) targeting different amyloid-β species have been developed as potential disease-modifying therapies; because some agents have entered clinical use whereas others remain investigational, a continuously updated synthesis of their efficacy and safety is needed.

aimsTo evaluate the efficacy and safety of all anti-amyloid mABs for adults with Alzheimer's disease, using a living systematic review and meta-analysis.

methodWe will conduct a living systematic review and meta-analysis in accordance with the Cochrane Handbook, Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) 2020 and the PRISMA extension for living systematic reviews. Randomised controlled trials comparing any approved or investigational anti-amyloid mAB with placebo, standard care or active comparators will be included. Searches of Ovid MEDLINE, Embase, Cochrane Central Register of Controlled Trials, ClinicalTrials.gov and WHO International Clinical Trials Registry Platform will be updated every 6 months. Meta-analyses will be conducted separately for each antibody molecule using random-effects models. Critical outcomes include global clinical change and disease severity, cognitive abilities, functional ability and dependency, and safety (serious adverse events, treatment discontinuation and amyloid-related imaging abnormalities). Important outcomes include neuropsychiatric symptoms, quality of life and health system outcomes. Certainty of evidence will be assessed using the methodology Grading of Recommendations, Assessment, Development and Evaluation.

resultsThis article describes a protocol; therefore, no review findings are available at this stage.

conclusionsThis living systematic review will provide an up-to-date synthesis of the benefits and harms of anti-amyloid monoclonal antibodies to inform clinical decision-making and health-system planning in Alzheimer's disease.

Indexed as

Alzheimer’s diseaseamyloid-βdisease-modifying therapymonoclonal antibodiessystematic review

Identifiers

PMID42423023
PMCPMC13359045

What Socratic holds

Textmetadata
LicenceCC BY
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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.