Evidence map›Paper›PMID 42841310›Full record

Trial reportAlzheimer's & dementia : the journal of the Alzheimer's Association2026

Longitudinal clinical outcomes after amyloid clearance in aducanumab phase 3 studies.

Menglan Pang, Holly M Brothers, John O'Gorman, Jennifer Murphy, Yuval Zabar, Tyler Lasky, Changyu Shen, Ivana Rubino, David Knopman

3 registry-linked trialsAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this 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.

NCT02477800 phase3terminatednot on this map

A Phase 3 Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Aducanumab (BIIB037) in Subjects With Early Alzheimer's Disease

TypeinterventionalSponsorBiogenRan2015 to 2019Enrolled1,653ConditionsAlzheimer's DiseaseArmsAducanumab (BIIB037), Placebo
NCT02484547 phase3terminatednot on this map

A Phase 3 Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Aducanumab (BIIB037) in Subjects With Early Alzheimer's Disease

TypeinterventionalSponsorBiogenRan2015 to 2019Enrolled1,643ConditionsAlzheimer's DiseaseArmsAducanumab (BIIB037), Placebo
NCT04241068 phase3terminatednot on this map

Phase 3b Open-Label, Multicenter, Safety Study of BIIB037 (Aducanumab) in Subjects With Alzheimer's Disease Who Had Previously Participated in the Aducanumab Studies 221AD103, 221AD301, 221AD302 and 221AD205

TypeinterventionalSponsorBiogenRan2020 to 2024Enrolled1,696ConditionsAlzheimer's DiseaseArmsAducanumab
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

9 authors.

Menglan Pang *Biogen Inc., Cambridge, Massachusetts, USA.
Holly M Brothers *Biogen Inc., Cambridge, Massachusetts, USA.
John O'GormanBiogen Inc., Cambridge, Massachusetts, USA.
Jennifer MurphyBiogen Inc., Cambridge, Massachusetts, USA.
Yuval ZabarBiogen Inc., Cambridge, Massachusetts, USA.
Tyler LaskyBiogen Inc., Cambridge, Massachusetts, USA.
Changyu ShenBiogen Inc., Cambridge, Massachusetts, USA.
Ivana RubinoBiogen Inc., Cambridge, Massachusetts, USA.
David KnopmanDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, USA.

Funding

Biogen
6 · The paper itself

Abstract

introductionAnti-amyloid antibody clinical trials with a high proportion of participants reaching treatment-related amyloid clearance (TRAC) had positive clinical outcomes. We evaluated the aducanumab phase 3 program to determine whether TRAC during the double-blind period was likewise associated with clinical benefit.

methodsWe pooled ENGAGE and EMERGE (E/E) aducanumab-treated participants in the amyloid positron emission tomography substudy who continued into the long-term extension ≤ 134 weeks (continuously treated population) and/or returned to the EMBARK redosing study 0.7 to 2.5 years after termination of E/E (treatment gap population). Clinical outcomes were stratified by week 78 TRAC status.

resultsTRAC participants had less clinical decline at week 78, week 134, and EMBARK baseline than non-TRAC participants. Post-TRAC, clinical decline was heterogeneous; approximately two thirds of TRAC participants had annualized decline of < 1 point on Clinical Dementia Rating Sum of Boxes. DISCUSSION: In these exploratory analyses, week 78 TRAC status was associated with better clinical outcomes. CLINICAL

trial registrationNCT02484547, NCT02477800, NCT04241068.

Indexed as

Alzheimer DiseaseAmyloidAmyloid beta-PeptidesAntibodies, Monoclonal, HumanizedAgedDouble-Blind MethodFemaleHumansLongitudinal StudiesMalePositron-Emission TomographyTreatment OutcomeaducanumabAmyloidAmyloid beta-PeptidesAntibodies, Monoclonal, HumanizedAlzheimer's diseaseamyloid negativeanti‐amyloid antibodyanti‐amyloid therapymild cognitive impairmenttreatment‐related amyloid clearance

Identifiers

PMID42841310
PMCPMC13643829

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

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.