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The query: title or abstract mentions "blood test", "blood-based biomarker/test/assay", "plasma p-tau/biomarker/Aβ/amyloid/NfL/GFAP", "p-tau217/181/231" or "serum p-tau/biomarker/NfL/GFAP", matched case-insensitively against each record's title and abstract (its summary field) in alzhub's library of 29,380 study records, as of 2026-11-08. Every count on this page comes from that match. The matched list as JSON.

The tests measure proteins that leak from the brain into the blood: forms of tau phosphorylated at particular sites (p-tau217, p-tau181, p-tau231), the ratio of two amyloid-beta fragments (Aβ42/40), and markers of brain cell injury and inflammation (NfL, GFAP). Their accuracy is usually reported against an amyloid PET scan or a spinal fluid test as the reference.

Accuracy depends on the marker, the assay, the setting and who was tested, and some conditions such as kidney disease change the levels. The quoted sentences below give the figures each paper reported; alzhub's sourced evidence page on blood tests walks through them.

This page describes what published research in alzhub's library reports. It is not medical advice and does not apply to any one person: a doctor who knows the person's history is the only one who can say what a result or a treatment means for them.

What the studies report, in their own words

Whole sentences copied from the abstract or key findings of the highest-scoring matched studies, chosen because they mention the subject and give a figure. 8 of the 2,002 matched records are quoted; each links to its study page and from there to the paper.

“Plasma p-tau217-eligible participants were enrolled (N = 2196), with Clinical Dementia Rating (CDR) scale-Global score (CDR-GS) of 0 (n = 1202) and 0.5 (n = 664).”
From the key findings of Donanemab in preclinical Alzheimer's disease: Screening and baseline data from TRAILBLAZER-ALZ 3 · Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025 · longitudinal study ·
“Lower baseline amyloid beta (Aβ)42/40 ratio and higher phosphorylated tau 181 (p-tau181), glial fibrillary acidic protein (GFAP) and neurofilament light chain (NfL) were associated with an increased risk of MCI and dementia; GFAP was most strongly associated.”
From the key findings of Alzheimer's blood-based biomarkers, incident dementia, and interactions with age, APOE status, and hormone therapy · Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026 ·
“In meta-analysis of unadjusted correlation coefficients, kidney function (primarily eGFR) was inversely associated with concentrations of blood NfL, GFAP, Aβ40, β-amyloid 1-40 (A β 40), β-amyloid 1-42, and phosphorylated tau (p-tau181).”
From the key findings of Kidney Function and Blood and Cerebrospinal Fluid Biomarkers in Alzheimer's Disease and Related Dementias: Systematic Review and Meta-Analysis · Journal of the American Society of Nephrology : JASN · 2026 · systematic review ·
“Mean percentage change in plasma p-tau217 in the SAMe group was an increase of 53.22 (standard deviation [SD] 159.19) compared to 25.34 (SD 94.83) in the placebo group (standardized mean difference 37.58, 95% confidence interval -32.61, 107.76; p = 0.288).”
From the abstract of A phase 2, randomized, multicenter, double-blind, placebo-controlled trial of S-adenosyl methionine in participants with mild cognitive impairment or dementia due to Alzheimer's disease · Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026 · clinical trial ·
“Conclusions and relevance This study found that a commercially available plasma p-tau217 immunoassay accurately identified biological AD, comparable with results using CSF biomarkers, with reproducible cut-offs across cohorts.”
From the key findings of Diagnostic Accuracy of a Plasma Phosphorylated Tau 217 Immunoassay for Alzheimer Disease Pathology · JAMA Neurology · 2024 · cohort ·
“Plasma Aβ42/40-ratio increased significantly with blarcamesine group vs. placebo, (P = 0.048) and whole brain volume loss was significantly decreased (P = 0.002).”
From the key findings of Blarcamesine for the treatment of Early Alzheimer's Disease: Results from the ANAVEX2-73-AD-004 Phase IIB/III trial · The journal of prevention of Alzheimer's disease · 2025 · open-label trial ·
“Consistent with the overall data set, a robust dose-dependent decrease in amyloid beta levels as assessed with amyloid-PET and plasma p-tau181 was observed.”
From the key findings of Japanese Subgroup Analyses from EMERGE and ENGAGE, Phase 3 Clinical Trials of Aducanumab in Patients with Early Alzheimer's Disease · The journal of prevention of Alzheimer's disease · 2024 · clinical trial ·
“Notably, the p-tau217/Aβ 42 ratio on automated platforms provided a significant incremental AUC gain of 0.025 (95% CI: 0.005 to 0.045; I2 = 0%) compared to single-analyte assays, effectively bridging the performance gap with MS.”
From the abstract of Diagnostic performance of plasma p-Tau217, p-Tau181, and p-Tau231 across the Alzheimer's disease continuum: a network meta-analysis · Frontiers in aging neuroscience · 2026 · systematic review ·

What kind of evidence it is

By study design

Design (as recorded)Studies
Systematic review or meta-analysis52
Randomised controlled trial5
Other clinical trial35
Cohort or longitudinal study384
Case-control study18
Cross-sectional study225
Other recorded design13
No design recorded1,270

The design is the one named in alzhub's record for the study; a record with none is counted as "no design recorded".

By year

YearStudiesShare
2026301
2025430
2024252
2023233
2022194
2021113
202081
201978
201848
201745
2016 and earlier227

Other counts within the matched set

Peer-reviewed articles1,891
Marked open access in the record906
Rated "high" evidence strength in alzhub's summary128
Rated "moderate" evidence strength in alzhub's summary780
Rated "low" evidence strength in alzhub's summary1,082
No evidence-strength rating12
Records stating a participant count1,185
Median participants (those records)208
Largest participant count274,160

Within the 2,002 matched studies

Studies…CountRule
…that name p-tau217549the abstract also contains "p-tau217"
…that report an AUC (area under the curve)341the abstract also contains "AUC" or "area under"
…set in primary care45the abstract also contains "primary care"

The 10 highest-scoring matched studies

Title matches first, then by alzhub's usefulness score, which rates a study's design, journal, evidence and recency, not whether its result is good news.

  1. Alzheimer's blood-based biomarkers, incident dementia, and interactions with age, APOE status, and hormone therapy Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026 · 2,467 participants · · Peer-reviewed
  2. Diagnostic performance of plasma p-Tau217, p-Tau181, and p-Tau231 across the Alzheimer's disease continuum: a network meta-analysis Frontiers in aging neuroscience · 2026 · systematic review · 4,736 participants · · Peer-reviewed
  3. Association of Donanemab Treatment With Exploratory Plasma Biomarkers in Early Symptomatic Alzheimer Disease: A Secondary Analysis of the TRAILBLAZER-ALZ Randomized Clinical Trial JAMA neurology · 2022 · 1,955 participants · · Peer-reviewed
  4. Assessment of Plasma Amyloid-β42/40 and Cognitive Decline Among Community-Dwelling Older Adults JAMA network open · 2020 · cohort study · 448 participants · · Peer-reviewed
  5. Plasma Aβ as a biomarker for predicting Aβ-PET status in Alzheimer's disease:a systematic review with meta-analysis Journal of neurology, neurosurgery, and psychiatry · 2022 · meta-analysis · 3,047 participants · · Peer-reviewed
  6. Plasma p-tau217 and tau-PET predict future cognitive decline among cognitively unimpaired individuals: implications for clinical trials Nature Aging · 2025 · cohort · 1,474 participants · · Peer-reviewed
  7. Prediction of Longitudinal Cognitive Decline in Preclinical Alzheimer Disease Using Plasma Biomarkers JAMA neurology · 2023 · cohort study · 564 participants · · Peer-reviewed
  8. Prognostic value of plasma %p-tau217 in cognitively unimpaired older adults Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026 · longitudinal study · 1,204 participants · · Peer-reviewed
  9. Associations between trajectories of plasma biomarkers for Alzheimer's disease, brain structures, and cognitive function: a prospective cohort study in the UK Biobank Molecular psychiatry · 2026 · cohort study · 1,270 participants · · Peer-reviewed
  10. Plasma GFAP is an early marker of amyloid-β but not tau pathology in Alzheimer's disease Brain : a journal of neurology · 2021 · longitudinal study · 75 participants · · Peer-reviewed

Systematic reviews and meta-analyses in the set

52 of the matched records are recorded as a systematic review, meta-analysis or umbrella review; the highest-scoring not already listed above:

Newest matched studies

Journals with the most matched studies

JournalStudies
Alzheimer's & dementia : the journal of the Alzheimer's Association233
Alzheimer's research & therapy125
Journal of Alzheimer's disease : JAD120
Neurology91
Alzheimer's & dementia (Amsterdam, Netherlands)64

Questions

Can a blood test diagnose Alzheimer's?
The tests measure brain proteins in blood and, in the studies below, agree closely with PET scans and spinal-fluid tests in many settings. A diagnosis still rests on a clinical assessment of symptoms; the test is one piece of evidence a clinician weighs.
What does p-tau mean?
Tau is a brain protein; in Alzheimer's it becomes abnormally phosphorylated (p-tau) and forms tangles. The number after p-tau (217, 181, 231) is the position on the protein where the phosphate is attached, and different positions behave differently as blood markers.
How many studies on blood tests for alzheimer's does alzhub hold?
2,002 of the 29,380 study records in alzhub's library match the query "title or abstract mentions "blood test", "blood-based biomarker/test/assay", "plasma p-tau/biomarker/Aβ/amyloid/NfL/GFAP", "p-tau217/181/231" or "serum p-tau/biomarker/NfL/GFAP""; 764 of them name it in the title. Counted from the records when this page was built.
What kinds of study are they?
52 systematic review or meta-analysis, 5 randomised controlled trials, 35 other clinical trials, 384 cohort or longitudinal studys, 18 case-control studys, 225 cross-sectional studys; 1,270 record no design.
What is the most recent study in the set?
"Longitudinal plasma biomarkers and multimodal PET across APOE ε4 genotypes: a prospective cohort study" (Research Square, 2026), the newest by publication date among the matched records.
Which journals publish most on it?
Alzheimer's & dementia : the journal of the Alzheimer's Association (233); Alzheimer's research & therapy (125); Journal of Alzheimer's disease : JAD (120), counted across the matched records.

Read on

Library subjects these studies are filed under

All answer pages →