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Every row of the evidence table
One row per finding: what was tested, which way the result went, and how the study was built. The answer by area, and where the studies disagree, are on the main page.
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Showing 20 of 382 rows. One row per study per exposure: a study that tested two different things appears twice, once for each.
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| Exposure | Question | Direction | Outcome measured | Design | People | Effect size, as the source reported it | Source |
|---|---|---|---|---|---|---|---|
| Blood biomarker test (p-tau217 / amyloid ratio) Care, carers and services | Treatment |
No effect
whyDirection is for the blood test's ability to detect treatment-related amyloid clearance on PET: AUC 0.61, which the authors call suboptimal and not currently usable for that purpose. It says nothing about the drug's effect. |
Detection of PET-confirmed amyloid clearance after donanemab (AUC at 52 weeks) | phase 3 trial | 830 | Plasma p-tau217 showed suboptimal performance in detecting TRAC by PET in donanemab-treated participants (N = 830), with an area under the ROC curve of 0.61 at 52 weeks |
Alzheimer's & Dementia
2026 ✓ Peer-reviewed PMID 42565262 |
| Caregiving itself (exposure to the carer) Care, carers and services | Treatment |
No effect
whyNo significant difference in 5-year cumulative spending between spouses of people with and without dementia ($3,974, 95% CI -$3,199 to $11,477); year-5 spending was higher (+$2,748), driven by inpatient costs. |
Spouse's cumulative Medicare expenditures in the 5 years after the partner's dementia onset | cohort study | not stated | This difference ($3974, 95% CI = [-$3,199; $11,477]) was not significant. However, there were significant differences in the 5th year's total expenditures (+$2,748 [$321; $5,447]), driven by inpatient expenditures ($1,562 [$22; $3,277]) |
Journal of the American Geriatrics Society
2024 ✓ Peer-reviewed PMID 38975882 |
| Carer psychosocial / skills intervention Care, carers and services | Treatment |
No effect
whyNo difference from waitlist control on the primary burden outcome or on mood, WHOQOL-Bref or productivity; only the CarerQoL-VAS quality-of-life score was higher in the intervention group. The trial recruited 93 of a 194 target. |
Carer burden on the Zarit Burden Interview at 6 and 12 weeks (primary); mood, quality of life, productivity | randomised trial | 93 | No statistically significant differences were observed between the intervention and control groups on the ZBI, CES-D, WHOQOL-Bref and WPAI:CG ... A statistically significantly higher mean CarerQoL-VAS score was found for the intervention group (mean difference = 0.75, 95% CL: 0.25 to 1.24, P = .003) over 6- and 12-weeks, compared to the control |
Age and ageing
2026 ✓ Peer-reviewed PMID 41719424 |
| Carer psychosocial / skills intervention Care, carers and services | Treatment |
No effect
whyBurden fell in both arms with no significant difference between the two platforms. There was no untreated control, so the within-arm improvement cannot be separated from time or attention. |
Caregiver burden at 6 months | randomised trial | 240 | Burden: GamePlan4Care effect size 0.50 (p<0.001); Resources4Care effect size 0.23 (p=0.030). Social support GP4C ES 0.21 (p=0.035); distress GP4C ES 0.30 (p=0.010) |
Alzheimer's & Dementia
2025 ✓ Peer-reviewed PMID 41085219 |
| Dementia care management / navigation Care, carers and services | Treatment |
No effect
whyNo difference between health-system care, community-based care or usual care on either primary outcome. Caregiver self-efficacy did improve in both active arms. |
NPI-Q behavioural symptoms and caregiver strain (co-primary) | randomised trial | 2,176 | NPI-Q difference health-system vs community 0.30 (97.5% CI -0.18 to 0.78); caregiver self-efficacy vs usual care +0.70 (health system) and +0.85 (community), both significant |
JAMA
2025 ✓ Peer-reviewed PMID 39878968 |
| Dementia screening / case finding Care, carers and services | Treatment |
No effect
whyNo benefit and no harm: screening did not change family-member quality of life, preparedness or self-efficacy, and did not raise depression or anxiety. Only 5.1% screened positive. |
Family-member quality of life (SF-36) at 24 months | randomised trial | 1,808 | 24-month SF-36 mental component difference 0.58 (95% CI -0.18 to 1.33), not significant |
JAMA Internal Medicine
2026 ✓ Peer-reviewed PMID 42008257 |
| Health-system and payment model Care, carers and services | Treatment |
No effect
whyDifference-in-differences around ACO entry found no change in end-of-life care processes, outcomes or spending. |
Hospice use and end-of-life spending | cohort study | 162,034 | Hospice use difference -0.4 percentage points (95% CI -1.4 to 0.5); last-6-months spending -$632 (95% CI -$1,377 to $113) |
JAMA Health Forum
2025 ✓ Peer-reviewed PMID 40343716 |
| Palliative / advance care planning Care, carers and services | Treatment |
No effect
whyThe primary outcome did not improve. Emergency department visits and hospitalisations were lower (RR 0.45, 95% CI 0.31-0.65), which is a secondary outcome. |
NPI-Q neuropsychiatric symptom severity at 24 months (primary) | randomised trial | 201 | ED visits + hospitalisations: RR 0.45 (95% CI 0.31-0.65); NPI-Q severity difference -0.24 (95% CI -2.33 to 1.84, not significant) |
JAMA
2025 ✓ Peer-reviewed PMID 39878993 |
| Respite care Care, carers and services | Treatment |
No effect
whyThree trials comparing respite with no respite found no significant benefit on any carer outcome; the four included trials were too different to pool. |
Carer burden and institutionalisation | systematic review | 753 | No significant benefit found on any caregiver outcome |
Cochrane Database of Systematic Reviews
2014 ✓ Peer-reviewed PMID 24435941 |
| Anti-tau therapy Medicines | Treatment |
No effect
whyCo-primary endpoints were not met at 52 weeks. The comparator was a low dose of the same drug rather than placebo, which the authors say masked any separation; they report separation in the MCI subgroup only at 78 and 104 weeks. |
ADAS-cog11 and ADCS-ADL23 at 52 weeks (co-primary) | phase 3 trial | 598 | "It was not possible to demonstrate significant differences on the co-primary clinical endpoints (ADAS-cog11 and ADCS-ADL23) at 52 weeks due to symptomatic activity in the control arm." In MCI, ADAS-cog13 differences between early- and delayed-start HMTM 16 mg/day reached p=0.0291 at 78 weeks and p=0.0308 at 104 weeks; NfL progression fell (p=0.0291) and tau pathology (p-tau217) fell (p=0.0165) in MCI |
The Journal of Prevention of Alzheimer's Disease
2026 ✓ Peer-reviewed PMID 41570392 |
| Anti-tau therapy Medicines | Treatment |
No effect
whyThe primary endpoint was not met: the low dose showed no clinically meaningful benefit and the 3 mg dose showed 32% greater progression than placebo, with more serious adverse events. Less whole-brain volume loss on MRI is a surrogate finding. |
iADRS disease-progression ratio at 100 weeks (primary); tau PET, brain volume, adverse events | phase 2 trial | 327 | The disease progression ratio relative to placebo was 0.84 (95% credible interval [CrI], 0.66-1.04) for the ceperognastat 0.75 mg group and 1.32 (CrI, 1.10-1.58) for the ceperognastat 3 mg group, corresponding to 16% less and 32% greater progression, respectively. No benefits were demonstrated for secondary clinical end points |
JAMA
2026 ✓ Peer-reviewed PMID 42441396 |
| Anti-tau therapy Medicines | Treatment |
No effect
whyThe primary clinical endpoint (CDR-SB) was not met in the overall population. The tau figures are a biomarker outcome, not a clinical one. |
CDR-SB (primary); tau PET accumulation | phase 2 trial | 466 | "Slowed the rate of tau accumulation versus placebo in key brain regions by 33%-58%" overall and "by 63%-67%" in the low-tau or APOE4 non-carrier subgroup; "In the overall study population, no beneficial effect of low- or high-dose bepranemab compared with placebo was observed on the primary endpoint"; ADAS-Cog14 decline slowed 21-25% |
UCB press release (data presented at CTAD 2024)
2024 ⚠ Press release — not a study no DOI or PMID exists |
| Anti-tau therapy Medicines | Treatment |
No effect
whyADAS-Cog11 showed slower decline, but the co-primary functional endpoint (ADCS-ADL) did not differ and the authors classify the study as negative. |
ADCS-ADL and ADAS-Cog11 (co-primary) at week 49 | phase 2 trial | 272 | "At week 49, the semorinemab arm demonstrated a 42.2% reduction (-2.89 points, 95% CI -4.56 to -1.21, p = 0.0008) in decline on the ADAS-Cog11 (coprimary endpoint) relative to the placebo arm"; ADCS-ADL difference -0.83 points (95% CI -3.39 to 1.72, p = 0.52), with no difference on MMSE or CDR-SB |
Neurology
2023 ✓ Peer-reviewed PMID 37643887 |
| Cannabinoid (THC/CBD) for agitation in severe dementia Medicines | Treatment |
No effect
whyNo difference from placebo on the primary agitation outcome or other main behavioural outcomes. As-needed psychotropic use was lower during the active period, and no serious drug-related adverse events occurred. |
Agitation on the Cohen-Mansfield Agitation Inventory (primary); as-needed psychotropic use; safety | randomised trial | 25 | not established — pubmed abstract results: "no significant difference was observed between active treatment and placebo for the cmai and other main behavioural… |
Age and ageing
2026 ✓ Peer-reviewed PMID 42613673 |
| GLP-1 receptor agonist Medicines | Treatment | No effect | CDR-SB | phase 3 trial | 3,808 | EVOKE difference -0.08 (95% CI -0.35 to 0.20); EVOKE+ difference 0.10 (95% CI -0.17 to 0.38) |
The Lancet
2026 ✓ Peer-reviewed PMID 41865758 |
| GLP-1 receptor agonist Medicines | Treatment |
No effect
whyPrimary outcome null. One secondary cognitive measure (ADAS-Exec) favoured liraglutide on an unadjusted test; ADCS-ADL and CDR-SB did not. |
Cerebral glucose metabolic rate at 52 weeks (primary) | phase 2 trial | 204 | Cerebral glucose metabolism difference -0.17 (95% CI -0.39 to 0.06, p=0.14); CDR-SB -0.06 (95% CI -0.57 to 0.44) |
Nature Medicine
2026 ✓ Peer-reviewed PMID 41326666 |
| Other investigational drug Medicines | Treatment |
No effect
whyThe trial did not meet its primary endpoint at any of three doses despite sustained target engagement (lower CSF soluble TREM2, higher osteopontin); the most frequent adverse events were MRI changes resembling ARIA. |
Change from baseline in CDR-SB at week 96 versus placebo (primary endpoint) with the TREM2 agonist antibody AL002 | phase 2 trial | 381 | least squares mean difference versus placebo (95% confidence interval) at week 96: 15 mg kg-1 -0.31 (-1.61 to 0.98), 40 mg kg-1 0.13 (-1.18 to 1.43) and 60 mg kg-1 -0.17 (-1.49 to 1.15); P > 0.05 from mixed-effects model for repeated measures |
Nature Medicine
2026 ✓ Peer-reviewed PMID 41787076 |
| Other investigational drug Medicines | Treatment | No effect | ADAS-Cog12 and ADCS-ADL (co-primary) at week 52 | phase 3 trial | 804 | ADAS-COG12 change from baseline to week 52: 2.8 (SE 0.36) simufilam vs 3.2 (0.36) placebo, difference -0.39 (0.50), P=0.43. ADCS-ADL: -3.3 (0.44) vs -3.8 (0.44), difference 0.51 (0.61), P=0.40 |
GlobeNewswire (company press release); trial registered as NCT04994483
2024 ⚠ Press release — not a study no DOI or PMID exists |
| Psychotropics for agitation / psychosis Medicines | Treatment |
No effect
whyNot effective, and drug-related QT prolongation was observed. The randomised sample was smaller than planned. |
Clinically significant improvement in agitation at 12 weeks | phase 3 trial | 173 | Risk difference for clinically significant improvement 0.08 (95% CI -0.21 to 0.06) |
Nature Medicine
2025 ✓ Peer-reviewed PMID 40133524 |
| Music therapy Sleep, mood and social life | Treatment |
No effect
whyNeither choir singing nor group music therapy beat standard care. Country was the strongest predictor of the differences between sites. |
MADRS depressive symptoms at 6 months | randomised trial | 1,021 | MADRS β 0.4 (95% CI -1.3 to 2.1) for choir singing; β 0.8 (95% CI -1.0 to 2.6) for group music therapy; neither significant |
The Lancet Healthy Longevity
2025 ✓ Peer-reviewed PMID 41380710 |