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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 7 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 |
|---|---|---|---|---|---|---|---|
| Anti-amyloid antibody Medicines | Treatment |
Harm
whyThe review's subject is the harm itself: brain swelling and microbleeds caused by the drugs. |
ARIA incidence and severity | systematic review | not stated | "ARIA-E and ARIA-H occurred in 12.6% and 17.3% of participants on lecanemab, respectively" (CLARITY-AD); "ARIA-E and ARIA-H occurred in 24% and 31% of participants on donanemab, respectively" (TRAILBLAZER-ALZ-2); APOE e4 homozygotes "may have ~2.5 to 5 times greater risk for incident ARIA-E and for ARIA-H" |
Alzheimer's & Dementia
2026 ✓ Peer-reviewed PMID 42015334 |
| Anti-amyloid antibody Medicines | Treatment |
Harm
whyAgainst placebo: ARIA-E 24.4% vs 1.9%. Risk tracks APOE4 status and baseline imaging. |
ARIA-E and ARIA-H incidence | phase 3 trial | 3,030 | ARIA-E 24.4% vs 1.9% placebo; symptomatic ARIA-E 5.8%; serious ARIA-E 1.5% |
JAMA Neurology
2025 ✓ Peer-reviewed PMID 40063015 |
| Anticholinergic / benzodiazepine burden Medicines | Treatment | Harm | 180-day mortality | case-control study | 139,103 | 180-day mortality HR 1.41 (95% CI 1.38-1.44) for benzodiazepines; HR 1.16 (95% CI 1.12-1.20) for antipsychotics |
JAMA Network Open
2025 ✓ Peer-reviewed PMID 41085983 |
| Antipsychotics (harms / discontinuation) Medicines | Treatment | Harm | 180-day mortality | case-control study | 139,103 | 180-day mortality HR 1.41 (95% CI 1.38-1.44) for benzodiazepines; HR 1.16 (95% CI 1.12-1.20) for antipsychotics |
JAMA Network Open
2025 ✓ Peer-reviewed PMID 41085983 |
| Antipsychotics (harms / discontinuation) Medicines | Treatment |
Harm
whyWider range of harms than regulatory alerts had flagged, with the highest risks soon after starting. No increase in ventricular arrhythmia. |
Stroke, pneumonia, venous thromboembolism, MI, heart failure, fracture, acute kidney injury | cohort study | 173,910 | Pneumonia HR 2.19 (95% CI 2.10-2.28); stroke HR 1.61 (1.52-1.71); absolute 90-day pneumonia risk difference 2.99% |
BMJ
2024 ✓ Peer-reviewed PMID 38631737 |
| Antiviral (valacyclovir) for HSV-seropositive Alzheimer's Medicines | Treatment |
Harm
whyDirection is for valacyclovir: cognition worsened more on the drug than on placebo on the primary outcome (between-group difference 3.93 ADAS-Cog points, P = .01); function, amyloid PET and tau PET did not differ. The authors conclude it is not recommended. |
ADAS-Cog change at 78 weeks (primary); ADCS-ADL, amyloid PET and tau PET | phase 2 trial | 120 | At 78 weeks, the LSM change in the 11-item ADAS-Cognitive Subscale score was 10.86 (95% CI, 8.80 to 12.91) in the valacyclovir group vs 6.92 (95% CI, 4.88 to 8.97) in the placebo group, indicating greater cognitive worsening with valacyclovir than placebo (between-group difference, 3.93 [95% CI, 1.03 to 6.83]; P = .01). The LSM change in the ADCS-ADL Scale score at 78 weeks was -13.78 (95% CI, -17.00 to -10.56) in the valacyclovir group vs -10.16 (95% CI, -13.37 to -6.96) in the placebo group (between-group difference, -3.62 [95% CI, -8.16 to 0.93]) |
JAMA
2026 ✓ Peer-reviewed PMID 41405855 |
| Tau propagation mechanism (preclinical target rationale) Medicines | Treatment |
Harm
whyDirection is for tau seeding activity: substantial hippocampal and neocortical seeding was present even without overt neocortical tangles and predicted region-specific cognitive performance and longitudinal decline; seeding and modification profiles tracked neuritic plaque density and separated AD from PART. |
Tau seeding activity and post-translational modifications in hippocampus and neocortex of Braak-matched AD neuropathologic change versus primary age-related tauopathy, and relation to cognition | None | 38 | not established — pubmed abstract reports no numeric effect size. |
Nature Communications
2025 ✓ Peer-reviewed PMID 39984462 |