Anti-amyloid-ß mAbs attenuate cognitive and functional decline compared with placebo in early AD; whether the magnitude of this effect is clinically important remains uncertain, especially relative to the safety profile of these medications. 5 key findings →
Participants: 15,275
Evidence: high
Full summary, score breakdown and related studies →
Original source
Among persons with early Alzheimer's disease, the use of gantenerumab led to a lower amyloid plaque burden than placebo at 116 weeks but was not associated with slower clinical decline. 2 key findings →
Design: clinical trial
Participants: 980
Evidence: low
Full summary, score breakdown and related studies →
Original source
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The FDA approved lecanemab for Alzheimer's disease in January 2023 which acts as a novel disease-modifying anti-amyloid-beta (Aβ) human monoclonal antibody and is administered intravenously. 5 key findings →
Design: systematic review
Participants: 2,729
Evidence: high
Full summary, score breakdown and related studies →
Original source
We report the case of a 79-year-old woman with Alzheimer's disease who participated in a Phase III randomized controlled trial called CLARITY-AD testing the experimental drug lecanemab. 3 key findings →
Design: randomized controlled trial
Evidence: high
Full summary, score breakdown and related studies →
Original source
The risk-benefit profile of anti-Aβ monoclonal antibodies (mAbs) in Alzheimer's disease (AD) remains unclear, especially concerning their safety and overall effects on AD progression and cognitive function. 4 key findings →
Design: meta-analysis
Participants: 14,980
Evidence: high
Full summary, score breakdown and related studies →
Original source
78/100
✓ Peer-reviewed
alzhub usefulness score 78 out of 100.
·
Neurology
·
2023-03-27
These findings reveal the potential for anti-Aβ therapies to compromise long-term brain health by accelerating brain atrophy and provide new insight into the adverse impact of ARIA. 4 key findings →
Design: systematic review
Participants: 8,062
Evidence: high
Full summary, score breakdown and related studies →
Original source
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77/100
✓ Peer-reviewed
alzhub usefulness score 77 out of 100.
·
Neurology
·
2023-11-27
Older adults with higher triglyceride levels within the normal to high-normal range had a lower dementia risk and slower cognitive decline over time compared with individuals with lower triglyceride levels. 5 key findings →
Design: randomized controlled trial
Participants: 13,976
Evidence: high
Full summary, score breakdown and related studies →
Original source
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Our analysis found that lecanemab showed significant positive statistical efficacy with respect to cognition, function, and behavior in patients with early AD though the actual clinical significance is yet to be established. 2 key findings →
Design: systematic review
Evidence: high
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Original source
74/100
✓ Peer-reviewed
alzhub usefulness score 74 out of 100.
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JAMA
·
2023-08-01
Among 1736 randomized participants (mean age, 73.0 years; 996 [57.4%] women; 1182 [68.1%] with low/medium tau pathology and 552 [31.8%] with high tau pathology), 1320 (76%) completed the trial. 3 key findings →
Design: clinical trial
Participants: 860
Evidence: high
Full summary, score breakdown and related studies →
Original source
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74/100
✓ Peer-reviewed
alzhub usefulness score 74 out of 100.
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Neurology
·
2023-08-29
Based on the results of the prespecified coprimary endpoints, this study was negative. 5 key findings →
Design: clinical trial
Participants: 624
Evidence: high
Full summary, score breakdown and related studies →
Original source
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Pooled MMRM analyses showed a statistically significant effect of solanezumab across cognitive and functional outcome measures. 5 key findings →
Design: meta-analysis
Evidence: high
Full summary, score breakdown and related studies →
Original source
72/100
✓ Peer-reviewed
alzhub usefulness score 72 out of 100.
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JAMA network open
·
2023-09-05
Goals-of-care documentation during the intervention phase occurred among 3744 of 6023 patients (62.2%) compared with 2396 of 4779 patients (50.1%) in the usual care phase (P Conclusions and relevance In this stepped-wedge cluster randomized clinical trial of older adults, a GOC video intervention delivered by PCEs resulted in higher rates of GOC documentation compared with usual care, including among Black or African American individuals, Hispanic or Latino individuals, non-English speakers, and people living with Alzheimer disease and related dementias. 3 key findings →
Participants: 802
Evidence: high
Full summary, score breakdown and related studies →
Original source
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71/100
✓ Peer-reviewed
alzhub usefulness score 71 out of 100.
·
Neurology
·
2023-09-01
In a proportion of patients, dementia with Lewy bodies (DLB) is associated with Alzheimer disease (AD) copathology, which is linked to accelerated cognitive decline and more extensive cortical atrophy. 5 key findings →
Participants: 45
Evidence: high
Full summary, score breakdown and related studies →
Original source
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71/100
✓ Peer-reviewed
alzhub usefulness score 71 out of 100.
·
Neurology
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2023-06-09
The amyloid cascade model of the pathogenesis of Alzheimer disease (AD) is well supported in observational studies. 2 key findings →
Design: clinical trial
Evidence: low
Full summary, score breakdown and related studies →
Original source
Aducanumab is a novel disease-modifying anti-amyloid-beta (Aβ) human monoclonal antibody specifically targeted to the pathophysiology of Alzheimer's disease (AD). 1 key finding →
Design: meta-analysis
Evidence: high
Full summary, score breakdown and related studies →
Original source
69/100
✓ Peer-reviewed
alzhub usefulness score 69 out of 100.
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JAMA network open
·
2023-06-01
EDIC participants had consistently higher brain age values compared with controls without diabetes, indicative of approximately 6 additional years of brain aging (EDIC participants: β, 6.16; SE, 0.71; control participants: β, 1.04; SE, 0.04; P Conclusions and relevance The findings of this study suggest an increase in brain aging among individuals with T1D without any early signs of AD-related neurodegeneration. 4 key findings →
Design: cohort study
Participants: 416
Evidence: high
Full summary, score breakdown and related studies →
Original source
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69/100
✓ Peer-reviewed
alzhub usefulness score 69 out of 100.
·
Neurology
·
2023-05-31
Overall, we showed that SDB was associated with MTL atrophy in cognitively asymptomatic older adults engaged in the Alzheimer continuum, which may increase the risk of developing memory impairment over time. 3 key findings →
Design: randomized controlled trial
Participants: 122
Evidence: high
Full summary, score breakdown and related studies →
Original source
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69/100
✓ Peer-reviewed
alzhub usefulness score 69 out of 100.
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JAMA network open
·
2023-01-03
This cohort study of Medicare beneficiaries suggests that use of antihypertensive medications that stimulate type 2 and 4 angiotensin II receptors was associated with lower risk of ADRD compared with antihypertensive medications that inhibit these receptors. 5 key findings →
Design: randomized controlled trial
Participants: 57
Evidence: high
Full summary, score breakdown and related studies →
Original source
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69/100
✓ Peer-reviewed
alzhub usefulness score 69 out of 100.
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JAMA network open
·
2023-12-01
The full analysis set included 159 patients (66 [41.5%] male; mean [SD] age, 75.6 [5.2] years) who received placebo or cilostazol at least once. 2 key findings →
Design: clinical trial
Participants: 159
Evidence: high
Full summary, score breakdown and related studies →
Original source
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68/100
✓ Peer-reviewed
alzhub usefulness score 68 out of 100.
·
JAMA neurology
·
2023-12-01
In this randomized clinical trial, BIIB080 reduced tau biomarkers, including CSF t-tau, CSF p-tau181, and tau PET, which is associated with cognitive decline, in participants with mild AD. 5 key findings →
Design: clinical trial
Participants: 13
Evidence: high
Full summary, score breakdown and related studies →
Original source
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Additionally, our results indicate that AD subjects carrying APOE ε4 are more responsive to the neuroprotective effects of physical activity. 3 key findings →
Design: randomized controlled trial
Evidence: high
Full summary, score breakdown and related studies →
Original source
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Transcranial pulse stimulation (TPS) is a recent development in non-invasive brain stimulations (NIBS) that has been proven to be effective in terms of significantly improving Alzheimer patients' cognition, memory, and execution functions. 3 key findings →
Design: randomized controlled trial
Participants: 30
Evidence: high
Full summary, score breakdown and related studies →
Original source
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67/100
✓ Peer-reviewed
alzhub usefulness score 67 out of 100.
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JAMA network open
·
2023-04-03
Innovations associated with the bayesian approach can improve the efficiency of drug development and the accuracy of clinical trials, even in the context of substantial data missingness. 3 key findings →
Design: clinical trial
Participants: 854
Evidence: high
Full summary, score breakdown and related studies →
Original source
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66/100
✓ Peer-reviewed
alzhub usefulness score 66 out of 100.
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JAMA network open
·
2023-11-01
Physical exercise and cognitive and social enrichment activities can enhance cognitive function in patients with chronic stroke, but their cost-effectiveness compared with a balance and tone program is uncertain. 5 key findings →
Participants: 120
Evidence: high
Full summary, score breakdown and related studies →
Original source
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65/100
✓ Peer-reviewed
alzhub usefulness score 65 out of 100.
·
Nature medicine
·
2023-09-04
Alzheimer disease (AD) is the most common contributor to dementia in the world, but strategies that slow or prevent its clinical progression have largely remained elusive, until recently. 1 key finding →
Evidence: high
Full summary, score breakdown and related studies →
Original source
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How the 0–100 score works — and why some entries are capped
This is alzhub's own score. It is not an official metric, not an impact factor,
and no journal, publisher or ranking body endorses it. We built it so that a reader who is not a
scientist can tell a landmark trial from a conference abstract without having to already know the
difference. Every point comes from one of 20 components, all of them printed on the study itself,
so you can disagree with our arithmetic rather than having to trust the total.
- Journal tier up to 10 pts
- Journal's citation record up to 4 pts
- Study design up to 12 pts
- Strength of evidence up to 5 pts
- Peer-review validation up to 10 pts
- How recent up to 5 pts
- Sample size up to 4 pts
- Effect reported up to 3 pts
- Studied in people up to 3 pts
- Randomised / blinded up to 2 pts
- Times cited up to 7 pts
- Citations per year up to 5 pts
- Impact for its field and year up to 6 pts
- Cited by studies here up to 6 pts
- Still being cited up to 4 pts
- Senior author's track record up to 4 pts
- Institution's track record up to 3 pts
- Multi-centre collaboration up to 3 pts
- Indexed in PubMed up to 2 pts
- Free to read up to 2 pts
Journals are placed in ordered tiers, never given a numeric impact factor — we
could not verify current impact factors from a source we control, and an invented one would be
worse than none. Tier 1 is the top-tier general journals (NEJM, The Lancet, JAMA, Nature, Science,
Nature Medicine); tier 2 is the leading specialty journals; tier 3 is every other peer-reviewed
journal. A separate part scores how much the journal's own papers are cited, which tells the
tier-3 journals apart.
Two rules we don't bend. First, we never fill in a
missing value: if a record does not state a sample size or a design, that component scores
zero, and if we simply have no data for a part, such as a citation count, that part is left out and
the study is scored on the parts we could check. The study card says which. Second, anything that is not a peer-reviewed
article is capped at 16/100 and carries a warning chip — so a conference abstract or
a company press release can never outrank a peer-reviewed paper, no matter how good it looks.
We rank a rigorous null result — a good trial showing that something does not
work — above an early positive finding. Someone deciding whether to buy a supplement is served by
that, and the rigour is already counted by the design and journal components.
The score is computed from the published data alone and is
reproducible: the same file always yields the same numbers.
See the whole rubric drawn out →
— four charts covering all 27,380 studies: how the scores are spread and where the cap
bites, which of the 20 components the library is strong and weak on, which subjects rest on
stronger evidence, and what kinds of study each subject is actually built from.