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MRI substudy participation in Alzheimer disease (AD) clinical trials: baseline comparability of a substudy sample to entire study population
Raman R, Thomas RG, Weiner MW, Jack CR, Ernstrom K, Aisen PS, Tariot PN, Quinn JF.. Alzheimer disease and associated disorders, 2009-10-01
Topic: Amyloid, tau and blood-test diagnosis
Objective To determine if a self-selected group of participants who enroll in an imaging substudy of Alzheimer disease (AD) clinical trials is representative of the overall study sample. Methods Baseline data from 2 ongoing AD clinical trials with 402 and 313 randomized participants were analyzed. Magnetic resonance imaging substudy enrollers (166 participants in trial 1 and 161 participants in trial 2) and nonenrollers were compared on baseline demographic, medical and clinical characteristics separately for the 2 trials. Results In both trials, enrollers were statistically similar to nonenrollers on most demographic and clinical measures. One study sample showed that enrollers had lower cognitive scores at baseline when compared with nonenrollers: lower Mini Mental State Examination scores (20.15+/-3.6 vs. 21.04+/-3.6, P=0.02), and higher Alzheimer's Disease Assessment Scale-cognitive domain scores (24.99+/-8.5 vs. 23.03+/-9.3, P=0.03); however, the difference was not considered clinically important and was not observed in the second trial. Conclusions The groups of individuals who agreed to participate in the imaging substudies of AD trials were remarkably comparable to the comparison groups at baseline on a wide range of demographic and clinical measures; there seems to be a minimal effect of self-selection bias. The results indicate that it may be reasonable to generalize findings in an imaging substudy to the complete the study population.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Raman, R., Thomas, R. G., Weiner, M. W., Jack, C. R., Ernstrom, K., Aisen, P. S., et al. (2009). MRI substudy participation in Alzheimer disease (AD) clinical trials: baseline comparability of a substudy sample to entire study population. Alzheimer disease and associated disorders. https://doi.org/10.1097/wad.0b013e3181aba588
Vancouver
Raman R, Thomas RG, Weiner MW, Jack CR, Ernstrom K, Aisen PS, et al. MRI substudy participation in Alzheimer disease (AD) clinical trials: baseline comparability of a substudy sample to entire study population. Alzheimer disease and associated disorders. 2009. doi:10.1097/wad.0b013e3181aba588. PMID: 19571733.
BibTeX
@article{raman2009-19571733,
author = {Raman, R. and Thomas, R. G. and Weiner, M. W. and Jack, C. R. and Ernstrom, K. and Aisen, P. S. and Tariot, P. N. and Quinn, J. F.},
title = {{MRI substudy participation in Alzheimer disease (AD) clinical trials: baseline comparability of a substudy sample to entire study population}},
journal = {Alzheimer disease and associated disorders},
year = {2009},
doi = {10.1097/wad.0b013e3181aba588},
pmid = {19571733},
url = {https://doi.org/10.1097/wad.0b013e3181aba588}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record names 8 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.
Key findings
- Objective To determine if a self-selected group of participants who enroll in an imaging substudy of Alzheimer disease (AD) clinical trials is representative of the overall study sample.
- Results In both trials, enrollers were statistically similar to nonenrollers on most demographic and clinical measures.
- One study sample showed that enrollers had lower cognitive scores at baseline when compared with nonenrollers: lower Mini Mental State Examination scores (20.15+/-3.6 vs. 21.04+/-3.6, P=0.02), and higher Alzheimer's Disease Assessment Scale-cognitive domain scores (24.99+/-8.5 vs. 23.03+/-9.3, P=0.03); however, the difference was not considered clinically important and was not observed in the second trial.
- The results indicate that it may be reasonable to generalize findings in an imaging substudy to the complete the study population.
Why it matters
This study compared participants who enrolled in MRI substudies of Alzheimer's trials with those who did not, and found they were largely similar at baseline. It addresses whether imaging substudy samples are representative, not whether any treatment works.
New to this subject? Start with our plain-English guide: Treatments →
Study details
- Participants166
- Evidence strengthHigh
How this study scored 44/100
Published in a peer-reviewed journal. Scored zero for study design and effect reported because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Alzheimer disease and associated disorders) |
| Journal's citation record | 1 / 4 | Alzheimer Disease & Associated Disorders: journal h-index 131 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 5 / 5 | Rated “high” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2009 — within 20 year(s) of the newest study here |
| Sample size | 2 / 4 | 166 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomized / blinded | 1 / 2 | Randomized (as stated in the record) |
| Times cited | 2 / 7 | Cited 5 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.3 citations a year over 19 year(s) since 2009 |
| Impact for its field and year | 1 / 6 | Cited 0.4× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 1 / 6 | Cited by 1 other studies in this library |
| Still being cited | 0 / 4 | Cited 0 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 4 / 4 | Last-listed author Joseph F. Quinn: h-index 109 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | University of California, San Francisco: institution h-index 1,915 (OpenAlex) |
| Multicenter collaboration | 2 / 3 | OpenAlex lists 6 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 19571733) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 44 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1097/wad.0b013e3181aba588
- PubMed: 19571733
- Original source →
- Free full text: PubMed Central →
Full text: free to read — PubMed Central lists this copy as free to read: the link above (checked 10 Oct 2026).
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