Cited by 195Dementia and Cognitive Impairment ResearchAlzheimer's disease research and treatmentsCancer-related cognitive impairment studies

Florbetapir F 18 amyloid PET and 36-month cognitive decline:a prospective multicenter study

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AV45-A11 Study Group, Doraiswamy, P M, Sperling, R A, Johnson, K, Reiman, E M, Wong, T Z, Sabbagh, M N, Sadowsky, C H +8 more·2014·Molecular Psychiatry

Abstract

This study was designed to evaluate whether subjects with amyloid beta (Aβ) pathology, detected using florbetapir positron emission tomorgraphy (PET), demonstrated greater cognitive decline than subjects without Aβ pathology. Sixty-nine cognitively normal (CN) controls, 52 with recently diagnosed mild cognitive impairment (MCI) and 31 with probable Alzheimer's disease (AD) dementia were included in the study. PET images obtained in these subjects were visually rated as positive (Aβ+) or negative (Aβ-), blind to diagnosis. Fourteen percent (10/69) of CN, 37% (19/52) of MCI and 68% (21/31) of AD were Aβ+. The primary outcome was change in ADAS-Cog score in MCI subjects after 36 months; however, additional outcomes included change on measures of cognition, function and diagnostic status. Aβ+ MCI subjects demonstrated greater worsening compared with Aβ- subjects on the ADAS-Cog over 36 months (5.66 ± 1.47 vs -0.71 ± 1.09, P = 0.0014) as well as on the mini-mental state exam (MMSE), digit symbol substitution (DSS) test, and a verbal fluency test (P < 0.05). Similar to MCI subjects, Aβ+ CN subjects showed greater decline on the ADAS-Cog, digit-symbol-substitution test and verbal fluency (P<0.05), whereas Aβ+ AD patients showed greater declines in verbal fluency and the MMSE (P < 0.05). Aβ+ subjects in all diagnostic groups also showed greater decline on the CDR-SB (P<0.04), a global clinical assessment. Aβ+ subjects did not show significantly greater declines on the ADCS-ADL or Wechsler Memory Scale. Overall, these findings suggest that in CN, MCI and AD subjects, florbetapir PET Aβ+ subjects show greater cognitive and global deterioration over a 3-year follow-up than Aβ- subjects do.

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  • Amyloid PET positive status in 69 cognitively normal, 52 MCI, and 31 AD was associated with greater cognitive and global deterioration over a 3-year follow-up compared to amyloid PET negative subjects.

    “Amyloid PET positive status in 69 cognitively normal, 52 MCI and 31 AD was shown to be associated with greater cognitive and global deterioration over a 3 year follow up compared to amyloid PET negative subjects showing prognostic potential [170].”

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Authors
AV45-A11 Study Group, Doraiswamy, P. M., Sperling, R. A., Johnson, K., Reiman, E. M., Wong, T. Z., Sabbagh, M. N., Sadowsky, C. H., Fleisher, A. S., Carpenter, A., Joshi, A. D., Lu, M., Grundman, M., Mintun, M. A., Skovronsky, D. M., & Pontecorvo, M. J.
Affiliations
  • Duke Medical Center (US)
  • Harvard University (US)
  • Nova Southeastern University (US)
  • University of California San Diego (US)
  • Avid Radiopharmaceuticals (United States) (US)
Corresponding author
  • Doraiswamy, P M
  • Pontecorvo, M J
Venue
Molecular Psychiatry
Published
2014-03-11
Volume
19
Issue
9
Pages
1044-1051
ISSN
  • 1359-4184 (ISSN-L)
  • 1476-5578
OpenAlex
W2159123476
Cited by
195
References
48
Citations by year
2026: 3 · 2025: 10 · 2024: 9 · 2023: 10 · 2022: 9 · 2021: 12 · 2020: 15 · 2019: 18 · 2018: 26 · 2017: 25 · 2016: 30 · 2015: 22 · 2014: 6
FWCI
21.13
Type
journal article
Language
en
Open access
Locations
  • Molecular Psychiatry (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
  • eScholarship (California Digital Library) (submittedVersion, cc-by-nc-nd)
Funders
  • Alzheimer's Association
  • Eli Lilly and Company
  • Pfizer
  • AstraZeneca
  • GlaxoSmithKline
  • Sanofi
  • Celgene
  • Arizona Department of Health Services
  • TauRx Pharmaceuticals
  • National University of Singapore
  • Eisai
  • H. Lundbeck A/S
  • Grifols
  • Genentech
  • National Institute on Aging
  • National Heart, Lung, and Blood Institute
  • National Institute of Mental Health
  • National Institute of Neurological Disorders and Stroke
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
Keywords
florbetapir PET, amyloid-beta pathology, cognitive decline, mild cognitive impairment, Alzheimer's dementia, amyloid PET, ADAS-Cog, functional decline, verbal fluency
MeSH terms
Aged, Alzheimer Disease, Aniline Compounds, Brain, Ethylene Glycols, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Neuropsychological Tests, Prospective Studies, Amyloid beta-Peptides, Disease Progression, Nootropic Agents, Radiopharmaceuticals, Positron-Emission Tomography, Cognitive Dysfunction

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