Insights

Don't Believe the Hype

  • By Guest Writer: Stuart Ritchie
  • 26 July 2023
  • Industry
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What makes a "clinically significant" difference in a trial of an Alzheimer's drug? If you read the new study on donanemab, and follow its references, you might be none the wiser.

Some say it's if the treatment slows the progression of the disease by 20% or more; some say it's 25%; and some say it's 30-50%. Looking instead at the number of points of change people experience on the measures of cognitive ability paints a similarly confusing picture.

This is something the field of Alzheimer's research needs to work on: building a well-evidenced, well-reasoned consensus on what size of a difference really matters for patients' lives.

It's not enough to vaguely point to previous studies: you need to explain why you're claiming your drug will be beneficial - especially when the side effects can be quite serious.

Read Stuart's article on yesterday's study on donenemab, where he mentions a few questions about how big the effect has to be, to be "clinically meaningful".

Read here

Click here to find Stuart on Twitter.

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