Educational content on VJDementia is intended for healthcare professionals only. By visiting this website and accessing this information you confirm that you are a healthcare professional.

Share this video  

AD/PD 2022 | Challenges in the clinical implementation of Alzheimer’s disease biomarkers

Charlotte Teunissen, PhD, VU University Medical Center Amsterdam, Amsterdam, The Netherlands, discusses the issues that need to be addressed before biomarkers can be brought to clinical practice, including regulatory approval and guideline inclusion. Prof. Teunissen highlighted the need for technical developments, including in-vitro diagnostic tests and real-world analysis, which takes into consideration potential differences between ethno-racial groups. This interview took place at the AD/PD™ 2022 International Conference on Alzheimer’s and Parkinson’s Diseases hosted in Barcelona, Spain.

Transcript (edited for clarity)

Yeah, and there are several next steps that we need to take. So there are several gaps in our knowledge, but it’s also that we are about halfway in the development pipeline going up to clinical implementation.

So if you go at the very end, before clinical implementation, we have to address issues like regulatory approval, getting reimbursement, for example, inclusion in guidelines, clinical guidelines, but there are also technical developments that we need to address...

Yeah, and there are several next steps that we need to take. So there are several gaps in our knowledge, but it’s also that we are about halfway in the development pipeline going up to clinical implementation.

So if you go at the very end, before clinical implementation, we have to address issues like regulatory approval, getting reimbursement, for example, inclusion in guidelines, clinical guidelines, but there are also technical developments that we need to address. So it’s important that we will arrive at a in vitro diagnostic test. So that’s a kind of, yeah, quality label of robustness of a test. So that needs to be done as well.

There are other issues. For example, we need to do a real worlds analysis. For example, know how it fits in the diagnostic practice. What’s the added value for the physician? Do they feel comfortable? What are the cutoffs, is also something we need to establish. And so far, the studies have been performed, merely in Caucasian populations, and we need to include more diverse populations because there are also indications that the cutoffs may differ among different ethno-racial groups. So these are a few issues to address, but there’s still more to do.

Read more...

Disclosures

Grants: Research of CET is supported by the European Commission (Marie Curie International Training Network, grant agreement No 860197 (MIRIADE), Innovative Medicines Initiatives 3TR (Horizon 2020, grant no 831434) and JPND (bPRIDE), National MS Society (Progressive MS alliance) and Health Holland, the Dutch Research Council (ZonMW), Alzheimer Drug Discovery Foundation, The Selfridges Group Foundation, Alzheimer Netherlands, Alzheimer Association. CT is recipient of ABOARD, which is a public-private partnership receiving funding from ZonMW (#73305095007) and Health~Holland, Topsector Life Sciences & Health (PPP-allowance; #LSHM20106). ABOARD also receives funding from Edwin Bouw Fonds and Gieskes-Strijbisfonds. CET has a collaboration contract with ADx Neurosciences, Quanterix and Eli Lilly, performed contract research or received grants from AC-Immune, Axon Neurosciences, Bioconnect, Biogen, Bioorchstra, Brainstorm Therapeutics, Celgene, EIP Pharma, Eisai, Novo Nordisk, PeopleBio, Roche, Toyama, Vivoryon. She serves on editorial boards of Medidact Neurologie/Springer, Alzheimer Research and Therapy, Neurology: Neuroimmunology & Neuroinflammation, and is editor of a Neuromethods book Springer.
Speaker contract: Roche