The numeric clinical staging scheme in the 2018 NIA–AA research framework reflects the concept that symptoms of Alzheimer disease sit on a continuum rather than falling into distinct clinical categories. A recent study operationalized these clinical stages to evaluate their utility but found limitations in their application.
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References
Jack, C. et al. NIA-AA Research Framework: Toward a biological definition of Alzheimer’s disease. Alzheimers Dement. 14, 535–562 (2018).
US Food & Drug Administration. Early Alzheimer’s Disease: Developing Drugs for Treatment Guidance for Industry. FDA https://www.fda.gov/regulatory-information/search-fda-guidance-documents/alzheimers-disease-developing-drugs-treatment-guidance-industy (2018).
Petersen, R. et al. NIA-AA Alzheimer’s Disease Framework: clinical characterization of stages. Ann. Neurol. https://doi.org/10.1002/ana.26071 (2021).
Cummings, J. NIA-AA Framework on Alzheimer’s Disease: application to clinical trials. Alzheimers Dement. 15, 172–178 (2019).
Villemagne, V. et al. Amyloid β deposition, neurodegeneration, and cognitive decline in sporadic Alzheimer’s disease: a prospective cohort study. Lancet Neurol. 12, 357–367 (2013).
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Amariglio, R.E. Operationalizing the clinical staging scheme in the 2018 NIA–AA research framework. Nat Rev Neurol 17, 395–396 (2021). https://doi.org/10.1038/s41582-021-00508-6
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DOI: https://doi.org/10.1038/s41582-021-00508-6