Commentary

Dean LaFerla gives a presentation on MODEL-AD The Alzheimer’s Disease Parkinson’s Disease (ADPD) 2025 International Conference, held this year in Vienna, Austria, is an annual gathering for scientific experts and industry leaders in neurodegenerative diseases. This conference serves as a platform for sharing the latest scientific breakthroughs, clinical trial results, and innovative treatment strategies. With attendees from over 70 countries giving more than 1,200 poster presentations and 700 oral presentations, ADPD uniquely combines discussions on Alzheimer's, Parkinson's, and related disorders, fostering a deeper understanding of their respective mechanisms and potential therapies. The conference also highlights the importance of global collaboration,…

https://pennmemorycenter.org/breaking-the-tyranny-of-treatment-a-new-perspective-on-alzheimers-care/

This Hispanic Heritage Month, we proudly recognize the invaluable contributions of our faculty, staff, community partners, and supporters who are dedicated to addressing Alzheimer’s disease and related dementias in the Hispanic and Latino communities. Our mission to advance Alzheimer’s research is strengthened by the passion and collaboration of those working on the front lines to ensure more inclusive research and care. At the forefront of these efforts is our Hispanic Community Advisory Board, led by Dr. Christian Salazar. The Board is instrumental in guiding us on best practices for building strong connections with the more than 1 million Hispanic and…

AlzForum, the popular online publication for Alzheimer's researchers, published a summary of recent advances from the MODEL-AD teams and highlighted the work of the principal investigators at UCI, Drs. Kim Green, Andrea Tenner, and Frank LaFerla.  The article also called attention to innovative research in the Green Lab, including work by postdoctoral scholar, Dr. Claire Butler and graduate student Kristine Tran.   To read the article, click here.

The New York Times recently covered a remarkable study published in the New England Journal of Medicine. The study performed clinical and imaging assessments of 353 adults deemed to be in a minimally conscious or persistent vegetative state. These individuals, who had experienced severe brain injury, stroke, or hypoxia after cardiac arrest were unable to respond to any verbal command. Remarkably, 25% of the patients, when assessed with MRI or EEG, demonstrated an ability to respond to commands with their brain. That is, when they were asked to imagine themselves doing something, their brain response was the same as a normal adult's…

A recent article in the New York Times, How Poor Sleep Affects Your Risk of Dementia, summarizes some recent findings showing both excessively short and long sleep, as well as sleep disorders such as sleep apnea, insomnia, and rapid-eye movement (REM) behavior disorder, may be linked with risk for Alzheimer’s disease (AD) or other forms of dementia. Our recent findings from multiple studies at UCI are consistent with this interpretation. For example, in our most recent study , in collaboration with Alzheimer Biomarkers Consortium — Down Syndrome (ABC-DS) and UCI MIND investigators, we found symptoms of insomnia were more prevalent…

Today, the US Food and Drug Administration granted full clinical approval to Eli Lilly to market donanemab, brand name KISUNLA, for the treatment of early Alzheimer’s disease, including Mild Cognitive Impairment (MCI) or mild dementia. Donanemab is a monoclonal antibody against the beta-amyloid protein that accumulates in the brain of people with Alzheimer’s disease. This represents the second ever full approval for a drug that directly targets the biology of Alzheimer’s disease. Image by Andrew Harnik/AP Donanemab was shown in a Phase 2 and then in a Phase 3 trial to have a significant impact on brain amyloid burden. In…

A June 17 article in the Los Angeles Times highlighted an important safety risk associated with the new class of medications recently approved for treating Alzheimer’s disease. The drugs are anti-amyloid monoclonal antibodies and include aducanumab, donanemab, and lecanemab. Of these, only lecanemab has achieved full FDA approval at the time of writing. The side effects are collectively known as amyloid-related imaging abnormalities, or ARIA, and are potential side effects for each of these drugs, though with differential frequencies observed across the clinical trials of these medications. The specific drug side effects include what are often referred to as bleeding…

The U.S. Food and Drug Administration. Today, the FDA convened its Peripheral and Central Nervous System Drugs Advisory Committee to review the data from pivotal clinical trials of donanemab, a monoclonal antibody against the beta amyloid protein that accumulates in the brain of people with Alzheimer’s disease. One of these trials was conducted at UCI MIND. The efficacy of donanemab in treating early Alzheimer’s disease in people with Mild Cognitive Impairment and mild dementia due to Alzheimer’s disease is largely agreed to have been demonstrated. The bulk of the discussion at the meeting emphasized other aspects, such as the safety…

For patients experiencing cognitive decline due to Alzheimer’s Disease (AD), choosing the most appropriate treatment course at the right time is of great importance. A key element to these decisions is the careful consideration of the available scientific evidence, particularly from randomized clinical trials (RCTs) such as the recent lecanemab trial. Translating RCT results into patient-level decisions, however, can be challenging. This is because trial results tell us about the outcomes of groups rather than individuals. A doctor must judge how similar their patient is to the groups studied in trials. For AD, where patients vary widely in clinical presentations…

The FDA today announced that it will convene an advisory panel to review the data submitted to support potential approval of donanemab, a monoclonal antibody against the beta amyloid protein that demonstrated efficacy in early Alzheimer’s disease in a recent Phase 3 clinical trial. A positive decision to approve donanemab had been expected before the end of this month. Though data for donanemab’s ability to lower brain amyloid levels are convincing, the FDA had opted not to grant accelerated approval to the drug, citing limited safety data. This contrasted the agency’s decisions for two other amyloid-lowering drugs, aducanumab and lecanemab…

UCI MIND faculty member and professor in the School of Public Health,  Karen D. Lincoln, PhD, MSW, MA, FGSA, is featured in Authority Magazine as being one of the top inspirational Black women in medicine. Read the full interview here To learn more about Dr. Lincoln's research to address health disparities in Black communities, visit her faculty profile or her website: Advocates for African American Elders Dr. Karen D. Lincoln  

The topline results for the Anti-Amyloid treatment in Asymptomatic Alzheimer’s disease (A4) study were released today (https://a4study.org). Unfortunately, the drug being investigated, solanezumab, failed to demonstrate a benefit in slowing memory changes in a population of individuals age 65-to-85 who met criteria for preclinical Alzheimer’s disease. Preclinical Alzheimer’s is a relatively new construct. It includes people who are older and have normal memory performance, but in whom biological tests suggest that the risk for Alzheimer’s disease dementia is high. The A4 study was among the first ever preclinical AD trials, boldly blazing a trail that has now been followed by…

On February 17, 2023, a bipartisan group of Senators sent the Secretary of Health and Human Services, Javier Baccera, and the Administrator of the Centers for Medicare and Medicaid Services (CMS), Chiquita Brooks-LaSure, a letter requesting that CMS reconsider their decision to require Coverage with Evidence Determination (CED) that was levied after the accelerated approval of aducanumab. The letter followed a similar request from the Alzheimer’s Association, made in December 2022. The CED decision significantly limited access to aducanumab and other monoclonal antibodies (should they be approved), requiring that coverage would be granted only if Medicare beneficiaries were enrolled in…

Frontotemporal dementia (FTD) is a form of dementia that typically affects individuals in their 50s and 60s. It is therefore, commonly referred to as young onset dementia. Clinically, FTD can present in two ways; some patients present with behavioral impairment and are referred to as behavioral variant FTD (bvFTD). The other main presentation involves language decline and is called primary progressive aphasia (PPA). Both conditions start insidiously and accurate diagnosis can be a challenge, especially at early stages of the disease. In bvFTD, patients can present with apathy, lack of empathy, increased appetite, preference for sweet tooth, new onset of…

In a somewhat surprising move, the US Food and Drug Administration (FDA) has declined to grant accelerated approval to Eli Lilly’s donanemab Read the full press release from Eli Lilly here Like aducanumab and lecanemab, which were previously granted accelerated approval by the FDA, donanemab is a monoclonal antibody treatment against the beta amyloid protein that accumulates in the brain of a person with Alzheimer’s disease. Eli Lilly published very promising results for donanemab in 2021, which included demonstration that donanemab could lower amyloid levels in the brain of people with mild cognitive impairment and mild dementia (the basis for…

January 6, 2023 – Today, as expected, the US Food and Drug Administration granted accelerated approval to lecanemab, a monoclonal antibody against the beta amyloid protein that accumulates in the brain of people with Alzheimer’s disease. Lecanemab was approved on the basis of the treatment’s demonstrated effect of lowering levels of brain amyloid, as measured by a type of brain scan known as positron emission tomography (PET) imaging. Lecanemab is now approved for the treatment of patients with mild cognitive impairment or mild dementia, and should be used in patients in whom that same amyloid PET brain scan (or measures…

Elizabeth Head, PhD UCI MIND Faculty Member Elizabeth Head, PhD was featured in the Akron Beacon Journal: I recently interviewed Dr. Elizabeth Head, a neuropathology core co-investigator at the Alzheimer's Disease Research Center at University of California, Irvine. While she collaborates with researchers studying Alzheimer's in the general population, her research is focused specifically on the Down syndrome population. Her team and others are conducting longitudinal studies, in which volunteers with Down syndrome participate for many years, discovering relevant data that are the building blocks for future treatments. Read the full article here >

Bells and Whistles. ACI-35.030 includes a phospho-tau peptide anchored to a liposomal bilayer, along with two adjuvants and a non-target T cell epitope to rally B cells to churn out antibodies against phospho-tau. The work of our faculty, researchers, and collaborators was highlighted in a recent Alzforum article on anti-tau vaccines. AC Immune updates Phase 1b/2 comparison of two anti-#tau vaccines. A liposomal vaccine prompted #antibody response against phospho-tau. Preclinical data bode well for another tau vaccine; first trial slated for next year. Read more >

UCI MIND Director Joshua Grill, PhD is featured in and comments on Alzforum's report on "convincing and noteworthy" lecanemab results. The slightly larger effect on ADLs caught the interest of some scientists, since these can feel most important to participants. “ indicates that patients and families could benefit from slowing of observable functional worsening,” Joshua Grill of the University of California, Irvine, wrote to Alzforum (full comments below). Read his commentary here > Read the full article here > Diverging Trajectories. People on lecanemab worsened more slowly on the CDR-SB than did people on placebo, resulting in a quarter less progression…

Eat This, Not That! "According to a study performed by UCI MIND and presented at the American Association for the Advancement of Science, there's a connection between longevity and drinking a moderate amount of alcohol. (Let's stress the "moderate.") The research involved individuals 90+ years of age. In this particular study, participants who drank approximately two glasses of wine or beer were linked to an 18% decreased risk of early mortality. So sipping in moderation can be a good thing!" Learn more here >  Learn about The 90+ Study here >

“Alzheimer’s is the most important medical condition society faces and we need an army of citizen volunteers to participate in drug trials,” said UCI MIND’s Joshua Grill, with study leader Marina Ritchie. UCI MIND When the U.S. Food and Drug Administration gave controversial accelerated approval to the first Alzheimer’s drug in nearly 20 years, it had a surprising impact on attitudes about research into the disease. A survey by University of California, Irvine neuroscientists has found news coverage of the FDA’s decision made the public less willing to volunteer for Alzheimer’s pharmaceutical trials. The study was conducted by the UCI…

Healthline - “There is a lot of evidence that links sleep apnea to Alzheimer’s disease risk,” added Bryce Mander, Ph.D, assistant professor, Psychiatry & Human Behavior, School of Medicine at the University of California, Irvine. “But there is limited data on the beneficial effects of sleep apnea treatment on risk for dementia.” He continued: “This study offers proof of concept evidence that treating sleep apnea may reduce Alzheimer’s disease risk. also offers potential novel molecular targets for future study for those where positive airway pressure treatment is not feasible.” Read more here >  

"Researchers are working hard to find a cure to Alzheimer's disease … Through their efforts, new research and studies have proven helpful in ways to prevent the disease and even possible treatments. We learn about these findings from our panel of medical experts …. We also discuss The 90+ Study, which studies people over the age of ninety, how they live to that age, and whether their minds show any signs of decline. … Guests: Dr. Ahmad Sajjadi, Cognitive Neurologist, Associate Professor of Neurology and Pathology, University of California, Irvine…." Learn more here >

Eat This, Not That! - Nov. 1, 2022 'An increase in dementia cases is alarming, especially since there's no cure and Dr. Michael Yassa, neurobiologist and director of the Center for the Neurobiology of Learning and Memory at the University of California, Irvine shares why there's an uptick. "Remember that the biggest risk factor is age, and we are an aging population. Advances in medical care have managed to extend our lifespan beyond anything we could have ever imagined a hundred or two hundred years ago. So the prevalence of dementia is increasing because we have more and more people…

University of California, Irvine Chancellor Howard Gillman states: "Our faculty continues to do a tremendous job of winning research grants, the lifeblood of our research efforts. In just the last couple of months...our renowned Institute for Memory Impairments and Neurological Disorders, known as UCI MIND, received a grant of $47 million from the National Institute on Aging; an interdisciplinary UCI team will receive $10 million from the National Institutes of Health...Clearly, the future of science at UCI is very bright indeed." The UCI research team is directed by (seated, from left) Frank LaFerla, Andrea Tenner and Kim Green. Other investigators…

Responding to an article written in AlzForum on the future of Alzheimer's treatment and research from October 7th, Joshua Grill, PhD, from UCI MIND, and his colleague, Jason Karlawish, MD, from the University of Pennsylvania, write: Josh Grill, Professor, Psychiatry & Human Behaviorphoto: Steve Zylius/UCI "Anticipation that FDA will grant full approval of lecanemab (or another disease-modifying treatment) invites an exciting but challenging thought exercise: How will such treatments change research and practice for Alzheimer’s disease (AD)? We’ve considered some of the issues. Our top line point is that a new disease-slowing treatment is unlikely to make use of placebo…