Generating real-world evidence in Alzheimer's disease: Considerations for establishing a core dataset.
Publication Title
Alzheimers Dement
Document Type
Article
Publication Date
6-1-2024
Keywords
Humans; Alzheimer Disease; Cognitive Dysfunction; Research Design; Quality of Life; Observational Studies as Topic; Disease Progression; Alzheimer's disease; core outcomes; data collection; population; real-world evidence; study aims. california; pacific neurosciences
Abstract
Ongoing assessment of patients with Alzheimer's disease (AD) in postapproval studies is important for mapping disease progression and evaluating real-world treatment effectiveness and safety. However, interpreting outcomes in the real world is challenging owing to variation in data collected across centers and specialties and greater heterogeneity of patients compared with trial participants. Here, we share considerations for observational postapproval studies designed to collect harmonized longitudinal data from individuals with mild cognitive impairment or mild dementia stage of disease who receive therapies targeting the underlying pathological processes of AD in routine practice. This paper considers key study design parameters, including proposed aims and objectives, study populations, approaches to data collection, and measures of cognition, functional abilities, neuropsychiatric status, quality of life, health economics, safety, and drug utilization. Postapproval studies that capture these considerations will be important to provide standardized data on AD treatment effectiveness and safety in real-world settings.
Clinical Institute
Neurosciences (Brain & Spine)
Specialty/Research Institute
Neurosciences
Specialty/Research Institute
Population Health
Specialty/Research Institute
Behavioral Health
DOI
10.1002/alz.13785
