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CTAD 2025 | Highlights from CTAD 2025: using blood-based biomarkers for the biological staging of AD

Suzanne Schindler, MD, PhD, Washington University in St. Louis School of Medicine, St. Louis, MO, shares her highlights from CTAD 2025, focusing on a study showing the utility of blood-based biomarkers in staging Alzheimer’s disease (AD). This interview took place at the 18th Clinical Trials on Alzheimer’s Disease (CTAD) Conference in San Diego, CA.

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Transcript

So my favorite presentation at CTAD was delivered by Gemma Salvadó of Barcelona Beta and Lund University, and she showed how you can combine together plasma percent p-tau217 and MTBR-tau243 to stage individuals biologically within the Alzheimer’s disease continuum. And these plasma biomarker-based stages agreed amazingly well with amyloid PET and tau PET-based stages. And that’s really remarkable because, of course, doing an amyloid PET scan and a tau PET scan is very expensive...

So my favorite presentation at CTAD was delivered by Gemma Salvadó of Barcelona Beta and Lund University, and she showed how you can combine together plasma percent p-tau217 and MTBR-tau243 to stage individuals biologically within the Alzheimer’s disease continuum. And these plasma biomarker-based stages agreed amazingly well with amyloid PET and tau PET-based stages. And that’s really remarkable because, of course, doing an amyloid PET scan and a tau PET scan is very expensive. In the U.S., it’s typically over $10,000, certainly, to do both of those scans. And those PET scans are helpful because they tell you about where someone is in the course of disease biologically and also whether they’re likely to respond to certain treatments. And what Gemma’s work suggests is that you could get similar kinds of information from a blood test, which, of course, would be much cheaper and easier. So I find that very exciting that we will be able to do this with blood. Of course, multiple ptau assays are available, and we expect that MTBR-tau243 will become increasingly available, and other companies are also working on MTBR-tau243, as well as other biomarkers of tau pathology. So overall, this looks very promising that we’ll be able to stage Alzheimer’s disease biologically with blood tests.

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Disclosures

Received honoraria/consulting fees >18 months ago from Eisai, Eli Lilly, and Novo Nordisk. No recent personal financial compensation from pharmaceutical or diagnostics companies.