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EAN 2025 | What are the next steps in the field of blood-based biomarkers for AD?

Giulia Giacomucci, MD, University of Florence, Florence, Italy, comments on the potential next steps in the field of blood-based biomarkers for Alzheimer’s disease (AD). She highlights the importance of developing strategies to interpret patients with intermediate levels of biomarkers, and comments on the use of fluid biomarkers for staging AD. This interview took place at the 11th Congress of the European Academy of Neurology (EAN 2025) in Helsinki, Finland.

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Transcript

Which could be the next steps? First of all, the approval of the P-tau217 A-beta42 ratio may be the first step for the inclusion of these plasma biomarkers in the diagnostic process. So what’s next? Maybe I think that an important point, an important question to address is what about those patients with intermediate levels of plasma biomarkers? So can we develop other plasma biomarkers that could help us for the interpretation of those patients in the gray zone, so with an intermediate risk, before doing or performing CSF or amyloid PET? This is the first question...

Which could be the next steps? First of all, the approval of the P-tau217 A-beta42 ratio may be the first step for the inclusion of these plasma biomarkers in the diagnostic process. So what’s next? Maybe I think that an important point, an important question to address is what about those patients with intermediate levels of plasma biomarkers? So can we develop other plasma biomarkers that could help us for the interpretation of those patients in the gray zone, so with an intermediate risk, before doing or performing CSF or amyloid PET? This is the first question. The second question is, specific plasma biomarkers of AD pathology are proposed to be used as diagnostic biomarkers, so for diagnostic purposes. But maybe we can develop specific fluid biomarkers also for the staging of Alzheimer’s disease. And this could be very helpful in order to avoid more expensive exams, for example, the tau PET in the future. And it could be interesting considering the future venue of disease-modifying treatments.

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