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Table 1 Fluid-based biomarker endpoint use per diagnostic group and trial phase. Percentage in N trials without (w/o) and with (w/) fluid-based biomarker endpoints of all 2,72 trials and percentage in N trials with fluid-based endpoints per phase. Due to rounding the percentages may not add up to 100%

From: Utilization of fluid-based biomarkers as endpoints in disease-modifying clinical trials for Alzheimer’s disease: a systematic review

Diagnostic group

N Trials

w/o fluid-based endpoint

N Trials

w/ fluid-based endpoint

N Trials w fluid-based endpoint

Phase 1

Phase 2

Phase 3 + 4

Healthy participants

32 (12%)

7 (3%)

6 (5%)

1 (0.8%)

Asymptomatic at risk

4 (1%)

9 (3%)

1 (0.8%)

4 (3%)

4 (3%)

Asymptomatic at risk to MCI due to AD

1 (0.4%)

0 (0%)

Asymptomatic at risk to AD dementia

1 (0.4%)

4 (1%)

1 (0.8%)

3 (2%)

MCI due to AD

8 (3%)

12 (4%)

3 (2%)

6 (5%)

3 (2%)

MCI due to AD to AD dementia

42 (15%)

40 (15%)

11 (9%)

25 (21%)

4 (3%)

AD dementia

63 (23%)

49 (18%)

6 (5%)

38 (31%)

5 (4%)