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Table 2 Number of trials using a specific marker as primary, secondary, or exploratory endpoint per matrix. Unspecified indicates the trial mentioned using Tau or Aβ but not which isoform or species. Rest biomarkers include the biomarkers that are target specific and used less frequently; in CSF: fatty acid levels, microtubule binding region Tau, neurogranin (NRGN), sTREM2, HMGB1, Aβ oligomers, calcineurin, reverse transcriptase activity, apolipoproteins and HDL concentration; in blood: glucose, fatty acid, and ketone levels, receptor mediators of ketone metabolism in plasma exosomes autophagy markers, plasma exosomes, COX/CS activity, 24-hydroxycholesterol, hormone levels, anti-P. gingivalis IgG, apolipoproteins and HDL concentration, Aβ oligomers, NRGN, calcineurin, BACE1 concentration, monocyte CD16 and HLA-DR expression, reverse-transcriptase activity, SASP, CD3, p16INK4A + as senescence markers, SavaDx, eotaxin-1, TSPO phenotype, PRA, sTREM2, gut microbiome, and extracellular vesicles concentrations

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

CSF

Primary

(26/121)

Secondary

(52/121)

Exploratory

(14/121)

Blood

Primary

(21/121)

Secondary

(55/121)

Exploratory

(20/121)

Aβ (at least one of the below)

6

36

14

Aβ (at least one of the below)

4

25

19

Aβ40

3

17

4

Aβ40

4

13

6

Aβ42

4

23

5

Aβ42

4

13

6

Aβ42/40 ratio

2

11

6

Aβ42/40 ratio

4

7

7

Unspecified Aβ

1

13

6

Unspecified Aβ

0

11

6

Tau (at least one of the below)

11

47

10

Tau (at least one of the below)

3

26

12

pTau isoforms

10

32

4

pTau isoforms

3

17

6

tTau

5

32

5

tTau

1

8

4

Unspecified Tau

0

11

5

Unspecified Tau

0

8

5

Other (at least one of the below)

18

26

6

Other (at least one of the below)

18

46

12

GFAP

0

2

2

GFAP

0

8

2

NFL

5

13

4

NFL

3

15

4

Inflammatory cytokines

5

5

1

Inflammatory cytokines

2

18

7

YKL-40

3

4

4

YKL-40

0

0

0

Rest

14

17

5

Rest

14

30

10