Center for Alzheimer Research and Treatment, Departments of Neurology, Brigham and Women's Hospital and Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
USC Alzheimer's Therapeutic Research Institute, San Diego, California, USA.
Alzheimers Dement. 2024 Nov;20(11):8162-8171. doi: 10.1002/alz.14199. Epub 2024 Sep 22.
The emergence of the United States Food and Drug Administration (FDA)-approved amyloid-targeting therapies for Alzheimer's disease challenges clinicians and healthcare providers with a transformative landscape. Effectively communicating the risks, benefits, burdens, costs, and available support associated with these novel disease-modifying treatments to patients, families, and other healthcare providers is essential but complex. In response, the Alzheimer's Association's Clinical Meaningfulness Workgroup has proposed language surrounding treatment eligibility, benefits, amyloid-related imaging abnormalities (ARIA), apolipoprotein E (APOE) genotyping, and treatment costs, serving as a resource to healthcare professionals in navigating discussions with patients and their families. As the landscape evolves with the approval of new Alzheimer's therapies, this resource stands poised for updates, ensuring its continued relevance in facilitating informed and meaningful patient-provider dialogues. HIGHLIGHTS: Effective communication of risks, benefits, burdens, and costs of FDA-approved amyloid-targeting antibodies is essential to patients, families, and healthcare providers. The Alzheimer's Association's Clinical Meaningfulness Workgroup provides language for physicians and healthcare providers around treatment eligibility, benefits, ARIA, APOE genotyping, and treatment costs. This supplementary resource may be updated as new AD therapies become approved.
美国食品和药物管理局 (FDA) 批准的用于治疗阿尔茨海默病的淀粉样蛋白靶向疗法的出现,给临床医生和医疗保健提供者带来了变革性的挑战。向患者、家属和其他医疗保健提供者有效传达这些新型疾病修饰治疗相关的风险、获益、负担、成本和可获得的支持至关重要,但也很复杂。为了应对这一挑战,阿尔茨海默病协会的临床意义工作组提出了与治疗资格、获益、淀粉样蛋白相关影像学异常 (ARIA)、载脂蛋白 E (APOE) 基因分型和治疗成本相关的语言,为医疗保健专业人员与患者及其家属进行讨论提供了资源。随着新的阿尔茨海默病治疗方法的批准,该领域正在不断发展,该资源随时准备更新,以确保其在促进知情和有意义的医患对话方面的持续相关性。重点:向患者、家属和医疗保健提供者有效传达 FDA 批准的淀粉样蛋白靶向抗体的风险、获益、负担和成本至关重要。阿尔茨海默病协会的临床意义工作组为医生和医疗保健提供者提供了关于治疗资格、获益、ARIA、APOE 基因分型和治疗成本的语言。随着新的 AD 治疗方法的批准,这个补充资源可能会更新。