Retrospective Bayesian Evidence of Null Effect in Two Decades of Alzheimer's Disease Clinical Trials

J Alzheimers Dis. 2023;91(2):531-535. doi: 10.3233/JAD-220942.

Abstract

Despite intense research on Alzheimer's disease, no validated treatment able to reverse symptomatology or stop disease progression exists. A recent systematic review by Kim and colleagues evaluated possible reasons behind the failure of the majority of the clinical trials. As the focus was on methodological factors, no statistical trends were examined in detail. Here, we aim to complete this picture leveraging on Bayesian analysis. In particular, we tested whether the failure of those clinical trials was essentially due to insufficient statistical power or to lack of a true effect. The strong Bayes' Factor obtained supported the latter hypothesis.

Keywords: Alzheimer’s disease; Bayesian statistics; clinical trial; drug development.

Publication types

  • Letter

MeSH terms

  • Alzheimer Disease* / drug therapy
  • Bayes Theorem
  • Clinical Trials as Topic
  • Humans
  • Retrospective Studies