Cerebrospinal fluid MTBR243 tau correlates with [18F] GTP1 Tau PET and the two biomarkers show similar correlations with clinical measures

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Publicado en:Alzheimer's & Dementia vol. 21 (Dec 1, 2025)
Autor principal: Verghese, Philip B.
Otros Autores: Meyer, Matthew R., Tzeng, Shin‐Cheng, Rabe, Christina, Lee, Julie, Biever, Anne, Calderon, Emilia, Teng, Edmond, Monteiro, Cecilia, Yeh, Felix L, Patania, Kaleb, Venkatesh, Venky, West, Tim, Bittner, Tobias, Braunstein, Joel B.
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John Wiley & Sons, Inc.
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Acceso en línea:Citation/Abstract
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022 |a 1552-5260 
022 |a 1552-5279 
024 7 |a 10.1002/alz70861_108306  |2 doi 
035 |a 3286011805 
045 0 |b d20251201 
100 1 |a Verghese, Philip B.  |u C2N Diagnostics LLC, St. Louis, MO, USA 
245 1 |a Cerebrospinal fluid MTBR243 tau correlates with [18F] GTP1 Tau PET and the two biomarkers show similar correlations with clinical measures 
260 |b John Wiley & Sons, Inc.  |c Dec 1, 2025 
513 |a Journal Article 
520 3 |a Background Tau tangle neuropathology can be visualized in living individuals using radioligands that bind specifically to aggregated tau. MTBR243 is a biomarker that has been found to be strongly associated with the presence of tau tangles in the brain. In this analysis we compared MTBR243 measured in CSF to Tau PET and clinical variables. Method MTBR243 was analyzed in 200 baseline CSF samples from study participants from two clinical trials in early and mild‐to‐moderate Alzheimer’s Disease (AD) (Tauriel, NCT03289143 and Lauriet, NCT03828747), including 182 participants who also had Tau PET data using [18F]GTP1 tau PET tracer. All subjects were amyloid positive per study inclusion criteria. Tau PET results were analyzed as continuous variable using the Temporal Meta ROI SUVR and dichotomized as low/high based on Temporal Meta ROI SUVR of 1.33. Clinical measures at baseline included CDR‐SB, ADAS‐Cog11, ADCS‐ADL, and MMSE. Result The CSF MTBR243 concentration had high correlation with Tau PET SUVR (Spearman’s ρ = 0.69, 95% CI 0.60‐0.76). 69.8% were classified as high Tau PET in the participants who were analyzed for MTBR243 in CSF. The AUC‐ROC of CSF MTBR243 for identifying Tau PET positivity was 0.89 (95% CI: 0.84‐0.94). We found that both Tau PET and CSF MTBR243 correlated with all 4 clinical measures at baseline as well as change from baseline. The correlations for the two biomarkers with clinical measures were very similar. Conclusion CSF MTBR243 correlates well with Tau PET in this amyloid positive population and discriminates well between low and high Tau PET patients. Tau PET and CSF MTBR243 have similar correlations to clinical variables, suggesting that CSF MTBR243 could be a suitable candidate as a fluid surrogate biomarker for Tau PET. 
653 |a Variables 
653 |a Cerebrospinal fluid 
653 |a Clinical trials 
653 |a Brain 
653 |a Biological markers 
653 |a Time 
653 |a Clinical research 
653 |a Activities of daily living 
653 |a Biomarkers 
653 |a Patients 
653 |a Neuropathology 
653 |a Mini-Mental State Examination 
653 |a Candidates 
653 |a Alzheimer's disease 
653 |a Clinical variables 
700 1 |a Meyer, Matthew R.  |u C2N Diagnostics, LLC, Saint Louis, MO, USA 
700 1 |a Tzeng, Shin‐Cheng  |u C2N Diagnostics, LLC, Saint Louis, MO, USA 
700 1 |a Rabe, Christina  |u Genentech, Inc., South San Francisco, CA, USA 
700 1 |a Lee, Julie  |u Genentech, Inc., South San Francisco, CA, USA 
700 1 |a Biever, Anne  |u Genentech, Inc., South San Francisco, CA, USA 
700 1 |a Calderon, Emilia  |u Genentech, Inc., South San Francisco, CA, USA 
700 1 |a Teng, Edmond  |u Genentech, South San Francisco, CA, USA 
700 1 |a Monteiro, Cecilia  |u Genentech, Inc., South San Francisco, CA, USA 
700 1 |a Yeh, Felix L  |u Genentech, Inc., South San Francisco, CA, USA 
700 1 |a Patania, Kaleb  |u C2N Diagnostics, LLC, Saint Louis, MO, USA 
700 1 |a Venkatesh, Venky  |u C2N Diagnostics, LLC, Saint Louis, MO, USA 
700 1 |a West, Tim  |u C2N Diagnostics, LLC, Saint Louis, MO, USA 
700 1 |a Bittner, Tobias  |u Genentech, Inc., South San Francisco, CA, USA 
700 1 |a Braunstein, Joel B.  |u C2N Diagnostics, LLC, St. Louis, MO, USA 
773 0 |t Alzheimer's & Dementia  |g vol. 21 (Dec 1, 2025) 
786 0 |d ProQuest  |t Consumer Health Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3286011805/abstract/embedded/75I98GEZK8WCJMPQ?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3286011805/fulltextPDF/embedded/75I98GEZK8WCJMPQ?source=fedsrch