finding.review
under reviewDonanemab (anti-pyroglutamate-Aβ MAb) shows positive primary endpoint in early symptomatic AD with low/medium tau PET burden. Tau PET stratification meaningfully modifies treatment effect — high-tau subgroup shows attenuated benefit. ARIA-E rate ~24%; APOE4-dose-dependent.
- id
- vpr_1024419a835feaec
- frontier
- Anti-amyloid translation in Alzheimer's disease
- kind
- finding.review
- created
- 2026-05-09
This is a proposal, not yet accepted frontier state. It names what it would change and who proposed it. Only an accepted review event, signed under reviewer authority, writes it into the frontier. Until then it carries no authority over the record.
Proposed change
reason
Donanemab TRAILBLAZER-ALZ 2 (Sims et al., JAMA 2023) demonstrated 35% slowing on iADRS in low/medium tau cohort and 22% in combined cohort over 18 months. Primary endpoint positive. Agent-drafted accept; eligible for human re-review.
Provenance
proposed by
agent:vela-curation-bot-2026-05-09
Donanemab (anti-pyroglutamate-Aβ MAb) shows positive primary endpoint in early symptomatic AD with low/medium tau PET burden. Tau PET stratification meaningfully modifies treatment effect — high-tau subgroup shows attenuated benefit. ARIA-E rate ~24%; APOE4-dose-dependent.
vf_e2554d6d7ec32686The live diff is computed from a writable workspace. This frontier is read-only here, so the change is shown as recorded without a recomputed before / after.
Review chain
Canopus treats material changes like reviewable requests: one bounded packet, check output, reviewer decision, and accepted frontier effect.
01request
Change request
Anti-amyloid translation in Alzheimer's disease receives a reviewable source, finding, caveat, replication, evaluation, or proof-affecting edit.
open review →02packet
Diff packet
The packet names affected record objects, evidence, rationale, reviewer-facing fields, and expected proof impact.
open workbench →03checks
Check output
Schema, provenance, benchmark, contradiction, and proof checks decide whether the request is ready to read.
inspect checks →04review
Reviewer decision
A steward accepts, rejects, caveats, revises, or retracts the request under an inspectable identity.
read queue →05accepted
Accepted event
Only the accepted event mutates frontier state. Atlases, constellations, and search update from that record state.
inspect events →