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Towards a national registry for Alzheimer’s disease and related dementias: rationale, design, and initial observations of the ABOARD cohort

  • Casper de Boer*
  • , Hanneke F. M. Rhodius-Meester
  • , Sophie M. van der Landen
  • , Jurgen Claassen
  • , Romy de Haan
  • , Janne M. Papma
  • , Harro Seelaar
  • , Marleen Kloppenburg-Lagendijk
  • , Barbara van Munster
  • , Marjolein de Vugt
  • , Derk Arts
  • , Marco Blom
  • , Tanja J. de Rijke
  • , Miriam Beusink
  • , Robbert Huijsman
  • , Evert-Ben van Veen
  • , Argonde van Harten
  • , Jort Vijverberg
  • , Marissa Zwan
  • , Henk-Jan Mutsaerts
  • Sven J. van der Lee, Wiesje M. van der Flier
*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Background: Alzheimer’s disease and related dementias (ADRD) take 20 to 30 years to develop, yet setting up studies or registries that take into account the entire disease trajectory is difficult and time consuming. Moreover, prediction models are often based on selected research populations and their outcomes may not be most relevant to patients’ daily lives. To address these gaps we set up the ABOARD Cohort, a national data collection infrastructure to (i) study the disease trajectory using patient reported outcome measures (PROMs) and medical data, (ii) link to available data sources, and (iii) serve as central platform to facilitate research, roll out healthcare innovations, and accommodate nationwide disease registration. Here, we describe the design of the project and characteristics of the first 10,275 participants. Method: The ABOARD Cohort is an ongoing, participant-centered data-collection, taking PROMs and a minimal case report form (CRF) with relevant medical data as starting point, supplemented with linkage to existing data sources. Eligible participants with or at-risk of ADRD a and their study partners are recruited directly-to-participant, i.e. without the need for a doctor to sign informed consent. Informed consent and annual collection of PROMs are fully online. Relevant stakeholders are involved in decisions on project development through a participants panel and on data usage through a data access committee. Results: The ABOARD Cohort has been fully operational since January 2023. As of October 2024, 10,275 participants (mean age 66.1 (9.2) years, 70% female) and 1,383 study partners signed up, and received an invitation to fill in online questionnaires and complete a digital cognitive test. Over 90% of participants gave consent to link their data to existing data sources. Participants who had consulted a doctor for memory problems (N = 1,128), reported worse outcomes on PROMs assessing mental health and cognition, quality of life and lifestyle, compared to those who had not. Conclusion: The ABOARD Cohort has been set up as a national infrastructure to study ADRD disease trajectories, linking data-sources, with the participant at the steering wheel. This infrastructure has the potential to serve as a registry to advance research and roll out healthcare innovations on a national level.
Original languageEnglish
Article number123
JournalAlzheimer's Research and Therapy
Volume17
Issue number1
Early online date31 May 2025
DOIs
Publication statusPublished - 1 Dec 2025

Funding

A Personalized Medicine Approach for Alzheimer’s Disease (ABOARD-project.nl) is a public-private partnership receiving funding from ZonMW (#73305095007) and Health ~ Holland, Topsector Life Sciences & Health (PPP-allowance; #LSHM20106). ABOARD also receives funding from Edwin Bouw Fonds and Gieskes-Strijbisfonds. The ABOARD Cohort also receives funding from the Alzheimer’s Association (ALZ RWD-25-1277035). HR is recipient of the Memorabel Dementia Fellowship 2021 (ZonMw projectnumber 10510022110004) and Alzheimer Nederland InterACT grant (projectnumber WE.08-2022-06). WF is recipient of TAP-dementia (www.tap-dementia.nl), receiving funding from ZonMw (#10510032120003). TAP-dementia receives co-financing from Avid Radiopharmaceuticals, Roche, and Amprion. All funding is paid to her institution. WF and HR are recipients of the Horizon 2022 project PROMINENT (# 101112145) and IHI-AD-RIDDLE (# 101132933). PROMINENT and AD-RIDDLE are supported by the Innovative Health Initiative Joint Undertaking (IHI JU). The JU receives support from the European Union’s Horizon Europe research and innovation programme and COCIR, EFPIA, EuropaBio, MedTech Europe and Vaccines Europe, with Davos Alzheimer’s Collaborative, Combinostics OY., Cambridge Cognition Ltd., C2N Diagnostics LLC, and neotiv GmbH. Research of the Alzheimer’s Center Amsterdam is part of the neurodegeneration research program of Amsterdam Neuroscience. Alzheimer Center Amsterdam is supported by Stichting Alzheimer Nederland and Stichting Steun Alzheimercentrum Amsterdam. The chair of Wiesje van der Flier is supported by the Pasman stichting. A Personalized Medicine Approach for Alzheimer’s Disease (ABOARD-project.nl) is a public-private partnership receiving funding from ZonMW (#73305095007) and Health ~ Holland, Topsector Life Sciences & Health (PPP-allowance; #LSHM20106). ABOARD also receives funding from Edwin Bouw Fonds and Gieskes-Strijbisfonds. The ABOARD Cohort also receives funding from the Alzheimer’s Association (ALZ RWD-25-1277035). HR is recipient of the Memorabel Dementia Fellowship 2021 (ZonMw projectnumber 10510022110004) and Alzheimer Nederland InterACT grant (projectnumber WE.08-2022-06). WF is recipient of TAP-dementia ( www.tap-dementia.nl ), receiving funding from ZonMw (#10510032120003). TAP-dementia receives co-financing from Avid Radiopharmaceuticals, Roche, and Amprion. All funding is paid to her institution. WF and HR are recipients of the Horizon 2022 project PROMINENT (# 101112145) and IHI-AD-RIDDLE (# 101132933). PROMINENT and AD-RIDDLE are supported by the Innovative Health Initiative Joint Undertaking (IHI JU). The JU receives support from the European Union’s Horizon Europe research and innovation programme and COCIR, EFPIA, EuropaBio, MedTech Europe and Vaccines Europe, with Davos Alzheimer’s Collaborative, Combinostics OY., Cambridge Cognition Ltd., C2N Diagnostics LLC, and neotiv GmbH.

FundersFunder number
Alzheimer's Association
Stichting Steun Alzheimercentrum Amsterdam
European Union’s Horizon Europe research and innovation programme
MedTech Europe and Vaccines Europe
Edwin Bouw Fonds and Gieskes-Strijbisfonds
European Federation of Pharmaceutical Industries and Associations
Alzheimer Nederland
Health~Holland
EFPIA
European Commission
Health ~ Holland
Roche
ZonMw10510022110004, WE.08-2022-06
Cambridge Cognition Ltd.
EuropaBio
Alzheimer’s AssociationALZ RWD-25-1277035
IHI101132933
Horizon 2020 Framework Programme101112145
TAP-dementia10510032120003

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