Reporting Period (RP) = 2025-02-01 to 2026-06-30 Grant Start Date = 2021-08-15

Clinical Core Progress Report Prose:
472 participants were active in the P30 for part or all of the reporting period (02/01/2025- 06/30/2026), 25% from HRD (mostly African American). Of active participants, 62 participants newly enrolled, 26 from HRD. We followed 355 participants with the UDS, 162 remotely with T-Cog and/or phone call visits. Since 68% of the active cohort comes from outside of Chicago, if only considering participants from Chicago (N=149) 44% are from HRD. Approximately 63% of the cohort has been followed for at least 5 years while 27% have been followed for more than 10 years, 25% of those from HRD. Brain donation pre-commitment is 80% of the sample, with an additional 14% considering. Of HRDs, 74% are agreed with an additional 19% considering. There were 42 Core deaths in the period of report (34 pre-committed) and 35 completed brain autopsies (14% from HRD). Of the 7 not captured, 4 had pre-committed but changed their decision at the time of death.

HRD Numbers for Table E2:
Number of HRD participants enrolled in Center registry / total number in registry: 1413/8857 (16%)

Number of HRD participants consented to autopsy / total consented to autopsy 86/377 (23%)

1 Reporting Period Overview

Active participant status as of the end of the reporting period

Total

HRD

N

%

N

%

% of HRD

Total Active this RP

472

100%

116

25%

100%

Active at RP End

420

89%

105

25%

91%

Deceased

45

10%

8

18%

7%

Discontinued

7

1%

3

43%

3%

Further breakdown of active participants as of the end of the reporting period

Total

HRD

N

%

N

%

% of HRD

Total Active in RP

472

100%

116

25%

100%

Participated this RP

355

75%

91

26%

78%

Enrolled this RP

56

16%

23

41%

25%

Active at RP End

55

98%

22

40%

96%

Discontinued

1

2%

1

100%

4%

Not enrolled this RP

299

84%

68

23%

75%

Active at RP End

279

93%

64

23%

94%

Deceased

20

7%

4

20%

6%

Did not participate this RP

117

25%

25

21%

22%

Enrolled this RP

6

5%

3

50%

12%

Active at RP End

5

83%

2

40%

67%

Discontinued

1

17%

1

100%

33%

Not enrolled this RP

111

95%

22

20%

88%

Active at RP End

81

73%

17

21%

77%

Deceased

25

23%

4

16%

18%

Discontinued

5

5%

1

20%

5%



2 Active Participants




2.1 New Enrollment during this RP

2.1.1 Enrolled This RP

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Enrolled this RP

62

100%

26

42%

100%

36

58%

100%

Recruited Year 5

32

52%

9

28%

35%

23

72%

64%

Recruited Year 4

17

27%

9

53%

35%

8

47%

22%

Recruited Year 3

5

8%

3

60%

12%

2

40%

6%

Recruited Year 2

3

5%

2

67%

8%

1

33%

3%

Recruited Year 1

3

5%

3

100%

12%

0

0%

0%

Recruited Before Grant Start

2

3%

0

0%

0%

2

100%

6%




2.1.2 Demographics of Enrolled this RP

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Enrolled this RP

62

100%

26

42%

100%

36

58%

100%

White, non-hispanic

38

61%

2

5%

8%

36

95%

100%

Black or African American

16

26%

16

100%

62%

0

0%

0%

Asian

4

6%

4

100%

15%

0

0%

0%

Hispanic

4

6%

4

100%

15%

0

0%

0%




2.1.3 Diagnosis of Enrolled this RP

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Enrolled this RP

62

100%

26

42%

100%

36

58%

100%

Dementia

31

50%

5

16%

19%

26

84%

72%

Normal Control

26

42%

17

65%

65%

9

35%

25%

Mild Cognitive Impairment

5

8%

4

80%

15%

1

20%

3%




2.1.4 Recruitment Source of Enrolled this RP

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Enrolled this RP

62

100%

26

42%

100%

36

58%

100%

NM Clinician

24

39%

7

29%

27%

17

71%

47%

Event

9

15%

9

100%

35%

0

0%

0%

Word of Mouth

9

15%

5

56%

19%

4

44%

11%

Non-NM Clinician

8

13%

2

25%

8%

6

75%

17%

Internet

7

11%

2

29%

8%

5

71%

14%

Media Coverage

3

5%

0

0%

0%

3

100%

8%

Clinical Trials Referral

2

3%

1

50%

4%

1

50%

3%




2.1.5 Recruitment Source by Diagnosis of Enrolled this RP

Total

HRD

N

%

N

%

% of HRD

Total Enrolled this RP

62

100%

26

42%

100%

Dementia

31

50%

5

16%

19%

NM Clinician

17

55%

3

18%

60%

Non-NM Clinician

7

23%

1

14%

20%

Internet

5

16%

0

0%

0%

Clinical Trials Referral

1

3%

1

100%

20%

Word of Mouth

1

3%

0

0%

0%

Mild Cognitive Impairment

5

8%

4

80%

15%

Event

2

40%

2

100%

50%

NM Clinician

2

40%

1

50%

25%

Word of Mouth

1

20%

1

100%

25%

Normal Control

26

42%

17

65%

65%

Event

7

27%

7

100%

41%

Word of Mouth

7

27%

4

57%

24%

NM Clinician

5

19%

3

60%

18%

Media Coverage

3

12%

0

0%

0%

Internet

2

8%

2

100%

12%

Clinical Trials Referral

1

4%

0

0%

0%

Non-NM Clinician

1

4%

1

100%

6%




2.2 Participation and Rentention

2.2.1 Active Participants

Number of participants ever active in the reporting period.

Total

HRD

Non-HRD

N

N

%

N

%

Total Active this RP

472

116

25%

356

75%




2.2.2 Participation During RP

Participation of active participants during this reporting period by HRD status:

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Active this RP

472

100%

116

25%

100%

356

75%

100%

Participated

355

75%

91

26%

78%

264

74%

74%

Did Not Participate

117

25%

25

21%

22%

92

79%

26%


Total visits completed during this reporting period by visit type and HRD status:

Total

HRD

Non-HRD

N

%

N

%

% of Non-HRD

N

%

% of HRD

Visits this RP

437

100%

328

75%

100%

109

25%

100%

In-person

275

63%

194

71%

59%

81

29%

74%

Remote

160

37%

132

82%

40%

28

18%

26%

Both In-Person & Remote

2

<1%

2

100%

<1%

0

0%

0%


Virtual visit participation by whether the visit was completed over the phone or via video chat and whether a telephone cognitive battery (tcog) was completed or whether the virtual visit was informant only.

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Remote Visits this RP

160

100%

28

18%

100%

132

82%

100%

Telephone

155

97%

27

17%

96%

128

83%

97%

Informant Only

118

76%

21

18%

78%

97

82%

76%

T-cog

37

24%

6

16%

22%

31

84%

24%

Video

2

1%

0

0%

0%

2

100%

2%

T-cog

2

100%

0

0%

0%

2

100%

100%




2.2.3 Participation Since Grant Start

Participation of active participants since the start of the grant by HRD status:

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Active Since Grant Start

656

100%

154

23%

100%

502

77%

100%

Participated

355

54%

91

26%

59%

264

74%

53%

Did Not Participate

301

46%

63

21%

41%

238

79%

47%




2.2.4 Active Participant Recruitment

Recruitment of participants active during the reporting period.

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Active in RP

472

100%

116

25%

100%

356

75%

100%

Screened this RP

34

7%

9

26%

8%

25

74%

7%

Not screened this RP

438

93%

107

24%

92%

331

76%

93%




2.2.5 Contact Attempts

Active participants contacted during reporting period

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Active this RP

472

100%

116

25%

100%

356

75%

100%

Contacted

457

97%

113

25%

97%

344

75%

97%

Not contacted

15

3%

3

20%

3%

12

80%

3%




2.2.6 SW Calls to PCOs during RP

Social Work Calls made to “phone call only” participants (PCOs) during the reporting period. There were 488 visits in which a potential 6 month follow-up call fell within the reporting period. Visits are only eligible for a Social Work call if the participant is “phone call only” and agreed or considering to brain donation. 391 visits were not eligible for a Social Work call, 60 were completed, 12 are still in progress and 25 were deemed no longer pursuing. 23 of those no longer pursuing are because of an internal decision and 2 were due to a difficult to reach participant.

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Visits 6 Months

488

100%

115

24%

100%

373

76%

100%

Successfully talked to participant, no further action needed

60

12%

11

18%

10%

49

82%

13%

Pursuing for Social Work PCO

12

2%

2

17%

2%

10

83%

3%

No longer pursuing participant for call

25

5%

5

20%

4%

20

80%

5%

Social Work PCO Call Not Needed

391

80%

97

25%

84%

294

75%

79%

PCO Retention Retention for participants that recieved a PCO call this RP

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total PCO Calls this RP

60

100%

11

18%

100%

49

82%

100%

2-5 years of participation

17

28%

2

12%

18%

15

88%

31%

5-10 years of participation

23

38%

6

26%

55%

17

74%

35%




2.2.7 Retention

Active participant retention for all active participants by location

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total

1,054

100%

304

29%

100%

750

71%

100%

Total Active

472

45%

116

25%

38%

356

75%

47%

10+ years of participation

128

27%

32

25%

28%

96

75%

27%

5-10 years of participation

168

36%

33

20%

28%

135

80%

38%

2-5 years of participation

94

20%

19

20%

16%

75

80%

21%

<2 years of participation

82

17%

32

39%

28%

50

61%

14%

Total active in Cook or Collar counties

330

31%

97

29%

32%

233

71%

31%

10+ years of participation

95

29%

26

27%

27%

69

73%

30%

5-10 years of participation

120

36%

26

22%

27%

94

78%

40%

2-5 years of participation

54

16%

15

28%

15%

39

72%

17%

<2 years of participation

61

18%

30

49%

31%

31

51%

13%

Total active in Cook county

252

24%

91

36%

30%

161

64%

21%

10+ years of participation

70

28%

24

34%

26%

46

66%

29%

5-10 years of participation

92

37%

24

26%

26%

68

74%

42%

2-5 years of participation

36

14%

14

39%

15%

22

61%

14%

<2 years of participation

54

21%

29

54%

32%

25

46%

16%

2.3 Diagnosis

2.3.1 Diagnosis by HRD Status

Diagnosis of active participants by HRD Status

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total

472

100%

116

25%

100%

356

75%

100%

Cognitively Normal Control

238

50%

63

26%

54%

175

74%

49%

Impaired Not MCI

8

2%

4

50%

3%

4

50%

1%

Mild Cognitive Impairment

35

7%

14

40%

12%

21

60%

6%

Amnestic Multidomain Dementia

58

12%

16

28%

14%

42

72%

12%

Frontotemporal Dementia

25

5%

6

24%

5%

19

76%

5%

Primary Progressive Aphasia

100

21%

10

10%

9%

90

90%

25%

Other Dementia

8

2%

3

38%

3%

5

62%

1%




2.3.2 Diagnosis by CDR Score

Diagnosis of active participants by CDR Score

Global CDR Score

Diagnosis

0

0.5

1

2

3

CDR Pending

Total

% HRD

Cognitively Normal Control

223

10

0

0

0

5

238

26%

Impaired Not MCI

0

7

0

0

1

0

8

50%

Mild Cognitive Impairment

1

26

4

1

0

3

35

40%

Amnestic Multidomain Dementia

0

3

15

20

17

3

58

28%

Frontotemporal Dementia

1

3

8

6

4

3

25

24%

Primary Progressive Aphasia

16

23

13

18

26

4

100

10%

Other Dementia

0

2

4

0

2

0

8

38%

Total

241

74

44

45

50

18

472

25%




2.4 Demographics

2.4.1 Sex and Race/Ethnicity

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Active in RP

472

100%

116

25%

100%

356

75%

100%

Female

277

59%

80

29%

69%

197

71%

55%

White, non-hispanic

204

74%

7

3%

9%

197

97%

100%

Black or African American

54

19%

54

100%

68%

0

0%

0%

Asian

9

3%

9

100%

11%

0

0%

0%

Hispanic

9

3%

9

100%

11%

0

0%

0%

More than one race

1

<1%

1

100%

1%

0

0%

0%

Male

195

41%

36

18%

31%

159

82%

45%

White, non-hispanic

168

86%

9

5%

25%

159

95%

100%

Black or African American

15

8%

15

100%

42%

0

0%

0%

Asian

7

4%

7

100%

19%

0

0%

0%

Hispanic

5

3%

5

100%

14%

0

0%

0%




2.4.2 Race/Ethnicity Only

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Active in RP

472

100%

116

25%

100%

356

75%

100%

White, non-hispanic

372

79%

16

4%

14%

356

96%

100%

Black or African American

69

15%

69

100%

59%

0

0%

0%

Asian

16

3%

16

100%

14%

0

0%

0%

Hispanic

14

3%

14

100%

12%

0

0%

0%

More than one race

1

<1%

1

100%

<1%

0

0%

0%




2.4.3 Location

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Active in RP

472

100%

116

25%

100%

356

75%

100%

Within Chicago

149

32%

65

44%

56%

84

56%

24%

Outside of Chicago

323

68%

51

16%

44%

272

84%

76%

Within Cook county

103

32%

26

25%

51%

77

75%

28%

Within collar counties

78

24%

6

8%

12%

72

92%

26%

Not within cook or collar counties

142

44%

19

13%

37%

123

87%

45%




2.4.4 Urban/Rural

Active Participants by urban or rural location and proximity to NU ADRC

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Active in RP

472

100%

116

25%

100%

356

75%

100%

Rural

17

4%

17

100%

15%

0

0%

0%

Within Cook county

4

24%

4

100%

24%

0

0%

0%

Not within cook or collar counties

13

76%

13

100%

76%

0

0%

0%

Urban

455

96%

99

22%

85%

356

78%

100%

Within Cook county

248

55%

87

35%

88%

161

65%

45%

Within collar counties

78

17%

6

8%

6%

72

92%

20%

Not within cook or collar counties

129

28%

6

5%

6%

123

95%

35%




2.5 Biomarkers

2.5.1 Biomarker Participation

Breakdown of the participants active this RP with at least 1 imaging scan by modality, sequences and diagnosis

Total

Person with a diagnosis

Normal control

N

%

N

% of N

N

% of N

Total Active this RP

472

100%

234

50%

238

50%

At Least 1 Scan Completed

409

87%

202

49%

207

51%

MRI

393

96%

195

50%

198

50%

Structural

393

100%

195

50%

198

50%

Resting State

376

96%

181

48%

195

52%

Diffusion

377

96%

186

49%

191

51%

Flair

281

72%

116

41%

165

59%

All Sequences

261

66%

98

38%

163

62%

Amyloid PET

215

53%

115

53%

100

47%

FDG PET

89

22%

73

82%

16

18%

Tau PET

185

45%

103

56%

82

44%

No Scans Completed

63

13%

32

51%

31

49%




2.5.2 PET Read Results by Participant

PET Read Results by Participants Active this RP, scan type, and diagnosis

Total

Dementia

MCI

Normal control

N

%

N

% of N

N

% of N

N

% of N

Total Active in RP1

472

100%

199

42%

35

7%

238

50%

Positive PET Read

78

17%

65

83%

6

8%

7

9%

Amyloid & Tau

50

64%

41

82%

4

8%

5

10%

Amyloid

17

22%

13

76%

2

12%

2

12%

Tau

11

14%

11

100%

0

0%

0

0%

Negative PET Read

95

20%

44

46%

1

1%

50

53%

Amyloid & Tau

55

58%

20

36%

1

2%

34

62%

Amyloid

33

35%

21

64%

0

0%

12

36%

Tau

7

7%

3

43%

0

0%

4

57%

Borderline PET Read

1

<1%

1

100%

0

0%

0

0%

Tau

1

100%

1

100%

0

0%

0

0%

No PET Reads

298

63%

89

30%

28

9%

181

61%

PET Scans without reads

86

29%

23

27%

10

12%

53

62%

No PET Scans

212

71%

66

31%

18

8%

128

60%

1This table reports PET read results for participants active during the reporting period. Participants that have had PET scans without a corresponding read (Amyloid, Tau, or FDG) are grouped under “PET Scans without Reads.” Participants in all categories may also have MRI scans available.




2.5.3 Total Scan Completion

Biomarker scans completed by the imaging core by modality, sequences and diagnosis for participants active over this RP.

Total

Person with a diagnosis

Normal control

N

%

N

% of N

N

% of N

Total Scans for Active Participants this RP

1,596

100%

834

52%

762

48%

MRI

951

60%

443

47%

508

53%

Structural

949

100%

442

47%

507

53%

Resting State

868

91%

391

45%

477

55%

Diffusion

873

92%

402

46%

471

54%

Flair

581

61%

191

33%

390

67%

All Sequences

533

56%

156

29%

377

71%

Amyloid PET

274

17%

135

49%

139

51%

Tau PET

260

16%

162

62%

98

38%

FDG PET

111

7%

94

85%

17

15%




2.5.4 Scan Completion This RP

Biomarker scans completed this reporting period by modality, sequences, and diagnosis

Total

Person with a diagnosis

Normal control

N

%

N

% of N

N

% of N

Total Scans for Active Participants this RP

255

100%

152

60%

103

40%

MRI

98

38%

57

58%

41

42%

Structural

98

100%

57

58%

41

42%

Resting State

93

95%

53

57%

40

43%

Diffusion

87

89%

46

53%

41

47%

Flair

89

91%

48

54%

41

46%

All Sequences

78

80%

38

49%

40

51%

Amyloid PET

65

25%

34

52%

31

48%

Tau PET

62

24%

32

52%

30

48%

FDG PET

30

12%

29

97%

1

3%




2.5.5 PET Read Results by Scans

Read results of amyloid and tau scans for active participants by diagnosis.

Total

Person with a diagnosis

Normal control

N

%

N

% of N

N

% of N

Total Amyloid and/or PET scans

400

100%

218

55%

182

46%

Amyloid PET

215

54%

115

53%

100

47%

Positive

61

28%

54

89%

7

11%

Negative

94

44%

48

51%

46

49%

No Reads

60

28%

13

22%

47

78%

Tau PET

185

46%

103

56%

82

44%

Positive

53

29%

53

100%

0

0%

Negative

69

37%

27

39%

42

61%

No Reads

61

33%

22

36%

39

64%




2.6 Blood Draws

2.6.1 Blood Draw and APOE Status

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Active in RP

472

100%

116

25%

100%

356

75%

100%

Participants with at least 1 blood draw

449

95%

104

23%

90%

345

77%

97%

APOE captured

430

96%

102

24%

98%

328

76%

95%

APOE not currently expected

10

2%

1

10%

<1%

9

90%

3%

APOE pending

9

2%

1

11%

<1%

8

89%

2%

Participants with no blood draw

23

5%

12

52%

10%

11

48%

3%

APOE captured

8

35%

5

62%

42%

3

38%

27%

APOE not currently expected

15

65%

7

47%

58%

8

53%

73%




2.6.2 Blood Draws within RP

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Active in RP

472

100%

116

25%

100%

356

75%

100%

Blood draw within RP

218

46%

61

28%

53%

157

72%

44%

No blood draw within RP

254

54%

55

22%

47%

199

78%

56%




2.7 Brain Donation

2.7.1 Brain Donation

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Active in RP

472

100%

116

25%

100%

356

75%

100%

Agreed or considering

441

93%

108

24%

93%

333

76%

94%

Agreed to autopsy

377

85%

86

23%

80%

291

77%

87%

Considering autopsy

64

15%

22

34%

20%

42

66%

13%

Not agreed or unknown

31

7%

8

26%

7%

23

74%

6%

Autopsy intent unknown

2

6%

2

100%

25%

0

0%

0%

Refused autopsy

29

94%

6

21%

75%

23

79%

100%

2.7.2 Brain Donation Cumulative

The brain donation status of participants active since the start of the grant.

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Active in Grant Period

656

100%

154

23%

100%

502

77%

100%

Agreed or considering

606

92%

141

23%

92%

465

77%

93%

Agreed to autopsy

514

85%

111

22%

79%

403

78%

87%

Considering autopsy

92

15%

30

33%

21%

62

67%

13%

Not agreed or unknown

50

8%

13

26%

8%

37

74%

7%

Autopsy intent unknown

2

4%

2

100%

15%

0

0%

0%

Refused autopsy

48

96%

11

23%

85%

37

77%

100%




3 Recruitment




3.1 Recruited this RP

3.1.1 Recruitment Method

The recruitment method of each individual added to the ADRC registry during the reporting period. Interested individuals either complete the online registry survey, express interest at an event or directly contact a study team member through email or phone.

Total

HRD

Non-HRD

Unknown

N

%

N

%

% of Non-HRD

N

%

% of HRD

N

%

% of URG

Total Recruited in RP

1,191

100%

820

69%

100%

299

25%

100%

72

6%

100%

Online Survey

995

84%

811

82%

99%

118

12%

39%

66

7%

92%

Event

196

16%

9

5%

1%

181

92%

61%

6

3%

8%




3.1.2 Recruitment Source

The recruitment source of each individual added to the ADRC registry during the reporting period.

Total

HRD

Non-HRD

Unknown

N

%

N

%

% of HRD

N

%

% of Non-HRD

N

%

% of URG

Total Recruited in RP

1,191

100%

299

25%

100%

820

69%

100%

72

6%

100%

NM Clinician

384

32%

43

11%

14%

322

84%

39%

19

5%

26%

Internet

231

19%

27

12%

9%

201

87%

25%

3

1%

4%

Event

192

16%

177

92%

59%

9

5%

1%

6

3%

8%

Media Coverage

106

9%

12

11%

4%

92

87%

11%

2

2%

3%

Unknown

92

8%

14

15%

5%

37

40%

5%

41

45%

57%

Word of Mouth

64

5%

7

11%

2%

56

88%

7%

1

2%

1%

Non-NM Clinician

62

5%

6

10%

2%

56

90%

7%

0

0%

0%

Social Media

40

3%

7

18%

2%

33

82%

4%

0

0%

0%

Email Blast/E-newsletter

12

1%

4

33%

1%

8

67%

<1%

0

0%

0%

Support Group

5

<1%

0

0%

0%

5

100%

<1%

0

0%

0%

Flyer

2

<1%

1

50%

<1%

1

50%

<1%

0

0%

0%

Clinical Trials Referral

1

<1%

1

100%

<1%

0

0%

0%

0

0%

0%




3.1.3 Recruitment Status

The recruitment status of the individuals that were added to the ADRC registry during the reporting period. The below status span across all ADRC affiliated, co-enrolled studies. For example, if a participant was co-enrolled into the Clinical Core Study and the SuperAging Study, but was determined ineligible for PPA and Clinical Trials, the overall clinical core and affiliated studies status would be “Enrolled”, because the participant enrolled into at least one affiliated study and co-enrolled into Clinical Core.

Total

HRD

Non-HRD

Unknown

N

%

N

%

% of Non-HRD

N

%

% of HRD

N

%

% of URG

Total Recruited in RP

1,191

100%

820

69%

100%

299

25%

100%

72

6%

100%

Enrolled

53

4%

30

57%

4%

21

40%

7%

2

4%

3%

Eligible

5

<1%

4

80%

<1%

1

20%

<1%

0

0%

0%

Potentially Eligible

651

55%

404

62%

49%

193

30%

65%

54

8%

75%

Ineligible

452

38%

362

80%

44%

75

17%

25%

15

3%

21%

Not Interested

21

2%

18

86%

2%

3

14%

1%

0

0%

0%

Not Yet Evaluated

9

<1%

2

22%

<1%

6

67%

2%

1

11%

1%




3.1.4 Cumulative Recruitment

Cumulative Enrollment into the Recruitment Registry since the start of the grant.

Total

HRD

Non-HRD

Unknown

N

%

N

%

% of Non-HRD

N

%

% of HRD

N

%

% of URG

Total Recruited in Grant Period

4,630

100%

2,647

57%

100%

832

18%

100%

1,151

25%

100%

Online Survey

3,452

75%

2,420

70%

91%

411

12%

49%

621

18%

54%

Historic Import

715

15%

190

27%

7%

28

4%

3%

497

70%

43%

Event

463

10%

37

8%

1%

393

85%

47%

33

7%

3%

4 Co-Enrollments




4.1 Co-Enrolled Studies

4.1.1 Current Co-Enrollments

Currently active clinical core participants that are also currently active in affiliated studies by HRD status (N Active = 472)

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total

448

100%

95

21%

100%

353

79%

100%

PPA

238

53%

26

11%

27%

212

89%

60%

NUSAP

123

27%

27

22%

28%

96

78%

27%

ADNI-4

24

5%

17

71%

18%

7

29%

2%

ADNI-3

20

4%

11

55%

12%

9

45%

3%

CLARITI

20

4%

8

40%

8%

12

60%

3%

ALLFTD

12

3%

2

17%

2%

10

83%

3%

AHEAD 3-45

5

1%

0

0%

0%

5

100%

1%

APEX

2

<1%

2

100%

2%

0

0%

0%

LEADS

2

<1%

1

50%

1%

1

50%

<1%

Buddy Program

1

<1%

1

100%

1%

0

0%

0%

Veri-T

1

<1%

0

0%

0%

1

100%

<1%

  • NUSAP includes all participants that signed a NUSAP, RO1, or U19 consent form. Out of the 228 participants that have ever signed one of these consent forms, 123 were active in the reporting period in core.



4.1.2 Ever Co-Enrolled for Active

Currently active clinical core participants that have ever co-enrolled in an affiliated study by HRD status (N Active = 472)

Total

HRD

Non-HRD

N

%

N

%

% of Non-HRD

N

%

% of HRD

Total

652

100%

519

80%

100%

133

20%

100%

PPA

298

46%

262

88%

50%

36

12%

27%

NUSAP

123

19%

96

78%

18%

27

22%

20%

ARMADA

49

8%

39

80%

8%

10

20%

8%

CB2

34

5%

32

94%

6%

2

6%

2%

CLARITI

26

4%

14

54%

3%

12

46%

9%

ADNI-4

25

4%

7

28%

1%

18

72%

14%

ADNI-3

20

3%

9

45%

2%

11

55%

8%

ALLFTD

20

3%

16

80%

3%

4

20%

3%

CB1

9

1%

8

89%

2%

1

11%

<1%

LEADS

8

1%

5

62%

<1%

3

38%

2%

LEARN

8

1%

7

88%

1%

1

12%

<1%

Viva-Mind

7

1%

4

57%

<1%

3

43%

2%

A4

6

<1%

6

100%

1%

0

0%

0%

Veri-T

6

<1%

5

83%

<1%

1

17%

<1%

AHEAD 3-45

5

<1%

5

100%

<1%

0

0%

0%

Buddy Program

4

<1%

3

75%

<1%

1

25%

<1%

APEX

2

<1%

0

0%

0%

2

100%

2%

MIND/NIC

1

<1%

0

0%

0%

1

100%

<1%

T2 Protect

1

<1%

1

100%

<1%

0

0%

0%




4.1.3 Co-Enrollments Since Grant Start

Participants enrolled in the grant period that were ever enrolled in an affiliated study by HRD status.

Total

HRD

Non-HRD

N

%

N

%

% of Non-HRD

N

%

% of HRD

Total

832

100%

675

81%

100%

157

19%

100%

PPA

388

47%

340

88%

50%

48

12%

31%

NUSAP

161

19%

130

81%

19%

31

19%

20%

ARMADA

63

8%

51

81%

8%

12

19%

8%

CB2

41

5%

39

95%

6%

2

5%

1%

CLARITI

26

3%

14

54%

2%

12

46%

8%

ADNI-4

25

3%

7

28%

1%

18

72%

11%

ALLFTD

24

3%

18

75%

3%

6

25%

4%

CB1

23

3%

22

96%

3%

1

4%

<1%

ADNI-3

21

3%

10

48%

1%

11

52%

7%

LEADS

17

2%

11

65%

2%

6

35%

4%

LEARN

9

1%

8

89%

1%

1

11%

<1%

Viva-Mind

7

<1%

4

57%

<1%

3

43%

2%

A4

6

<1%

6

100%

<1%

0

0%

0%

Veri-T

6

<1%

5

83%

<1%

1

17%

<1%

AHEAD 3-45

5

<1%

5

100%

<1%

0

0%

0%

Buddy Program

4

<1%

3

75%

<1%

1

25%

<1%

APEX

3

<1%

0

0%

0%

3

100%

2%

T2 Protect

2

<1%

2

100%

<1%

0

0%

0%

MIND/NIC

1

<1%

0

0%

0%

1

100%

<1%




4.1.4 FTLD Co-Enrollments

Active participants ever enrolled in the FTLD module:

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Active in RP

472

100%

116

25%

100%

356

75%

100%

Enrolled

27

6%

7

26%

6%

20

74%

6%

Not Enrolled

445

94%

109

24%

94%

336

76%

94%




4.1.5 SuperAging Ever Co-Enrolled by Diagnosis

Participants Active in Clinical Core during this reporting period and ever enrolled in the SuperAging RO1 or U19 by Diagnosis

Total

Enrolled in SuperAging

Not Enrolled in SuperAging

Total Active in RP

472

123

349

Amnestic Multidomain Dementia

58

3

55

Mild Cognitive Impairment

35

8

27

Frontotemporal Dementia

25

0

25

Cognitively Normal Control

238

110

128

Primary Progressive Aphasia

100

0

100

Other Dementia

8

0

8

All NUSAP participants (Any participation in any Northwestern SuperAging Program) by type of SuperAging participation and clinical core participation status

Total

NUSAP Enrolled Only

SA & NUSAP Enrolled

SA Enrolled Only

Total NU SuperAging Participants

228

24

77

127

Actively Followed

109

24

69

16

Minimal Contact

3

0

0

3

Deceased

86

0

6

80

Discontinued

26

0

2

24

Not Enrolled in Core

4

0

0

4

There are 11 participants that were active in the clinical core during this reporting period that have since died or discontinued.





5 Deceased Participants




5.1 Neuropathology

5.1.1 Deaths & Autopsies

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Deaths in RP

42

100%

7

17%

100%

35

83%

100%

Autopsy Completed

35

83%

5

14%

71%

30

86%

86%

Agreed to autopsy

34

97%

5

15%

100%

29

85%

97%

Considering autopsy

1

3%

0

0%

0%

1

100%

3%

No Autopsy Expected

7

17%

2

29%

29%

5

71%

14%

Agreed to autopsy

4

57%

1

25%

50%

3

75%

60%

Refused autopsy

3

43%

1

33%

50%

2

67%

40%




5.1.2 Neuropath Forms

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Autopsies in RP

35

100%

5

14%

100%

30

86%

100%

NP forms completed

27

77%

4

15%

80%

23

85%

77%

NP forms not completed

8

23%

1

12%

20%

7

88%

23%




5.1.3 Deaths since the start of the grant:

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Deaths in Grant Period

176

100%

29

16%

100%

147

84%

100%

Autopsy Completed

136

77%

20

15%

69%

116

85%

79%

Agreed to autopsy

134

99%

20

15%

100%

114

85%

98%

Considering autopsy

2

1%

0

0%

0%

2

100%

2%

No Autopsy Expected

40

23%

9

22%

31%

31

78%

21%

Agreed to autopsy

19

48%

4

21%

44%

15

79%

48%

Refused autopsy

11

28%

1

9%

11%

10

91%

32%

Considering autopsy

10

25%

4

40%

44%

6

60%

19%




6 NACC Packet Submissions




6.1 NACC Packets/Forms

Uploaded this RP

2025-02-01

2026-06-30

Total Packets

422

10,346

10,768

Initial UDS

37

1,464

1,501

Initial (Telephone + In-person)

37

1,464

1,501

Follow-up UDS

266

5,984

6,250

In-person Follow-up

205

3,602

3,807

Telephone Follow-up

61

2,382

2,443

FLTD Module

8

219

227

FTLD Initial

2

131

133

FTLD Follow-up

6

88

94

Other

111

2,679

2,790

Milestone

78

1,947

2,025

Neuropath data form

33

472

505




6.2 Initial Packet Diagnoses

The breakdown of diagnoses of Demented, MCI, Impaired Not MCI, or Normal Control as of the initial UDS visit.

N

Total Initial Packets

1,501

Cognitively Normal Controls

528

Dementia

801

Impaired, not MCI

7

MCI

165




7 Psychosocial Pathway




7.1 Psychosocial Pathway Numbers

7.1.1 Referrals by Status and Duration

Total

HRD

Non-HRD

N

%

Ave. Effort (min)

N

%

% of HRD

N

%

% of Non-HRD

Total Requests in RP

35

100%

6

17%

100%

29

83%

100%

Completed

25

71%

46.76

3

12%

50%

22

88%

76%

Denied

6

17%

2

33%

33%

4

67%

14%

In progress

3

9%

20.00

1

33%

17%

2

67%

7%

Unknown

1

3%

0

0%

0%

1

100%

3%




7.1.2 Referrals by Status, Risk Flag and Duration

Total

HRD

Non-HRD

N

%

Ave. Effort (min)

N

%

% of HRD

N

%

% of Non-HRD

Total Requests in RP

35

100%

6

17%

100%

29

83%

100%

Completed

25

71%

46.76

3

12%

50%

22

88%

76%

No Risk Flag

22

88%

41.09

2

9%

67%

20

91%

91%

Risk Flag

3

12%

88.33

1

33%

33%

2

67%

9%

Denied

6

17%

2

33%

33%

4

67%

14%

No Risk Flag

6

100%

2

33%

100%

4

67%

100%

In progress

3

9%

20.00

1

33%

17%

2

67%

7%

No Risk Flag

3

100%

20.00

1

33%

100%

2

67%

100%

Unknown

1

3%

0

0%

0%

1

100%

3%

No Risk Flag

1

100%

0

0%

0%

1

100%

100%




7.1.3 Referrals Participant Type

Total

HRD

Non-HRD

N

%

Ave. Effort (min)

N

%

% of HRD

N

%

% of Non-HRD

Total

45

100%

8

18%

100%

37

82%

100%

Care/Study Partner

26

58%

48.50

5

19%

62%

21

81%

57%

Participant

19

42%

42.71

3

16%

38%

16

84%

43%

**Requests may be counted twice if the participant and study partner were involved




7.1.4 Referrals by Area

Total

HRD

Non-HRD

N

%

Ave. Effort (min)

N

%

% of HRD

N

%

% of Non-HRD

Total

49

100%

8

16%

100%

41

84%

100%

Abuse *

3

6%

88.33

1

33%

12%

2

67%

5%

Access to resources

12

24%

31.27

2

17%

25%

10

83%

24%

Brain donation

1

2%

10.00

1

100%

12%

0

0%

0%

Caregiver burden

11

22%

49.50

3

27%

38%

8

73%

20%

Decline in neuropsych scores

1

2%

15.00

0

0%

0%

1

100%

2%

Depression

8

16%

46.88

0

0%

0%

8

100%

20%

Family conflict

2

4%

47.50

0

0%

0%

2

100%

5%

Other

5

10%

48.50

0

0%

0%

5

100%

12%

Retention concern

6

12%

34.17

1

17%

12%

5

83%

12%

**Requests may be counted multiple times if multiple areas of concern are selected

7.1.5 Refferals by Discontinuations

Since 2021:
All participants that engaged in the Psychosocial Pathway since 2021 by their discontinuation status.

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Discontinuations Since Start Of Psychosocial Pathway

165

100%

45

27%

100%

120

73%

100%

Retained

137

83%

34

25%

76%

103

75%

86%

Discontinued

28

17%

11

39%

24%

17

61%

14%

This RP:
All participants that engaged in the Psychosocial Pathway over the reporting period by their discontinuation status.

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total Discontinuations this RP

35

100%

6

17%

100%

29

83%

100%

Retained

34

97%

6

18%

100%

28

82%

97%

Discontinued

1

3%

0

0%

0%

1

100%

3%

7.1.6 Discontinuations

2021-Present All discontinuations from the ADRC study 2021-Present categorized by year

N

Discontinued Per Year

65

2021

18

2022

17

2023

11

2024

12

2025

6

2026

1

Mean Change in Discontinuation from 2021-present: -33%

Discontinuations over the Reporting Period All discontinuations from the ADRC study over the current reporting period by whether participant had psychosocial/retention pathway and their Diagnosis.

Total

HRD

Non-HRD

N

%

N

%

% of HRD

N

%

% of Non-HRD

Total

6

100%

2

33%

100%

4

67%

100%

Retention Pathway

4

67%

1

25%

50%

3

75%

75%

Dementia

1

25%

1

100%

100%

0

0%

0%

Normal Control

3

75%

0

0%

0%

3

100%

100%

No Retention Pathway

2

33%

1

50%

50%

1

50%

25%

Dementia

0

0%

0

0%

0%

0

0%

0%

Normal Control

2

100%

1

50%

100%

1

50%

100%




8 Data Management




8.1 Data Requests

Number of data requests completed or in-progress during the reporting period by type of data request

N

% of Total

Total Requests

632

100%

Data Pulls for Publication

118

19%

Data Pulls for Internal Tracking

249

39%

Database Management

126

20%

Reports/Visualizations

53

8%

Data Quality Checks

86

14%




8.2 Data Request Type and Effort Breakdown:

Breakdown of the number of data requests completed or in-progress by the data management during the reporting period by data request type and the effort spent on each type of request.

9 Progress Report Data Sets

The below data is stored in the Mesulam Center P30_RPPR SharePoint Folder. The sharing privileges for each file is restricted to “people with existing access” to the SharePoint site. Please reach out to for access questions.

Active Participants Data Set
Deceased Participants Data Set
Visit During RP Data Set
Data Dictionary for the above Data Sets.
Cumulative Enrollment Demograpic Data Set