Streamlining eligibility assessment for Alzheimer's disease-modifying therapies: Prediction of MMSE scores using the digital clock and recall - Scorecard - MDSpire

Streamlining eligibility assessment for Alzheimer's disease-modifying therapies: Prediction of MMSE scores using the digital clock and recall

  • By

  • Ali Jannati

  • Claudio Toro-Serey

  • Marissa Ciesla

  • Emma Chen

  • John Showalter

  • David Bates

  • Alvaro Pascual-Leone

  • Sean Tobyne

  • July 9, 2026

  • 0 min

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Clinical Scorecard: Optimizing Eligibility Evaluation for Alzheimer's Disease Treatment: Predicting MMSE Outcomes with the Digital Clock and Recall Method

At a Glance

CategoryDetail
ConditionAlzheimer's Disease
Key MechanismsDigital cognitive assessment using machine learning to predict MMSE scores.
Target PopulationOlder adults with mild cognitive impairment or early dementia due to Alzheimer's disease.
Care SettingClinical practice integrating anti-amyloid disease-modifying therapies.

Key Highlights

  • Digital Clock and Recall (DCR™) offers a rapid, equitable cognitive assessment.
  • Machine learning model predicts MMSE scores with RMSE comparable to manual MMSE.
  • DCR demonstrates reduced bias against underrepresented racial and ethnic groups.

Guideline-Based Recommendations

Diagnosis

  • Utilize DCR for cognitive assessment to determine eligibility for DMTs.

Management

  • Incorporate DCR in clinical workflows to streamline patient triage for DMT eligibility.

Monitoring & Follow-up

  • Monitor cognitive function using DCR as a less biased alternative to MMSE.

Risks

  • Relying on MMSE may perpetuate health disparities in treatment eligibility.

Patient & Prescribing Data

Older adults with cognitive impairment or early dementia.

DMTs like lecanemab and donanemab target amyloid pathology in Alzheimer's disease.

Clinical Best Practices

  • Adopt digital cognitive assessments to improve diagnostic accuracy.
  • Ensure equitable access to cognitive assessments across diverse populations.

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