Lisa came across a recent article discussing an interview between Scientific American Custom Media and Bill Gates. What he has disclosed in his interview is some of the most encouraging and promising information out there in terms of advancing the development of treatments or cures for Alzheimer’s disease. Don’t miss this very important information! Some of the highlights include:

• Bill Gates shares what sparked his interest in finding a treatment and/or cure for Alzheimer’s disease.
• Bill Gates describes the current outlook for Alzheimer’s research and clinical practice.
• Bill Gates discloses where he has directed funding to accelerate development of diagnostic technologies for Alzheimer’s.
• Bill Gates responds to the question ‘What is the biggest obstacle to making progress on Alzheimer’s’
• And much, much, more.  

Mentioned Resources: The article is a collaboration produced in partnership with the Davos Alzheimer’s Collaborative by Scientific American Custom Media.

About the Host:

Author Lisa Skinner is a behavioral specialist with expertise in Alzheimer’s disease and related dementia. In her 30+year career working with family members and caregivers, Lisa has taught them how to successfully navigate the many challenges that accompany this heartbreaking disease. Lisa is both a Certified Dementia Practitioner and is also a certified dementia care trainer through the Alzheimer’s Association. She also holds a degree in Human Behavior.

Her latest book, “Truth, Lies & Alzheimer’s – Its Secret Faces” continues Lisa’s quest of working with dementia-related illnesses and teaching families and caregivers how to better understand the daunting challenges of brain disease. Her #1 Best-seller book “Not All Who Wander Need Be Lost,” was written at their urging. As someone who has had eight family members diagnosed with dementia, Lisa Skinner has found her calling in helping others through the struggle so they can have a better-quality relationship with their loved ones through education and through her workshops on counter-intuitive solutions and tools to help people effectively manage the symptoms of brain disease. Lisa Skinner has appeared on many national and regional media broadcasts. Lisa helps explain behaviors caused by dementia, encourages those who feel burdened, and gives practical advice for how to respond.

So many people today are heavily impacted by Alzheimer's disease and related dementia. The Alzheimer's Association and the World Health Organization have projected that the number of people who will develop Alzheimer's disease by the year 2050 worldwide will triple if a treatment or cure is not found. Society is not prepared to care for the projected increase of people who will develop this devastating disease. In her 30 years of working with family members and caregivers who suffer from dementia, Lisa has recognized how little people really understand the complexities of what living with this disease is really like. For Lisa, it starts with knowledge, education, and training.

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Hi, everybody, welcome back to a another brand new episode of the Truth Lies & Alzheimer's show. I am Lisa Skinner, your host. And what I have to share with you today, I am extremely excited about, I ran across an article of somebody interviewing Bill Gates, about what is going on in research and development in the Alzheimer's world. And when I read this, I was doing backflips because I do a lot of research about Alzheimer's research and development and keeping up with the with all the current trends and you know what's happening. And I can honestly tell you that it is almost impossible to find a resource out there that goes into detail about what is actually being researched and developed. And in this article, he gets very detailed and very specific about what actually is happening in that realm. And so I am very, very excited to be able to share this information with you, and hope that you feel as hopeful and encouraged as I did after reading it. So let me get on with it. This is a very, very recent article. It was actually published June 15. Of so five days ago. And the title of it is the path Bill Gates sees to overcoming Alzheimer's disease biggest remaining challenges. And Bill Gates, for those of you who don't know, father lived with Alzheimer's disease for 13 years. So part of his inspiration for being involved was due to his own experience as a caregiver, and why he is doing everything he's doing to fight this disease. The article was produced in partnership with the Davos, Alzheimer's collaborative by Scientific American Custom Media. And a gentleman by the name of Tony Healy, interviewed him. So this is how Tony starts out. And I like I'm going to read this to you because I like the backstory about Bill Gates. And it all just kind of falls into place for everybody before they even start the interview. So here we go. It would be hard to imagine any person who's had more of an impact on public health than Bill Gates. Much of the wealth he amassed as founder of Microsoft has gone to charity. According to Fortune Magazine, he is one of only five billionaires to have given away more than 20% of his wealth. In 2023. The Bill and Melinda Gates Foundation, which he started with his former wife, Melinda Gates, spent more than $8 billion of its more than $70 billion endowment. Gates has focused his philanthropy largely on some of the most intractable health problems such as malaria, HIV and AIDS and childhood vaccinations. In recent years, he turned to Alzheimer's disease starting with diagnostics, and more recently expanding to Pro to omics, and health care programs related to the disease. Scientific American Custom Media, asked him about Alzheimer's disease. So this interview is specifically about Alzheimer's disease. First question, what sparked your interest in Alzheimer's? And how has your personal experience with the disease contributed to your decision to get involved in Bill Gates's response to that is, like many people I have a personal connection to Alzheimer's. My dad died from Alzheimer's so I understand I'm firsthand what a cruel disease it is, and how difficult it can be to watch a loved one suffer with it. We were fortunate to have the resources to provide my dad with excellent care. And our family is grateful for the wonderful caregivers who helped him in the 13 years he lived with the disease. But for the majority of families battling Alzheimer's disease. This is unfortunately not always an option. Caregiving most often falls to a spouse, or a child, which can be as many of you out there know, over whelming the financial burden of the disease is easier to quantify than the emotional cost. The lifetime cost of care for Alzheimer's and other dementias is rapidly increasing in the US, Japan, Europe and other countries. He says According to the Institute for Health Metrics and Evaluation, the global cost will exceed $1.6 trillion by the year 2050, and represent nearly 1/3 of all health care spending. Unlike those with many chronic diseases, people with Alzheimer's incur long term care costs as well as direct medical expenses. And if you get the disease in your 60s or 70s, you might require expensive care for decades. This is absolutely true. As I spent time learning about Alzheimer's and the research into it, I came to understand the challenges he says the brain can't be sampled easily or often. For example, and as we know, the blood brain barrier is a double edged sword. It both protects the brain, but it also makes it harder for treatments to get in as we are learning through the the information that is being disclosed to us about Locanda Mab infusions. That's not part of visit and review. I'm adding that on. So back to Bill, even so, as I learned about all the innovation in this field, I grew optimistic about the ability to make progress toward treatment and eventually a cure. This is a frontier where we can dramatically improve human life. It's a miracle that people are living so much longer today. But longer life expectancies alone are not enough. People should be able to enjoy their later years. And we need a breakthrough in Alzheimer's to fulfill that. Next question for Bill. As someone who takes a bird's eye view of major health issues, how would you describe the current outlook for Alzheimer's research and clinical practice? And Bill's response to that was after decades of negative clinical trials and

dozens of failed therapies, researchers are making progress on both diagnostics and therapeutics. Blood based diagnostics are advancing rapidly. The first blood test for Alzheimer's called passivity ad was launched in late 2020. A few others have followed since but we're looking forward to the first FDA cleared blood tests on the horizon. And he emphasizes once this becomes a reality. The next hurdle will be ensuring these tests are used properly accessible and available to the patients that need them and that we understand how these tests work in different patient populations. He continues to say the therapeutic pipeline is diverse and robust. At the beginning of 2023. There were 187 trials assessing 141 Different therapeutics, the anti amyloid agent Locanda Mab has been approved for you Use inpatients and the other medication Denat. MAB is expected to follow soon. Other therapeutics in the pipeline include disease modifying therapies, and cover a wide range of approaches including amyloid and tau, but also newer mechanisms such as neuro inflammation, synaptic Platts, plasticity, neuro protection, metabolism and oxidative stress. This the siting for that is Jay Cummings at all. Alzheimer's demand paren and why? And paren April to June 2023, volume nine, e 12385. This is so exciting. With these other breakthroughs that are coming, it's fair to say we are at a tipping point on Alzheimer's. Next question for Bill. In recent years, you've directed funding to accelerate development of diagnostic technologies for Alzheimer's disease. Why did you pick that particular area to start? And his response to that question is we systematically looked at the barriers to a research and development on Alzheimer's disease. And we heard consistently, that not having a simple, non evasive, scalable and relatively inexpensive diagnostic, such as a blood test was a key challenge. It's a barrier to early diagnosis and subsequent enrollment in clinical trials. And continuing to make advancements on the disease depends on getting enough people enrolled early enough in trials. And another problem is that the commercial market for diagnostics does not stimulate investment. I found that to be extremely interesting. So as he continues, potential scientific breakthroughs are not being pushed forward as rapidly as they should be. This is why Bill has partnered with the Alzheimer's drug discovery foundation to create the diagnostics accelerator, which is designed to advance bold ideas for easier, more accurate and earlier diagnosis of Alzheimer's disease. The next question posed to Bill Gates, do you have any plans to direct funding to accelerate progress in other areas of Alzheimer's such as treatments, diversity in clinical trials? And or public health outreach or others? And his response to that question is we're focused on five areas, one, understanding the biology of the disease, two, diagnosing it, three, treating it for overcoming bottlenecks in clinical trials, and five, making it easier for researchers to share data with each other. And then he goes on to say, one of our latest investments is with the global neuro degeneration pro omics Consortium, which brings together data from more than 40,000 blood samples around the world. So researchers can identify biomarkers for detecting neurodegenerative diseases, and identifying new mechanisms to test. We're also partners in the clinical trial recruitment lab, and the global Alzheimer's platform, which is called the bio air maze study, both of which are aimed at recruiting people from diverse back backgrounds to join clinical trials. He says they are also partnering in the Davos, Alzheimer's collaborative health care system preparedness initiative, as well as recently announced innovative health initiative funded program which is goes by the acronym A D hyphen, r i d d L E, and these are all of which are efforts to ensure that breakthroughs can be deployed in healthcare systems once they are approved for use. The next question, you've written about how data sharing is vital to learning more about Alzheimer's disease and in accelerating the progress? Why is it so important? And how is that effort going? And his responses. Over the past few decades, drug trials and longitudinal cohort studies have generated an enormous amount of data. But right now, that information is not being shared to the fullest extent possible. Much of it remains locked away or accessible to only select groups. That is a missed opportunity as well as a disservice to the people who agreed to join study so they can help advance the field. To unlock to help unlock these datasets while making sure they're used responsibly, he goes on, we worked with several partners to launch the Alzheimer's disease data initiative. Our goal is to help researchers from around the world access more information by making data and data platforms inter operable. So far, the effort has established interoperability with several data platforms, including the dementias platform UK portal, which is called the vivli platform, and the global Alzheimer's Association interactive network platform. And the acronym for that is G A I N.

Bill continued to tell us that more recently, they've gotten involved in the European platform for Neo, sorry, neurodegenerative diseases, the acronym for that is E, P, and D, which is a building platform that will help researchers make their data and biosamples. shareable. Their platform will build on data and analysis tools made available by the Alzheimer's disease data initiative, including the global research and imaging platform, which is a nonprofit organization that he personally funds. Finally, they've created a two year fellowship, which is named after Bill Gates, his dad, that brings in researchers from around the world to work on data analysis, and to champion the idea of inter operability. And the last question that bill was asked in his interview is what is the biggest obstacle to making progress on Alzheimer's? Is there a cultural shift that needs to happen? And he answered that this way. Although we've recently seen important advances in therapeutics and diagnostics, there is still a lot we don't know about Alzheimer's disease and the brain. timely diagnosis is the first major shift that needs to happen. Many studies have shown that Alzheimer's disease and dementia are dramatically under diagnosed today. If we're able to catch the disease sooner, we'll be able to give patients more options for treatment, more social services, and the ability to participate in clinical trials and other research opportunities. But Alzheimer's disease is also a heterogeneous disease. And patients who have it show a wide range of pathologies in the brain and resulting symptoms. He says I'm hopeful that the field will be able to capitalize on recent advances in diagnosis and treatment, and also make it easier and more efficient for people to enroll in Alzheimer's clinical trials. So we can continue to improve our understanding of subtypes. And I'm interjecting this, as you recall me telling you many times there are actually over 200 known brain diseases that cause dementia. Alzheimer's is the number one and the one that most of us are familiar So, so he is, is really stressing that we need to be able to continue to improve our understanding of the subtypes of the disease, and target our efforts at treatment and prevention. Finally, he says, There is a lot of stigma surrounding neuro degenerative diseases, that makes it harder to discuss them openly. I don't think any of us can debate that it's so true. But he says, I think a lot of that is driven by the fact that these diseases seem so mysterious. Because we haven't had sophisticated diagnostics or treatments. He's optimistic that as more advances happen, the stigma will eventually fade, an open public conversations about Alzheimer's will accelerate progress even more. So as a final note, this article is part of the new age of Alzheimer's, a special report on the advances fueling hope for ending this devastating disease. You can learn more about the innovation ecosystem that Davos, Alzheimer's collaborative is building to speed breakthroughs, and end disease, go to Davos, Alzheimer's collaborative, to learn more, I cannot reinforce to you how promising this sounds to me, because Bill really went into a lot of detail about what's happening out there in the Alzheimer's research and development world that probably none of us were even aware. We're going on. And he's the man behind the curtain, because he is directly involved in everything that I shared with you today. And another little trivial piece of information that I ran across that I think really relates to what this interview is saying is there's a statistic out there that I read recently that says Did you know that 62% of healthcare practitioners believe that dementia is a normal part of aging. I think that's mind blowing, that 62% of healthcare practitioners would believe that in June of 2024. So until we change people's perceptions, change the stigmas, educate people, and like Bill Gates says start talking about it. These statistics aren't going to change but at least we can rest assure now after realizing what he is up to, to help try to find a treatment and or a cure for Alzheimer's disease is really, really happening. And I couldn't be more pleased to have read this information. So that concludes the truth lies and Alzheimer's episode for this week. I hope from the bottom of my heart that you find this information as encouraging and promising as I have, and that you will come back next week for another new episode of the Truth Lies and Alzheimer's show with Lisa Skinner as your host. I look forward to seeing y'all again and have a great rest of your week. Bye for now.