Finger-Prick Blood Test Could Transform Alzheimer’s Diagnosis

Finger-Prick Blood Test Could Transform Alzheimer’s Diagnosis

A major international research effort is testing whether a simple finger-prick blood test can help diagnose Alzheimer’s disease earlier, faster, and at lower cost.

If successful, it could replace or reduce reliance on expensive brain scans and invasive spinal taps—methods that remain inaccessible for many patients worldwide.

Why Alzheimer’s Diagnosis Needs a Reset

Today, Alzheimer’s is typically diagnosed using:

  • PET scans
  • MRI scans
  • Lumbar punctures (spinal taps)

These methods are:

  • Expensive
  • Invasive
  • Time-consuming
  • Limited to specialized healthcare centers

As disease-modifying therapies emerge, this diagnostic bottleneck is becoming a critical problem.

How the Finger-Prick Test Works?

The test uses a dried blood plasma separation card, collected via a finger prick.

Key advantages:

  • No refrigeration required
  • Stable at room temperature
  • Easy to store and ship
  • Low-cost and scalable

This makes it suitable for large population screening and use in low-resource settings.

What the Study Is Measuring?

Researchers are analyzing three blood-based biomarkers strongly linked to Alzheimer’s disease:

  • pTau217 (phosphorylated tau 217)
  • GFAP (glial fibrillary acidic protein)
  • NfL (neurofilament light polypeptide)

These results will be compared against:

  • PET and MRI scans
  • Other blood-based tests
  • Digital biomarkers such as speech analysis, retinal imaging, and cognitive testing

Inside the Bio-Hermes-002 Trial

The finger-prick test is being evaluated within the Bio-Hermes-002 study, led by the Global Alzheimer’s Platform Foundation (GAP).

Key facts:

  • Target enrollment: 1,000 participants
  • Enrolled so far: 883
  • Study sites: 25 across the UK, US, and Canada
  • Participants include:
    • Cognitively normal individuals
    • People with mild cognitive impairment
    • Patients with mild to moderate Alzheimer’s

More than 360 participants have already completed the finger-prick test.

Partners include:

  • LifeArc
  • UK Dementia Research Institute (UK DRI) and its Biomarker Factory

Why Early Detection Changes Everything?

Earlier diagnosis means:

  • Earlier access to emerging disease-modifying therapies
  • Better chances of slowing disease progression
  • Improved patient planning and support

According to LifeArc, blood-based biomarkers now make it possible to identify high-risk individuals before symptoms appear, but only if testing is affordable and accessible.

Expert Perspectives

LifeArc emphasizes scalability and access:

  • Cheaper tests enable wider screening
  • More patients can qualify for early-stage treatments

GAP highlights equity:

  • Simple blood tests could reach people without access to specialist clinics

UK DRI researchers underline the scientific value:

  • Results will be directly benchmarked against gold-standard diagnostics
  • The study includes a high proportion of under-represented populations

A Personal Story Behind the Science

Dr Michael Sandberg, a London-based GP, joined the study after witnessing Alzheimer’s firsthand through his mother’s diagnosis.

Key takeaways from his experience:

  • Clinical trials gave his mother meaningful extra time
  • Early detection can change treatment trajectories
  • A negative test result brought personal relief

For clinicians like him, accessible screening is essential if new treatments are to reach the people who need them most.

Addressing the Diversity Gap in Alzheimer’s Research

The study is designed to recruit at least 25–30% of participants from under-represented ethnic groups. This matters because:

  • Black and Hispanic populations have up to 2x higher Alzheimer’s risk
  • Clinical trial participation rates often remain below 20%
  • Personalized medicine depends on representative data

Without diversity, future diagnostics and treatments risk widening health inequities.

What Comes Next?

More evidence is needed before a finger-prick Alzheimer’s test can be adopted by national health systems like the NHS.

But Bio-Hermes-002 aims to deliver:

  • Large-scale validation
  • Internationally diverse data
  • A practical alternative to invasive diagnostics

If successful, this approach could redefine how Alzheimer’s is detected worldwidemoving diagnosis earlier, closer to patients, and into everyday clinical practice.

Bottom line

A finger-prick blood test won’t cure Alzheimer’s.
But it could unlock early diagnosis at scale—and that may be the most powerful tool we have right now.

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