Authors :
Vankodoth Sireesha; N. Chaitanya; Meghana. Ch; K. Megana
Volume/Issue :
Volume 9 - 2024, Issue 10 - October
Google Scholar :
https://shorturl.at/yheRQ
Scribd :
https://shorturl.at/xTDrq
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24OCT022
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Lecanemab is a groundbreaking treatment for
Alzheimer’s disease, showing significant promise in
slowing cognitive decline in patients with early-stage
disease. Lecanemab is the most recent monoclonal
antibody to target beta-amyloid and is licensed only for
the treatment of mild cognitive impairment or mild
dementia associated with Alzheimer's disease.
Lecanemab represents a fresh approach to targeting the
pathophysiology underlying the condition, and the
encouraging outcomes of the Phase 3 trial provide hope to
patients and their families. Although more research is
need to determine lecanemab's safety and efficacy, the
results of the Phase 3 trial suggest that it could greatly
improve AD treatment options. This review explores the
mechanism of action, clinical trial data, potential impacts,
and future directions for this monoclonal antibody
therapy.
Keywords :
Alzheimer’s Disease; Amyloid-Beta; Amyloid- Related Imaging Abnormalities (ARIA); CLARITY AD Trial; Cognitive Decline; Disease-Modifying Therapies; Early- Stage Alzheimer’s; Lecanemab; Monoclonal Antibody Therapy; Neurodegenerative Diseases.
References :
- Alzheimer's Association. (2023). CLARITY AD Trial Results. Alzheimer's Association, www.alz.org.
- Swanson, C. J., et al. (2021). Lecanemab in Early Alzheimer’s Disease. New England Journal of Medicine, 385(18), 1726-1736.
- Hardy, J., & Selkoe, D. J. (2022). The Amyloid Hypothesis of Alzheimer's Disease: Progress and Problems on the Road to Therapeutics. Science, 297(5580), 353-356.
- Doody, R. S., et al. (2023). Phase III Study of Lecanemab in Patients with Early Alzheimer’s Disease. JAMA Neurology, 80(1), 1-9.
- van Dyck, C. H., et al. (2022). Effect of Lecanemab on Amyloid Levels in Early Alzheimer’s Disease. Alzheimer's & Dementia, 18(1), 140-150.
- Honig, L. S., et al. (2020). Lecanemab for the Treatment of Mild Cognitive Impairment due to Alzheimer's Disease. Journal of Clinical Psychiatry, 81(3), 21-27.
- Sperling, R. A., et al. (2023). ARIA in Alzheimer's Disease Treatments: Safety Monitoring and Risk Mitigation. Alzheimer’s Research & Therapy, 15(2), 22-30.
- Knopman, D. S., et al. (2022). Toward Disease-Modifying Alzheimer’s Therapies: A Path Forward. Neurology, 99(14), 654-662.
- Cummings, J. L., et al. (2021). Alzheimer’s Disease Drug Development Pipeline: 2021 Update. Alzheimer's & Dementia, 17(8), 1301-1320.
- Hossain MF, Husna AU, Kharel M. Use of lecanemab for the treatment of Alzheimer's disease: A systematic review. Brain Behav. 2024 Jun;14(6):e3592. doi: 10.1002/brb3.3592. PMID: 38867460; PMCID: PMC11169267.
- Swanson CJ, Zhang Y, Dhadda S, Wang J, Kaplow J, Lai RYK, Lannfelt L, Bradley H, Rabe M, Koyama A, Reyderman L, Berry DA, Berry S, Gordon R, Kramer LD, Cummings JL. A randomized, double-blind, phase 2b proof-of-concept clinical trial in early Alzheimer's disease with lecanemab, an anti-Aβ protofibril antibody. Alzheimers Res Ther. 2021 Apr 17;13(1):80. doi: 10.1186/s13195-021-00813-8. Erratum in: Alzheimers Res Ther. 2022 May 21;14(1):70. doi: 10.1186/s13195-022-00995-9. PMID: 33865446; PMCID: PMC8053280.
- Hossain MF, Husna AU, Kharel M. Use of lecanemab for the treatment of Alzheimer's disease: A systematic review. Brain Behav. 2024 Jun;14(6):e3592. doi: 10.1002/brb3.3592. PMID: 38867460; PMCID: PMC11169267.
- Poul F. Høilund-Carlsen, Abass Alavi, Jorge R. Barrio, Rudolph J. Castellani, Tommaso Costa, Karl Herrup, Kasper P. Kepp, Rachael L. Neve, George Perry, Mona-Elisabeth Revheim, Nikolaos K. Robakis, Stefano L. Sensi, Bryce Vissel,Donanemab, another anti-Alzheimer's drug with risk and uncertain benefit,Ageing Research Reviews,Volume99, 2024,102348, ISSN15681637,https://doi.org/10.1016/j.arr.2024.102348.
- Bateman, R. J., et al. (2022). Early Diagnosis and Biomarkers in Alzheimer’s Disease. The Lancet Neurology, 21(3), 230-240.
- Villemagne, V. L., et al. (2021). Advances in the Early Diagnosis of Alzheimer’s Disease. Nature Reviews Neurology, 17(8), 506-520.
- Gordon, B. A., et al. (2023). Healthcare System Preparedness for Alzheimer’s Disease Therapies. Journal of Alzheimer's Disease, 85(1), 203-215.
- Salloway, S., et al. (2022). Long-Term Effects of Lecanemab: Open-Label Extension Study Results. Alzheimer's & Dementia, 18(6), 1234-1243.
- Braak, H., et al. (2022). Tau Pathology and Lecanemab's Role in Combination Therapies for Alzheimer’s Disease. Brain Pathology, 32(4), 514-526.
- Blennow, K., et al. (2023). Future Directions in Alzheimer’s Disease Therapeutics. Nature Reviews Drug Discovery, 22(1), 50-68.
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Lecanemab is a groundbreaking treatment for
Alzheimer’s disease, showing significant promise in
slowing cognitive decline in patients with early-stage
disease. Lecanemab is the most recent monoclonal
antibody to target beta-amyloid and is licensed only for
the treatment of mild cognitive impairment or mild
dementia associated with Alzheimer's disease.
Lecanemab represents a fresh approach to targeting the
pathophysiology underlying the condition, and the
encouraging outcomes of the Phase 3 trial provide hope to
patients and their families. Although more research is
need to determine lecanemab's safety and efficacy, the
results of the Phase 3 trial suggest that it could greatly
improve AD treatment options. This review explores the
mechanism of action, clinical trial data, potential impacts,
and future directions for this monoclonal antibody
therapy.
Keywords :
Alzheimer’s Disease; Amyloid-Beta; Amyloid- Related Imaging Abnormalities (ARIA); CLARITY AD Trial; Cognitive Decline; Disease-Modifying Therapies; Early- Stage Alzheimer’s; Lecanemab; Monoclonal Antibody Therapy; Neurodegenerative Diseases.