Amyloid - related imaging abnormalities (ARIA)

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Eisai Initiated Rolling Supplemental Biologics License Application to the U.S. FDA for LEQEMBI® IQLIK™ (lecanemab-irmb) as a Subcutaneous Starting Dose for the Treatment of Early Alzheimer's Disease Under Fast Track Status
Prnewswire· 2025-09-02 23:30
Core Insights - Eisai and Biogen announced the initiation of the rolling submission of the Supplemental Biologics License Application (sBLA) for LEQEMBI IQLIK, a subcutaneous autoinjector for Alzheimer's disease treatment, which would allow at-home administration [1][2][4] - LEQEMBI is currently approved in 48 countries and under regulatory review in 10 countries, indicating a strong global presence and ongoing expansion [3][32] Group 1: Product Development and Approval - The sBLA is based on evaluations from Phase 3 studies, showing the potential for a weekly dosing regimen of 500 mg via subcutaneous injection, which could provide an alternative to bi-weekly intravenous dosing [2][32] - The LEQEMBI IQLIK autoinjector is designed for ease of use, taking approximately 15 seconds for administration, which may enhance patient compliance and reduce healthcare resource utilization [2][3] Group 2: Mechanism of Action and Indications - LEQEMBI targets both amyloid plaques and protofibrils, which are believed to contribute to cognitive decline in Alzheimer's disease, thus addressing the disease through multiple mechanisms [3][5][29] - The treatment is indicated for patients with Mild Cognitive Impairment (MCI) or mild dementia, representing an early intervention strategy in Alzheimer's disease [6][32] Group 3: Safety and Efficacy - The safety profile of LEQEMBI includes risks such as Amyloid-Related Imaging Abnormalities (ARIA), with symptomatic ARIA occurring in 3% of patients, and serious ARIA symptoms in 0.7% [10][11][25] - The incidence of intracerebral hemorrhage (ICH) was reported at 0.7% for LEQEMBI compared to 0.1% for placebo, highlighting the importance of monitoring during treatment [11][12] Group 4: Collaboration and Market Strategy - Eisai leads the global development and regulatory submissions for lecanemab, with Biogen co-commercializing and co-promoting the product, indicating a strategic partnership aimed at maximizing market reach [4][34] - The collaboration between Eisai and BioArctic has been ongoing since 2005, focusing on the development and commercialization of Alzheimer's treatments, which underscores the long-term commitment to addressing this disease [35][34]