Lilly’s Solanezumab Reaches End Of Road As Donanemab Stays On Development Path

Last Study Of Soluble Amyloid-Clearing Antibody Fails

Solanezumab did not reduce the risk of progression in preclinical Alzheimer’s disease in the Phase III A4 study but it provided evidence that removing amyloid plaques – the mechanism of action for Lilly’s two remaining Phase III AD therapies, donanemab and remternetug – may be the key to efficacy. 

Futuristic tunnel with white light in the end
Solanezumab's development has ended but donanemab continues in Phase III • Source: Shutterstock

The last ongoing clinical trial of Eli Lilly and Company’s anti-amyloid antibody solanezumab has finally concluded and it failed to prevent symptomatic Alzheimer’s disease, but the data did offer some evidence that Lilly’s two remaining Phase III amyloid-clearing antibodies – donanemab and remternetug – may be able to benefit AD patients.

The company reported on 9 March that solanezumab failed to slow cognitive decline and reduce the risk of disease progression in patients with preclinical AD – people with amyloid plaques in their brains but no symptoms of AD – who were enrolled in the Phase III Anti-Amyloid Treatment in Asymptomatic Alzheimer’s Disease (A4) study

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