Time Is On Eisai’s Side As More Long-Term Data Emerge For Leqembi

Dual Action Stands Out From Lilly’s Kisunla

Leqembi for early Alzheimer’s disease now has an anti-amyloid competitor in the US with limited-term dosing, but new data at AAIC support chronic dosing of Eisai’s Biogen-partnered drug.

Caregiver cheers up senior lady patient touching hand while sits in armchairs in light room
Maintenance and subcutaneous dosing could reduce the burden of chronic Leqembi treatment • Source: Shutterstock

New long-term data on Eisai Co., Ltd./Biogen, Inc.’s early Alzheimer’s disease medicine Leqembi (lecanemab) presented at the Alzheimer’s Association International Conference (AAIC) indicate that chronic treatment has a better effect than short-term treatment, possibly negating what was thought to be a potential advantage for Eli Lilly and Company’s competing anti-amyloid antibody Kisunla (donanemab).

Key Takeaways
  • Eisai and Biogen have a first-to-market advantage in early Alzheimer’s disease with Leqembi, but a second anti-amyloid antibody has reached the market from Lilly with potential dosing advantages.

  • Leqembi has a dual mechanism of action of both amyloid plaque clearance and protofibril removal, the latter of which may justify ongoing treatment versus Lilly’s limited-term Kisunla dosing

Leqembi has been on the market in the US since receiving accelerated approval in January 2023, giving it a year and a half lead over Lilly’s Kisunla, which the US Food and Drug Administration approved in early July

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