LEQEMBI

Leqembi (lecanemab) is an intravenous infusion therapy approved for the treatment of early Alzheimer's disease. It is specifically indicated for patients who meet certain criteria related to the stage of their disease and the presence of specific biomarkers.


1. Indication for Use of   Leqembi.

Leqembi is primarily indicated for patients with early-stage Alzheimer's disease, particularly those with mild cognitive impairment (MCI) or mild dementia.

2. Biomarker Requirements for prescribing  Leqembi.

Patients should have confirmed amyloid-beta pathology, typically demonstrated through PET imaging or cerebrospinal fluid (CSF) analysis. This is crucial for determining eligibility.

3. Age Considerations for prescribing Leqembi.

While there is no strict age limit, most clinical trials have focused on older adults, generally over the age of 50, who exhibit early signs of cognitive decline.

4. Cognitive Status of Alzheimer’s Patients

Ideal candidates are those in the early stages of Alzheimer's, where they can still participate in daily activities and have a support system in place.

5. Health Status

Patients should have a manageable health profile, without significant comorbidities that could complicate treatment or increase the risk of adverse effects.

6. Informed Consent and Understanding

Candidates should be able to understand the treatment's potential benefits and risks, ensuring they can give informed consent.

7. Potential
Benefits vs. Risks

Importance of weighing the potential benefits of slowing cognitive decline against the risks of side effects, such as infusion-related reactions or amyloid-related imaging abnormalities (ARIA).


How does Leqembi Work?

Leqembi is a monoclonal antibody designed to target amyloid beta plaques in the brain, which are associated with Alzheimer’s disease. Here’s how it works:

Mechanism of Action of Leqembi 

  • Targeting Amyloid Beta: Leqembi binds to soluble and insoluble forms of amyloid beta, which are proteins that aggregate to form plaques in the brains of individuals with Alzheimer's disease.
  • Removing Plaques: By binding to these amyloid beta deposits, Leqembi facilitates their removal from the brain, potentially slowing the progression of Alzheimer’s disease.
  • Immune Response: The binding of the antibody may also stimulate the immune system to help clear these plaques more effectively.
Profile for Leqembi 

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