Eisai BLA for Alzheimer’s Therapy

Share

Eisai has completed a rolling BLA submission under the accelerated approval pathway for its investigational anti-amyloid beta protofibril antibody lecanemab (BAN2401) for treating mild cognitive impairment due to Alzheimer’s disease (AD) and mild AD with a confirmed presence of amyloid pathology in the brain. Eisai has requested a priority review.

 

The company says the confirmatory Phase 3 Clarity AD clinical trial is underway and is expected to report out in the fall. “Dependent upon the results of the Clarity AD clinical trial, Eisai may submit for full approval of lecanemab to the FDA during fiscal year 2022,” the company says.

 

The submission is based on clinical, biomarker and safety data from the proof-of-concept Phase 2b (Study 201 Core) in 856 people with early AD with confirmed presence of amyloid pathology, biomarker and safety data from the Study 201 open-label extension study, and blinded safety data from the confirmatory Clarity AD Phase 3 study.

 

Eisai says data show that at 18 months of treatment, 10 mg/kg biweekly lecanemab “reduced brain amyloid by a mean of 0.306 SUVr units (from a baseline mean of 1.37), and over 80% of subjects became amyloid negative by visual read. Furthermore, the extent of reduction in amyloid was correlated with slower clinical decline on ADCOMS (Alzheimer’s Disease Composite Score), CDR-SB (Clinical Dementia Rating-Sum-of-Boxes), and ADAS-cog (Alzheimer Disease Assessment Scale-Cognitive Subscale) at the treatment group and patient level.”

 

Eisai serves as the lead on lecanemab’s development and regulatory submissions globally with both Eisai and Biogen co-commercializing and co-promoting the product.

Read more