FDA OKs Updated Dosing for Lilly’s Alzheimer's Drug
FDA has approved an updated dosing schedule for Eli Lilly’s Alzheimer’s therapy Kisunla (donanemab-azbt), aimed at reducing the risk of a known side effect called amyloid-related imaging abnormalities with edema (ARIA-E). Approved 7/2024 as a once-monthly infusion therapy targeting amyloid plaques in the brains of people with early symptomatic Alzheimer’s, Kisunla’s now-updated prescribing information includes a modified titration schedule that gradually increases the dose over time, Lilly says.
Data from Lilly’s TRAILBLAZER-ALZ 6 clinical trial showed that the dosing change led to a significantly lower incidence of ARIA-E while maintaining the drug’s effectiveness, it says. In the study, the new dosing approach reduced ARIA-E incidence by 41% at 24 weeks and 35% at 52 weeks compared to the original regimen. ARIA-E, though often asymptomatic, can sometimes lead to serious or even fatal complications and has been a safety concern for all drugs in this class.
Lilly also says the trial found that the new schedule preserved Kisunla’s ability to reduce both amyloid plaques and the Alzheimer’s-related biomarker P-tau217. After 24 weeks, patients on the modified titration showed a 67% reduction in amyloid plaque, compared to 69% for those on the original schedule, it says.