Probe Leqembi, Kisunla Trials: Public Citizen

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Citing New York Times 10/23 reporting that participants in two Alzheimer’s drug trials were not told if their genetic profiles indicated a higher risk of brain injuries from the drug, Public Citizen is calling on FDA and the HHS Office for Human Research Protection (OHRP) to look into how Eisai conducted the Leqembi (lecanemab) trial and how Lilly conducted the Kisunla (donanemab-azbt) trial. “The requirement under federal regulations to obtain informed consent before involving individuals in research is a fundamental protection for research subjects,” said Public Citizen Health Research Group director Robert Steinbrook. “The revelations about the secrecy provisions in the Alzheimer’s disease trials suggest that the principles of informed consent were undermined. If subjects had known that they were at higher risk of brain injuries, they might have decided not to participate in the trials.”

The Times reported that trial participants had to sign consent forms that said that people with certain genetic profiles faced higher risks. They were told they would be tested for the genetic markers, but would not be given the results. The article described adverse events experienced by some participants, including death.

Steinbrook said FDA and OHRP should formally investigate the conduct of the two trials and the actions of the institutional review boards with oversight over the studies. He said both drugs were approved with “very modest” clinical benefits that do not outweigh their substantial safety risks, including brain swelling and bleeding. “FDA should not have approved either drug,” he declared.

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