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måndag 1 maj 2023

gp uutisessa mainitaan AD tautia estävästä lääkeaineesta, joka on IgG1 monoklonaaninen vasta-aine

 

A randomized, double-blind, phase 2b proof-of-concept clinical trial in early Alzheimer's disease with lecanemab, an anti-Aβ protofibril antibody.
Swanson CJ, Zhang Y, Dhadda S, Wang J, Kaplow J, Lai RYK, Lannfelt L, Bradley H, Rabe M, Koyama A, Reyderman L, Berry DA, Berry S, Gordon R, Kramer LD, Cummings JL. Alzheimers Res Ther. 2021 Apr 17;13(1):80. doi: 10.1186/s13195-021-00813-8. PMID: 33865446 Free PMC article. Clinical Trial.
BACKGROUND: Lecanemab (BAN2401), an IgG1 monoclonal antibody, preferentially targets soluble aggregated amyloid beta (Abeta), with activity across oligomers, protofibrils, and insoluble fibrils. ...CSF biomarkers were supportive of a treatment effect. Lecanemab was …
Lecanemab in Early Alzheimer's Disease.
van Dyck CH, Swanson CJ, Aisen P, Bateman RJ, Chen C, Gee M, Kanekiyo M, Li D, Reyderman L, Cohen S, Froelich L, Katayama S, Sabbagh M, Vellas B, Watson D, Dhadda S, Irizarry M, Kramer LD, Iwatsubo T. N Engl J Med. 2023 Jan 5;388(1):9-21. doi: 10.1056/NEJMoa2212948. Epub 2022 Nov 29. PMID: 36449413 Clinical Trial.
Participants were randomly assigned in a 1:1 ratio to receive intravenous lecanemab (10 mg per kilogram of body weight every 2 weeks) or placebo. ...Lecanemab resulted in infusion-related reactions in 26.4% of the participants and amyloid-related imaging abnormaliti …
Lecanemab: First Approval.
Hoy SM. Drugs. 2023 Mar;83(4):359-365. doi: 10.1007/s40265-023-01851-2. PMID: 36856953 Review.
Lecanemab (lecanemab-irmb; LEQEMBI) is a humanized immunoglobulin gamma 1 (IgG1) against aggregated soluble and insoluble forms of amyloid-beta peptide. ...This article summarizes the milestones in the development of lecanemab leading to this first approval f
Lecanemab in patients with early Alzheimer's disease: detailed results on biomarker, cognitive, and clinical effects from the randomized and open-label extension of the phase 2 proof-of-concept study.
McDade E, Cummings JL, Dhadda S, Swanson CJ, Reyderman L, Kanekiyo M, Koyama A, Irizarry M, Kramer LD, Bateman RJ. Alzheimers Res Ther. 2022 Dec 21;14(1):191. doi: 10.1186/s13195-022-01124-2. PMID: 36544184 Free PMC article. Clinical Trial.
The objective of this analysis is to report results from study 201 blinded period (core), the open-label extension (OLE), and gap period (between core and OLE) supporting the effectiveness of lecanemab. METHODS: The lecanemab study 201 core was a double-blind, rando …
Impact of Anti-amyloid-β Monoclonal Antibodies on the Pathology and Clinical Profile of Alzheimer's Disease: A Focus on Aducanumab and Lecanemab.
Shi M, Chu F, Zhu F, Zhu J. Front Aging Neurosci. 2022 Apr 12;14:870517. doi: 10.3389/fnagi.2022.870517. eCollection 2022. PMID: 35493943 Free PMC article. Review.
., aducanumab, bapineuzumab, gantenerumab, solanezumab, and lecanemab) have been developed successively and conducted in clinical trials based on the theory that a systemic failure of cell-mediated Abeta clearance contributes to AD occurrence and progression. ...Specifical …https://www.frontiersin.org/files/Articles/870517/fnagi-14-870517-HTML/image_m/fnagi-14-870517-t001.jpg 
 
 https://www.frontiersin.org/files/Articles/870517/fnagi-14-870517-HTML/image_m/fnagi-14-870517-t001.jpg
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Long-Term Health Outcomes of Lecanemab in Patients with Early Alzheimer's Disease Using Simulation Modeling.
Tahami Monfared AA, Tafazzoli A, Ye W, Chavan A, Zhang Q. Neurol Ther. 2022 Jun;11(2):863-880. doi: 10.1007/s40120-022-00350-y. Epub 2022 Apr 25. PMID: 35469060 Free PMC article.
The mean time to mild, moderate, and severe AD dementia was longer for patients in the lecanemab + SoC group than for patients in the SoC group by 2.51, 3.13, and 2.34 years, respectively. ...The model also predicted a lower lifetime probability of admission to institution …
Lecanemab, Aducanumab, and Gantenerumab - Binding Profiles to Different Forms of Amyloid-Beta Might Explain Efficacy and Side Effects in Clinical Trials for Alzheimer's Disease.
Söderberg L, Johannesson M, Nygren P, Laudon H, Eriksson F, Osswald G, Möller C, Lannfelt L. Neurotherapeutics. 2023 Jan;20(1):195-206. doi: 10.1007/s13311-022-01308-6. Epub 2022 Oct 17. PMID: 36253511 Free PMC article.
All three antibodies bound monomers with low affinity. However, lecanemab and aducanumab had very weak binding to monomers, and gantenerumab somewhat stronger binding. Lecanemab was distinctive as it had tenfold stronger binding to protofibrils compared to fibrils. …
Lecanemab slows Alzheimer's disease: hope and challenges.
Mead S, Fox NC. Lancet Neurol. 2023 Feb;22(2):106-108. doi: 10.1016/S1474-4422(22)00529-4. PMID: 36681438 No abstract available.

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