Lecanemab is the first drug to help improve the symptoms of Alzheimer’s by slowing the disease. These are very promising results, although the only data we have at the moment is from the drugmaker’s press release.
Lecanemab is an antibody that finds and removes a protein called amyloid that builds up and forms clumps in the brains of people with Alzheimer’s disease. By targeting amyloid, lecanemab is striking at the heart of the disease itself, rather than just treating symptoms by boosting brain chemicals in the cells that are still working (as is the case with drugs currently prescribed for Alzheimer’s).
Previous antibody drugs to remove amyloid have not worked, or have generated mixed results. As there are lots of other abnormal proteins in Alzheimer’s disease, the failure of the amyloid antibody trials led to a debate about whether amyloid really is an important problem in Alzheimer’s disease.