{"id":105981,"date":"2022-09-29T07:09:58","date_gmt":"2022-09-29T12:09:58","guid":{"rendered":"https:\/\/PERSIAN-HERITAGE.COM\/?p=105981"},"modified":"2022-09-29T07:09:58","modified_gmt":"2022-09-29T12:09:58","slug":"experimental-alzheimers-drug-said-to-succeed-in-slowing-cognitive-decline","status":"publish","type":"post","link":"https:\/\/PERSIAN-HERITAGE.COM\/en\/2022\/09\/29\/experimental-alzheimers-drug-said-to-succeed-in-slowing-cognitive-decline\/","title":{"rendered":"Experimental Alzheimer&#8217;s Drug Said to Succeed in Slowing Cognitive Decline"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-105982 alignleft\" src=\"https:\/\/PERSIAN-HERITAGE.COM\/wp-content\/uploads\/2022\/09\/Biogen-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/PERSIAN-HERITAGE.COM\/wp-content\/uploads\/2022\/09\/Biogen-300x200.jpg 300w, https:\/\/PERSIAN-HERITAGE.COM\/wp-content\/uploads\/2022\/09\/Biogen-150x100.jpg 150w, https:\/\/PERSIAN-HERITAGE.COM\/wp-content\/uploads\/2022\/09\/Biogen.jpg 600w, https:\/\/PERSIAN-HERITAGE.COM\/wp-content\/uploads\/2022\/09\/Biogen-24x16.jpg 24w, https:\/\/PERSIAN-HERITAGE.COM\/wp-content\/uploads\/2022\/09\/Biogen-36x24.jpg 36w, https:\/\/PERSIAN-HERITAGE.COM\/wp-content\/uploads\/2022\/09\/Biogen-48x32.jpg 48w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>VOA \u2014 An experimental Alzheimer&#8217;s drug developed by Eisai and Biogen significantly slowed cognitive and functional decline in a large trial of patients in the early stages of the disease, the companies said Tuesday.<\/p>\n<p>The injected drug, lecanemab, slowed progress of the brain-wasting disease by 27% compared with a placebo, meeting the study&#8217;s main goal and offering an apparent win for the companies and potentially for patients and their families desperate for an effective treatment.<\/p>\n<p>Eisai said the results from the 1,800-patient trial prove the longstanding theory that removal of sticky deposits of a protein called amyloid beta from the brains of people with early Alzheimer&#8217;s can delay advance of the debilitating disease.<\/p>\n<p>&#8220;It&#8217;s not a huge effect, but it&#8217;s a positive effect,&#8221; said Ronald Petersen, director of the Mayo Clinic Alzheimer\u2019s Disease Research Center in Rochester, Minnesota, adding that the results were extremely important for Alzheimer&#8217;s research.<\/p>\n<p>&#8220;This means that treating amyloid is a step in the right direction,&#8221; he said.<\/p>\n<p><strong>Results considered a &#8220;win&#8221;<\/strong><\/p>\n<p>Wall Street analysts, such as Salim Syed at Mizuho Securities, have said the results would be considered a &#8220;win&#8221; if lecanemab slowed the rate of decline by about 25%, and that shares of both companies could jump on the news.<\/p>\n<p>Shares of Biogen and Eisai were halted, but shares of Eli Lilly, which is also developing an Alzheimer&#8217;s drug, were up 6.7% in after-hours trading.<\/p>\n<div class=\"wsw__embed\">\n<figure class=\"media-image js-media-expand js-media-expand--ready\">\n<div class=\"img-wrap\">\n<div class=\"thumb\"><img decoding=\"async\" class=\" enhanced\" src=\"https:\/\/gdb.voanews.com\/03990000-0aff-0242-cf59-08daa0f82e55_cx1_cy7_cw97_w650_r1_s.jpg\" alt=\"FILE:: The logo of Eisai displayed at the company headquarters in Tokyo, Japan, March 8, 2018.\" \/><\/div>\n<\/div><figcaption><span class=\"caption\">FILE:: The logo of Eisai displayed at the company headquarters in Tokyo, Japan, March 8, 2018.<\/span><\/figcaption><\/figure>\n<\/div>\n<p>Lecanemab, like the companies&#8217; previous drug Aduhelm, is an antibody designed to remove those amyloid deposits. Unlike Aduhelm, lecanemab targets forms of amyloid that have not yet clumped together.<\/p>\n<p>The so-called amyloid hypothesis has been challenged by some scientists, particularly after the U.S. Food and Drug Administration&#8217;s controversial approval of Aduhelm in 2021 based on its plaque-clearing ability rather than proof that it helped slow cognitive decline. The decision came after the FDA&#8217;s own panel of outside experts had advised against approval.<\/p>\n<p>Aduhelm was the first new Alzheimer&#8217;s drug approved in 20 years after a long list of high-profile failures for the industry.<\/p>\n<p>Eisai, leader of the 50-50 partnership&#8217;s lecanemab program, is seeking FDA approval under the same accelerated pathway as Aduhelm, with a decision expected in early January. But on Tuesday, the Japanese drugmaker said it would use the new efficacy results to submit lecanemab for traditional FDA review.<\/p>\n<p>The company said it will also seek authorization in Japan and Europe during its current fiscal year, ending March 31.<\/p>\n<p>The Phase III trial evaluated the drug&#8217;s ability to reduce cognitive and functional decline based on the Clinical Dementia Rating-Sum of Boxes (CDR-SB), a numerical scale used to quantify the severity of dementia in patients in areas such as memory, orientation, judgment and problem-solving and personal care.<\/p>\n<p><strong>Brain swelling<\/strong><\/p>\n<p>The rate of ARIA-E, a brain swelling side effect associated with anti-amyloid treatments, was 12.5% in the lecanemab group, versus 1.7% in the placebo group.<\/p>\n<p>While the side effect showed up on imaging, many of these cases were not symptomatic, the companies said. Symptomatic brain swelling was seen in 2.8% of those in the lecanemab group and none of the placebo group, they said.<\/p>\n<p>The trial also tracked the rate of micro hemorrhages in the brain, which occurred at a rate of 17% in the lecanemab group, and 8.7% in the placebo group.<\/p>\n<p>The total incidence of both conditions was 21.3% in the lecanemab group and 9.3% in the placebo group, rates that fell within an expected range, the companies said.<\/p>\n<p>Petersen said the side effect was present, but much less than with Aduhelm, and &#8220;certainly tolerable.&#8221;<\/p>\n<p>Aduhelm&#8217;s approval was a rare bright spot for Alzheimer&#8217;s patients, but critics have called for more evidence that amyloid-targeting drugs are worth the cost.<\/p>\n<p>The controversy and reluctance by some payers to cover Aduhelm led Biogen to slash the drug&#8217;s price to $28,000 per year from an initial $56,000.<\/p>\n<p>But Medicare, the U.S. government health plan for people 65 and older, this year said it would only pay for Aduhelm if patients were enrolled in a valid clinical trial, which sharply curtailed the medication&#8217;s use. Since Alzheimer&#8217;s is a disease of aging, an estimated 85% of patients eligible for the drug are covered by the government plan.<\/p>\n<p>The number of Americans living with Alzheimer&#8217;s is expected to rise to about 13 million by 2050 from more than 6 million currently, according to the Alzheimer&#8217;s Association. Globally, that figure could rise to 139 million by 2050 without an effective treatment, according to Alzheimer&#8217;s Disease International.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>VOA \u2014 An experimental Alzheimer&#8217;s drug developed by Eisai and Biogen significantly slowed cognitive and functional decline in a large trial of patients in the early stages of the disease, the companies said Tuesday. The injected drug, lecanemab, slowed progress of the brain-wasting disease by 27% compared with a placebo, meeting the study&#8217;s main goal [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":105982,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"categories":[16],"tags":[],"class_list":["post-105981","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-recposts"],"translation":{"provider":"WPGlobus","version":"3.0.2","language":"en","enabled_languages":["fa","en"],"languages":{"fa":{"title":true,"content":true,"excerpt":false},"en":{"title":false,"content":false,"excerpt":false}}},"_links":{"self":[{"href":"https:\/\/PERSIAN-HERITAGE.COM\/en\/wp-json\/wp\/v2\/posts\/105981","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/PERSIAN-HERITAGE.COM\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/PERSIAN-HERITAGE.COM\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/PERSIAN-HERITAGE.COM\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/PERSIAN-HERITAGE.COM\/en\/wp-json\/wp\/v2\/comments?post=105981"}],"version-history":[{"count":2,"href":"https:\/\/PERSIAN-HERITAGE.COM\/en\/wp-json\/wp\/v2\/posts\/105981\/revisions"}],"predecessor-version":[{"id":105984,"href":"https:\/\/PERSIAN-HERITAGE.COM\/en\/wp-json\/wp\/v2\/posts\/105981\/revisions\/105984"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/PERSIAN-HERITAGE.COM\/en\/wp-json\/wp\/v2\/media\/105982"}],"wp:attachment":[{"href":"https:\/\/PERSIAN-HERITAGE.COM\/en\/wp-json\/wp\/v2\/media?parent=105981"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/PERSIAN-HERITAGE.COM\/en\/wp-json\/wp\/v2\/categories?post=105981"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/PERSIAN-HERITAGE.COM\/en\/wp-json\/wp\/v2\/tags?post=105981"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}