Another issue mentioned in this latest Science article:
“And three key trial subgroups—people under age 65, women, and people who carry two copies of APOE4, a gene variant that raises one’s risk of developing Alzheimer’s—did not show any statistically significant benefit.”
If this is correct that there is NO statistically significant benefit on lecanemab in women then it would be UNETHICAL to put women from the CLARITY study into the ongoing open-label extension study.
Would appreciate any clarification on this.
If it gets approved, this is a niche product at best.
Here we go again? Did anybody learn anything? Fda? Biogen? Investors? Neurologists? Glad those thousands of infusion centers are ready to go.
So now the fdas standard is clinically meaningless efficacy and rarely fatal. Here we go again. Money trumps the tough decisions.
FDA’s conditional approval for lecanemab on Friday is based on data Biogen and Eisai submitted from a Phase II, dose finding study where the primary efficacy endpoint was NOT MET. In this dose finding study, only 161 patients received the labeled, recommended lecanemab dose of 10 mg/kg every 2 weeks.
The lecanemab (Brand name, Leqembi) label clearly states the drug is only for patients with mild cognitive impairment or mild dementia stage of Alzheimer’s. NO CLAIM of CLINICAL BENEFIT is made. This
accelerated approval of lecanemab was based only on a reduction in amyloid beta plaques (a surrogate secondary endpoint) in these patients.
How does one expect Biogen and Eisai Sales Reps to sell this drug with NO CLAIM OF CLINICAL BENEFIT and neither Medicare nor the Insurance companies willing to pay $26,500 a year for it?
Is anyone surprised that Biogen is lying? What do you expect from a company and made people pay back signing bonuses for finding a new job right before they cut the whole ADU? It didn’t matter that you saved the company from paying you 3 months severance - they still wanted their $6k back. I wrote to AA, was kicked over to legal, and then told “this is just the policy. It’s out of our hands.” As if the crooks who wrote the policies can’t make exceptions to their own policies in extenuating circumstances. Working for Biogen and pushing a $56k placebo was the worst decision I ever made. Fuck you, Biogen. You’re garbage. For the sake of patients, I hope lecanamab is a massive failure. Patients deserve better than what Biogen and Eisai are trying to push on them.
Excited patients will have something that slows down this terrible disease. Sadly so many bitter ex employees can’t move on.
Excited patients will have something that slows down this terrible disease. Sadly so many bitter ex employees can’t move on.
Not true 25% of what can be 5-10 years with this disease is a lot more than a couple months. Risk of brain bleed low - worth the risk. Good to see patients will finally have something with more to come!!!Slows disease progression down by maybe a few months, has to be infused twice a month, risk of fatal brain bleeds, any benefit takes over six months to manifest, etc. Where do I sign up?
Not true 25% of what can be 5-10 years with this disease is a lot more than a couple months. Risk of brain bleed low - worth the risk. Good to see patients will finally have something with more to come!!!