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Eisai and Biogen presented data at the Alzheimer’s Association International Conference 2026 in London showing that a lecanemab subcutaneous autoinjector (LEQEMBI) produced exposure, efficacy and safety comparable to the approved intravenous initiation regimen in people with early Alzheimer’s disease. According to the company, once-weekly 500 mg subcutaneous administration demonstrated bioequivalence to the IV initiation regimen (10 mg/kg every two weeks) with an exposure ratio of 104% (90% confidence interval 99.1%–109%) and consistent exposure across body weight quartiles. The companies claim that amyloid reduction measured by PET, clinical efficacy on CDR-SB and incidence of ARIA-E were driven by lecanemab exposure rather than route of administration. Safety findings were generally consistent with the IV formulation; injection-related reactions were mostly localized, predicted ARIA-E incidence was similar, and anti-drug antibodies occurred in 1.4% of patients with no neutralizing antibodies observed. Early clinical and real-world data from two U.S. centers indicated slower cognitive decline on CDR-SB over 36 months in a 28-patient cohort versus a matched natural history cohort, and 10 of 11 evaluable patients in a separate series improved or remained stable on MMSE after maintenance therapy. The company reports high patient and care partner satisfaction and notes flexibility to switch between IV and…
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