FDA record · Alzheimer's disease

Kisunla (donanemab-azbt)

What FDA's own documents say about Kisunla: what it is approved for, the trials FDA reviewed, the results it reported and the risks on the label.

Sponsor
Eli Lilly Co.
Application
BLA 761248
First approved
July 2, 2024
Status
Approved
Read from
18 FDA documents, 1,372 pages

What it is approved for

“KISUNLA is an amyloid beta-directed antibody indicated for the treatment of Alzheimer's disease.”

Prescribing information, supplement 004 · PDF p. 1 · fda.gov ↗

Trials FDA reviewed

TrialClinicalTrials.govPhaseMentionsDocuments
TRAILBLAZER-ALZ 2I5T-MC-AACINCT0443751131,18611 of 18
I5T-MC-AACGNCT0336740327018 of 18
I5T-MC-AACHNCT046400772325 of 18
I5T-MC-AACDnot given314 of 18
I5T-MC-AACNNCT051089223232 of 18
I5T-MC-AACCnot given163 of 18
TRAILBLAZER-ALZ 3not given43 of 18
15T-MC-AAAGnot given11 of 18

Mentions: how many sentences across the FDA documents name the trial. NCT ids are read from the documents or, where they give none, matched on ClinicalTrials.gov by the trial's name or protocol code.

Results FDA reported

Sentences from FDA's reviews that give an endpoint's p-value, effect or confidence interval, those reporting a treatment effect first.

CDR-SB

“Statistically significant reduction in clinical decline in the Division's recommended endpoint, CDR-SB, was also demonstrated, with a treatment effect of -0.70 [-29%], p<0.001 in the combined population.”

Summary Review · PDF p. 4 · fda.gov ↗

treatment effect of -0.70-29%p<0.001

ADAS-Cog 13

“Statistically significant results favoring donanemab were observed for the multiplicity-controlled secondary endpoints ADAS-Cog 13 (-1.33 [-20%], p<0.001) and ADCS-iADL (1.70 [-28%], p<0.001) that are components of the iADRS.”

Summary Review · PDF p. 4 · fda.gov ↗

-20%p<0.001-28%

CDR-SB

“Donanemab treatment demonstrated a statistically significant reduction in decline on change from baseline CDR-SB compared to placebo in the low/medium tau population (-0.67 [-36%], p<0.001) and the overall population (-0.70 [-29%], p<0.001).”

Summary Review · PDF p. 27 · fda.gov ↗

-36%p<0.001-29%

ADAS-Cog 13

“ADAS-Cog 13 compared to placebo in the low/medium tau population (-1.52 [-32%], p<0.001) and the overall population (-1.33 [-20%], p<0.001).”

Summary Review · PDF p. 29 · fda.gov ↗

-32%p<0.001-20%

CDR global score

“Donanemab treatment reduced the risk of progression on the CDR global score by 39% with a hazard ratio of 0.61 (0.47, 0.80), p<0.001 in the low/medium population and by 37% with a hazard ratio of 0.63 (0.51, 0.77), p<0.0001 in the overall population.”

Summary Review · PDF p. 29 · fda.gov ↗

39%p<0.001

MMSE

“Results for MMSE showed less change from baseline at Week 76 in the donanemab treatment group than in subjects on placebo in the low/medium tau population (0.48 [-23%], 95% CI [0.09, 0.87]) and the overall population (0.47 [-16%], 95% CI [0.10, 0.84]).”

Summary Review · PDF p. 29 · fda.gov ↗

-23%95% CI [0.09, 0.87]

amyloid PET

“There was a significant correlation between change from baseline in plasma p-tau 217 and percent change in amyloid PET from baseline (R=0.484, p<0.0001).”

Summary Review · PDF p. 89 · fda.gov ↗

p<0.0001

amyloid PET

“There was a significant correlation between change from baseline in GFAP and percent change in amyloid PET from baseline (R=0.453, p<0.0001).”

Summary Review · PDF p. 89 · fda.gov ↗

p<0.0001

Safety

Most common adverse reactions

“Most common adverse reactions (at least 10% and higher incidence compared to placebo): ARIA-E, ARIA-H microhemorrhage, ARIA-H superficial siderosis, and headache.”

Prescribing information, supplement 004 · PDF p. 1 · fda.gov ↗

Adverse events the documents discuss most

Dosing on the label

“Administer KISUNLA every four weeks as an intravenous infusion over approximately 30 minutes with the recommended dosage and dosing schedule described in Table 1. KISUNLA must be diluted prior to administration (see Table 4).”

Prescribing information, supplement 004 · PDF p. 2 · fda.gov ↗

FDA documents read

DocumentDatePagesCopysha256
Prescribing information, original approval761248s000lbl.pdfJuly 3, 20241754cd9855816a
Approval letter761248Orig1s000ltr.pdfJuly 5, 202411f88317e72528
Administrative Correspondence761248Orig1s000AdminCorres.pdfJuly 29, 202460archived copy90e1bc2107f5
Approval Letter761248Orig1s000Approv.pdfJuly 29, 202414archived copy5ff98bbcd551
Chemistry Review761248Orig1s000ChemR.pdfJuly 29, 20244049e4278a19d5
Clinical Pharmacology Review761248Orig1s000ClinPharmR.pdfJuly 29, 2024165archived copy0c6b20f1345f
Prescribing Information (Label)761248Orig1s000Lbl.pdfJuly 29, 202419archived copy632dbc25278b
Clinical (Medical) Review761248Orig1s000MedR.pdfJuly 29, 202462193bdf1fad077
Proprietary Name Review761248Orig1s000NameR.pdfJuly 29, 2024502d2b42ab4444
Officer/Employee List761248Orig1s000OEList.pdfJuly 29, 20242e4425a36e81d
Other Action Letters761248Orig1s000OtherActionLtrs.pdfJuly 29, 20248archived copye9314cbe6375
Other Reviews761248Orig1s000OtherR.pdfJuly 29, 202472c56b5f411c8d
Pharmacology/Toxicology Review761248Orig1s000PharmR.pdfJuly 29, 20242223e5f8ca8f94
Risk Assessment / REMS Review761248Orig1s000RiskR.pdfJuly 29, 202424b5583995c8c6
Statistical Review761248Orig1s000StatR.pdfJuly 29, 2024111024565fe8c12
Summary Review761248Orig1s000SumR.pdfJuly 29, 2024113bb9356f5158a
Prescribing information, supplement 004761248s004lbl.pdfJuly 2, 20251911d8cf8466a1
Approval letter, supplement 004761248Orig1s004ltr.pdfJuly 2, 2025468693e8dc131

Checked against FDA's copies on September 30, 2026. The sha256 is the fingerprint of the file that was read: download it from fda.gov and compare. Quotes come from the text of each file as read; pages FDA stored as images were read by OCR and are marked.

Generated automatically (auto): the trials, names and dates are drafted from the documents by rules, with no language model; see the method.

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