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.
- 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
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
- ARIA-H 1,585 mentions
- ARIA-E 1,342 mentions
- ARIA 1,189 mentions
- intracerebral hemorrhage 546 mentions
- hypersensitivity 434 mentions
- death 306 mentions
- anti-drug antibodies 279 mentions
- headache 214 mentions
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
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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