FDA record · Alzheimer's disease

Leqembi (lecanemab-irmb)

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

Sponsor
Eisai Inc.
Application
BLA 761269
First approved
January 6, 2023
Status
Accelerated approval, converted to traditional approval
Read from
28 FDA documents, 1,413 pages

What it is approved for

“LEQEMBI is indicated for the treatment of Alzheimer's disease.”

Prescribing information, supplement 011 · PDF p. 3 · fda.gov ↗

Trials FDA reviewed

TrialClinicalTrials.govPhaseMentionsDocuments
BAN2401-G000-201NCT0176731121,01216 of 28
CLARITY-ADBAN2401-G000-301NCT03887455379614 of 28
BAN2401-J081-104NCT020947291725 of 28
BAN2401-A001-101NCT012308531585 of 28
BAN2401-G000-303NCT044686593495 of 28
BAN2401-A001-004NCT050457161164 of 28
AHEAD 3not given83 of 28

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.

ADAS-Cog 14

“Lecanemab resulted in a reduction in change from baseline as measured on the ADAS-Cog 14 (-1.442[-26%], p=0.00065), ADCS-ADL-MCI (2.016[-37%], p<0.00001), and ADCOMS (-0.050[-24%], p=0.00002) as compared to placebo.”

Review, supplement 001 · PDF p. 75 · fda.gov ↗

-26%p=0.00065-37%p<0.00001-24%p=0.00002

ADAS-Cog 14

“ADAS-Cog 14 (-1.442[-26%], p=0.00065), ADCS-ADL-MCI (2.016[-37%], p<0.00001), and ADCOMS (-0.050[-24%], p=0.00002) as compared to placebo.”

Review, supplement 001 · PDF p. 115 · fda.gov ↗

-26%p=0.00065-37%p<0.00001-24%p=0.00002

CDR-SB

“The primary efficacy endpoint analysis, change from baseline in CDR-SB at Week 79, demonstrated a statistically significant treatment effect in the lecanemab treatment arm compared to placebo in the FAS+ population (-0.45[-27%], p=0.00005) and the FDA FAS population (-0.39[-25%], p=0.0004) (Table 6)”

Review, supplement 001 · PDF p. 144 · fda.gov ↗

-27%p=0.00005-25%p=0.0004

CDR-SB

“The Study 301 Core met the primary and key secondary endpoints, with statistically significant difference between lecanemab and placebo on change from baseline of CDR-SB at 18 months, demonstrating slowing of disease progression, with an adjusted mean treatment difference of -0.451 (27.1% less decli”

Review, supplement 001 · PDF p. 408 · fda.gov ↗

27.1%P=0.00005adjusted mean treatment difference of -0.451

ADCS-ADL-MCI

“Lecanemab treatment demonstrated a statistically significant reduction in decline on change from baseline ADCS-ADL-MCI compared to placebo in the FAS+ population (2.016 [-37%], p<0.00001) and the FDA FAS population (1.911 [-36%], p<0.00001) (Table 10).”

Review, supplement 001 · PDF p. 152 · fda.gov ↗

-37%p<0.00001-36%

CDR global score

“Lecanemab treatment reduced the risk of progression on the CDR global score by 31% with a hazard ratio of 0.69 (0.572, 0.833), p=0.00011.”

Review, supplement 001 · PDF p. 164 · fda.gov ↗

31%p=0.00011

CLARITY-AD · CDR-SB

“Study 301 core met the primary endpoint of Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) at week 79 (p=0.00005).”

Review, supplement 001 · PDF p. 433 · fda.gov ↗

p=0.00005

amyloid PET

“Adding APOE genotype on baseline amyloid PET and/or drug effect did not provide any statistically significant improvement (p<0.01) to the model, as also suggested by the observed data (Figure 10).”

Review, supplement 001 · PDF p. 430 · fda.gov ↗

p<0.01

Safety

Most common adverse reactions

“Most common adverse reactions (at approximately 10% and higher incidence compared to placebo): infusion-related reactions, amyloid related imaging abnormality-microhemorrhages, amyloid related imaging abnormality edema/effusion, and headache.”

Prescribing information, supplement 011 · PDF p. 1 · fda.gov ↗

Adverse events the documents discuss most

Dosing on the label

“The recommended dosage is 10 mg/kg administered after dilution as an intravenous infusion over approximately one hour, as follows (2.2): o Once every two weeks for 18 months (2.2) o After 18 months, continue treatment once every 2 weeks or once every 4 weeks (2.2)”

Prescribing information, supplement 013 · PDF p. 1 · fda.gov ↗

FDA documents read

DocumentDatePagesCopysha256
Summary Review761269Orig1s000SumR.pdfJanuary 6, 2023545de24982c039
Prescribing information, original approval761269Orig1s000lbl.pdfJanuary 6, 202317e1b801ebe601
Approval letter761269Orig1s000ltr.pdfJanuary 6, 2023119cfca3470c37
Administrative Correspondence761269Orig1s000AdminCorres.pdfFebruary 6, 202355archived copy38f2b917af7a
Approval Letter761269Orig1s000Approv.pdfFebruary 6, 202314archived copy08a93adb0617
Chemistry Review761269Orig1s000ChemR.pdfFebruary 6, 202315archived copyb33e7f72e9f0
Clinical Pharmacology Review761269Orig1s000ClinPharmR.pdfFebruary 6, 202376archived copy07b599749a4d
Prescribing Information (Label)761269Orig1s000Lbl.pdfFebruary 6, 2023191c7cbea7f40a
Clinical (Medical) Review761269Orig1s000MedR.pdfFebruary 6, 2023290archived copy636fadc1dd6f
Proprietary Name Review761269Orig1s000NameR.pdfFebruary 6, 202332archived copy482b8e1f4812
Officer/Employee List761269Orig1s000OEList.pdfFebruary 6, 20233archived copy442ab61833e1
Other Reviews761269Orig1s000OtherR.pdfFebruary 6, 202329archived copy1ff20545a8fa
Pharmacology/Toxicology Review761269Orig1s000PharmR.pdfFebruary 6, 2023330a2850099751
Risk Assessment / REMS Review761269Orig1s000RiskR.pdfFebruary 6, 202317bc9e4a30b283
Statistical Review761269Orig1s000StatR.pdfFebruary 6, 2023493801dd3db168
Prescribing information, supplement 001761269Orig1s001lbl.pdfSeptember 5, 202323d1908d5e122b
Approval letter, supplement 001761269Orig1s001ltr.pdfSeptember 5, 202317bd7bec6c00cd
Review, supplement 001761269Orig1s001.pdfApril 9, 2024495e74fb0d9c8a0
Prescribing information, supplement 008761269s008lbl.pdfNovember 15, 202422710060ee1038
Approval letter, supplement 008761269Orig1s008ltr.pdfNovember 15, 20244d01287a33a91
Prescribing information, supplement 005761269s005lbl.pdfFebruary 5, 202523ac68016a27e8
Approval letter, supplement 005761269Orig1s005ltr.pdfFebruary 6, 20254d6b97da5499f
Approval letter, supplement 013716269Orig1s013ltr.pdfAugust 22, 20254archived copyb98cb0a6f5bf
Prescribing information, supplement 013761269s013lbl.pdfAugust 25, 202523d04de061481a
Prescribing information, supplements 012 and 015761269s012s015lbl.pdfDecember 18, 202538796b9deae3aa
Approval letter, supplements 012 and 015761269Orig1s012_s015ltr.pdfDecember 22, 20254d2983146667f
Prescribing information, supplement 011761269s011lbl.pdfJanuary 21, 2026389635683bd78e
Approval letter, supplement 011761269Orig1s011ltr.pdfJanuary 22, 20264d835ded46715

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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