Alzheimer’s disease refers to a progressive brain condition that impacts millions of people globally, leading to memory loss, cognitive decline, and significant impairment in daily functioning. As the population ages, the need for effective treatments becomes increasingly urgent. 

One of the newest drugs on the market, Leqembi, has garnered attention for its potential to slow the progression of Alzheimer’s disease. But what exactly is Leqembi, and what are its benefits and risks? This article provides an in-depth look at Leqembi, offering essential information for patients, caregivers, and healthcare providers.

What Is Leqembi?

Leqembi, also known as lecanemab, is a new drug designed to help treat Alzheimer’s disease. Alzheimer’s is a condition that causes memory loss and affects thinking skills due to the buildup of harmful protein clumps in the brain called amyloid-beta plaques. These plaques disrupt communication between brain cells, leading to the symptoms of Alzheimer’s.

Leqembi works by targeting these amyloid plaques, helping the body’s immune system to clear them out. This process can potentially slow down the progression of the disease. The U.S. Food and Drug Administration (FDA) approved Leqembi in 2023. It’s different from older treatments because it focuses on slowing the disease itself rather than just treating symptoms. Leqembi is given as an intravenous (IV) infusion, usually every two weeks, and is intended for people in the early stages of Alzheimer’s when these plaques are starting to form.

How Does Leqembi Work?

Leqembi works by targeting tiny pieces of a protein called amyloid-beta, which are thought to form the harmful plaques in the brains of people with Alzheimer’s disease. These tiny pieces, called protofibrils, are like the building blocks of the plaques. Leqembi binds to these protofibrils, marking them for removal by the body’s immune system. This process is believed to help reduce the amount of amyloid plaques in the brain, which can slow down the symptoms of Alzheimer’s, like memory loss and confusion.

In clinical trials, Leqembi Alzheimer’s drug was shown to be effective in reducing amyloid plaque levels in the brain and slowing down the decline in thinking and memory compared to a placebo (a treatment with no active drug). These results suggest that Leqembi may help people in the early stages of Alzheimer’s maintain their cognitive abilities for a longer time.

Benefits of Leqembi

Leqembi offers several potential benefits for patients in the early stages of Alzheimer’s disease. Here are some of the key benefits of Leqembi:

Slows Cognitive Decline

One of the primary benefits of Leqembi is its ability to slow the progression of cognitive decline in patients with early Alzheimer’s disease. Clinical trials have identified that patients who received treatment with Leqembi experienced a slower rate of decline in memory, thinking, and reasoning abilities compared to those who received a placebo. This slowing of cognitive decline can translate into more time for patients to maintain their independence and quality of life.

Reduces Amyloid Plaque Levels

Leqembi has been shown to significantly reduce the levels of amyloid plaques in the brain, a key marker of Alzheimer’s disease. By targeting and removing these plaques, Leqembi may help to delay the worsening of symptoms and potentially alter the course of the disease. This reduction in plaque levels is a critical step forward in the treatment of Alzheimer’s, as it addresses one of the underlying causes of the disease rather than just its symptoms.

Potential to Extend Quality of Life

For many patients and their families, one of the most devastating facets of Alzheimer’s disease is the loss of quality of life as cognitive functions deteriorate. Leqembi offers the potential to extend the period during which patients can enjoy meaningful interactions with loved ones, engage in daily activities, and retain a sense of independence. 

Who Should Consider Leqembi?

Leqembi is specifically approved for use in patients with early Alzheimer’s disease who have confirmed amyloid plaque buildup in the brain. It is not intended for use in the later stages of the disease or in individuals without amyloid plaques. Patients considering Leqembi should undergo a thorough evaluation and diagnostic testing to ensure they are appropriate candidates for the treatment.

Given the risks associated with Leqembi, patients must have regular follow-up appointments and MRI scans to monitor for any adverse effects. Additionally, healthcare providers should weigh the benefits, risks, and potential Leqembi cost on a case-by-case basis, taking into account the patient’s overall health, medical history, and personal preferences.

Takeaways 

Leqembi represents a promising advancement in the treatment of Alzheimer’s disease, offering hope to patients and families facing the challenges of this devastating condition. By targeting amyloid plaques, Leqembi has the potential to slow cognitive decline and extend the period during which patients can maintain their quality of life. As with any medical treatment, patients and caregivers need to have open and informed discussions with their healthcare providers to determine whether Leqembi is the right choice for their individual needs.

While Leqembi offers significant benefits for some patients with early Alzheimer’s, it is crucial to carefully consider the risks and engage in ongoing monitoring to ensure the safest and most effective use of this new treatment. 

Frequently Asked Questions (FAQs)

How is Leqembi administered, and how often?

Leqembi is given as an intravenous (IV) infusion, typically every two weeks. The infusion process usually takes about an hour and is done in a clinical setting under the supervision of healthcare professionals. Regular infusions are necessary to maintain the drug’s effectiveness in delaying the progression of Alzheimer’s disease.

What are the common side effects of Leqembi?

Common side effects of Leqembi include infusion-related reactions such as fever, chills, nausea, and headache. There is also a risk of Amyloid-Related Imaging Abnormalities (ARIA), which can cause brain swelling or small brain bleeds. Most cases of ARIA are asymptomatic, but some patients may experience symptoms like confusion or dizziness. Regular monitoring with MRI scans is important to detect and manage any potential side effects.

How long does it take to see results with Leqembi?

The effects of Leqembi may vary from person to person, but some patients may start to see a slowing of cognitive decline after several months of consistent treatment. It’s important to understand that Leqembi is not a cure, but it can help delay the progression of Alzheimer’s disease over time. Routine visits to a healthcare provider are necessary to track progress and change treatment as needed.