UK shouldn't fall for the hype on new Alzheimer's drug Lecanemab

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UK shouldn't fall for the hype on new Alzheimer's drug Lecanemab
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Lecanemab is a promising advance. But at present it’s no more than that 💬 StuartJRitchie for ipaperviews

Scientists are desperate for good news on Alzheimer’s disease, for three good reasons. The first is obvious: the sheer tragedy of the disease, which plays havoc with a sufferer’s brain, changing them into an entirely different, much diminished, person.

The second is that, as our population ages, there will be many more people with Alzheimer’s – and we urgently need ways to treat them. The third reason is that the cupboard for treatments was bare: researchers had failed to find any viable drugs for Alzheimer’s, rendering doctors powerless in the face of often dreadful symptoms.. At the end of 2022, researchers announced a major clinical trial that showed positive results for a new anti-Alzheimer’s drug called lecanemab, which appeared to hold back cognitive decline.

At the beginning of this month, a group of researchers wrote a letter strongly criticising the interpretation of the lecanemab trial. They noted that the effects of the drug, despite much media hype, were modest – it’s debatable whether most patients would even notice them. Moreover, since the participants in the trial were so highly selected – nearly 60 per cent of potential participants were rejected – it’s not clear they were representative of Alzheimer’s patients.

They also focused on safety concerns. More than 12 per cent of the trial patients developed brain bleeds or swellings that are linked to confusion, dizziness and nausea. There was also evidence that they lost some of their brain volume.subsequently died, after having strokes or seizures. It’s possible that the way the drug works – by stripping plaques of the protein amyloid beta from the brain – weakens the brain’s blood vessels, making it more vulnerable to bleeds.

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