Real-world experience with lecanemab therapy for Alzheimer’s disease in the Intermountain West

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Abstract

INTRODUCTION

Lecanemab is a monoclonal antibody targeting amyloid plaques that has been approved for the treatment of Alzheimer’s disease. Here, we report on the clinical history and outcomes of the first 70 patients at the University of Utah to receive amyloid-removal therapy.

METHODS

This is a retrospective analysis of patients treated with lecanemab over a 26-month period. We extracted patient data from charts and analyzed demographics, health history, and clinical details with outcomes on lecanemab treatment.

RESULTS

In total, we observed 14 cases of ARIA, which was significantly associated with ApoE genotype. Zero cases of ARIA were symptomatic, and there was no association between geographical location and adverse effects.

DISCUSSION

Our study examined the safety and tolerability of centralized lecanemab administration across a widely distributed region and suggests that use of distributed infusion sites increases access to disease-modifying treatment without significant increase in risk.

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