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Overview of Approved DMT for Alzheimer's Disease

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Now there are, uh, different disease modifying, uh, drugs

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that you have heard about so far.

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Uh, AADA Helm is really, really a historical at this point

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because, uh, umab

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and Lecan have really outperformed, uh, AADA helm.

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But these are all IgG monoclonal antibodies.

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Now, all three of these drugs did a great job at their

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secondary endpoints, which is

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to clear beta amyloid plaque from the brain.

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But when it comes to the primary endpoint,

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which is slowing the rate of cognitive decline, um,

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AADA Helm did not do as well.

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So only in one trial they had 23%

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improvement, but not in the other trial.

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Donan actually had 35% slowing in cognitive decline.

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Uh, their results of their trial were just recently released

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in July, 2023,

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and Lecan had 27% slowing of cognitive decline.

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Um, now the price tag for Lecan is big at 26.5 K,

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but you have to realize, you know, also that this is a,

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uh, a lethal disease.

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Um, and to be able to give time back to our loved ones, uh,

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by slowing their rate of cognitive decline is a big deal.

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And again, CMS is now covering, uh, as is the VA.

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Now numerous other trials are also ongoing,

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including disease prevention trials, such

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as the dominantly inherited Alzheimer's network trials.

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And then there are several trials

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that include pharmacologic targeting

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and monitoring of other disease biomarkers for Alzheimer's,

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such as neurofibrillary tangles,

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which can be imaged again with Tau pet.

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Now, the National Institute of uh,

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aging is currently funding more than 450

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active clinical dementia trials.

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So there is a lot of activity in this space.

Report

Faculty

Suzie Bash, MD

Medical Director of Neuroradiology

San Fernando Valley Interventional Radiology & Imaging (SFI), RadNet

Tags

Neuroradiology

MRI

Iatrogenic

Brain