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Lecanemab

Phase 3

Preclinical Alzheimer's Disease | Small molecule | Neurology |Biogen Inc.|Last Updated: Jun 4, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment1,400
FDA Designations
PRIORITY_REVIEWFAST_TRACKACCELERATED_APPROVAL
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04468659AHEAD 3-45 Study: A Study to Evaluate Efficacy and Safety of Treatment With Lecanemab in Participants With Preclinical Alzheimer's Disease and Elevated Amyloid and Also in Participants With Early Preclinical Alzheimer's Disease and Intermediate AmyloidPHASE3 ACTIVE NOT_RECRUITING 1,400Jul 14, 2020Jan 16, 2031Jun 4, 2026107 United States, Australia +5
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Study Endpoints
Primary Endpoints
A45 Trial: Change From Baseline in Preclinical Alzheimer Cognitive Composite 5 (PACC5) Score at Week 216
Baseline, Week 216

PACC5(5 components):Free/cued selective reminding test:number of words recalled without cuing/with cuing(0\[worst\]-96\[best recall\]);Delayed Paragraph Recall test: recall of 1 short story(25 bits information),immediately after reading and again after delay of 30 minutes (0\[worst\]-25\[best recall\]);Digit-symbol substitution test: Participant uses a key to fill in blank squares as fast as possible in 90 seconds(0\[none\]-91\[best performance\]);Mini Mental State Score:to evaluate orientation,memory,attention,concentration,naming,repetition,comprehension and ability to create sentence,to copy 2 overlapping pentagons, scored as number of correctly completed items(0\[worse\]-30\[perfect performance\]);Category fluency task: participants generate words in 60 second belonging to a semantic category(total score:number of appropriate words generated per task, higher values indicate better performance).

A3 Trial: Change From Baseline in Amyloid Positron Emission Tomography (PET) Standard Uptake Value Ratio (SUVr) at Week 216
Baseline, Week 216
Secondary Endpoints
A45 Trial: Change From Baseline in Amyloid Positron Emission Tomography (PET) Standard Uptake Value Ratio (SUVr) at Weeks 96 and 216
Baseline, Week 96, Week 216
A45 Trial: Change From Baseline in tau Positron Emission Tomography (PET) Standard Uptake Value Ratio (SUVr) at Weeks 96 and 216
Baseline, Week 96, Week 216
A45 Trial: Change From Baseline in Cognitive Function Index (CFI) at Week 216
Baseline, Week 216
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
A45 Trial: Lecanemab 5 mg/kg + 10 mg/kg (Core Study)EXPERIMENTALParticipants will receive lecanemab 5 milligram per kilogram (mg/kg), administered as intravenous (IV) infusion, every two weeks from Week 0 to 6, then 10 mg/kg, administered as IV infusion, every two weeks from Week 8 to 94, and 10 mg/kg, administered as IV infusion, every four weeks from Week 96 to 216 in core study.
A45 Trial: Placebo (Core Study)PLACEBO_COMPARATORParticipants will receive placebo (0.9 percent \[%\] sodium chloride solution), administered as IV infusion, every two weeks from Week 0 to 94, then every four weeks from Week 96 to 216.
A3 Trial: Lecanemab 5 mg/kg + 10 mg/kg (Core Study)EXPERIMENTALParticipants will receive lecanemab 5 mg/kg, administered as IV infusion, every four weeks from Week 0 to 4, then 10 mg/kg, administered as IV infusion, every four weeks from Week 8 to 216 in core study.
A3 Trial: Placebo (Core Study)PLACEBO_COMPARATORParticipants will receive placebo (0.9% sodium chloride solution), administered as IV infusion, every four weeks from Week 0 to 216.
A3 and A45 Trial: Lecanemab 10 mg/kg (Extension Phase)EXPERIMENTALParticipants (from either A3 or A45 Trial) progressing to early Alzheimer's disease (EAD) during the core study (progressors) will receive lecanemab 10 mg/kg, administered as IV infusion, every two weeks after transition to the extension phase for at least 216 weeks from randomization in the core study. Participants completing the core study (completers) will enter extension phase and will receive lecanemab 5 mg/kg for initial 4 doses, than 10 mg/kg, administered as IV infusion, every two weeks for up to 96 weeks in extension phase.
Interventions
NameTypeDescription
LecanemabDRUGIV infusion.
PlaceboDRUGIV infusion.
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Eligibility Criteria
Age Range55 Years — 80 Years
SexALL
Healthy VolunteersNo
Study Sites107

Inclusion criteria: Participants must meet all of the following criteria to be included in this study: 1. Male or female, age 55 to 80 years inclusive at the time of informed consent, with a plasma biomarker result that is predictive of intermediate or elevated brain amyloid at Screening or known ...

Countries:United StatesAustraliaCanadaJapanSingaporeSpainUnited Kingdom
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Recent Changes (Last 90 Days)
LOWJun 4, 2026NCT04468659lastUpdatePostDate: changed
LOWJun 4, 2026NCT04468659lastUpdatePostDate: changed
LOWJun 4, 2026NCT04468659lastUpdatePostDate: changed
LOWJun 4, 2026NCT04468659lastUpdatePostDate: changed
LOWMay 26, 2026NCT04468659primaryCompletionDate: changed
LOWMay 24, 2026NCT04468659studyFirstPostDate: changed