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Lecanemab /kg

Phase 2

Alzheimer's Disease | Small molecule | Neurology |Biogen Inc.|Last Updated: Mar 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 Enrollment856
FDA Designations
PRIORITY_REVIEWFAST_TRACKACCELERATED_APPROVAL
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01767311A Study to Evaluate Safety, Tolerability, and Efficacy of Lecanemab in Subjects With Early Alzheimer's DiseasePHASE2 COMPLETED 856Dec 20, 2012Dec 10, 2024Mar 4, 2026169 United States, Canada +9
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Study Endpoints
Primary Endpoints
Core Study Phase: Change From Baseline in Alzheimer's Disease Composite Score (ADCOMS) at Month 12
Core Study Phase: at Month 12

The ADCOMS is a composite score that comprises 4/14 items from the Alzheimer's Disease Assessment Scale-cognitive subscale (ADAS-cog), 2 items from the Mini Mental State Examination (MMSE), and all items from the Clinical Dementia Rating (CDR). Composite score is derived from the variables from the 12 items, and ranges from 0 to 1.97, where higher score means greater impairment. Change from baseline was analyzed using Bayesian analysis. Data presented are posterior mean and posterior standard deviation.

Core Study Phase: Number of Participants With All Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
From first dose of the study drug (Week 1) up to 90 days after last dose of study drug (up to 21 months)

A TEAE is defined as an AE that emerged during treatment or within 90 days following the last dose of study drug, having been absent at pretreatment (Baseline) or reemerged during treatment, having been present at pretreatment (Baseline) but stopped before treatment, or worsened in severity during treatment relative to the pretreatment state, when the AE was continuous. A SAE is any untoward medical occurrence that at any dose: results in death; is life-threatening (that is, the participant is at immediate risk of death from the adverse event as it occurs, this does not include an event that, has it occurred in a more severe form or is allowed to continue, might have cause death); requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability or incapacity; is a congenital anomaly or birth defect (in the child of a participant who is exposed to the study drug).

OLE Phase: Number of Participants With All TEAEs and SAEs
From first dose of the study drug (Week 1) up to 30 days after last dose of study drug (up to 61 months)

A TEAE is defined as an AE that emerged during treatment or within 30 days following the last dose of study drug, having been absent at pretreatment (Baseline) or reemerged during treatment, having been present at pretreatment (Baseline) but stopped before treatment, or worsened in severity during treatment relative to the pretreatment state, when the AE was continuous. A SAE is any untoward medical occurrence that at any dose: results in death; is life-threatening (that is, the participant is at immediate risk of death from the adverse event as it occurs, this does not include an event that, has it occurred in a more severe form or is allowed to continue, might have cause death); requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability or incapacity; is a congenital anomaly or birth defect (in the child of a participant who is exposed to the study drug).

Secondary Endpoints
Core Study Phase: Change From Baseline at Months 12 and 18 in Brain Amyloid Pathophysiology as Measured by Amyloid Positron Emission Tomography (PET)
Core Study Phase: at Months 12 and 18
Core Study Phase: Change From Baseline in ADCOMS at Month 18
Core Study Phase: at Month 18
Core Study Phase: Change From Baseline in Clinical Dementia Rating- Sum of Boxes (CDR-SB) at Months 12 and 18
Core Study Phase: at Months 12 and 18
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Core Study: Lecanemab 2.5 mg/kg biweeklyEXPERIMENTAL2.5 mg/kg biweekly
Core Study: Lecanemab 5.0 mg/kg biweeklyEXPERIMENTAL5.0 mg/kg biweekly
Core Study: Lecanemab 10 mg/kg biweeklyEXPERIMENTAL10 mg/kg biweekly
Core Study: Lecanemab 5.0 mg/kg monthlyEXPERIMENTAL5.0 mg/kg monthly
Core Study: Lecanemab 10 mg/kg monthlyEXPERIMENTAL10 mg/kg monthly
Core Study: Lecanemab-matched PlaceboPLACEBO_COMPARATORMatching placebo biweekly
Extension Phase: Lecanemab 10 mg/kgEXPERIMENTALAll participants who fulfill Extension Phase inclusion and exclusion criteria will have the option to participate in the Extension Phase to receive lecanemab 10 mg/kg biweekly for up to 60 months or until the benefit-to-risk ratio from treatment with lecanemab is no longer considered favorable, whichever comes first. Additionally, participants who have received Extension Phase treatment for at least 18 months may opt to enter the dosing regimen substudy during which they will receive either lecanemab 10 mg/kg once every 4 weeks (Q4W) or once every 3 months (Q3M).
Interventions
NameTypeDescription
Lecanemab 2.5 mg/kgDRUG2.5 mg/kg biweekly (once every 2 weeks) administered as i.v. infusion
Lecanemab 5.0 mg/kgDRUG5.0 mg/kg biweekly (once every 2 weeks) administered as i.v. infusion
Lecanemab 10 mg/kgDRUG10 mg/kg biweekly (once every 2 weeks) administered as i.v. infusion.
PlaceboDRUGbiweekly (once every 2 weeks) administered as i.v. infusion
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Eligibility Criteria
Age Range50 Years — 90 Years
SexALL
Healthy VolunteersNo
Study Sites169

Key Inclusion Criteria (Core Study) for Mild Cognitive Impairment due to Alzheimer's Disease \- Intermediate likelihood: 1. Subjects who meet the National Institute of Aging - Alzheimer's Association (NIA-AA) core clinical criteria for mild cognitive impairment due to Alzheimer's disease - interme...

Countries:United StatesCanadaFranceGermanyItalyJapanNetherlandsSouth KoreaSpainSwedenUnited Kingdom
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