Aug 28 (Reuters) - The U.S. Food and Drug Administration
said on Thursday it is recommending additional, earlier scans to
monitor brain swelling prior to the third infusion for patients
with Alzheimer's disease taking Eisai ( ESALF ) and Biogen's
drug Leqembi.
The earlier monitoring can identify individuals with
amyloid-related imaging abnormalities with edema (ARIA-E), which
is characterized by brain swelling or fluid buildup.
The FDA said it identified six deaths early in treatment,
which prompted an in-depth analysis of serious and fatal
outcomes related to ARIA-E before the fifth Leqembi infusion.
The health regulator said it is requiring the prescribing
information of Leqembi to include an earlier monitoring between
the second and third infusion.
The companies did not immediately respond to a Reuters
request for comment.
The current prescribing information of Leqembi recommends
MRI imaging before the fifth, seventh and 14th infusions.
The health regulator requires patients on rival Eli Lilly's ( LLY )
Alzheimer's drug Kisunla to obtain a brain MRI prior to
the second, third, fourth and seventh infusions.
Biogen's Leqembi was approved in 2023 to slow the
progression of Alzheimer's disease in patients with mild
cognitive impairment or mild dementia stage of disease.
It targets an underlying cause of the fatal mind-wasting
disease.
An injectable version of the drug, currently given by
intravenous infusion, is under U.S. regulatory review.