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FDA approves Leqembi Iqlik® (lecanemab-irmb) subcutaneous injection as a starting dose for early Alzheimer's disease

  • The US FDA approved a supplemental Biologics License Application for Leqembi Iqlik (lecanemab-irmb) as a once-weekly subcutaneous starting dose for early Alzheimer's disease.
  • The US launch of Leqembi Iqlik is scheduled for late August 2026.
  • Leqembi Iqlik is a first-of-its-kind anti-amyloid treatment allowing at-home initiation & maintenance via an autoinjector instead of intravenous infusion.
  • The approved initiation regimen consists of 500 mg once weekly, delivered as two 250 mg injections administered over approximately 15 seconds each.
  • Patients may now receive the full treatment course via subcutaneous injection or intravenous infusion with the option to switch between methods as needed.
  • Clinical data from the Phase 3 Clarity AD long-term extension showed subcutaneous administration achieved exposure equivalent to intravenous dosing with similar efficacy & amyloid removal benefits.
  • Safety profiles for subcutaneous & intravenous administration are comparable regarding exposure-related adverse events such as ARIA-E, with no increase in isolated ARIA-H.
  • Injection-related reactions with the subcutaneous form were mostly localized, while systemic reactions were less frequent.
  • The new option aims to reduce clinic visit burdens, decrease reliance on infusion resources, & preserve infusion capacity for patients requiring intravenous therapy.
  • An autoinjector acceptability study indicated 94% of patients & care partners found the device easy to use with high satisfaction levels.
  • Leqembi is currently approved in 53 countries, with the subcutaneous formulation under regulatory review in 6 additional regions.
  • BioArctic holds commercialization rights in the Nordic region under its long-term collaboration with Eisai, which handles global regulatory & commercial activities.