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Synonyms: BAN-2401 | BAN2401 | lecanemab-irmb | Leqembi®
lecanemab is an approved drug (FDA (2023))
Compound class:
Antibody
Comment: Lecanemab (BAN2401) is a humanized IgG1 monoclonal antibody that targets amyloid β protein (APP) protofibrils [5,18]. It binds more potently to amyloid β protofibrils than to monomeric amyloid β [5,16]. Lecanemab was developed by Eisai and Biogen for potential to slow neurological decline in patients in the very early stages of developing Alzheimer's disease. It is not suitable for other forms of dementia.
This blog post by Derek Lowe ('Lecanemab and Alzheimer's: More Data'; posted on Nov. 30, 2022) provides a sound review of lecanemab's reported efficacy [19], what it contributes as an Alzheimer's therapy, and the issues around potential lecanemab-mediated cerebral bleeding events. |
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| Targets where the ligand is described in the comment field | |
| Target | Comment |
| triggering receptor expressed on myeloid cells 2 | TREM2 is a membrane-bound receptor that contains an immunoglobulin V-set domain. It appears to function as a lipid-sensing receptor, with ligands including cyclophilin A [7], amyloid-β protein 42 [21,23], lipoprotein particles and apolipoproteins [21], and phospholipids [12]. Via interaction with TYROBP (TYROBP; DAP12) and spleen tyrosine kinase (SYK) phosphorylation, TREM2 regulates microglial survival, plasticity, migration and expression of inflammatory cytokines. Rare coding variants are associated with neurodegeneration in Alzheimer's disease [4,17,20]. The protein is an active target for the development of therapeutics for various neurodegenerative diseases [1-3,14,20,22]. VGL101 (iluzanebart), DNL919, and AL002 are agonistic TREM2-targeting monoclonal antibodies that are (or were) in clinical development for neurodegenerative diseases [9-10,13], although these are subject to limited brain permeability. This latter approach was proposed to activate TREM2-mediated microglial removal of amyloid β (Aβ) from the brain. In the phase 2 AL002 study changes resembling amyloid-related imaging abnormalities (ARIA) similar to those observed with the approved anti-Aβ monoclonals (aducanumab and lecanemab for example) were detected [10]. |