Cochrane Review Finds Amyloid-Targeting Alzheimer's Drugs Likely Ineffective for Mild Dementia
A recent Cochrane review has concluded that amyloid-beta-targeting monoclonal antibodies, specifically donanemab and lecanemab, are probably not effective in treating mild cognitive impairment or mild dementia associated with Alzheimer's disease (AD). The review analyzed 17 studies involving 20,342 participants, assessing outcomes over periods of 12, 18, 24, and more than 24 months. The findings suggest that these drugs result in little to no difference in functional ability as measured by the Alzheimer's Disease Cooperative Study - Activities of Daily Living scale. The review also noted a small increase in amyloid-related imaging abnormalities related to edema (ARIA E) at 18 months. However, the studies did not clearly differentiate between symptomatic and asymptomatic cases of brain swelling and microbleeds, leaving a gap in understanding the seriousness of potential side effects.