ALZHEIMERS NEWS-LECANEMAB VS DONANEMAB AS THE NEXT ONE TO TREAT ALZHEIMERS
as a review
in the theory of alzheimers disease
amyloid begins to build up in the brain for some reason and form plaques
these plaques kill brain cells
then
tau proteins inside the brain cells began to unwind and form tau tangles
these tau tangles get outside the cells and kill brain cells
then
all this brain cell death causes the bodys inflammation army to move in to try to repair the damage
causing inflammatory reaction damage to the brain
for a true treatment
you need to attack all three processes thats going on
my drug aduhelm or aducanumab goes in and removes the amyloid plaques from the brain
the amount of amyloid can be measured by doing an amyloid pet scan
in the aducanumab study after a year of treatment most of the measurable amyloid plaque is removed
it also seems to lower the tau tangle levels
it also seems to lower the inflammation in the brain
there is about a 20% reduction in memory loss after that year
aduhelm attacks the amyloid protein and removes it
now
enter lecanemab and donanemab
they both act similar but different from aduhelm by attaching to a different part of amyloid
they both seem to do a better job of doing it
they seem to have less side effects
they both also in phase 2 studies seem to work better than my drug biogen aduhelm
the fda approved aduhelm or aducanumab for use in mci due to alzheimers and in mild alzheimers
however
cms the ruler of medicare and medicaid only approved paying for it in clinical studies
the result is its not being used much in the private world since no one will pay for it
most of it is being used in clinical trials
aduhelm will be starting an at least 5 year study required by the fda before it will reconsider its ruling
my study i am in is called embark
it will be finished in about 1-2 years then we will know better after that how well it works
now the other two will be where aduhelm will be in two years this fall
both will probably apply for full coverage and full approval
they both likely will get it if their results are promising
biogen in marketing aduhelm or aducanumab tried to circumvent the system and get it approved too early
they are now paying the price
no cms approval for payment and little use of it since people in the private world have to pay out of pocket
lecanemab is a biogen and eisai drug
eisai is now running the show since biogen screwed up with the aduhelm marketing
donanemab is an eli lilly drug
gantenrumab is a roche drug that is not far behind these two
the end result may be
donanemab and lecanemab might have full approval by the fda the first of 2023
they both will be available for use
then
if they get full approval cms will most likely cover them in the private world
so
in a year from now
these two drugs will be available if all goes right for those in the alzheimers world to start using and get it paid for
i do worry though that alzheimers disease is the stepchild of the cms world and there may be attempts to limit these drugs use to save money for a disease that is only mainly killing old people
an expendable group of people when it comes to money
just watch what they try to do with social security and medicare
you can get a feel for what could happen when you look at what happened to all those elderly folks in long term facilities in regards to covid 19 care and treatment
they were expendable
so
dont let them expendable us
the organicgreen doctor
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