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FDA Approves LEQEMBI IQLIK® (lecanemab-irmb) Subcutaneous Injection as an Initiation Dose for Early Alzheimer's Disease

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Biogen (Nasdaq: BIIB) and Eisai announced that the FDA has approved a supplemental Biologics License Application for LEQEMBI IQLIK (lecanemab-irmb), a once‑weekly 500 mg subcutaneous autoinjector regimen as an initiation dose for adults with early Alzheimer’s disease (mild cognitive impairment or mild dementia).

The regimen uses two 250 mg injections (~15 seconds each) and may transition after 18 months of IV or SC therapy to 360 mg weekly maintenance. Clinical data from Clarity AD long‑term extension sub‑studies showed SC exposure equivalent to IV, supporting similar efficacy and amyloid removal, with an overall safety profile generally comparable to IV and mostly localized injection reactions.

LEQEMBI IQLIK is the only at‑home administration option across the full treatment journey in the U.S., with U.S. availability for initiation dosing expected in late August 2026 via specialty pharmacies, alongside support from the LEQEMBI Companion program and Eisai’s Patient Assistance Program.

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Positive

  • FDA approval of weekly SC initiation dose for early Alzheimer’s
  • SC route showed exposure equivalent to IV in Clarity AD LTE
  • Overall SC safety profile generally similar to IV administration
  • At‑home autoinjector option may reduce clinic visit burden
  • High device acceptability: 94% of patients/care partners found it easy to use
  • U.S. launch of LEQEMBI IQLIK initiation dosing planned for late August 2026

Negative

  • ARIA (imaging abnormalities) in 21% with LEQEMBI vs 9% placebo
  • ARIA‑E incidence: 13% with LEQEMBI vs 2% placebo
  • ARIA‑H incidence: 17% with LEQEMBI vs 9% placebo
  • Intracerebral hemorrhage >1 cm: 0.7% with LEQEMBI vs 0.1% placebo
  • Higher ARIA rate in ApoE ε4 homozygotes: 45% vs 19% heterozygotes and 13% noncarriers
  • Infusion‑related reactions in 26% with LEQEMBI vs 7% placebo

News Explained

The disclosure changes LEQEMBI administration by adding an FDA-approved at-home initiation option, with U.S. launch still planned for late August 2026.

The July 13, 2026 release reports that the FDA approved LEQEMBI IQLIK, a once-weekly subcutaneous lecanemab injection, for initiation dosing in early Alzheimer's disease.

That approval adds an at-home autoinjector route from treatment start, while the U.S. launch is planned for late August 2026.

The approved initiation regimen is 500 mg once weekly as two 250 mg injections, and the product may be used for 360 mg weekly maintenance after 18 months of IV or subcutaneous treatment.

The release also states that patients may use IV or subcutaneous dosing throughout treatment and switch between them.

The release identifies the planned late-August U.S. launch through a specialty pharmacy as the next rollout milestone.

News Market Reaction – BIIB

-8.17% 1.7x vol
10 alerts
-8.17% Session close to close
-8.3% Trough in 21 hr 5 min
$29.40B Market Cap
1.7x Rel. Volume

In the Jul 14 session, BIIB declined 8.17%, reflecting a notable negative market reaction. Argus tracked a trough of -8.3% from its starting point during tracking. Our momentum scanner triggered 10 alerts that day, indicating notable trading interest and price volatility. Trading volume was above average at 1.7x the daily average, suggesting increased trading activity.

Data tracked by StockTitan Argus on the day of publication.

Market Context

The stock moved -8.2% in the session following this news. A steep decline could indicate investors r...
Analysis

The stock moved -8.2% in the session following this news. A steep decline could indicate investors refocused on safety disclosures like ARIA incidence of 21% vs 9% with placebo despite added convenience. That would contrast with Biogen’s typically positive reaction to FDA approvals, and low short interest may reduce forced covering support.

Key Figures

Initiation dose: 500 mg once weekly Injection split: Two 250 mg injections Maintenance dose: 360 mg once weekly +5 more
8 metrics
Initiation dose 500 mg once weekly Subcutaneous LEQEMBI IQLIK initiation regimen
Injection split Two 250 mg injections Weekly LEQEMBI IQLIK initiation dosing
Maintenance dose 360 mg once weekly Maintenance dosing after 18 months of prior treatment
Autoinjector usability 94% Patients and care partners who found LEQEMBI IQLIK device easy to use
Symptomatic ARIA rate 3% Patients with symptomatic ARIA on LEQEMBI
Serious ARIA symptoms 0.7% Patients with serious ARIA symptoms on LEQEMBI
ARIA incidence 21% vs 9% Overall ARIA with LEQEMBI vs placebo
ICH incidence 0.7% vs 0.1% Intracerebral hemorrhage >1 cm with LEQEMBI vs placebo

Previous Fda approval Reports

5 past events · Latest: Mar 30 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Mar 30 FDA approval Positive +2.0% Approval of high dose SPINRAZA regimen for spinal muscular atrophy.
Aug 29 FDA approval Positive +5.6% Approval of LEQEMBI IQLIK subcutaneous autoinjector for maintenance dosing.
Jan 26 FDA approval Positive +1.8% Approval of LEQEMBI IV maintenance dosing schedule change for early Alzheimer’s.
Jan 23 Regulatory filing Positive +0.6% FDA and EMA acceptance of higher dose nusinersen regimen applications in SMA.
Oct 9 Breakthrough designation Positive +1.9% FDA Breakthrough Therapy Designation for felzartamab in kidney transplant rejection.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Recent FDA approval and designation news for Biogen has typically been followed by modestly positive stock moves.

Key Terms

subcutaneous, intravenous, amyloid-related imaging abnormalities (aria), apolipoprotein e ε4, +2 more
6 terms
subcutaneous medical
"subcutaneous injection (brand name: LEQEMBI IQLIK) as an initiation dose"
Subcutaneous means situated or applied just beneath the skin. In finance, the term can describe processes or investments that are hidden or not immediately visible, much like something placed under the skin that isn't easily seen from the outside. Recognizing subcutaneous activities helps investors understand underlying factors that may influence markets or asset values over time.
intravenous medical
"convenient alternative to intravenous (IV) dosing from the start of treatment"
Intravenous means delivering a drug, fluid or substance directly into a vein so it goes straight into the bloodstream. For investors, that matters because intravenous products often act faster, require different manufacturing, regulatory steps and healthcare settings (like hospitals or clinics), and can affect pricing, adoption and revenue profiles in ways that differ from pills or topical treatments — like turning a slow-release delivery into a direct tap to the system.
apolipoprotein e ε4 medical
"Apolipoprotein E ε4 (ApoE ε4) Homozygotes : Patients who are ApoE ε4 homozygotes"
Apolipoprotein E ε4 is a specific version of a gene involved in how the body handles fats and clears brain waste; think of it as a genetic “flavor” that some people inherit. It matters to investors because carrying this version raises the risk of late‑onset Alzheimer’s and can influence who benefits from treatments, affect clinical trial design and success rates, and drive demand for diagnostics and therapies, which can alter market value for related companies.
cerebral amyloid angiopathy medical
"MRI findings suggestive of cerebral amyloid angiopathy (CAA), such as pretreatment microhemorrhage"
Cerebral amyloid angiopathy is a condition where sticky protein deposits build up on the walls of blood vessels in the brain, making them fragile and more prone to leaking or small bleeds — think of plaque clogging and corroding old pipes. It matters to investors because it influences the safety profile and regulatory review of drugs or devices aimed at brain disorders, can affect clinical trial outcomes, and may create liability or market demand for diagnostics and treatments.
thrombolytic therapy medical
"could be due to ARIA-E before giving thrombolytic therapy to a patient being treated"
Thrombolytic therapy uses medications to dissolve dangerous blood clots that block blood flow, like a chemical 'drain cleaner' clearing a clogged pipe so blood can reach organs again. Investors watch it because successful drugs or devices can create large markets, change standard medical care, and drive revenue or liability risks for developers and hospitals depending on clinical results, approvals, and safety profiles.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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LEQEMBI IQLIK is a first-of-its-kind anti-amyloid treatment worldwide, offering at-home dosing for initiation and maintenance (approved in the U.S.)

U.S. launch of LEQEMBI IQLIK as an initiation dose planned for late August 2026

TOKYO and CAMBRIDGE, Mass., July 13, 2026 /PRNewswire/ -- Eisai Co., Ltd. and Biogen Inc. (Nasdaq: BIIB), announced that the U.S. Food and Drug Administration (FDA) has approved a supplemental Biologics License Application (sBLA) for a once‑weekly lecanemab‑irmb subcutaneous injection (brand name: LEQEMBI IQLIK®) as an initiation dose for the treatment of early Alzheimer's disease. 

Experience the full interactive Multichannel News Release here: https://www.multivu.com/Eisai/9406151-en-fda-approves-leqembi-for-early-alzheimers-disease

Eisai_Logo_and_Biogen_Logo

LEQEMBI IQLIK is administered via an autoinjector, introducing a convenient alternative to intravenous (IV) dosing from the start of treatment. For initiation, the approved regimen is 500 mg given once weekly as two 250 mg injections, each delivered in approximately 15 seconds. LEQEMBI IQLIK may also be used for maintenance dosing at 360 mg once weekly after 18 months of IV or subcutaneous treatment. Throughout the entire treatment course – from initiation through maintenance – patients may receive LEQEMBI either as IV infusion or as subcutaneous (SC) injection with LEQEMBI IQLIK. Patients may also switch from IV to SC administration, or vice versa, providing greater convenience and flexibility in LEQEMBI administration.

LEQEMBI is indicated in the United States for adults with mild cognitive impairment (MCI) or mild dementia due to Alzheimer's disease, collectively referred to as early Alzheimer's disease. MCI due to AD is the earliest symptomatic stage of Alzheimer's disease and can appear with subtle symptoms such as forgetfulness, confusion, or feeling at a loss for words.

Clinical Data Supporting FDA Approval of Subcutaneous Initiation Dosing

The FDA approval of LEQEMBI IQLIK as an initiation dose is supported by a comprehensive clinical data package evaluating SC administration of lecanemab across multiple studies and a range of dosing regimens. Sub‑studies within the Phase 3 Clarity AD long‑term extension (LTE), following the 18‑month core study in individuals with early Alzheimer's disease, showed:

  • Once‑weekly subcutaneous administration achieved exposure equivalent to intravenous dosing, supporting similar clinical (efficacy) and biomarker (amyloid removal) benefits.
  • The rate of exposure-related adverse events such as ARIA-E with SC administration is expected to be comparable with IV administration. There was no increase in isolated ARIA-H (i.e., ARIA-H in patients who did not also experience ARIA-E) for LEQEMBI compared to placebo.
  • The overall safety profile of SC administration was generally similar to intravenous administration. Injection-related reactions were observed with subcutaneous LEQEMBI, most of which were localized, while systemic reactions were less frequently observed.

"The approval of LEQEMBI IQLIK for initiation dosing marks a new era of Alzheimer's treatments," said Howard Fillit, MD, Co-Founder and Chief Science Officer Emeritus of the Alzheimer's Drug Discovery Foundation (ADDF). "For the first time, patients and their care partners have meaningful choice in how anti-amyloid treatment is delivered. As treatment approaches continue to expand, innovations in drug delivery will play a critical role in improving access to therapies, supporting the investigation of potential combination treatments, and advancing a precision medicine approach to Alzheimer's care."

Expanding Treatment Flexibility Across the Alzheimer's Disease Care Pathway

The approval of LEQEMBI IQLIK as a subcutaneous initiation dose provides patients and care partners with the only at-home administration option throughout the Alzheimer's disease treatment journey which could support access and delivery of care across healthcare settings. Subcutaneous administration may:

  • Reduce the burden of clinic visits currently associated with anti-amyloid therapy for patients and care partners
  • Reduce reliance on infusion and associated healthcare resources
  • Decrease treatment preparation and administration time, and nursing monitoring requirements
  • Preserve infusion capacity for patients who prefer or require intravenous therapy

Insights from an autoinjector acceptability study indicated that 94% of patients with early Alzheimer's disease and their care partners found the LEQEMBI IQLIK device easy to use, with high levels of satisfaction and confidence in using it in an at-home setting.*

Support for Patients
The LEQEMBI CompanionTM program offers help with understanding insurance coverage and potential out-of-pocket costs, and identifying financial support programs, including the LEQEMBI Copay Assistance Program for eligible patients.

To further support access to LEQEMBI for certain patients who need help paying for their medicines, Eisai's Patient Assistance Program (PAP) will provide LEQEMBI and LEQEMBI IQLIK at no cost, for eligible uninsured patients, who meet financial need and other program criteria.

LEQEMBI IQLIK for initiation dosing is expected to be available in late August 2026 in the U.S. Patients will receive LEQEMBI IQLIK from a specialty pharmacy.

Eisai serves as the lead for lecanemab's development and regulatory submissions globally with Eisai and Biogen co-commercializing and co-promoting the product and Eisai having final decision-making authority.

*Based on in-person interviews of 50 patients with early AD and 50 care partners currently assisting people with early AD. Participants were given the opportunity to interact with a training autoinjector device (containing no needles or medication) and an injection pad, then asked to answer computer-based surveys about their experience, including "How difficult or easy was it to use the self-injection device?"

INDICATION 
LEQEMBI® is indicated for the treatment of Alzheimer's disease (AD). Treatment with LEQEMBI should be initiated in patients with mild cognitive impairment (MCI) or mild dementia stage of disease, the population in which treatment was initiated in clinical trials.

IMPORTANT SAFETY INFORMATION

WARNING: AMYLOID-RELATED IMAGING ABNORMALITIES (ARIA)

•         Monoclonal antibodies directed against aggregated forms of beta amyloid, including LEQEMBI, can cause ARIA, characterized as ARIA with edema (ARIA-E) and ARIA with hemosiderin deposition (ARIA-H). Incidence and timing of ARIA vary among treatments. ARIA usually occurs early in treatment and is usually asymptomatic, although serious and life-threatening events, including seizure and status epilepticus, can occur. ARIA can be fatal. Serious intracerebral hemorrhages (ICH) >1 cm, some of which have been fatal, have been observed with this class of medications. Because ARIA-E can cause focal neurologic deficits that can mimic an ischemic stroke, consider whether such symptoms could be due to ARIA-E before giving thrombolytic therapy to a patient being treated with LEQEMBI.

o    Apolipoprotein E ε4 (ApoE ε4) Homozygotes: Patients who are ApoE ε4 homozygotes (~15% of patients with AD) treated with this class of medications have a higher incidence of ARIA, including symptomatic, serious, and severe radiographic ARIA, compared to heterozygotes and noncarriers. Testing for ApoE ε4 status should be performed prior to initiation of treatment to inform the risk of developing ARIA. Prior to testing, prescribers should discuss with patients the risk of ARIA across genotypes and the implications of genetic testing results. Prescribers should inform patients that if genotype testing is not performed, they can still be treated with LEQEMBI; however, it cannot be determined if they are ApoE ε4 homozygotes and at higher risk for ARIA.

•         Consider the benefit of LEQEMBI for the treatment of AD and the potential risk of serious ARIA events when deciding to initiate treatment with LEQEMBI.

CONTRAINDICATION
Contraindicated in patients with serious hypersensitivity to lecanemab-irmb or to any of the excipients. Reactions have included angioedema and anaphylaxis.

WARNINGS AND PRECAUTIONS

AMYLOID-RELATED IMAGING ABNORMALITIES
Medications in this class, including LEQEMBI, can cause ARIA-E, which can be observed on MRI as brain edema or sulcal effusions, and ARIA-H, which includes microhemorrhage and superficial siderosis. ARIA can occur spontaneously in patients with AD, particularly in patients with MRI findings suggestive of cerebral amyloid angiopathy (CAA), such as pretreatment microhemorrhage or superficial siderosis. ARIA-H generally occurs with ARIA-E. Reported ARIA symptoms may include headache, confusion, visual changes, dizziness, nausea, and gait difficulty. Focal neurologic deficits may also occur. Symptoms usually resolve over time.

Incidence of ARIA 
Symptomatic ARIA occurred in 3% and serious ARIA symptoms in 0.7% with LEQEMBI. Clinical ARIA symptoms resolved in 79% of patients during the period of observation. ARIA, including asymptomatic radiographic events, was observed: LEQEMBI, 21%; placebo, 9%. ARIA-E was observed: LEQEMBI, 13%; placebo, 2%. ARIA-H was observed: LEQEMBI, 17%; placebo, 9%. No increase in isolated ARIA-H was observed for LEQEMBI vs placebo.

Incidence of ICH
ICH >1 cm in diameter was reported in 0.7% with LEQEMBI vs 0.1% with placebo. Fatal events of ICH in patients taking LEQEMBI have been observed.

Risk Factors of ARIA and ICH

ApoE ε4 Carrier Status
Of the patients taking LEQEMBI, 16% were ApoE ε4 homozygotes, 53% were heterozygotes, and 31% were noncarriers. With LEQEMBI, ARIA was higher in ApoE ε4 homozygotes (LEQEMBI: 45%; placebo: 22%) than in heterozygotes (LEQEMBI: 19%; placebo: 9%) and noncarriers (LEQEMBI: 13%; placebo: 4%). Symptomatic ARIA-E occurred in 9% of ApoE ε4 homozygotes vs 2% of heterozygotes and 1% of noncarriers. Serious ARIA events occurred in 3% of ApoE ε4 homozygotes and in ~1% of heterozygotes and noncarriers. The recommendations on management of ARIA do not differ between ApoE ε4 carriers and noncarriers.

Radiographic Findings of CAA
Neuroimaging findings that may indicate CAA include evidence of prior ICH, cerebral microhemorrhage, and cortical superficial siderosis. CAA has an increased risk for ICH. The presence of an ApoE ε4 allele is also associated with CAA.

The baseline presence of at least 2 microhemorrhages or the presence of at least 1 area of superficial siderosis on MRI, which may be suggestive of CAA, have been identified as risk factors for ARIA. Patients were excluded from Clarity AD for the presence of >4 microhemorrhages and additional findings suggestive of CAA (prior cerebral hemorrhage >1 cm in greatest diameter, superficial siderosis, vasogenic edema) or other lesions (aneurysm, vascular malformation) that could potentially increase the risk of ICH.

Concomitant Antithrombotic or Thrombolytic Medication
In Clarity AD, baseline use of antithrombotic medication (aspirin, other antiplatelets, or anticoagulants) was allowed if the patient was on a stable dose. Most exposures were to aspirin. Antithrombotic medications did not increase the risk of ARIA with LEQEMBI. The incidence of ICH: 0.9% in patients taking LEQEMBI with a concomitant antithrombotic medication vs 0.6% with no antithrombotic and 2.5% in patients taking LEQEMBI with an anticoagulant alone or with antiplatelet medication such as aspirin vs none in patients receiving placebo.

Fatal cerebral hemorrhage has occurred in 1 patient taking an anti-amyloid monoclonal antibody in the setting of focal neurologic symptoms of ARIA and the use of a thrombolytic agent.

Additional caution should be exercised when considering the administration of antithrombotics or a thrombolytic agent (e.g., tissue plasminogen activator) to a patient already being treated with LEQEMBI. Because ARIA-E can cause focal neurologic deficits that can mimic an ischemic stroke, treating clinicians should consider whether such symptoms could be due to ARIA-E before giving thrombolytic therapy in a patient being treated with LEQEMBI.

Caution should be exercised when considering the use of LEQEMBI in patients with factors that indicate an increased risk for ICH and, in particular, patients who need to be on anticoagulant therapy or patients with findings on MRI that are suggestive of CAA.

Radiographic Severity With LEQEMBI
Most ARIA-E radiographic events occurred within the first 7 doses, although ARIA can occur at any time, and patients can have >1 episode. Maximum radiographic severity of ARIA-E with LEQEMBI was mild in 4%, moderate in 7%, and severe in 1% of patients. Resolution on MRI occurred in 52% of ARIA-E patients by 12 weeks, 81% by 17 weeks, and 100% overall after detection. Maximum radiographic severity of ARIA-H microhemorrhage with LEQEMBI was mild in 9%, moderate in 2%, and severe in 3% of patients; superficial siderosis was mild in 4%, moderate in 1%, and severe in 0.4% of patients. With LEQEMBI, the rate of severe radiographic ARIA-E was highest in ApoE ε4 homozygotes (5%) vs heterozygotes (0.4%) or noncarriers (0%). With LEQEMBI, the rate of severe radiographic ARIA-H was highest in ApoE ε4 homozygotes (13.5%) vs heterozygotes (2.1%) or noncarriers (1.1%).

Monitoring and Dose Management Guidelines
Baseline brain MRI and periodic monitoring with MRI are recommended. Enhanced clinical vigilance for ARIA is recommended during the first 14 weeks of treatment. Depending on ARIA-E and ARIA-H clinical symptoms and radiographic severity, use clinical judgment when considering whether to continue dosing or to temporarily or permanently discontinue LEQEMBI. If a patient experiences ARIA symptoms, clinical evaluation should be performed, including MRI if indicated. If ARIA is observed on MRI, careful clinical evaluation should be performed prior to continuing treatment.

HYPERSENSITIVITY REACTIONS
Hypersensitivity reactions, including angioedema, bronchospasm, and anaphylaxis, have occurred with LEQEMBI. Promptly discontinue the infusion upon the first observation of any signs or symptoms consistent with a hypersensitivity reaction and initiate appropriate therapy.

INFUSION-RELATED REACTIONS (IRRs)
IRRs were observed—LEQEMBI: 26%; placebo: 7%—and most cases with LEQEMBI (75%) occurred with the first infusion. IRRs were mostly mild (69%) or moderate (28%). Symptoms included fever and flu-like symptoms (chills, generalized aches, feeling shaky, and joint pain), nausea, vomiting, hypotension, hypertension, and oxygen desaturation.

IRRs can occur during or after the completion of infusion. In the event of an IRR during the infusion, the infusion rate may be reduced or discontinued, and appropriate therapy initiated as clinically indicated. Consider prophylactic treatment prior to future infusions with antihistamines, acetaminophen, nonsteroidal anti-inflammatory drugs, or corticosteroids.

ADVERSE REACTIONS

  • The most common adverse reactions reported in ≥5% with LEQEMBI infusion every 2 weeks and ≥2% higher than placebo were IRRs (LEQEMBI: 26%; placebo: 7%), ARIA-H (LEQEMBI: 14%; placebo: 8%), ARIA-E (LEQEMBI: 13%; placebo: 2%), headache (LEQEMBI: 11%; placebo: 8%), superficial siderosis of central nervous system (LEQEMBI: 6%; placebo: 3%), rash (LEQEMBI: 6%; placebo: 4%), and nausea/vomiting (LEQEMBI: 6%; placebo: 4%)
  • The safety profile of subcutaneous LEQEMBI was similar to intravenous infusion. Subcutaneous dosing was associated with mostly localized (erythema, induration, swelling, heat, pain, pruritus, rash, ecchymosis, nodule, and hematoma) and less frequent systemic (headache, chills, fever, and fatigue) injection-related reactions, majority at first dose when initiating therapy. Localized reactions that were recurrent and/or delayed were observed. Severe localized reactions and cases leading to dose discontinuation or interruption occurred.

LEQEMBI (lecanemab-irmb) is available:

  • Intravenous infusion: 100 mg/mL
  • Subcutaneous injection: 200 mg/mL

Please see full Prescribing Information for LEQEMBI, including Boxed WARNING.

Click here to access the LEQEMBI digital library with assets available for download.

MEDIA CONTACTS


Eisai Co., Ltd.

Public Relations Department

TEL: +81 (0)3-3817-5120

Eisai Europe, Ltd.

EMEA Communications Department

+44 (0) 7760 619251

Emea-comms@eisai.net

Eisai Inc. (U.S.)

Libby Holman

+1-201-753-1945

Libby_Holman@Eisai.com 

Biogen Inc.

Madeleine Shin

+1-781-464-3260

public.affairs@biogen.com


INVESTOR CONTACTS


Eisai Co., Ltd.

Investor Relations Department

TEL: +81 (0) 3-3817-5122

Biogen Inc.

Tim Power

+ 1-781-464-2442

IR@biogen.com

Notes to Editors

  1. About lecanemab (generic name, brand name: LEQEMBI®)
    Lecanemab is the result of a strategic research alliance between Eisai and BioArctic. It is a humanized immunoglobulin gamma (IgG1) monoclonal antibody directed against aggregated soluble (protofibril) and insoluble forms of amyloid-beta (Aβ).

    Lecanemab has been approved in 53 countries and regions including Japan, the United States, China, Europe, South Korea, Taiwan, and Saudi Arabia, and is under regulatory review in 6 countries. Following the initial phase with treatment every two weeks for 18 months, intravenous (IV) maintenance dosing with treatment every four weeks was approved in 8 countries including the U.S., China, the UK, and others, and applications have been filed in 12 countries and regions. The U.S. FDA approved Eisai's Biologics License Application (BLA) for subcutaneous maintenance dosing with LEQEMBI IQLIK in August 2025. In November 2025, an application for a subcutaneous injectable formulation in Japan was submitted. In January 2026, the Biologics License Application (BLA) for the subcutaneous formulation was accepted in China. In December 2025, lecanemab (IV) has been included in the "Commercial Insurance Innovative Drug List", recently introduced by the National Healthcare Security Administration (NHSA) of China.

    LEQEMBI's approvals in these countries were based on Phase 3 data from Eisai's global placebo-controlled, double-blind, parallel-group, randomized Clarity AD clinical trial, in which it met its primary endpoint and all key secondary endpoints with statistically significant results. The primary endpoint was the global cognitive and functional scale, Clinical Dementia Rating Sum of Boxes (CDR-SB). Clarity AD evaluated lecanemab 10 mg/kg bi-weekly IV treatment of early Alzheimer's disease, which involved 1,795 patients (treatment group: 898, placebo group: 897). 95% of patients who completed the core study (18 months) chose to continue in the long-term extension study (LTE), with 478 patients still receiving treatment for four years. In the Clarity AD core clinical study, data showed LEQEMBI IV significantly slowed disease progression at 18 months  (27% vs placebo), and the mean change from baseline between the lecanemab treated group and the placebo group after 18 months was -0.45 (P=0.00005) on the primary endpoint of CDR-SB global cognitive and functional scale.

    To provide context, a change from 0.5 to 1 on the Clinical Dementia Rating (CDR) score domains of Memory, Community Affairs and Home/Hobbies reflects a shift from mild impairment to loss of independence. This can affect a person's ability to be left alone safely, recall recent events, participate in daily activities, manage household tasks, and engage in hobbies and intellectual interests.

    LEQEMBI also rapidly reduced plaque as early as three months (−59.1 CL difference vs placebo in amyloid level at 18 months; P<0.00001).* Additionally, LEQEMBI continued to show benefit over a four-year LTE treatment period; in a subgroup analysis, 81 percent of LEQEMBI patients who stayed on treatment remained in the early AD stages at four years.**

    Over three years of treatment, including both the core study and the LTE, data showed lecanemab demonstrated a reduction in cognitive decline—measured by CDR-SB—of 1.01 points compared to the expected decline observed in the Alzheimer's Disease Neuroimaging Initiative (ADNI)** cohort. This benefit grew more pronounced after four years, with a reduction of 1.75 points. Similarly, when benchmarked against the expected decline in the BioFINDER cohort, lecanemab showed a reduction of 1.40 points at three years and an even greater reduction of 2.17 points at the four-year mark. In Clarity AD, the most common adverse events (>10%) in the lecanemab group were infusion reactions, ARIA-H (combined cerebral microhemorrhages, cerebral macrohemorrhages, and superficial siderosis), ARIA-E (edema/effusion), headache, and fall.

    *The Centiloid scale is used for amyloid PET, where 0 CL is anchored as the average amyloid in young people without amyloid plaques, and 100 is anchored as the average amyloid level in moderate AD.  The baseline centiloid level in CLARITY AD was approximately 78 CL. Plaque negativity is defined as conversion to amyloid PET negative (<30 centiloid, or CL).
    **Prespecified subgroup analysis of reduced risk of progression: Progression was defined as CDR-SB score progressing to moderate or severe dementia (≥9.5), based on Kaplan-Meier plots.

  2. About Protofibrils
    Protofibrils are thought to be the most toxic Aβ species that contribute to brain damage in AD and play a major role in the cognitive decline of this progressive and devastating disease. Protofibrils can cause neuronal and synaptic damage in the brain, which can subsequently adversely affect cognitive function through multiple mechanisms.18The mechanism by which this occurs has been reported not only by increasing the formation of insoluble Aβ plaques, but also by directly damaging signaling between neurons and other cells. It is believed that reducing protofibrils may reduce neuronal damage and cognitive impairment, potentially preventing the progression of AD.2

  3. About the Collaboration between Eisai and Biogen for AD
    Eisai and Biogen have been collaborating on the joint development and commercialization of AD treatments since 2014. Eisai serves as the lead of lecanemab development and regulatory submissions globally with both companies co-commercializing and co-promoting the product and Eisai having final decision-making authority.

  4. About the Collaboration between Eisai and BioArctic for AD
    Since 2005, Eisai and BioArctic have had a long-term collaboration regarding the development and commercialization of AD treatments. Eisai obtained the global rights to study, develop, manufacture and market lecanemab for the treatment of AD pursuant to an agreement with BioArctic in December 2007. The development and commercialization agreement on the antibody lecanemab back-up was signed in May 2015.

  5. About Eisai Co., Ltd.
    Eisai's Corporate Concept is "to give first thought to patients and people in the daily living domain, and to increase the benefits that health care provides." Under this Concept (also known as human health care (hhc) Concept), we aim to effectively achieve social good in the form of relieving anxiety over health and reducing health disparities. With a global network of R&D facilities, manufacturing sites and marketing subsidiaries, we strive to create and deliver innovative products to target diseases with high unmet medical needs, with a particular focus in our strategic areas of Neurology and Oncology.

    In addition, we demonstrate our commitment to the elimination of neglected tropical diseases (NTDs), which is a target (3.3) of the United Nations Sustainable Development Goals (SDGs), by working on various activities together with global partners.

    For more information about Eisai, please visit www.eisai.com (for global headquarters: Eisai Co., Ltd.), and connect with us on X, LinkedIn and Facebook. The website and social media channels are intended for audiences outside of the UK and Europe. For audiences based in the UK and Europe, please visit www.eisai.eu and Eisai EMEA LinkedIn.

  6. About Biogen
    Founded in 1978, Biogen is a leading biotechnology company that pioneers innovative science to deliver new medicines to transform patient's lives and to create value for shareholders and our communities. We apply deep understanding of human biology and leverage different modalities to advance first-in-class treatments or therapies that deliver superior outcomes. Our approach is to take bold risks, balanced with return on investment to deliver long-term growth.

    The company routinely posts information that may be important to investors on its website at www.biogen.com. Follow Biogen on social media – Facebook, LinkedIn, X, YouTube.

    Biogen Safe Harbor
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References

  1. Amin L, Harris DA. Aβ receptors specifically recognize molecular features displayed by fibril ends and neurotoxic oligomers. Nat Commun. 2021;12:3451. doi:10.1038/s41467-021-23507-z.
  2. Ono K, Tsuji M. Protofibrils of Amyloid-β are Important Targets of a Disease-Modifying Approach for Alzheimer's Disease. Int J Mol Sci. 2020;21(3):952. doi: 10.3390/ijms21030952. PMID: 32023927; PMCID: PMC7037706.

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SOURCE Eisai Inc.

FAQ

What did the FDA approve for Biogen’s LEQEMBI IQLIK (BIIB) on July 13, 2026?

The FDA approved a supplemental BLA for once‑weekly LEQEMBI IQLIK subcutaneous initiation dosing in early Alzheimer’s disease. According to Biogen and Eisai, the 500 mg regimen is delivered as two 250 mg autoinjector shots and offers an at‑home alternative to intravenous infusion.

How is LEQEMBI IQLIK dosed for initiation and maintenance in early Alzheimer’s patients on BIIB’s therapy?

For initiation, LEQEMBI IQLIK is given as 500 mg once weekly via two 250 mg injections. According to Biogen and Eisai, after 18 months of IV or SC treatment, patients may use 360 mg weekly subcutaneous maintenance, with flexibility to switch between IV and SC routes.

When will LEQEMBI IQLIK subcutaneous initiation dosing be available in the U.S. for Biogen (BIIB) patients?

LEQEMBI IQLIK for initiation dosing is expected to be available in the U.S. in late August 2026. According to Biogen and Eisai, patients will obtain the product through specialty pharmacies, enabling at‑home administration with support from the LEQEMBI Companion and patient assistance programs.

How does the safety of subcutaneous LEQEMBI IQLIK compare with intravenous LEQEMBI for BIIB investors assessing risk?

Subcutaneous LEQEMBI showed a safety profile generally similar to intravenous infusion in clinical evaluations. According to Biogen and Eisai, SC dosing mainly caused localized injection reactions, while systemic reactions were less frequent, and exposure‑related events like ARIA‑E are expected to be comparable to IV administration.

What are the key ARIA and intracerebral hemorrhage risks associated with LEQEMBI treatment from Biogen (BIIB)?

LEQEMBI is associated with ARIA in 21% of patients versus 9% on placebo, including ARIA‑E and ARIA‑H. According to Biogen and Eisai, intracerebral hemorrhage >1 cm occurred in 0.7% on LEQEMBI versus 0.1% on placebo, with higher ARIA rates in ApoE ε4 homozygotes.

Who is indicated for treatment with LEQEMBI and LEQEMBI IQLIK in Biogen’s (BIIB) Alzheimer’s portfolio?

LEQEMBI is indicated for Alzheimer’s disease, with treatment initiated in mild cognitive impairment or mild dementia stages. According to Biogen and Eisai, this reflects the population studied in clinical trials and targets early Alzheimer’s disease where symptoms like forgetfulness and confusion first appear.

What patient support and cost‑assistance options accompany LEQEMBI IQLIK for Biogen (BIIB) therapies?

Patients may access the LEQEMBI Companion program for help with insurance, out‑of‑pocket costs, and financial support options. According to Biogen and Eisai, Eisai’s Patient Assistance Program can provide LEQEMBI and LEQEMBI IQLIK at no cost to eligible uninsured patients meeting financial and other program criteria.