To describe the incidence and severity of known adverse events, including amyloid-related imaging abnormalities-edema (ARIA-E), ARIA microhemorrhage and hemosiderin deposit (ARIA-H), and intracerebral hemorrhage greater than 1 cm in diameter in participants treated with LEQEMBI during routine clinical practice, summarizing the data overall and by apolipoprotein E4 variant (APOE4) genotype, concomitant antithrombotic therapy, and baseline magnetic resonance imaging (MRI) findings (comorbid cerebral amyloid angiopathy \[CAA\]). The secondary purpose of this study is, To describe progression to the next stage of Alzheimer's Disease (AD), stratified by ARIA and intracerebral hemorrhage greater than 1 cm. To describe previously unknown adverse events related to the long-term safety of LEQEMBI in routine clinical practice, which were not identified in clinical development, as assessed by serious suspected adverse reactions, adverse reactions leading to discontinuation of LEQEMBI treatment, and deaths that occur within 30 days of discontinuation of LEQEMBI treatment (regardless of causality). To describe drug utilization of LEQEMBI and to assess the effectiveness of risk minimization measures in routine clinical practice.
This is a noninterventional, prospective, observational Patient Registry study that will be conducted in Canada, the main purpose of which is to describe the incidence and severity of known adverse events in participants treated with LEQEMBI during routine clinical practice.
Study Type
OBSERVATIONAL
Enrollment
400
No intervention.
University of Calgary - Hotchkiss Brain Institute
Calgary, Alberta, Canada
NOT_YET_RECRUITINGUniversity of Alberta, Geriatric Division
Edmonton, Alberta, Canada
NOT_YET_RECRUITINGUniversity of British Columbia - CARD
Vancouver, British Columbia, Canada
NOT_YET_RECRUITINGUBC Victoria - Neil and Susan Manning Cognitive Health Initiative
Victoria, British Columbia, Canada
NOT_YET_RECRUITINGKingston HHC (Queen University)
Kingston, Ontario, Canada
NOT_YET_RECRUITINGParkwood Hospital - London
London, Ontario, Canada
NOT_YET_RECRUITINGTrillium Hospital
Mississauga, Ontario, Canada
NOT_YET_RECRUITINGBruyère Institute
Ottawa, Ontario, Canada
NOT_YET_RECRUITINGKawartha Center
Peterborough, Ontario, Canada
NOT_YET_RECRUITINGSunnybrook Hospital
Toronto, Ontario, Canada
NOT_YET_RECRUITING...and 7 more locations
Incidence and Severity of Known AEs
Incidence and severity of known AEs will be reported. AEs will include ARIA-E and ARIA-H (including asymptomatic and symptomatic) and ICH \>1 cm in diameter in participants treated with LEQEMBI.
Time frame: Up to 3 years
Time to Progression to the Next Stage of Alzheimer's Disease
Time frame: Up to 3 years
Incidence and Severity of Previously Unknown Adverse Events Related to the Long-Term Safety of LEQEMBI in Routine Clinical Practice
Incidence and severity of serious suspected adverse reactions, adverse reactions leading to discontinuation of LEQEMBI treatment, and deaths that occur within 30 days of discontinuation of LEQEMBI treatment.
Time frame: Up to 3 years
Drug Utilization of LEQEMBI
Drug utilization will be assessed by count (n) and proportion (%) of age group, ethnicity, sex, residential location, APOE4 genotype, AD diagnosis, baseline MRI findings, baseline antithrombotic use, participants prescribed LEQEMBI according to PM, and treatment discontinuation by reason.
Time frame: Up to 3 years
Duration of Treatment
Drug Utilization of LEQEMBI will be assessed by Duration of Treatment
Time frame: Up to 3 years
Effectiveness of Risk Minimization Measures
Effectiveness of Risk Minimization Measures will be assessed by the proportion of participants using antithrombotic medications during treatment, demonstrating compliance with MRI monitoring (before the 3rd, 5th, 7th, and 14th infusions), with dose suspension or discontinuation of LEQEMBI for ARIA or ICH \>1 cm, and reporting physician compliance with providing educational materials at treatment initiation and after safety updates (if applicable), including type of materials, distribution method, and quantity.
Time frame: Up to 3 years
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