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Published on: December 26, 2016
An Interprofessional Team for Disease-Modifying Therapy in Alzheimer Disease Implementation
Katherine W Turk1, Mark D Knobel1, Alexandra Nothern1
1Neurology Service (KWT, MDK, GF, HN, BC, DCA, AC, BVR, AEB); Center for Translational Cognitive Neuroscience (KWT, MDK, GF, HN, BC, DCA, AC, AEB), VA Boston Healthcare System; Neurology Service (KWT, AEB), Alzheimer's Disease Research Center, Boston University School of Medicine; Geriatrics Service (AN); Radiology Service (AM); Nursing Service (VC, NP); and Clinical Pharmacy Service (CW, LMV, JR, LT), VA Boston Healthcare System, Boston, MA.
New amyloid-targeting immunotherapies like lecanemab offer Alzheimer disease treatment promise but carry risks. This study shares resources developed for safe lecanemab infusion implementation and monitoring at a major medical center.
Area of Science:
- Neuroscience
- Immunotherapy
- Alzheimer Disease Therapeutics
Background:
- Alzheimer disease treatment landscape is evolving with new amyloid-targeting immunotherapies.
- Lecanemab shows promise but carries significant patient risks requiring careful management.
- Effective clinical implementation necessitates robust protocols and patient monitoring.
Purpose of the Study:
- To develop and share practical resources for the safe administration of lecanemab.
- To streamline the process of lecanemab infusion and monitoring in a clinical setting.
- To provide a model for other healthcare centers implementing novel Alzheimer therapies.
Main Methods:
- Convened an interprofessional team to address lecanemab infusion logistics.
- Developed patient education materials and clinical documentation templates.
- Established systems and processes for infusion monitoring and management.
Main Results:
- Created a comprehensive set of resources for lecanemab administration.
- Designed adaptable templates and protocols for clinical use.
- Facilitated the safe integration of lecanemab into patient care pathways.
Conclusions:
- The developed resources and processes support the safe and effective implementation of lecanemab.
- Sharing these materials can aid other institutions in managing amyloid-targeting immunotherapies.
- Interprofessional collaboration is key to navigating the complexities of new Alzheimer treatments.
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