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Published on: August 22, 2012
Public Health
So Yeon Jeon1,2, Min Soo Byun3,4,5, Hyeji Choi3
1Chungnam National University Hospital, Daejeon, Daejeon, Korea, Republic of (South).
This study estimates lecanemab eligibility in Korea, finding only 14.4% of clinic patients and 8.3% of cohort participants met criteria. These findings suggest a need for tailored guidelines for Alzheimer's disease treatment in South Korea.
Area of Science:
- Neurology
- Clinical Research
- Alzheimer's Disease
Background:
- Lecanemab, approved in South Korea in May 2024, has limited real-world eligibility data.
- Estimating lecanemab eligibility is crucial for guiding treatment access in the Korean population.
Purpose of the Study:
- To estimate the proportion of patients eligible for lecanemab treatment in Korea.
- To assess eligibility in both a clinical memory clinic population and a research cohort.
Main Methods:
- Retrospective analysis of 2,726 patients from a university memory clinic and 625 from the KBASE cohort.
- Applied ADRD-TWG Appropriate Use Recommendations (AUR) for lecanemab eligibility criteria.
- Included MMSE score criteria (≥22 or z-score > -1.5) and amyloid PET positivity.
Main Results:
- In the clinical sample, 14.4% were eligible after applying all criteria.
- In the cohort sample, 8.3% were eligible after applying all criteria.
- The overall estimated eligibility across both groups was 8.7%.
Conclusions:
- This study provides the first real-world lecanemab eligibility data for the Korean population.
- Current guidelines may exclude a significant proportion of early Alzheimer's disease patients.
- Tailored eligibility criteria reflecting Korean population characteristics and healthcare access are needed.
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