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Dementia Care Research and Psychosocial Factors
Rachel N Hart1, Whoy Shang1, Hannah Hust1
1Norton Healthcare Neuroscience Institute, Louisville, KY, USA.
Insights
This study explores patient and caregiver experiences with lecanemab, an Alzheimer's disease treatment. Findings will assess real-world outcomes and satisfaction to guide future treatment decisions for early-stage Alzheimer's disease.
Area of Science:
- Neurology
- Pharmacology
- Patient-Reported Outcomes
Background:
- Lecanemab is the first FDA-approved anti-amyloid antibody for Alzheimer's disease (AD).
- It targets chronic, neurodegenerative AD, aiming to slow disease progression in early stages.
- This study focuses on patient and care partner perspectives during lecanemab treatment.
Purpose of the Study:
- To describe patient and care partner perspectives on lecanemab treatment.
- To gather insights on symptoms and needs related to AD and its treatment.
- To evaluate patient satisfaction with lecanemab in a clinical setting.
Main Methods:
- Cross-sectional survey of patients treated with lecanemab for at least six months.
- Surveys administered during infusion visits, focusing on the prior four weeks.
- Data collection includes patient-reported needs, symptoms, and satisfaction, supplemented by electronic health records.
Main Results:
- Descriptive statistics will characterize the study population (age, sex, race/ethnicity, disease stage).
- Analysis will focus on patient-reported outcomes and satisfaction levels.
- Data collection and analysis are scheduled for completion by June.
Conclusions:
- This study evaluates real-world patient-reported outcomes and satisfaction with lecanemab.
- Understanding patient and care partner experiences can inform clinical treatment decisions.
- Findings will provide insights into the impact of lecanemab on daily living and autonomy.
Background:
Lecanemab is the first anti-amyloid monoclonal antibody with full FDA-approval to treat Alzheimer's disease (AD), a chronic and irreversible neurodegenerative disorder that affects cognitive function, leads to progressive loss of autonomy and the ability to perform activities of daily living. Lecanemab's efficacy profile suggest the potential to slow disease progression in early-stage AD. This study aims to describe the perspectives of the patients with mild cognitive impairment (MCI) due to AD or mild AD, who receive treatment with lecanemab, and their care partners identified from a clinical practice site in the United States.
Method:
This cross-sectional survey study will recruit patients who have been treated with lecanemab for at least six months and provide informed consent. The clinical practice is within a not-for-profit health care system that owns and operates nine hospitals, 10 outpatient centers, 19 immediate care centers, and has an expanded telehealth program. A self-administered survey will be completed by patients and/or care partners during infusion visits. The survey will consist of 9 items concerning symptoms, disease- and treatment-related needs, based on findings from the What Matters Most (WMM) study, and 2 questions on patient satisfaction. Response options will be on a 5-point Likert scale and should relate to the 4 weeks prior to the time of rating. Sociodemographic and clinical data from electronic medical records will be used to describe participants. Descriptive statistics, including frequencies and percentages, will be reported.
Result:
All eligible patients will be given the opportunity to participate. Consenting patients and/or their caregivers will be surveyed. Data collection and analysis will be completed by June. Descriptive statistics, such as age, sex, race/ethnicity, disease stage, and mean number of infusions, will be presented for the study population.
Conclusion:
Findings from this survey study will evaluate patient-reported outcomes and treatment satisfaction associated with lecanemab in real-world settings. Understanding the impact on patients' and care partners' lives may inform treatment decisions.
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