Dossier assessment

Lecanemab (early Alzheimer’s disease) – Benefit assessment according to §35a Social Code Book V

Status
Status: Commission completed
Project no.
A25-111
Last updated

Report documents

  1. Extract of dossier assessment

    Lecanemab (early Alzheimer’s disease) – Benefit assessment according to §35a Social Code Book V

    published on
    Document type
    PDF document, 913 kB, EN, not accessible
    DOI-Link
    https://doi.org/10.60584/A25-111_en
  2. Dossier assessment

    Lecanemab (early Alzheimer’s disease) – Benefit assessment according to §35a Social Code Book V

    published on
    Document type
    PDF document, 2 MB, DE, not accessible
    DOI-Link
    https://doi.org/10.60584/A25-111

Dossier assessment

Indication:

Adults with early Alzheimer’s disease who are apolipoprotein E ε4 (ApoE ε4) non-carriers or heterozygotes with confirmed amyloid pathology

Result of dossier assessment:
  • Patients with a clinical diagnosis of mild cognitive impairment due to Alzheimer’s disease: added benefit not proven (based on the results of the relevant study)
  • Patients with a clinical diagnosis of mild dementia due to Alzheimer’s disease and lecanemab as add-on therapy to acetylcholinesterase inhibitors: added benefit not proven (based on the results of the relevant study)
  • Patients with a clinical diagnosis of mild dementia due to Alzheimer’s disease and lecanemab monotherapy: added benefit not proven (no relevant study)

Press releases

Lecanemab for early-stage Alzheimer’s disease: Previously unpublished data show no added benefit

Based on previously unpublished data, IQWiG concludes that lecanemab offers no proven benefit over the current standard of care in Germany.

Additional information

IQWiG health information

Lecanemab (trade name Leqembi) has been available in Germany since September 2025 for the treatment of early-stage Alzheimer's disease. To find out whether someone can have treatment with this medication, an accurate diagnosis and special tests are needed first.

IQWiG health information

The CDR ("Clinical Dementia Rating") scale is a questionnaire that doctors use to assess the degree of Alzheimer's disease in patients. Read about the kind of questions it covers and what the results mean.

IQWiG health information

Responder analyses are commonly used to statistically evaluate clinical trial data. Find out what responder analysis results can mean for patients, based on the example of treatment with lecanemab in Alzheimer's disease.

Federal Joint Committee (G-BA)

19-02-2026 A G-BA decision was published.
G-BA documents on this decision

Project details

Project no.
A25-111
Commission
Commission awarded on 28.08.2025 by the Federal Joint Committee (GBA).
Report type
Dossier assessment
Status
Commission completed
Department/Division
Drug Assessment
Topic
Head and nerves
Note

After completion of the assessment by IQWiG the Federal Joint Committee (GBA) conducts a commenting procedure. This may provide supplementary information and as a result lead to a modified benefit assessment. Further information and the decision on the early benefit assessment can be found on the relevant page of the GBA website.

DOI

https://doi.org/10.60584/A25-111

Connected Projects

  1. Addendum

    Lecanemab (early Alzheimer’s disease) – Addendum to Project A25-111

    Project no.
    A26-01
    Last updated

    Status: Commission completed

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