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Breakthrough £90,000 Alzheimer's drugs unlikely to benefit patients, report suggests

The review found the drugs cleared amyloid but cut cognitive decline only slightly, with 20,342 patients studied across 17 trials.

  • On Thursday, a major Cochrane review found that anti-amyloid drugs lecanemab and donanemab make "no meaningful difference to patients" while increasing risks of brain swelling and bleeding, analyzing 17 trials involving more than 20,000 people with early dementia.
  • After decades of costly research, both drugs received approval from the United States and European Union based on the theory that removing amyloid plaque buildup could slow Alzheimer's progression.
  • Study co-author Edo Richard of Radboud University Medical Centre stated the findings refuted the amyloid hypothesis, describing treatment effects as "trivial" and "far below the minimal effect that's needed to be noticeable at all for patients and caregivers" after 18 months.
  • British biologist John Hardy called the review a "silly paper which should not have been published," while Dr Richard Oakley of the Alzheimer's Society argued conclusions "look bleaker than it really is" by combining failed drugs with approved treatments; UK and France health services refused coverage.
  • Australian neuroscientist Bryce Vissel cautioned the review "does not rule out future amyloid-directed therapies," while Richard expressed hope that efforts targeting other mechanisms could yield more effective treatments despite the 18-month trial window being relatively short for a slowly progressive condition.
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wissenschaft.de broke the news in on Wednesday, April 15, 2026.
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