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Table 3 Late-stage anti-amyloid agents: phase 3 dosing regimens and pharmacokinetic profiles

From: Aducanumab, gantenerumab, BAN2401, and ALZ-801—the first wave of amyloid-targeting drugs for Alzheimer’s disease with potential for near term approval

Agent

Dose per visit and total dose*

Route of administration, frequency, and dosing facility

Plasma half-life

Brain penetration

Time to peak brain steady state exposure**

Aducanumab

Biogen

10 mg/kg IV

600–750 mg per month

IV infusion, monthly

Titration over 6 months

Infusion center

21 days

< 1.5%

~ 5 months

Gantenerumab

Roche

1200 mg SC

1200 mg per month

SC injection, monthly

Titration over

6 to 10 months

Clinic

22 days

~ 1%

~ 5 months

BAN2401

Eisai

10 mg/kg IV

1200–1500 mg per month

IV infusion,

twice per month

No titration

Infusion center

5.3 days

~ 0.5%

~ 2.5 months

ALZ-801

Alzheon

265 mg orally

530 mg daily

Oral tablet, twice daily

Titration over

2 weeks

Home

36 h

~ 40%

~ 1 week

  1. Abbreviations: IV intravenous, SC subcutaneous
  2. Data sources: [11, 14, 30, 34]
  3. *Assumes adult average weight of 60–75 kg; **time to peak brain steady state concentration (without titration) = 5 times plasma t1/2 or 5 times dosing frequency, if dosing interval is longer than plasma t1/2