Question Date: 25/06/2023
Question: Which of the following is not true regarding aducanumab?
Options:
Correct Answer: It is the first monoclonal antibody FDA approved in June 2021 for the treatment of mild to moderate Alzheimer's disease.
Explaination: Aducanumab is the first monoclonal antibody FDA approved in June 2021 for the treatment of MCI due to AD and mild AD Dementia (MMSE> 23, Clinical Dementia Rating CDR of 0.5)<br><br>It is an anti Amyloid Beta immunotherapy that has demonstrated significant reduction in amyloid beta plaque burden as demonstrated by amyloid PET scan<br><br>The highest risk factor for ARIA is the presence of APOE4 allele.(40%, compared to 20% for non APOE4 allele patients)<br><br>40% patients on treatment with aducanumab had ARIA (Amyloid related imaging abnormalities) on MRI, and 7 % discontinued.
Reference: CONTINUUM (MINNEAP MINN) 2022;28(3, DEMENTIA):648-675<br><br>CONTINUUM (MINNEAP MINN) 2022;28(3,DEMENTIA):800-821<br><br>Alzheimers Dement. 2011 July ; 7(4): 367?385