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Brazil Authorizes Leqembi for Early-Stage Alzheimer’s Treatment

Commercial availability remains uncertain pending CMED pricing.

Overview

  • Anvisa authorized lecanemab (Leqembi), with the decision published in the Diário Oficial da União on December 22, 2025.
  • The therapy is indicated for adults with mild cognitive impairment or mild dementia due to Alzheimer’s, contingent on confirmed brain amyloid, pre-treatment imaging and APOE‑e4 testing because of ARIA risk.
  • The monoclonal antibody is administered as a one-hour intravenous infusion every two weeks in hospital settings.
  • In a 1,795-person trial, lecanemab slowed decline on the CDR‑SB scale over 18 months, with reports of roughly a 27% reduction versus placebo.
  • No Brazilian launch date or local price has been announced; CMED must set a maximum price, and U.S. list pricing is about US$26,500 per year.