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@ARTICLE{Teipel:281125,
author = {Teipel, Stefan J and Tang, Yi and Khachaturian, Ara},
title = {{S}ex differences in treatment effects of lecanemab and
donanemab: {A} {B}ayesian reanalysis of {CLARITY}-{AD} and
{TRAILBLAZER}-{ALZ}2.},
journal = {Alzheimer's $\&$ dementia / Translational research $\&$
clinical interventions},
volume = {11},
number = {3},
issn = {2352-8737},
address = {Hoboken, NJ},
publisher = {Wiley},
reportid = {DZNE-2025-01084},
pages = {e70155},
year = {2025},
abstract = {This study investigated evidence for or against a
difference in treatment effect between women and men for
lecanemab and donanemab.Data were derived from supplementary
analyses of the regulatory studies CLARITY-AD (lecanemab)
and TRAILBLAZER-ALZ2 (donanemab). Bayes factor functions
were used to analyze treatment effects on Clinical Dementia
Rating Sum of Boxes (CDR-SB) scores.We found moderate
evidence of a lower treatment effect in women than in men
for lecanemab (maximum Bayes factor = 5.97), suggesting that
the presence of an effect was almost six times more likely
than the absence of an effect. For donanemab, there was
evidence against a treatment effect difference between women
and men. There was evidence of a treatment effect difference
between lecanemab and donanemab (maximum Bayes factor =
8.47) in women, but not in men.A better understanding of sex
differences in treatment efficacy and their causes is
urgently needed.Lecanemab was six times more likely to be
ineffective than effective in women.There was no evidence of
a difference between the sexes in the effect of
donanemab.Lecanemab and donenamb differed in treatment
efficacy in women but not in men.Future trials should
include sufficient power for sex related interaction
effects.},
keywords = {anti‐amyloid antibodies (Other) / personalized treatment
(Other) / prespecified secondary analysis (Other) /
subgroups (Other) / treatment efficacy (Other)},
cin = {AG Teipel},
ddc = {610},
cid = {I:(DE-2719)1510100},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40918062},
pmc = {pmc:PMC12412750},
doi = {10.1002/trc2.70155},
url = {https://pub.dzne.de/record/281125},
}