EMA Endorses Leqembi for Alzheimer's Treatment in Restricted Population Following Reversal

The European Medicines Agency (EMA) has revised its stance and now supports the use of Leqembi, a treatment developed by Eisai and Biogen for Alzheimer's disease, specifically for patients with mild cognitive impairment or mild dementia who have either one or no copies of the ApoE4 gene[1]. This revised decision comes after an appeal from Eisai, during which they presented clinical data indicating a reduced risk of amyloid-related imaging abnormalities (ARIA) in the restricted patient group[2]. The EMA's reversal aligns it more closely with other regulatory bodies like the UK's, although it remains more restrictive than the U.S. FDA's broader approval criteria[1][2].
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What specific factors led the EMA to reverse its initial decision regarding the use of Leqembi?
How does the EMA's endorsement of Leqembi compare with the current FDA and UK regulations?
What are the potential risks involved in prescribing Leqembi to patients with two copies of the ApoE4 gene?
How will the implementation of MRI monitoring and post-marketing safety studies impact the usage of Leqembi in Europe?
What challenges does the market face in terms of pricing and reimbursement for Leqembi in the European healthcare system?