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- 4-year Alzheimer's trial data just dropped - 69% of early-stage patients showed zero decline
4-year Alzheimer's trial data just dropped - 69% of early-stage patients showed zero decline
and there's finally good news for APOE4 carriers
In this video, I analyze recent clinical trial findings that highlight what’s on the horizon for innovative therapies targeting APOE4 carriers and Alzheimer’s disease.
The game-changing findings:
Lecanemab (4-year data from Yale):
56% reduction in progression to dementia
69% of low-tau patients had ZERO decline after 4 years
Safety update: 92% of ARIA happens in first 6 months, then drops to placebo levels
Donanemab (3-year data from Eli Lilly):
Benefits DOUBLED over time (0.6 to 1.2 CDR-SB points)
Starting 18 months earlier = 27% better outcomes
This suggests actual disease modification, not just temporary slowing
Obicetrapib (surprise finding from Amsterdam):
It's an oral cholesterol drug (CETP inhibitor)
APOE4/4 carriers showed 20% reduction in P-tau217
First oral medication showing specific benefit for E4 carriers
Reality check:
These drugs slow decline, they don't reverse existing damage. But the fact that benefits keep growing over 4 years (instead of plateauing) is huge. It suggests we're actually changing the disease trajectory.
The critical message:
If you're at risk, get tested early. The difference between starting treatment immediately vs waiting 18 months is massive.
If you are an APOE4 carriers, join us in The Phoenix Community and take action TODAY
The insights are summarized from the July 2025 Alzheimer’s Association International Conference session, Developing Topics on Innovative Therapeutic Approaches.
I do not have any affiliation with any of the companies mentioned in this video. I am an APOE4/4 carriers looking for solutions myself and sharing what I learn along the way in the Phoenix Community and occasionally with other groups.