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Donanemab is a humanized monoclonal antibody (IgG1) developed for the treatment of early symptomatic Alzheimer's disease, including mild cognitive impairment and mild dementia due to Alzheimer's. It specifically targets the N-terminal, third amino acid pyroglutamate (N3pG) epitope of amyloid beta present in brain plaques. By binding to this modified form of amyloid beta (pyroglutamate Aβ at position 3, pGlu3-Aβ), donanemab promotes removal of amyloid plaques through microglial-mediated phagocytosis, thereby slowing disease progression. Donanemab is administered as an intravenous infusion every four weeks and has been shown in clinical trials to reduce amyloid plaque levels and slow cognitive decline in early Alzheimer’s patients[1][2][4][5][8]. **Developers:** Eli Lilly **Manufacturers:** Eli Lilly
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