Drug intelligence / Profile preview

donanemab + dexamethasone

Development stage
Unknown
Lead developer
Eli Lilly
Modality
Orthosteric Ligands → Classical Binding Small Molecules → Small Molecules, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous (donanemab), Intravenous, Oral, Intramuscular, Topical, Ophthalmic (dexamethasone)
01

Overview

**Donanemab + dexamethasone** is a combination of two pharmaceuticals: - **Donanemab** is a humanized monoclonal antibody targeting deposited amyloid beta plaques in the brain, specifically insoluble N-truncated pyroglutamate amyloid beta commonly found in mature plaques. It binds these plaques and facilitates their removal via immune activation, primarily slowing cognitive and functional decline in early Alzheimer's disease[2][1][4]. - **Dexamethasone** is a synthetic glucocorticoid corticosteroid. It modulates inflammation and immune response by binding glucocorticoid receptors, suppressing pro-inflammatory cytokine production, and inhibiting multiple inflammatory pathways. While donanemab is indicated for Alzheimer's disease and frequently administered intravenously, dexamethasone is commonly used as a premedication to mitigate infusion-related reactions, including possible inflammatory or allergic responses, and is used in a wide variety of other diseases. There is no evidence that this combination is itself a commercial drug product or that it is used as a structured fixed-dose combination; instead, dexamethasone may be given as an adjunct or premedication in donanemab therapy[2].

Other names
donanemab-azbtdexamethasone
02

Targets

GR (Glucocorticoid receptor)pE-Aβ (Pyroglutamylated amyloid-β)

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