Donanemab-Azbt 350 mg/20 mL Suppliers & Bulk Manufacturers
Available Forms: Injection
Available Strengths: 350 mg/20 mL
Reference Brands: Kisunla(USA)
Category: Neurology
Donanemab-azbt is a humanized immunoglobulin G1 monoclonal antibody directed against insoluble, N‑truncated pyroglutamate amyloid‑beta found in amyloid plaques in the brains of patients with Alzheimer’s disease. Its mechanism involves binding to these amyloid plaques and facilitating their removal (via microglial-mediated phagocytosis), thereby reducing amyloid burden in the brain. Use of donanemab has been shown to slow cognitive and functional decline in adults with early symptomatic Alzheimer’s disease (mild cognitive impairment or mild dementia) who have confirmed amyloid pathology.
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Product Description:
Donanemab is an antibody against a modified form of amyloid-beta — N-truncated pyroglutamate amyloid-beta, found only in deposited plaque. Because it targets established plaque rather than soluble species, it clears amyloid rapidly, and the trial design used that: treatment was stopped once PET imaging showed plaque had fallen below a set threshold, making it one of the few Alzheimer's therapies with a defined end point rather than indefinite infusion. The trial showed slower clinical decline over eighteen months in early symptomatic Alzheimer's disease with confirmed amyloid pathology.
The dominant risk is amyloid-related imaging abnormalities: brain oedema and microhaemorrhage, usually asymptomatic but occasionally serious or fatal. Risk is highest in APOE ε4 homozygotes, which is why genotyping is part of eligibility. MRI monitoring is scheduled around the early infusions, and anticoagulation raises bleeding concern.
Sourcing notes. Originator biologic, on patent, no biosimilar. Authorised in the US, and in the EU after an initial refusal, where use excludes APOE ε4 homozygotes; other markets differ and are still evolving. Use depends on infrastructure most markets do not yet have at scale — amyloid PET or CSF biomarkers, APOE genotyping and serial MRI — so a buyer without that pathway cannot use the product. Treat enquiries as authorised-distributor or named-patient supply. Cold chain.
How Donanemab-Azbt is supplied today, and licensing ahead of patent expiry
Frequently Asked Questions
Donanemab (Kisunla) treats early symptomatic Alzheimer’s disease (mild cognitive impairment or mild dementia) in adults with confirmed amyloid pathology. The US FDA approved it in July 2024.
It is a humanised monoclonal antibody that binds a modified form of amyloid-beta found only in brain plaques, and helps the immune system clear those plaques.
Kisunla.
As an intravenous infusion every four weeks. Treatment can be stopped once scans show the plaques have been cleared below a set level.
Amyloid-related imaging abnormalities (ARIA): brain swelling or small bleeds, seen on MRI. The risk is higher in people with two copies of the APOE ε4 gene, so MRI checks are part of treatment.
Kisunla (Donanemab) is developed and sold by Eli Lilly. PharmaTradz handles enquiries for authorised supply of the originator product, named-patient import where it is not registered, and licensing or development work ahead of patent expiry.
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