Advice

following a full submission:

donanemab (Kisunla®) is not recommended for use within NHSScotland.

Indication under review: for the treatment of mild cognitive impairment and mild dementia due to Alzheimer’s disease (AD) in adult patients that are apolipoprotein E ε4 (ApoE ε4) heterozygotes or non-carriers.

In a randomised, double-blind, phase III study, donanemab reduced cognitive and functional decline associated with early Alzheimer’s disease compared with placebo at 76 weeks.

The submitting company did not present a sufficiently robust clinical and economic analysis to gain acceptance by SMC.

The submitting company has indicated their intention to make a resubmission.

Medicine details

Medicine name:
donanemab (Kisunla)
SMC ID:
SMC2687
Indication:

for the treatment of mild cognitive impairment (MCI) and mild dementia due to Alzheimer’s disease (AD) in adult patients that are apolipoprotein E ε4 (APOE4) heterozygotes on non-carriers.

Pharmaceutical company
Eli Lilly and Company Ltd
BNF chapter
Central nervous system
Submission type
Full
Status
Not recommended
Date advice published
12 May 2025