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Biogen to advance experimental Alzheimer’s drug despite mid-stage trial miss

By Thomson Reuters May 14, 2026 | 6:03 AM

By Kamal Choudhury

May 14 (Reuters) – Biogen said on Thursday it would move its experimental Alzheimer’s drug into late-stage development after a mid-stage study showed it slowed cognitive decline ​and reduced a key brain protein linked to ‌the disease.

Its shares, however, dropped nearly 5%, after the drug, diranersen, missed the trial’s main goal of showing that higher doses worked better than lower doses on a standard scale used to track dementia severity at 76 ‌weeks.

Diranersen ​works by blocking the production of tau, ⁠a protein that builds ⁠up in the brains of Alzheimer’s patients and disrupts communication between brain cells while contributing to cognitive decline.

Patients who received the drug showed meaningful reductions in tau levels across all ​three doses tested. They also showed signs of slower cognitive decline, with the strongest effect seen at the lowest dose, ⁠Biogen said.

The drugmaker did not provide ⁠any details on the magnitude of the effect.

The ​data is “not a worst-case outcome, but leaves much to be desired,” ​said Bernstein analyst Christian Moore, flagging concerns over “no quantitative ‌results” in the update.

“We view this update as a net-negative.”

BIOGEN CONFIDENT IN DATA

The 18-month mid-stage study enrolled 416 participants with mild cognitive impairment, who had previously not received anti-amyloid therapy.

Wall Street analysts ⁠said while the possibility of a cognitive benefit was encouraging, the lack of detailed data leaves questions unanswered.

“We have always indicated that, this ⁠is a new ‌space, and it was our expectation that the ⁠data would be complicated. So we’re not ​surprised,” Biogen’s ‌head of clinical development for MS, immunology ​and Alzheimer’s ⁠disease Diana Gallagher told Reuters, adding that the data gives the company confidence to move forward.

Biogen said it would present full data from the study at a medical conference later this year.

(Reporting by Kamal Choudhury and Sriparna Roy in Bengaluru; Editing by Jonathan Ananda ​and Shilpi Majumdar)