# Clinical meaningfulness of anti‐amyloid therapies in early Alzheimer's disease: Perspectives from the East and Southeast Asia region

**Authors:** Christopher Chen, Jae‐Hong Lee, Kee Hyung Park, Chaur‐Jong Hu, Vincent Mok, Vorapun Senanarong, Kaori Inaba, Amitabh Dash

PMC · DOI: 10.1002/alz.71230 · Alzheimer's & Dementia · 2026-02-22

## TL;DR

This paper discusses how anti-amyloid therapies for early Alzheimer's disease can be made more meaningful to patients and caregivers in East and Southeast Asia.

## Contribution

The paper introduces a new communication framework called CARE to improve understanding and adoption of anti-amyloid therapies in Asia.

## Key findings

- There is a lack of data on Asian populations regarding anti-amyloid therapies.
- The CARE framework can help communicate the benefits of these therapies effectively.
- Regional registries and understanding patient perspectives are needed for successful therapy adoption.

## Abstract

Alzheimer's disease (AD) is a neurodegenerative disease characterized by progressive accumulation of toxic amyloid species. The rising prevalence of AD in Asia has made it an increasing public health concern, placing a substantial burden on the economy and healthcare systems. Anti‐amyloid therapies (AATs) have demonstrated statistically significant slowing of disease progression at the group level in pivotal trials in early symptomatic AD. We explore the clinical meaningfulness of AATs and considerations impacting on its meaning in East and Southeast Asia. We acknowledge that there is a lack of data on Asian populations, particularly from the perspectives of patients and caregivers, highlighting the need for such evidence to facilitate the successful adoption of AATs in the region. We also propose the conceptual Connect, Align, Reframe, Explain (CARE) communication framework and practical tools to support effective communication with patients and caregivers regarding the benefits of AATs.

Anti‐amyloid therapies (AATs) have demonstrated statistically significant group‐level effects in slowing of disease progression in early symptomatic Alzheimer's disease.Translating clinical trial outcomes into measures of benefit that are truly meaningful to patients and caregivers is critical for the adoption of AATs.Asia, with its rapidly aging societies, diverse cultural norms and heterogeneous healthcare and reimbursement systems, presents a unique perspective on the clinical meaningfulness of AATs.The proposed Connect, Align, Reframe, Explain (CARE) communication framework concept and practical support tools, such as goal‐setting checklist, visual aids and motivational messages, can facilitate effective communication with patients and caregivers regarding the benefit of AATs.Optimizing the full potential of AATs in Asia requires focused efforts on understanding patients’ and caregivers’ perspectives on treatment benefits, building regional registries to collect real‐world data, and aligning care frameworks.

Anti‐amyloid therapies (AATs) have demonstrated statistically significant group‐level effects in slowing of disease progression in early symptomatic Alzheimer's disease.

Translating clinical trial outcomes into measures of benefit that are truly meaningful to patients and caregivers is critical for the adoption of AATs.

Asia, with its rapidly aging societies, diverse cultural norms and heterogeneous healthcare and reimbursement systems, presents a unique perspective on the clinical meaningfulness of AATs.

The proposed Connect, Align, Reframe, Explain (CARE) communication framework concept and practical support tools, such as goal‐setting checklist, visual aids and motivational messages, can facilitate effective communication with patients and caregivers regarding the benefit of AATs.

Optimizing the full potential of AATs in Asia requires focused efforts on understanding patients’ and caregivers’ perspectives on treatment benefits, building regional registries to collect real‐world data, and aligning care frameworks.

## Linked entities

- **Diseases:** Alzheimer's disease (MONDO:0004975)

## Full-text entities

- **Genes:** APP (amyloid beta precursor protein) [NCBI Gene 351] {aka AAA, ABETA, ABPP, AD1, APPI, CTFgamma}, MAPT (microtubule associated protein tau) [NCBI Gene 4137] {aka DDPAC, FTD1, FTDP-17, MAPTL, MSTD, MTBT1}, APOE (apolipoprotein E) [NCBI Gene 348] {aka AD2, APO-E, ApoE4, LDLCQ5, LPG}, SERPINA1 (serpin family A member 1) [NCBI Gene 5265] {aka A1A, A1AT, AAT, PI, PI1, PRO2275}
- **Diseases:** edema (MESH:D004487), AD (MESH:D000544), vascular diseases (MESH:D014652), neurodegenerative disease (MESH:D019636), conditions (MESH:D020763), loss (MESH:D016388), cerebral macrohemorrhages (MESH:D002547), siderosis (MESH:D012806), stroke (MESH:D020521), CAA (MESH:D016657), intracranial hemorrhage (MESH:D020300), White matter hyperintensities (MESH:D056784), cerebrovascular disease (MESH:D002561), AATs (MESH:D016609), effusions (MESH:D000080324), FAMILIES (MESH:D000073376), Cognitive Impairment (MESH:D003072), COMMUNICATING (MESH:D003147), ARIA (MESH:C564543), SYSTEMS (MESH:D015619), Dementia (MESH:D003704), amyloid (MESH:C000718787)
- **Chemicals:** Lecanemab (MESH:C000612089), AATs (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12928076/full.md

## References

52 references — full list in the complete paper: https://tomesphere.com/paper/PMC12928076/full.md

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Source: https://tomesphere.com/paper/PMC12928076