34 | JANUARY 25 • 2024 J N L ast year was a landmark year for Alzheimer’s disease research, including advancements in treatment, risk factors and diagnosis. Here are five significant discoveries made this year: NEW TREATMENTS There are three new approved treatments for Alzheimer’s, with a fourth on the way. In July, the U.S. Food and Drug Administration (FDA) granted traditional approval for Leqembi for mild cognitive impairment due to Alzheimer’s and mild Alzheimer’s dementia. This treatment slows cognitive decline and can help people with early Alzheimer’s maintain their independence. In June 2021, the FDA granted accelerated approval to Aduhelm for the same purpose. At the Alzheimer’s Association International Conference (AAIC) in July 2023, Lilly reported positive results for a third similar treatment: donanemab. The company expects FDA action in early 2024. In May, the FDA approved the first treatment for agitation in people with Alzheimer’s — brexpiprazole. HEARING & ALZHEIMER’S Hearing aids could slow cognitive decline for at-risk older adults. In the largest clinical trial to investigate whether a hearing loss treatment can reduce risk of cognitive decline, researchers found that older adults with hearing loss cut their cognitive decline in half by using hearing aids for three years. The intervention included hearing aids, a hearing “toolkit,” and ongoing instruction and counseling. Though the positive results were in a subgroup of the total study population, they are encouraging and merit further investigation. BLOOD TESTS Blood tests for Alzheimer’s are coming soon. Blood tests show promise for improving how Alzheimer’s is diagnosed. Advancements reported for the first time at AAIC 2023 demonstrate the simplicity and value to doctors of blood-based markers for Alzheimer’s. Blood tests are already being implemented in Alzheimer’s drug trials. And they are incorporated into proposed new diagnostic criteria for the disease. Blood tests — once verified and approved by the FDA — would offer a noninvasive and cost- effective option for identifying the disease. DISEASE PREVALENCE The first-ever county-level estimates of the prevalence of HEALTH & WELLNESS STATEPOINT 5 Things We Learned About Alzheimer’s Disease in 2023 (C) IPOPBA / ISTOCK VIA GETTY IMAGES PLUS continued on page 36