What impact will this new dosing regimen have on Biogen's revenue forecasts and market share compared to competing Alzheimerâs therapies such as Aduhelm and donanemab?
Revenue outlook: The FDAâs clearance of a weekly subâcutaneous (SC) maintenance dose removes a major barrier to patient adherence and payer acceptance. Compared with the original monthly IV infusion, the SC route cuts infusionâcenter costs, shortens clinic time and opens the drug to a broader communityâpractice setting. Analysts are likely to lift Biogenâs 2025â2027 revenue guidance for Leqembi by roughly 10â15âŻ% (ââŻ$300â$450âŻm of incremental sales) as the company can now capture a larger share of the earlyâAD market that previously drifted to ânoâtherapyâ or offâlabel options. The upgraded forecast should flow through to FY2025 EPS, pushing the consensus target price up 6â9âŻ% on the current level.
Marketâshare dynamics: Leqembi already enjoys a pricing advantage (ââŻ$24,000â$28,000 per patient per year) over EliâŻLillyâs Aduhelm ($ââŻ56,000) and is now positioned competitively against donanemab, which is priced similarly to Aduhelm but still pending full commercial rollout. The SC regimen shortens the âtimeâtoâreimbursementâ cycle, which should accelerate market penetration, especially in the Medicare Advantage and privateâinsurer segments that have been cautious about monthly IV logistics. Assuming a modest 5â7âŻ% conversion of the 2â3âŻm eligible earlyâAD patients currently on Aduhelm or awaiting donanemab, Leqembi could command 30â35âŻ% of the U.S. earlyâAD market by 2027, up from the ~22âŻ% share reported in Q2âŻ2025.
Trading implications: The news is already baked into the 75âŻ% positive sentiment, but the upside to Biogenâs valuation still appears underâpriced. A shortâtoâmidâterm entry at current levels (ââŻ$220â$225) with a target of $245â$255 captures both the revenue lift and the relative marketâshare gain versus Aduhelm/donanemab. Keep an eye on any CMS policy updates on SC administration and on EliâŻLillyâs rollout timeline for donanemabâdelays or pricing pressure there would further amplify Leqembiâs upside. A stopâloss around $210 protects against a potential FDAârelated safety surprise, while a breakâout above $260 could signal the market pricing in a fullâyear âbestâinâclassâ positioning for Leqembi.