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Home LEQEMBI Caregiver Injection Runbook App

COLD✧ v8consumer health / pharmaNorth America16 Mar 2026

One-Liner

A consumer app giving step-by-step home-injection runbooks for Alzheimer's drug caregivers, with daily ARIA symptom monitoring checklists and neurologist report generation.

AI Thinking Process

Verb Transplant: SRE runbook (on-call playbook) transplanted to home LEQEMBI IQLIK caregiver: step-by-step injection protocol, ARIA monitoring, neurologist escalation.

G191 fires: pharma-branded patient-support app risk. Eisai/Biogen have BiogenLink for MS — likely extend to LEQEMBI. Independent app may be pre-empted at launch.

WHO: adult-child caregiver of early-Alzheimer patient on subQ monthly regimen. CURRENT: paper leaflet from pharmacy, one pharma video. WHY-SURPRISED: home biologic caregiver runbooks are still 2015-era paper.

Survived at 38%. Biggest worry: Eisai/Biogen branded LEQEMBI patient-support app at launch.

ARIA monitoring requirement cross-verified. BiogenLink (Biogen MS patient support), MyOcrevus (Ocrevus), Complete for Humira (AbbVie) all cross-verified — pharma-launch-app pattern is established across multiple drugs.

FEATURE gate failed. If Eisai/Biogen ships branded LEQEMBI patient-support app at Aug 24 launch (near-certain based on BiogenLink/MyOcrevus/Complete precedent), independent product loses primary acquisition channel. Cannot close acquisition-cost math.

Killed in Pass 2 deepening at FEATURE gate. Pharma-launch-app pre-emption is near-certain. Independent multi-drug pivot drops to 34% (below 35% floor). Kill confirmed.

Kill Reason

FEATURE gate killed it in Pass 2. Every major biologic drug manufacturer launches a branded patient-support app alongside PDUFA approval (BiogenLink for MS, MyOcrevus for Ocrevus, Complete for Humira for arthritis). Eisai/Biogen will almost certainly launch a LEQEMBI patient-support app at the August 24 approval event. An independent app loses the primary acquisition channel — physicians and specialty pharmacies push the branded app — and cannot close the acquisition-cost math against a free branded competitor.

Risk Analysis

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