The company is already seeking accelerated approval from the US Food and Drug Administration, and the agency is expected to decide by early next year. Eisai and Biogen will co-promote the drug.
Researchers typically urge caution in evaluating a study until the full results are released. But the initial findings appear to be "quite robust" and will likely support regulatory approval, Mizuho Securities analyst Graig Suvannavejh said in a research note.
A statement from the Alzheimer's Association called the findings the most encouraging to date for potential treatments of the underlying disease causes.
Some 6 million people in the US and many more worldwide have Alzheimer's, which gradually attacks areas of the brain needed for memory, reasoning, communication and basic daily tasks.
Alzheimer's has no known cure. Long-standing treatments on the market just manage symptoms, and researchers don't fully understand what causes the disease.
Last year, Biogen's Aduhelm became the first new Alzheimer's drug introduced in nearly two decades. But it has largely flopped after debuting with a price tag of US$56,000 annually, which Biogen later slashed.
Doctors have been hesitant to prescribe it, given weak evidence that the drug slows the progression of Alzheimer's. Insurers have blocked or restricted coverage due to concerns over the drug's high price tag and uncertain benefits.
Earlier this year, the federal Medicare programme imposed strict limits on who can get the drug, wiping out most of its potential US market. Biogen announced afterwards that it would stop most of its spending on the treatment.
Like Aduhelm, lecanemab, which Eisai developed, aims to clear a protein called beta-amyloid from the brain.
The protein forms a plaque that researchers believe is a contributor to Alzheimer's. They also point to other potential factors like family history and chronic conditions such as diabetes.
Eisai executives say lecanemab focuses more on floating clumps of the protein before it forms the plaque, which is what Aduhelm targets.
Eli Lilly and Co also are developing a potential treatment, donanemab, that targets the protein.
Shares of Cambridge, Massachusetts-based Biogen Inc jumped 40 per cent to close at US$276.61 ($483.74). The stock had largely tumbled since Aduhelm's debut last year.
Shares of Indianapolis-based Eli Lilly and Co rose 7.5 per cent.