The First Fully Approved Alzheimer's Drug Won’t Be Easy To Get

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The First Fully Approved Alzheimer's Drug Won’t Be Easy To Get
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The FDA has granted full approval for lecanemab, or Leqembi, to treat Alzheimer’s in people in the early, mild stages of the neurodegenerative condition

to the accelerated approval that it would not cover the $26,500 yearly cost of lecanemab unless people were part of a clinical trial that continues to gather safety and effectiveness data on the medication. CMS said it will only reimburse for the drug outside of studies if the drug receives full FDA approval, which it now has, and peoplethat requires doctors to continue to report safety and effectiveness data for their patients using it.

CMS is expected to provide more details about the registry soon. Based on previous statements, it will likely involve the types of information doctors are collecting already, including reports of side effects such as brain inflammation and results of cognitive tests to verify the patient’s diagnosis of mild Alzheimer’s disease.

Addressing coverage, and therefore access, is critical to better understanding the true impact that disease-modifying drugs like lecanemab can have on Alzheimer’s. “I see this medication as primarily an overdue catalyst for transformational change,” says Dr. Alvaro Pascual-Leone, a professor of neurology at Harvard Medical School and medical director at Hebrew SeniorLife, a non-profit senior health facility in New England. “Dementia care right now is not what it should be.

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