Advocacy

Leqembi. Content Warning.
The FDA is expected to make a final decision on the Alzheimer's treatment lakembi today the drug is made by the Japanese Pharma company isai and Biogen and if approved it'll be the second drug in the U.S to treat Alzheimer's the expected price twenty six thousand dollars uh 500 a year joining us now is Kavita Patel NBC News medical contributor former Obama White House policy director it's so hard to name drugs Kavita that there's a cue but no there's a cube but no you so that we've it's come to that l-e-q-e-m bi so we're running out of name but 26 5 we should hear today whether the CMS is going to cover this and it looks like it was a unanimous FDA panel so it looks like it gets approved and there's some body language that the CMS is going to say okay we'll cover it yeah cms's earlier already indicated that they would put together a kind of a coverage program what we would call coverage with evidence development essentially asking neurologists and treating Physicians to put data elements into a registry to make sure that we're sharing information by the way we saw this same sort of requirement with tavr the cardiac procedure so I think that CMS is trying to send a signal that yes indeed if the FDA gives it full approval reminder the canby's under accelerated approval right now but with no CMS coverage so this full CMS coverage with conditions is signaling that they will indeed approve this cover it both CMS and the FDA but the devil's in the detailed show because not everybody can get access to it even with full coverage it's not a very easy drug to give eventually though as as in Eli Lilly it looks like maybe the amyloid protein is important not just the the result of but perhaps involved in in causing Alzheimer's so we're going to get drugs for this which you know events we're going to have to face what this means for our Health Care system and how much things cost and I don't know I don't know how you think we should approach that because other medicines are helping us live longer in a big way Quantum leaps along with that comes some type of dementia it seems like the longer you live so you're going to have to have more people at 26.5 a year so it we're going to break the bank Kavita yeah yeah look listen this is and especially because the goal of this drug is to really try to catch people in the early phases what we would call Mild cognitive impairment might not even have a technical diagnosis of Alzheimer's at the time and Jeff if you look at the Aging population just as you said that can get into right now it's about 6 million that we think have Alzheimer's dementia that can grow even in a decade or so to double digits and then when you think about people that are right before Alzheimer's even a larger population in size 10 to 20 percent of the population so to your point yes this is expensive that 26.5 doesn't even get into the cost of the other services that are required this is a drug that's administered by IV under monitored infusion you have to be monitored for at least 30 to 30 minutes to two hours after that once every two weeks for at least 18 months so it's not a trivial undertaking and then the nursing staff The Physician staff infusion chairs even at just large hospitals which don't exist in many rural areas which means we're going to have an access problem for a majority of America that can't get to one of these treatment centers not to mention that if you've tried to make an appointment with a neurologist not very easy to get in so we're going to have to retrain our system to take on this problem along with many of the issues of an aging population it's very similar to what Japan is facing as well and they're trying to get creative about access Solutions including to drugs like leukembe which we expect approval after FDA approval so it'll be interesting to watch Japan do this as well oh we need a pill and the the offset is that the long-term care for someone suffering from Alzheimer's is really expensive too so I mean eventually you could you could hit a point where it flips but uh what you describe in terms of the infusion and everything else makes it seem like it's very difficult to administer but we're at the early stages and let's not uh let's not be too negative it's good to be making some progress I think uh doctor it's it's a huge no it's it's it reminds me of the late 90s with cancer treatments with monoclonal antibodies this is pretty groundbreaking yeah yeah when the first yeah now look at it exactly
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Andy Murray: . Content Warning.
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Taylor Swift: . Content Warning.
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Water
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Once upon a time, in a world touched by the fleeting colors of autumn, stood an ancient forest known as Eldoria. It was a haven of life, with trees reaching for the skies, birds weaving melodies through the air, and a symphony of whispers embracing every corner.
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