The affordability of lecanemab, an amyloid-targeting therapy for Alzheimer's disease: an EADC-EC viewpoint

Summary: Lecanemab, an anti-amyloid antibody with effects on biomarker and clinical endpoints in early Alzheimer's Disease (AD), was granted accelerated approval by the FDA in 2023 and regulatory review in Europe is ongoing. We estimate the population potentially eligible for treatment with lec...

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Main Authors: Linus Jönsson (Author), Anders Wimo (Author), Ron Handels (Author), Gunilla Johansson (Author), Mercè Boada (Author), Sebastiaan Engelborghs (Author), Lutz Frölich (Author), Frank Jessen (Author), Patrick Gavin Kehoe (Author), Milica Kramberger (Author), Alexandre de Mendonςa (Author), Pierre Jean Ousset (Author), Nikolaos Scarmeas (Author), Pieter Jelle Visser (Author), Gunhild Waldemar (Author), Bengt Winblad (Author)
Format: Book
Published: Elsevier, 2023-06-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Linus Jönsson  |e author 
700 1 0 |a Anders Wimo  |e author 
700 1 0 |a Ron Handels  |e author 
700 1 0 |a Gunilla Johansson  |e author 
700 1 0 |a Mercè Boada  |e author 
700 1 0 |a Sebastiaan Engelborghs  |e author 
700 1 0 |a Lutz Frölich  |e author 
700 1 0 |a Frank Jessen  |e author 
700 1 0 |a Patrick Gavin Kehoe  |e author 
700 1 0 |a Milica Kramberger  |e author 
700 1 0 |a Alexandre de Mendonςa  |e author 
700 1 0 |a Pierre Jean Ousset  |e author 
700 1 0 |a Nikolaos Scarmeas  |e author 
700 1 0 |a Pieter Jelle Visser  |e author 
700 1 0 |a Gunhild Waldemar  |e author 
700 1 0 |a Bengt Winblad  |e author 
245 0 0 |a The affordability of lecanemab, an amyloid-targeting therapy for Alzheimer's disease: an EADC-EC viewpoint 
260 |b Elsevier,   |c 2023-06-01T00:00:00Z. 
500 |a 2666-7762 
500 |a 10.1016/j.lanepe.2023.100657 
520 |a Summary: Lecanemab, an anti-amyloid antibody with effects on biomarker and clinical endpoints in early Alzheimer's Disease (AD), was granted accelerated approval by the FDA in 2023 and regulatory review in Europe is ongoing. We estimate the population potentially eligible for treatment with lecanemab in the 27 EU countries to 5.4 million individuals. Treatment costs would exceed 133 billion EUR per year if the drug is priced similarly as in the United States, amounting to over half of the total pharmaceutical expenditures in the EU. This pricing would be unsustainable; the ability to pay for high-priced therapies varies substantially across countries. Pricing similarly to what has been announced for the United States may place the drug out of reach for patients in some European countries. Disparities in access to novel amyloid-targeting agents may further deepen the inequalities across Europe in health outcomes. As representatives of the European Alzheimer's Disease Consortium Executive Committee, we call for pricing policies that allow eligible patients across Europe to access important innovations, but also continued investments in research and development. Infrastructure to follow up the usage of new therapies in routine care and new payment models may be needed to address affordability and inequalities in patient access. 
546 |a EN 
690 |a Passive immunotherapy 
690 |a Antibodies against amyloid b-peptide 
690 |a Prodromal AD 
690 |a Mild AD 
690 |a Lecanemab 
690 |a Pricing 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n The Lancet Regional Health. Europe, Vol 29, Iss , Pp 100657- (2023) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S2666776223000765 
787 0 |n https://doaj.org/toc/2666-7762 
856 4 1 |u https://doaj.org/article/e114750f7aa643c0a957c3082f18abf0  |z Connect to this object online.