Medicare’s national coverage determination for aducanumab - a one-off or a pragmatic path forward?

New England Journal of Medicine

22 October 2022 - In April 2022, the CMS finalised its national coverage determination for aducanumab (Aduhelm) and other monoclonal antibodies for Alzheimer’s disease. 

Aducanumab was approved by the FDA on the basis of a post hoc analysis of one trial, which had been terminated for futility. The analysis suggested a statistically significant — but clinically insignificant — benefit in a surrogate outcome used to measure cognitive decline.

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Michael Wonder

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Michael Wonder

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