Novel Alzheimer disease treatments and reconsideration of US pharmaceutical reimbursement policy

JAMA

17 July 2023 - While donanemab appears to be among the first therapies to demonstrate measurable clinical benefit for Alzheimer's disease, it is also associated with statistically significant and potentially important adverse effects (again, similar to lecanemab). 

Concern about adverse effects may be part of the rationale for a June 2023 CMS' National Coverage Determination that will require patients to be enrolled in a registry for monoclonal antibody treatments for AD that receive traditional (as opposed to accelerated) approval to be covered under Medicare.

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Michael Wonder

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Michael Wonder