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    Why Aduhelm, a new Alzheimer's treatment, isn't reaching many patients

    en-usNovember 05, 2021

    Podcast Summary

    • Controversial Approval of Aduhelm Hampers SalesDespite being the first Alzheimer's drug to target the disease process, Aduhelm's sales are low due to controversy surrounding its approval and negative publicity.

      Despite being the first drug to target the underlying disease process of Alzheimer's, Aduhelm, also known as aducanumab, is facing significant resistance and low sales numbers. This is largely due to its controversial approval by the FDA and the negative publicity it has received. Doctors and patients are hesitant to use the drug, with fewer than 100 patients out of over a million potential candidates in the US having taken it so far. The drug, which removes amyloid from the brain, has been criticized by some doctors and experts, leading to a negative public perception. This image problem has significantly impacted the drug's sales and usage.

    • New Alzheimer's treatment, Aduhelm, faces challenges in adoptionDespite being the first new Alzheimer's treatment in years, Aduhelm's high cost, limited effectiveness, and controversial approval process have hindered its acceptance among doctors and patients. Insurance coverage remains uncertain, affecting the majority of older adults who are most in need.

      The new Alzheimer's treatment, Aduhelm, has not gained widespread acceptance among doctors and patients due to its high cost, limited effectiveness, and controversial approval process. Before Aduhelm, there were few treatment options for Alzheimer's, which led investors to believe that any drug offering even a modest benefit would be highly profitable. However, Aduhelm's steep price, limited applicability to early-stage patients, and uncertain benefits have dampened enthusiasm. Additionally, many insurance plans, including Medicare, have not yet covered the drug, which is critical since the majority of Alzheimer's patients are older adults. These factors have contributed to the underwhelming adoption of Aduhelm and raise questions about the future of Alzheimer's drug development.

    • Decision on Coverage for New Alzheimer's Drug Aduhelm PendingThe new Alzheimer's drug Aduhelm's coverage and affordability are uncertain, with the federal government deciding whether to cover it, leaving patients to pay steep out-of-pocket costs. Only those in the earliest stages of Alzheimer's are potential candidates, and it comes with strict requirements and debated effectiveness.

      The coverage and affordability of Aduhelm, a new Alzheimer's drug designed to target amyloid plaques in the brain, remains uncertain. The federal government is still deciding whether to cover it under their health program, leaving private insurers in a waiting game. In the meantime, patients must pay the steep out-of-pocket cost of approximately $56,000 per year. Additionally, only those in the earliest stages of Alzheimer's disease are potential candidates for the drug, which comes with a lengthy list of requirements, such as monthly infusions, MRIs, and managing risks and complications. The effectiveness of Aduhelm is also debated, with some studies suggesting it may slow down Alzheimer's progression, while others have shown no cognitive improvement.

    • FDA approves Alzheimer's drug Aduhelm under accelerated approvalThe FDA approved Aduhelm, an Alzheimer's drug, under accelerated approval, requiring the company to prove its effectiveness. Doctors warn of uncertain benefits and serious side effects, and the high cost may deter some patients.

      The FDA approved the Alzheimer's drug Aduhelm under accelerated approval, meaning the company Biogen still needs to prove that the drug actually slows down the progression of the disease. Doctors are cautioning patients that it may not have significant benefits, and it can cause serious side effects like cerebral hemorrhage and swelling. The drug is also expensive. The FDA's decision has been met with criticism, as some argue that approving a drug solely based on its ability to remove amyloid from the brain is not enough evidence to prove its effectiveness. Doctors are trying to communicate to their patients that while there may be a modest improvement in cognition, the disease will continue to progress. The potential benefits are uncertain, and the risks are clear. The negative publicity surrounding the drug may be deterring some patients and their families from considering it.

    • Controversial Alzheimer's drug Aduhelm sparks public interestDespite controversies, Aduhelm's publicity fuels discussions on Alzheimer's treatment options, with some seeing it as a first step and others prioritizing other health concerns.

      Despite the controversy surrounding Aduhelm, the public awareness about the drug is high, with many Alzheimer's patients and their families seeking information from their doctors. Although there have been concerns about its side effects and effectiveness, some neurologists and organizations like the Alzheimer's Association remain optimistic about its potential as a first step in treating Alzheimer's disease. However, due to the ongoing COVID-19 pandemic, many seniors have prioritized managing depression, anxiety, and other health issues over cognitive concerns. It's unclear whether Aduhelm's coverage by Medicare and the easing of the pandemic's impact on healthcare will lead to a change in this trend. Overall, the future of Aduhelm remains uncertain, but its publicity has led to increased education and dialogue about Alzheimer's treatment options.

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