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August 1, 2025

Good morning, everyone.

Last month, ICER published an Evidence Report assessing the comparative clinical effectiveness of several treatments for spinal muscular atrophy (SMA). The treatments included: apitegromab (Scholar Rock Holdings), nusinersen (Spinraza®, Biogen), onasemnogene abeparvovec-xioi (Zolgensma®, Novartis), and risdiplam (Evrysdi®, Genentech).


Today at 11 AM ET, we’ll be hosting a virtual public meeting where an independent appraisal committee will review the evidence, hear further testimony from stakeholders, and deliberate on the treatments’ comparative clinical effectiveness, benefits beyond health, and long-term value for money. To join us, register here.

Let's see what happened this week...

ICER in the News

To Reverse Alzheimer's Disease, Biotechs Betting on Next-Gen Cell, Gene Therapies

Precision Medicine Online

Precision Medicine Online’s Jessica Kim Cohen interviewed ICER’s CSO and Director of HTA Methods and Engagement, Dan Ollendorf, about the potential for gene therapies in the Alzheimer’s disease space:

 

“Gene therapies have hit the market with extremely high price tags in rare disease settings but likely won't be able to demand similar prices in Alzheimer's, said Dan Ollendorf, CSO and director of health technology assessment methods and engagement at the Institute for Clinical and Economic Review (ICER), a nonprofit that conducts independent value assessments of healthcare interventions… the first treatment that shows it can halt or reverse dementia — rather than slowing cognitive decline — could warrant a higher price, Ollendorf said.”

Pharmaceutical News

 MUST READS


Trump demands pharma CEOs implement 'most favored nation' pricing within 60 days

Endpoints News

President Donald Trump stepped up his campaign to get large drugmakers to lower their prices, posting letters to more than a dozen major pharma companies demanding that they bring their US prices in line with what they charge abroad, as well as other steps.


Trump will give companies 60 days to comply or he will “deploy every tool in our arsenal to protect American families from continued abusive drug pricing practices.”

Sarepta resumes shipping of gene therapy Elevidys to patients who can walk

Reuters

Sarepta said on Monday it will resume shipping its gene therapy, Elevidys, to patients who can walk. The announcement came after a probe that showed an eight-year-old boy's death in Brazil was unrelated to the treatment.

 Vinay Prasad, a powerful FDA official, departs after controversy over rare disease drug

STAT

Vinay Prasad, a top official at the Food and Drug Administration departed shortly after the decision to resume sales of Elevidys was announced. Prasad was the head of the FDA division that regulates vaccines, gene therapies, and blood products. He was also the agency’s chief medical and scientific officer, making him a top adviser to Commissioner Marty Makary.

A cut to Medicare that could affect millions is buried in Trump’s tax law

STAT

Millions of older Americans living in poverty are entitled to free or heavily subsidized Medicare coverage. But the new Republican tax law will keep that benefit out of reach for many by reintroducing onerous paperwork requirements. People who get subsidized coverage through what’s known as Medicare Savings Programs get to keep hundreds of dollars per month that they can use toward rent, food, or other necessities. They can also go see their doctor or refill prescriptions more readily if they know they won’t owe anything.


The new law doesn’t eliminate these Medicare Savings Programs. But it rolls back a regulation that made it a lot easier for people to sign up.

Federal judge blocks Arkansas law barring pharmacy benefit managers from owning pharmacies in state

The Associated Press

On Monday, a federal judge temporarily blocked Arkansas’ first-in-the-nation law that would have prohibited pharmacy benefit managers from owning pharmacies in the state.

 

U.S. District Judge Brian Miller issued a preliminary injunction against the law restricting pharmacy benefit managers, who run prescription drug coverage for big clients that include health insurers and employers that provide coverage.

Maryland PDAB Votes Farxiga, Jardiance As Unaffordable

Inside Health Policy

The Maryland Prescription Drug Affordability Board (PDAB) voted Monday that AstraZeneca’s Farxiga and Boehringer Ingelheim’s Jardiance are both unaffordable, a step toward limiting the amount state and local governments can pay for the two popular drugs. The PDAB will next vote on whether to set an upper payment limit. 

OTHER HEADLINES

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Program and Operations

Key Upcoming Dates
  • 8/1: Spinal Muscular Atrophy -- Public Meeting (Register here)
  • 9/2: Spinal Muscular Atrophy -- Final Evidence Report
  • 9/8: Non-Cystic Fibrosis Bronchiectasis -- Evidence Report
  • 9/9: Obesity Management -- Draft Evidence Report

Learn more about ICER’s ongoing and recently completed reports:

Email info@icer.org for more information.

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