An unorthodox proposal for Biogen's Medicare-mandated Aduhelm trial
Biogen has gone full blitz since Medicare announced it would only cover its new Alzheimer’s drug when used in clinical trials, accusing the agency of discriminating against Alzheimer’s patients and trying to get physicians to change regulators’ minds. Critics, meanwhile, cheered what they see as a necessary wall protecting payers and patients from an unproven and unsafe drug.
Far less attention, though, has gone to what a Medicare-funded clinical trial would actually look like. Biogen has operated as if it would be a standard late-stage Alzheimer’s trial, enrolling a couple thousand patients and giving half placebo.
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