CMS of­fi­cial on Alzheimer's drug cov­er­age de­ci­sion: Don't read be­tween the lines for oth­er ac­cel­er­at­ed ap­provals

Al­most a week af­ter fi­nal­iz­ing its re­stric­tive de­ci­sion for amy­loid-tar­get­ed Alzheimer’s drugs, the Cen­ters for Medicare and Med­ic­aid Ser­vices (CMS) now ap­pears to be walk­ing back the idea that this de­ci­sion will have a rip­ple ef­fect across oth­er ac­cel­er­at­ed ap­provals.

The com­ments, made at a Duke-Mar­go­lis event Tues­day and cov­ered by mul­ti­ple me­dia out­lets, come as bio­phar­ma in­dus­try groups have warned in re­cent days that this CMS cov­er­age de­ci­sion could cre­ate a “dan­ger­ous prece­dent” for drugs ap­proved un­der the ac­cel­er­at­ed path­way ⁠— even as CMS has al­ways had the abil­i­ty to ap­ply its so-called Cov­er­age with Ev­i­dence De­ter­mi­na­tion, but nev­er has ac­tu­al­ly re­quired an ad­di­tion­al ran­dom­ized con­trolled tri­al.

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