ICER Sets Ceiling For Anti-Amyloid Pricing; Will Eisai And Lilly Raise The Roof?

US FDA Approvals For Both Firms’ Antibodies Expected Early 2023

The independent drug pricing watchdog said lecanemab and donanemab would be cost-effective at $8,500-$20,600 per year, but pricing has been expected to be closer to Aduhelm’s $28,200 price tag.

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Eisai's earlier analysis looked at lecanemab pricing as high as $38,053 • Source: Shutterstock

The Institute for Clinical and Economic Review (ICER) delivered its draft evidence report assessing the cost effectiveness of anti-amyloid antibodies that may win accelerated approval from the US Food and Drug Administration in early 2023, saying on 22 December that Eisai Co., Ltd./Biogen, Inc.’s lecanemab and Eli Lilly and Company’s donanemab would be cost-effective at pricing of $8,500-$20,600 per year. Even at the high end, however, that’s almost $10,000 below lecanemab’s anticipated list price.

Analysts have said they expect Eisai, the lead partner in development and commercialization of lecanemab, to launch the amyloid protofibril-clearing antibody for early Alzheimer’s disease at or slightly below the last list price for Aduhelm (aducanumab), which was $28,200. (Also see "Biogen Halves Aduhelm Price, Readies $500m In Cost Cuts" - Scrip, 20 December, 2021

Important ICER Dates

Dates to remember as ICER continues its assessment of lecanemab and donanemab pricing:

  • 5 January 2023: Webinar in which ICER chief medical officer David Rind will present initial findings of the draft report

  • 2 February 2023: Public comments on the draft report due by 5 p.m

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