Chattanooga Times Free Press

Price for gene therapy for rare form of blindness: $850,000

- BY MATTHEW PERRONE

WASHINGTON— A first-of-its kind genetic treatment for blindness will cost $850,000 per patient, making it one of the most expensive medicines in the world and raising questions about the affordabil­ity of a coming wave of similar gene-targeting therapies.

The injectable treatment from Spark Therapeuti­cs can improve the eyesight of patients with a rare genetic mutation that affects just a few thousand people in the U.S. Previously there has been no treatment for the condition, which eventually causes complete blindness by adulthood.

Pricing questions have swirled around the treatment because a number of unusual factors — it is intended to be a one-time treatment, it treats a very small number of patients and represents a medical breakthrou­gh.

Previously, Spark suggested its therapy, Luxturna, could be worth more than $1 million. But the company said Wednesday it decided on the lower price after hearing concerns from health insurers about the affordabil­ity of the treatment.

Consternat­ion over skyrocketi­ng drug prices, especially in the U.S., has led to intense scrutiny from patients, politician­s, insurers and hospitals.

“We wanted to balance the value and the affordabil­ity concerns with a responsibl­e price that would ensure access to patients,” said CEO Jeffrey Marrazzo, in an interview with The Associated Press.

Luxturna is still significan­tly more expensive than nearly every other medicine on the global market, including two other gene therapies approved earlier last year in the U.S.

Pharmaceut­ical industry critics said the slightly lower cost is a distractio­n from the ongoing problem of unsustaina­ble drug prices.

“The company very cleverly convinced everyone that they were going to charge a million dollars, so now they are being credited for being reasonable,” said Dr. Peter Bach, director of a policy center at Memorial Sloan Kettering Cancer Center in New York.

Approved last month, Luxturna, is the nation’s first gene therapy for an inherited disease. It requires a 45-minute operation in which a tiny needle delivers a replacemen­t gene to the retina, tissue at the back of the eye that converts light into electric signals that produce vision. The therapy will cost $425,000 per injection.

The treatment is part of an emerging field of medicine that could produce dozens of new gene-targeting medication­s in the next few years.

Like Luxturna, these therapies are generally intended to be taken once, a fact which drug developers argue sets them apart from traditiona­l drugs taken for months or years. Even compared to other one-time gene therapies Luxturna is still an outlier. Two customized gene therapies for blood cancer approved last year are priced at $373,000 and $475,000.

 ?? ASSOCIATED PRESS FILE PHOTO ?? Dr. Albert Maguire, right, checks the eyes of Misa Kaabali, 8, at Children’s Hospital of Philadelph­ia on Oct. 4, 2017. Misa was 4 when he received his gene therapy treatment.
ASSOCIATED PRESS FILE PHOTO Dr. Albert Maguire, right, checks the eyes of Misa Kaabali, 8, at Children’s Hospital of Philadelph­ia on Oct. 4, 2017. Misa was 4 when he received his gene therapy treatment.

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