BioCentury
ARTICLE | Product Development

SMA drug Zolgensma’s label more surprising than its price

FDA’s surprise label for SMA gene therapy Zolgensma gives Novartis cover for its unprecedented price.

June 1, 2019 12:21 AM UTC

FDA surprised Novartis, patient advocates and physicians by approving a label for the pharma’s gene therapy that creates hope that newborns diagnosed with spinal muscular atrophy can be treated before symptoms appear -- in time to head off permanent, severe disability. The label also gives the company cover for a price that would be hard to justify for the narrower population that it studied in the trials to support its marketing application.

On May 24, FDA approved the gene therapy manufactured by AveXis, a unit of Novartis AG, for all patients with SMA under two years old with bi-allelic mutations in the SMN1 gene. ...