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expensiveinc > Personal > Most Expensive Drugs in the World
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Most Expensive Drugs in the World

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Before a medicine is available to patients, research and clinical trials can take a very long time—sometimes even decades—and many drugs fail during this phase. Financial constraints or unfavorable side effects might quickly put a stop to the entire study project. The cost of treatment increases drastically when an illness affects a small number of individuals—sometimes simply hundreds—because the cost of research must be borne by those patients. This article covers the priciest drugs, where modern gene treatments are improving the lives of people with disorders including spinal muscular atrophy, hemophilia B, beta-thalassemia, cerebral diseases, and more. Take a look at these ground-breaking medicinal miracles, remarkable scientific breakthroughs, and the amount it would take to have a hand on one of these.

Contents
List of the high Priced Medicinal Miracles to ExistHemgenix: $3.5 Million per One-Time DoseElevidys: $3.2 Million per One-Time DoseSkysona: $3 Million per One-Time DoseZynteglo: $2.8 Million per One-Time DoseZolgensma: $2.1 Million per One-Time DoseMyalept: $1.3 Million AnnuallyDanyelza: $1.2 Million AnnuallyZokinvy: $1.2 Million AnnuallyFinal Notice

List of the high Priced Medicinal Miracles to Exist

The following table summarizes the world’s most expensive medicine treatments to exist till now. These modern medicines have revolutionized the medical world with their miraculous effects. Let’s take a look at these:

RankNameCostUse
1Hemgenix$3.5 million per one-time doseHemophilia B
2Elevidys$3.2 million per one-time doseDuchenne Muscular Dystrophy (DMD)
3Skysona$3 million per one-time doseCerebral Adrenoleukodystrophy (CALD)
4Zynteglo$2.8 million per one-time doseBeta-thalassemia
5Zolgensma$2.1 million per one-time doseSpinal Muscular Atrophy (SMA)
6Myalept$1.3 million annuallyLipodystrophy / Leptin deficiency
7Danyelza$1.2 million annuallyNeuroblastoma
8Zokinvy$1.2 million annuallyProgeria and Progeroid Laminopathies

Hemgenix: $3.5 Million per One-Time Dose

Hemgenix

The rare, chronic bleeding disease known as hemophilia B can be treated with Hemgenix. The most costly medicine in the United States, with a list price of $3.5 million, is given as a single, one-time intravenous (IV) infusion. It can reduce bleeding risk with a single dosage and enables individuals with hemophilia B to create their own blood clotting factor, factor IX.UniQure discovered Hemgenix for the treatments of hemophilia.

A single gene error causes hemophilia B, an uncommon bleeding illness that lasts a lifetime and is characterized by inadequate synthesis of factor IX, a liver-produced protein that aids in the formation of blood clots. Individuals suffering from the ailment are more vulnerable to hemorrhaging in their muscles, joints, and internal organs, resulting in discomfort, inflammation, and damage to their joints. Patients with hemophilia B typically need to follow stringent, costly, lifelong factor IX injection regimens. Hemgenix is a gene treatment based on an adeno-associated viral vector. It functions by delivering a noninfectious viral vector (AAV5) to the liver, which produces factor IX proteins, along with genetic DNA instructions. These genetic instructions do not normally become a part of an individual’s own DNA; instead, they stay in the target cells. Read more the top most expensive spa treatments in the world.

DetailsInformation
Cost$3.5 million per one-time dose
ManufacturerCSL Behring
UseHemophilia B
FDA Approval DateNovember 22, 2022
Mechanism of ActionAdeno-associated virus vector-based gene therapy
Common Side EffectsLiver enzyme elevations, headache, elevated blood enzymes, flu-like symptoms, infusion-related reactions, fatigue, nausea, feeling unwell
Clinical Trial Results94% of patients discontinued factor IX infusions; 54% reduction in annual bleeding rate

Elevidys: $3.2 Million per One-Time Dose

Elevidys


Elevidys has been granted approval for treating children aged 4 to 5 with confirmed Duchenne Muscular Dystrophy (DMD) and a DMD gene mutation. Administered as a one-time, single-dose intravenous (IV) infusion, it comes with a $3.2 million price tag. Eligible patients must have anti-AAVrh74 total binding antibody titers <1:400, with exclusions for deletions in exon 8 and/or exon 9 in the DMD gene. DMD, prevalent in boys, is an inherited degenerative disease leading to progressive muscle weakness.

Elevidys tackles the root cause by delivering Elevidys micro-dystrophin, a functional shortened dystrophin, into muscle tissue. Accelerated approval considered the micro-dystrophin expression, with an ongoing approval contingent on Phase 3 EMBARK trial results. Sarepta Therapeutics manufactured it .Warnings include acute liver injury, immune-mediated myositis, and myocarditis, while common side effects encompass vomiting, nausea, elevated liver enzymes, pyrexia, and thrombocytopenia. Read more about the world most expensive food festivals that ever happened.

DetailsInformation
Cost$3.2 million per one-time dose
ManufacturerSarepta Therapeutics
UseDuchenne Muscular Dystrophy (DMD)
FDA Approval DateJune 22, 2023
Mechanism of ActionDelivery of gene for functional shortened dystrophin
Warnings and PrecautionsAcute serious liver injury, immune-mediated myositis, myocarditis
Common Side EffectsVomiting, nausea, elevated liver enzymes, fever, thrombocytopenia

Skysona: $3 Million per One-Time Dose

Skysona

Skysona, priced at $3 million, is pioneer in a gene therapy addressing Cerebral Adrenoleukodystrophy (CALD). Bluebird Bio, Inc. is the manufacturer of skysona. Tailored for boys aged 4 to 17, it leverages the patient’s stem cells, incorporating a gene to produce ALDP enzyme, mitigating CALD’s progression. CALD, an inherited and fatal neurodegenerative ailment, hampers nerve myelin, causing severe impairments. In trials, Skysona showed a 72% likelihood of Major Functional Disability-free survival, offering hope against the 43% in untreated cases. Despite benefits, precautions against hematologic malignancies and common side effects like mucositis and fever warrant attention. Read more about the most expensive hospital in the world.

DetailsInformation
Cost$3 million per one-time dose
ManufacturerBluebird Bio, Inc.
UseCerebral Adrenoleukodystrophy (CALD)
FDA Approval DateSeptember 16, 2022
Mechanism of ActionGene therapy using the patient’s own stem cells modified with the ALDP gene
Boxed WarningHematologic malignancies
Common Side EffectsMucositis, nausea, febrile neutropenia, alopecia, vomiting

Zynteglo: $2.8 Million per One-Time Dose

Zynteglo

Priced at $2.8 million, Zynteglo innovates beta-thalassemia treatment, customizing therapy from the patient’s stem cells. Novartis manufactured the Zynteglo. Administered as a one-time infusion, it introduces modified beta-globin genes to curtail red blood cell transfusion dependency. In trials, 89% achieved transfusion independence, promising a life-changing impact. Cautionary notes include potential complications like delayed platelet engraftment and risk of insertional oncogenesis. Common adverse reactions, such as mucositis and fever, emphasize the balancing act between therapeutic gains and associated risks. Read more about the list of top most expensive chocolates in the world.

DetailsInformation
Cost$2.8 million per one-time dose
ManufacturerNovartis
UseBeta-thalassemia
FDA Approval DateSeptember 16, 2022
Mechanism of ActionLentiviral vector gene therapy
Warnings and PrecautionsDelayed platelet engraftment, insertional oncogenesis
Common Side EffectsMucositis, febrile neutropenia, vomiting, alopecia, epistaxis

Zolgensma: $2.1 Million per One-Time Dose

Zolgensma

At $2.1 million, Zolgensma revolutionized Spinal Muscular Atrophy (SMA) treatment in pediatric patients below 2 years. Acting as a one-time infusion therapy, it replaces the deficient SMN1 gene, addressing SMA’s root cause and holding curative potential. Given SMA’s life-threatening nature, Zolgensma’s effectiveness, demonstrated in developmental milestones, offers significant promise. However, patients should be aware that there might be immediate liver damage. It highlights how crucial it is to make a well-informed choice when using this unusual medication.

DetailsInformation
Cost$2.1 million per one-time dose
ManufacturerNovartis
UseSpinal Muscular Atrophy (SMA)
FDA Approval DateMay 24, 2019
Mechanism of ActionGene therapy replacing defective SMN1 gene
Boxed WarningAcute serious liver injury
Common Side EffectsElevated liver enzymes, vomiting

Myalept: $1.3 Million Annually

Myalept

Priced at $1.3 million annually, Myalept, crafted by Amryt Pharmaceuticals, emerges as a vital therapy for Lipodystrophy and Leptin deficiency. FDA-approved since February 24, 2014, Myalept serves as a replacement therapy for patients grappling with complications from congenital or acquired generalized lipodystrophy, often influenced by genetic or unknown factors. The rare condition disturbs normal fat storage and utilization which leads to severe insulin resistance, diabetes, and an increase in triglyceride levels. Administered via daily subcutaneous injections, Myalept’s annual cost can surpass $1.3 million, with proven efficacy in reducing HbA1c, fasting glucose, and triglycerides. Notably, its use is regulated through the Myalept Risk Evaluation and Mitigation Strategy (REMS) Program due to the potential risks of neutralizing antibodies and lymphoma.

DetailsInformation
Cost$1.3 million annually
ManufacturerAmryt Pharmaceuticals
UseLipodystrophy / Leptin deficiency
FDA Approval DateFebruary 24, 2014
AdministrationSubcutaneous injection
Risk EvaluationMyalept Risk Evaluation and Mitigation Strategy (REMS) Program
Common Side EffectsReductions in HbA1c, fasting glucose, and triglycerides

Danyelza: $1.2 Million Annually

Danyelza

Priced at $1.2 million annually, Danyelza by Y-mAbs Therapeutics offers hope for those battling high-risk neuroblastoma. FDA-approved since November 25, 2020, it addresses adults and children (≥1 year) with neuroblastoma in bone or bone marrow, showing partial, minor, or stable response to prior therapies. Neuroblastoma, a nerve system tumor prevalent in infants, poses a formidable challenge due to its aggressive nature. As a GD2-binding monoclonal antibody immunotherapy, Danyelza signals the immune system to combat cancer. Administered thrice weekly, each 40mg/10 mL vial costs approximately $24,300. With dosing based on weight, annual costs may exceed $1.2 million, potentially impacting treatment duration. Notably, Danyelza, coupled with GM-CSF, carries a boxed warning for infusion-related reactions and neurotoxicity, with common side effects encompassing pain, rapid heart rate, vomiting, and diarrhea.

DetailsInformation
Cost$1.2 million annually
ManufacturerY-mAbs Therapeutics
UseNeuroblastoma
FDA Approval DateNovember 25, 2020
AdministrationIntravenous infusion
Overall Response Rate34% and 45% in studies
Boxed WarningInfusion-related reactions, neurotoxicity

Zokinvy: $1.2 Million Annually

Zokinvy

Priced at $1.2 million annually, Danyelza by Y-mAbs Therapeutics offers hope for those battling high-risk neuroblastoma. FDA-approved since November 25, 2020, it addresses adults and children (≥1 year) with neuroblastoma in bone or bone marrow, showing partial, minor, or stable response to prior therapies. Zokinvy is manufactured by the Eiger BioPharmaceuticals, Inc. Neuroblastoma, a nerve system tumor prevalent in infants, poses a formidable challenge due to its aggressive nature. As a GD2-binding monoclonal antibody immunotherapy, Danyelza signals the immune system to combat cancer. Administered thrice weekly, each 40mg/10 mL vial costs approximately $24,300. With dosing based on weight, annual costs may exceed $1.2 million, potentially impacting treatment duration. Notably, Danyelza, coupled with GM-CSF, carries a boxed warning for infusion-related reactions and neurotoxicity, with common side effects encompassing pain, rapid heart rate, vomiting, and diarrhea.

DetailsInformation
Cost$1.2 million annually
ManufacturerEiger BioPharmaceuticals, Inc.
UseProgeria and Progeroid Laminopathies
FDA Approval DateNovember 20, 2020
Mechanism of ActionBlocks accumulation of defective, farnesylated proteins
Survival Benefit60% reduction in mortality, increased average survival time by 2.5 years
Common Side EffectsMild or moderate gastrointestinal events

Final Notice

Some believe when a disease or an ailment is created, its cure is also born with it. It’s only a matter of time until we discover it. Since the creation of time, we have seen the pivotal role medicines play in the mortality of all sentient beings. First, people used plants and herbs to treat their ailments but as time progressed, they started using different techniques which proved quite helpful but still it was not enough. The mortality rate was still low and whenever some outbreak happened, millions died. Until a few decades ago, when men started blending technology and knowledge to create something unusual, with miraculous effects to treat ailments which thought to be beyond treatment, those who had them were thought to be destined to death. With all these above-mentioned medicinal treatments not only, the medical world has revolutionized but, it also created hope in the hearts of those suffering from these untreatable diseases. Although these treatments are out of reach for many, yet to some, it is enough that the treatment for their condition exists, even at an unimaginable price. Here we have tried our best to not only educate you with the existence of these miraculous treatments but also about what has made them this pricey.
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TAGGED: expensive drugs, high cost medicines, Medicines
Laura Effie March 28, 2024 January 17, 2024
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