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.
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:
Rank | Name | Cost | Use |
1 | Hemgenix | $3.5 million per one-time dose | Hemophilia B |
2 | Elevidys | $3.2 million per one-time dose | Duchenne Muscular Dystrophy (DMD) |
3 | Skysona | $3 million per one-time dose | Cerebral Adrenoleukodystrophy (CALD) |
4 | Zynteglo | $2.8 million per one-time dose | Beta-thalassemia |
5 | Zolgensma | $2.1 million per one-time dose | Spinal Muscular Atrophy (SMA) |
6 | Myalept | $1.3 million annually | Lipodystrophy / Leptin deficiency |
7 | Danyelza | $1.2 million annually | Neuroblastoma |
8 | Zokinvy | $1.2 million annually | Progeria and Progeroid Laminopathies |
Hemgenix: $3.5 Million per One-Time Dose
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.
Details | Information |
Cost | $3.5 million per one-time dose |
Manufacturer | CSL Behring |
Use | Hemophilia B |
FDA Approval Date | November 22, 2022 |
Mechanism of Action | Adeno-associated virus vector-based gene therapy |
Common Side Effects | Liver enzyme elevations, headache, elevated blood enzymes, flu-like symptoms, infusion-related reactions, fatigue, nausea, feeling unwell |
Clinical Trial Results | 94% of patients discontinued factor IX infusions; 54% reduction in annual bleeding rate |
Elevidys: $3.2 Million per One-Time Dose
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.
Details | Information |
Cost | $3.2 million per one-time dose |
Manufacturer | Sarepta Therapeutics |
Use | Duchenne Muscular Dystrophy (DMD) |
FDA Approval Date | June 22, 2023 |
Mechanism of Action | Delivery of gene for functional shortened dystrophin |
Warnings and Precautions | Acute serious liver injury, immune-mediated myositis, myocarditis |
Common Side Effects | Vomiting, nausea, elevated liver enzymes, fever, thrombocytopenia |
Skysona: $3 Million per One-Time Dose
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.
Details | Information |
Cost | $3 million per one-time dose |
Manufacturer | Bluebird Bio, Inc. |
Use | Cerebral Adrenoleukodystrophy (CALD) |
FDA Approval Date | September 16, 2022 |
Mechanism of Action | Gene therapy using the patient’s own stem cells modified with the ALDP gene |
Boxed Warning | Hematologic malignancies |
Common Side Effects | Mucositis, nausea, febrile neutropenia, alopecia, vomiting |
Zynteglo: $2.8 Million per One-Time Dose
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.
Details | Information |
Cost | $2.8 million per one-time dose |
Manufacturer | Novartis |
Use | Beta-thalassemia |
FDA Approval Date | September 16, 2022 |
Mechanism of Action | Lentiviral vector gene therapy |
Warnings and Precautions | Delayed platelet engraftment, insertional oncogenesis |
Common Side Effects | Mucositis, febrile neutropenia, vomiting, alopecia, epistaxis |
Zolgensma: $2.1 Million per One-Time Dose
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.
Details | Information |
Cost | $2.1 million per one-time dose |
Manufacturer | Novartis |
Use | Spinal Muscular Atrophy (SMA) |
FDA Approval Date | May 24, 2019 |
Mechanism of Action | Gene therapy replacing defective SMN1 gene |
Boxed Warning | Acute serious liver injury |
Common Side Effects | Elevated liver enzymes, vomiting |
Myalept: $1.3 Million Annually
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.
Details | Information |
Cost | $1.3 million annually |
Manufacturer | Amryt Pharmaceuticals |
Use | Lipodystrophy / Leptin deficiency |
FDA Approval Date | February 24, 2014 |
Administration | Subcutaneous injection |
Risk Evaluation | Myalept Risk Evaluation and Mitigation Strategy (REMS) Program |
Common Side Effects | Reductions in HbA1c, fasting glucose, and triglycerides |
Danyelza: $1.2 Million Annually
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.
Details | Information |
Cost | $1.2 million annually |
Manufacturer | Y-mAbs Therapeutics |
Use | Neuroblastoma |
FDA Approval Date | November 25, 2020 |
Administration | Intravenous infusion |
Overall Response Rate | 34% and 45% in studies |
Boxed Warning | Infusion-related reactions, neurotoxicity |
Zokinvy: $1.2 Million Annually
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.
Details | Information |
Cost | $1.2 million annually |
Manufacturer | Eiger BioPharmaceuticals, Inc. |
Use | Progeria and Progeroid Laminopathies |
FDA Approval Date | November 20, 2020 |
Mechanism of Action | Blocks accumulation of defective, farnesylated proteins |
Survival Benefit | 60% reduction in mortality, increased average survival time by 2.5 years |
Common Side Effects | Mild or moderate gastrointestinal events |
Final Notice
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