{"id":604252,"date":"2026-08-25T15:24:11","date_gmt":"2026-08-25T15:24:11","guid":{"rendered":"https:\/\/www.newsbeep.com\/ie\/604252\/"},"modified":"2026-08-25T15:24:11","modified_gmt":"2026-08-25T15:24:11","slug":"hse-agrees-to-fund-drug-for-patients-with-friedreichs-ataxia-the-irish-times","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/ie\/604252\/","title":{"rendered":"HSE agrees to fund drug for patients with Friedreich\u2019s ataxia \u2013 The Irish Times"},"content":{"rendered":"<p class=\"c-paragraph paywall \">The <a href=\"https:\/\/www.irishtimes.com\/tags\/health-service-executive-hse\/\" rel=\"nofollow noopener\" title=\"https:\/\/www.irishtimes.com\/tags\/health-service-executive-hse\/\" target=\"_blank\">HSE<\/a> has approved reimbursement for a treatment for a rare genetic disorder, Friedreich\u2019s ataxia, making it available to Irish patients.<\/p>\n<p class=\"c-paragraph paywall \">The disease causes progressive damage to the nervous system, and individuals with the condition have a shorter than average life expectancy.  About 200 people in Ireland are estimated to have the condition.<\/p>\n<p class=\"c-paragraph paywall \">In February 2023, the drug omaveloxolone, branded as Skyclarys, was approved in the <a href=\"https:\/\/www.irishtimes.com\/tags\/united-states\/\" rel=\"nofollow noopener\" title=\"https:\/\/www.irishtimes.com\/tags\/united-states\/\" target=\"_blank\">US<\/a> for the treatment of the disease. Europe followed suit 12 months later. <\/p>\n<p class=\"c-paragraph paywall \">Skyclarys is not a cure but patients and advocates say it has the ability to slow the progression of Friedreich\u2019s ataxia by up to 55 per cent.<\/p>\n<p class=\"c-paragraph paywall \">Last December, the <a href=\"https:\/\/www.irishtimes.com\/tags\/national-centre-for-pharmacoeconomics-ncpe\/\" rel=\"nofollow noopener\" title=\"https:\/\/www.irishtimes.com\/tags\/national-centre-for-pharmacoeconomics-ncpe\/\" target=\"_blank\">National Centre for Pharmacoeconomics<\/a> issued an assessment on the \u201ccost-effectiveness\u201d of Skyclarys. It recommended that the drug not be considered for reimbursement by the <a href=\"https:\/\/www.irishtimes.com\/tags\/health-service-executive-hse\/\" rel=\"nofollow noopener\" title=\"https:\/\/www.irishtimes.com\/tags\/health-service-executive-hse\/\" target=\"_blank\">HSE<\/a>, stating it would cost about \u20ac280,000 annually per patient.<\/p>\n<p class=\"c-paragraph paywall \">On July 14th, the HSE Drugs Group did not recommend the drug for reimbursement and referred the application to the Rare Diseases Technology Review Committee \u201cto seek further input\u201d.<\/p>\n<p class=\"c-paragraph paywall \">On August 11th, following the committee meeting, the group recommended that the drug should not be reimbursed. It stated the estimated cost was too high, as well as questioning the effectiveness of the treatment.<\/p>\n<p class=\"c-paragraph paywall \">The HSE\u2019s senior management team met on Tuesday to make a final decision on the drug, and approved it for reimbursement.<\/p>\n<p class=\"c-paragraph paywall \">According to a statement from the HSE, Biogen, the manufacturer, made a \u201csubstantially improved financial offer\u201d following \u201cintensive discussions\u201d over the cost of the medicine. <\/p>\n<p class=\"c-paragraph paywall \">\u201cBiogen has moved substantially from its previous position, and the HSE wants to express its appreciation of the flexible and constructive approach shown by the company,\u201d the statement said.<\/p>\n<p class=\"c-paragraph paywall \">The HSE said it decided to approve reimbursement of the drug based on the new commercial offering.<\/p>\n<p class=\"c-paragraph paywall \">\u201cIt concluded that had it been asked to consider the same terms the HSE Drugs Group considered, it would have come to the same position as the Drugs Group and would not have proposed reimbursement,\u201d it said in a statement.<\/p>\n<p class=\"c-paragraph paywall \">In coming to its decision, the HSE acknowledged the \u201climited efficacy\u201d and the high cost that remained despite the improved financial offer.<\/p>\n<p class=\"c-paragraph paywall \">\u201cHowever, it also agreed with the observations of the Drugs Group in relation to the substantial unmet need of patients suffering from what is a devastating disease and the absence of any other medicines to treat it,\u201d it said. <\/p>\n<p class=\"c-paragraph paywall \">\u201cEngagements are ongoing with Biogen to finalise the administrative arrangements which will underpin reimbursement. The HSE will progress these engagements quickly, and understands that Biogen are also committed to finalising details at an early stage.\u201d<\/p>\n<p class=\"c-paragraph paywall \">The decision comes following months of campaigning and the Government facing significant political pressure from Opposition TDs calling for reimbursement of the drug.<\/p>\n<p class=\"c-paragraph paywall \">A demonstration of Friedreich\u2019s ataxia campaigners took place in Dublin on Sunday, led by Niamh N\u00ed Hoireabhaird from Co Kildare, Emily Felix from Co Kilkenny and Aoife Gavan from Co Monaghan. <\/p>\n<p class=\"c-paragraph paywall \">Rare Disease Ireland, an alliance of rare disease patient organisations, on Monday urged the HSE to continue negotiations on the price of Skyclarys, in the first such intervention the group has ever made.<\/p>\n<p class=\"c-paragraph paywall \">Representative groups had called for political intervention, but Government officials maintained the process was non-political and independent of Leinster House.<\/p>\n<p class=\"c-paragraph paywall \">Minister for Health Jennifer Carroll MacNeill described Tuesday as an \u201cimportant day\u201d for patients. <\/p>\n<p class=\"c-paragraph paywall \">\u201cThough I know the statutory process through which these decisions are made is complex, it is important that politics and politicians allow the space for science to be the decision maker,\u201d she said.<\/p>\n<p class=\"c-paragraph paywall \">\u201cAt a time when there is too much uncertainty in the world, Ireland will continue to stick to science and to the rule of law. Simply put, these processes must be independent and led by experts.\u201d<\/p>\n<p class=\"c-paragraph paywall \">Taoiseach Miche\u00e1l Martin also welcomed the decision, adding it was important \u201cthe statutory process for approving the drug was brought to its conclusion.<\/p>\n<p class=\"c-paragraph paywall \">\u201cIt has been a very challenging period for the families, and I wish to acknowledge that,\u201d he said.<\/p>\n","protected":false},"excerpt":{"rendered":"The HSE has approved reimbursement for a treatment for a rare genetic disorder, Friedreich\u2019s ataxia, making it available&hellip;\n","protected":false},"author":2,"featured_media":604253,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[42,2120,1421,43,40,38,41,39],"class_list":["post-604252","post","type-post","status-publish","format-standard","has-post-thumbnail","category-headlines","tag-headlines","tag-hse","tag-jennifer-carroll-macneill","tag-news","tag-top-news","tag-top-stories","tag-topnews","tag-topstories"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/posts\/604252","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/comments?post=604252"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/posts\/604252\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/media\/604253"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/media?parent=604252"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/categories?post=604252"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/tags?post=604252"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}