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Lilly to appeal after UK agency opposes reimbursement for Alzheimer's drug

Published by Global Banking & Finance Review

Posted on June 18, 2025

2 min read

· Last updated: January 23, 2026

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Lilly to appeal after UK agency opposes reimbursement for Alzheimer's drug
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(Reuters) -Eli Lilly said on Thursday it would appeal against a UK agency's recommendation to not reimburse the cost of Alzheimer's drug Kisunla, blocking access for patients seeking treatment under

Eli Lilly to Challenge UK Decision Against Alzheimer's Drug Kisunla

(Reuters) -Eli Lilly said on Thursday it would appeal against a UK agency's recommendation to not reimburse the cost of Alzheimer's drug Kisunla, blocking access for patients seeking treatment under the country's state-run health service.

The U.S.-based drugmaker plans to appeal on the grounds that the National Institute for Health and Care Excellence's (NICE) recommendation was unreasonable based on the evidence the company, clinical experts and patient groups have submitted.

Kisunla was approved in the UK last year to treat mild cognitive impairment and mild dementia caused by Alzheimer's disease. NICE, which determines the cost-effectiveness of treatments paid for by public funds, had at the time deemed Lilly's drug too expensive for wide use.

Leqembi, a rival drug from Eisai and Biogen, was also deemed too costly for UK's state-run health service in August last year.

NICE's reimbursement recommendation marks another hurdle for Lilly's drug, after the EU medicines regulator in March rejected Kisunla saying the treatment's ability to slow cognitive decline was not significant enough to outweigh the risk of serious brain swelling in patients.

Both Kisunla and Leqembi are designed to clear sticky clumps of a protein called amyloid beta in the brain, believed to be a hallmark of Alzheimer's.

They entered the market after decades of failed attempts to combat the mind-wasting disease.

Adoption of the drugs has been slow in the United States due to the complexities involved with their use, such as the need for extra diagnostic tests and regular brain scans to monitor for potentially serious side effects.

(Reporting by Sriparna Roy in Bengaluru; Editing by Devika Syamnath)

Key Takeaways

  • Eli Lilly plans to appeal UK's decision on Kisunla.
  • NICE deemed Kisunla too costly for public reimbursement.
  • Kisunla treats mild Alzheimer's-related cognitive impairment.
  • EU previously rejected Kisunla over safety concerns.
  • Alzheimer's drugs face adoption challenges in the US.

Frequently Asked Questions

What is Eli Lilly's response to NICE's recommendation?
Eli Lilly plans to appeal against the National Institute for Health and Care Excellence's (NICE) recommendation, arguing that it was unreasonable based on the evidence provided.
What is Kisunla approved for?
Kisunla was approved in the UK to treat mild cognitive impairment and mild dementia caused by Alzheimer's disease.
What challenges has Kisunla faced in gaining reimbursement?
Kisunla's reimbursement has been hindered by NICE's recommendation, which follows a previous rejection by the EU medicines regulator regarding the drug's effectiveness in slowing cognitive decline.
How does Kisunla compare to Leqembi?
Both Kisunla and Leqembi are designed to clear amyloid beta clumps in the brain, but Leqembi was also deemed too costly for the UK's state-run health service.
What factors have slowed the adoption of Alzheimer's drugs in the US?
The adoption of Alzheimer's drugs like Kisunla and Leqembi in the US has been slow due to complexities such as the need for additional diagnostic tests and regular brain scans.

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