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NICE Backs Routine NHS Use of Two SMA Drugs as England Secures Lifelong Access

Real‑world NHS data showed life‑extending gains, prompting a permanent footing for treatment.

Overview

  • NICE issued final draft guidance recommending nusinersen and risdiplam for routine commissioning in England after years of time‑limited access.
  • NHS England said a new commercial deal guarantees lifelong treatment for eligible patients and confirmed the one‑shot gene therapy Zolgensma is also routinely commissioned.
  • National SMA REACH UK data reported 73 children with the most severe form have now reached age five or older on therapy, reflecting improved survival and function.
  • The agreement includes a newly approved reduced‑dose nusinersen regimen that halves initial injections and then shifts to one dose every four months.
  • An Oxford‑led, NIHR‑funded study will screen about 750,000 newborns in phases to test adding SMA to the heel‑prick check, a push boosted by Jesy Nelson’s advocacy after her twins’ diagnoses.