Novartis' $2-mn therapy for rare disorder is world's most expensive drug

Novartis executives defended the price, saying that a one-time treatment is more valuable than expensive long-term treatments

Swiss drugmaker Novartis on Friday won US approval for its gene therapy Zolgensma for spinal muscular atrophy (SMA), the leading genetic cause of death in infants, and priced the one-time treatment at a record $2.125 million.

The Food and Drug Administration approved Zolgensma for children under the age of two with SMA, including those not yet showing symptoms. The approval covers babies with the deadliest form of the inherited disease as well as those with types where debilitating symptoms may set in later.

“This is potentially a new standard of care for babies with the most serious form of SMA,” said Dr.