Cheaper eye drug proves as good as pricier one

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much cheaper drug has proved just as good as a $2,000 monthly shot at treating a common eye disorder that can lead to blindness, a long-awaited study has found. It also shows that patients can be treated less often, sparing them a lot of pain and expense.

The results are expected to lead many doctors and patients to turn away from the pricier Lucentis and instead use $50 shots of Avastin for an age-related condition called wet macular degeneration.

Vision improvement after one year was the same for those given Avastin or Lucentis, the 1,200-patient study found.

The results are a blow to Roche's Genentech unit, which sells both medicines. Avastin (ah-VAS-tin) is a cancer drug that doctors have used for many years to treat the eye disease even though it is not approved for that purpose. Genentech had been developing Lucentis (loo-SEN-tis) specifically for the eye disease and won approval for it in 2006. A company spokesman said Thursday that the company had no plans to seek approval to sell Avastin for eye use or to lower the price of Lucentis.

Yet the results are a boon for patients and insurers — mostly Medicare — because nothing prevents use of the cheaper Avastin, eye specialists said. Doctors who use it for the eye disease must get a pharmacist to prepare lower doses for injection rather than the intravenous way it's used for cancer.

"It's always good news for patients when there are more than one option for a condition. It's good news for the country. Now we have potential for significant savings at a time when the cost of health care is skyrocketing," said Dr. Paul Sternberg, chairman of the Vanderbilt Eye Institute.
 
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