March 27 (Reuters) - Eli Lilly ( LLY ) on Thursday
expanded its direct-to-consumer online platform LillyDirect to
include telehealth providers to diagnose and care for patients
with Alzheimer's disease, potentially boosting sales of its drug
Kisunla.
"There are capacity challenges ... not all patients live
directly near a health center or a specialist who is treating
Alzheimer's patients," said Laura Steele, senior vice president
of U.S. neuroscience at Lilly.
Studies have shown that many patients face prolonged wait
times to see a dementia specialist, limiting their ability to
receive treatments, like Kisunla, that need to be used in the
earliest stages of the mind-robbing disease.
"We need more accessible and comprehensive ways to rapidly
evaluate patients with memory and thinking problems," Dr. Eric
Reiman, CEO of Banner Alzheimer's Institute in Phoenix, said in
an email.
Others, however, questioned whether access to telehealth
providers would do much to solve the bottlenecks.
With video calls "something is lost in translation that you
get face-to-face. Not to mention the physical part of it
-understanding a person's mobility issues is really important,"
said Dr. David Knopman, a neurologist at the Mayo Clinic in
Rochester, Minnesota.
He said a telehealth specialist would still need to locate
doctors in brick-and-mortar facilities to carry out biomarker
testing and treatment, which needs to be carefully monitored due
to safety concerns.
"The last thing you want is therapy done at a distance,"
Knopman said.
The LillyDirect website already connected people with
telehealth providers to obtain mailed prescriptions for
weight-loss medicine Zepbound, as well as other drugs for
diabetes and migraine.
Kisunla, which is given by infusion and has an annual U.S.
list price of around $32,000, is not available for home
delivery. The drug, approved by U.S. regulators last July, had
2024 sales of $9.3 million.
Kisunla was the second approved drug designed to clear an
Alzheimer's-related protein called beta amyloid from the brains
of people diagnosed with early Alzheimer's. The first
amyloid-clearing drug was Leqembi, sold by Eisai ( ESALF ) and
Biogen.
Lilly said its website can connect people experiencing
memory and thinking issues to independent in-person and
telehealth options. These include the Healthgrades doctor
locator tool to find local office-based clinicians with
experience diagnosing and treating Alzheimer's patients and
Synapticure, an independent provider specializing in
neurodegenerative care.
Synapticure employs clinicians for telehealth management
during any or all of the phases of Alzheimer's disease care,
including diagnosis, treatment and monitoring, Lilly said.
Its telehealth capabilities include live video visits, broad
insurance coverage, prior authorization support, 24-hour access
when needed, ongoing medication and care management, and
behavioral health and lifestyle support.