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FDA Backs Leucovorin Label Update for Cerebral Folate Deficiency Linked to Autism Symptoms

Experts call the evidence preliminary following officials' push for Medicaid coverage.

Overview

  • An FDA Federal Register notice reinstated a GSK leucovorin application and cited literature and case reports in roughly 40 cerebral folate deficiency patients, with the agency urging a label update.
  • GSK said it will file a supplemental application to add cerebral folate deficiency to Wellcovorin’s label, a step HHS says could enable state Medicaid coverage tied to autism-related care.
  • HHS and FDA officials highlighted potential benefits for speech-related deficits in a subset of children, and the NIH plans to fund additional studies on safety and effectiveness.
  • Researchers and advocacy groups describe the clinical evidence as limited to small, heterogeneous trials, recommending targeted use based on testing for folate-transport abnormalities rather than broad prescribing.
  • President Trump promoted unproven links between acetaminophen and autism without new data, while HHS emphasized cautious language, and CMS chief Mehmet Oz pledged to divest after concerns over ties to a supplement retailer selling folinic acid.