GLP-1’s next frontier: migraines

As someone who used to experience 15 migraines a month, I am thrilled to write this item: Migraines are the next test case for the blockbuster GLP-1 drugs that have gained remarkable popularity for treating diabetes and obesity.

A pilot study presented at a conference Friday found that GLP-1 agonists reduced monthly migraine days by almost half, which the authors suggest could be due to reduced intracranial pressure. After 12 weeks, patients’ mean monthly reported headache days fell by 9.1 days, from an average of 19.8 to 10.7 days. Their mean score on the Migraine Disability Assessment decreased by 31.8, from an average of 60.4 to 28.6.

“It’s a hugely interesting and very important study, and it opens all sorts of questions about how the drug works,” said Alexandra Sinclair, chair of the neurology department at the University of Birmingham. Read more from STAT’s Veronica Paulus.

Vertex stem cell therapy spurs insulin independence

In a small but striking Phase 1/2 study, an off-the-shelf stem cell therapy made by Vertex Pharmaceuticals enabled 10 of 12 people with type 1 diabetes to stop insulin injections for at least a year — while maintaining healthy blood glucose levels and avoiding severe hypoglycemia. The treatment, zimislecel, is derived from lab-grown islet cells and delivered with immunosuppression — mimicking the success of islet transplants but without donor constraints.

“This study has the potential to get us one step closer to a ‘functional cure’ for patients with type 1 diabetes,” the study’s co-author told STAT.

Read more.

from AXIOS:

Health plans vow to simplify prior authorization
By Maya Goldman
Illustration of two hands emerging from within a percentage symbol and reaching for a handshake.

 

Illustration: Maura Losch/Axios
More than 50 health insurers today are committing to simplifying pre-treatment reviews and address a practice widely despised by health care providers and patients.

Why it matters: Insurers maintain that requiring a sign-off before patients care get care is necessary to control costs and make sure treatments and medications are safe and effective.

  • But more than 8 in 10 physicians said that issues with prior authorization requirements led patients to abandon treatment, according to an American Medical Association survey last year. Nearly 90% said prior authorizations contribute to burnout.

State of play: Leading health plans today will voluntarily commit to answer at least 80% of electronic prior authorization requests that have the necessary clinical documentation in real time by 2027.

  • The insurers also said they’ll work to create common electronic prior authorization submission requirements for plans and providers by Jan. 1, 2027.
  • The commitments cover all insurance markets, including private health plans and Medicare Advantage.

AHIP and the Blue Cross Blue Shield Association are being joined in the pledge by UnitedHealthcare, Aetna CVS Health, Cigna, Elevance and Kaiser Permanente.

  • Each is committing to reduce the claims subject to prior authorization “as appropriate for the local market” by the start of next year, according to a joint news release.

 

 

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