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FDA approves leucovorin as first drug for rare genetic disorder, after touting it as autism treatment

FDA approved leucovorin for cerebral folate deficiency affecting fewer than 1 in a million, but evidence is insufficient to support its use for autism, experts say.

  • On Tuesday, the U.S. Food and Drug Administration approved leucovorin as the first labeled treatment for receptor‑1 cerebral folate deficiency in children and adults.
  • Senior FDA officials said the review narrowed to strongest evidence for patients with the folate receptor‑1 mutation and relied on a systematic literature review, not randomized, placebo‑controlled clinical trials.
  • Published patient‑level reports documented the ultrarare condition affects fewer than 50 cases worldwide, with children becoming seizure‑free or asymptomatic after leucovorin treatment, case studies show.
  • After prescriptions surged, officials said they would permit foreign imports to ease shortages as families of children with autism report difficulty filling leucovorin prescriptions.
  • The White House had touted the drug in September, prompting heightened attention, but medical societies remain skeptical, a supporting autism study was retracted earlier this year, and GSK does not plan to relaunch the branded product.
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Donald Trump announced in September that the "new treatment" gives hope "to many parents of autistic children that there is a possibility that their lives can improve" but it was ultimately not approved.

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King5 News broke the news in Seattle, United States on Tuesday, March 10, 2026.
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