FDA Approves New Use of Cancer Medication to Alleviate Autism Symptoms in Children

The FDA is preparing to approve leucovorin, a cancer drug, for treating autism symptoms related to folate deficiency in children, potentially improving communication and speech functions.
The U.S. Food and Drug Administration (FDA) is on the verge of approving the use of leucovorin, a medication traditionally utilized in cancer treatment and for certain types of anemia, for a new purpose: managing autism symptoms in children with cerebral folate deficiency. This development signals a promising advancement in the exploration of treatment options for autism spectrum disorder (ASD). Recent research has indicated that leucovorin, also known as folinic acid, may improve verbal communication and speech-related deficits in some children diagnosed with autism, especially those with folate deficiencies.
The anticipated approval, expected within the upcoming weeks, would authorize healthcare providers to prescribe leucovorin specifically for children exhibiting autism-related symptoms linked to folate deficiency in the brain. Following the FDA's label change, Medicaid and the Children's Health Insurance Program (CHIP) would be mandated to cover this treatment nationwide, impacting over half of U.S. children insured under these programs.
While initial findings are encouraging, experts caution that leucovorin is not a cure for autism but has demonstrated benefits in improving certain communication functions. Researchers emphasize that the current data is limited and further studies are necessary to fully understand the drug's efficacy and safety in this new application.
In related health advisories, the authors of the announcement, including FDA Commissioner Dr. Marty Makary and other health leaders, advised pregnant women to consult their doctors when using medications like Tylenol (acetaminophen). Although some studies suggest a possible link between acetaminophen use during pregnancy and developmental conditions like autism and ADHD, health authorities, including the UK's MHRA, have reaffirmed the safety of paracetamol when used as directed, stating there is no conclusive evidence of causation.
This innovative use of leucovorin could mark a significant step forward in targeted treatments for specific autism subtypes, offering hope for improved communication skills in affected children. Further investigations will clarify the therapeutic potential of this approach and help integrate it into standard clinical practice.
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