STAT

A lottery like no other offers up a cutting-edge medicine — with lives on the line

A lottery that began this week was not about money, or schools, or visas. In this case, the person selected would be receiving a drug that could save his or…

The lottery that began this week was not about money, or about choosing a school, or about obtaining a visa. It was about a child’s life.

In this case, the children selected would receive a drug that otherwise was not available. Jamie Clarkson, an electrician in Queensland, Australia, entered his 18-month-old daughter, Wynter.

“We applied for it because we desperately want this drug for our daughter, but you’re putting your daughter’s well-being and longevity in the hands of a lottery,” Clarkson said. “I guess it’s the fairest way to decide who gets the drug and who doesn’t, but yeah, it’s not a great feeling.”

The treatment, a gene therapy called Zolgensma, is designed for children like Wynter who have a neuromuscular disease called spinal muscular atrophy, or SMA. Without it or other treatments, those with the most serious type are likely to die as babies. It was first approved by U.S. regulators only last year, and is not yet available in other countries.

The lottery was devised by the drug’s manufacturer, Novartis, to give families in those places a chance to get it through a novel form of compassionate use — a way to get medications that have not been approved — while they wait. Fifty doses are slotted to be given away for free in the first half of the year, with up to 100 total.

The first drawing occurred Monday.

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