Engaging with elected officials is a cornerstone of effective advocacy. Whether you are living with ALS, a caregiver, or someone who wants to see a better reality for people affected by this devastating disease, your voice matters. This blog post breaks it down to the basics and how you can take action and drive change.
What is advocacy and why does it matter?
Advocacy is about taking action in support of a cause, policy, or idea. It is a strategic and consistent effort to create change, whereby awareness and support are built over time. It involves raising voices, sharing lived experiences, and building momentum to address unmet needs.
A key part of effective advocacy is building positive relationships and trust with decision-makers with the goal of showing them why your issue matters and how their support can make a difference.
For the ALS community, advocacy is essential in bringing attention to a disease that is often not well understood, ensuring that the voices of people affected by ALS are heard in the rooms where decisions are made. It drives the changes needed to improve access to therapies, care, investments in research, and pushes for policies that reflect the realities of people living with ALS.
What impact does advocacy have?
There are many examples of tangible results from advocacy efforts of the ALS community – both in Canada and around the world.
In the fall of 2024, the Government of Ontario funded the Ontario Provincial ALS Program after two and a half years of sustained advocacy by ALS Canada in partnership with Sunnybrook Health Sciences Centre, the five regional ALS clinics in Ontario, and the ALS community. People living with ALS, caregivers, and loved ones engaged with elected officials, reached out with emails of support, requested meetings, and shared their personal stories to show why this investment was urgently needed. The success of the Provincial Program is a great example demonstrating that advocacy requires a sustained effort and builds awareness and support incrementally.
Public reimbursement of Radicava (edaravone) in all provinces and territories across Canada was also made possible through community advocacy. As the first therapy to be approved by Health Canada in nearly 20 years, its public reimbursement was driven by the advocacy of more than 3,000 Canadians who sent letters and met with their provincial elected officials urging them to ensure timely and equitable access to the treatment.
How to know which level of government to reach out to?
In Canada, responsibilities are divided between federal, provincial, and territorial governments. Each level has a different role in shaping policies, funding initiatives, and delivering services. Knowing who does what is key to making sure your advocacy efforts reach the right people.
For the ALS community, this matters when pushing for issues like access to therapies, home and community care, clinical trials, assistive devices, and research funding. Depending on the issue, you may need to engage with your provincial representative, your Member of Parliament (federal) or both.
The provincial and territorial governments are primarily responsible for delivering health care services. This includes:
- Managing and funding hospitals, clinics, long-term care facilities, and home care programs
- Providing coverage for medications through public drug plans
- Funding mobility aids, communication devices, and other medical equipment
If you want to advocate for improved access to care (e.g. in a long-term care or hospital setting), home care support, assistive devices, or medications under provincial drug plans, reach out to your elected official in provincial government.
Find your Member of Provincial Parliament (MPP) if you are in Ontario, Member of National Assembly (MNA) in Quebec, or Member of Legislative Assembly (MLA) in all other provinces and territories:
The federal government sets national health policy, regulates drugs and medical devices, and provides healthcare services to First Nations, Inuit, Métis, and Indigenous populations. It is also responsible for:
- Drug approval process through Health Canada
- Funding health research
- National social assistance programs (i.e., Disability Tax Credit, Employment Insurance benefits)
- Transfer payments to provinces for healthcare delivery
If you want to advocate for ALS research funding to identify treatments, improvement to social assistance programs, or increased clinical trial capacity, reach out to your Member of Parliament.
You can find your Member of Parliament here.
Ways to engage with your elected officials
There are several ways to connect with your elected officials and share why issues affecting the ALS community matter. Below are a few practical tips to help you take action. You can also refer to our Advocacy Toolkit for additional resources to support you along the way.
- Elected officials often attend community events hosted in their ridings.
- You can attend these events, introduce yourself and share your connection to ALS, and highlight why your issue matters.
- Consider printing out the Facts about ALS and ALS Canada sheet in the Advocacy Toolkit to hand to the elected official/staff as a leave-behind.
- Sharing your story through an email or letter is a meaningful way to create a personal connection and build trust with elected officials.
- Begin the email or letter by introducing yourself as their constituent, followed by your connection to ALS and how it has affected you. Clearly define the issue you’re raising, highlight why it is important, and what you’re asking them to do.
- Check out our Advocacy Toolkit for a more detailed guide on telling your personal story.
- If you are active on social media (i.e., Facebook, Instagram, X), you can share your story online and tag elected officials to raise awareness of the realities of ALS.
- There are several hashtags you can use to increase engagement with your post: #aWorldFreeOfALS #ALSstories #ALS
- Tag @ALSCanada so we can stay looped in on your advocacy efforts.
- Request a meeting with your elected official or their staff by reaching out to their constituency office in your community.
- This is a mutually beneficial process as elected officials see their constituents as a vital source of information to learn about the needs of their communities.
- Before your meeting, take time to clarify your key points and prepare what you’d like to say.
- Our Advocacy Toolkit includes a Sample Meeting Flow to help you develop a clear meeting structure.
ALS Canada is here to support you.
If you have any questions about how to engage with an elected official, want to learn more about advocacy, or to let us know how you are getting involved, please reach out to advocacy@als.ca.
Therapeutics Update
QALSODY Health Canada Approval
- On March 3, 2025, Health Canada approved QALSODY (tofersen) under a Notice of Compliance with Conditions (NOC/c) for the treatment of ALS in adults who have a pathogenic variant/mutation in the superoxide dismutase 1 (SOD1) gene. This means the drug will soon be made available and can be marketed in Canada with certain conditions.
- At this stage, the drug is not yet covered under public or private drug programs. We will continue our advocacy to ensure decision-makers in the reimbursement process work quickly to provide expedited and equitable access to the therapy for Canadians living with SOD1-ALS.
Access to Therapies
QALSODY – Canada’s Drug Agency Patient Input Submission
- In response to Canada’s Drug Agency (CDA)’s call for patient input on QALSODY, ALS Canada has submitted a patient input submission based on the experiences and perspectives of nearly 600 members of the ALS community who made their voice heard through our survey and focus groups.
- This submission is a crucial next step in ensuring the realities of ALS are reflected in the decision-making process.
- Learn more about the next steps in the drug access process.
National Strategy for Drugs for Rare Diseases
- All provinces and territories have now signed bilateral agreements with the federal government under the National Strategy for Drugs for Rare Diseases. Each province will receive its share of $1.4 billion over three years to improve access to new drugs for rare diseases for its residents and to support enhanced access to existing drugs, early diagnosis, and screening for rare disease
- Ontario: $535 million over three years (January 24, 2025)
- British Columbia: $194 million over three years (July 23, 2024)
- Saskatchewan: $40 million over three years (January 10, 2025)
- Manitoba: $48 million over three years (February 27, 2025)
- Nova Scotia: $39 million over three years (March 20, 2025)
- Newfoundland and Labrador: $22 million over three years (November 15, 2024)
- Prince Edward Island: $10 million over three years (March 7, 2025)
- Yukon: $8.5 million over three years (March 13, 2025)
- Northwest Territories: $7.8 million over three years (March 13, 2025)
- Nunavut: $7.3 million over three years (March 13, 2025)
- Quebec: $305 million over three years (March 21, 2025)
- We are pleased to see all provinces agreeing to the need for improved and faster access to drugs for people living with rare diseases. We hope the National Strategy will be a significant step forward in knowledge building and improving access to therapies for people living with rare diseases, including the ALS community.
- We remain committed to working with the federal and provincial governments to establish rare disease pathways in each province while advocating for swift action to meet the urgent needs of people affected by ALS.
Canada’s Drug Agency – Consultation on Improvements to Drug Reimbursement process
- ALS Canada participated in CDA’s consultation on Proposed Improvements to the Reimbursement Review Process bringing forward the importance of the need for disease-specific expertise and people with lived experiences, such as ALS neurologists and people affected by ALS, to be formally included in the health technology assessment of therapies and greater transparency around how patient input considered in the decision-making process.
Provincial Updates
Ontario Elections
- In February 2025, elections were held in Ontario and the Progressive Conservative party led by Premier Doug Ford was elected for a third majority government.
- The Hon. Sylvia Jones remains as Minister of Health.
- We will continue engaging with Ontario elected officials and advocating for expedited and equitable access to approved therapies, appropriate healthcare resources, improved home and community care and highlighting the impact of the Ontario Provincial ALS Program for people living with ALS and work to ensure its sustainability into the future.
Ontario Health atHome
- ALS Canada continues to work closely with Ontario Health atHome (OHAH) to help ensure timely and streamlined access to home care services that meet the needs of Ontarians living with ALS.
Federal Updates
Prorogation and New Prime Minister
- On January 6, 2025, former Prime Minister Justin Trudeau announced his resignation and prorogued Parliament until March 24 to allow the Liberal Party to choose a new leader. Prorogation postpones the meeting of Parliament without ending the session.
- Mark Carney became the leader of the Liberal Party and was sworn in as the new Prime Minister on March 14. Prime Minister Carney then called an election which will be held on April 28, 2025.
- To continue empowering your advocacy efforts, we have launched a practical resource you can utilize to engage with federal candidates about key priorities of the ALS community.
Canada Disability Benefit Regulation Published
- The government approved the regulations for the Canada Disability Benefit Act (CBD) which will come into effect on May 15, 2025. The purpose of the benefit is to financially support working-age people with disabilities.
- The eligibility in the regulations means individuals with the Disability Tax Credit (DTC) certificate who have filed their 2024 income tax return can apply for the CDB starting in June, with payments beginning in July 2025.
Government Meetings
- On February 6, ALS Canada met with Dr. Supriya Sharma, Chief Medical Advisor, and other representatives at Health Canada to discuss the ALS drug landscape, and Canada’s position as a leading hub for ALS clinical trials.
Note to Readers: This update is a source of information for the ALS community that provides an overview of advocacy efforts and current affairs for Canadians affected by ALS. While there are many topics presented in this update, they don’t represent ALS Canada’s official position on any particular issue, nor indicate a complete list of ALS Canada’s advocacy priorities. We’re also unable to share all details about certain engagements with government and industry stakeholders due to confidentiality reasons.
ALS Canada has submitted the patient input submission for Canada’s Drug Agency (CDA)’s review of QALSODY (tofersen), a therapy recently approved by Health Canada. This submission is a crucial step in ensuring that voices of the ALS community are reflected in the decision-making process.
You can read the submission here.
In response to CDA’s call for patient input, we are incredibly grateful to nearly 600 members of the ALS community who shared their experiences and perspectives through our survey. Your input helped inform our submission, bringing forward the realities of ALS, the urgency for new treatment options, and the impact of currently available therapies.
What is next?
Now that we have submitted our patient input, CDA will review the clinical and economic evidence and the patient and clinician input submissions to assess the value of QALSODY and provide a reimbursement recommendation to federal, provincial, and territorial public drug plans. Here is a look at the process ahead:
- CDA will evaluate the evidence, and patient and clinician input before issuing a draft recommendation of whether the drug should be reimbursed.
- Once the draft recommendation is released, patients and clinicians will have an opportunity to submit feedback before the final recommendation is made.
- After considering patient and clinicians’ feedback, CDA will issue one of the following final recommendations:
- That publicly funded programs reimburse the drug without any specific conditions;
- That publicly funded programs reimburse the drug with specific clinical criteria and/or conditions; or
- That the drug not be reimbursed.
- If the recommendation is for the public drug plans to reimburse the drug without or with conditions, pricing and reimbursement discussions will take place through the pan-Canadian Pharmaceutical Alliance (pCPA).
You can learn more about how drugs become accessible in Canada by visiting our blog post on this topic.
ALS Canada will continue to advocate for timely and equitable access to approved therapies. We will continue to engage with CDA, the pCPA, and other stakeholders throughout the reimbursement process to ensure that the needs and experiences of the ALS community are at the forefront of their decision-making.
We will keep you updated as the process moves forward.
More information
To learn more about QALSODY, visit our frequently asked questions blog post on this drug.
This series is a place for the ALS community to learn about and stay updated on ALS Canada’s advocacy efforts as well as relevant developments within government. Please note that because ALS Canada advocates federally and provincially within Ontario, these updates will primarily feature updates from the federal and provincial (Ontario) levels of government.
Access to Therapies
National Strategy for Drugs for Rare Diseases
- Alberta and Newfoundland and Labrador signed a bilateral agreement with the federal government under the National Strategy for Drugs for Rare Diseases (DRD).
- The provinces will receive its share of the three-year $1.4 billion promised by the federal government to improve access to new drugs for rare diseases for its residents and to support enhanced access to existing drugs, early diagnosis, and screening for rare diseases:
- Newfoundland and Labrador: $22 million over three years (November 15, 2024)
- Alberta: $162 million over three years (December 5, 2024)
- We hope other provinces will follow British Columbia, Alberta and Newfoundland and Labrador’s lead. As we continue our advocacy, we will work with the federal and provincial governments to ensure that this process remains transparent, and stakeholder engagement is integrated every step of the way.
Therapeutics Updates
Discontinuation of Radicava IV (edaravone)
- Mitsubishi Tanabe Pharma Canada announced their decision to discontinue RADICAVA IV (edaravone), an intravenous infusion treatment for ALS, as early as April 1, 2025. This decision was made as most patients on the therapy have already been transitioned to the RADICAVA Oral Suspension, a liquid form of the therapy administered orally or via a feeding tube, demonstrating similar efficacy to RADICAVA IV.
- Eligible patients can continue to access RADICAVA Oral Suspension, a liquid formulation of the therapy taken either orally or through a feeding tube, which was approved by Health Canada in November 2022 and is available in all provinces and territories through their public formularies.
Provincial Updates
Ontario Provincial ALS Program
- On October 30, 2024, the Ontario government announced their commitment of $13 million over three years in the 2024 Fall Economic Statement to support the Ontario Provincial ALS Program.
- In collaboration, ALS Canada, with Simon Kuzyl, Patient Care Manager, and Dr. Lorne Zinman, Director of the ALS Clinic at Sunnybrook Health Sciences Centre, and the regional ALS Clinics in Ontario (Hamilton, Kingston, London, Ottawa, and Toronto) have advocated for this program since 2022.
- This pivotal investment represents a meaningful commitment from the provincial government to address the urgent and evolving needs of people affected by ALS. The program will deliver vital services aligned with the best practice model of care to provide better health outcomes for the 1,400 Ontarians living with ALS, supporting their independence, safety, and dignity while reducing stress on Ontario’s healthcare system by helping prevent unnecessary hospitalizations and emergency visits.
- ALS Canada will continue collaborating with the Government of Ontario for policies and investments that create lasting change and improve the lives of people affected by ALS today and in the future.
- Learn more about the Ontario Provincial Program.
Federal Updates
FINA 2025 Pre-Budget Consultations – CAPTURE ALS
- On December 15, the Standing Committee on Finance presented its report on the Pre-Budget Consultations In Advance Of The 2025 Budget.
- We are pleased to share that ALS Canada’s recommendation for “the Government of Canada invest $35 million over five years to expand CAPTURE ALS from a pilot initiative to a world-leading, self-sustainable Open Science platform” was included in the report.
- Recommendation 123: Invest to expand CAPTURE ALS from a pilot initiative to a world-leading platform to enable Canadian and global researchers to understand why people experience ALS symptoms and progression differently and, in turn, help identify treatment targets, support earlier diagnosis, strengthen clinical trials, reduce economic burden associated with the disease and improve the quality of life for the more than 4,000 Canadians affected by ALS.
- This means that the committee prioritized this from other asks from all Pre-Budget submissions, highlighting our advocacy efforts. However, it is important to note that this does not guarantee inclusion in the final budget tabled by the Ministry of Finance.
- We extend our gratitude to the Committee for recognizing the significance of this recommendation and will continue to advocate to the federal government for investment in critical research towards a world free of ALS.
- Learn more about ALS Canada’s 2025 federal pre-budget submission.
CNDR Funding
- The Canadian Neuromuscular Disease Registry (CNDR) has received funding from Canada’s Drug Agency (CDA) to improve the country’s rare disease datasets. This funding from CDA is part of the investment allocated by the federal government’s National Strategy for Drugs for Rare Diseases.
Note to readers: This update is a source of information for the ALS community that provides an overview of advocacy efforts and current affairs for Canadians affected by ALS. While there are many topics presented in this update, they don’t represent ALS Canada’s official position on any particular issue, nor indicate a complete list of ALS Canada’s advocacy priorities. We’re also unable to share all details about certain engagements with government and industry stakeholders due to confidentiality reasons.
You can read past advocacy updates here.
This blog series is a place for the ALS community to learn about and stay updated on ALS Canada’s advocacy efforts as well as relevant developments within government. Please note that because ALS Canada advocates federally and provincially within Ontario, these updates will primarily feature updates from the federal and Ontario provincial levels of government.
Access to Therapies
Annual Premiers’ Conference
- At the annual Premiers’ conference, attended by all 10 provincial and three territorial leaders, Ontario Premier Doug Ford made an important announcement highlighting his focus on faster access to approved therapies, a step that resonates deeply with the ALS community and our advocacy efforts.
- We are hopeful that this commitment will translate to real change for all Canadians, including those living with ALS, by improving access to much-needed treatments.
- We will continue to advocate for the Canadian drug access pathway to become streamlined, more transparent and inclusive to address the needs of people living with ALS.
Canada’s Drug Agency Strategic Planning Process
- ALS Canada participated in Canada’s Drug Agency (CDA)’s Strategic Planning Town Hall, contributing to the development of the agency’s strategic plan for the next 3 years. We emphasized the role of collaboration and transparency throughout the health technology assessment process and the importance of ensuring it is inclusive, responsive and meets the needs of the patient community, including people living with ALS.
Canada’s Drug Agency – Symposium 2024
- ALS Canada attended Canada’s Drug Agency – Symposium 2024 on September 4-6. The symposium was a valuable opportunity to learn about the developments within the health technology assessment landscape and bring forward the voices of the ALS community to help inform how lived experience can be better integrated.
Provincial Updates
Ontario Provincial ALS Program
- On March 26, 2024, Ontario’s Minister of Finance, Peter Bethlenfalvy, presented the province’s 2024 Budget.
- While the initial budget announcement did not explicitly include a $6.6 million investment to implement the recommendations outlined in the Ontario Provincial ALS Program, we are actively continuing our discussions with key ministries and stakeholders.
- Our ongoing conversations with the Ministry of Health are gaining depth and momentum. We appreciate your support as we work toward ensuring Ontarians living with ALS receive the care and support they rightly deserve.
- We will continue to keep you informed of any developments.
Provincial Cabinet Shuffle
- Following a cabinet shuffle on July 30, 2024, Premier Doug Ford appointed MPP Anthony Leardi as the Parliamentary Assistant to the Minister of Health.
- ALS Canada sent a congratulatory letter to MPP Leardi and requested an introduction meeting.
Federal Updates
2025 Federal Pre-Budget Consultation
- ALS Canada participated in the House of Commons Finance Committee’s 2025 Pre-Budget Consultation process. Building onto our past submissions and advocacy, our submission recommended that the Government of Canada invest $35 million over five years to expand CAPTURE ALS from a pilot initiative to a world-leading, self-sustainable Open Science platform.
National Strategy for Drugs for Rare Diseases
- On July 23, British Columbia signed the National Strategy for Drugs for Rare Diseases (DRD) agreement to invest a total amount of $194 million over three years to improve access to new drugs for rare diseases for its residents and to support enhanced access to existing drugs, early diagnosis, and screening for rare diseases.
- This is the first DRD agreement reached since the federal government announced its rare disease strategy in early 2023.
- We hope other provinces will follow British Columbia’s lead. As we continue our advocacy, we will work with the federal and provincial governments to ensure that this process remains transparent and stakeholder engagement is integrated every step of the way.
Funding for Promoting Early Access to Palliative Care
- The federal government announced $2.4 million in funding over three years to McMaster University to design programs and education materials to encourage earlier access to palliative care.
- ALS Canada has been working with the team at McMaster University on this initiative, which is critical to helping individuals living with ALS have the autonomy to make advanced care decisions about their current needs.
- Through this opportunity, ALS Canada, alongside the International Alliance of ALS/MND Associations, is providing feedback on tools that support individual decisions and help people living with a life-limiting illness by providing resources to support and guide questions around their care needs to the health care professionals.
Government Meetings
- Throughout the quarter, ALS Canada met with stakeholders from the Ontario government to discuss the implementation of the Ontario Provincial ALS Program to ensure Ontarians living with ALS and their loved ones receive the care and support they rightly deserve, including:
- Office of the Minister of Health
- Deborah Richardson, Deputy Minister of Health
- Catherine Wang, Assistant Deputy Minister, Hospitals and Capital
- Charmaine Williams, Associate Minister of Women’s Social and Economic Opportunity
- John Fraser, MPP
- Catherine Fife, MPP
- ALS Canada met with the new ALS Caucus Chair, MP Peter Fragiskatos, in August to discuss the caucus’s reinvigoration and future priorities.
- ALS Canada joined ALS Action Canada, ALS Quebec, and the Canadian ALS Alliance at Parliament Hill and met with the following government officials to raise awareness and advocate for access to therapies and research funding:
- Yasir Naqvi, Parliamentary Secretary to the Minister of Health
- Francis Drouin, MP
- Judy Sgro, MP
Note to readers: This blog is a source of information for the ALS community that provides an overview of advocacy efforts and current affairs for Canadians affected by ALS. While there are many topics presented in this blog update, they don’t represent ALS Canada’s official position on any particular issue, nor indicate a complete list of ALS Canada’s advocacy priorities. We’re also unable to share all details about certain engagements with industry stakeholders due to confidentiality reasons.
You can read past advocacy updates here.
This blog series is a place for the ALS community to learn about and stay updated on ALS Canada’s advocacy efforts as well as relevant developments within government. Please note that because ALS Canada advocates federally and provincially within Ontario, these updates will primarily feature updates from the federal and Ontario provincial levels of government.
Therapeutics updates
ALBRIOZA (AM00X35)
- Amylyx Pharmaceuticals announced that they have started a process with Health Canada to discontinue the marketing authorization for ALBRIOZA. This means that ALBRIOZA will no longer be available for new patients in Canada.
- ALBRIOZA was approved by Health Canada under the Notice of Compliance with Conditions (NOC/c) pathway in 2022.
- Amylyx’s decision to remove ALBRIOZA from the market is based on the recent PHOENIX trial results of AMX0035, marketed as ALBRIOZA in Canada and RELYVRIO in the United States, which failed to show an effect on primary and secondary outcome measures.
Provincial Updates
Ontario Provincial ALS Program
- On March 26, 2024, Ontario’s Minister of Finance, Peter Bethlenfalvy, presented the province’s 2024 Budget. While the initial budget announcement did not explicitly include a $6.6 million investment to implement the recommendations outlined in the Ontario Provincial ALS Program, we are actively continuing our discussions with key ministries and stakeholders.
- Our conversations are gaining depth and momentum. We appreciate your support as we work toward ensuring Ontarians living with ALS receive the care and support they rightly deserve. We will continue to keep you informed of any developments.
Provincial Cabinet Shuffle
- On June 6 2024, Ontario Premier Doug Ford shuffled his cabinet. Hon. Natalia Kusendova-Bashta is appointed as the new Minister of Long-Term Care.
Federal Updates
Letter to the Minister of Transport
- ALS Canada sent a letter to Federal Minister of Transport, the Honourable Pablo Rodriguez, highlighting the urgent need for accessible air travel for Canadians who rely on mobility devices like wheelchairs, including people living with ALS, and advocating for equitable access to air travel for all.
- Read our letter.
Government Meetings
- On April 3, ALS Canada met with Supriya Sharma, Chief Medical Advisor and Jeffrey Skene, Director, Bureau of Cardiology, Allergy and Neurological Science at Health Canada to discuss the ALS therapeutic pipeline.
- Throughout the quarter, ALS Canada met with stakeholders from the Ontario Ministry of Health, to discuss the implementation of the Ontario Provincial ALS Program to ensure Ontarians living with ALS and their loved ones receive the care and support they rightly deserve.
ALS Awareness Month
- On June 4, Sylvia Jones, Ontario’s Minister of Health introduced ALS Society of Canada as visitors at the Legislative Assembly and raised point of order for unanimous consent to allow members to wear pins in recognition of June being ALS Awareness Month at the Legislative Assembly.
- Throughout June, MPs and Ontario based MPPs voiced their support of people affected by ALS through videos published on ALS Canada’s social media channels.
Note to readers: This blog is a source of information for the ALS community that provides an overview of advocacy efforts and current affairs for Canadians affected by ALS. While there are many topics presented in this blog update, they don’t represent ALS Canada’s official position on any particular issue, nor indicate a complete list of ALS Canada’s advocacy priorities. We’re also unable to share all details about certain engagements with industry stakeholders due to confidentiality reasons.
You can read past advocacy updates here.
This blog series is a place for the ALS community to learn about and stay updated on ALS Canada’s advocacy efforts as well as relevant developments within government. Please note that because ALS Canada advocates federally and provincially within Ontario, these updates will primarily feature updates from the federal and Ontario provincial levels of government.
Therapeutics updates
Masitinib
- AB Science announced that Health Canada has issued a Notice of Non-Compliance–Withdrawal (NON-W) for masitinib in ALS due to unresolved clinical concerns and data reliability issues.
ALBRIOZA (AM00X35)
- Amylyx Pharmaceuticals announced that the PHOENIX Phase 3 clinical trial of AMX0035, marketed as ALBRIOZA in Canada, did not meet its primary or secondary endpoints.
- ALBRIOZA is approved by Health Canada under the Notice of Compliance with Conditions (NOC/c) pathway, with conditions depending on the outcome of the PHOENIX trial.
Tofersen
- Biogen Canada announced that Health Canada accepted its New Drug Submission (NDS) for tofersen for the treatment of ALS in adults who have a pathogenic variant (also known as a mutation) in the superoxide dismutase 1 (SOD1) gene.
- This step triggers a thorough regulatory review of the therapy, which will result in the decision as to whether tofersen will be approved for use in Canada.
- ALS Canada will continue to provide updates as information becomes available. To learn more about tofersen, visit our frequently asked questions blog post on this topic.
Access to therapies
Meeting with the new pCPA leadership
- As a member of the Health Charities Coalition of Canada (HCCC) and HealthPartners, ALS Canada participated in a meeting with the first-ever CEO of the pan-Canadian Pharmaceutical Alliance (pCPA), Douglas Clark, to discuss pCPA’s top priorities and share our community’s perspective to inform the organization’s strategic plan.
Canadian Organization for Rare Disorders (CORD) – Rare Disease Day 2024 Summit
- To mark Rare Disease Day on February 29, ALS Canada attended the Canadian Organization for Rare Disorders’ Rare Disease Day 2024 Summit in Ottawa. During this time, we provided input on the experience of the ALS community during the multistakeholder expert panel discussing creating expanded, accelerated, and sustainable access to rare disease therapies.
Provincial Updates
ALS Canada’s Queen’s Park Day of Action
- On February 21, members of the ALS community joined ALS Canada at Queen’s Park, urging the Ontario government to invest $6.6 million of crucial funding in Budget 2024 to implement the Ontario Provincial ALS Program to support Ontarians living with ALS and their families with their clinical care and support needs.
- With participation from more than 40 MPPs, including the Minister of Health, Sylvia Jones, ALS Canada’s Queen’s Park Day of Action raised awareness of the current realities of the province’s health care system, which fails to meet the complex and urgent needs of people living with ALS, leaving more than 1,300 Ontarians without adequate care and support.
2024 Ontario Budget
- On March 26, Ontario’s Minister of Finance, Peter Bethlenfalvy, presented the province’s 2024 Budget.
- While the initial budget announcement did not explicitly include a $6.6 million investment to implement the recommendations outlined in the Ontario Provincial ALS Program, we will continue our discussions with the government and relevant ministries to seek clarification.
- Learn more about our 2024 Ontario Budget submission.
Government Meetings
- Throughout January and February, ALS Canada met with several Ontario MPPs, calling on the provincial government to implement the Ontario Provincial ALS Program in Budget 2024 to ensure Ontarians living with ALS and their loved ones receive the care and support they rightly deserve:
- Doug Ford, Premier of Ontario
- Office of the Minister of Health, Sylvia Jones
- MPP Dawn Gallagher Murphy, Parliamentary Assistant to the Minister of Health
- MPP David Smith, Parliamentary Assistant to the Minister of Labour, Immigration, Training and Skills Development
- Raymond Cho, Minister for Seniors and Accessibility
Note to readers: This blog is a source of information for the ALS community that provides an overview of advocacy efforts and current affairs for Canadians affected by ALS. While there are many topics presented in this blog update, they don’t represent ALS Canada’s official position on any particular issue, nor indicate a complete list of ALS Canada’s advocacy priorities. We’re also unable to share all details about certain engagements with industry stakeholders due to confidentiality reasons.
Implementation of the Ontario Provincial ALS Program is critical for addressing the urgent needs of Ontarians living with ALS and their families
Toronto – Today, people living with amyotrophic lateral sclerosis (ALS) and their caregivers join the ALS Society of Canada (ALS Canada) and physicians from Ontario’s five regional multi-disciplinary ALS Clinics for a Day of Action at Queen’s Park, urging the Ontario government to invest $6.6 million of crucial funding in Budget 2024 to support Ontarians living with ALS and their families with their health care needs.
The goal of today’s ALS Canada Day of Action is to raise awareness of the current realities of the province’s health care system, which fails to meet the complex and urgent needs of people living with ALS, leaving more than 1,300 Ontarians without adequate care and support. These shortfalls could cost an already overburdened health care system millions in unnecessary emergency department and intensive care unit trips due to crises that could have been avoided. In addition, today, one in four Ontarians with ALS are choosing medical assistance in dying, and increasingly, they are citing poor support as the reason.
“The progressive nature of ALS is relentless, resulting in an increased amount of care and equipment required over time. Ontario’s health care system fails to meet these needs. Because of this, ALS Clinics are working beyond their capacity without the necessary multi-disciplinary professionals and a dependence on donors to fund ALS Canada to fill the enormous gaps. This includes critical areas such as providing essential patient equipment and community-based support services,” says Tammy Moore, CEO of ALS Canada. “Without dedicated and sustainable funding for ALS care and support, Ontarians living with ALS and their families face greater risk, leading to poorer quality of life, and increased strains on the province’s health care resources.”
ALS is a fatal neurological disease that progressively paralyzes a person as their muscles break down, losing the ability to walk, talk, eat, swallow, and eventually breathe. Although symptoms can vary, most people will require costly mobility equipment, communication devices, and breathing machines with additional living modifications and care needed. With no cure and few treatment options, approximately 80 per cent of people with ALS die within two to five years of being diagnosed.
“Living with ALS is an extremely difficult and demanding experience for people like me and our families. The disease is unrelenting and brutal, as it attacks every part of the body,” says Steven Gallagher, diagnosed with ALS in 2019 at the age of 47. Steven now relies on eye-gaze technology to communicate as his disease progresses. “It’s even more distressing that care is inadequate for so many people living with ALS. We deserve and demand better care and urge the Ontario government to address these inequalities by including the Ontario ALS Provincial Program as part of Budget 2024.”
To address the critical and complex needs of the ALS community, ALS Canada, in collaboration with the five regional multi-disciplinary ALS Clinics in Ontario (Hamilton, Kingston, London, Ottawa, and Toronto), developed the Ontario Provincial ALS Program.
“All five ALS clinics in Ontario are significantly underfunded and lacking in the essential multi-disciplinary staff to care for this severely disabling and terminal disease,” says Dr. Lorne Zinman, Director of the ALS Clinic at Sunnybrook Health Sciences Centre. “We are optimistic that the Ontario Provincial ALS Program will be funded, providing clinics and ALS Canada with the necessary resources to adequately care for all patients with ALS in the province, improving quality of life and reducing the need for emergency room visits and hospital admissions.”
The program includes four key recommendations:
- Address the disparities in access to multi-disciplinary ALS care
Provide a $3.4 million incremental investment to ALS Clinics to standardize and enhance existing care models, optimizing ALS care to meet the Canadian Best Practice Recommendations for the Management of ALS. - Improve the quality of life and help people living with ALS maintain their independence, dignity, and safety
Allocate $3.2 million in sustainable funds to ALS Canada’s Community Services and Equipment Programs, ensuring people throughout the province have access to the right equipment and assistive devices at the right time. This will improve quality of life and help people living with ALS maintain independence, dignity, and safety for themselves and their caregivers. - Provide coordinated oversight of ALS care
Formation of a secretariat to oversee and coordinate ALS care and facilitate comprehensive data collection, efficient knowledge dissemination, and strategic system planning. - Ensure equitable ALS care in northern and rural Ontario
Develop a regional strategy to provide equitable and accessible ALS care in northern and rural Ontario, ensuring that people living with ALS receive timely care regardless of their geographic location.
The program requires an initial investment of $6.6 million from the Ontario government’s 2024 budget to implement. The recommendations included in the program are strategic, cost-effective, and efficient solutions that will continue to position Ontario as a leader in care, addressing urgent needs and improving the quality of life for Ontarians living with ALS.
To learn more about the Ontario Provincial ALS Program, visit als.ca.
About ALS and the ALS Society of Canada
Amyotrophic lateral sclerosis (ALS) is an unrelenting and currently terminal disease. It progressively paralyzes people because the brain is no longer able to communicate with the muscles of the body that we are typically able to move at will. Over time, as the muscles of the body break down, someone living with ALS will lose the ability to walk, talk, eat, swallow, and eventually breathe. Nearly 4,000 Canadians live with ALS and approximately 1,000 Canadians are diagnosed each year. Four out of five people living with ALS will die within two to five years of their diagnosis.
The ALS Society of Canada is working to change what it means to live with ALS. Grounded in and informed by the Canadian ALS community, we respond to the urgent unmet need for life-changing treatments by investing in high-quality research that will fuel scientific discovery and by engaging industry, supporting increased clinical capacity, and advocating for equitable, affordable, and timely access to proven therapies.
Responding to the tremendous need for current and credible ALS knowledge, awareness, and education, we empower Canadians affected by ALS to navigate the current realities of ALS, be informed consumers of ALS information, and advocate effectively for change. In Ontario, we provide direct community services to help people navigate ALS.
Founded in 1977, we are a registered charity that receives no core government funding – our work is powered by generous donors who share our vision of a world free of ALS.
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Join the conversation and connect with the ALS community online. Find ALS Canada on Twitter, Instagram, or like our page on Facebook. Visit als.ca to find out more.
For more information
ALS Society of Canada
media@als.ca
437-703-5402
Today, The Toronto Star has published an op-ed from Tammy Moore, CEO of the ALS Society of Canada (ALS Canada), which recognizes that Ontario’s health framework isn’t designed to address the unique challenges of ALS – a devastating disease that continues to take and take. This op-ed comes at an integral time as ALS Canada will come together with the ALS community tomorrow, February 21, for a Day of Action at Queen’s Park.
We look to raise awareness of the current realities of the province’s health care system, which fails to meet the complex and urgent needs of people living with ALS, leaving more than 1,300 Ontarians without adequate care and support.
ALS Canada urges the Ontario government to invest $6.6 million of crucial funding in Budget 2024 to support Ontarians living with ALS and their families with their health care needs. This is part of the Ontario Provincial ALS Program.
In Canada, what the provincial health care systems provide does not always match the needs of people living with ALS. This statement rings true for Ontario, where the current ALS care and support landscape in the province presents people living with ALS with significant challenges that demand immediate action.
The Issue
The impact of an ALS diagnosis on the person living with the disease and their family, caregivers, and community is tremendous and pervasive – physically, psychologically, and financially. In Ontario, more than 1,300 people living with ALS not only face the harsh realities of this disease daily but also a healthcare system that fails to meet their complex and progressive needs, leaving them without adequate care and support.
Our Solution
To address this urgent issue, the ALS Society of Canada (ALS Canada), in collaboration with the five regional multi-disciplinary ALS Clinics in Ontario (Hamilton, Kingston, London, Ottawa, Toronto), developed the Ontario Provincial ALS Program.
The Ontario Provincial ALS Program is a comprehensive solution that addresses the complex, critical needs of the ALS community. The program includes four key recommendations:
Recommendation 1: Address the disparities in access to multi-disciplinary ALS Care
Issue: Due to the complex nature of ALS, people living with the disease have substantial care and equipment needs that evolve and increase over time. Effective management of ALS requires access to multi-disciplinary ALS clinics where healthcare providers, such as speech language pathologists, dietitians, social workers, respiratory therapists, and occupational therapists, play a key role in optimizing care. However, Ontario’s five regional ALS clinics are beyond capacity, under-resourced and unable to meet the unique levels of care identified in the Canadian Best Practice Recommendations for the Management of ALS.
Solution: The Ontario government to provide incremental investments to ALS clinics to standardize and enhance existing care models, optimizing ALS care and ensuring each person living with ALS in the province receives the highest quality care.
Recommendation 2: Improve the quality of life and help people living with ALS maintain their independence, dignity, and safety
Issue: ALS is an incredibly isolating disease due to the lack of awareness and the increasingly difficult physical realities. To support a person living with ALS, their caregiver, and the people closest to them, they are connected to ALS Canada Community Leads located throughout Ontario. ALS Canada Community Leads provide direct, in-home support and individualized information and resource navigation to ensure people are well-supported, helping to augment the health care system.
As a person living with ALS progresses in their disease, so does their reliance on mobility and communication equipment and other assistive devices that help them maintain their independence, dignity, and safety. However, Ontario’s medical equipment programs do not meet the needs of people living with ALS as they are left with equipment for short-term use only or with devices that are outdated for their needs or not right for them, which can put both themselves and their caregivers or families at significant risk. In the end, people living with ALS and their caregivers must turn to ALS Canada, a donor–funded organization, to fill the significant gaps that exist in Ontario’s healthcare system.
Solution: The Ontario government to allocate funds to ALS Canada’s Community Services and Equipment Programs, ensuring people have access to the right equipment and assistive devices at the right time, improving quality of life and helping people living with ALS maintain independence, dignity, and safety for themselves and their caregivers.
Recommendation 3: Provide coordinated oversight of ALS care
Issue: The lack of comprehensive oversight and coordination for ALS care in Ontario hinders the province’s ability to gather critical patient information, which would inform evidence-based decisions to shape a healthcare system that meets the needs of the ALS community. Comprehensive data capture, knowledge dissemination, and system planning are essential for a coordinated approach to ALS care.
Solution: Formation of a secretariat to oversee and coordinate ALS care and facilitate comprehensive data capture, efficient knowledge dissemination, and strategic system planning.
Recommendation 4: Ensure equitable ALS care in northern and rural Ontario
Issue: Many Ontarians living in northern and rural regions face unique challenges in healthcare access due to vast distances and limited healthcare infrastructure. This is the case for people living with ALS in northern and rural Ontario, as they must endure long journeys to attend appointments at one of the five ALS clinics located in Toronto, London, Hamilton, Kingston, and Ottawa, leading to disparities and barriers in access to care.
Solution: The development of a regional strategy to provide equitable and accessible ALS care in northern and rural Ontario ensures that people living with ALS receive timely care regardless of their geographic location.
Our Advocacy Progress Highlights
Shortly after submitting the proposal to the Ontario Ministry of Health in June 2023, ALS Canada began advocating for the implementation of the Ontario Provincial ALS Program.
- Government Meetings: Over the past several months, ALS Canada, along with community members, met with Ontario MPPs to discuss the implementation of the Ontario Provincial ALS Program, including the Minister of Health, Sylvia Jones, and the office of the Premier, Doug Ford. We will continue engaging with provincial elected officials, ministers, and other stakeholders to bring forward the realities of Ontarians living with ALS and the critical need for access to urgent care and support they require.
- 2024 Ontario Pre-Budget Submission: ALS Canada submitted a written submission as part of Ontario’s 2024 Budget Consultations, urging the government to invest $6.6 million to implement the recommendations outlined in the Ontario Provincial ALS Program.
- 2024 Ontario Pre-Budget Consultations: ALS Canada participated in six pre-budget public hearings held across Ontario by The Standing Committee on Finance and Economic Affairs (SCFEA) and local MPPs.
- Queen’s Park Advocacy Day: On February 21, 2024, ALS Canada, joined by ALS community members, will host an advocacy day at Queen’s Park, where we will engage with MPPs, urging them to include the Ontario Provincial ALS Program as part of Budget 2024. Keep an eye on our social media channels for further updates and information on our Queen’s Park Advocacy Day.
What you can do right now
Reach out to your elected official in Ontario, urging them to support the implementation of the Ontario Provincial ALS Program. To inform and empower your advocacy efforts, we have developed resources you can use to approach your MPP.
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Next Steps & Updates
March 26, 2024 – Ontario’s 2024 Budget announcement, did not explicitly include a $6.6 million investment to implement the recommendations outlined in the Ontario Provincial ALS Program. We will continue our discussions with the government and relevant ministries to seek clarification.
We will continue providing relevant updates and ways to advocate on this blog post and our social media channels.
This blog series is a place for the ALS community to learn about and stay updated on ALS Canada’s advocacy efforts as well as relevant developments within government. Please note that because ALS Canada advocates federally and provincially within Ontario, these updates will primarily feature updates from the federal and Ontario provincial levels of government.
Therapeutics updates
RADICAVA Oral suspension (edaravone)
- Provincial Reimbursements: As of November 7, 2023, the following provinces have made decisions regarding the public reimbursement of RADICAVA Oral Suspension:
- Alberta: Under the Alberta Drug Benefit List
- British Columbia: Under the British Columbia PharmaCare (special authority)
- New Brunswick: Under the New Brunswick Drug Plan (NBDP) formulary (special authorization)
- Newfoundland and Labrador: Under the Newfoundland and Labrador Prescription Drug Program (NLPDP) (special authorization)
- Nova Scotia: Under the Nova Scotia Formulary (exceptional status)
- Ontario: Under the Ontario Drug Benefit Formulary (Exceptional Access Program)
- Prince Edward Island: Under the Prince Edward Island (PEI) Pharmacare Formulary (special authorization)
- Quebec: Under the Régie de l’assurance maladie du Québec (RAMQ) formulary (special authorization)
- Saskatchewan: Under the Saskatchewan Drug Plan Formulary (Exception Drug Status)
Access to therapies
e-advocacy Campaign
- ALS Canada’s e-advocacy campaign focused on expedited and equitable access to approved ALS therapies is ongoing.
- The campaign calls on participants to email their provincial or territorial government and urges them to implement the solutions outlined in our position paper, The Time is Now, by reimbursing ALBRIOZA and RADICAVA Oral Suspension (edaravone) without delay and ensuring criteria are in place that will allow anyone who could benefit from the therapy – as determined by their ALS clinician – to have public coverage.
Advocacy-in-a-Box Toolkit
- To continue empowering your advocacy efforts for the urgently needed solutions outlined in The Time is Now position paper, we’ve launched a new Advocacy-in-a-Box toolkit that contains resources to support advocacy to provincial governments for swift and equitable reimbursement of Health Canada-approved therapies.
- Grounded in The Time is Now position paper, the toolkit highlights the ALS community’s experience with ALBIOZA and RADICAVA Oral Suspension (edaravone) as an example of how Canada’s current approval and reimbursement processes do not meet the urgent needs of people living with ALS.
Provincial Updates
Regional 2024 Pre-Budget Consultations
- ALS Canada participated in the regional pre-budget consultation hosted by the Ontario Ministry of Finance in Richmond Hill and Vaughan, calling on the provincial government to implement the Ontario Provincial ALS Program in Budget 2024 to ensure Ontarians living with ALS and their loved ones receive the care and support they rightly deserve.
- ALS Canada will continue to engage with the Ontario government as part of the pre-budget consultation process through various mechanisms available.
Ontario Legislature Adjournment
- On December 14, the Ontario Legislature adjourned for the year. It is scheduled to resume sitting on February 20, 2024.
Government Meetings
- In October, ALS Canada, alongside a community member, met with the Non-Insured Health Benefits (NIHB) program to share the challenges faced by the First Nations community with access to healthcare for a timely ALS diagnosis and equitable access to therapies
- Throughout November and December, ALS Canada met with several Ontario MPPs to discuss a coordinated solution to ensure Ontarians living with ALS get the support for the vital care they require:
- MPP Dawn Gallagher Murphy, Parliamentary Assistant to the Minister of Health
- MPP Christine Hogarth, Parliamentary Assistant to the Solicitor General
- MPP Lorne Coe, Parliamentary Assistant to the Premier
- Office of the Minister of Seniors and Accessibility, Raymond Cho
- Office of the Minister of Health, Sylvia Jones
- Office of the Minister of Labour, Immigration, Training and Skills Development, David Piccini
- Office of the Premier, Doug Ford
- Office of the Minister of Finance, Peter Bethlenfalvy
Note to readers: This blog is a source of information for the ALS community that provides an overview of advocacy efforts and current affairs for Canadians affected by ALS. While there are many topics presented in this blog update, they don’t represent ALS Canada’s official position on any particular issue, nor indicate a complete list of ALS Canada’s advocacy priorities. We’re also unable to share all details about certain engagements with industry stakeholders due to confidentiality reasons.
You can read past advocacy updates here.
This blog series is a place for the ALS community to learn about and stay updated on ALS Canada’s advocacy efforts as well as relevant developments within government. Please note that because ALS Canada advocates federally and provincially within Ontario, these updates will primarily feature updates from the federal and Ontario provincial levels of government.
Therapeutics updates
ALBRIOZA
- pCPA: On June 15, 2023, Amylyx and the pan-Canadian Pharmaceutical Alliance (pCPA) have successfully concluded negotiations for ALBRIOZA and entered into a Letter of Intent (LOI) for the terms and conditions under which ALBRIOZA would qualify for reimbursement through federal, provincial, and territorial public drug plans in Canada.
- It is now up to individual provinces and territories to make a reimbursement decision for the therapy.
- Provincial Reimbursements: As of September 1, 2023, the following provinces have made decisions regarding the public reimbursement of ALBRIOZA:
- Alberta: Under the Alberta Drug Benefit List
- British Columbia: Under the British Columbia PharmaCare Formulary (special authorization)
- Manitoba: Under the Manitoba Drug Benefits and Interchangeability Formulary (special authorization)
- New Brunswick: Under the New Brunswick Drug Plan (NBDP) formulary
- Newfoundland and Labrador: Under the Newfoundland and Labrador Prescription Drug Program (NLPDP)
- Nova Scotia: Under the Nova Scotia Pharmacare Program
- Ontario: With criteria under the Ontario Drug Benefit Formulary (Exceptional Access Program)
- Québec: With criteria under the Régie de l’assurance maladie du Québec (RAMQ) formulary (special authorization)
- Saskatchewan: Under the Saskatchewan Drug Plan Formulary
RADICAVA Oral suspension (edaravone)
- pCPA: On July 20, 2023, Mitsubishi Tanabe Pharma Canada Inc. and the pCPA have successfully concluded negotiations for RADICAVA Oral Suspension (edaravone), also known as oral edaravone, and entered into a Letter of Intent (LOI) for the terms and conditions under which the therapy would qualify for reimbursement through federal, provincial, and territorial public drug plans in Canada.
- It is now up to individual provinces and territories to make a reimbursement decision for the therapy.
- Provincial Reimbursements: As of September 1, 2023, the following provinces have made decisions regarding the public reimbursement of RADICAVA Oral Suspension:
- Alberta: Under the Alberta Drug Benefit List
- British Columbia: Under the British Columbia PharmaCare (special authority)
- New Brunswick: Under the New Brunswick Drug Plan (NBDP) formulary (special authorization)
- Nova Scotia: Under the Nova Scotia Formulary (exceptional status)
- Ontario: Under the Ontario Drug Benefit Formulary (Exceptional Access Program)
- Quebec: Under the Régie de l’assurance maladie du Québec (RAMQ) formulary (special authorization)
- Saskatchewan: Under the Saskatchewan Drug Plan Formulary (Exception Drug Status)
Access to therapies
pCPA Temporary Access Process (pTAP)
- ALS Canada participated in the pan-Canadian Pharmaceutical Alliance (pCPA)’s stakeholder engagement session to provide feedback on the draft conditions for the pCPA Temporary Access Process (pTAP) and highlighted the importance of implementing an expedited, transparent, and inclusive reimbursement process to address the needs of people living with ALS.
- ALS Canada will continue to work with the pCPA to lay the groundwork for swift reimbursement decisions to help ensure equitable access in a timeframe that meets the urgency of this disease.
e-advocacy Campaign
- ALS Canada’s e-advocacy campaign focused on expedited and equitable access to approved ALS therapies is ongoing.
- The campaign calls on participants to email their provincial or territorial government and urges them to implement the solutions outlined in our position paper, The Time is Now, by reimbursing ALBRIOZA and RADICAVA Oral Suspension (edaravone) without delay and ensuring criteria are in place that will allow anyone who could benefit from the therapy – as determined by their ALS clinician – to have public coverage.
Advocacy in a Box Toolkit
- To continue empowering your advocacy efforts for the urgently needed solutions outlined in The Time is Now position paper, we’ve launched a new Advocacy-in-a-Box toolkit that contains resources to support advocacy to provincial governments for swift and equitable reimbursement of Health Canada-approved therapies.
- Grounded in The Time is Now position paper, the toolkit highlights the ALS community’s experience with ALBIOZA and RADICAVA Oral Suspension (edaravone) as an example of how Canada’s current approval and reimbursement processes do not meet the urgent needs of people living with ALS.
Federal updates
2024 Federal Pre-Budget Consultation
- ALS Canada submitted to the House of Commons Standing Committee on Finance as part of their annual pre-budget consultation. Our submission recommended that the Government of Canada invest $35 million over five years to expand CAPTURE ALS from a pilot initiative to a world-leading, self-sustainable Open Science platform.
New Cabinet Appointments
- On July 26, a new federal Cabinet was sworn in, with the Hon. Mark Holland appointed as the Minister of Health and the Hon. Ya’ara Saks as Minister of Mental Health and Addictions and Associate Minister of Health.
Government meetings
- On June 26, ALS Canada, alongside a community member, met with the Hon. Sylvia Jones, Ontario Minister of Health, to discuss the needs of people living with ALS in Ontario and the critical role the Ontario Government plays in taking action to make a difference for families affected by ALS.
- On July 5, ALS Canada, alongside a community member, met with the Ontario Ministry of Health bureaucracy to discuss the solutions outlined in ALS Canada’s The Time is Now position paper and the need for Ontarians living with ALS to have expedited and equitable access to therapies.
Note to readers: This blog is a source of information for the ALS community that provides an overview of advocacy efforts and current affairs for Canadians affected by ALS. While there are many topics presented in this blog update, they don’t represent ALS Canada’s official position on any particular issue, nor indicate a complete list of ALS Canada’s advocacy priorities. We’re also unable to share all details about certain engagements with industry stakeholders due to confidentiality reasons.
You can read past advocacy updates here.
This blog series is a place for the ALS community to learn about and stay updated on ALS Canada’s advocacy efforts as well as relevant developments within government. Please note that because ALS Canada advocates federally and provincially within Ontario, these updates will primarily feature updates from the federal and Ontario provincial levels of government.
Therapeutics updates
Oral edaravone
- pCPA: On March 14, 2023, the pan-Canadian Pharmaceutical Alliance (pCPA) started the negotiation process for oral edaravone.
- While this is a positive step forward, Canadians living with ALS do not have the time to wait the months it can take for negotiations to conclude.
- ALS Canada will continue to work with the pCPA and the provincial drug programs to lay the groundwork for swift reimbursement decisions to help ensure equitable access in a timeframe that meets the urgency of this disease.
Qalsody (tofersen)
- On April 25, 2023, the U.S. Food and Drug Administration (FDA) approved Qalsody (tofersen) for the treatment of SOD1-ALS under the Accelerated Approval pathway.
- ALS Canada developed an FAQ on Qalsody, which explores information on the therapy and discusses what this approval means to the Canadian ALS community.
Access to therapies
e-advocacy Campaign
- ALS Canada’s e-advocacy campaign focused on expedited and equitable access to approved ALS therapies is ongoing.
- The campaign calls on participants to email their provincial government and urges them to implement the solutions outlined in our position paper, The Time is Now, by reimbursing ALBRIOZA and oral edaravone without delay and ensuring criteria are in place that will allow anyone who could benefit from the therapy – as determined by their ALS clinician – to have public coverage.
Advocacy in a Box Toolkit
- To continue empowering your advocacy efforts for the urgently needed solutions outlined in The Time is Now position paper, we’ve launched a new Advocacy-in-a-Box toolkit that contains resources to support advocacy to provincial governments for swift and equitable reimbursement of Health Canada approved therapies.
- Grounded in The Time is Now position paper, the toolkit highlights the ALS community’s experience with Albrioza as an example of how Canada’s current approval and reimbursement processes do not meet the urgent needs of people living with ALS.
Federal Updates
National Strategy for Drugs for Rare Diseases
- On March 22, the Federal Government announced the National Strategy for Drugs for Rare Diseases.
- We are pleased to see this strategy move forward and hope it will be a significant step in building knowledge and improving access to therapies for people living with rare diseases, including the ALS community.
- We remain committed to being a partner and working with the federal and provincial governments to establish rare disease pathways in each province while advocating for swift action to meet the urgent needs of people affected by ALS.
Government meetings
- On March 30, ALS Canada met with MP Heather McPherson and MP Francis Drouin, ALS Caucus Co-Chairs, to provide an update on the recent developments with respect to access to new ALS therapies.
- On April 24, ALS Canada met with MPP Nolan Quinn to discuss the need for Ontarians living with ALS to have expedited and equitable access to therapies.
- On May 15, ALS Canada, alongside a community member, met with MLA Brendan Macguire (Nova Scotia) to discuss the critical role provincial governments across Canada play to ensure people living with ALS have expedited and equitable access to therapies.
- On June 7, ALS Canada, alongside a community member, met with MPP Adil Shamji to discuss the challenges Ontarians living with ALS face.
ALS Awareness Month
- Federal Minister of Health, Jean-Yves Duclos, published a statement recognizing June ALS Awareness Month.
- On June 1, Sylvia Jones, Ontario’s Minister of Health, acknowledged June ALS Awareness Month and introduced ALS Society of Canada as visitors at the Legislative Assembly.
- On June 6, MPP Bob Bailey delivered a Members’ Statement in the Legislative Assembly acknowledging June as ALS Awareness Month.
- On June 6, MPP Dawn Gallagher-Murphy raised point of order for unanimous consent to allow members to wear pins in recognition of June being ALS Awareness Month at the Legislative Assembly.
- Throughout June, MPs and Ontario based MPPs voiced their support of people affected by ALS through videos published on ALS Canada’s social media channels.
Note to readers: This blog is a source of information for the ALS community that provides an overview of advocacy efforts and current affairs for Canadians affected by ALS. While there are many topics presented in this blog update, they don’t represent ALS Canada’s official position on any particular issue, nor indicate a complete list of ALS Canada’s advocacy priorities. We’re also unable to share all details about certain engagements with industry stakeholders due to confidentiality reasons.
You can read past advocacy updates here.
Today the ALS Society of Canada (ALS Canada) recognizes the start of ALS Awareness Month across the country. Join us as we raise awareness for amyotrophic lateral sclerosis (ALS), a devastating disease that affects nearly 4,000 Canadians currently diagnosed and their families.
“ALS is a relentless disease. As we’ve seen over the past year with the loss of hockey legend Börje Salming and the news of celebrities like Roberta Flack coming forward with her diagnosis, the spotlight has increasingly been on ALS. Still, there is much more to be done,” says Tammy Moore, CEO, ALS Canada. “Each year, more people are diagnosed, and each year we lose more of our loved ones. At ALS Canada, we strive to empower people living with ALS to navigate the current realities of the disease, be informed consumers of ALS information, and advocate effectively for change. We invest in the high-quality research that will fuel scientific discovery and hopefully lead to more approved therapies and improved quality of life.”
ALS is a neuromuscular disease that paralyzes people because the brain can no longer communicate with the muscles of the body that we are typically able to move at will. As a result, people with ALS face a progressive and devastatingly swift decline in the ability to talk, walk, eat, swallow, and eventually breathe. There is currently no cure for the disease that carries a lifetime risk of 1 in 300 for each of us. ALS Canada works to provide hope for people affected through our investment in research, advocacy, information and community-based services, including direct support provided by the ALS Canada Equipment Program and ALS Canada Community Leads to Ontario families living with ALS.
This June, help us recognize ALS Awareness Month by getting involved with ALS Canada in a variety of ways:
- Purple for Awareness. Keep your eyes open for lighting and illuminations of local landmarks in your area as they go purple to recognize this important month. Check out the CN Tower, Nathan Phillips Square, and Niagara Falls throughout June.
- Lou Gehrig Day. Tune in on June 2 as Major League Baseball (MLB) recognizes Lou Gehrig Day, honouring the baseball great for his legacy and the awareness he has created for ALS around the world. The Blue Jays will mark the day on June 1 when they play at home.
- Global ALS Awareness Day. On Global ALS Awareness Day (June 21), ALS Canada will host a live webinar on ALS therapies in Canada with Dr. David Taylor, Vice-President, Research and Strategic Partnerships, ALS Canada. Register for free.
- Get Walk Ready! Get connected with the ALS community by joining the ALS Canada Walk to End ALS; for a complete list of dates and locations, visit walktoendals.ca. Share your story and stay connected. Whether you want to share your journey or keep a loved one’s memory alive, we encourage you to follow ALS Canada on social media at @ALSCanada on Facebook, Twitter, and Instagram. Let us know what #aFutureWithout ALS means to you.
About ALS and the ALS Society of Canada
Amyotrophic lateral sclerosis (ALS) is an unrelenting and currently terminal disease. It progressively paralyzes people because the brain is no longer able to communicate with the muscles of the body that we are typically able to move at will. Over time, as the muscles of the body break down, someone living with ALS will lose the ability to walk, talk, eat, swallow, and eventually breathe. Nearly 4,000 Canadians live with ALS and approximately 1,000 Canadians are diagnosed each year. Four out of five people living with ALS will die within two to five years of their diagnosis.
The ALS Society of Canada is working to change what it means to live with ALS. Grounded in and informed by the Canadian ALS community, we respond to the urgent unmet need for life-changing treatments by investing in high-quality research that will fuel scientific discovery and by engaging industry, supporting increased clinical capacity and advocating for equitable, affordable, and timely access to proven therapies.
Responding to the tremendous need for current and credible ALS knowledge, awareness and education, we empower Canadians affected by ALS to navigate the current realities of ALS, be informed consumers of ALS information, and advocate effectively for change. In Ontario, we provide direct community services to help people navigate ALS.
Founded in 1977, we are a registered charity that receives no core government funding – our work is powered by generous donors who share our vision of a future without ALS.
Join the conversation and connect with the ALS community online. Find ALS Canada on Twitter, Instagram, or like our page on Facebook.
For more information
ALS Society of Canada
media@als.ca
437-703-5440
This blog series is a place for the ALS community to learn about and stay updated on ALS Canada’s advocacy efforts as well as relevant developments within government. Please note that because ALS Canada advocates federally and provincially within Ontario, these updates will primarily feature updates from the federal and Ontario provincial levels of government.
Therapeutics updates
Oral edaravone
- CADTH: In January, The Canadian Agency for Drugs and Technology in Health (CADTH) released its final reimbursement recommendations on oral edaravone with a recommendation to reimburse with conditions. This is another critical step in establishing an environment where Canadians living with ALS have access to multiple available therapies.
- Read ALS Canada’s feedback in response to the draft recommendations.
- INESSS: L’institut national d’excellence en santé et en services sociaux (INESSS), the agency responsible for Quebec’s reimbursement recommendations, released its final reimbursement recommendations on oral edaravone with a recommendation to reimburse with conditions.
- Market availability: In February, oral edaravone became commercially available in Canada for people living with ALS, meaning that clinicians are able to prescribe the therapy.
- The therapy has not yet started negotiations under pCPA or at the provincial level to determine whether it will be covered publicly.
- ALS Canada will continue to work with the pCPA and the provincial drug programs to lay the groundwork for swift reimbursement decisions to help ensure equitable access in a timeframe that meets the urgency of this disease.
Access to therapies
Advocacy in a Box Toolkit
- To continue empowering your advocacy efforts for the urgently needed solutions outlined in The Time is Now position paper, we’ve launched a new Advocacy-in-a-Box toolkit that contains resources to support advocacy to provincial governments for swift and equitable reimbursement of Health Canada approved therapies.
- Grounded in The Time is Now position paper, the toolkit highlights the ALS community’s experience with Albrioza as an example of how Canada’s current approval and reimbursement processes do not meet the urgent needs of people living with ALS.
PMPRB Regulations
- Following the consultation launched in October, the Patented Medicine Prices Review Board (PMPRB) announced that the proposed updates to the guidelines would not be implemented. Interim Guidelines issued on August 18, 2022, will remain in place until further notice.
Provincial updates
2023 Ontario Pre-Budget Submission
- In February, ALS Canada participated in the Ontario Government’s 2023 budget consultation. In our submission, we call on the Ontario Government to eliminate barriers preventing Ontarians from having timely, equitable and affordable access to approved ALS treatments and to establish an Ontario ALS Program that will reduce the burden on our healthcare system and improve the standard of care provided to people living with ALS.
Rare Disease Day
- On February 28, ALS Canada attended the Rare Disease Day 2023 Breakfast Reception at Queen’s Park hosted by the Canadian Organization for Rare Disorders (CORD) to start a dialogue about how the Ontario government can collaborate on the development of a provincial rare disease strategy to ensure people living with rare diseases can access new and emerging therapeutics in a timely and equitable way.
Government meetings
- On January 27, ALS Canada met with MP Heather McPherson, ALS Caucus Co-Chair, to provide an update on the recent developments with respect to access to new ALS therapies.
- On February 1, ALS Canada met once again with the pan-Canadian Pharmaceutical Alliance (pCPA) to discuss the status of ALS therapies in negotiations and reiterated the critical need for the Canadian ALS community to have equitable access to approved therapies.
- On March 13, ALS Canada met with MPP Chris Glover to discuss the need for Ontarians living with ALS to have expedited and equitable access to therapies.
Note to readers: This blog is a source of information for the ALS community that provides an overview of advocacy efforts and current affairs for Canadians affected by ALS. While there are many topics presented in this blog update, they don’t represent ALS Canada’s official position on any particular issue, nor indicate a complete list of ALS Canada’s advocacy priorities. We’re also unable to share all details about certain engagements with industry stakeholders due to confidentiality reasons.
You can read past advocacy updates here.
Today, February 28, marks Rare Disease Day. A day that provides the ALS Society of Canada (ALS Canada) a chance to bring awareness to the disease alongside other potentially lesser-known diseases to work together towards equity in health care, and access to diagnosis and therapies. Rare Disease Day helps to shed light on the lack of resources and challenges faced by people living with a rare disease. Health Canada’s draft definition of a rare disease is one that affects fewer than five in 10,000 persons in Canada.
Amyotrophic lateral sclerosis (also known as ALS, Lou Gehrig’s disease, or motor neuron disease), a fatal neurodegenerative disease, results in progressive paralysis and, eventually, the loss of the ability to walk, talk, eat, swallow, and eventually breathe. Approximately 3,000 Canadians live with ALS, many of whom die within two to five years of diagnosis. To change this reality, ALS Canada funds research across the country and advocates for equitable, affordable, and timely access to proven therapies. Although ALS is technically a rare disease, it doesn’t feel that way for people who are affected including the person living with ALS, their loved ones, caregivers and friends and families – the impact is significant and can cause ripples for generations due to the devastation it inflicts.
“Today marks a time to recognize the rare disease community, and at ALS Canada, it is a day to continue to raise awareness of the need to make crucial changes to our government’s health policies and investments,” says Tammy Moore, CEO of ALS Canada.
Each year approximately 1,000 Canadians will learn that they have ALS, and a similar number will die. As ALS progresses so quickly, swift access to treatment is needed, yet the community continues to face significant challenges in how long it takes for provinces across Canada to reimburse ALS therapies. Long drug approval processes and reimbursement decisions – some taking more than three years – unnecessarily delay access in Canada.
“There is no time to waste. For people living with ALS and their families, timely and equitable access to therapies is everything. We must continue to work together to advocate for changes to the current drug approval and reimbursement processes in Canada to respond to the urgent and unique needs of a person living with ALS,” continues Moore.
It is vital that people living with ALS have their voices heard at a government level. Bringing forward the lived experiences of this community shows decision-makers the human impact of this devastating disease and why it is necessary to make changes to the drug access processes in Canada.
“I realized, having gone through the Canadian ALS Learning Institute (CALI), just how important sharing my personal story can be to bring to light issues faced by people like me,” says Ray Freebury, who was diagnosed with ALS in 2018. “I used the training I received to approach my MPP. Like many of her colleagues, she had little knowledge of ALS and the problems of getting treatment approved and paid for,” Ray says. “I wanted her to know just how crucial access to existing therapies is. They can delay progression of the disease, improve the quality of life for people with ALS, and make life easier for personal carers who are often family members. Access to therapies also provides hope that more effective treatments are on the way.”
Rare Disease Day is just one opportunity to bring these issues to the forefront however, our advocacy efforts don’t stop here. ALS Canada’s Time is Now position paper, written in consultation with the broader Canadian ALS community, offers two concrete solutions to getting Health Canada-approved therapies to Canadians living with ALS in a timeframe that more accurately meets the urgent needs of the community.
Alongside community members like Ray, ALS Canada continues to engage with officials in the federal and provincial governments to advocate for policy changes that will have a meaningful impact on people living with ALS today and in the future.
If you’d like to get involved, download our Advocacy-in-a-Box Toolkit – together we can work toward change.
This blog series is a place for the ALS community to learn about and stay updated on ALS Canada’s advocacy efforts as well as relevant developments within government. Please note that because ALS Canada advocates federally and provincially within Ontario, these updates will primarily feature updates from the federal and Ontario provincial levels of government.
Therapeutics updates
ALBRIOZA (AMX0035)
- e-advocacy campaign: In late October, ALS Canada launched an e-advocacy campaign focused on expedited and equitable access to ALBRIOZA (AMX0035). The campaign calls on participants to email their provincial government and urges them to implement the solutions outlined in our position paper, The Time is Now, by reimbursing ALBRIOZA without delay and ensuring criteria are in place that will allow anyone who could benefit from the therapy – as determined by their ALS clinician – to have public coverage. Since its launch, over 450 Canadians have participated in the campaign.
- FDA approval: In September, Amylyx Pharmaceuticals, Inc announced that ALBRIOZA (AMX0035) was approved by the U.S. Food and Drug Administration (FDA) under the name Relyvrio.
- Frequently Asked Questions (FAQ) Page: ALS Canada developed an FAQ on ALBRIOZA to empower our community to make informed decisions about the treatment.
Oral edaravone
- Health Canada approval: In early November, Health Canada approved the oral formulation of edaravone after a priority review.
- CADTH: The Canadian Agency for Drugs and Technology in Health (CADTH) posted its draft recommendations on oral edaravone for stakeholder feedback.
- ALS Canada provided feedback in response to the CADTH’s draft reimbursement recommendations for oral edaravone to help ensure coverage criteria reflect the realities of the diagnosis and treatment of ALS.
Masitinib
- In December, ALS Canada submitted a patient input submission to the Canadian Agency for Drugs and Technology in Health (CADTH) for masitinib, which is currently undergoing a Health Canada Notice of Compliance with Conditions review.
- Our submission leveraged survey information collected from over 600 Canadians affected by ALS and focused on the reality of living with the disease.
Access to therapies
PMPRB Regulations
- In October, the Patented Medicine Prices Review Board (PMPRB) released its new draft Guidelines and launched a consultation period with stakeholders.
- ALS Canada submitted feedback on the consultation and sent a letter to Health Minister Duclos as a Protect Our Access coalition member.
Federal updates
2023 Federal Pre-Budget Submission
- On October 7, ALS Canada submitted a written brief to the House of Commons Standing Committee on Finance as part of their annual pre-budget consultation. Our brief recommended that the Government of Canada invest $35 million over five years to expand CAPTURE ALS from a pilot initiative to a world-leading, self-sustainable Open Science platform.
- CAPTURE ALS enables Canadian researchers to study why people experience ALS symptoms and progression differently. This essential knowledge will help identify treatment targets, strengthen global clinical trials, and develop Canadian infrastructure to attract private-sector medical R&D investment.
Government meetings
- On September 14, ALS Canada met with the pan-Canadian Pharmaceutical Alliance (pCPA) to discuss the status of ALBRIOZA (AMX0035) in negotiations and to reiterate the need for criteria that reflects the realities of the diagnosis and treatment of ALS.
- On September 20, ALS Canada met with MPP Vincent Ke (Ontario) to discuss the urgent need for timely, affordable, and equitable access to innovative ALS therapies.
- On October 28, Tammy Moore, CEO, met with Supriya Sharma, Chief Medical Advisor, at Health Canada to discuss the personal importation of edaravone.
Note to readers: This blog is a source of information for the ALS community that provides an overview of advocacy efforts and current affairs for Canadians affected by ALS. While there are many topics presented in this blog update, they don’t represent ALS Canada’s official position on any particular issue, nor indicate a complete list of ALS Canada’s advocacy priorities. We’re also unable to share all details about certain engagements with industry stakeholders due to confidentiality reasons.
You can read past advocacy updates here.
It’s been 15 years since my cousin Doug, who was like a big brother to me, was diagnosed with ALS. Our options were limited then with only one approved therapy available. We didn’t know what to do and who to turn to as we navigated the bend in the road. Today, when I reflect on developments in the ALS community, I am in awe, and most of all grateful, to the donors who continue to support our mission at ALS Canada.
As the needs of the community change, we as an organization have evolved to meet these needs. I want to share with you a few of the ways your donations help shift the reality of ALS from dying to living through research and early diagnosis, supporting families in their navigation, and advocating for meaningful policy changes.
Supporting early diagnosis
Earlier diagnosis of ALS is critical to better patient and clinical trial outcomes. A new project initiated by ALS Canada, ReferALS, seeks to reduce the time to receive an ALS diagnosis in Canada. This will be done through a set of tools and engagement strategies designed to accelerate patient referrals to neurologists specializing in ALS at Canadian ALS clinics.
Making headway in research
ALS Canada continues to be the only source of dedicated ALS research funding across Canada. This means your gift allows ALS Canada funded researchers to continue striving to better understand ALS, and identify treatments that will alter the course of the disease.
CAPTURE ALS, a national research platform made possible with the support of ALS Canada’s donors, recruited its first participant earlier this year. The project has multiple sites across Canada engaging fundamental and clinical researchers in the hunt for answers to why ALS is different in each person. This is the crucial question that will help unlock new therapeutic targets, treatment options and lead us closer to personalized medicine.
Pushing forward our advocacy efforts
ALS Canada engages with officials in the federal and Ontario governments to represent the voices and experiences of people living with ALS. With your help, ALS Canada continues to advocate for policy changes that will have a meaningful impact through equitable, timely, and affordable access to therapies, improved home and community care, and research funding.
Our Time is Now position paper was developed with stakeholders from the ALS ecosystem and we see how Health Canada, pCPA, and companies have responded. Your gifts enable ALS Canada to continue advocating to improve access to Health Canada approved therapies.
This past June, it was announced that Canada is the first country in the world to give the regulatory green light to the drug ALBRIOZA as a treatment for ALS. Health Canada’s approval is a positive step forward in the available treatment options for people living with ALS, and we are now working to make sure that every Canadian will have equitable and timely access within their province or territory.
Strengthening knowledge exchange and community support
Responding to the tremendous need for current and credible ALS knowledge, awareness, and education, ALS Canada empowers Canadians affected by the disease to navigate its current realities, be informed consumers of ALS information, and advocate effectively for change.
ALS Canada’s Canadian ALS Learning Institute (CALI) has cultivated incredibly engaged and empowered Community Ambassadors. The CALI program was launched in 2021 to inform people affected by ALS from across Canada about the Canadian ALS landscape, clinical research, and therapy development. Graduates of the CALI 2021 program continue to meet regularly, with nearly all participants still actively contributing to our advocacy and engagement efforts with government and industry. The second cohort was selected through an application process to participate in a series of learning modules this fall.
We want to see the reality of ALS change from dying to living with ALS. The current reality necessitates that families have access to a Community Lead in their region who can help them navigate the Ontario health system and access equipment at no cost to them. Over the course of a person’s disease progression, they could transition from needing the support of a walker, to needing a highly customized, powered wheelchair that can support a person living with a more advanced state of the disease. Access to the right equipment and assistive devices can help people maintain independence, dignity, and safety. The ALS Canada Equipment Program is entirely reliant on donor funding and your generosity sustains people’s quality of life.
I want to thank you for taking the time to learn about what we are doing to meet the urgent needs of the ALS community. The holidays are a time to come together, and I hope you will take the opportunity to support families grappling with ALS during this festive but often difficult time.
Together, we can make a difference to families living with this disease today, and tomorrow. I invite you to make a donation today to sustain our efforts to realize a future without ALS.
With continued gratitude,
Tammy Moore
CEO, ALS Society of Canada
The ALS Society of Canada (ALS Canada) is pleased to be collaborating with IMD Health to provide easily accessible, up-to-date digital health education to healthcare providers, people living with ALS, and their families on the IMD platform.
Empowering Canadians affected by ALS to be informed consumers of ALS information is one of the cornerstones of ALS Canada’s mandate. Having a presence on the IMD platform will contribute to more people having access to the information they need when it comes to making decisions about their health and advocating for themselves and the ALS community.
IMD Health is one of the largest digital health education platforms in North America, offering innovative technology that facilitates meaningful dialogue between healthcare professionals and people inside the examination room, in hospitals and pharmacies, and during virtual consultations. IMD’s award-winning platform enables healthcare professionals to instantly access over 110,000 educational graphics, videos, and other informative resources spanning more than 6,000 health topics.
IMD Health curates medical content from more than 100 non-profit health organizations and pharmaceutical manufacturers, and puts them at the fingertips of healthcare professionals through one easy-to-use tool. They can securely email content to their patients for later review, increasing people’s understanding of their condition and treatment plan, and ultimately improving their health outcomes. In addition to this, IMD Health hosts thousands of Health Care Practitioner (HCP)-facing resources, including information about medications, clinical practice guidelines, and culturally sensitive care.
ALS Canada’s resources are now freely available on IMD Health. This means that IMD’s established healthcare provider network can send people living with ALS resource packages containing trusted information on disease understanding, symptom management, sexual health, support & services, youth support, caregiver support, associated conditions, research, and advocacy. Resources also include professional tools for HCP learning.
People living with ALS can self-educate and become active participants in their care with IMD’s public site. Here, you can access medically vetted, reliable, and engaging resources from ALS Canada, along with more than 100 health charities and organizations.
ALS Canada is pleased to be a content partner of IMD Health. Responding to the tremendous need for current and credible ALS knowledge, awareness and education, ALS Canada empowers Canadians affected by ALS to navigate the current realities of ALS, be informed consumers of ALS information, and advocate effectively for change. This is one avenue to do it and we encourage healthcare professionals and their patients to make use of our resources on the platform.
This blog series is a place for the ALS community to learn about and stay updated on ALS Canada’s advocacy efforts as well as relevant developments within government. Please note that because ALS Canada advocates federally and provincially within Ontario, these updates will primarily feature updates from the federal and Ontario provincial levels of government.
Therapeutics updates
ALBRIOZA (AMX0035)
- CADTH: On August 8, the Canadian Agency for Drugs and Technology in Health (CADTH) released its final recommendations on ALBRIOZA.
- In late June, ALS Canada and the Canadian ALS Clinical community both provided feedback in response to the CADTH’s draft reimbursement recommendations for ALBRIOZA to help ensure coverage criteria reflect the realities of the diagnosis and treatment of ALS.
- The focus of the feedback was on challenges surrounding the proposed eligibility criteria. The final recommendations reflected a nuanced change to the suggested reimbursement conditions, as requested by ALS Canada in our feedback.
- INESSS: On July 27, L’institut national d’excellence en santé et en services sociaux (INESSS), the agency responsible for Quebec’s reimbursement recommendations, issued a recommendation of “do not reimburse” for ALBRIOZA.
- ALS Canada sent a letter to the Quebec Minister of Health in late July encouraging a reimbursement decision from INESSS on ALBRIOZA.
- The ALS Society of Quebec and ALS Canada continue to advocate for the Minister of Health to reconsider and provide a positive reimbursement recommendation for ALBRIOZA.
- pCPA: As of August 9, ALBRIOZA is on the list of drugs in negotiations with the pan-Canadian Pharmaceutical Alliance (pCPA).
- In July, ALS Canada met with the pCPA leadership team to discuss the need for an expedited negotiation process for ALBRIOZA.
- Following the meeting – and aligned with our advocacy – we are encouraged to see that pCPA started the negotiations a day after the final CADTH recommendations were released.
- Market access: In late July, ALBRIOZA (AMX0035) became commercially available in Canada for people living with ALS.
- Frequently Asked Questions (FAQ) Page: ALS Canada developed an FAQ on ALBRIOZA to empower our community to make informed decisions about the treatment.
Access to therapies
Tofersen FDA priority review
- In July, Biogen announced that the U.S. Food and Drug Administration (FDA) has accepted a New Drug Application (NDA) for tofersen under a priority review.
Final Report on Proposed framework for a potential Pan-Canadian Formulary | CADTH
- CADTH released its final report on Proposed Framework for a Potential Pan- Canadian Formulary.
- The report is intended to contribute to current conversations on potential pan-Canadian formulary within a national pharmacare program and the issues related to access and affordability.
- ALS Canada contributed to the consultation for the final report as a member of the Health Charities Coalition of Canada (HCCC) and highlighted the importance of making innovative medicines accessible to Canadians living with ALS in an affordable, timely and equitable manner.
New Web Page | ALS treatments in the Canadian drug access processes
- ALS Canada recently launched the ALS Treatments in the Canadian Drug Access Processes page.
- This page provides information on how long it takes for a drug to make its way through the drug access processes in Canada and how ALS Canada is advocating to change that reality.
Provincial updates
- Post-Election | New Cabinet Appointments
- On June 24, a new provincial cabinet was sworn into the Ontario Legislature. The Hon. Sylvia Jones is appointed as the Minister of Health and Hon. Paul Calandra is appointed as the Minister of Long Term Care.
Note to readers: This blog is a source of information for the ALS community that provides an overview of advocacy efforts and current affairs for Canadians affected by ALS. While there are many topics presented in this blog update, they don’t represent ALS Canada’s official position on any particular issue, nor indicate a complete list of ALS Canada’s advocacy priorities. We’re also unable to share all details about certain engagements with industry stakeholders due to confidentiality reasons.
You can read past advocacy updates here.