18/02/2026
BDFA statement on NICE decision to reject Brineura for children with CLN2 Batten disease
Newly diagnosed children in England will now be denied access to the only approved treatment shown to significantly slow the progression of CLN2.
The Batten Disease Family Association CIO (BDFA) is devastated and deeply disappointed by NICE’s final decision not to recommend Brineura® (cerliponase alfa) for the treatment of children with CLN2 Batten disease, a rare, devastating and life-limiting neurodegenerative condition.
Without treatment, children with CLN2 typically experience rapid neurological decline, including seizures, loss of speech and movement, progressive dementia and severe disability, with an average life expectancy of just six to twelve years.
Brineura is not a cure, but it is life-changing. Clinical evidence and real-world experience show that it can delay the onset of symptoms, slow the rate of deterioration and preserve vital skills for longer, giving children more time and a better quality of life. For families facing this diagnosis, Brineura represents hope - and today that hope has been taken away.
This outcome is not due to a lack of clinical benefit. In 2019, NICE itself recognised that Brineura improves quality of life and slows the deterioration of motor and language function in this devastating condition, and the treatment has been available on the NHS through a managed access agreement. Today’s decision means that agreement ends from today, and is the result of NICE and the manufacturer, BioMarin, failing to reach agreement on a price that reflects the clear and meaningful benefits of treatment.
As a result, children and families are being caught in the middle of a pricing dispute, with devastating consequences.
Liz Brownnutt, CEO of the Batten Disease Family Association, said:
“This is a heartbreaking and unacceptable decision. Newly diagnosed children with CLN2 Batten disease are being denied the only treatment that can slow this cruel, life-limiting condition. For families, this feels like hope being taken away at the very moment they need it most. We are calling on NICE and BioMarin to urgently resolve their differences and agree a fair deal that reflects the real value of Brineura for children and families. The BDFA will not stop fighting until every eligible child can access this treatment. These children cannot wait, time lost can never be recovered.”
Throughout the technology appraisal process, the BDFA has continually fought for access to treatment for patients, representing the voices and lived experience of families affected by CLN2 Batten disease. The charity has submitted extensive evidence, attended and provided evidence at every NICE committee meeting, launched an appeal process, and worked closely with clinicians and other stakeholders to ensure that the full impact of this disease - and the real-world benefits of Brineura - were properly understood.
Despite these efforts, today’s decision means families who are already facing one of the most traumatic diagnoses imaginable are now being told that their child will be denied the only treatment that can slow this fatal disease.
Although the NICE appraisal process has now concluded, the BDFA will continue to fight relentlessly for access to Brineura. The charity is urging BioMarin to launch a rapid review and submit a new proposal to NICE and the NHS, which could still lead to Brineura being made available to children within weeks.
If this route is unsuccessful, the BDFA will continue to explore every available option to challenge this decision, including seeking advice on the legality of the NICE decision.
Families affected by CLN2 Batten disease deserve certainty that their children will receive the best possible care. They deserve compassion, urgency and fairness. The BDFA will not cease to advocate for their rights, their wellbeing and their access to the treatment that could make a profound difference to their lives.
The published final guidance and appeal outcome can be accessed via the NICE website https://www.nice.org.uk/guidance/hst34 https://www.nice.org.uk/guidance/hst34/history
For any enquiries or for further information please contact Liz Brownnutt, CEO - lizbrownnutt@bdfa-uk.org.uk.