The Digester

FDA approves leucovorin for rare genetic disorder but not for autism

Mar 11th 2026

After White House promotion of leucovorin as a potential autism treatment, the FDA approved the drug only for a rare FOLR1-related folate disorder in adults and said evidence does not support expanding its use to autism.

  • FDA approved leucovorin for adults with cerebral folate deficiency caused by FOLR1 mutations, not for autism.
  • Senior FDA officials said there is little evidence supporting leucovorin as an autism treatment and narrowed the drug review accordingly.
  • The Trump administration publicly promoted leucovorin as a promising autism treatment at a White House event, with claims it could help a substantial share of children.
  • A Lancet-linked study found outpatient prescriptions for leucovorin in children ages 5 to 17 rose 71 percent in the three months after the administration's actions.