Rare Diseases

PBM Reform Bill Passes US Congress, But More Changes Likely Not Imminent

 
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The US Labor Department also added a proposed rule requiring PBMs to disclose additional compensation information to certain employer-plan sponsors.

Innovation Appears Core Goal Of China’s Revised Drug Law

 
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Newly revised regulations for the implementation of China’s Drug Administration Law transition to a market authorization holder/product-centered regulatory approach in response to the rapidly changing biopharma environment.

England’s Whole-Genome Sequencing Rollout Set To Improve Cancer Treatment Access

 

It is “integral” that a planned increase in genomic testing supports access to treatments such as advanced therapies, says England’s chief scientific officer. Blood cancer and rare diseases are among the conditions expected to benefit from the country’s testing push.

Rigor And Flexibility Collide At US FDA’s Biologics Center

 

Changing regulatory standards for cell and gene therapies extend the flexibility with manufacturing while the tabelecleucel complete response letter showed high expectations for rigor in clinical trials.


perspectives 2026

England’s Innovative Medicines Fund Falls Short on Evidence, Serves As Stopgap

 
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Products likely to be subject to evidence generation agreements under England’s Innovative Medicines Fund are those that are costly and which serve a low number of patients. Orphan drugs appear most likely to receive interim funding through the IMF.

EU Parliamentary Vote Takes Critical Medicines Act In ‘Troubling’ Direction

 

The version of the Critical Medicines Act adopted by a key committee of the European Parliament could mean uncertainty for the manufacturers of orphan drugs, warns industry.

Japan Approves $2bn Support Package For Bioclusters And Rare Disease Trials

 
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The JPY330bn package bundles existing and new support funds for the biopharma industry, with the national government recognizing its importance for both national security and economic growth.

EU Pharma Reform Deal Preserves 8-Year Data Protection, Cuts Standard Market Exclusivity

 

The standard baseline of regulatory data protection will remain at eight years under the new pharma package, while market protection will drop to a year as standard. However, innovative products that fulfil certain criteria could get up to 11 years of market exclusivity.


Doing More With Less: Saol Hopes To Evade New SL1009 Trial With Range Of New Analyses

 

Saol Therapeutics cannot conduct a new clinical trial of SL1009 in ultra-rare mitochondrial disorder, but aims to answer the FDA's complete response letter with new looks at available data.

England Becomes First In Europe To Reimburse Autolus’ CAR-T Aucatzyl

 

England is set to become the first market outside of the US where Autolus’ CAR-T therapy Aucatzyl is reimbursed for acute lymphoblastic leukemia, after the country’s health technology assessment institution, NICE, recommended its use for certain patients.

Achieving More With Less: US FDA Offers ‘Road Map’ For AI In Rare Diseases

 
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Smaller datasets are being leveraged to develop and train artificial intelligence models, which can help overcome the limitations of small patient numbers in rare disease settings, CDER staffers wrote in NEJM AI.

Sarepta’s Elevidys Post-Infusion Proximity Stay Is Lengthy For Gene Therapies

 
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The labeling recommendation that Duchenne muscular dystrophy patients should maintain proximity to an appropriate healthcare facility for at least two months following infusion will add to the treatment burden.


US FDA’s New ‘Plausible Mechanism’ Pathway Similar To Work Under Prior CBER Leadership

 
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Concept outlined in NEJM by current FDA leaders is a ‘reasonable’ mechanistic approach that had been in development for several years, former Center for Biologics Evaluation and Research Director Peter Marks said.

Single Trial Success Stories: UCB’s Kygevvi Joins US FDA Approvals With Confirmatory Evidence

 

The orphan drug share of US FDA’s 2025 novel approvals is holding steady, with examples of approvals based on a single trial with confirmatory evidence from UCB, Precigen, Jazz Pharmaceuticals and Stealth Biotherapeutics

Do US FDA Complete Response Letters Suggest Turn To Less Flexibility In Rare Disease?

 

A cluster of CRLs for rare disease applications based on one trial plus confirmatory evidence may represent a shift away from the regulatory flexibility that had come to characterize ultra-rare drug development

UK MHRA Could ‘Evolve’ Its ‘Clunky’ Early Access To Medicines Scheme

 

The UK’s early access to medicines scheme could be due a rethink, a senior figure from the Medicines and Healthcare products Regulatory Agency has suggested, after feedback indicated “discontent” with how the program functions.


US FDA’s ‘Plausible Mechanism’ Pathway: A Platform-Based Approach Not Just For Rare Diseases

 
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Manufacturers who succeed in treating several patients with bespoke therapies could leverage platform data to gain marketing approval for similar products in additional conditions, FDA leaders say in a NEJM article that describes five prerequisites for use of the new pathway.

Biohaven’s Troriluzole And The Era Of Real-Time Complete Response Letters

 

US FDA’s rejection of Biohaven’s troriluzole is a huge disappointment for patients with SCA and the company. But it is also a notable example of how communication strategies are changing now that FDA is making its ‘complete response’ letters public.

Patient Perception-Of-Change Videos Not Efficacy Evidence For Stealth Barth Syndrome Drug

 
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FDA reviewers cited several limitations of the videos, including a lengthy recall period, use of the term “today” in questions, and a lack of standardization in interview conduct.

Forzinity Chronology: Stealth’s Barth Syndrome Drug Bounced Around US FDA Review Divisions

 
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The Pink Sheet’s Drug Review Profile looks at the clinical development and US FDA review timeline for Stealth's elamipretide for Barth syndrome.