Rare disease innovation has always required both scientific courage and regulatory flexibility. Today, under the Trump Administration’s FDA, sponsors are seeing new opportunities for accelerated approvals, digital biomarkers, and innovative endpoints—but also greater scrutiny around confirmatory trials and uncertainty over key incentives like the pediatric voucher program. Meanwhile, political turbulence at FDA and CDC leadership levels underscores just how intertwined policy and science have become.
Archives: Agenda
Fireside Chat: Development strategies for orphan-designated programs
- Understanding regulatory pathways and incentives
- Identifying clinical development challenges and solutions
- Considering pricing, reimbursement and patient advocacy engagement
Fireside Chat: Selecting a CRO for a rare disease trial: key considerations
- Assessing experience in trials with small patient populations an recruitment challenges
- Evaluating ability to adapt and innovate for unique needs of rare disease trials
- Considering regulatory knowledge and patient access
Building transparency into rare disease gene therapy trials: what patients and caregivers need to know
- Understanding why transparency is critical to patient trust and retention in gene therapy trials
- Recognizing operational challenges unique to gene therapy that impact patients and caregivers
- Identifying strategies to embed patient and caregiver voices into protocol and schedule design
- Sharing practical take away communication practices that can strengthen partnerships between trial teams, advocates, and families
Medically underserved populations in rare disease research
- Discussing population inclusion and access to care and clinical trials regardless of diversity and socioeconomics, with a focus on improving patient care
- Mental health and well-being: the emotional toll rare diseases take on patients and caregivers
- Insights on the differences between represented and underrepresented populations on their barriers to care
- Identifying realistic ways to improve opportunities for all patients
END OF DAY 1 AND NETWORKING DRINKS
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Panel Discussion: Looking at the future of clinical trials in rare diseases: where are we now and where are we headed
- Considering advances in trial designs and master protocols
- Innovating through technology, digital health tools, AI and machine learning
- Expanding collaborations and partnerships
- Addressing ethical and diversity challenges
- Discussing long-term vision in rare disease therapy development
Fireside Chat: Starting up rare disease trials: Challenges and opportunities, a sponsor’s perspective
- Country & site selection
- Patient identification & recruitment
- Timelines & startup complexity
- Consultants & collaboration
- Conferences & knowledge sharing
Optimizing rare disease clinical trial designs
- Reviewing challenges in designing a rare disease trial
- Discussing approaches to optimize a rare disease clinical trial design
- Considering incorporating a competitive mindset in designing a rare disease clinical trial