Nasha Fitter captures it well. Foundation leaders are often told a natural history study is required before they can move a therapy forward. That's true. What's less understood is that the traditional approach, prospective, multi-year, site-based, rarely works for ultra-rare diseases. It's slow, expensive, and burdens the families you're trying to help. The FOXG1 Research Foundation took a different path. Working with us, they assembled close to 1,000 patient-years of longitudinal data from 100+ patients in under six months. That dataset powered endpoint discovery, external comparator construction, and ultimately secured FDA alignment on a single Phase 1/2 study as potentially registrational under the RDEP pathway without a placebo arm. The case study Nasha references breaks down exactly how that was done. If you lead a foundation or work in rare disease drug development, it's a must read. [Link is in the comments] #rarediseasedrugdevelopment #RWE
Many foundation leaders ask me how we at FOXG1 Research Foundation have been able to start from a community of parents, create a gene therapy, and now sponsor our own multi-site clinical trials with the goal of FDA approval in such a short timeframe. Much of it comes down to our clinical data strategy. I wrote a case study to share what we've done. Here is link: https://lnkd.in/gNRTWkiZ Biotech executives: there's also a more scientific, in-depth version. DM me and I'll send it over. Citizen Health #rarediseasedrugdevelopment #RWE