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This interactive session explores how historical clinical challenges, and the Ehlers Danlos patient experience should challenge us to rethink how we define inclusion, eligibility and trustworthiness in clinical research and AI. What authentic steps can industry take to “heal the harm” and promote safer practices in RWE and AI? How can we rebuild trust and design patient informed programs with communities that have been marginalized or misunderstood?
Developing effective therapies for rare and ultra-rare diseases (U)RD is hindered by inherent challenges such as limited patient numbers, disease heterogeneity, and complexities in defining clinically meaningful endpoints. Accelerating progress requires novel methodological approaches across the entire R&D spectrum. European initiatives like ERDERA, INVENTS, and RealiseD are tackling these challenges head-on through collaborative, multi-stakeholder efforts. This session will showcase how these projects are developing and implementing cutting-edge methodologies to optimise clinical trial design, leverage diverse data sources including Real World Data (RWD), streamline evidence generation, and ensure alignment with regulatory and HTA requirements, all centered on patient needs.
We will hear about ERDERA's work on innovative data integration, regulatory-grade natural history cohorts, disease progression modelling, and clinical trial simulation. INVENTS will present its generalizable framework for evidence assessment in small populations, including in silico trials and innovative designs. RealiseD will highlight its comprehensive approach to optimising (U)RD clinical trials, focusing on innovative designs, patient-centered outcome measures (PCOMs), regulatory/HTA co-creation, and the development of a practical playbook.
2-3 PM:- Early/Expanded Access Programs: Explore ways to better execute EAPs in Europe that ensure an optimized experience, from patient discovery to engagement.
Moderator: Andrew Cummins, Vice President, Business Development, Sciensus
Panel: Jim McGrath, Director of Commercial Policy, Irish Pharmaceutical Healthcare Association
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3-4 PM:- Regulatory, Pricing, and Market Authorisation: How best to navigate the complex European environment to ensure the best approach and successful execution of these critical components of the development journey.
Moderator: Doug Niven,European Strategic Consultant, Sciensus
Panel: Andrew Cummins, Vice President, Business Development, Sciensus
Ralph Hughes, Chief Business Officer, Faron Pharmaceuticals
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4-5 PM:-Patient Engagement and In-Market Support: What are best practices for patient-focused support programs, distribution, and digital solutions post-approval and in-market.
Moderator: Ray Huml, Vice President of Rare Strategy, Sciensus
Panel:Mathieu Loiseau, Director of Rare Clinical Services, Sciensus
Patricia Furlong, Preseident, PPMD
Lara Bloom, CEO, Ehlers-Danlos Society
Sophie Muir, Chair of Trustees, Timothy Syndrome Alliance
Lysosomal Storage Disorders (LSDs) present significant challenges, including delayed diagnoses, fragmented care pathways, and limited access to specialist care. Digital health technologies offer a transformative opportunity to address unmet needs by enabling earlier intervention, enhancing care coordination, and empowering patients and healthcare providers with innovative tools.
Utilizing interactive tools and featuring multi-stakeholder perspectives from patients to industry and policymakers, this discussion will explore the integration of digital health innovations ranging from AI to telemedicine, digital medical devices, and other connected care technologies into care pathways for rare diseases across Europe
This workshop will explore innovative approaches to cross-sector partnerships in the EU rare disease landscape. Participants will examine successful case studies that highlight innovative collaborations in rare disease research and diagnostics, showcasing how diverse stakeholders can work together to overcome challenges. The session will highlight partnerships that have demonstrated significant impact across the European rare disease ecosystem. By fostering knowledge exchange and promoting innovative strategies, this workshop aims to inspire and equip attendees with actionable insights to enhance multi-sector collaboration and ultimately improve outcomes for rare disease patients across Europe.
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-The global impact of U.S. changes – what opportunities could this mean for Europe and how can we make this an advantage for Europe?
-How will the pharmaceutical legislation and EU level changes affect rare disease investment, regulation, affordability and accessibility to patients?
-How can we ensure Europe’s R&D remains competitive, well-funded and sustainable?
-How should industry respond in order to keep innovating more therapies and to expedite the approval of new medicines?
-How can each multi-stakeholder contribute to a more sustainable ecosystem?
-Are we stuck in the past? Perspectives from the HTA coordination group: the historical structure of healthcare systems and how this needs to change going forward
-The role of the EUHTA and the need to consider ability and willingness to pay from individual countries
-How will the parallel joint collaboration work between member states?
-How prepared is industry?
Understanding patient experiences, preferences, and behaviours is critical to developing treatments that truly meet patient needs. Yet in rare diseases, capturing and applying these insights remains difficult due to small, diverse populations, delayed diagnoses, a lack of standardized methods, and limited regulatory guidance.
This panel will explore how both qualitative, and semi-quantitative patient data can inform more effective, patient-centred decisions across the product lifecycle in the rare disease space. Experts will address key barriers, such as data integration, resource constraints, and methodological gaps, and share practical strategies and real-world examples to overcome them.
Join the panel and gain a clear view of what meaningful patient experience data look like and how they can drive clinical development strategies, as well as pre-launch and market success
Over the past decade, newborn screening programs throughout Europe have seen significant advancements, both in the number of countries adopting them and the variety of disorders they screen for. Despite this progress, considerable disparities remain between countries, with the number of screened conditions varying widely. This session will explore the reasons behind these inequalities and discuss the advantages of achieving more equitable access to newborn screening across Europe for both patients and society.
-Challenges in enrolling underrepresented populations (predominantly of African, Caribbean, Middle Eastern, and Indian descent).
-Operational approaches to build trust with historically underserved communities.
-Lessons learned from ongoing SCD gene therapy trials
12:55:Yannick Lampo, BDM, Sherwood Pharmaceuticals:First-Ever Treatment for Cri du Chat Patients
13:00: Dr Mona Boyé, CBDO, Ksilink: Automation and high throughput phenotypic screening of patient-based cellular systems for novel treatment options for rare diseases
13:05: Dr Boris Sevarika, Co-Founder & CEO, NanoZymeX: Overcoming Limitations of Current Enzyme Replacement Therapies
13:10: Dr William Jang, Head of Global BD, BioMe:First-in-Class Microbiome Therapeutic for TMAU (Fish Odour Syndrome)
13:15: Dr Sumira Riaz, Founder & Health Psychologist, Unboxed Psychology: Applications of behaviour science: Introducing Unboxed Psychology
13:20: Leonid Stoianov, CEO, Trialize:Redefine Clinical Trials
13:25: Julian Howell, M.D., Founder & CEO, PharmaKrysto:Cystinuria – new approaches to preventing cystine stones – moving to clinical development
13:30: Fabrice Lejeune, CSO, Genvade Therapeutics: Overcoming the Nonsense in Genetic Diseases
13:35: Dr Alistair Irvine, CEO, Scarlet Therapeutics:Application of Red Blood Cell-based Biologics to Rare Metabolic Disease
13:40: Flaminia Macchia, COO, ORPHANET-AISBL:Turning rare disease data into actionable knowledge ready for you
13:45: Vincent Leveque, Co-Founder & CEO, Mirava Bio: Breaking Barriers: Bringing Rare Disease Therapies to Patients in Europe
-Why ATMPs are a unique opportunity to modernize HTA and drive the EUs competitiveness
-How do we get there?
-What are the gaps and how to fill them?
With approximately 300 million people globally affected by rare conditions, this session will share findings from our research that aims to reshape care delivery and inform policy through the development of innovative computational tools and real-world evidence.
In this session will discuss how:
Leverage advanced data analytics to identify undiagnosed patients,
Improve clinical decision-making,
Quantify the economic and medical burden of rare diseases.
-Case study example of multi-year, multi-indication (MYMI) agreements in Belgium, Italy, Netherlands and UK
For many patients, the path to an accurate diagnosis is long, complex, and often life-altering. This panel will explore how timely and precise diagnosis can influence patient well-being, access to care, and long-term outcomes. By bringing together perspectives from clinicians, patient advocates, and healthcare experts, we will discuss opportunities to shorten diagnostic journeys, reduce uncertainty, and ensure that the process itself supports true patient centricity.
- Outpatient reimbursement hurdles (a.o. sudden recall FE exemption, conditional approval; European guideline vs NL HCP position statement)
- Inpatient reimbursement hurdles (a.o. DRG estimated costs vs RW-costs; much needed input profession)
This 15-minute session explores the value of true thought partnership between industry and consultancy in navigating the complex HEOR and market access landscape for rare disease assets. We will define what thought partnership really means, highlight the unique evidence and access challenges in rare diseases, and show how collaborative, strategic engagement can overcome these barriers to deliver meaningful impact for patients and stakeholders.
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-What advancements have been made towards AI, RWE and scientific breakthroughs in rare diseases? e.g. Patient behaviour and trial recruitment, data collection, digital health, mRNA & other platforms, wearables devices etc.
-Are these technologies being used and do they add significant value to the healthcare ecosystem. E.g., to improve the diagnosis pathway, access to care, clinician workload and impact on healthcare system for rare diseases
-Are regulators, HTAs and payers supportive of these advancements, does it help with their decision-making process?
-What are the most exciting new drugs on RDs therapies and gene therapies on the horizon?
-How are policies adapting to meet the increase of new approvals?
-How do we keep rare disease drug development sustainable? Supporting a better economic, policy and regulatory framework to incentivise companies
Sources of uncertainty in rare disease endpoints and strategies to address them.
Standardizing endpoint definitions and assessment criteria.
Use of blinded independent adjudication committees.
Practical steps for implementing effective adjudication processes.
This presentation explores the journey of bringing a new drug to market for a rare disease, focusing on the regulatory pathways, challenges, and strategies involved in global submission and geographical expansion. Rare disease development is uniquely complex, requiring early and sustained collaboration across scientific, clinical, and regulatory domains.
We will examine how limited disease knowledge, fragmented diagnostics, and small, dispersed patient populations shape trial design and regulatory planning.
The discussion will highlight how strategic planning and global coordination can help overcome these barriers. A key focus will be the importance of addressing unmet medical needs in rare diseases and the meaningful impact timely access to innovation can have on patients’ lives.
To raise awareness of thepsychological burden of research participationin rare diseases and to highlight how industry can take practical steps to make research and therapeutic development pathways more psychologically safe and supportive.
Objectives
Expose the blind spot: show how research processes can unintentionally increase psychological distress for PLWRD and families.
Connect to industry priorities: demonstrate how embedding psychosocial support improves recruitment, retention, and quality of outcomes.
Highlight practical entry points: identify short-term actions industry can adopt (e.g., psychologically informed consent, peer support access, staff training).
Bridge to ECRD 2026: signal that a deeper co-creation of systemic solutions will follow at ECRD, without pre-empting it.
Building on Volv Global’s long-running series of workshops talks and panel discussions which move the theme on, year-to-year, this year the focus is on the core value that Every Individual Matters. This panel explores how clinical expertise and real-world data can be united to accelerate rare disease research and care – a real-world exampleof “Where technology meets Human.” Using the Sanofi–Volv Fabry digital natural history project as a case example, experts from industry, patients, regulators and healthcare providers discuss how to turn dialogue into action – advancing earlier diagnosis, better trial design, and improved patient outcomes
This session will explore the evolving landscape of Joint Clinical Assessments (JCAs) and their potential impact on equitable access to orphan drugs in Europe. Participants will delve into key lessons learned from ongoing JCAs, examining how evidence frameworks, PICO development, and expert involvement could be shaping clinical evaluations in the future. The discussion will highlight both the new opportunities and risks that JCAs present for orphan medicines. Thought a multi-stakeholder discussion,strategies for overcoming potential challenges will be proposed, including the early identification and simulation of PICOs and approaches for aligning evidence generation with JCA and national HTA requirements. Attendees will gain actionable insights into maximizing access and positive outcomes for patients with rare diseases in the context of rapidly evolving clinical assessment landscape
RealiseD unites nearly 40 partners from academia, regulatory bodies, clinical research institutes and hospitals, patient organisations, pharmaceutical companies or European Research Infrastructures to establish new gold standards for clinical trials in rare and ultra-rare diseases. Sigmund Freud Private University and AstraZeneca lead this project, which is funded by the Innovative Health Initiative (IHI) and will run until 2029. RealiseD builds on advancements and outputs from prior and ongoing public private partnerships likeEU-PEARLorScreen4Careand other relevant initiatives, such as ERICA, IDeA orERDERAto co-create tools, methodologies and standards, to enhanceinnovative clinical trial designs. These will incorporatenew methodslike Real World Evidence and digital health technologies. Solutions will result ineasy-to-use playbooks and digital toolsfor planning and running clinical trials.
This panel will explore thepractical implications that industry and patient organizations need to consider when engaging given the evolving landscape of HTA in Europe
-Why a holistic approach matters and what we are missing
-Priorities for research and policy change including burden of disability and caregiver impact
-Project HERCULES’new focus:exploring collaborative efforts
-LNPs with multiple payloads and proteins on the surface are very heterogenous, chromatography approach is required to purify the product.
-Replacing the TFF with OH chromatography improves the product recovery.
-To define the product and to enable the batch-to-batch product manufacturing consistency new analytical methods to characterise the LNP were developed.
We are pleased to confirm the proposed session topics for our Drug Repositioning segment. These include:
Assets (Shelved Assets)– exploring how previously shelved drug candidates can be repurposed for rare diseases.
Success Story (Gomekli)– highlighting the case of Gomekli (mirdametinib) as a successful drug repositioning story.
Accelerator (European Drug Discovery Engine by CTF Europe)– introducing CTF Europe’s new orphan drug discovery engine accelerator initiative.
Investors– discussing how public and private entities can support drug repositioning, and the business rationale behind their involvement.
-What progress has been made from WHO Resolution on Rare Diseases?
-How far are we from a Global Action Plan on Rare Diseases?