Ilze Balode, MD
Senior Medical Director,
Rare Diseases
Rare diseases are a diverse and vast group of disorders that affect not only patients but their entire families. With over 8,000 diseases identified and 95% of these lacking treatments, they impact approximately 300 million people worldwide, of which 75% affect children.
As a rare disease CRO, our Allucent Center of Expertise: Rare Disease encompasses the entire range of clinical trials for rare disease drug development, from natural history studies to pivotal trials, addressing complex considerations including pediatric and vulnerable populations, novel biomarkers, clinical and surrogate endpoints, and innovative trial designs like basket and umbrella trials. We emphasize the integration of patient perspectives and specialize in a wide array of innovative medicines and advanced therapeutics in rare and ultra-rare disease research.
Your Challenges in Rare Disease & Orphan Drug Development
Regulatory Hurdles
Navigating the complex regulatory landscape of rare disease drug development, including expedited pathways and orphan drug applications, and compliance with evolving guidelines, can be challenging. Additionally, clinical design aspects such as single arm pivotal studies and historical controls can present unique challenges within rare disease research.
Complex Study Designs
Designing a rare disease clinical trial involves navigating unique challenges such as patient burden, selecting appropriate clinical endpoints and biomarkers, addressing placebo-related obstacles, and ensuring continuous data monitoring. Given the limited patient populations in rare disease research, adaptive trial designs play a crucial role in optimizing efficacy and safety assessments while enhancing study flexibility.
Patient Identification & Recruitment
In rare disease clinical trials, finding eligible participants is challenging due to the limited and widely dispersed patient population. Successful rare disease research relies on innovative strategies to identify, recruit, and retain patients, ensuring trials have the necessary participants to generate meaningful insights.
Pediatric Patient Populations
Conducting pediatric clinical trials is both complex and essential, particularly in rare disease research. With small patient populations, severe and intricate conditions, and critical ethical considerations, these trials play a pivotal role in advancing rare disease drug development. Addressing these challenges is crucial not just for young patients but also for their families, ensuring access to innovative treatments through rare disease clinical trials.
As a rare disease CRO, We share your dedication to advancing treatments for complex and hard-to-treat conditions. We understand that rare disease and orphan disease research requires deep expertise, innovative approaches, and a steadfast commitment to patient-centric trial designs.
Conducting a rare disease clinical trial or advancing orphan disease research comes with exceptional challenges. Trials must be ethically sound, scientifically rigorous, and designed to ease the burden on patients and their families. Our approach ensures that both rare disease and orphan drug development progress efficiently, ultimately driving medical breakthroughs and improving patient outcomes.
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In rare diseases, every patient’s journey is different, but no one should go through it alone. By focusing on their experiences and acknowledging the high unmet needs, we can advance clinical trials that bring us closer to easing their struggle. Together, we’re not just searching for new treatments, we are creating hope, fostering resilience, and building a future where rare diseases are no longer overlooked.
MARIA-CRUZ MORILLO
GLOBAL THERAPEUTIC OPERATIONS LEAD, RARE DISEASES
Depth of Rare Disease & Orphan Drug Experience
As a rare & orphan disease CRO Allucent has more than 30 years of expertise successfully navigating the unique challenges of rare disease and orphan disease clinical trials including ethical considerations in protocol design, small sample sizes, pharmacokinetic sampling limitations, the need for standardized subjective endpoints, vulnerability of the patient population, and constantly evolving regulatory requirements within orphan drug development.
125+
Studies
2,500+
Sites
10,400+
patients
55
Orphan Drug
Applications
All-time years of experience
With global breadth and depth across a wide range of rare diseases, Allucent partners with biotech companies to bring innovative therapies to light.
Cross-Therapeutic Expertise
Allucent’s rare and ultra-rare disease clinical trials expertise spans multiple therapeutic areas including neuroscience, autoimmune, pulmonary, genetic, metabolic, and oncology. It includes a variety of novel drug classes and precision medicine including gene therapies, stem cell therapies, biologics, GMOs, mRNA and antisense therapies.
RARE & ULTRA-RARE DISEASE THERAPEUTICS EXPERIENCE
- Endocrine (e.g. acromegaly, Cushing’s disease)
- Epilepsies (e.g. pediatric, adult; progressive, genetic,
refractory) - Hemolytic anemias (e.g. CAD, WAD, PNH, SCD)
- Blood clotting disorders (e.g. hemophilia, ITP, TTP)
- Spasticity and sialorrhea (e.g. CP, MS, stroke, trauma)
- Neuromuscular disorders (e.g. ALS, muscular dystrophy, CP, ataxia, Huntington’s disease)
- Lysosomal storage disorders (e.g. various subtypes)
- Gastrointestinal disorders (e.g. short bowel)
- Pulmonary disorders (e.g. CF, PAH, IPF)
- Cardiac disorders (e.g. ATTR-CM amyloidosis)
- Skin disorders (e.g. RDEB, DDEB, EBS)
- Lupus nephritis
Meet Some of Our Rare Disease & Orphan Drug Experts
- Pediatrician and neonatologist with 20+ years of experience in clinical research and all aspects of clinical trials, including gene therapies
- Experience in many rare pediatric indications and treatment modalities
Milan Marinkov, MD
Executive Medical Director,
Therapeutic Area Medical Lead,
Rare Diseases
- Leads Allucent’s Rare Disease Medical Affairs Group; providing scientific and medical oversight in rare indications
- 15+ years of medical expertise encompassing all aspects of clinical trials from set up to study close-out
Joyce Moore, PhD
Global Head,
Patient Engagement
- Over 20 years of experience in the clinical trial sphere
- Deep expertise in patient engagement including conducting DCTs and collaborating with patient advocacy groups
Maria-Cruz Morillo
Global Operations Head,
Rare Diseases
- Head of Allucent’s Rare Disease Center of Expertise integrating cross functional expertise to provide strategic solutions for rare disease trials
- 25+ years of experience in Project Management and Strategy and IMP Supply in both biotech and CRO
