Diverse group of rare disease patients and caregivers, rare disease news and clinical trial analysis written for patients, not physicians

Rare Disease News & Clinical Trial Updates

Patient-friendly coverage of clinical trials, FDA approvals, gene therapy access, drug pipelines, and what they mean for rare disease patients and caregivers.

LatestNewsAcromegaly

1 Year of Palsonify and What Switching From Acromegaly Injections to a Pill Involves

Palsonify turns 1 on September 25th. A year of real-world data shows what trading monthly injections for a daily tablet actually involves, from the empty stomach rule to the $290,000 question insurers are mostly saying yes to.

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Green and white capsules sealed in clear blister packs on a teal background.
NewsAlpha-Gal Syndrome

We Built a Free Alpha-Gal Medication Checker

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Calendar grid with weeks of days filled in teal, counting toward one day marked in amber.
GuideFDA

The FDA Approved a Drug for Your Rare Disease. When Do You Actually Get It?

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Two people holding hands in comfort, one resting a hand on the other's.
NewsAngelman Syndrome

When a Clinical Trial Fails and It Was Your Family's Trial

In the space of 6 days, Phase 3 trials failed in Angelman syndrome and myotonic dystrophy type 1, two diseases with no approved treatment. The coverage has been about stock prices. This is about the families who enrolled, what happens to them now, and what is honestly left to hope for.

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Empty two-lane desert highway running straight toward distant mountains.
DataClinical Trials

The Median Rare Disease Trial Recruits at Exactly One US Site

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FDA headquarters sign in front of the agency's White Oak campus in Maryland.
GuideFDA

What an FDA Clinical Hold Means When You're the One in the Trial

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X-ray of a human torso and shoulders, the kind of imaging used to track new bone growth in FOP.
NewsFOP

Zilurgisertib Could Give FOP Patients a Third Treatment on September 26th

FOP went centuries without a single approved treatment. Now the ultra-rare bone disease could see its third in barely 3 years when the FDA rules on zilurgisertib, a once-daily pill from Mirum and Incyte, on September 26th.

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Fluorescence microscope view of cells glowing purple, blue, and green against a black background.
DataClinical Trials

The State of Rare Disease Clinical Trials With 75% of 2026 Behind Us

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A hand holds an hourglass with sand running through it, marking the final weeks before 8 rare disease FDA decisions in September 2026.
NewsFDA

4 Rare Diseases Could Get Their First Treatment This September

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A parent's hands gently cradling a young child's hand, reflecting the families awaiting the FDA's decision on the first Sanfilippo syndrome treatment.
NewsGene Therapy

Sanfilippo Syndrome Could Get Its First Approved Treatment on September 19

On September 19, the FDA decides on UX111, a one-time gene therapy for Sanfilippo syndrome type A. No treatment has ever been approved for the disease. The science was never the FDA's objection, and the company behind it has already won two gene therapy approvals this year.

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Chemical structure of ezogabine, the Kv7-opening seizure drug withdrawn from the market in 2017.
NewsEpilepsy

Opakalim, Azetukalner, and the Race to Bring Back Epilepsy's Lost Off Switch

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Stylized DNA helix glowing across a dark background, representing AI-assisted rare disease variant interpretation.
NewsRare Disease

A New AI Tool Called MARRVEL-MCP Is Changing the Slowest Part of Rare Disease Diagnosis

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A close-up photograph of a medical imaging scan or specialist examination, representing the routine clinical encounters where rare diseases are often unexpectedly discovered before symptoms make them clinically obvious
GuideRare Disease

Rare Disease Diagnoses That Started With Something Else Entirely

Some of the most consequential rare disease diagnoses started with a routine carpal tunnel surgery, an unrelated CT scan, a yearly eye exam, or a young person's first stroke. This is a clinically documented guide to the incidental findings that have surfaced ATTR amyloidosis, Wilson disease, pheochromocytoma, Fabry disease, hereditary hemorrhagic telangiectasia, and other rare conditions years before symptoms made them obvious.

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A high-resolution photograph of an adult female lone star tick (Amblyomma americanum) resting on a green leaf, with the distinctive white dot clearly visible in the center of her dark reddish-brown back. This is the tick species responsible for Alpha-Gal Syndrome and several other rare tick-borne diseases in the United States. Image credit: Jim Gathany, Centers for Disease Control and Prevention Public Health Image Library, public domain.
GuideAlpha-Gal Syndrome

Lone Star Tick Bites and the Rare Diseases They Cause from Alpha-Gal Syndrome to Heartland Virus

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A close-up photograph of a person's face showing asymmetric ptosis, with the right eyelid drooping noticeably while the left eye is fully open, illustrating the classic ocular sign of generalized myasthenia gravis that Rystiggo (rozanolixizumab) is approved to treat in anti-AChR or anti-MuSK antibody-positive adults
GuideMyasthenia Gravis

Rystiggo for Myasthenia Gravis and How It Compares to Vyvgart and Imaavy

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A vial of Adrenalin (epinephrine injection, USP, 1 mg/ml) and a syringe resting on a printed page with bold text reading Alpha-gal allergy, also referenced as Mammalian Meat Allergy and galactose-alpha, illustrating the emergency-preparedness materials Alpha-Gal Syndrome patients carry to manage potential anaphylactic reactions to hidden mammalian-derived medications and products
GuideAlpha-Gal Syndrome

Alpha-Gal Syndrome: Medications, Vaccines, and Medical Products That Can Trigger a Reaction

Alpha-Gal Syndrome (AGS) is more than a red meat allergy. Heparin, certain monoclonal antibodies, gelatin in vaccines and capsules, surgical glues, and many over-the-counter medications can contain mammalian-derived alpha-gal and trigger a reaction. This is the comprehensive list of hidden alpha-gal exposures in healthcare, with the products to ask about, the safer alternatives, and what to tell every doctor before any procedure.

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A 3D illustration of red blood cells inside a blood vessel, showing normal disc-shaped cells alongside elongated, crescent-shaped sickled cells clumping together, illustrating the underlying cellular biology that Casgevy and Lyfgenia gene therapies target
GuideSickle Cell Disease

Casgevy vs. Lyfgenia: Comparing Sickle Cell Gene Therapies

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A black spiral notebook with the words Individualized Education Program in white lettering, surrounded by brightly colored wooden block pieces and a yellow alarm clock on a coral background, illustrating the planning, advocacy, and timing involved in setting up an IEP or 504 plan
GuidePediatric Care

School Accommodations for a Child with a Rare Disease: A Parent's Field Guide

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Layered passage of colorful vertical slats forming a tunnel of overlapping hues, representing how multiple rare conditions stack and interconnect into a single complex clinical picture
GuideEhlers-Danlos Syndrome

hEDS, MCAS, POTS, MTHFR, and Tick-Borne Coinfections: When Rare Diagnoses Stack

Some rare disease patients walk into a specialist's office for one diagnosis and walk out, eventually, with 5. The hEDS / MCAS / POTS triad now has formal academic recognition. Layered with tick-borne coinfections and an MTHFR variant, it becomes one of the most complex and most missed presentations in medicine. What's solidly evidenced, what's still debated, and what patients can actually do.

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Empty hospital procedure room with surgical light, IV pole, and adjustable bed, representing the inpatient setting where heparin-induced thrombocytopenia develops and is treated
NewsHeparin-Induced Thrombocytopenia

Heparin-Induced Thrombocytopenia: A New Drug Path After 25 Years

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Solitary figure on a rocky outcrop overlooking layered mountain ridges in golden morning light, representing the first regulatory crossing for in vivo gene editing
NewsGene Therapy

Lonvo-Z and the First Phase 3 Win for In Vivo Gene Editing in HAE

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Aerial drone view of a long winding road cutting through a dense pine forest, representing the years-long search for a rare disease diagnosis
GuideDiagnostic Odyssey

Why Rare Disease Diagnoses Still Take 6 Years, and How Genome Sequencing Can Cut It to Weeks

A rare disease patient in the US waits 6 years on average for a diagnosis, accumulates 17 medical encounters, and gets 2 to 3 wrong answers along the way. A test that finds the genetic cause in 5 days now costs $100 to run. Most patients still don't get it. Here's what's blocking the path and how to push through.

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DNA double helix representing gene editing therapies for rare diseases under the FDA plausible mechanism framework
NewsGene Therapy

The FDA's Plausible Mechanism Framework Could Unlock Gene Therapies for the Rarest Diseases

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Hospital ward representing emergency room challenges for rare disease patients like sickle cell and Addison's disease
GuideRare Disease

What Happens When You Take a Rare Disease to the ER

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Detailed illustration of a blacklegged tick, the primary vector for Lyme disease, babesiosis, and anaplasmosis
GuideTick-Borne Disease

Ticks, Rare Disease, and the Coinfections Lyme Patients Have Been Told Don't Exist

The blacklegged tick carries at least 7 human pathogens. Three of them, babesiosis, bartonellosis, and anaplasmosis, are classified as rare diseases. Most doctors don't test for them. Here's what the science actually says.

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Cipher wheel representing how to decode and read a ClinicalTrials.gov listing for rare disease clinical trials
GuideClinical Trials

How to Read a ClinicalTrials.gov Listing Without a Medical Degree

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Scientist using forceps in a clinical research laboratory setting
GuideClinical Trials

A Patient's Guide to Clinical Trial Participation

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PerspectivePatient Advocacy

Most Clinical Trial Finders Are Recruitment Tools in Disguise. We Built Something Else.

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Travere Therapeutics Filspari sparsentan FDA approval for FSGS focal segmental glomerulosclerosis rare kidney disease
NewsFSGS

Filspari Is the First FDA-Approved Treatment for FSGS. Here's What That Actually Means for Patients.

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Empty clinic chairs representing the rare disease clinical trial enrollment slowdown despite record FDA orphan drug approvals
NewsClinical Trials

A Quiet Crisis in Rare Disease Research: Trial Enrollment Is Slowing Just as Treatments Start Working

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Person in a suit holding a torn piece of paper that reads Are You Covered, representing insurance coverage questions for rare disease patients
GuideInsurance

Insurance Denied Your Medication. You Have More Power Than They Want You to Know.

When a rare disease drug gets denied by insurance, most patients give up. The data says they shouldn't. A practical guide to prior authorizations, appeals, external reviews, and the people who can help.

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Illustration of a doctor with a child holding a teddy bear next to an FDA Rare Disease Priority Review Voucher, with DNA helix and medication imagery
GuideRare Disease

That Drug Your Child Takes? A Voucher Worth Millions Helped Make It Happen.

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Medical professional holding an orange card that reads Hunter Syndrome
NewsHunter Syndrome

Avlayah Is the First New Hunter Syndrome Treatment in 20 Years. Here's What Families Should Do Next.

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Airplane taking off against a sunset sky, representing the long-distance travel many clinical trial patients face
GuideClinical Trials

You Got Into a Clinical Trial. Now You Have to Get There.

The trial site is 4 hours away. Or a flight away. Your kid still has school. Your boss needs 2 weeks notice for time off. Nobody warned you about this part.

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Medical chart with Dravet syndrome diagnosis and stethoscope
Gene TherapyDravet Syndrome

Dravet Syndrome Treatments in 2026: From Seizure Management to Gene Therapy

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BAG3 gene therapy for dilated cardiomyopathy
Gene TherapyDilated Cardiomyopathy

First Gene Therapy for BAG3 Heart Failure Enters Clinical Trials: What Patients Should Know

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Close-up of eyes illuminated by warm light, representing thyroid eye disease
NewsClinical Trials

Tepezza Just Got a Major Upgrade: What the New At-Home Injection Means for Thyroid Eye Disease Patients

Amgen's Phase 3 trial showed that a subcutaneous version of Tepezza delivered via on-body injector matched the efficacy of the IV infusion, with a 77% proptosis response rate. For the roughly 25,000 patients managing TED in the U.S., this could replace 8 hospital infusions with 12 quick injections closer to home.

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ALS amyotrophic lateral sclerosis letter blocks with stethoscope representing pridopidine Prevails Phase 3 clinical trial
NewsALS

A New ALS Trial Is Recruiting and It Learned from What Came Before

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Blue-tinted collage of U.S. currency representing FDA funding and rare disease investment
NewsFDA

84% of Investors Are Pulling Back from Rare Disease. Here Is Why That Should Alarm Every Patient.

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Human kidney anatomy illustration representing IgA nephropathy treatment breakthroughs with Fabhalta and Filspari
NewsIgA Nephropathy

From Zero Treatments to 5 in 3 Years: The IgA Nephropathy Breakthrough Nobody Saw Coming

Novartis just published 2-year Fabhalta data in the New England Journal of Medicine showing a 49.3% slowing of kidney function decline. Meanwhile, Biohaven's early-stage degrader program is producing results that could redefine how the disease is treated altogether. 3 years ago, IgAN patients had zero approved therapies.

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DNA helix on a dollar bill, symbolizing the cost of gene therapy
NewsGene Therapy

Gene Therapy Pricing and Access: What Rare Disease Families Need to Know

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Runner passing a baton on a track, symbolizing the handoff after a clinical trial ends
GuideClinical Trials

What Happens After a Clinical Trial Ends - Your Options for Continued Access

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Brain and nervous system illustration for fenebrutinib BTK inhibitor Phase 3 clinical trial results in multiple sclerosis
NewsMultiple Sclerosis

A New Kind of MS Drug Just Cleared Its Biggest Hurdle: What Fenebrutinib Means for Patients

Roche's fenebrutinib hit its primary endpoint in all 3 Phase III trials, showing a 51-59% reduction in relapses for relapsing MS and the first new mechanism to slow disability in progressive MS in over a decade. Here is what that actually means if you or someone you know is living with MS.

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Happy baby playing with colorful toys, representing hope for children with ultra-rare diseases
NewsFDA

One Baby Changed Everything: How the FDA Opened the Door for Ultra-Rare Disease Treatments

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Colored pills and capsules representing placebos and randomization in rare disease clinical trials
GuideClinical Trials

What Placebos and Randomization Actually Mean for You (In Plain English)

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Rett Syndrome medical file with stethoscope
NewsGene Therapy

MECP2 Gene Therapy for Rett Syndrome: What Families Should Know About the Trials in 2026

Two gene therapy programs for Rett syndrome now have FDA Breakthrough Therapy designation and are in registrational or pivotal trials. For families weighing whether to pursue a trial, here is what the landscape actually looks like right now.

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Iceberg with 'Hidden Costs' text, symbolizing unseen expenses of clinical trial participation
GuideClinical Trials

The Hidden Costs of Joining a Clinical Trial (And How to Get Help Paying for Them)

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3D illustration of an AAV viral vector delivering DNA for gene therapy
NewsGene Therapy

Regenxbio's Hunter Syndrome Gene Therapy Rejected: What Happened and What It Means

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Biohaven logo
NewsFDA

When the Measuring Stick Moves: Biohaven, the FDA, and What It Means for SCA Patients

Biohaven's SCA program hit a regulatory wall despite 8 years of FDA collaboration and data showing 70% slowing of disease progression. For patients losing coordination, speech, and independence with no approved treatments, the stakes could not be higher.

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