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Rare Disease News and Clinical Trial Updates

In the last 30 days Trial Friend tracked 538 rare disease trial and FDA updates across 112 conditions, including 7 FDA approvals and 4 trials reopening to new patients, from ClinicalTrials.gov and FDA announcements. Last updated October 23, 2026.

538
updates in 30 days
112
conditions
7
FDA approvals in 30 days

Recent rare disease FDA decisionsAll decisions →

Approved Oct 21stUltomiris (ravulizumab)IgA nephropathyApproved Oct 15thEnspryng (satralizumab)Thyroid eye disease (TED)Approved Sep 30thCamzyos (mavacamten)Obstructive hypertrophic cardiomyopathy, adolescentsApproved Sep 28thEmcitate (tiratricol)MCT8 deficiencyApproved Sep 25thZilurgisertib (Atebrioz)Fibrodysplasia ossificans progressiva (FOP)

Coming upFDA calendar →

Oct 30thINO-3107Recurrent respiratory papillomatosis (RRP)Nov 1stMitapivatSickle cell diseaseNov 14thMyqorzoObstructive hypertrophic cardiomyopathy, MAPLE-HCM label updateNov 17thAdrabetadex · date movedInfantile-onset Niemann-Pick disease type C

Rare disease trials opening to new patients

Studies that started recruiting again or added locations in the last 30 days.

Now recruitingSystemic Sclerosis

Phase IIa Trial of Anti-CD19 CAR T-Cells in Systemic Sclerosis Resistant to Immunosuppressive Therapy

University Hospital, Montpellier · Oct 22nd · NCT07493395 ↗
Now recruitingIgA Nephropathy

A Rollover Extension Program (REP) to Evaluate the Long-term Safety and Tolerability of Open Label Iptacopan/LNP023 in Participants With Primary IgA Nephropathy

Novartis Pharmaceuticals · Oct 10th · NCT04557462 ↗

Hypertrophic Cardiomyopathy Registry, Biobank and Imaging Data Repository

Montreal Heart Institute · Oct 9th · NCT05100420 ↗

Acamprosate in C9orf72 Hexanucleotide Repeat Expansion Amyotrophic Lateral Sclerosis (ACALS)

National Institute of Neurological Disorders and Stroke (NINDS) · Oct 7th · NCT07204977 ↗

Most new trial sites by condition

Number of trials that added a location. Tap a condition to see them.

Rare disease news explained

Plain-language stories from News and Guides on the decisions and trials above.

All rare disease trial and FDA updates

Every change picked up from ClinicalTrials.gov and the FDA, newest first. A trial appears only when its own listed conditions name the disease.

Friday, October 23rd

New sites
Von Willebrand Disease · Added 1 new site: Kingston, Canada
A Pilot Crossover Trial of Prophylactic Wilate Compared to Placebo for Heavy Menstrual Bleeding in Patients With VWD · Unity Health Toronto · NCT06205095 ↗

Thursday, October 22nd

New sites
Systemic Sclerosis · Added 1 new site: Valencia, Spain
A Safety and Efficacy Study Evaluating CTX112 in Adult Subjects With Refractory Autoimmune Disease · CRISPR Therapeutics · NCT06925542 ↗
Enrollment
Spinal Muscular Atrophy · Target enrollment decreased from 28 to 19
A Study Evaluating the Effectiveness and Safety of Risdiplam Administered in Pediatric Patients With Spinal Muscular Atrophy Who Experienced a Plateau or Decline in Function After Gene Therapy · Hoffmann-La Roche · NCT05861999 ↗
New sites
Thyroid Eye Disease · Added 17 new sites: Glendale, Arizona, Beverly Hills, California, Canoga Park, California and 14 more
Study to Assess Linsitinib in Participants With Moderate to Severe Active Thyroid Eye Disease (TED) · Sling Therapeutics, Inc. · NCT07753603 ↗
Now recruiting
Systemic Sclerosis · Now recruiting (was Active Not Recruiting)
Phase IIa Trial of Anti-CD19 CAR T-Cells in Systemic Sclerosis Resistant to Immunosuppressive Therapy · University Hospital, Montpellier · NCT07493395 ↗
New sites
Systemic Juvenile Idiopathic Arthritis · Added 4 new sites: Athens, Greece, Chamberí, Spain, Madrid, Spain and 1 more
A Repeated Dose-finding Study of Sarilumab in Children and Adolescents With Systemic Juvenile Idiopathic Arthritis (SKYPS) · Sanofi · NCT02991469 ↗
New sites
Spinal Muscular Atrophy · Added 2 new sites: São Paulo, Brazil, Ahmedabad, India
A Study to Learn About Salanersen's (BIIB115) Effects on Movement and Its Safety When Given Before Symptoms Appear in Babies With Genetically Diagnosed Spinal Muscular Atrophy (SMA) · Biogen · NCT07221669 ↗
New sites
Sjögren's Syndrome · Added 6 new sites: Miami, Florida, Durham, North Carolina, Oklahoma City, Oklahoma and 3 more
Phase 3 Study of Telitacicept in Active Primary Sjögren's Disease · Vor Biopharma · NCT07404865 ↗
Sjögren's is not rare; Trial Friend includes it because it is underdiagnosed, long neglected by drug development, and its pipeline overlaps rare autoimmune disease research.
New sites
Sickle Cell Disease · Added 4 new sites: New York, New York, Ribeirão Preto, Brazil, São Paulo, Brazil and 1 more
A Phase I/II Study of ITU512 in Healthy Participants and Patients With Sickle Cell Disease · Novartis Pharmaceuticals · NCT06546670 ↗
Enrollment
Sickle Cell Disease · Target enrollment decreased from 470 to 390
Peer Support for Adolescents and Emerging Adults With Sickle Cell Pain · University of Pittsburgh · NCT06374238 ↗
New sites
Sickle Cell Disease · Added 4 new sites: Washington D.C., District of Columbia, Yenişehir, Turkey (Türkiye), Liverpool, United Kingdom and 1 more
Safety, Efficacy, and Pharmacokinetics of CSL889 in Adults and Adolescents With Sickle Cell Disease During Vaso-Occlusive Crisis · CSL Behring · NCT06699849 ↗
New sites
Sickle Cell Disease · Added 1 new site: Davis, California
Transplantation of Clustered Regularly Interspaced Short Palindromic Repeats Modified Hematopoietic Progenitor Stem Cells (CRISPR_SCD001) in Patients With Severe Sickle Cell Disease · Mark Walters, MD · NCT04774536 ↗
Enrollment
Sickle Cell Disease · Target enrollment decreased from 750 to 377
Cooperative Assessment of Late Effects for SCD Curative Therapies · Vanderbilt University Medical Center · NCT05153967 ↗
New sites
Sickle Cell Disease · Added 19 new sites: Clovis, California, Los Angeles, California, Washington D.C., District of Columbia and 16 more
The Efficacy and Safety of Rilzabrutinib in Participants Aged 10 to 65 Years With Sickle-cell Disease · Sanofi · NCT06975865 ↗
New sites
Sarcoidosis · Added 34 new sites: Birmingham, Alabama, Phoenix, Arizona, Tucson, Arizona and 31 more
A Study of Brepocitinib in Adults With Cutaneous Sarcoidosis · Priovant Therapeutics, Inc. · NCT06978725 ↗

Wednesday, October 21st

New sites
Polycythemia Vera · Added 15 new sites: Orange, California, Columbus, Ohio, Philadelphia, Pennsylvania and 12 more
INTREPID: A Study of Sapablursen Evaluating the Safety and Efficacy in Participants With Polycythemia Vera (PV) · Ono Pharmaceutical Co., Ltd. · NCT07429266 ↗
New sites
Polycythemia Vera · Added 1 new site: Charlottesville, Virginia
A Clinical Trial of Bomedemstat in Participants With Polycythemia Vera (MK-3543-025). · Merck Sharp & Dohme LLC · NCT07722611 ↗
New sites
Rett Syndrome · Added 1 new site: Tbilisi, Georgia
A Phase 3 Study of Fenfluramine Hydrochloride in Rett Syndrome · UCB BIOSCIENCES, Inc. · NCT07503444 ↗
New sites
Pulmonary Arterial Hypertension · Added 13 new sites: New Hyde Park, New York, New York, New York, New York, New York and 10 more
A Study to Evaluate the Efficacy and Safety of Once Daily Treprostinil Palmitil Inhalation Powder (TPIP) in Participants With Pulmonary Arterial Hypertension (PAH) · Insmed Incorporated · NCT07481981 ↗
New sites
Pulmonary Arterial Hypertension · Added 1 new site: Krakow, Poland
A Study of ROC-101 in Patients With Pulmonary Arterial Hypertension (PAH) and Pulmonary Hypertension Associated With Interstitial Lung Disease (ILD-PH) (ROCSTAR STUDY) · AllRock Bio, Inc. · NCT07175038 ↗
New sites
Progressive Supranuclear Palsy · Added 22 new sites: Boca Raton, Florida, Lexington, Kentucky, New Orleans, Louisiana and 19 more
A Study to Evaluate the Efficacy of NIO752 in Participants With Progressive Supranuclear Palsy · Novartis Pharmaceuticals · NCT07498426 ↗
New sites
Progressive Supranuclear Palsy · Added 7 new sites: Sun City, Arizona, Chicago, Illinois, Indianapolis, Indiana and 4 more
The Progressive Supranuclear Palsy Clinical Trial Platform · Adam Boxer · NCT07173803 ↗
New sites
Primary Biliary Cholangitis · Added 4 new sites: Roseville, California, Milwaukee, Wisconsin, San Miguel de Tucumán, Argentina and 1 more
Seladelpar in Subjects With Primary Biliary Cholangitis (PBC) and Compensated Cirrhosis · Gilead Sciences · NCT06051617 ↗
New sites
Prader-Willi Syndrome · Added 25 new sites: Phoenix, Arizona, Los Angeles, California, Sacramento, California and 22 more
Observational Study of VYKAT™ XR in Patients With Prader-Willi Syndrome · Soleno Therapeutics, Inc. · NCT07450664 ↗
Enrollment
Prader-Willi Syndrome · Target enrollment decreased from 150 to 111
A Study of RM-718 in Healthy Subjects and Patients With MC4R Pathway Impairment · Rhythm Pharmaceuticals, Inc. · NCT06239116 ↗
New sites
Polycythemia Vera · Added 22 new sites: Denver, Colorado, Austin, Texas, Buenos Aires, Argentina and 19 more
A Phase 3 Study of Pelabresib (DAK539) and Ruxolitinib in Myelofibrosis (MF) · Novartis Pharmaceuticals · NCT07357727 ↗
New sites
Pheochromocytoma · Added 1 new site: Orlando, Florida
Targeted Alpha-Particle Therapy for Advanced Somatostatin Receptor Type 2 (SSTR2) Positive Tumors · Perspective Therapeutics · NCT05636618 ↗
New sites
Phelan-McDermid Syndrome · Added 2 new sites: Chicago, Illinois, Charlottesville, Virginia
An Open-label Study of NNZ-2591 in Pediatric Participants With Phelan-McDermid Syndrome · Neuren Pharmaceuticals Limited · NCT07593391 ↗

Tuesday, October 20th

New sites
Myelofibrosis · Added 1 new site: Hamburg, Germany
A Phase 3 Study of Pelabresib (DAK539) and Ruxolitinib in Myelofibrosis (MF) · Novartis Pharmaceuticals · NCT07357727 ↗
New sites
Myelodysplastic Syndromes · Added 155 new sites: Birmingham, Alabama, Phoenix, Arizona, Los Angeles, California and 152 more
Lisaftoclax (APG-2575) Combined With Azacytidine (AZA) in the Treatment of Patients With Higher-risk Myelodysplastic Syndrome (GLORA-4). · Ascentage Pharma Group Inc. · NCT06641414 ↗
MDS collectively is not rare; Trial Friend includes it because many MDS subtypes are individually rare and closely tied to rare blood cancers.
New sites
Myelodysplastic Syndromes · Added 3 new sites: Bismarck, North Dakota, Fargo, North Dakota, Fargo, North Dakota
MYELOMATCH: A Screening Study to Assign People With Myeloid Cancer to a Treatment Study or Standard of Care Treatment Within myeloMATCH (MyeloMATCH Screening Trial) · National Cancer Institute (NCI) · NCT05564390 ↗
MDS collectively is not rare; Trial Friend includes it because many MDS subtypes are individually rare and closely tied to rare blood cancers.
New sites
Multiple Sclerosis · Added 1 new site: Münster, Germany
A Study to Investigate Effects of Ocrelizumab Treatment on Neurofilament Light Chain (NfL) Levels and Participant Satisfaction in Participants With Multiple Sclerosis (MS) · Hoffmann-La Roche · NCT06780150 ↗
MS is not rare; Trial Friend includes it because its trial-search challenges and treatment research overlap heavily with rare neurological diseases.
New sites
Multiple Sclerosis · Added 3 new sites: Orlando, Florida, Warsaw, Poland, Ivano-Frankivsk, Ukraine
A Study of Orelabrutinib in Patients With Primary Progressive Multiple Sclerosis · Zenas BioPharma (USA), LLC · NCT07067463 ↗
MS is not rare; Trial Friend includes it because its trial-search challenges and treatment research overlap heavily with rare neurological diseases.
New sites
Paraganglioma · Added 1 new site: Orlando, Florida
Targeted Alpha-Particle Therapy for Advanced Somatostatin Receptor Type 2 (SSTR2) Positive Tumors · Perspective Therapeutics · NCT05636618 ↗
Enrollment
Neuromyelitis Optica · Target enrollment increased from 122 to 200
Registry of Patients With AQP4+ NMOSD Treated With Alexion C5 Inhibitor Therapies · Alexion Pharmaceuticals, Inc. · NCT05966467 ↗
New sites
Myotonic Dystrophy · Added 1 new site: Barcelona, Spain
Efficacy, Safety, and Tolerability of Zeleciment Basivarsen (DYNE-101) in Participants With Myotonic Dystrophy Type 1 · Dyne Therapeutics · NCT07486934 ↗
New sites
Myotonic Dystrophy · Added 1 new site: Westmead, Australia
A Phase 3 Study to Evaluate the Safety and Efficacy of AOC 1044 (Also Referred to as Delpacibart Zotadirsen) in Participants With DMD With Gene Mutations Amenable to Exon 44 Skipping · Avidity Biosciences, Inc. · NCT07587242 ↗
New sites
Myotonic Dystrophy · Added 1 new site: Winston-Salem, North Carolina
A Study of Long-term Safety and Efficacy of VX-670 in Participants With Myotonic Dystrophy Type I · Vertex Pharmaceuticals Incorporated · NCT06926621 ↗
New sites
Myelofibrosis · Added 21 new sites: Denver, Colorado, Austin, Texas, Buenos Aires, Argentina and 18 more
A Phase 3 Study of Pelabresib (DAK539) and Ruxolitinib in Myelofibrosis (MF) · Novartis Pharmaceuticals · NCT07357727 ↗
Enrollment
Myelodysplastic Syndromes · Target enrollment increased from 160 to 210
A Study of Elritercept to Treat Anemia in Adults With Very Low, Low, or Intermediate Risk Myelodysplastic Syndromes (MDS) · Takeda · NCT04419649 ↗
MDS collectively is not rare; Trial Friend includes it because many MDS subtypes are individually rare and closely tied to rare blood cancers.