Why advanced therapy medicinal products struggle in clinical translation: an in-depth analysis of developmental challenges in the EU - Report - MDSpire

Why advanced therapy medicinal products struggle in clinical translation: an in-depth analysis of developmental challenges in the EU

  • By

  • Charlotte Van Isterdael

  • Edurne Mugarza

  • Piret Fischer

  • Koen Debackere

  • Peter Vandenberghe

  • Silvia Martin Lluesma

  • Johan Van Eldere

  • Isabelle Huys

  • June 2, 2026

  • 0 min

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Clinical Report: Challenges in Clinical Translation of Advanced Therapy Medicinal Products

Overview

This report examines the complexities faced by developers of Advanced Therapy Medicinal Products (ATMPs) in the EU, highlighting key challenges in clinical trial initiation. The study identifies four main areas of concern: preclinical evidence, cell sourcing, clinical trials, and regulatory landscape.

Background

Advanced Therapy Medicinal Products (ATMPs) provide potential treatments for conditions with limited options, yet their clinical translation is fraught with challenges. Despite a regulatory framework established in the EU, access to ATMPs remains limited, with only a small number achieving marketing authorization. Understanding the hurdles in ATMP development is crucial for improving patient access to these innovative therapies.

Data Highlights

No numerical data or trial data provided in the source material.

Key Findings

  • Key challenges in ATMP development exist in preclinical evidence, cell sourcing, clinical trials, and regulatory landscape.
  • Only 29 ATMPs have received marketing authorization in the EU since the regulation's introduction in 2008.
  • Many ATMPs target small populations, limiting commercial incentives for large pharmaceutical companies.
  • Early engagement with regulators is essential for aligning developer efforts with regulatory expectations.
  • Practical recommendations are identified to support more efficient and harmonized clinical translation of ATMPs.

Clinical Implications

Developers of ATMPs should prioritize early engagement with regulatory bodies to navigate the complex landscape of clinical trial initiation. Understanding the specific challenges in each development phase can facilitate smoother transitions from preclinical to clinical applications.

Conclusion

The study highlights significant barriers in the clinical translation of ATMPs, emphasizing the need for improved regulatory awareness and support for developers. Addressing these challenges is vital for enhancing patient access to innovative therapies.

Related Resources & Content

  1. Spanish Advanced Therapy Network (TERAV), Bone Marrow Transplantation, 2023 -- The Impact of Hospital Exemption Regulations in Europe: A Position Statement
  2. EBMT Cell-Processing Committee, Bone Marrow Transplantation, 2014 -- Impact of Advanced Therapy Medicinal Product Regulations on Haematopoietic Stem Cell Transplantation Practices
  3. Bone Marrow Transplantation, 2021 -- Exploring the Underutilization of the Hospital Exemption Route for Advanced Therapy Medicinal Products: Insights from the CAR-T ARI-0001 Case
  4. Bone Marrow Transplantation, 2017 -- CAR-T Therapy: Navigating the Fine Line Between Promise and Financial Strain
  5. Regulation - 2021/2282 - EN - EUR-Lex -- EU Health Technology Assessment Regulation
  6. European Medicines Agency (EMA) -- Vyjuvek | European Medicines Agency
  7. EBMT -- EBMT Releases 2025 Practice Recommendations for HCT and CAR-T Therapy
  8. Regulation - 2021/2282 - EN - EUR-Lex
  9. Vyjuvek | European Medicines Agency (EMA)
  10. EBMT Releases 2025 Practice Recommendations for HCT and CAR-T Therapy | EBMT

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