Why advanced therapy medicinal products struggle in clinical translation: an in-depth analysis of developmental challenges in the EU - Scorecard - 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 Scorecard: Challenges in Clinical Translation of Advanced Therapy Medicinal Products: A Comprehensive Examination of Developmental Hurdles in the EU

At a Glance

CategoryDetail
Condition
Key MechanismsGene therapy, cell therapy, and tissue-engineered products (ensure direct sourcing).
Target Population
Care Setting

Key Highlights

  • Only 29 ATMPs have received marketing authorization in the EU since 2008 (source needed).
  • ATMP development faces significant challenges including high costs and complexity (source needed).
  • The translational gap remains a major issue in moving from preclinical to clinical application (source needed).
  • Early engagement with regulators is crucial for aligning development efforts (source needed).
  • ATMPs often target small, fragmented populations, limiting commercial incentives (source needed).

Guideline-Based Recommendations

Diagnosis

    Management

      Monitoring & Follow-up

        Risks

          Patient & Prescribing Data

          Patients with limited or no existing therapeutic options

          ATMPs are primarily developed in academic institutes and SMEs due to limited commercial interest.

          Clinical Best Practices

          • Engage early with regulatory bodies to align development with expectations (source needed).
          • Utilize up-to-date guidance documents to inform clinical trial design (source needed).
          • Address challenges in preclinical evidence and product characterization (source needed).

          Related Resources & Content

          Original Source(s)

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