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

To analyze the challenges faced by Advanced Therapy Medicinal Products (ATMP) developers in initiating clinical trials, focusing on specific regulatory challenges.

Key Findings:
  • Challenges are identified in four areas: preclinical evidence and product characteristics, cell sourcing and manufacturing, clinical trials, and regulatory landscape.
  • Early engagement with regulators and access to up-to-date guidance documents are important for aligning developer efforts with regulatory expectations.
  • Since the regulation was introduced in 2008, only 29 ATMPs have received marketing authorization in the EU.
Interpretation:

Limitations:
  • The analysis primarily focuses on the European regulatory context, which may not fully represent challenges in other jurisdictions.
  • The review may not capture all relevant literature due to the selection criteria and search strategy employed.
Conclusion:

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