FDA and CMS Announce New Steps to Advance Gene Therapies and Expand Access for Patients with Rare Diseases - Takeaways - MDSpire
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FDA and CMS Outline Initiatives to Support Gene Therapy Development and Improve Access for People with Rare Diseases

  • By

  • Assistant Secretary for Public Affairs (ASPA)

  • October 27, 2026

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  • 1

    FDA issued draft guidance outlining a regulatory framework for individualized genome-editing products intended to treat rare genetic diseases.

  • 2

    The guidance’s Individualized Feature Space defines allowable variation among patient-specific products that may be included in one Biologics License Application.

  • 3

    Sponsors may add variants within the defined limits through a streamlined review using laboratory data, without conducting additional clinical trials.

  • 4

    The draft guidance addresses manufacturing, safety testing, product naming, and labeling while maintaining FDA standards for safety and effectiveness.

  • 5

    CMS plans to expand its voluntary Medicaid Cell and Gene Therapy Access Model beyond sickle cell disease through manufacturer applications and outcomes-based agreements.

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