03/03/2026
This year marks 10 years since Mila was diagnosed with Batten disease and my life took a turn that has forever shaped me. Since then, I've been on a mission to save my daughter, and when it wasn't in time for her, to save the millions who follow.
We're living in both the most devastating time - with tens of millions of children dying of genetic diseases - and the most promising time when science is no longer the barrier and existing therapeutic technologies can save the lives of thousands and soon millions.
But connecting the masses in desperate need with life-saving science means changing a system - one that has been in place for more than 50 years and still moves one medicine for one disease at a time. Unfortunately, this system simply doesn't work for patients with genetic diseases, nearly all of which fall under 10,000 small or rare conditions.
In my 10 year fight, I've learned that changing the system has been anything but linear. Three steps forward, one step back.
Last week, U.S. Department of Health and Human Services (HHS) and the U.S. Food and Drug Administration (FDA) rolled out the new Plausible Mechanism pathway. The guidance is the first to use the words "for Industry" associated with individualized medicines, acknowledging that these can no longer be one-off Hail Mary's if we want this approach to become routine, but instead must be approved medicines with an expectation for reimbursement. While there is still much work to be done, this is a big step toward Process Aproval - approving the WAY we make medicines instead of one medicine at a time. It's a logical, common sense solution that regulators around the world are aligning on, and it's the beginning of the commercially viable pathway I've been fighting for - the one that gets the flywheel going and moves us from Mila to Millions.
Onward!
VIDEO, HHS Roll-out: https://www.youtube.com/live/XWTO5khjaTQ?si=ZT0o_AneWN0bvowC
Tim Yu Judy Stecker Lowell Schiller Janet Woodcock Casey McPherson Allyson Berent Yiwei She Christina M. Hartman Winston Yan Fyodor Urnov David R. Liu Grace G. Amy Comstock Rick Tracy Beth Høeg, MD, PhD W***y Chertman Lawrence Tallon Julian Beach