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Clinical Development Solutions for Rare and Ultra-Rare Diseases

Rare diseases are a diverse and vast group of disorders that affect not only patients but their entire families. With over 8,000 diseases identified and 95% of these lacking treatments, they impact approximately 300 million people worldwide, of which 75% affect children.

As a rare disease CRO, our expertise encompasses the entire range of clinical trials for rare disease drug development, from natural history studies to pivotal trials, addressing complex considerations including pediatric and vulnerable populations, novel biomarkers, clinical and surrogate endpoints, and innovative trial designs like basket and umbrella trials. We emphasize the integration of patient perspectives and specialize in a wide array of innovative medicines and advanced therapeutics in rare and ultra-rare disease research.

Your Challenges in Rare Disease & Orphan Drug Development

Regulatory Hurdles

Navigating the complex regulatory landscape of rare disease drug development, including expedited pathways and orphan drug applications, and compliance with evolving guidelines, can be challenging. Additionally, clinical design aspects such as single arm pivotal studies and historical controls can present unique challenges within rare disease research.

Complex Study Designs

Designing a rare disease clinical trial involves navigating unique challenges such as patient burden, selecting appropriate clinical endpoints and biomarkers, addressing placebo-related obstacles, and ensuring continuous data monitoring. Given the limited patient populations in rare disease research, adaptive trial designs play a crucial role in optimizing efficacy and safety assessments while enhancing study flexibility.

Patient Identification & Recruitment

In rare disease clinical trials, finding eligible participants is challenging due to the limited and widely dispersed patient population. Successful rare disease research relies on innovative strategies to identify, recruit, and retain patients, ensuring trials have the necessary participants to generate meaningful insights.

Pediatric Patient Populations

Conducting pediatric clinical trials is both complex and essential, particularly in rare disease research. With small patient populations, severe and intricate conditions, and critical ethical considerations, these trials play a pivotal role in advancing rare disease drug development. Addressing these challenges is crucial not just for young patients but also for their families, ensuring access to innovative treatments through rare disease clinical trials.

Conducting a rare disease clinical trial or advancing orphan disease research comes with exceptional challenges. Trials must be ethically sound, scientifically rigorous, and designed to ease the burden on patients and their families. Our approach ensures that both rare disease and orphan drug development progress efficiently, ultimately driving medical breakthroughs and improving patient outcomes.

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Maria-Cruz-Morillo

In rare diseases, every patient’s journey is different, but no one should go through it alone. By focusing on their experiences and acknowledging the high unmet needs, we can advance clinical trials that bring us closer to easing their struggle. Together, we’re not just searching for new treatments, we are creating hope, fostering resilience, and building a future where rare diseases are no longer overlooked.

MARIA-CRUZ MORILLO

GLOBAL THERAPEUTIC OPERATIONS LEAD, RARE DISEASES

Depth of Rare Disease & Orphan Drug Experience

As a rare & orphan disease CRO Allucent has more than 30 years of expertise successfully navigating the unique challenges of rare disease and orphan disease clinical trials including ethical considerations in protocol design, small sample sizes, pharmacokinetic sampling limitations, the need for standardized subjective endpoints, vulnerability of the patient population, and constantly evolving regulatory requirements within orphan drug development.

205+

Rare Disease Studies

3740+

Global Sites

15455+

Rare Disease Patients Recruited

55+

Orphan Drug
Applications

All-time years of experience

With global breadth and depth across a wide range of rare diseases, Allucent partners with biotech companies to bring innovative therapies to light.

Cross-Therapeutic Expertise

Allucent’s rare and ultra-rare disease clinical trials expertise spans multiple therapeutic areas including neuroscience, autoimmune, pulmonary, genetic, metabolic, and oncology. It includes a variety of novel drug classes and precision medicine including gene therapies, stem cell therapies, biologics, GMOs, mRNA and antisense therapies.

RARE & ULTRA-RARE DISEASE THERAPEUTICS EXPERIENCE

  • Endocrine (e.g. acromegaly, Cushing’s disease)
  • Epilepsies (e.g. pediatric, adult; progressive, genetic,
    refractory)
  • Hemolytic anemias (e.g. CAD, WAD, PNH, SCD)
  • Blood clotting disorders (e.g. hemophilia, ITP, TTP)
  • Spasticity and sialorrhea (e.g. CP, MS, stroke, trauma)
  • Neuromuscular disorders (e.g. ALS, muscular dystrophy, CP, ataxia, Huntington’s disease)
  • Lysosomal storage disorders (e.g. various subtypes)
  • Gastrointestinal disorders (e.g. short bowel)
  • Pulmonary disorders (e.g. CF, PAH, IPF)
  • Cardiac disorders (e.g. ATTR-CM amyloidosis)
  • Skin disorders (e.g. RDEB, DDEB, EBS)
  • Lupus nephritis

Meet Some of Our Rare Disease & Orphan Drug Experts

Maria-Cruz Morillo

Head, Advanced Therapeutics
(Rare and CGT)

Maria-Cruz Morillo - LinkedIn Page

Ilze Balode, MD

Senior Medical Director,
Rare Diseases

Ilze Balode, MD - LinkedIn Page

Milan Marinkov, MD

Executive Medical Director,
Therapeutic Area Medical Lead,
Rare Diseases

Milan Marinkov, MD - LinkedIn Page

Related Content

Additional Resources

FAQs

Allucent provides specialized contract research services for rare and ultra-rare disease clinical trials, including adaptive clinical trial design, regulatory support, and hybrid and decentralized study models that support patient-centric operations to help biopharma companies efficiently bring innovative therapies through complex development pathways.
Rare disease drug development requires unique trial designs, innovative endpoints, and tailored strategies for small, dispersed patient populations, along with deep regulatory knowledge to navigate complex approval pathways.
Allucent leverages specialist rare disease site networks, patient registries, advocacy partnerships, and decentralized trial approaches to identify and engage eligible participants, enhance recruitment and retention, and increase accessibility in geographically dispersed rare disease populations.
Allucent’s rare disease experience spans many areas, including neuroscience, autoimmune, pulmonary, cardiometabolic, and oncology, and supports advanced modalities like gene therapies, stem cells, biologics, and novel precision medicines.
Allucent offers strategic guidance and solutions for orphan drug designation, expedited pathways, adaptive design consultations, regulatory submissions, and interactions with regulatory authorities to help clients navigate evolving rare disease regulatory requirements and achieve timely approvals.

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