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June 6, 2026Frontiers in MedicineOpen Access

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

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Authors

CICharlotte Van IsterdaelEMEdurne MugarzaPFPiret Fischer

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Overview

Analyzes developmental challenges in clinical trials for advanced therapy medicinal products, indicating practical recommendations for developers and regulators.

Key Points

  • The aim is to dissect the obstacles faced by Advanced Therapy Medicinal Products developers during clinical trial initiation.
  • Conducted a scoping literature review following JBI methodology and PRISMA-ScR reporting guidelines.
  • Reviewed articles from PubMed, Embase, and Scopus over the last decade regarding regulatory challenges.
  • Identified challenges in preclinical evidence, manufacturing, clinical trials, and regulatory landscape.
  • Identified four primary challenge areas for ATMP developers: preclinical evidence, cell sourcing, clinical trials, and regulatory landscape.
  • Highlighted early engagement with regulators and updated guidance as key strategies for successful development.
  • Provided practical recommendations to enhance alignment with regulatory expectations.

Cite This Study

Isterdael et al. (2026) studied this question.

synapsesocial.com/papers/6a23b83e71a5da9775e748dbhttps://doi.org/10.3389/fmed.2026.1839531
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