ESOT Roadmap for Advanced Therapy Medicinal Products in Transplantation: Navigating Regulatory Challenges to Enhance Access and Care

Transpl Int. 2024 Oct 14:37:13485. doi: 10.3389/ti.2024.13485. eCollection 2024.

Abstract

The field of organ transplantation is experiencing a transformative shift with the rise of Advanced Therapy Medicinal Products (ATMPs), which include gene therapies, somatic cell therapies, and tissue-engineered products. These therapies offer new, potentially curative treatments for longstanding medical challenges, impacting numerous patients. However, their adoption is hindered by complex regulatory frameworks, high production costs, and inconsistent access across Europe. The ESOT ATMP Task Force's position paper analyzes these challenges from research to clinical application, advocating for a coordinated strategy to position Europe as a leader in ATMP development. It proposes specific actions such as streamlining regulatory pathways to accelerate approvals, boosting funding for ATMP research, and creating specialized facilities for development and implementation. The paper also highlights the critical roles of patient engagement and real-world evidence in optimizing clinical and regulatory practices.

Keywords: advanced therapy medicinal products (ATMPs); cell transplantation; organ transplantation; patient access; regulatory challenges.

Publication types

  • Review

MeSH terms

  • Cell- and Tissue-Based Therapy*
  • Europe
  • Genetic Therapy* / legislation & jurisprudence
  • Health Services Accessibility* / legislation & jurisprudence
  • Humans
  • Organ Transplantation* / legislation & jurisprudence
  • Tissue Engineering* / legislation & jurisprudence
  • Tissue Engineering* / methods

Grants and funding

The authors declare that no financial support was received for the research, authorship, and/or publication of this article.