Evidence map›Paper›PMID 40438698›Full record

ReviewTherapeutic advances in rare disease

From roadmap to a sustainable end-to-end individualized therapy pathway.

Anneliene H Jonker, Elena-Alexandra Tataru, David P Dimmock, Alison Bateman-House, Holm Graessner, Gareth Baynam, Erika F Augustine, Adam Jaffe, Anna M G Pasmooij, Oxana Iliach and 8 more

Abstract readReview
In one paragraph

Review in Therapeutic advances in rare disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Review
  2. Article
  3. Strategic consensus on the clinical translation of advanced therapies in paediatric rare neurological disorders.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Article
  4. Article
  5. Antisense Oligonucleotide Therapeutics Targeting Age-Related Diseases.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  6. Quo Vadis translational neuroscience?Translational neuroscience · 2026
    Review
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Anneliene H JonkerHealth Technologies and Services Department, Techmed Centre, University of Twente, Enschede, The Netherlands.ORCID https://orcid.org/0000-0001-5883-7610
Elena-Alexandra TataruFondation Maladies Rares, Paris, France.
David P DimmockCreyon Bio Inc, San Diego, CA, USA.
Alison Bateman-HouseDivision of Medical Ethics, Department of Population Health, Grossman School of Medicine, NYU Langone Health, New York, NY, USA.ORCID https://orcid.org/0000-0001-6921-9666
Holm GraessnerCentre for Rare Diseases, University Hospital Tübingen, Tübingen, Germany.
Gareth BaynamRare Care Centre, Perth Children's Hospital, Perth, Australia.
Erika F AugustineKennedy Krieger Institute, Baltimore, MD, USA.
Adam JaffeSchool of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia.
Anna M G PasmooijDutch Medicines Evaluation Board, Utrecht, The Netherlands.ORCID https://orcid.org/0000-0003-0641-3829
Oxana IliachCertara, Toronto, ON, Canada.
Richard HorganCure Rare Diseases, Woodbridge, CT, USA.
James DaviesMRC Molecular Haematology Unit, University of Oxford, Oxford, UK.
Shruti MitkusGlobal Genes, Washington, DC, USA.
Larissa LaptevaUS Food and Drug Administration, Silver Spring, MD, USA.
Matthis SynofzikDivision of Translational Genomics of Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.
Timothy W YuDivision of Genetics and Genomics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Daniel O'ConnorThe Association of British Pharmaceutical Industry, London, UK.
Annemieke Aartsma-RusDepartment of Human Genetics, Leiden University Medical Center, Albinusdreef 2, 2333 ZH Leiden, The Netherlands.

Funding

Genetic Analysis and Manipulation Core (GAEC)P50HD105351 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI SCOTT Loren POMEROY, MUSTAFA SAHIN · 2021 to 2026
$9.4M
NICHD NIH HHS P50 HD105351
6 · The paper itself

Abstract

The field of individualized, or N-of-1, therapy development is growing and increasingly gaining attention as a novel option for people with serious diseases, caused by unique genetic variants for whom approved therapies are not available. The N-of-1 taskforce of the International Rare Disease Research Consortium previously outlined a roadmap of aspects involved in N-of-1 therapy development and implementation. Here, this follow-up paper looks forward and reflects on how to address existing gaps to advance the current state of individualized interventions toward an integrated and sustainable treatment development model. It discusses what needs to be established for N-of-1 therapies to be developed and utilized at a larger scale, which involves features like sustainability; safety; efficacy; regulatory aspects; dedicated registries and data sharing; tools; long-term treatment monitoring; partnering with patient advocates; and reimbursement models. It closes with recommendations to shape the future of individualized therapies, focusing on ethical implications, education, creation of tools, incentives for data sharing, and innovative payment models.

Indexed as

data sharingeducationindividualized therapiesN-of-1 therapypatient engagementpayment models

Identifiers

PMID40438698
PMCPMC12117225

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.