HHS Kicks Off Rare Disease Week with FDA Release of Draft Guidance on Plausible Mechanism Framework for Individualized Therapies

February 24, 2026Policy & Regulation, Food and Drug Administration (FDA), Life Sciences, Biologics

On February 23, 2026, the Food and Drug Administration (FDA) released a draft guidance entitled “Considerations for the Use of the Plausible Mechanism Framework to Develop Individualized Therapies that Target Specific Genetic Conditions with Known Biological Cause.” This guidance is designed for targeted, individualized therapies for which randomized controlled trials are not practical due to a small patient population, and was previewed by the Commissioner in several public forums.

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