11/06/2026
We had a powerful experience at the World Orphan Drugs Congress in Boston. Thank you to Rare Disease Advisor for inviting Danielle, the President of Friends of the PBC Foundation to speak on the panel "Beyond Awareness: Translating Lived Experience into Regulatory Data." The patient voice and patient experience should be at the forefront of all clinical trials.
Danielle said, "With primary biliary cholangitis, we have to be on some form of treatment to prevent our disease from progressing. With long-term placebos in confirmatory clinical trials, patients have to be off treatment and on placebos for 8 or more years risking liver cirrhosis, failure, and even death. If I was your mother, your sister, your daughter, your wife, or your friend, would you want me to be on a placebo that long?" The resounding answer in the audience was "No."
Hopefully regulators will begin to listen to the patients and utilize Real World Evidence as a way to bridge the gap when it comes to long-term placebos and patients living with rare disease.