Musings

Time is Running Out: Help Secure Access to Elamipretide for Ultra-Rare and Rare Diseases

Time is Running Out: Help Secure Access to Elamipretide for Ultra-Rare and Rare Diseases

A group of four individuals, including a patient in a wheelchair, smile together in a brightly colored medical office. They are discussing Elamipretide, a treatment for rare mitochondrial diseases.
Together with my amazing health care team https://www.chp.edu/our-services/rare-disease-therapy

Elamipretide, a lifeline for patients with (ultra-)rare mitochondrial diseases like Barth syndrome and primary mitochondrial myopathy, faces a critical moment. Despite years of research, lived improvements, and community advocacy, the path to approval is uncertain. The FDA will make a pivotal decision in early August. I am one of the patients currently on Elamipretide, and I know firsthand the difference it makes. We need your voice.

Please share this urgently. Post it, email it, talk about it. Please use the following hashtags BarthProgress #ApproveElamipretide #BarthSyndrome #RareDisease #FDAActNow #HopeforProgress

The window to act is closing—let’s make sure the FDA hears the real stories and sees the real lives at stake. This goes beyond Elamipretide—it’s about ensuring fair access and consideration for all treatments targeting ultra-rare and rare diseases.

We are asking the U.S. Food and Drug Administration to reconsider its denial of elamipretide and grant full, traditional approval—the first ever for primary mitochondrial disease. Doing so would honor the advisory committee’s recommendation, uphold the standard NDA pathway the FDA itself selected, and fulfill the intent of the Orphan Drug Act. We also urge the FDA to approve the drug with broad labeling, so that all appropriate patients—not just a narrow trial subset—can access a therapy that has demonstrated meaningful benefit. No more delays. No more deferrals. No more circular barriers. This is not just about one drug—it’s about whether we are willing to meaningfully advance treatment for (ultra) rare diseases at all. https://kevinmd.com/2025/07/fda-delays-could-end-vital-treatment-for-rare-disease-patients.html

Update to Explain Absence of New Blog Postings

Dear fellow traveler, it has been a while since I have last posted. And it may be a while before I resume posting again. I am on experimental therapy for a genetic degenerative disease. I remain hopeful that I will be able to resume. Until then, please follow me on social media. BIG hug to you from me!

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