Thoughts on Healthcare Markets & Technology
Thoughts on Healthcare Markets & Technology Podcast
The FDA Just Rewrote the Rules for Gene Therapy Approval & Most Investors Haven't Noticed Yet: The Plausible Mechanism Framework and NGS Safety Guidance That Could Reshape Rare Disease Investment
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The FDA Just Rewrote the Rules for Gene Therapy Approval & Most Investors Haven't Noticed Yet: The Plausible Mechanism Framework and NGS Safety Guidance That Could Reshape Rare Disease Investment

Two FDA draft guidances published in early 2026 represent the most significant gene therapy regulatory shift in over two decades.

The Plausible Mechanism Framework and the NGS Safety Guidance, published as FDA draft guidances in February and April 2026, create the structural conditions for a fundamentally different approach to gene therapy approval. This episode explains what changed, why it matters, and what the downstream implications are for rare disease investment and gene the…

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