EloquiMed Logo
Back to Case Studies
RegulatoryRare Disease

Orphan Drug Designation Support

Strategic documentation support for a biotech startup seeking orphan drug designation for a rare neurological disorder treatment.

Orphan Drug Designation case study

Client

Biotech Startup

Therapeutic Area

Rare Neurological Disorder

Document Type

Orphan Drug Designation Application

Result

Successful designation with first submission

The Challenge

Our client, a biotech startup with a promising novel treatment for an ultra-rare neurological disorder, faced several significant challenges in their pursuit of orphan drug designation:

  • Limited natural history data due to the ultra-rare nature of the condition (affecting fewer than 2,000 patients in the US)
  • Preclinical data that showed promise but lacked comprehensive in vivo models due to the disease's unique pathophysiology
  • Need for a compelling scientific rationale to convince regulators of the treatment's potential clinical benefits
  • Limited company resources and experience with regulatory submissions
  • Critical timeline constraints with investor funding contingent on achieving orphan designation

Success hinged on developing a compelling scientific and regulatory narrative despite limited data, requiring strategic presentation of available evidence and expert literature synthesis to establish both disease prevalence and clinical superiority of the proposed treatment.

Key Application Challenges

  • Prevalence Documentation

    Establishing accurate disease prevalence with limited epidemiological data

  • Preclinical Evidence

    Leveraging limited but promising in vitro and preliminary animal data

  • Scientific Rationale

    Building compelling case for plausible clinical benefit

  • Regulatory Strategy

    Navigating complex designation requirements with minimal precedent

Our Approach

EloquiMed implemented a comprehensive approach to support the client\'s orphan drug designation application:

1. Comprehensive Literature Review & Analysis

Our medical writing team conducted an exhaustive literature review to establish disease prevalence, natural history, and current treatment landscape. We synthesized data from over 200 publications, case reports, and patient registries to create a compelling epidemiological profile of the condition and demonstrate the significant unmet medical need.

2. Strategic Preclinical Data Presentation

We collaborated closely with the client's scientific team to identify the most compelling preclinical data points and presented them within a comprehensive scientific framework. Our approach highlighted the mechanism of action's relevance to the disease pathophysiology, emphasizing how the treatment addressed fundamental disease processes not targeted by existing therapies.

3. Patient-Centered Narrative Development

We developed a compelling disease narrative that humanized the patient experience while maintaining scientific rigor. By incorporating patient case histories and highlighting the devastating impact of the disease, we strengthened the application's urgency while maintaining regulatory compliance and scientific credibility.

4. Regulatory Pathway Expertise

Our regulatory specialists provided strategic guidance throughout the application development process. We conducted a gap analysis to identify potential application weaknesses and developed targeted strategies to address them. Our team also facilitated pre-submission engagement with the FDA's Office of Orphan Products Development to clarify expectations and refine our approach.

5. Integrated Submission Package

We developed a cohesive, well-structured application package that met all FDA requirements while strategically emphasizing the most compelling aspects of the client's case. The final submission included a comprehensive main document with supporting appendices providing detailed scientific and clinical data, all presented with clear navigation and consistent messaging.

Rare disease research

200+

Publications Reviewed

85

Page Application

12

Weeks to Complete

Results & Impact

First-Submission Success

The orphan drug designation was granted on first submission without additional information requests, a rare achievement given the limited data available and complexity of the application.

Strategic Value

The successful designation unlocked $15M in additional investor funding and enabled expedited development timelines, accelerating the path to clinical trials by approximately 8 months.

Patient Impact

This designation brings a promising new therapy closer to patients with a devastating rare disease, offering hope where few treatment options exist.

"EloquiMed's expertise was transformative for our orphan drug application. Despite our limited data, their strategic approach to presenting our scientific evidence and their thorough literature analysis created a compelling case that secured designation on first submission. This was a critical milestone for our company's growth and funding strategy."

— Chief Scientific Officer, Biotech Startup

Key ODD Application Elements

Disease Prevalence Report

Robust epidemiological analysis establishing prevalence below 200,000 in the US

Scientific Rationale

Compelling justification for the drug\'s potential clinical benefit in the rare condition

Natural History Summary

Comprehensive overview of disease progression and unmet medical needs

Preclinical Data Package

Strategic presentation of in vitro and in vivo data supporting clinical promise

Project Timeline

1

Initial Assessment & Strategy Development

  • Comprehensive evaluation of available scientific data
  • Gap analysis to identify critical information needs
  • Development of application strategy and timeline
  • Initial literature search to establish disease prevalence
2

Comprehensive Research & Content Development

  • Extensive literature review and data synthesis
  • Development of disease prevalence documentation
  • Strategic framing of preclinical evidence
  • Creation of compelling scientific rationale
3

Application Development & Review

  • Drafting of main application and supporting documents
  • Multiple review cycles with client team
  • Engagement with key opinion leaders for input
  • Quality control and consistency checks
4

Submission & Follow-Up

Following submission

  • Final application preparation and submission
  • Preparation for potential FDA information requests
  • Orphan drug designation granted at first submission
  • Development of post-designation regulatory strategy

Navigating Orphan Drug Designation?

EloquiMed offers specialized expertise in preparing compelling orphan drug designation applications. Partner with us to secure the benefits that can accelerate your rare disease program.