Master Protocol Trials Could Reimagine the Future of Rare Disease Research

Infographic comparing three clinical trial designs: basket trials test one treatment across multiple diseases, umbrella trials test multiple treatments within a single disease, and platform trials continuously evaluate multiple treatment arms over time, adding or dropping treatments based on interim analyses.

BALTIMORE, Oct. 5, 2026 — Researchers from Kennedy Krieger Institute, University of Rochester Medicine, and five other Institutions released a new publication detailing how the use of master protocol trials could change the future of rare disease research. Using master protocol trials in researching rare conditions could decrease costs, improve testing efficiency and capacity, and expedite the delivery of treatments to those facing a rare disease diagnosis.

Patients facing rare diseases often have no treatment options. In the past decade, the US Food and Drug Administration has approved 45 drug therapy options for neurological conditions. While this is a vast increase from previous years, those medications only treat 26 different conditions - or about four percent of all diagnosed neurological disorders.

"Families living with rare neurological diseases cannot afford to wait for scientific progress to move at a traditional pace," said Dr. Erika Augustine, associate chief science officer and director of the Clinical Trials Unit at Kennedy Krieger Institute and study senior author. "Master protocol trials offer a smarter, more collaborative way to evaluate potential therapies, and bring effective treatments to patients more efficiently." 

A master protocol allows researchers to test multiple drugs or conditions at the same time using the same clinical framework, while traditional clinical trials require a new framework for each new drug or condition tested. Rare disease researchers recently discovered similar genetic markers are present in multiple disease conditions. This similarity, paired with the development of targeted gene therapies, could result in master protocol trials that lead to the development of treatment options for rare diseases that show similar genetic mutations. 

"The collaboration behind this paper reflects the same principle we hope to advance through master protocols," said Dr. Jennifer Vermilion, director of the University of Rochester Batten Center of Excellence, and lead author. "Working together, rather than in isolation, can help us answer important questions more efficiently and accelerate progress for patients and families."

The United States defines a rare disease as a condition that affects fewer than 200,000 people. However, having a rare disease is common, with one in ten people being diagnosed with a rare condition. There are more than 10,000 rare diseases and most of these display neurological symptoms, ranging from body control to developmental disabilities.

This study was possible through a collaborative effort among researchers and experts from University of Rochester Medicine; Mass General Brigham, Spaulding Rehabilitation, and Harvard Medical School; Berry Consultants; the Clinical Trials Transformation Initiative at Duke University; the Batten Disease Support, Research, and Advocacy Foundation; the Rady Children’s Health and UC Irvine; and Kennedy Krieger Institute. You can read the full study in the Annals of Neurology journal here.

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نبذة عن معهد Kennedy Krieger:
يُعد معهد Kennedy Krieger منظمة غير ربحية معروفة دوليًا، يقع في منطقة بالتيمور/واشنطن الكبرى، ويُحدث أثرًا في حياة ما يقرب من 30,000‎​​​​​​​ شخص سنويًا من خلال خدماته الطبية للمرضى الداخليين والخارجيين، وخدمات الصحة السلوكية والعافية، والخدمات المنزلية والمجتمعية، والبرامج المدرسية، وتدريب المهنيين، وأنشطة المناصرة. ويقدم معهد Kennedy Krieger مجموعة واسعة من الخدمات للأطفال والمراهقين والبالغين الذين يعانون من أمراض أو اضطرابات أو إصابات تؤثر على النظام العصبي وتتنوع شدتها من المتوسط إلى الحاد. ويترأس المعهد فريقًا من الباحثين الذين يساهمون في فهم نشوء الاضطرابات مع استحداث أساليب تدخل جديدة وطرق تشخيص ووقاية وعلاج مبكرة. تفضل بزيارة موقع KennedyKrieger.org للمزيد من المعلومات حول معهد Kennedy Krieger. 

الكلمات المفتاحية: وحدة التجارب السريرية في معهد Kennedy Krieger عيادة لعلاج مرض باتن​​​​​​​ النشرات الإخبارية حول الأبحاث الأبحاث آخر الأخبار