The MHRA’s proposed rare disease therapies regulatory framework (“the Proposed Framework”) represents an ambitious attempt to redesign medicines regulation around the realities of rare disease development.
On 21 May 2026, the MHRA launched its consultation on the Proposed Framework, representing a significant step in the UK’s ambition to become a global leader in the development of therapies for rare diseases.
The initiative reflects the scale of unmet need: around 1 in 17 people will be affected by a rare disease during their lifetime, equating to over 3.5 million people in the UK, yet only around 5% of rare diseases have an approved treatment.
The consultation acknowledges that traditional regulatory approaches, designed for common diseases with large patient populations and well‑established trial paradigms, are often unsuitable for rare disease therapies. Against this backdrop, the Proposed Framework aims to enable earlier patient access to promising therapies, reduce development burden, and incentivise innovation, while maintaining the UK’s standards of safety, quality and efficacy.
The MHRA requests responses from industry, patient organisations and other stakeholders. The consultation closes on 30 July 2026.
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