Alpha-1 Foundation and 130 Organizations Support 2024 Reauthorization of the Rare Pediatric Disease Priority Review Voucher Program

Dear Senate Majority Leader Chuck Schumer, Senate Minority Leader McConnell, Chairman Sanders, and Ranking Member Cassidy, 

On behalf of the 30 million Americans living with a rare disease, the undersigned 131 organizations write in support of the Creating Hope Reauthorization Act of 2024 and urge the Senate’s swift passage of this critical legislation before the Rare Pediatric Disease Priority Review Voucher program’s current authorization expires September 30, 2024. As many as half of the individuals living with a rare disease are children and this program offers a crucial incentive to develop therapies for this particularly challenging to study patient population living with devastating and often life-threatening rare conditions. 

Since its creation by Congress in 2012, the Rare Pediatric Disease (RPD) Priority Review Voucher (PRV) program has helped spur rare disease drug development in pediatric populations and brought therapies to market for children affected by almost 40 rare diseases.1 Many of these diseases lead to death or debilitating illness before the children reach adulthood, and almost none had any safe and effective FDA-approved therapies on the market before the program began. Additionally, more than half of all RPD PRV designations occurred in the last four years,2 showing the program is fostering drug development where significant unmet therapeutic needs currently exist. 

With more than 95% of rare diseases still lacking an FDA approved therapy, the RPD PRV program is important to our patient communities and a source of hope for the future development of safe and effective treatments. This program’s authorization ends on September 30, 2024, and without a timely reauthorization, FDA will no longer be allowed to initiate the process necessary to issue new rare pediatric disease PRVs. 

Therefore, we urge swift passage by the Senate of the Creating Hope Reauthorization Act to avoid a lapse in this critical program’s authorization. We look forward to working with you on this important issue. For any questions or concerns, please contact the National Organization for Rare Disorders’ Karin Hoelzer, Senior Director of Policy and Regulatory Affairs, at khoelzer@rarediseases.org or Hayley Mason, Policy Analyst, at hmason@rarediseases.org. Thank you for your consideration. 

Sincerely, 

3q29 Foundation 

ADCY5.org 

Adrenal Insufficiency United 

Advocates for Medically Fragile Kids NC 

Aicardi Goutieres Syndrome Advocacy Association (AGSAA) 

Aislinn’s Wish Foundation

Alpha-1 Foundation 

AMDA 

American Kidney Fund 

Angelman Syndrome Foundation 

Avery’s Hope 

Barth Syndrome Foundation 

BDSRA Foundation 

Born a Hero, Research Foundation 

CACNA1A Foundation 

Canavan Foundation 

Child Neurology Foundation 

Chondrosarcoma Foundation 

Coalition to Cure Calpain 3 

Congenital Hyperinsulinism International 

Cooley’s Anemia Foundation 

Creutzfeldt-Jakob Disease Foundation, Inc. 

CSNK2A1 Foundation 

CTNNB1 Connect and Cure 

Cure CMD 

Cure GM1 Foundation 

Cure MECP2 Duplication Syndrome 

Cure SMA 

CURED Nfp (Campaign Urging Research for Eosinophilic Disease) 

CureLGMD2i Foundation 

Cystic Fibrosis Research Institute 

Desmoid Tumor Research Foundation 

Elise’s Corner 

End AxD 

Eosinophilic & Rare Disease Cooperative (ERDC) 

Familial Dysautonomia Foundation 

Fighting H.A.R.D. Foundation 

Foundation for Angelman Syndrome Therapeutics (FAST) 

Foundation to Fight H-abc 

Friedreich’s Ataxia Research Alliance (FARA) 

GABA-A Alliance 

Gaucher Community Alliance 

GBS|CIDP Foundation International 

Global Liver Institute 

HCMA 

HCU Network America 

Hemophilia Federation of America 

Hereditary Angioedema Association 

Histiocytosis Association, Inc. 

Hope in Focus 

Hydrocephalus Association 

Hyper IgM Foundation 

HypoPARAthyroidism Association  

Immune Deficiency Foundation 

INADcure Foundation 

Indo US Organization for Rare Diseases 

International FOXP1 Foundation 

International Rett Syndrome Foundation 

Koolen-de Vries Syndrome Foundation 

KrabbeConnect 

Lennox-Gastaut Syndrome (LGS) Foundation 

LGDA 

LGMD Awareness Foundation 

LGMD2D Foundation 

Malan Syndrome Foundation 

Marshall-Smith Syndrome Organization of the USA 

MECP2 Duplication Syndrome 

MED13L 

Mellie J Foundation 

MitoAction 

MLD Foundation 

Moebius Syndrome Foundation 

Muscular Dystrophy Association  

National Ataxia Foundation 

National Bleeding Disorders Foundation 

National MALS Foundation 

National MPS Society 

National Niemann-Pick Disease Foundation 

National Organization for Rare Disorders 

National PKU Alliance 

National Tay-Sachs & Allied Diseases Association 

Necrotizing Enterocolitis (NEC) Society 

NF Northeast 

Noah’s Hope 

NW Rare Disease Coalition 

Organic Acidemia Association 

Parent Project Muscular Dystrophy 

Pheo Para Alliance 

PMD Foundation 

Project 8p Foundation 

Project Alive 

Pulmonary Hypertension Association 

PWSA | USA 

Rare Disease Innovations Institute 

Rare Disease Renegades 

Rein in Sarcoma 

Sanfilippo Children’s Foundation 

SANFILIPPO SUD 

SATB2 Gene Foundation 

SHINE Syndrome Foundation 

Sleep Consortium 

Stevens-Johnson Syndrome Foundation 

STXBP1 Foundation 

TESS Research Foundation for SLC13A5 Epilepsy 

The Akari Foundation 

The Bonnell Foundation: Living With Cystic Fibrosis 

The Caring Board 

The Children’s Medical Research Foundation, Inc. 

The DDX3X Foundation 

The Dion Foundation For Children With Rare Diseases 

The E.WE Foundation 

The Jansen’s Foundation 

The Little Legs Big Heart Foundation 

The Mast Cell Disease Society 

The National Adrenal Diseases Foundation

The Oley Foundation 

The Oxalosis and Hyperoxaluria Foundation 

The Progeria Foundation 

The RYR-1 Foundation 

The Speak Foundation 

Thrive with PK 

TSC Alliance 

United Leukodystrophy Foundation 

United Mitochondrial Disease Foundation 

United MSD Foundation 

United Ostomy Associations of America, Inc. 

United Porphyrias Association 

Upequity 

Wake Up Narcolepsy, Inc. 

Wisconsin Rare Disease Alliance 

Yaya Foundation for 4H Leukodystrophy 

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