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Small US biotechs cite FDA barriers to first-in-human trials: survey
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Fusion42 · 12 August 2026 · Fusion42 review
A survey of 37 US small biotech executives reveals that FDA regulatory hurdles, particularly delays and costly clinical holds, are driving early-stage developers to conduct first-in-human trials offshore despite a preference to run them in the US. The survey highlights specific regulatory concerns, including the application of the FDA's 1/10 rule and unpredictability in review processes, which threaten the US clinical trial ecosystem for rare and serious diseases.
This Wire brief sits within Fusion42's coverage of Biotech, and 2 sources have reported it.
◆ ◆ The Wire takeaway
Small US biotech founders face concrete regulatory risks that can halt early clinical trials or push them overseas. You need to reassess your US clinical trial strategy urgently and explore regulatory pathways that avoid FDA delays and costs.
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2 sources · 12 Aug 2026
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