Advancing a mission · Foundations, funders and public health

Science that works, carried all the way to the patient.

Design a path that works across science, economics and access.

This moment, across the five domains All five domains on one connected ring around mission. SCIENCE PATIENT CAPITAL LEADERSHIP REGULATORY THE MISSION

A tractable therapy, a population the conventional commercial model was not built for, and a mandate measured in reach. Good science and committed partners get a program started. The structure that carries it through development, approval, manufacture and delivery is what gets it to a patient.

The questions that usually decide it

Who carries the program forward?

A grant moves a program through a phase. An entity, a named owner and a plan for each stage carry it the rest of the way.

Is the structure built for the whole arc?

Each stage carries a different risk. The program moves best when its structure, partners and commitments are designed for every stage from the start.

What evidence path fits this population?

Ultra-rare, pediatric and global-health programs often need trial designs built for their populations, and the achievable path is shaped with the review division itself.

How does the consortium decide together?

Funders, sponsors, manufacturers and ministries each hold part of the authority. The plan works when it has an owner and an agreed way to resolve differences.

Questions people ask.

How can an ultra-rare disease program be carried forward?

By designing its structure for every stage from the start: who owns the program, which partners carry which risks, and how each stage is resourced. Shared platforms can lower the cost of each new indication. I help foundations and sponsors build that structure.

What evidence path fits a small or global-health population?

Ultra-rare, pediatric and global-health programs often need designs built for their populations, such as natural-history comparisons, real-world evidence or adaptive trials. The achievable path is shaped with the review division itself, and I help plan those conversations.

How does a consortium make decisions together?

Funders, sponsors, manufacturers and ministries each hold part of the authority. The plan works when it has an owner and an agreed way to resolve differences. I design that governance and, where useful, convene the working session that sets it.

What are you working through?

A finished brief is not needed. I read every message myself and reply with the two questions I would ask first. If I am not the right person, I will tell you who is.

Roberta Duncan, Founder and Principal

Confidential, and NDA-first if you prefer.
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