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In this first chapter, join Annie Kennedy in an overview of the evolution of the rare disease care landscape, and considerations for patient care options.
In chapter 2, genetic counselor Laynie Dratch discusses the role her profession has in ALS, diagnostic genetic testing considerations including the importance of genetic counseling in decision-making. Laynie also reviews updates in Veterans Affairs guidelines.
In chapter 3, Laynie Dratch continues with a discussion of predictive genetic testing, including ethical considerations.
In chapter 4, Prof. Suma Babu gives an overview of ALS management challenges, and potential strategies and tools that aim to reduce time to diagnosis and initiation of care for those living with ALS.
In this final chapter, Prof. Terry Heiman-Patterson focuses on the benefits of multidisciplinary care in ALS, and the evolving paradigm for monitoring clinically asymptomatic individuals at risk of ALS.
For rare diseases, the average time to achieve an accurate diagnosis is 5–8 years, and for most diseases, treatment options are limited. For the rare, progressive neurodegenerative disease, amyotrophic lateral sclerosis (ALS), recent developments have the potential to reduce diagnostic delays and allow earlier initiation of disease management. In particular, the advent of genetic testing may allow for the monitoring of at-risk individuals and novel screening tools may allow earlier detection of symptomatic individuals. In this activity, watch experts explore the evolving care paradigm in rare diseases and discuss strategies to improve early diagnosis of ALS, including in individuals at-risk of ALS.
After watching this activity, participants should be better able to:
Annie Kennedy is the Chief of Policy, Advocacy, and Patient Engagement at the EveryLife Foundation for Rare Diseases and has led major initiatives to improve rare disease care including the National Economic Burden of Rare Disease study, the Cost of Delayed Diagnosis project, and the development of the ICD Code Roadmap. Annie serves on numerous advisory boards and steering committees, including the NIH NCATS Advisory Council, the Cures Accelerator Network Advisory Board, and the Patient Driven Values in Healthcare Evaluation Steering Committee.
Nothing to Disclose.
Laynie Dratch is a licensed, certified genetic counselor at the University of Pennsylvania Perelman School of Medicine. She received her ScM in genetic counseling from the Johns Hopkins University / National Institutes of Health training program. She specializes in the care and research of frontotemporal degeneration and ALS spectrum disorders.
Employee of Penn Medicine. Current or former consulting/advisory relationships with Sano Genetics, Passage Bio, and Biogen.
Suma Babu is an Associate Professor of Neurology at Harvard Medical School and co-director of the Neurological Clinical Research Institute at Massachusetts General Hospital. Her work specializes in the care and research of ALS and motor neuron diseases. She leads neuroimaging research programs focused on disease biomarkers and therapeutic development, and has served as a principal investigator for multiple Phase 1–3 ALS clinical trials.
Grants from NIH/NINDS; research funding from Ionis, Biogen, Novartis, OrphAI, and Denali; consulting fees to institution from uniQure and MarvelBiome; and honoraria from NIH and American Academy of Neurology
Terry Heiman-Patterson is a Professor of Neurology at the Lewis Katz School of Medicine at Temple University and Director of the Temple MDA/ALS Center of Hope. In her work focusing on ALS and related motor neuron diseases, she has led multidisciplinary clinical programs and research focused on the mechanisms of motor neuron disease, therapeutic development, and patient-centered care. She has served as Co-Chair of the Northeast ALS Consortium Executive Committee and is a member of the ALS Research Group.
Funding from the Muscular Dystrophy Association, a clinical trial readiness grant from the ALS Association, Independent Investigator Funding from MTPA, medical advisory boards at MTPA, Amylyx, Cytokinetics, and Biogen, and clinical trial funding from Amylyx, Healey Trial, Cytokinetics, PKC, and MTPA.
This activity has been sponsored by Biogen. Biogen provided financial support and video content, and has had input into the detailed project scope. This activity is provided by Touch Medical Communications (TMC) for touchNEUROLOGY.
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Biogen provided financial support and video content, and has had input into the detailed project scope. This activity is provided by Touch Medical Communications (TMC) for touchNEUROLOGY.
Unapproved products or unapproved uses of approved products may be discussed; these situations may reflect the approval status in one or more jurisdictions. TMC has advised the sponsor to ensure that they disclose any such references made to unlabelled or unapproved use. No endorsement by TMC of any unapproved products or unapproved uses is either made or implied by mention of these products or uses in TMC activities. TMC accepts no responsibility for errors or omissions.
The views and opinions expressed are those of the faculty and do not necessarily reflect those of any sponsor.
Biogen-269580
Date of preparation: September 2025
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