Key initiatives
Our strategic plan is anchored in three strategic priorities:
- Capacity: Strengthening pediatric rare disease clinical trial capacity and advanced therapy medicinal product (ATMP) readiness
- Matching: Optimizing participant, site, and trial matching
- Reform: Driving regulatory reform and system innovation
This balanced approach ensures continuity, strengthens capacity, and promotes long-term impact for children and families affected by rare diseases across Canada.

Capacity: Strengthening pediatric rare disease clinical trial (PRDCT) capacity and advanced therapy medicinal product (ATMP) readiness
Goal: To equip Canadian pediatric research institutions and affiliated hospitals to attract, develop, and conduct high-quality, innovative PRDCT, especially but not exclusively to ATMPs; and to enhance readiness to administer ATMPs within a research and clinical setting.
Key Initiative 1.1: Academic leadership, guidance & training initiative

RareKids-CAN foster excellence in PRDCT design, conduct and execution by supporting scholarly work aimed at creating, expanding and disseminating new knowledge, developing national guidance documents, and engaging trainees and patient partners in research activities.
Key Initiative 1.2: ATMP training material and Standard Operating Procedures (SOPs)

In collaboration with the pediatric research institutions and affiliated hospitals currently conducting or delivering ATMPs trials and leveraging MICYRN’s established network of research pharmacists, RareKids-CAN and its Quality Assurance Lead and Project Managers are developing training materials and SOPs as needed to support the safe and effective handling and administration of ATMPs.
Key Initiative 1.3: Network of pediatric ATMPs clinical trial and delivery-ready units

RareKids-CAN is supporting the development of a Community of Practice comprising individuals at the pediatric academic health care centers and their research institutes/leadership who share a common interest in the ATMPs clinical trial and delivery space, come together to learn from each other, develop their skills, and improve their practice.
Key Initiative 1.4: Innovative models

Advance decentralized and patient-centered clinical trial models to enhance accessibility, equity, and participation in PRDCTs.
Key Initiative 1.5: Centralized supports for ATMPs trials

RareKids-CAN offers subsidized services focused on key regulatory and operational areas, including Health Canada consultations and submissions, protocol development, ethics submissions, and database builds using validated systems.
The MICYRN /CHEER Pediatric Research Ethics Consulting Service will further enhance its capacity to support ATMPs-related ethics reviews. In addition, the network continues to explore opportunities to streamline clinical trial contracting processes specific to ATMP studies, improving efficiency and reducing startup delays.
Matching: Optimizing participant, site & trial matching
Goal: To increase efficiency in pediatric rare disease clinical trial (PRDCT) implementation, initiation, and conduct and attract more investments to Canada by creating an integrated ecosystem for patient identification, recruitment, feasibility, site/investigator identification and registry support. This priority focuses on improving how patients are identified and matched to PRDCTs.
Key Initiative 2.1: Trial matching & patient identification

RareKids-CAN are working to enhance visibility and feasibility of PRDCTs by developing centralized, databases and portals that supports trial planning, attracts new PRDCTs, and enables optimized patient-trial matching across Canada. This initiative will serve both academic and industry-led trials across all therapeutic modalities including biologics, small molecules, devices, ATMPs and generate sustainability through a fee-for-service model for industry users.
Key Initiative 2.2: Registry Development Support

Advance the development, maintenance, and use of patient registries and real-world data (RWD) to support the full life cycle of pediatric rare disease clinical trials – from trial planning and recruitment to conduct and post-trial follow-up. This includes facilitating connections between trialists and potential participants, generating natural history data to inform study design, enabling registry-based randomized trials, and externally controlled trials, and supporting post-market surveillance to inform regulatory and policy decision-making.
Key Initiative 2.3: National expertise database

Hosted by MICYRN and RareKids-CAN, the National Expertise Database is a centralized resource that connects pediatric and maternal health clinical and methodological experts with opportunities to support the design and delivery of high-quality clinical trials across Canada. The database helps facilitate access to specialized expertise for protocol development, study design, site and investigator identification, feasibility assessment, and other areas where expert input can strengthen the scientific quality and operational readiness of a trial.
Reform: Driving regulatory reform and system innovation
Goal: To drive regulatory reform and system innovation to enable timely access to pediatric rare disease therapies in Canada. The network leads efforts to reduce regulatory barriers to pediatric rare disease clinical trial (PRDCT) development, conduct and treatment access by actively engaging with Health Canada and international partners.
Key Initiative 3.1: Regulatory pathways

Identify policy objectives designed to:
- Ensure Canada’s regulatory environment is competitive and aligned with contemporary international best practice
- Decrease barriers to the launch of drug and device clinical trials
- Increase access to life-saving and life-sustaining pediatric rare disease therapies
RareKids-CAN has developed and is executing a multi-faceted advocacy strategy to advance the implementation of a policy reform agenda designed to modernize Health Canada’s regulatory environment in the development and conduct of PRDCTs and facilitate timely access to pediatric rare disease treatments in Canada.
Key Initiative 3.2: Global engagement

The profound impact of rare diseases on affected children, adolescents, young adults, and their families cannot be overstated. Despite the complexity and rarity of these conditions, a unified international effort in PRDCTs and treatment holds immense potential to improve quality of life and clinical outcomes for these patient populations.
To enhance access to and increase the number of innovative PRDCTs coming to Canada, we will build on international collaborations established by MICYRN and RareKids-CAN. The network, together with the Canadian Rare Disease Network (CRDN), co-leads the Canadian National Mirror Group of the European Rare Diseases Research Alliance (ERDERA).
Key Initiative 3.3: Access pathways for therapies unfit for commercialization

Therapies unfit for commercialization are promising rare disease treatments for which a viable or sustainable traditional commercial pathway does not exist, due to factors such as very small patient populations, limited commercial incentives, intellectual property constraints, manufacturing complexity, or the need for academic or hospital-based development and delivery.
Advancing these therapies requires alternative approaches to regulation, manufacturing, evidence generation, reimbursement, and long-term delivery. RareKids-CAN is working to address these system-level barriers and support sustainable Canadian pathways for equitable access to appropriate therapies.