Reviving Deprioritized Assets FOR CHILDREN AND YOUNG ADULTS

Summary


On March 5, 2026, ACCELERATE brought together experts in New York City to tackle a longstanding and perplexing question: how can we get promising cancer medicines that were set aside by companies into clinical trials for children, adolescents, and young adults? Many of these “shelved” medicines already have safety or activity data in adults. The group’s goal was to design a practical path to revive or redirect these assets so young patients aren’t left waiting.


Participants from pharma and biotech, advocacy, academia, regulators, and innovative non-profit developers agreed on developing and piloting a turnkey approach for pharmaceutical and biotech companies and teams plus a clear intake/evaluation pathway to move deprioritized assets out of industry efficiently. The proposed framework includes a centralized service dedicated to identifying pharmaceutical compounds that show potential for treating childhood cancers, but whose development has been discontinued by the originating company. In addition, a neutral, not-for-profit hub would evaluate potential drugs, connect them with capable development partners. To increase awareness and encourage companies to transfer the program rather than put on the shelf, a public pledge by key leaders within industry, celebration of successful partnerships, and empowered pediatric champions would open a clear “external route” to transfer drugs that no longer fit adult programs. This turnkey transfer process could simplify legal and business steps and offer a lower cost opportunity for industry to demonstrate “Corporate Social Responsibility”.


To move quickly, four work packages were launched:


  1. A public pledge and value case, aiming for at least two pharma signers within six months;
  2. The hub and scouting model, with a pilot in three months and at least fifteen assets reviewed within a year;
  3. Policy and incentive mapping, including vouchers and tax credits; and
  4. Master legal templates to reduce contracting delays.


Progress updates are planned to coincide with ACCELRATE and other oncology conferences for June 2026 (Chicago), the ACCELERATE Pediatric Strategy Forum, (October 2026, Paris) and the ACCELERATE Annual Conference (February 2027; Brussels).


Working Group Overview


Full Title: Working Group 10 - Reviving Deprioritized Assets for Children and Young People

Status: New

Start Date: March, 2026

End Date: Ongoing

Executive leadership:

  • Nicole Scobie, ACCELERATE Chair
  • Elizabeth Fox, Vice-Chair 
  • Gilles Vassal, Scientific Committee Chair

Project Steering Committee:

  • Michele Cleary, Chief Executive Officer, Advancium Health Network 
  • Elizabeth Fox, Vice-Chair 
  • Jacobson
  • Brenda Weigel, Vice President of Clinical Research Administration at St. Jude Children’s Research Hospital


Carolyn Calhoun will be responsible for scheduling and AI assisted meeting summary provided to members within 3 business days of each meeting. Up to six members including stakeholders (pharma/biotech, advocacy, non-traditional model, academia) and subject matter experts to broaden perspectives will meet virtually on cadence necessary to achieve deliverables. Regulatory stakeholder may function as ad hoc subject matter experts (SME) to workgroups. Each workgroup will establish a leader who is responsible for facilitation of discussion, final review of meeting summaries, creation of meeting agenda and assignment of responsibilities within the  workgroup. Scheduling will be coordinated and AI assisted meeting summary provided to members within 3 business days of meeting by Brenda Adair.

Summary & Mission

  • Goal

    Build cross-sector networks and develop strategies to access de-prioritized innovative therapies and forge partnerships to bridge or revive  therapeutic assets for pediatric, adolescent, and young adult cancer.

  • Purpose & Outcome

    On 5 March 2026 (New York, NY), ACCELERATE convened multi sector experts to design a practical framework to rescue/reposition deprioritized (“shelved”) oncology assets for children, adolescents, and young adults. 


    The group aligned on scope:

    • Pediatric oncology therapies; 
    • Deprioritized assets with safety/activity data
    • Opportunities to strengthen preclinical packages.

    Working definitions:

    • Repositioning: redirect adult-developed asset to pediatric indication prior to program termination. 
    • Reviving/Rescuing: restart development after pharma/biotech termination of program.
    • Non-traditional model groups: organizations that champion drug development for childhood cancer outside of for-profit pharma/biotech or prioritize pediatric drug development (examples: Cobicure, LifeARc, Day One Pharmaceuticals, others).
    • De-risk: conducting elements of drug development to reduce financial, operational, or investment dangers or mitigate potential losses as tactics to support development or facilitate repositioning of drugs for children with cancer.
  • Agreed Direction

    After reviewing 4 options, the consensus favored a model combining:

    • A scouting function to identify assets prior to being fully deprioritized and provide central point of contact.
    • A neutral, not for profit hub to intake, evaluate, match to non traditional partners, and potentially in license assets aiming for cost neutrality for participating companies
    • A top down pledge plus internal champions inside companies to activate an external pathway for deprioritized assets.
    • A turnkey transfer mechanism that streamlines Business Development intake/out licensing.

  • Engagement & Incentives

    For large pharma, emphasize Corporate Social Responsibility /reputation, acknowledging the limitations of return on investment mindset in pediatric oncology drug development.  For biotech, leverage pediatric rare disease priority review vouchers program, tax credits, and revenue sharing to reduce risk. Address regional regulatory divergence, legal/confidentiality and contractual agreements.

  • Work Packages (WP)

    WP1: Public pledge / value proposition.

    • Workgroup 1 Nominees: Peter C Adamson, Vickie Buenger, David Jenkinson, Amy Rosenfeld +1-2 determined by working group.
    • Charge: Develop value proposition through assessment of Corporate Social Responsibility/foundation engagement within Pharma companies and draft a pledge for Pharma to publicly commit to reprioritization of de-prioritized assets. Investigate tax/financial incentives for donating/out-licensing shelved assets (biotech)
    • Goal: within 6 months have at least 2 pharma agreed to pledge.
    • Timeline: 3-4 meetings prior to June 1 , 2026 for scoping and development of pledge and determination of next steps including pilot and communication plan.

    WP2: Framework/model for asset transfer & development 

    • Workgroup 2 Nominees: (Michele Cleary,  Julia Glade Bender, Joe McDonough, Wendy Ross, Don Shaffer ) +1 determined by working group.
    • Charge: Propose an operating model/framework for hub functions for scouting, intake and evaluation of de-prioritized assets and describe the potential pathways to commercialization
    • Goal: within 3 months have proposal for pilot model, within 6 months have scouting function launched and within 1 year have at least 15 deprioritized assets being evaluated for transition to non-traditional model development program(s) and at least 2 viable candidates for  clinical trials in children.
    • Timeline: 3-4 meetings prior to June 1 , 2026, then TBD.

    WP3: Policy & incentives 

    • Charge: Summarize the role of current tax/other incentive( e.g.,. rare pediatric disease priority review vouchers) and existing regional policy pathways to inform and propose future policy initiatives.
    • Workgroup 3 Nominees: (Beth Boyer and Susan Weiner ) +  3-4 others determined by working group.
    • Timeline: to be launched in 3-4 months dependent, meeting cadence TBD.

    WP4: Master agreements 

    • Charge:  identify potential roadblocks in contracting and develop initial template language for confidentiality and contractual agreements including intellectual property, and  streamline sharing and reduce friction.
    • Workgroup 3 Nominees: SME among business, contracting legal communities
    • Timeline: To be launch in 3-4 months dependent on initial planning for WP2.
  • Key objectives

    • Verify acceptance of nominations for workgroups and willingness to share contact information (Fox, 1 week)
    • Develop a lay summary of workshop and post on the ACCELERATE Website (Fox, 1-2 weeks)  
    • Review the current asset vault for consideration of scouting function in WP2 (Fox, Weigel, Bakker, week 2-3).
    • Identify and invite missing stakeholders: CEOs, CSR leads, AI/tech experts, regulatory experts, investment/technology sector.(all work groups weeks 2-6)
    • Engage Business Development representatives to understand barriers/motivations for out-licensing to a central entity. (Borgman, week 2-4).
    • WP1 and WP2 define and document success criteria and metrics for their group (Workgroups 1 and 2, week 4)

  • Immediate Actions/Tasks (Weeks 1–6)

    Confirm workgroup nominations; post a lay workshop summary; review the asset vault to seed WP2 scouting; recruit missing stakeholders (CEO/CSR, AI/tech, regulatory, investment/tech); engage Business Development teams on out licensing motivators/barriers; and define success metrics for WP1/WP2.

  • Near-Term Deliverables & Timeline

    Based on workshop discussion, clarify end goal for rescue/repositioning (extent of development and desired outcomes) and propose a concrete definition of “success” for the initiative.


    Immediate Launch of WP1 and WP2 to inform WP3 and WP4, acknowledging that WP3 (policy) is longer term initiative.


    Timeline: Reconvene with progress in ~3–4 months, targeting readout at the upcoming ASCO meeting, then October (Pediatric Strategy Forum) and February 2027 Annual Conference.

  • Full member list

    • Nicole Scobie, ACCELERATE Chair
    • Elizabeth Fox, Vice-Chair 
    • Gilles Vassal, Scientific Committee Chair
    • Michele Cleary, Chief Executive Officer, Advancium Health Network 
    • Jacobson
    • Brenda Weigel, Vice President of Clinical Research Administration at St. Jude Children’s Research Hospital
    • Carolyn Calhoun 

    WP1 Nominees (Public Pledge / Value Proposition): Peter C. Adamson, Vickie Buenger, David Jenkinson, Amy Rosenfeld (+1-2 TBD)

    WP2 Nominees (Framework/Model for Asset Transfer): Michele Cleary, Julia Glade Bender, Joe McDonough, Wendy Ross, Don Shaffer (+1 TBD)

    WP3 Nominees (Policy & Incentives): Beth Boyer, Susan Weiner (+3-4 TBD)

    WP4 Nominees (Master Agreements): SMEs from business/contracting/legal communities (not named yet)

  • External collaborations

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