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Why Europe Risks Losing the Next Wave of Advanced Therapies

Europe still produces world-class science in cell and gene therapy.

The region is home to more than 250 active ATMP clinical trials, leading academic research centres, and some of the industry’s most important translational hubs. But while Europe continues to generate innovation, it is increasingly struggling to commercialise and scale it at the pace of the US and China.

That gap is becoming harder to ignore.

19 May 2026
| Phacilitate
Why Europe Risks Losing the Next Wave of Advanced Therapies

China is accelerating early-stage development through faster clinical approvals and more flexible trial infrastructure through implementation of Investigator-Initiated Trials (IITs). The US continues to dominate capital, manufacturing scale, and commercial launches. Meanwhile, European developers are increasingly taking early-stage trials outside the region to access faster timelines, quicker data, and earlier investment opportunities, according to reporting from Fierce Biotech

Europe’s challenge in 2026 is no longer scientific innovation. It’s execution.

  • Europe Cannot Move at Global Speed

Europe’s approval and trial infrastructure is struggling to keep pace with global competitors.

China recently proposed cutting novel drug clinical trial review timelines from 60 working days to 30. (Fierce Biotech) At the same time, more European biotechs are running Phase I programmes outside Europe to generate faster clinical data and unlock investment sooner.

EMA leadership has also warned that Europe is reaching a “critical point” on access to innovative medicines as global competition intensifies. Drug launches across Europe have reportedly fallen by more than a third in recent years.

For developers, slower timelines now directly impact:

  • Funding velocity

  • Trial scalability

  • Partnership opportunities

  • Commercial competitiveness

Europe risks becoming the market where therapies are validated, rather than where they are first built and scaled.

So what needs to change? 

Europe needs faster approvals, faster trial activation, and more coordinated clinical infrastructure.

If Europe wants to remain competitive, reducing regulatory friction and improving trial execution can no longer be long-term ambitions. They need to become immediate operational priorities.

5 key sessions at Advanced Therapies Europe 2026 addressing this market challenge: 

View the full 2026 Agenda
 

  • Europe Is Still Operating Like 27 Separate Markets

Advanced therapies require coordinated regulation, reimbursement, manufacturing, and delivery infrastructure. Europe still operates largely country-by-country.

Developers continue to face fragmented reimbursement systems, differing evidence expectations, and uneven hospital readiness across member states. Industry groups have warned that companies are still navigating “27 separate access and reimbursement processes” for innovative medicines, as highlighted by The Parliament Magazine

The result:

  • Slower patient access

  • More complex launches

  • Higher operational cost

  • Reduced commercial predictability

For a sector dependent on scale and coordination, fragmentation is now a competitive disadvantage.

So what needs to change? 

Europe needs more aligned regulation, reimbursement, and delivery infrastructure. 

If Europe wants therapies to reach patients faster, the ecosystem needs to operate with far greater coordination across borders.

Key sessions addressing this challenge include:

View the full 2026 Agenda
 

  • Europe Still Thinks Like a Research Ecosystem

The market has shifted from scientific discovery to commercial execution. 

Investors are increasingly prioritising:

  • Manufacturing scalability

  • Cost-of-goods reduction

  • Automation

  • Reimbursement readiness

  • Capital efficiency

China’s biotech licensing market reached a record $137.7 billion last year, reflecting growing confidence in its ability to commercialise innovation quickly, according to Reuters

Europe still produces exceptional science. But parts of the ecosystem remain optimised for research rather than industrial-scale delivery.

So what needs to change? 

Europe needs to build therapies for commercial reality, not just scientific success.

That means solving manufacturing economics earlier, designing with reimbursement in mind, improving operational scalability, and building companies that investors believe can survive beyond clinical proof-of-concept.

Key sessions addressing this challenge include:

View the full 2026 Agenda
 

Europe still has the science, talent, and innovation to lead the next era of advanced therapies. But leadership will increasingly be defined by execution, not potential.

That's why Advanced Therapies Europe exists.

The meeting’s mission is to help Europe move faster, collaborate better, and compete more effectively on the global stage by bringing together the biotech, pharma, investor, regulatory, manufacturing, and healthcare leaders shaping the future of advanced therapies.

Taking place 7–9 September 2026 at the InterContinental Barcelona, Advanced Therapies Europe 2026’s agenda has been built around the industry’s most urgent operational and commercial challenges, from regulatory harmonisation and clinical trial acceleration to manufacturing scalability, patient access, investment strategy, and commercial readiness.

The full 2026 agenda is now live, and applications to attend are officially open.

See ticket information and apply to attend here.

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