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Human-Made Miracles, Large and Small

These advances reflect the medical breakthroughs made possible through sustained commitment to the scientific method. Together, they illustrate what choosing science enables, and what is at risk if we don’t.


Send your submissions to miracles@flagshippioneering.com so that we may add them to the list.


For more, read Noubar Afeyan's 2026 Annual Letter: Choosing Science

"These miracles are made. They don’t just happen — they are a matter of choice."
Noubar Afeyan, Ä¢¹½ÊÓÆµAPP Founder & CEO 2026 Annual Letter

A patient-specific CRISPR gene-editing therapy

A team at the Children’s Hospital of Philadelphia and Penn Medicine designed, tested, and delivered a for a rare metabolic disease, demonstrating that personalized genetic medicine can move from diagnosis to life-saving treatment at the speed of a crisis.

An FDA-approved therapy targeting the mitochondria

Stealth BioTherapeutics’ elamipretide received accelerated FDA approval as a an organelle long considered inaccessible to therapeutic intervention. Because mitochondria regulate core cellular functions, from energy production to metabolism and cell survival, this breakthrough suggests that one of biology’s most fundamental control centers may now be within therapeutic reach.

Positive data from a disease-modifying therapy for narcolepsy

In late-stage clinical trials, Takeda’s oveporexton , addressing the biological root cause of narcolepsy. Intervening at this control point signals the potential to shift away from symptom management for those living with this chronic neurological condition.

The first FDA-approved medicine for bronchiectasis

For decades, people living with bronchiectasis had no approved medicines to slow the progression of their disease. Insmed changed that with the approval of brensocatib, the , marking a shift from supportive care to disease modification.

A gene-based alternative replaces the scalpel

For patients with recurrent respiratory papillomatosis, treatment has meant frequent surgeries to remove benign tumors caused by the infection. Precigen’s Papzimeos suggests that these that retrains the immune system, changing what it means to live with this disease.

Disease-targeted therapies for IgA nephropathy

and advanced the first therapies designed to intervene in the specific immune and signaling pathways that drive IgA nephropathy, a leading cause of progressive kidney failure. By demonstrating that distinct biological mechanisms in IgA nephropathy can be selectively targeted, these advances reframe a nonspecific disease as one with identifiable, actionable drivers.

Human proof-of-concept for sustained impact of individualized cancer immunotherapy

, developed by Moderna in partnership with Merck, show that individualized neoantigen therapies (INT), when combined with checkpoint inhibition, can substantially reduce cancer recurrence in melanoma and lung cancer.

Extended local delivery of cancer medicine into the bladder

Johnson & Johnson’s Inlexzo received FDA approval as a therapy to , offering patients a potential surgery-free option. The therapy traces its origins to Taris Biomedical, which was developed in partnership with Ä¢¹½ÊÓÆµAPP to rethink how drugs could be delivered to difficult-to-treat organs.

New ways to treat multiple myeloma

Cancer treatment is moving toward deeper biological control. Regeneron’s Lynozyfic, an , redirects a patient’s own immune cells to attack multiple myeloma without the delays and complexity of personalized cell therapies. Bristol Myers Squibb’s investigational medicine iberdomide in multiple myeloma, signaling the clinical maturation of targeted protein degradation as a way to eliminate disease-driving proteins rather than inhibit them.

Data supporting direct inhibition of RAS-driven cancers

For decades, oncogenic RAS mutations have driven some of the deadliest cancers while remaining beyond the reach of medicine. Revolution Medicines has that directly inhibit disease-driving RAS signaling, opening new treatment possibilities for cancers such as pancreatic and lung cancer.

Clinical proof in asthma for an AI-designed antibody

Flagship-founded Generate:Biomedicines designed and optimized a therapeutically viable antibody using AI algorithms, signaling a new mode of biologics invention. In severe asthma, , potentially allowing patients to manage a chronic condition with as few as two doses per year.

A new class of non-opioid painkiller

Vertex Pharmaceuticals introduced the first new class of pain medicine in more than two decades with Journavx (VX-548), . By offering effective pain relief without acting on opioid receptors, the drug demonstrates a viable path toward reducing reliance on drugs that can lead to addiction.

Transformative HIV prevention

Gilead Sciences’ lenacapavir can , addressing one of the most persistent barriers in global HIV prevention: sustained adherence. By pairing powerful antiviral biology with durability, the medicine shows how prevention strategies can be designed for a global scale.

Clinical proof for an oral PCSK9 inhibitor

For patients who need substantial LDL cholesterol reduction, the most effective therapies have required injections, limiting how widely they can be used in routine care. In Phase 3 trials, Merck’s investigational oral PCSK9 inhibitor enlicitide

Gene-edited pig kidneys enter human clinical trials

marks a turning point for xenotransplantation, moving the field from proof-of-concept science into clinical reality. By showing that organs engineered across species lines can be tested as viable transplants, this advance opened a path toward an abundant, reliable organ supply.

The broad impact of GLP-1 medicines

Decades of metabolic research culminated in GLP-1–based medicines from Novo Nordisk and Eli Lilly that treat obesity through underlying biology. As these therapies reach population scale, are extending beyond weight loss, including improvements in cardiovascular, metabolic, and kidney disease.

Two new antibiotics overcome resistance pathways

New oral antibiotics from and demonstrate that novel mechanisms of action can successfully treat infections where existing therapies have steadily lost effectiveness. Together, they show that antibiotic resistance can be overcome with innovative approaches.

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