Prognosis

Some Patients’ Best Hope for a Cure Is to Develop It Themselves

Ultra-rare diseases aren’t profitable for drug makers, so many sufferers go it alone

Helen Evangelista and  her son Matthew at St. Mary's Children's Hospital in New York, on Aug. 13.

Photographer: Christopher Occhicone/Bloomberg
Lock
This article is for subscribers only.

It was a life-or-death situation for young Matthew Evangelista. His mother, Helen, had nowhere to turn.

Doctors couldn’t help. Matthew was born with a disease that affects only 200 people in the world, and there was no treatment. With such a small number of patients, pharmaceutical companies saw no profit in developing a drug therapy to fight it.