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MECHANISM-BASED RARE DISEASE COLLABORATION

Working together to unlock the potential of ROCK inhibitors for rare genetic disorders.

Rare genetic disorders are often developed one gene at a time, even when several disorders converge on the same druggable pathway. OPHN1 Foundation is organizing a collaborative effort to determine which disorders involve therapeutically relevant RhoA–ROCK dysregulation and whether shared testing, safety and regulatory infrastructure can accelerate responsible access to ROCK inhibitors.

The RhoA–ROCK–actin pathway

Upstream
signals
RhoA
ROCK
ROCK1/2
Actin
dynamics
Neuronal
function
ROCK inhibitors (including fasudil)

This diagram is intentionally simplified. Whether ROCK inhibition is appropriate depends on the direction, strength, and biological context of pathway dysregulation in each disorder.

WHY COLLABORATE?

One pathway. Shared infrastructure. Greater leverage.

Shared biology

Identify disorders with evidence of therapeutically relevant RhoA–ROCK dysregulation.

Stronger science

Pool expertise, disease models, assays, and data while reducing duplication.

Better safety path

Build shared pediatric safety, pharmacology, and biomarker strategies.

Regulatory efficiency

Explore common protocols, data standards, and responsible access pathways.

Greater impact

Give small organizations a stronger collective voice with researchers, funders, and industry.

OUR APPROACH

From pathway hypothesis to responsible development

1

Identify disorders

Assess gene function, pathway direction, and disease-specific rationale.

2

Generate evidence

Prioritize models, target-engagement assays, and translational biomarkers.

3

Build shared infrastructure

Develop reusable safety, outcomes, data, and governance frameworks.

4

Pursue access and trials

Evaluate expanded access, early-phase studies, and other regulatory routes.

5

Improve lives

Accelerate careful testing of treatments for the people most likely to benefit.

Who can participate?

Patient organizations

Contribute disease knowledge, family priorities, registries, and scientific relationships.

For organizations →

Researchers and clinicians

Help evaluate pathway evidence, models, biomarkers, safety, and study design.

For researchers →

Industry and partners

Support drug supply, development strategy, data access, funding, and scalable infrastructure.

Partner with us →

FOUNDING WORKING GROUP

Help build a faster, smarter, and more collaborative path to treatment.

Join the collaborative