Tawni Koutchesfahani
Tawni Koutchesfahani/LinkedIn

Tawni Koutchesfahani: What 2026 Holds for Cell and Gene Therapy with Insights from 2025

Tawni Koutchesfahani, Vice President, General Manager at Minaris Advanced Therapies, shared a post on LinkedIn:

“As we closed out 2025, let’s celebrate what our field accomplished, and getting real about what 2026 needs to bring.

2025 highs:

  1. CAR-T kept advancing: Breyanzi now approved for 5 cancer types, which is the the most of any CD19 CAR-T.
  2. MSK’s stem cell therapy for Parkinson’s showed genuine promise in Phase 1. Dopamine-producing neurons transplanted into the brain with no serious side effects after 18 months.
  3. First-ever therapy for MacTel (Encelto) allogeneic encapsulated cell therapy.

2025 reality checks:

  1. Novo Nordisk shut down their entire cell therapy unit (three programs (Type 1 diabetes, Parkinson’s, heart failure) all discontinued. When a $300B pharma can’t make the unit economics work, it’s a signal the industry needs to hear.
  2. 8 of 28 EMA-approved cell/gene therapies are now unavailable pulled from market because the business models didn’t hold. Great science doesn’t automatically equal sustainable commercialization.

My predictions for 2026:

  1. Manufacturing becomes the ultimate competitive advantage. The companies that master scalable, cost-effective production will define the next decade.
  2. Allogeneic will have its breakthrough year. Autologous therapies are transformative, and expensive. 2026 is when off-the-shelf therapies prove they can compete on both efficacy and economics. The NK cell space is where you should be watching closely.
  3. CDMO innovation will accelerate. Innovators with their CDMOs need to start with outcomes-based contracts, risk-sharing agreements, installment models as the traditional MSA payment structure might be old ways.
  4. Oh, and the players who crack sustainable reimbursement models will own the landscape.

I’ve spent 20 years in this industry watching manufacturing evolve from the overlooked function to the most mission-critical capability in biotech. 2026 feels like an inflection point.

If you’re tackling the hard problems where you need manufacturing excellence, commercial scale-up, and operational transformation in cell/gene therapy, Minaris Advanced Therapies Philadelphia is your partner.

Here’s to a 2026 where we deliver more, reach more patients, and prove that transformative medicine can also be sustainable business.

Happy New Year!”