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The MyCARE Foundation is bringing together patients, caregivers, clinicians, researchers, industry partners and regulators on Tuesday, April 14, 2026 for a dedicated session on central nervous system (CNS) dissemination of Coccidioides (Cocci meningitis). As noted on FightFungus.org, while many infections of Cocci may resolve, the disseminated/CNS form is a high-impact condition with serious outcomes and long-term care needs.
This meeting presents a unique opportunity for the Cocci meningitis community to share lived experience, surface unmet needs, and shape the future of treatment development, diagnostics, and support pathways. The outcomes will feed into a “Voice of the Patient/Caregiver” summary and be shared with developers and regulatory bodies.

The journey of CNS Cocci is often hidden, under-recognized, and highly variable. As described on FightFungus.org, many patients live with long-term sequelae and need frequent follow-up, yet there are limited data and few treatments formally approved.
By sharing your story, you help ensure that the patient voice becomes a central pillar in therapy development and regulatory evaluation—not just an afterthought.

An EL-PFDD meeting is a unique opportunity that puts patients, their families, and other direct caregivers at the center of drug development conversations. The goal of this meeting is to provide the U.S. Food and Drug Administration (FDA), product developers, clinicians, and academic researchers an opportunity to hear perspectives from individuals with Cocci meningitis on the health effects and daily impacts of their Cocci meningitis, treatment goals, and decision factors considered when seeking out or selecting a treatment.
This meeting is being conducted as a parallel effort to FDA’s PFDD initiative to more systematically gather patients’ perspectives on their conditions and available therapies to treat their conditions. Your input can help the FDA, medical product developers, clinicians, and academic researchers make better informed decisions during drug development and during review of marketing applications for potential treatments, shaping decisions that affect the entire coccidioidomycosis community.

We encourage participation from:
We encourage attendance in listening mode from:

8:00 AM: Welcome
8:05 AM: Opening Remarks
8:10 AM: Clinical Overview and Background on Cocci Meningitis
8:20 AM: Overview of Discussion Format
Topic 1: Health Effects and Daily Impacts of Cocci Meningitis
8:25 AM: Panel Discussion
8:50 AM: Large-Group Facilitated Discussion
9:50 AM: Break
Topic 2: Current Approaches to Treatment of Cocci Meningitis
10:10 AM: Overview and Background on Current Gaps
10:20 AM: Panel Discussion
10:45 AM: Large-Group Facilitated Discussion
11:45 AM Meeting Summary
11:55 AM: Closing Remarks
Noon: Adjourn
Q 1: What is an Externally-Led Patient-Focused Drug Development (EL-PFDD) type meeting?
A: This is a patient-centered forum — hosted by MyCARE, not the regulator — where patients, caregivers, and advocates share their lived experience directly with researchers, clinicians, developers, and regulatory attendees. The aim is to highlight what truly matters in daily life and how new treatments, diagnostics, or care models should reflect the priorities of the community.
Q 2: Why focus on CNS Cocci?
A: While pulmonary Cocci is more common, dissemination to the CNS (often resulting in meningitis, hydrocephalus, and the need for prolonged antifungal therapy) poses a high burden of disease, long duration of care, and significant unmet needs. Highlighting this subgroup is critical to elevating understanding and driving innovation.
Q 3: Who can submit a “story” and what does that mean?
A: Any person with a lived experience of CNS Cocci (patient or caregiver) may submit a short video or speak live. We’ll provide prompts and orientation to assist you. The focus is on sharing what living with this condition is really like: best days, worst days, what matters most to you, and how care/treatments could improve.
Q 4: I am not comfortable speaking out loud — can I still attend?
A: Absolutely. You’re welcome to attend virtually, participate in polls during the event, and submit stories or written comments. Your participation strengthens the collective voice.
Q 5: Will the regulator (U.S. Food and Drug Administration) be present?
A: Yes—it is expected that FDA staff will attend in a listening role. Their attendance does not imply endorsement, but your story can help inform regulatory thinking and product‐development planning.
Q 6: Will this meeting lead to a publication or report?
A: Yes. A “Voice of the Patient/Caregiver Report” will be prepared as a summary of the meeting and distributed broadly. It will be publicly accessible and intended as a resource for developers, regulators, and the community.
Q 7: Do I need to travel or is it virtual?
A: The full meeting is available virtually.
Q 8: Is translation or closed-captioning available?
A: Live captioning will be provided; translation depends on demand. Please indicate your needs on the registration form.
Q 9: How will my personal data/story be used?
A: You will be asked to provide consent. Your identity will be protected unless you explicitly choose to be identified. The report will aggregate themes and anonymize individual submissions unless otherwise agreed.
Q 10: What happens after the meeting?
A: Beyond the report, MyCARE will continue to engage the community, disseminate findings, liaise with FDA/industry, and foster research/advocacy collaborations. Your input helps shape the next phase of care improvement.
The Mycology Advocacy, Research & Education (MyCARE) Foundation is the first pan-fungal patient-advocacy organization, dedicated to giving a voice to patients with serious fungal infections and their caregivers.