
Bambi Grilley
President-Elect, ISCT
Bambi Grilley is President-Elect of the International Society for Cell and Gene Therapy (ISCT) and its former Chief Regulatory Officer. She entered oncology in 1986 and moved into research when it became clear that chemotherapy alone would not get patients where they needed to go, joining the Center for Cell and Gene Therapy in 1999. Nearly three decades later, she has become one of the field’s most direct voices on why access, not science, is now the binding constraint on cell and gene therapy.
Grilley works on the IND side of the field, the translation from laboratory to clinic, and holds the RPh, RAC, CIP, CRC, and CCRP credentials across pharmacy, regulatory affairs, and clinical research. Her argument is that regulatory approval is the beginning of the fight for patient access, not the end. Approved cell and gene therapies routinely stall on the way to patients because of reimbursement decisions, manufacturing scale, and the readiness of the hospitals meant to deliver them. If the field cannot solve access, she warns, the products are not viable.
Grilley appeared on Open Door Salon alongside Jaap Jan Boelens, Chief Medical Officer of ISCT, for a conversation with host Lori Ellis on why patients walk away from cures they qualify for. She walked through the reimbursement float that can leave a hospital waiting a year to be paid for a million-dollar therapy, the desperation economy that sends families abroad for unproven stem cell treatments, and what FDA turnover has and has not changed for cell and gene therapy submissions.
Frequently Asked Questions About Bambi Grilley
Who is Bambi Grilley?
Bambi Grilley is President-Elect of the International Society for Cell and Gene Therapy (ISCT) and its former Chief Regulatory Officer. She entered oncology in 1986 and moved into research when it became clear that chemotherapy alone would not get patients where they needed to go. She joined the Center for Cell and Gene Therapy in 1999 and has worked in the field for nearly three decades.
What does Bambi Grilley do at ISCT?
Bambi Grilley serves as President-Elect of the International Society for Cell and Gene Therapy, and previously held the role of Chief Regulatory Officer there. Her work centers on the regulatory side of cell and gene therapy, including IND submissions and the translation of a therapy from laboratory to clinic.
What is Bambi Grilley’s regulatory background?
Bambi Grilley holds the RPh, RAC, CIP, CRC, and CCRP credentials across pharmacy, regulatory affairs, and clinical research, and she served as Chief Regulatory Officer of the International Society for Cell and Gene Therapy. She entered oncology in 1986, joined the Center for Cell and Gene Therapy in 1999, and works on the IND side of the field, the translation from laboratory to clinic.
What does Bambi Grilley argue about patient access?
Bambi Grilley holds that regulatory approval marks the start of the fight to get a therapy to the patients who qualify for it. Approved cell and gene therapies routinely stall on the way to those patients because of reimbursement decisions, manufacturing scale, and the readiness of the hospitals meant to deliver them. On Open Door Salon she said: “We have multiple examples in the cell and gene therapy space of products that received regulatory approvals but never became available to patients.”
What does Bambi Grilley say about reimbursement?
Bambi Grilley describes a reimbursement float that can leave a hospital waiting a year to be paid for a million-dollar therapy. She has also pointed to a desperation economy that sends families abroad for unproven stem cell treatments. Her position, stated on Open Door Salon: “This is really an existential threat to cell and gene therapy, because if we can't solve this, these products are not viable.”
On Open Door Salon
“Why Patients Walk Away From a Cure They Qualify For”
Bambi Grilley & Jaap Jan Boelens · July 15, 2026
Episode page & show notes on Open Door Salon
In this episode
- Why regulatory approval is the beginning, not the end
- The reimbursement float and a million-dollar wait
- Why patients walk away from a cure they qualify for
- Speed versus safety, and whose risk it is
- The desperation economy of unproven stem cells
- FDA turnover: bumpy, not broken
- The Jesse Gelsinger case
Topics
Watch on Open Door Salon
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