I don't mean to derail. The Federal "Right to Try" laws signed by Trump didn't do anything to reform the FDA. What it may do is lessen the FDA's ability to enforce. The last reform of the FDA, where the term "reform" means that the actual internal functions / processes of the FDA are changed, occurred under Obama and led to the Breakthrough Therapy Designation.
If any additional reform takes place under Biden's watch, it will be something along the lines of the Promising Pathway Act, that gives the FDA the ability to permit pharmaceutical companies the ability to treat patients with highly safe drugs in parallel to a Phase 3/pivotal trial. The reason I think this is because Biden, even as VP under Obama, was an advocate for providing / accelerating the development of advanced treatments for rapidly progressing / terminal diseases and cancers.
Parallel Pathway Act would certainly be favorable for those seeking to gain access to FX-322 as it "fits" the current indication outlined in the bill. However, FX-322 is probably far enough along that the Promising Pathway Act won't have any benefit.
TL;DR: Trump didn't reform the FDA. He "defanged" it with the pen by giving drug makers a shortcut.