The main issue is that ITER is built and designed using legacy superconductors. Recent developments, and they're ongoing are allowing the designs to be reengineered.
The new superconductors can work with a much higher magnetic flux. There was something about the efficiency of a reactor increasing with the fourth power of the magnetic flux (B^4). And as I said they're still making improvements to superconductors.
Another idea used is FLiBe salt as a coolant. One of the issues with Fusion reactors is that most metals can't withstand the neutron flux. Using a molten salt blanket solves that problem, along with the idea of changing out the insides periodically.
Nuclear Fusion isn't my thing so I may be off of the mark.