1. An evaluation of exagamglogene autotemcel for the treatment of sickle cell disease and transfusion-dependent beta-thalassaemia.
- Author
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Handgretinger R and Mezger M
- Subjects
- Humans, CRISPR-Cas Systems, Hematopoietic Stem Cell Transplantation, Child, Blood Transfusion, Adolescent, Adult, Young Adult, Fetal Hemoglobin genetics, beta-Thalassemia therapy, beta-Thalassemia genetics, Anemia, Sickle Cell therapy, Anemia, Sickle Cell genetics, Genetic Therapy adverse effects
- Abstract
Introduction: Sickle cell disease is the most common hereditary hemoglobinopathy followed by beta-thalassemia. Until recently, allogeneic stem cell transplantation was the only curative approach. Based on the Crispr-Cas9-technology enabling targeting specific genes of interest, fetal hemoglobin which is normally shut-off after birth can be switched on and sufficient levels can alleviate symptoms in sickle cell disease and avoid transfusions in beta-thalassemia. Two first-in-human clinical studies in sickle cell disease and beta-thalassemia aiming to increase the level of fetal hemoglobin by using Crispr-Cas9 to modify autologous hematopoietic stem cells in patients aged 12-35 years have proved safety and efficacy and have shown promising clinical outcomes., Areas Covered: The paper summarizes the outcome of the results of the two recently published clinical studies and compares them with the other available curative approaches., Expert Opinion: Based on the currently available safety and efficacy data of the two published clinical results on gene therapy with Crispr-Cas9 modified autologous stem cells (exagamglogene autotemcel), it can be anticipated that this approach will add significantly to the therapeutic options for patients with sickle cell disease and beta-thalassemia and can be considered for all patients above 12 years of age independent of a suitable allogeneic stem cell donor.
- Published
- 2024
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