02/02/2024

The FDA Approved The First CRISPR-Based Therapy. What’s Next?

17:26 minutes

A few pale purple blood cells against a white background. One of the cells is elongated with a curved edge, otherwise known as a "sickle" shape.
Red blood cells viewed through a microscope. The arrow points to a cell with the sickle-shaped malformation indicative of sickle cell disease, which is caused by a genetic abnormality. Credit: CDC/Dr. F. Gilbert

Last month the FDA approved a new treatment for sickle cell disease, the first medical therapy to use CRISPR gene editing technology. It works by identifying the gene or genes causing the disorder, modifying those genes and then returning them to the patient’s body.

There are now two gene therapies offered by pharmaceutical companies for sickle cell disease: Casgevy from Vertex Pharmaceuticals and CRISPR Therapeutics, and Lyfgenia from BlueBird Bio. But prices for these one-time treatments are steep: Casgevy costs $2.2 million per patient and Lyfgenia $3.1 million.

Both promise a full cure, which would be life-changing for patients with this debilitating condition. Over 100,000 Americans, mostly of African descent, have sickle cell disease.

This milestone raises more questions: What will be the next disease that CRISPR can help cure? And is it possible to reduce the costs of gene therapy treatments?

Ira talks with Dr. Fyodor Urnov, professor of molecular and cell biology and scientific director of technology and translation at the Innovative Genomics Institute, based at the University of California, Berkeley, about the future of CRISPR-based cures.

Conflict of Interest Disclosure: Dr. Fyodor Urnov is scientific co-founder, paid advisor, and holds equity in Tune Therapeutics. He is also a paid advisor for Ionis Pharmaceuticals and a paid advisor for Vertex Pharmaceuticals exa-cel program.


Further Reading

Segment Guests

Fyodor Urnov

Fyodor Urnov is a professor in the Department of Molecular & Cell Biology and director of the Innovative Genomics Institute at the University of California, Berkeley in Berkeley, California.

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