The US Food and Drug Administration (FDA) has approved Casgevy (exagamglogene autotemcel) for the treatment of patients aged 12 years and older with sickle cell disease (SCD) and recurrent vaso-occlusive crises. Casgevy is the first FDA-approved CRISPR/Cas9 genome-edited cell therapy, offering a one-time treatment approach for eligible patients with sickle cell disease.
Mechanism of Action Casgevy is an autologous CD34+ hematopoietic stem cell therapy modified using CRISPR/Cas9 technology. It works by editing the BCL11A gene enhancer to increase fetal hemoglobin (HbF) production, which helps: Reduce red blood cell sickling Improve oxygen delivery Reduce vaso-occlusive complications Clinical Evidence Supporting Approval Key findings from clinical studies included: Reduction in severe vaso-occlusive crises Sustained increase in fetal hemoglobin levels Durable response following…