FDA advisers see no roadblocks for gene-editing treatment for sickle cell disease

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FDA advisers see no roadblocks for gene-editing treatment for sickle cell disease
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Advisers to the Food and Drug Administration meeting Tuesday paved the way for the first treatment of human disease using the gene-editing technique CRISPR. The agency has a December deadline.

"It's really life-changing," says Victoria Gray, when describing the gene-editing treatment for sickle cell disease that she received as part of a clinical trial in 2019.The Food and Drug Administration appears poised to approve the first medical therapy that uses gene-editing to treat a disease.

The treatment worked in 29 of 30 patients followed for at least 18 months, and doesn't appear to cause any serious short-term safety concerns, the company reported. "I believe if you say. 'Yes,' to this treatment that it's going to change the lives positively of many people who are suffering from diseases and disorders who now feel hopeless," Gray said."Once it comes, they can feel hope again, just like I did."

For the treatment, doctors remove cells from each patient's bone marrow, edit a gene with CRISPR and then infuse billions of the modified cells back into patients. The edited cells produce a form of hemoglobin known as fetal hemoglobin, restoring normal red blood cell function. While not a cure for the disease, the hope is exa-cel will be a one-time treatment that will alleviate symptoms for a lifetime.

Many of the countries where most sickle cells patients live don't have enough sophisticated medical centers to provide the complicated treatment, Creary notes.

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