Vertex Pharmaceuticals’ gene therapy Casgevy (exagamglogene autotemcel) has shown sustained benefits in patients with sickle cell disease (SCD) and transfusion-dependent beta-thalassemia (TDT) across three Phase III trials.
All 45 SCD patients achieved at least 12 consecutive months without hospital visits, averaging 36.1 months, and 95.6% remained free from vaso-occlusive crises for a year. Among 55 TDT patients, 98.2% achieved transfusion independence for at least 12 months, with a mean haemoglobin of ≥9g/dL.
The treatment’s safety profile remains consistent with conditioning using busulfan and stem cell transplant.
Dr. Kevin Kuo (University of Toronto) praised the long-term results as a milestone for patients with limited treatment options.
Casgevy, the first approved CRISPR/Cas9 therapy, is authorised in several countries, including the U.S., UK, and UAE, though Canada is still reviewing it due to cost concerns.
10-07-2025