The FDA has approved Casgevy and Lyfgenia, representing the first cell-based gene therapies for sickle cell disease in patients 12 years and older.
Both products are made from the patient's blood stem cells, which are modified and given back as a one-time, single-dose infusion as part of a hematopoietic (blood) stem cell transplant.
Before treatment, a patient's stem cells are collected. Then, the patient must undergo myeloablative conditioning (high-dose chemotherapy) to remove cells from the bone marrow and replace them with the modified cells.
The FDA is also reviewing exa-cel for transfusion-dependent beta-thalassemia (TDT) with a PDUFA date of March 30, 2024.
Sickle cell disease is a group of inherited blood disorders affecting approximately 100,000 people in the U.S.
Hematologic malignancy (blood cancer) occurred in patients treated with Lyfgenia. A black box warning is included in the label for Lyfgenia.
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