CRISPR-based Casgevy is made accessible in England following NICE guidance - Pharmaceutical Technology (2024)

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The gene editing therapy will now be accessible to NHS England patients with beta-thalassemia, potentially replacing lifelong transfusions.

Frankie Fattorini August 8, 2024

CRISPR-based Casgevy is made accessible in England following NICE guidance - Pharmaceutical Technology (1)
CRISPR-based Casgevy is made accessible in England following NICE guidance - Pharmaceutical Technology (2)

Following positive guidance issued by the National Institute for Health and Care Excellence (NICE), the CRISPR-based gene therapy Casgevy has been made available to patients with transfusion-dependent beta thalassemia (TDT) in England.

Today (8 August), NICE released their final draft guidance recommending Casgevy coverage via the NHS. Casgevy was developed by Vertex Pharmaceuticals and CRISPR Therapeutics. The recommendation concerns patients aged 12 and older with severe beta-thalassemia needing blood transfusion, for whom blood and bone marrow transplant is suitable, but no matching donor is available.

Consequently, Vertex announced a reimbursem*nt agreement with NHS England making the treatment available beginning today. Casgevy will be accessible through the Innovative Medicines Fund for up to 460 eligible patients, as per NICE.

The NICE decision came after an independent committee heard statements on how TDT impacts the lives of patients. TDT is a life-threatening inherited disease in which genetic mutation reduces or prevents production of healthy red blood cells and haemoglobin.

The condition often manifests as intense fatigue; infants may suffer delayed development, misshapen bones, and enlarged organs. Treatment involves lifelong blood transfusions and iron chelation therapy.

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Stem cell transplant is a potentially curative option, but is limited by matched donor scarcity. This is especially true for people of South Asian ethnicity who are disproportionally affected and for whom matching donors are particularly rare, according to Dr. Diana Hernandez, a group leader at the medical nonprofit Anthony Nolan.

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Hernandez added that Casgevy also has potential against sickle cell disease – “Sickle cell largely affects patients from African and African-Caribbean backgrounds, who are less likely to have a matching stem cell donor, and this community has been waiting years for a new, effective treatment.”

The Medicines and Healthcare products Regulatory Agency (MHRA) granted Casgevy the world-wide first authorisation for a CRISPR-based therapy in November 2023. The approval was for both TDT and sickle cell disease. At a list price of £1.65mn (~$2mn) per course, this reimbursem*nt agreement has significantly increased availability for patients in England.

Casgevy is a one-time therapy in which a patient’s haematopoietic stem cells are removed and edited through clustered regularly interspaced short palindromic repeats (CRISPR) technology that uses the Cas9 enzyme at the BCL11A gene. Modified cells are transfused into the patient, increasing foetal haemoglobin production in red blood cells without the risk of rejection.

Vertex is also working with reimbursem*nt authorities in the EU to make their therapy available to TDT and SCD patients, as has been done in the US, Saudi Arabia, and Bahrain. The company is poised to compete with bluebird Bio’s CRISPR-based SCD therapy Lyfgenia (lovotibeglogene autotemcel).

Cell & Gene Therapy coverage on Pharmaceutical Technology is supported byCytiva.

Editorialcontent is independently produced and follows thehigheststandardsof journalistic integrity. Topic sponsors are not involved in the creation ofeditorialcontent.

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CRISPR-based Casgevy is made accessible in England following NICE guidance - Pharmaceutical Technology (2024)

FAQs

What is the Crispr technology in the UK? ›

Better known as CRISPR, this technique allows scientists to modify and change the genetic makeup of cells, possessing far-reaching potential to treat genetic disease and enhance human health. CRISPR is quite literally changing the world around you – and Manchester is leading the way.

What is the world's first CRISPR Cas9 gene editing therapy given conditionally approved in the UK for two blood disorders? ›

Vertex and CRISPR Therapeutics Announce Authorization of the First CRISPR/Cas9 Gene-Edited Therapy, CASGEVY (exagamglogene autotemcel), by the United Kingdom MHRA for the Treatment of Sickle Cell Disease and Transfusion-Dependent Beta Thalassemia.

Is the UK the first country to approve a CRISPR disease treatment? ›

In a world first, the UK medicines regulator has approved a therapy that uses CRISPR gene editing as a treatment for diseases. The decision marks another high point for a biotechnology that has regularly been lauded as revolutionary in the decade since its discovery.

What company has the best Crispr technology? ›

CRISPR screening enables companies to discover which genes perform specific functions, which can be important in developing drugs.
  1. 5 best CRISPR stocks to buy. Not every investor will want to buy CRISPR gene-editing stocks. ...
  2. Beam Therapeutics. ...
  3. CRISPR Therapeutics. ...
  4. Editas Medicine. ...
  5. Intellia Therapeutics. ...
  6. Verve Therapeutics.

How expensive is Casgevy? ›

According to the American Academy of Family Physicians, the list price of Casgevy, the first and only CRISPR-based gene editing therapy for SCD and transfusion-dependent beta thalassemia (TDT), is approximately $2.2 million.

How much does CRISPR therapy cost? ›

On Friday, Vertex Pharmaceuticals set the list price of Casgevy, the first CRISPR-based therapy approved by the Food and Drug Administration, at $2.2 million dollars.

What is the UK approved gene therapy? ›

The one-off gene therapy, Casgevy, has been approved by for use on the NHS in England, from today (8 August), by the National Institute for Health and Care Excellence (NICE) for older children and adults with a severe form of thalassaemia.

How does casgevy work? ›

It uses a gene editing technology called CRISPR/Cas9 to modify patients' own blood-forming stem cells. The treated cells then begin making new, healthy red blood cells. CASGEVY works by enabling people to make a fetal form of hemoglobin that normally stops being made after birth.

Has the UK authorize gene therapy for blood disorders in the world first? ›

The world's first gene therapy for sickle cell disease has been approved in the UK. LONDON (AP) — Britain's medicines regulator has authorized the world's first gene therapy treatment for sickle cell disease, in a move that could offer relief to thousands of people with the crippling disease in the U.K.

Where is CRISPR banned? ›

Four countries (Albania, Bahrain, Belarus, and Croatia) have policy documents that appear to prohibit all research involving human embryos. All four are categorized as prohibiting germline genome editing on the basis of their prohibition of all human embryo research.

What are the CRISPR-driven gene therapies the UK approved last month? ›

The UK's regulator has approved the world's first CRISPR–Cas9 gene editing therapy, which aims to cure sickle cell disease and transfusion-dependent β-thalassemia.

Why is CRISPR banned in Canada? ›

Editing human genes is restricted in Canada

One of the biggest controversies of CRISPR is the possibility that it might be used to make permanent alterations in human genes that are capable of being passed on to children.

What CRISPR company did Bill Gates invest in? ›

Our genius IT CEO Bill Gates and his friends decided to put their hands to “The Genesis Engine”, the new favorite of DNA editing in the lab, CRISPR. They poured $120 Million, as the title of this article said, into this project for a company named Editas Medicine, which lead the CRISPR to the world.

What is the downside of Crispr technology? ›

Dual-use concerns: CRISPR technology can be used for benevolent purposes, but its dual-use nature raises concerns about its potential weaponization. The ability to engineer pathogens or create genetically modified organisms for malicious purposes poses a security risk.

Which company is the leader in CRISPR? ›

CRISPR Therapeutics is the leading patent filer in CRISPR vectors. It is a gene editing company and focuses on the development of transformative medicines using its proprietary CRISPR/Cas9 gene-editing platform.

What is CRISPR currently being used for? ›

A: CRISPR genome editing allows scientists to quickly create cell and animal models, which researchers can use to accelerate research into diseases such as cancer and mental illness.

What is CRISPR in simple terms? ›

CRISPR (short for “clustered regularly interspaced short palindromic repeats”) is a technology that research scientists use to selectively modify the DNA of living organisms. CRISPR was adapted for use in the laboratory from naturally occurring genome editing systems found in bacteria.

Which countries have banned CRISPR? ›

Nineteen countries, including Belarus, Canada, Sweden, and Switzerland have banned gene editing trials on human embryo. In other countries (including Russia), a neutral position is adopted (5).

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