articleNew England Journal of MedicineApr 24, 2024Closed access

Exagamglogene Autotemcel for Transfusion-Dependent β-Thalassemia

Cornell University · Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · +4 more institutions

PubMed
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Abstract

Background

in autologous CD34+ hematopoietic stem and progenitor cells (HSPCs).

Methods

-like genotype. CD34+ HSPCs were edited by means of CRISPR-Cas9 with a guide mRNA. Before the exa-cel infusion, patients underwent myeloablative conditioning with pharmacokinetically dose-adjusted busulfan. The primary end point was transfusion independence, defined as a weighted average hemoglobin level of 9 g per deciliter or higher without red-cell transfusion for at least 12 consecutive months. Total and fetal hemoglobin concentrations and safety were also assessed.

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Funding