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Benefit seen in 4 people on highest dose
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Trial is first test of its gene therapy in common disease,
CEO
says
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Company aims to start mid-stage trials in 2026
By Julie Steenhuysen
CHICAGO, Nov 8 (Reuters) - A single infusion of CRISPR
Therapeutics' experimental gene therapy was safe and
reduced levels of harmful LDL cholesterol and triglycerides by
half in four people taking the highest dose, raising hope for a
one-time treatment.
"We've never had anything that could lower both LDL and
triglycerides by around 50%," said Cleveland Clinic cardiologist
Dr. Steven Nissen, lead researcher of the first-in-human study
of the therapy.
Although still very early in development, if future trials
prove the treatment, CTX310, to be safe and effective, it could
be practice-changing, said Cleveland Clinic's Dr. Luke Laffin,
the study's co-leader.
"Rather than a once-daily pill or monthly injection, this
therapy would potentially offer a one-time infusion that is safe
and durable for patients with high cholesterol," he said.
Results were presented on Saturday at the American Heart
Association meeting in New Orleans and published in the New
England Journal of Medicine.
High LDL, the so-called "bad" cholesterol, can cause plaques
to build up in artery walls, raising the risk of a heart attack
or stroke. High triglycerides, another blood fat, can also
increase those risks.
SWITCHING OFF A GENE
CTX310 works by switching off a gene called ANGPTL3 through
a single, two-hour infusion. It was inspired by studies showing
people born with an inactive version of the ANGPTL3 gene have a
lower lifetime risk of heart disease with no apparent adverse
consequences.
Regeneron's Evkeeza, which treats a rare genetic
disorder called homozygous familial hypercholesterolemia,
targets the same gene but requires monthly infusions.
CRISPR's trial of 15 patients aged 31-68, conducted in
Australia, New Zealand and the UK, tested five different doses.
All participants had high triglycerides, high LDL cholesterol or
both and had failed to respond to other treatments.
Among four patients who received the highest dose,
triglycerides on average were cut by 55% and LDL by 50% two
weeks after treatment. Levels stayed low for at least two
months.
"We're going to try to demonstrate the safety and efficacy
of these one and done therapies because we think these options
are important for patients," Nissen said.
Three participants had temporary reactions to the therapy,
including nausea and elevated liver enzymes that resolved
quickly, Laffin said.
Participants will be monitored for a year following the
trial, with the option of an additional 15 years of follow-up.
TARGETING COMMON DISEASES
"I think we're just beginning to uncover the power of gene
editing in common diseases," Switzerland-based CRISPR
Therapeutics chief Sam Kulkarni said in an interview, noting
that most gene therapies have been tried in rare diseases.
The company plans to take its data to U.S. regulators with
the aim of starting phase 2 studies in 2026. CEO Kulkarni said
he hoped to have a product on the market in the next four or
five years.
The company would first target people with genetics-related
high cholesterol, though eventually it could be an option for
tens of millions of Americans, if approved.
CRISPR and Vertex already market the gene therapy
Casgevy for sickle-cell disease. Unlike the nearly $2 million
sickle cell therapy that involves a year-long process in which
the patient's cells are collected and genetically altered, the
cholesterol treatment would be a simple infusion.
"We don't know what the cost of this therapy is going to be
ultimately, but it's very likely to be less than $100,000,"
Kulkarni said.