Abstract
Clinical trials using somatic gene editing (e.g., CRISPR–Cas9) have started in Europe and the United States and may provide safe and effective treatment and cure, not only for cancers but also for some monogenic conditions. In a workshop at the 2018 European Human Genetics Conference, the challenges of bringing somatic gene editing therapies to the clinic were discussed. The regulatory process needs to be considered early in the clinical development pathway to produce the data necessary to support the approval by the European Medicines Agency. The roles and responsibilities for geneticists may include counselling to explain the treatment possibilities and safety interpretation.
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References
Tebas P, Stein D, Tang WW, Frank I, Wang SQ, Lee G, et al. Gene editing of CCR5 in autologous CD4 T cells of persons infected with HIV. N Engl J Med. 2014;370:901–10.
Dunbar CE, High KA, Joung JK, et al. Gene therapy comes of age. Science. 2018;359:eaan4672.
Committee for Advanced Therapies (CAT). http://www.ema.europa.eu/ema/index.jsp?curl=pages/about_us/general/general_content_000266.jsp&mid=WC0b01ac05800292a4. 2018 Accessed 2 Sept 2018.
Gottlieb S. Remarks by Commissioner Gottlieb to the Alliance for Regenerative Medicine’s Annual Board Meeting. https://www.fda.gov/NewsEvents/Speeches/ucm608445.htm. 2018 Accessed 2 September 2018.
U.S. Food and Drug Administration. Cellular & Gene Therapy Guidances. https://www.fda.gov/biologicsbloodvaccines/guidancecomplianceregulatoryinformation/guidances/cellularandgenetherapy/default.htm. 2018 Accessed 2 September 2018.
European Medicines Agency. Guideline on the quality, non-clinical and clinical aspects of gene therapy medicinal products. http://www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2018/07/WC500252056.pdf. 2018 Accessed 2 September 2018.
World Health Organization. Regional Office for Africa. Sickle cell disease. Fact sheet. https://www.afro.who.int/health-topics/sickle-cell-disease. 2017 Accessed 12 August 2018.
Piel FB, Hay SI, Gupta S, Weatherall DJ, Williams TN. Global burden of sickle cell anaemia in children under five, 2010–2050: modelling based on demographics, excess mortality, and interventions. PLoS Med. 2013;10:e1001484.
Piel FB, Steinberg MH, Rees DC, et al. Sickle cell disease. N Engl J Med. 2017;376:1561–73.
Vakulskas CA, Dever DP, Rettig GR, et al. A high-fidelity Cas9 mutant delivered as a ribonucleoprotein complex enables efficient gene editing in human hematopoietic stem and progenitor cells. Nat Med. 2018;24:1216–24.
Antoniani C, Meneghini V, Lattanzi A, et al. Induction of fetal hemoglobin synthesis by CRISPR/Cas9-mediated editing of the human β-globin locus. Blood. 2018;131:1960–73.
National Institutes of Health. Somatic Cell Genome Editing. https://commonfund.nih.gov/editing. 2018 Accessed 12 August 2018.
Gottlieb S. A safety and efficacy study evaluating CTX001 in subjects with transfusion-dependent β-thalassemia. https://clinicaltrials.gov/ct2/show/NCT03655678. 2018 Accessed 29 September 2018.
NIH launches initiative to accelerate genetic therapies to cure sickle cell disease. https://www.nih.gov/news-events/news-releases/nih-launches-initiative-accelerate-genetic-therapies-cure-sickle-cell-disease. 2018 Accessed 29 September 2018.
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Cornel, M.C., Howard, H.C., Lim, D. et al. Moving towards a cure in genetics: what is needed to bring somatic gene therapy to the clinic?. Eur J Hum Genet 27, 484–487 (2019). https://doi.org/10.1038/s41431-018-0309-x
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DOI: https://doi.org/10.1038/s41431-018-0309-x
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