As an example, Dystrophin, the gene responsible for Duchenne muscular dystrophy (DMD) is 14 kb, meaning that only one-third of the dystrophin gene can be "packaged" into AAV. The biopharma is developing genome-edited off-the-shelf CAR-T and CAR-NK cell therapies for various tumor types. Allied Market Research provides global enterprises as well as medium and small businesses with unmatched quality of Market Research Reports and Business Intelligence Solutions. AMR has a targeted view to provide business insights and consulting to assist its clients to make strategic business decisions and achieve sustainable growth in their respective market domain. The team has several theories as to why and Byrne believes the issue is solvable. SRP-9001: It is very likely that one or both of these gene therapies could be approved., This opens up the door for combination therapies, such as gene therapies to stabilize the muscle and small molecule drugs to deal with downstream events like fibrosis and inflammation, Hesterlee concluded. Our list of prominent cell and gene therapy companies includes top-tier Big Pharma companies as well as smaller privately-held companies. He has extensive experience in the Bio-pharmaceutical field, with positions at Pfizer, as Medical Director of Rare Diseases and, more recently Moderna, where he was responsible for taking the first mRNA therapeutics for rare diseases into the clinic. Moreover, a thorough clinical assessment, a complete patient history, and a number of specialist diagnostics, including molecular genetic tests, are used for Duchenne Muscular Dystrophy diagnosis. Thankfully, another group of researchers working on a milder form of Duchenne muscular dystrophy called Becker muscular dystrophy found that in these patients that large chunks of the gene were missing but a protein was still produced. Can FcRn Antagonists Be The Game-Changer in the Generalized Myasthenia Gravis (gMG) Treatment Market? 6 min read. Sarepta Therapeutics. Life-threatening severe DMD complications may eventually develop, such as cardiomyopathy and respiratory difficulties. AAV9 is a type of AAV that is particularly good at getting into muscle cells. Additional design elements, such as codon optimization and CpG content reduction, have the potential to enhance gene expression, increase translational efficiency, and reduce immunogenicity. Waiting in the wings is Pfizer, whose DMD hopeful PF-06939926encountereda roadblock late last year after a treated patient died. Most boys stop walking and need a wheelchair between 9 and 14 years old.. The approved DMD therapies received a positive response and helped the patients. https://www.pharmalive.com/wp-content/uploads/2021/08/Mega-3-Billion-Deal-Shapes-Up-for-Roche-to-Target-AD-and-Parkinsons-BioSpace-8-24-21.jpeg, https://www.pharmalive.com/wp-content/uploads/2020/01/Pharmalive_4c-300x37.png, FDA accepts BLA for Roche-Sarepta's DMD gene therapy, Copyright - PharmaLive and Outcomes LLC |, Axsome headed to FDA after Phase III Alzheimers agitation win, Social Determinants of Health (SDOH): Three Trends to Watch in 2023, U.S. Centers for Disease Control and Prevention (CDC). Medical Design and Outsourcing. UCART123, UCART22, UCARTCS1, UCART19, ALLO-501, ALLO-715. Although we now know DMD is a genetic disease, it wasnt that long ago that researchers didnt know why or how the disease came about. LGMD2E -sarcoglycan, LGMD2D -sarcoglycan. By the time patients are in their 20s, they are unable to move, breath, and ultimately suffer cardiac failure. They also have 12 other exon skipping-based genetic medicines in their pipeline. A number of companies are now testing their approaches in the clinic. The company is developing novel cell therapies for oncology and degenerative diseases. EMDR (801) 436-5597. Many researchers and companies are looking into alternate delivery systems that could transfer the dystrophin gene to the body without using AAVs. As part of the FDAs accelerated approval pathway, Roche and Sarepta have also initiated the EMBARK trial, a global, randomized, double-blinded and placebo-controlled study of SRP-9001 in DMD patients aged 4 to 7 years old. Justin has decades of neuromuscular disease research & developed Biglycan as a potential therapy for DMD. Email (801) 436-5597. Advances in genetic engineering methods have enabled the development of effective gene therapy methods for various diseases based on adeno-associated viruses (AAVs). The companys single-course gene editing programs focus on conditions with a genetically driven, life-long and severely elevated LDL-C such as familial hypercholesterolemia (FH). Pharma50: 50 Leading Cell and gene therapy companies. With 125 participants enrolled, EMBARK is being proposed as the post-marketing confirmatory study for SRP-9001. Viruses are very well evolved to get into cells, commented Hesterlee. Sarepta is the only company with three FDA-approved DMD drugs in its commercial portfolio. Another challenge hinges on the fact that the gene is delivered using a virus, making the gene therapy an immunization in a way. Before coming to WTWH, he served as content director focused on connected devices at Informa. Also, many people already have preexisting immunity to AAV, which may prevent them from ever receiving this gene therapy. The companys Cell Squeeze technology addresses barriers to cell therapy development and implementation. Duchenne Muscular Dystrophy is caused by a dystrophin gene mutation (a protein in the muscles). Researchers are trying to ensure that enough gene therapy product was delivered to muscle tissue to have an effect. However, the presence of advanced healthcare infrastructure is anticipated to pave the way for lucrative opportunities in the industry. WebGene Therapy: Gene therapy for DMD uses selected portions of the dystrophin gene to create a smaller, potentially functional version. The drug in question, GS-1811 (formerl AbbVie Secures Fourth FDA Approval for Vraylar AbbVie has received its fourth FDA approval for Vraylar, adding major depressive disorder (MDD) adjunctive therapy to a list that includes schizophrenia and manic and depressive episodes in bipolar disorder. But unfortunately, a participant in Pfizers Phase Ib open-label study died unexpectedly. Microdystrophin expression was seen via muscle biopsies 90 days after treatment (at a dose of 2E14 vg/kg), which stabilized dystrophin-associated proteins and restored activity of a key enzyme (called neuronal nitric oxide synthase, or nNOS) in the muscles. While Solid Biosciences SGT-001 and Regenxbios RGX-202 are in the early stage of development for DMD treatment. Focuses on developing novel gene therapies for rare inherited genetic diseases. Now, researchers had to find the best time during the course of the childrens disease to test the therapy. The disease is universally fatal. In addition, most patients calves appear enlarged. These DMD therapies may, at best, slow the progression of Duchenne. Clinical researchers at UC Davis Health are using a gene therapy approach for Duchenne muscular dystrophy (DMD), the rare genetic disease that mainly occurs in Their first gene therapy product, Zynteglo, was approved by the European Medicines Agency in 2019 to treat a form of inherited anemia. These genetic alterations manifest as developmental delays and, in more progressed forms of DMD, as limb weakness, loss of independence and difficulties in breathing. In mid-June, Sarepta announced that preliminary results from four boys ages 4-7 years were published in JAMA Neurology. Both Sarepta and Pfizer have collected some promising functional data, commented Hesterlee. Unlike more complex conditions, where several genes need repairing or replacing, single gene conditions are easier to rectify. CYNK-001, CYNK-101 + mAb, CYCART-19, APPL-001, PDA-002. SRP-9001 includes a different serotype of AAV, called AAVrh74 (which also gets into muscle and heart cells well), and a microdystrophin gene. omidubicel, GDA-20, GDA-301, GDA-401, GDA-501, GDA-601. The companys late-stage clinical pipeline is targeting acute graft versus host disease, inflammatory bowel disease, acute respiratory distress syndrome, chronic low back pain and chronic heart failure reduced ejection fraction. This is why many Duchenne drug studies traditionally havent involved children younger than 7 years old. In 2019, it spent $4.3 billion to acquire gene therapy specialist Spark Therapeutics. AAV has a limited gene size capacity of 5 kilobases (kb), precluding its use for many larger genes. We have developed several monoclonal antibodies against a specific muscle target protein that is present in both skeletal and cardiac muscle. It could convert this disease from a devastating diagnosis to a manageable disease in the next 10 years.. That allowed researchers to test the gene therapy proof-of-concept in DMD patients without worrying about systemic administration right off the bat. GlobalDatas report assesses how GALGT2 (Nationwide Childrens)s drug-specific PTSR and Likelihood of Approval (LoA) scores compare to the indication benchmarks. In patients with Duchenne muscular dystrophy, the affected gene codes for the protein, dystrophin, which acts as a shock absorber between muscle cells and connective tissue, as well as supporting muscle contraction. Novartis is a Swiss multinational pharmaceutical company that has been involved in gene therapy research since the 1990s. Muscle weakness and atrophy spread from the trunk and forearms to other muscles throughout the body as the disease advances. The leading site for news and procurement in the pharmaceutical industry. Which Countries Top the Chart in Global Pharmaceutical Market? The company has a variety of gene and cell therapy programs in the clinic and preclinical programs in genome engineering and off-the-shelf cell therapy. Founded in 2014, Intellia Therapeutics is a biotech company based in Cambridge, Massachusetts that focuses on developing gene therapies for a range of diseases, including cancer and genetic disorders. They are currently developing gene therapies using CRISPR/Cas9 technology. The biotech is developing novel cell and exosome-based therapeutics. However, gene therapy for Duchenne muscular dystrophy still has several hurdles to overcome. The trials participants will get either a single infusion of gene therapy or a placebo, and they will be tracked for 52 weeks (about a year). 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Despite all the challenges faced over the years, there are a handful of gene therapies being developed for DMD currently, with a few pivotal Phase III trials close on the horizon. Sarepta Therapeutics has two DMD gene therapies, SRP-9001 Micro-dystrophin and GALGT2 (Nationwide Childrens), in clinical trials and one therapy, GNT0004 Micro-dystrophin (Genethon), in preclinical development. WebDespite scientific discoveries in the field of gene and cell therapy, some diseases still have no effective treatment. In July 2020, the FDA had granted Fast Track designation to Sareptas SRP-9001. Rocket Pharmaceuticals is aiming for its first regulatory filing in H1 of 2023 for its LVV gene therapy RP-201 for Leukocyte Adhesion Deficiency-I (LAD-I) a rare, autosomal recessive pediatric disease where, without a successful bone marrow transplant. The NAV AAV8 vector, which has been used in numerous clinical trials, and a well-characterized muscle-specific promoter (Spc5-12) are used in RGX-202 to support the delivery and targeted expression of genes throughout skeletal and heart muscle. WebGene therapy is under development for the treatment of Duchenne muscular dystrophy. At Qmed, he overhauled the brands news coverage and helped to grow the sites traffic volume dramatically. The company develops its pipeline products using its multi-platform WebWhilst microdystrophin gene transfer using AAV vectors shows extremely impressive therapeutic success so far in large animal models of DMD, translating this advanced GALGT2 is a gene which is transferred in body with adeno-associated virus (AAV) vector (rAAVrh74.MCK). RGX-314, RGX-202, RGX-121, RGX-111, RGX-181, RGX-381. Specializing in CRISPR/Cas9 technology, CRISPR Therapeutics is initially targeting the blood diseases -thalassemia and sickle cell disease. Eteplirsen, golodirsen, casimersen, SRP-9001, GALGGT2, GNT 0004. As the name suggests, gene therapy involves delivering a healthy copy of a mutated gene (in DMDs case dystrophin) into cells. It also has a muscle-specific promoter, which is a DNA element that regulates the activity of a gene called MHCK7. He is currently the Scientific Founder and SAB Chairman of Bolden Therapeutics. Once we identified the culprit gene, we thought Oh great! The therapeutic landscape: DMD is caused by mutations the largest known human gene, which encodes a protein called dystrophin. This type of gene therapy has the potential to pass the modified genes onto future generations, but it is still experimental and raises ethical concerns. Participants in Part 2 of Study SRP-9001-102 scored 2.0 points higher on the mean North Star Ambulatory Assessment (NSAA) 48 weeks after SRP-9001 treatment compared to a pre-specified matched external control cohort (p value=0.0009). He is currently a Research Associate Professor in the Department of Physiology and Biophysics at the University of Washington. A number of pharmaceutical companies are developing drugs and therapies to treat DMD. The company develops its pipeline products using its multi-platform Precision Genetic Medicine Engine in gene therapy, RNA, and gene editing. However, unlike Sarepta, Pfizer does not have any additional candidates that may join the market and earn market share if its gene therapy treatment fails to win approval, implying that the stakes are higher for the latter. For example, the dystrophin gene is too large to fit into the adeno-associated viruses, or AAVs, that are commonly used to deliver gene therapies. BioSpace sat down with Sharon Hesterlee, Ph.D., chief research officer at the Muscular Dystrophy Association (MDA), to talk about the history and challenges of developing gene therapy for DMD and the DMD gene therapy field as a whole, including Pfizers and Sarepta Therapeutics latest clinical data. AAVs are also common viruses some people have already been exposed to AAVs naturally and would never know because they cause no symptoms. Sarepta has three products marketed for the treatment of DMD: Exondys 51 (eteplirsen), Vyondys 53 (golodirsen) and Amondys 45 (casimersen). Cell and gene therapies promise to enable broad changes in the healthcare system over the next decade, prompting a growing number of cell and gene therapy companies to join the space. The drug is also known as rAAVrh74.MHCK7.micro-dystrophin due to its construction. eGenesis has a pipeline of gene therapies focused on inherited, systemic, debilitating chronic diseases. Sareptas lead gene therapy candidate is SRP-9001, an AAV-mediated micro-dystrophin gene therapy, which is being evaluated in a phase I/II study for DMD. Founded in 1992, bluebird bio is a biotech company based in Cambridge, Massachusetts that focuses on developing gene therapies for rare genetic diseases and cancer. DMD is the most frequent type of muscular dystrophy that develops in childhood and primarily affects men. In addition, Brian covered the medical device sector for 10 years at UBM. Their gene therapy product, Glybera, was the first gene therapy to be approved in Europe in 2012. Arrowhead Pharmaceuticals specializes in developing therapies to treat intractable diseases by silencing the genes responsible for them. Whole-body systemic gene therapy is likely the most effective way to reduce greatly the disease burden of Duchenne muscular dystrophy (DMD), an X-linked inherited muscle disease that leads to premature death in early adulthood. ISSN 2940-2034, systemic AAV-microdystrophin gene therapy in the GRMD model of Duchenne muscular dystrophy, Tiny, anti-inflammatory nanomotors to treat rheumatoid arthritis, Explaining the Universes accelerated expansion without dark energy, New material is a game changer in radiative cooling, A quark star may have just been discovered, Nanoparticles that self-assemble inside cells to fight cancer, James Webb Telescope images the Pillars of Creation, Anti-aging drug could help turn back the clock, Meteorite that struck a driveway in small UK town holds key ingredients for life. Or higher doses to drive the virus into the muscles? Hesterlee added. The company is developing a pipeline of NAM-enabled cell therapies for a range of diseases with significant unmet medical need. This would appear to be an easy solution. Using this model, they found that delivering intramuscular shots only targets a specific area and provokes an immune response. Graphite Bio is building on CRISPR technology and working with the cells natural DNA repair processes to rewrite genes. Although the Phase I trial is not placebo controlled, they can compare treated children to the known natural history of DMD. This transgene-encoded microdystrophin is delivered to the bodys muscle cells via a single infusion of a viral vector. The FDA soon put the Phase Ib study under clinical hold. In September 2021, the company reported Positive 1.5-year functional data and patient-reported outcome measures (Pediatric Outcomes Data Collection Instrument, or PODCI) for Patients 4-6 in the ongoing IGNITE DMD Phase I/II clinical trial of SGT-001. The companys Tapestri platform can simultaneously. Companies focusing on DMD gene therapies have proceeded cautiously after a fatal case of myocarditis was observed in Pfizers gene therapy candidate. , Brian covered the medical device sector for 10 years at UBM and Regenxbios RGX-202 are in the Generalized Gravis. 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