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Gene editing offers hope for a One-Time sickle cell cure
NCT ID NCT03745287
First seen Sep 16, 2026 · Last updated Sep 17, 2026 · Updated 1 time
Summary
Researchers are testing a one-time gene therapy called exa-cel for people with severe sickle cell disease. The treatment uses CRISPR-Cas9 to edit a patient's own blood stem cells, which are then infused back after chemotherapy. The trial measures whether participants remain free of severe pain crises for at least a year and monitors safety.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Exagamglogene autotemcel (exa-cel), a CRISPR-Cas9 gene-edited stem cell therapy
- What this could lead to
- If it works, this one-time treatment could free people with severe sickle cell disease from lifelong pain crises and hospital stays.
- What could go wrong
- The trial is small and early, and the chemotherapy conditioning carries serious risks like infertility and infection. The gene editing may not work for everyone, and long-term effects are unknown.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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63 people
The number who actually took part.
- Started
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Nov 2018
- Finished
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Jul 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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12 to 35 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: * Diagnosis of severe sickle cell disease as defined by: * Documented severe sickle cell disease genotype * History of at least two severe vaso-occlusive crisis events per year for the previous two years prior to enrollment * Eligible for autologous stem cell transplant as per investigators judgment Key Exclusion Criteria: * An available 10/10 human leukocyte antigen (HLA)-matched related donor * Prior hematopoietic stem cell transplant (HSCT) * Clinically significant and active bacterial, viral, fungal, or parasitic infection Other protocol defined inclusion/exclusion criteria may apply.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Ann & Robert Lurie Children's Hospital of Chicago
Chicago, Illinois, 60611, United States
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Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
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Columbia University Medical Center (21+ years)
New York, New York, 10032, United States
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Columbia University Medical Center (≤21 years)
New York, New York, 10032, United States
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Dipartimento di Onco-Ematologia e Terapia Cellulare e Genica Ospedale Pediatrico Bambino Gesu - IRCCS
Rome, Italy
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Hopital Necker Enfants Malades
Paris, France
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Hopital Universitaire des Enfants Reine Fabiola (HUDERF)
Brussels, Belgium
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Imperial College Healthcare NHS Trust, Hammersmith Hospital
London, United Kingdom
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Lucile Packard Children's Hospital of Stanford University
Palo Alto, California, 94304, United States
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Methodist Children's Hospital/Texas Transplant Institute
San Antonio, Texas, 78229, United States
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Regensburg University Hospital, Clinic and Polyclinic for Paediatric and Adolescent Medicine, Paediatric Haemotology, Oncology and Stem Cell Transplantation
Regensburg, Germany
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Royal London and St Bartholomew's Hospital, Pathology and Pharmacy Building
London, United Kingdom
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St. Jude Children's Research Hospital
Memphis, Tennessee, 38105, United States
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The Children's Hospital at TriStar Centennial Medical Center/ Sarah Cannon Center for Blood Cancers
Nashville, Tennessee, 37203, United States
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The Hospital for Sick Children
Toronto, Canada
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University Hospital Duesseldorf
Düsseldorf, Germany
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University of Illinois at Chicago Hospitals and Health Systems
Chicago, Illinois, 60612, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Sickle cell clues to diabetes risk hidden in DNA
- Can adding common pain drugs reduce morphine needs in sickle cell crises?
- Tiny biochip could reveal sickle cell severity
- Can a milder transplant cure sickle cell and thalassemia in adults?
- Can an antioxidant supplement calm sickle cell blood cells?
- Can a softer transplant cure sickle cell disease?