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Treatment · Chronic granulomatous disease

PM359

The first prime-editing therapy given to human patients, with published evidence that it restored the immune function those patients lacked.

Phase I/II prime editingex vivofirst-in-humanNCF1
Clinical research Being tested in people in registered clinical trials. Being in trials is not evidence that a treatment works or is safe.

Eenvoudige uitleg

Patients with this rare immune disorder have white blood cells that can catch bacteria but cannot kill them. PM359 takes the patient's own blood stem cells, uses prime editing to repair the exact mutation causing the fault, and returns them. In the first patients treated, the repaired cells took hold and the missing immune function came back.

Dieper ingaan

PM359 is an autologous CD34+ haematopoietic stem cell therapy in which prime editing corrects the NCF1 delGT mutation causing p47phox-deficient chronic granulomatous disease. Published results from the first two participants, following busulfan conditioning, reported prompt neutrophil and platelet engraftment, 69 and 83 per cent dihydrorhodamine-positive neutrophils by day 30, durable restoration of NADPH oxidase activity and early clinical benefit including resolution of CGD-associated colitis.

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