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Current therapeutic landscape of β-thalassemia: focus on gene therapy - PubMed

18 hours ago
  • #β-thalassemia
  • #transfusion-dependent thalassemia
  • #gene therapy
  • β-thalassemia is an inherited blood disorder causing chronic anemia and transfusion dependence.
  • Standard treatments include regular blood transfusions and iron chelation therapy, with curative allogeneic stem cell transplant limited by donor availability and risks.
  • Two FDA-approved autologous gene therapies, betibeglogene autotemcel (beti-cel) and exagamglogene autotemcel (exa-cel), now offer high rates of sustained transfusion independence.
  • Gene therapy involves myeloablative conditioning chemotherapy, with risks of short- and long-term toxicities.
  • Challenges include high costs, centralized manufacturing, and limited access to gene therapy, despite its transformative potential.