Evidence map›Paper›PMID 39019069›Full record

ReviewNature2024

A roadmap for affordable genetic medicines.

Melinda Kliegman, Manar Zaghlula, Susan Abrahamson, Jonathan H Esensten, Ross C Wilson, Fyodor D Urnov, Jennifer A Doudna

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Landscape ofMolecular therapy. Methods & clinical development · 2025
    Article
  14. Current Clinical Trials for Treating Elevated Lipoprotein(a).Current cardiovascular risk reports · 2025
    Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Tailored therapeutics for cardiomyopathies.Nature reviews. Cardiology · 2025
    Review
  20. Stem cell and gene therapies for leukodystrophies.Molecular therapy. Methods & clinical development · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Melinda KliegmanUniversity of California, Berkeley, Innovative Genomics Institute, Berkeley, CA, USA. melinda.kliegman@berkeley.edu.ORCID 0000-0002-9710-795X
Manar ZaghlulaUniversity of California, Berkeley, Innovative Genomics Institute, Berkeley, CA, USA.
Susan AbrahamsonUniversity of California, Berkeley, Innovative Genomics Institute, Berkeley, CA, USA.
Jonathan H EsenstenSheba Medical Center, Ramat Gan, Israel.ORCID 0000-0002-2583-9174
Ross C WilsonUniversity of California, Berkeley, Innovative Genomics Institute, Berkeley, CA, USA.ORCID 0000-0002-0644-5540
Fyodor D UrnovUniversity of California, Berkeley, Innovative Genomics Institute, Berkeley, CA, USA.ORCID 0000-0001-7542-4084
Jennifer A DoudnaUniversity of California, Berkeley, Innovative Genomics Institute, Berkeley, CA, USA. doudna@berkeley.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Twenty genetic therapies have been approved by the US Food and Drug Administration to date, a number that now includes the first CRISPR genome-editing therapy for sickle cell disease-CASGEVY (exagamglogene autotemcel, Vertex Pharmaceuticals). This extraordinary milestone is widely celebrated owing to the promise for future genome-editing treatments of previously intractable genetic disorders and cancers. At the same time, such genetic therapies are the most expensive drugs on the market, with list prices exceeding US$4 million per patient. Although all approved cell and gene therapies trace their origins to academic or government research institutions, reliance on for-profit pharmaceutical companies for subsequent development and commercialization results in prices that prioritize recouping investments, paying for candidate product failures and meeting investor and shareholder expectations. To increase affordability and access, sustainable discovery-to-market alternatives are needed that address system-wide deficiencies. Here we present recommendations of a multidisciplinary task force assembled to chart such a path. We describe a pricing structure that, once implemented, could reduce per-patient cost tenfold and propose a business model that distributes responsibilities while leveraging diverse funding sources. We also outline how academic licensing provisions, manufacturing innovation and supportive regulations can reduce cost and enable broader patient treatment.

Indexed as

Advisory CommitteesGenetic TherapyHealth Care CostsModels, EconomicCRISPR-Cas SystemsDrug IndustryGene EditingHumansInvestmentsLicensurePatientsUnited StatesUnited States Food and Drug Administration

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.