Evidence map›Paper›PMID 40857358›Full record

Trial reportBlood advances2025

Improvements in health-related quality of life in patients with severe sickle cell disease after exagamglogene autotemcel.

Akshay Sharma, Franco Locatelli, Monica Bhatia, Lyndsay Molinari, Markus Y Mapara, Robert I Liem, Laurence Dedeken, Donna Wall, Michael J Eckrich, Kevin H M Kuo and 9 more

2 registry-linked trialsAbstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Blood advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

NCT03745287 phase2 / phase3completednot on this map

A Phase 1/2/3 Study to Evaluate the Safety and Efficacy of a Single Dose of Autologous CRISPR-Cas9 Modified CD34+ Human Hematopoietic Stem and Progenitor Cells (CTX001) in Subjects With Severe Sickle Cell Disease

TypeinterventionalSponsorVertex Pharmaceuticals IncorporatedRan2018 to 2025Enrolled63ConditionsSickle Cell Disease, Hematological Diseases, HemoglobinopathiesArmsCTX001
NCT04208529 phase3enrolling by invitationnot on this map

A Long-term Follow-up Study of Subjects With β-thalassemia or Sickle Cell Disease Treated With Autologous CRISPR-Cas9 Modified Hematopoietic Stem Cells (CTX001)

TypeinterventionalSponsorVertex Pharmaceuticals IncorporatedRan2021 to 2039Enrolled160ConditionsBeta-Thalassemia, Thalassemia, Sickle Cell Disease, Hematologic DiseasesArmsCTX001
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

19 authors.

Akshay SharmaBone Marrow Transplantation and Cellular Therapy, St. Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0003-3281-2081
Franco LocatelliIRCCS, Ospedale Pediatrico Bambino Gesù Rome, Catholic University of the Sacred Heart, Rome, Italy.ORCID 0000-0002-7976-3654
Monica BhatiaDepartment of Pediatrics, Columbia University Irving Medical Center, New York-Presbyterian Morgan Stanley Children's Hospital, New York, NY.
Lyndsay MolinariSarah Cannon Pediatric Transplant and Cellular Therapy Program at Methodist Children's Hospital, San Antonio, TX.
Markus Y MaparaDivision of Hematology/Oncology, Department of Medicine, Columbia University, New York, NY.
Robert I LiemAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.ORCID 0000-0003-2057-3749
Laurence DedekenHôpital Universitaire des Enfants Reine Fabiola, Université Libre de Bruxelles, Brussels, Belgium.ORCID 0000-0001-7829-6428
Donna WallThe Hospital for Sick Children, University of Toronto, Toronto, Canada.ORCID 0000-0002-5442-5536
Michael J EckrichSarah Cannon Pediatric Transplant and Cellular Therapy Program at Methodist Children's Hospital, San Antonio, TX.
Kevin H M KuoUniversity Health Network, Toronto, Canada.ORCID 0000-0002-6744-9238
Wally SmithVirginia Commonwealth University, Richmond, VA.ORCID 0000-0002-4122-5367
Suzan ImrenVertex Pharmaceuticals Incorporated, Boston, MA.ORCID 0009-0001-8207-9933
Puja KohliVertex Pharmaceuticals Incorporated, Boston, MA.
Nanxin LiVertex Pharmaceuticals Incorporated, Boston, MA.
Tina LiuVertex Pharmaceuticals Incorporated, Boston, MA.
Jaime RubinVertex Pharmaceuticals Incorporated, Boston, MA.
William HobbsVertex Pharmaceuticals Incorporated, Boston, MA.
Stephan A GruppDivision of Oncology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Haydar FrangoulSarah Cannon Research Institute at TriStar Centennial Children's Hospital, Nashville, TN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractSevere sickle cell disease (SCD), an inherited blood disorder characterized by recurrent vaso-occlusive crises (VOCs), significantly impairs health-related quality of life (HRQoL). Exagamglogene autotemcel (exa-cel), a one-time, ex vivo CRISPR/Cas9 gene-edited cell therapy, eliminated VOCs in 97% of participants with severe SCD in the phase 3 CLIMB SCD-121 trial. Here, we describe changes in patient-reported outcomes (PROs) in 30 adults and 12 adolescents with ≥16 months follow-up. Adult PROs include EuroQol Quality of Life Scale-5 dimensions-5 levels of severity (EQ-5D-5L), Functional Assessment of Cancer Therapy Bone Marrow Transplant (FACT-BMT), Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me), and 11-point pain Numerical Rating Scale (NRS). In adolescents, EuroQol Quality of Life Scale-5 dimensions-youth (EQ-5D-Y), Pediatric Quality of Life Inventory (PedsQL), and pain NRS were used. Adult EQ-5D-5L US and UK healthy utility index and EQ visual analog scale (VAS) scores, which were lower than general population norm at baseline, substantially improved by month 6 after exa-cel infusion and were sustained through month 36, with similar improvements in FACT-General (FACT-G) total and bone marrow transplant subscale. All FACT-G (physical, social/family, emotional, functional well-being) and ASCQ-Me (emotional, social functioning, stiffness, sleep impact) subscales showed clinically meaningful improvement, including ASCQ-Me pain subscales (impact, episode frequency, severity), with substantial decreases in pain episode frequency by month 6. Mean pain NRS score decreased by month 6 and was sustained. Consistent with adults, adolescents had improvements in mean EQ-5D-Y VAS score, PedsQL score, and pain NRS. Exa-cel led to broad and clinically meaningful HRQoL benefits in adults and adolescents with SCD. The CLIMB SCD-121 and CLIMB-131 trials were registered at www.clinicaltrials.gov as #NCT03745287 and #NCT04208529, respectively.

Indexed as

Anemia, Sickle CellGenetic TherapyQuality of LifeAdolescentAdultClustered Regularly Interspaced Short Palindromic RepeatsCRISPR-Cas SystemsFemaleGene EditingHematopoietic Stem CellsHumansMalePatient Reported Outcome MeasuresSeverity of Illness IndexTreatment OutcomeYoung Adultexagamglogene autotemcel

Identifiers

PMID40857358
PMCPMC12757527

What OpenQuestion holds

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Registered trials

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.