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Expert Interview

Slingshot members are talking to an expert! The topic is:

Discussing the potential Vertex & CRISPR's exa-cel in patients with sickle cell disease (SCD) and transfusion-dependent beta thalassemia (TDT)

Ticker(s): VRTX, CRSP

Who's the expert?

Institution: Duke University

  • Associate Professor of Medicine and Pediatrics and Director of the Adult Sickle Cell Program at Duke University.
  • Currently cares for 200 patients with Sickle Cell Disease (100 children & 100 adults) and treats 3 adults and 3 children with transfusion dependent thalassemia.
  • Research has focused on the epidemiology, risk factors, and prevention of the pulmonary and central nervous system complications of sickle cell disease and includes retrospective and prospective cohort studies and clinical trials; local site co-investigator on trials for GBT-440 and rivapansel.

Interview Questions
Q1.

What were your thoughts on the data presented at ASH on exa-cel?

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Q2.

How many of your pts would you currently prescribe exa-cel for? How are you thinking about the competitive dynamic with Zynteglo? What would cause you to prescribe on over the other?

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Q3.

What is the feasibility of reduced toxicity/intensity conditioning (RTC/RIC) to be used with these types of gene therapies? What kind of timeline do you expect for RTC/RIC to come into play?

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Q4.

What are the barriers for adoption of these types of therapies (zynteglo, exa-cel)? How much of a barrier are non-direct factors (impact to fertility (chemotherapy), process of stem cell mobilization) vs. product efficacy/safety?

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Q5.

Roughly how many patients with sickle cell disease do you currently manage? With Beta Thalassemia?

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