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Infant with Rare CPS1 Deficiency Goes Home After Pioneering Personalized CRISPR Therapy

CRISPR base editing delivered via lipid nanoparticles restored CPS1 enzyme activity; ammonia levels declined rapidly following FDA’s expedited review.

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Overview

  • KJ was discharged after 307 days at Children’s Hospital of Philadelphia following two tailored CRISPR base-editing infusions delivered at seven and eight months of age.
  • Within seven weeks of his second infusion, KJ began tolerating increased dietary protein and required lower doses of nitrogen-scavenger medications.
  • An unprecedented six-month collaboration among CHOP, the University of Pennsylvania, Innovative Genomics Institute and Danaher accelerated therapy development while the FDA approved it within one week.
  • KJ’s case was documented in the New England Journal of Medicine and showcased at the American Society for Gene and Cell Therapy.
  • Clinicians will monitor long-term safety and aim to establish a scalable gene-editing platform for other rare genetic disorders.