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NEJM Study Finds 95% Long-Term Success for ADA-SCID Gene Therapy

New long-term results validate a path to broader access through cryopreserved manufacture.

Overview

  • In the largest cohort to date, 62 children were treated between 2012 and 2019; 59 achieved durable immune reconstitution with 100% survival over a median 7.5 years of follow-up (~474 patient-years).
  • Responders discontinued enzyme replacement, nearly all stopped immunoglobulin infusions, and they developed normal responses to routine vaccinations.
  • Most adverse events were mild or related to conditioning chemotherapy, with no treatment-limiting safety signals reported among responders.
  • More than half received cryopreserved gene-corrected stem cells with outcomes comparable to fresh products, supporting centralized processing and wider geographic access.
  • The program has been licensed to Rarity PBC, which is preparing pharmaceutical-grade manufacturing as investigators aim to seek FDA approval within two to three years.