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Philadelphia Doctors Pioneer Personalized Gene Therapy for Rare Metabolic Disorder

First-ever individualized base-editing treatment shows safety and effectiveness in baby with life-threatening enzyme defect, but long-term viability and scalability remain challenges.

Die Ärzte Kiran Musunuru und Rebecca Ahrens-Nicklas vom Kinderkrankenhaus in Philadelphia mit dem kleinen Patienten KJ
Bei einem Kleinkind wird Fieber gemessen.
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Overview

  • Baby KJ, born with a rare enzyme deficiency causing ammonia buildup, received three doses of a customized gene therapy between February and April 2025.
  • The treatment, using base editing to correct a single pathogenic nucleotide without cutting DNA, has shown no serious side effects so far.
  • KJ is now thriving with improved protein tolerance and reduced medication needs, according to the Children’s Hospital of Philadelphia.
  • Researchers have developed a rapid pipeline to design patient-specific therapies within days of diagnosis, but clinical routine use is still years away.
  • The findings were presented in the New England Journal of Medicine and at the American Society of Gene & Cell Therapy annual meeting.