UK’s NICE Approves SCD Gene Therapy for NHS England

February 04, 2025

The United Kingdom’s National Institute for Health and Care Excellence approved the first gene therapy to treat sickle cell disease (SCD) for use on England’s National Health Service on Jan. 31.

Exagamglogene autotemcel (Casgevy, Vertex Pharmaceuticals) is a non-viral, ex vivo CRISPR/Cas9 gene-edited therapy. It works by editing a patient’s hematopoietic stem cells to increase fetal hemoglobin production in red blood cells, significantly reducing or eliminating the need for transfusions.

While the list price of exa-cel, a one-time treatment, is 1.65 million British pounds, NHS England secured a reduced price through a reimbursement agreement with Vertex under the Innovative Medicines Fund. Exa-cel is now available under a managed access scheme for patients 12 years and older with certain types of severe SCD.

Vertex and NHS England announced a similar agreement for patients with transfusion-dependent beta thalassemia (TDT) last August.