Sangamo's hemophilia B program is the first therapeutic application of its IVPRP strategy, an in vivo targeted integration strategy that can be leveraged across multiple monogenic diseases that are currently treated using protein or enzyme replacement therapy. Sangamo remains on track to file Investigational New Drug (IND) applications for hemophilia B (Factor IX) and Hurler syndrome (MPS I) by the end of 2015, and several more IND applications, including hemophilia A, Hunter syndrome (MPS II), Gaucher disease and other lysosomal storage disorders in 2016.
Sangamo is collaborating with Biogen to develop a ZFP Therapeutic approach to beta-thalassemia and sickle cell disease (SCD) that replaces deficient expression of the mutant, disease-causing form of beta-globin with expression of functional fetal globin. The companies expect to file IND applications for beta-thalassemia in the first half of 2016 and for SCD in the second half of 2016.
The following presentations are scheduled at the ASH Meeting sessions:
IVPRP
- ZFN-Mediated Gene Targeting at the Albumin Locus in Liver Results in
Therapeutic Levels of Human FIX in Mice and Non-Human Primates - Abstract
#200
Session: 801. Gene Therapy and Transfer: Gene Therapy for Hemoglobinopathies and Inherited Bleeding DisordersOral Presentation -Sunday, December 6, 2015 :7:45 AM
Presenter -Michael C. Holmes , Ph.D.,Sangamo BioSciences
- Genome Editing of the Bcl11A Erythroid Specific Enhancer in Bone Marrow
Derived Hematopoietic Stem and Progenitor Cells for the Treatment of Sickle Cell
Disease - Abstract #203
Session: 801. Gene Therapy and Transfer: Gene Therapy for Hemoglobinopathies and Inherited Bleeding DisordersOral Presentation -Sunday, December 6, 2015 :8:30 AM
Presenter -Siyuan Tan , Ph.D., Biogen - Clinical-Scale Genome Editing of the Human BCL11A Erythroid Enhancer for
Treatment of the Hemoglobinopathies - Abstract #204
Session: 801. Gene Therapy and Transfer: Gene Therapy for Hemoglobinopathies and Inherited Bleeding DisordersOral Presentation -Sunday, December 6, 2015 :8:45 AM
Presenter - Fyodor, D. Urnov, Ph.D.,Sangamo BioSciences - Clonal Analysis of Human Bone Marrow CD34+ Cells Edited by
BCL11A-Targeting ZFNs Reveals Clinically Relevant Levels of Gamma Globin
Expression in Edited Erythroid Cells - Abstract #3234Session: 801.
Gene Therapy and Transfer: Poster IIPoster Session -
Sunday, December 6, 2015 : 6:00 -8:00 PM
Presenter -Kai-Hsin Chang , Ph.D., Biogen
- In Vivo Genome Editing in Neonatal Mouse Liver Preferentially Utilizes
Homology Directed Repair - Abstract #4422Session: 801. Gene Therapy
and Transfer: Poster IIIPoster Session -
Monday, December 7, 2015 : 6:00 -8:00 PM
Presenter - Xavier M. Anguela, Ph.D., Children's Hospital ofPhiladelphia
About Sangamo's IVPRPThe IVPRP approach makes use of the albumin gene locus, a highly expressing and liver-specific genomic "safe-harbor site", that can be edited with zinc finger nucleases (ZFNs) to accept and express any therapeutic gene. The platform enables the patient's liver to permanently produce therapeutic levels of a corrective protein product such as factor VIII or IX to treat hemophilia, or replacement enzymes to treat lysosomal storage disorders. With such a large capacity for protein production (approximately 15g/day of albumin), which is in excess of the body's requirements, targeting and co-opting only a very small percentage of the albumin gene's capacity is sufficient to produce the needed replacement protein at therapeutically relevant levels with no significant effect on albumin production.
About Sangamo's ZFP Therapeutic Approach to HemoglobinopathiesSangamo's proprietary ZFN genome editing technology enables the correction of SCD and beta-thalassemia. Both diseases manifest after birth, when patients switch from producing functional fetal gamma-globin to a mutant form of adult beta-globin, which causes their condition. Naturally occurring increased levels of therapeutic fetal hemoglobin have been shown to reduce the severity of both SCD and beta-thalassemia disorders in adulthood. In hematopoietic stem and progenitor cells (HSPCs), Sangamo's genome editing technology can be used to precisely disrupt a key DNA sequence that acts as a powerful tissue and developmental stage "Enhancer" of BCL11A expression. BCL11A is a key transcriptional regulator of the switch from fetal to adult globin production. Knockout of the Enhancer results in the disruption of that switch leading to elevation of fetal globin and reduction in the expression of adult globin.
A bone marrow transplant (BMT) of HSPCs from a "matched" related donor (allogeneic BMT) is curative for both diseases. However, this therapy is limited by the scarcity of matched donors and the significant risk of graft versus host disease (GvHD) after transplantation of the foreign cells. By performing genome editing in HSPCs that are isolated from and subsequently returned to the same patient, an autologous HSPC transplant, Sangamo's approach eliminates both the need for a matched donor and the risk of acute and chronic GvHD. The ultimate goal of this approach is to develop a one-time, life-long treatment for SCD and beta-thalassemia.
About Sangamo
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