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CTX112 delivers a robust safety profile:
No dose-limiting toxicities (DLT), GvHD, or severe infections (≥Grade 3)
Manageable side effects: Low, mild rates of CRS & ICANS
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Manufacturing efficiency & scalability:
Higher & consistent CAR-T cell production vs CTX110
Allogeneic therapy offers greater scalability & lower production costs
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CTX112 combines efficacy, durability, safety, & efficiency, marking a critical step forward in B-cell malignancy treatment. A promising future for CAR-T therapy!
1.
- CTX112 is the current workhorse.
- In the future, as in vivo editing technology becomes simpler, this will become the new flagship.
- Particularly keeping an eye on type 1 diabetes and trying not to lose sight of it.
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4.
- Patient numbers are growing exponentially.
- Most patients whose cells have been collected are not abandoning treatment.
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5.
- Moderator asks about the risk of death from busulfan.
- More severe patients than expected, but gentler conditioning could triple marketability.
- Can demonstrate this through database.
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5-2: Many patients have received transplants, and busulfan is effective and stable.
Vertex and CRISPR are collaborating to optimize conditioning, and a better agent can be substituted if Kasgebi’s success continues. #CRSP#VRTX $CRSP $VRTX $NTLA $PRME
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6. Operating on a revenue-sharing model rather than royalties.
In 8-10 years, as sickle cell and thalassemia transition to in vivo editing, the revenue share is expected to reach 50/50.
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7. Moderator inquired about the response rate differences between CTX112 and CTX110.
CTX110's ORR data is based on optimized doses, while CTX112 is used for more severe cases, including elderly patients.
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7-2: For lymphoma specifically, CTX112 shows a higher CR rate and may surpass autologous CAR-T therapies.
Durability results are being monitored.
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8. Moderator asked if the patient population could be adjusted after dosing is finalized.
Regulatory bodies limit autologous CAR-T to just 25% of eligible patients due to treatment accessibility constraints.
8-2: Autologous CAR-T therapies like Yescarta and Breyanzi have reached market saturation.
Allogeneic CAR-T may prove superior to autologous, providing potential market expansion.
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9. Addressed concerns about cytokine release syndrome (grade 2) and immune cell suppression (grade 1).
Cytokine activity is seen as a positive efficacy indicator.
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The incidence of grade 2 or higher cytokine release is over 10% in autologous CAR-T, while allogeneic CAR-T shows greater safety.
10. Discussed editing limitations and cell fatigue with CTX112.
Cell memory remains robust, allowing for multiple edits with high efficiency using an RNA-based, single cassette approach.
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