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Sickle cell gene therapies offer new hope, but access remains a major challenge

  • The FDA approved Casgevy and Lyfgenia in 2023 as the first two gene therapies for patients with severe forms of sickle cell disease.
  • High costs, a complex treatment process, provider availability and access to specialized treatment centers have slowed use.
  • By the end of 2025, uptake remained limited, with 64 patients worldwide receiving Casgevy infusions and 115 U.S. patients treated with Lyfgenia since its approval.