Gene therapy for choroideremia: progress, potential and pitfalls.

Abdalla Elsayed MEA., Cehajic-Kepetanovic J., MacLaren RE.

INTRODUCTION: Choroideremia is a rare disease with a significant disease burden. Gene-supplementation methods for choroideremia gene therapy have been the most successful form of gene therapy thus far. AREAS COVERED: The aim of the current review is to provide an overview of current progress of gene therapy trials to date, with a focus on potential and pitfalls of such trials. We propose a novel end point that may be clinically meaningful for obtaining regulatory approval in subsequent clinical trials. Additionally, we offer recommendations for further optimization of surgical techniques. EXPERT OPINION: Lessons learnt from this phase 3 clinical trial, encompassing optimal vector design, delivery techniques, patient selection criteria, and long-term safety profiles can be used in the development of treatments for polygenic retinal disorders, which may necessitate a more nuanced approach due to genetic complexity.

DOI

10.1080/14712598.2025.2459850

Type

Journal article

Publication Date

2025-03-01T00:00:00+00:00

Volume

25

Pages

257 - 263

Total pages

6

Keywords

AAV, CHM, CRISPR, Gene therapy, REP1, choroideremia, clinical trials, retina, Humans, Choroideremia, Genetic Therapy, Animals, Genetic Vectors, Patient Selection, Gene Transfer Techniques

Permalink More information Close