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A new one-time CRISPR treatment targeting “bad” cholesterol will enter Phase I human trials. If it works, it could become the first approved gene-silencing therapy, removing the need for lifelong drugs and significantly cutting cardiovascular risk.
Strong expectations surround Scribe Therapeutics’ STX-1150, a US-developed therapy that lowers LDL (“bad”) cholesterol by epigenetically silencing the PCSK9 gene in the liver. Although Verve Therapeutics tested a similar approach in 2023 and CRISPR Therapeutics developed the more recent CTX310, both candidates are still undergoing clinical trials.
STX-1150 targets hypercholesterolemia, a major driver of atherosclerotic cardiovascular disease (ASCVD). Rather than permanently altering DNA, it reduces LDL-C by temporarily switching off PCSK9 through epigenetic mechanisms.
A Reversible Gene-Silencing Approach for Cholesterol
Scribe CEO Dr. Benjamin Oakes says the therapy tackles the shortcomings of current cholesterol treatments and could transform cardiovascular risk management for millions.
Rather than cutting or permanently changing DNA, STX-1150 works by adding regulatory modifications and DNA methylation marks to the PCSK9 gene in liver cells, switching off its activity in a way that can be reversed if necessary.
Although CRISPR has made rapid progress, it is still a young technology in medicine. Major advances emerged around 2019, followed by the first successful use of CRISPR to treat a baby with a previously incurable genetic disorder. In 2024, the US Food and Drug Administration approved a landmark CRISPR/Cas9 therapy for sickle cell disease, highlighting the pace at which the field is moving. Despite this promise, precision gene therapies continue to face significant regulatory and ethical hurdles.
Cost and Availability Continue to Pose Challenges
Access and affordability remain major concerns as well. The sickle cell treatment Casgevy carries an estimated price tag of US$2.2 million per patient, putting it beyond the reach of most people. While an effective cardiovascular gene therapy could eliminate the long-term costs of managing conditions like high LDL cholesterol, it is still unclear whether the roughly 70 million Americans with chronically elevated cholesterol would be able to access such a one-time treatment if it gains approval.
That said, penicillin was also extremely expensive when it was first introduced in 1940, costing the equivalent of about $400 per dose. An approved CRISPR therapy for lowering LDL cholesterol could similarly pave the way for broader access over time, becoming the first of many treatments that gradually transform affordability. After all, biotechnology and personalized medicine are widely seen as the future of healthcare—we just need to reach that point.
“Bringing STX-1150 into the clinic marks a pivotal milestone for Scribe and for the genetic medicine field as a whole,” Oakes said. “Scribe has been developing CRISPR-based therapies with the strength, precision, and long-lasting effects needed to raise the standard of care, especially for large cardiometabolic patient populations.”
Reed the original article on: New Atlas
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