Pharmacists are uniquely positioned to lead the implementation of advanced cell and gene therapies, serving as both clinical and operational experts in health systems managing these complex treatments.
Major health systems are already delivering widespread advanced therapeutics, with Mayo Clinic offering 9 active therapies, UC San Diego Health providing 12, and Children's Hospital of Philadelphia making 12 available to eligible patients.
Significant challenges include high costs, manufacturing variability, patient hesitancy toward gene manipulation, and the need for new governance structures and educational frameworks.
The first CRISPR-based medicine, exagamglogene autotemcel (Casgevy), was approved in 2023 for treating sickle cell disease and transfusion-dependent β-thalassemia, marking a milestone in gene therapy applications.