Casgevy is a medicine used to treat blood disorders known as beta thalassaemia and sickle cell disease in patients 12 years and older. For beta thalassaemia, Casgevy is used in patients who require regular blood transfusions. Patients with this condition do not make enough haemoglobin, the protein in red blood cells that carries oxygen around the body. As a result, these patients have low red blood cell levels and need frequent blood transfusions. For sickle cell disease, Casgevy is used in patients with severe disease and recurrent painful crises. Patients with this condition have an abnormal form of haemoglobin that makes red blood cells become rigid and sticky and change from being disc-shaped to being crescent-shaped (like a sickle). These cells can block blood vessels, causing painful crises that affect the chest, abdomen (belly) and other parts of the body. Beta thalassaemia and sickle cell disease are rare, and Casgevy was designated an ‘orphan medicine’ (a medicine used in rare diseases). Further information on the orphan designations can be found on the European Medicine’s Agency website ( [beta thalassaemia](https://www.ema.europa.eu/en/medicines/human/orphan-designations/eu-3-19-2210): 17 October 2019; [sickle cell disease](https://www.ema.europa.eu/en/medicines/human/orphan-designations/eu-3-19-2242): 9 January 2020) Casgevy contains as its active substance genetically modified stem cells (cells that can develop into blood cells) taken from the patient’s own blood. It is used when stem cell treatments are appropriate and there are no suitable stem cell donors available.
Therapeutic Indication
### Therapeutic indication β thalassemia Casgevy is indicated for the treatment of transfusion dependent β thalassemia (TDT) in patients 12 years of age and older for whom haematopoietic stem cell (HSC) transplantation is appropriate and a human leukocyte antigen (HLA) matched related HSC donor is not available. Sickle cell disease Casgevy is indicated for the treatment of severe sickle cell disease (SCD) in patients 12 years of age and older with recurrent vaso occlusive crises (VOCs) for whom haematopoietic stem cell (HSC) transplantation is appropriate and a human leukocyte antigen (HLA) matched related HSC donor is not available.
Therapeutic Area (MeSH)
N/AATC Code
B06AX05
ATC Item
exagamglogene autotemcel
Pharmacotherapeutic Group
Other hematological agents
Active Substance (Summary)
INN / Common Names
N/A| Substance | CAS | Monograph |
|---|---|---|
| Exagamglogene autotemcel | N/A | Exagamglogene autotemcel |
EMA Name
Casgevy
Medicine Name
Casgevy
Aliases
N/ANo risk management plan link.