Casgevy (exa-cel)

Overview

The first approved CRISPR/Cas9 gene-editing medicine (exagamglogene autotemcel), a one-time therapy for sickle cell disease and transfusion-dependent beta thalassemia, developed and commercialized with CRISPR Therapeutics.

Approved across multiple jurisdictions and priced at ~$2.2M per one-time treatment. Vertex books the revenue (~$116M in FY2025) and is scaling a global network of authorized treatment centers; in July 2026 the US label expanded to patients ages 2+.

Key Specs

First Approval

Nov 2023 (UK); Dec 2023 (US)

Patients Started

>500 cumulative (Q1 2026)