Vertex Pharmaceuticals signed a three-year deal with Orna Therapeutics to use the RNA biotech’s delivery particles to develop its next iteration of gene editing treatments for sickle cell disease and beta thalassemia.
The partnership announcement comes just over a year after Vertex
received the first
approval for a gene-edited therapy for sickle cell disease and thalassemia known as Casgevy. Unlike Casgevy, where cells are edited outside the body and then reinfused back to the patient, Vertex’s goal here is to use Orna’s lipid nanoparticles (LNPs) — which are essentially spherical fatty acid shuttles — to deliver gene editors directly to the blood stem cells in a patient’s body.
Vertex paid Orna $65 million, including an undisclosed amount in a convertible note. All in all, Orna could receive up to $635 million in milestones for the sickle cell and thalassemia programs. It could receive another $365 million related to up to 10 additional programs in other indications if Vertex opts in. Orna’s also eligible for tiered royalties on a potential product from this deal.
“This [Orna’s LNP] technology, and the encouraging results the team has generated to date, offer a promising starting point for the discovery of LNPs to enable
in vivo
delivery of Vertex’s gene editing therapies,” a Vertex spokesperson told
Endpoints News
in an email.
While the program is likely several years from human studies, the hope is that an
in vivo
gene editing therapy could be more straightforward to manufacture and could make obsolete the need for the grueling chemotherapy conditioning that is currently required to receive Casgevy as well as Lyfgenia and Zynteglo, which are sickle cell and beta thalassemia gene therapies marketed by bluebird bio. Both of those factors could also make such a therapy more accessible, where only a small fraction of sickle cell patients will be able to receive the currently approved gene therapies.
Vertex is funding the three-year research partnership and has the option to extend it.
The Vertex spokesperson wrote that the company has an internal research program for
in vivo
gene editing therapies and it is “pursuing multiple targets and approaches” for
in vivo
gene editing for sickle cell and beta thalassemia. The spokesperson did not say when the company expects to be entering human studies, saying that they would provide more details once they got closer to seeking regulatory clearance for clinical trials.
One of the key bottlenecks in the gene editing field has been delivering gene editors outside of the liver. Lipid nanoparticles have been effective at delivering to the liver, but not beyond it. Researchers have been seeking new ways to deliver gene editors, including by attaching various targeting molecules to LNPs.
However, Orna’s extrahepatic LNP doesn’t use added attachments. “These are all passive. These are not targeted. You don’t conjugate anything to the LNP,” Orna chief scientific officer Joe Bolen said. “It’s pretty flabbergasting, if you ask me, that we get really excellent non-hepatic delivery to various places.”
Vertex said that Orna’s initial data demonstrated the passive delivery of LNPs to blood stem cells. But Bolen said the mechanism behind how Orna’s LNPs target beyond the liver hasn’t been determined and the company’s still investigating the details.
In May, Orna and ReNAgade Therapeutics
announced
they were merging under the name Orna after
both
companies
conducted layoffs amid a downturn in the genetic medicine industry. Following the merger, the company
laid off
more employees. Orna’s focus was developing therapies around circular RNA, while ReNAgade sought to develop RNA-based therapies with new lipid nanoparticles. The Vertex deal centers around the technology from ReNAgade — the startup generated a large barcoded library of LNPs that it infused “lot by lot,” in the words of Bolen, into non-human primates to study them.
Others, including
Tessera
and
Editas
, are also pursuing
in vivo
gene editing for sickle cell disease. And in the near term, companies such as Vertex and its partner CRISPR Therapeutics, as well as Beam Therapeutics, are working to develop treatments
that employ safer conditioning
and could spare patients from harsh side effects of chemotherapy conditioning that include sores and infertility. Vertex is also researching small molecule approaches for sickle cell, according to its website.