New sickle cell medication
There have been several new developments in sickle cell disease (SCD) treatment in recent years. Here are some of the latest advancements:
- Crizanlizumab (Adakveo): Approved by the FDA in 2019, Crizanlizumab is a monoclonal antibody that targets the protein P-selectin, which plays a key role in the adhesion of sickle red blood cells to the blood vessel wall. By blocking P-selectin, Crizanlizumab helps reduce the frequency of vaso-occlusive crises (VOCs) in patients with SCD.
- L-glutamine (Endari): Approved by the FDA in 2017, L-glutamine is an oral medication that helps reduce the frequency and severity of VOCs in patients with SCD. It works by increasing the production of glutathione, a natural antioxidant that helps protect red blood cells from damage.
- Voxelotor (Oxbryta): Approved by the FDA in 2019, Voxelotor is an oral medication that helps reduce hemolysis (red blood cell destruction) and improve hemoglobin levels in patients with SCD. It works by binding to hemoglobin and reducing the amount of sickle hemoglobin that forms in the blood.
- Luspatercept (Reblozyl): Approved by the FDA in 2020, Luspatercept is a protein-based medication that helps increase red blood cell production and reduce anemia in patients with SCD. It works by binding to the erythropoietin receptor, which stimulates the production of red blood cells.
- Gene therapy: Researchers are exploring gene therapy as a potential treatment for SCD. Gene therapy involves inserting a healthy copy of the HBB gene into a patient's stem cells, which can then produce healthy hemoglobin. Several gene therapy clinical trials are currently underway.
- Stem cell transplantation: Stem cell transplantation, also known as bone marrow transplantation, is a potentially curative treatment for SCD. It involves replacing a patient's stem cells with healthy stem cells from a donor. While this treatment is still considered experimental, it has shown promising results in clinical trials.
- Hemoglobin-based oxygen carriers: Researchers are developing hemoglobin-based oxygen carriers (HBOCs) as a potential treatment for SCD. HBOCs are designed to carry oxygen in the blood, reducing the need for red blood cells and potentially reducing the frequency and severity of VOCs.
These are just a few examples of the new sickle cell medications and treatments that are being developed. While there is still no cure for SCD, these advancements offer hope for improved treatment options and a better quality of life for patients with the disease.