Transformative therapies for sickle cell disease

Author/s: 
Kareem Jamani, Ashley Chopek, Rajat Kumar, Gregory M.T. Guilcher
Date Added: 
April 2, 2026
Journal/Publication: 
Canadian Medical Association Journal
Publication Date: 
March 29, 2026
Type: 
Meta-analyses, Reviews, and Guidelines
Format: 
Article
DOI (1): 
10.1503/cmaj.251338
PMID (1): 
41912244

RPR Commentary

A concise review of stem cell and gene therapy options for patients with sickle cell disease. James W. Mold, MD, MPH

Abstract

Sickle cell disease (SCD) is associated with major morbidity, reduced life expectancy, and impaired quality of life.

Transformative therapies for SCD include allogeneic hematopoietic stem cell transplant and gene therapy.

After successful transformative therapy, people with SCD no longer demonstrate an SCD phenotype and experience a reduction in SCD-related morbidities and improvement in quality of life.

Transformative therapies for SCD can be associated with major adverse events, including death.

The decision to proceed with a transformative therapy must take into careful consideration the severity of the SCD, the risk of future SCD complications, and the risks of available transformative therapies.

The expertise and infrastructure to deliver transformative therapies lies within existing Canadian cancer care programs.