The definitive guide to gene editing.
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Treatment · Sickle cell disease

Risto-cel (BEAM-101)

A base-editing therapy for sickle cell disease that mimics a naturally protective genetic variant, with a licence application signalled for as early as the end of 2026.

Phase III base editingex vivoHBG
Clinical research Being tested in people in registered clinical trials. Being in trials is not evidence that a treatment works or is safe.

Simple explanation

Some people are born with a harmless quirk that keeps fetal haemoglobin switched on for life, and those who also carry the sickle mutation have far milder disease. Risto-cel uses base editing to install that same quirk deliberately in a patient's own blood stem cells. It is the same destination as Casgevy — more fetal haemoglobin — reached by a different route, and without cutting the DNA.

Go deeper

Ristoglogene autogetemcel is an autologous CD34+ cell therapy in which base editing installs variants in the HBG1/HBG2 promoters recapitulating hereditary persistence of fetal haemoglobin. Dosing is complete in all adult and adolescent patients in the Phase 1/2 BEACON trial, with updated data expected by the end of 2026 and a biologics licence application possible as early as year-end 2026. Beam is separately developing BEAM-103, an anti-CD117 antibody intended to enable non-genotoxic conditioning — which would remove the chemotherapy that is the source of most of this treatment class's toxicity.

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Educational information only This page is a reference, not medical advice. Research and regulatory status change; check the last-updated date above and confirm anything important against the primary sources listed.