Building CRISPR-Based Gene-Editing Platforms for Personalized Medicine: The Next Step in Interventional Genetics
Abstract
1. Introduction
2. CRISPR Mechanisms of Action and Toolkits
2.1. Double-Strand Break-Dependent CRISPR Systems
2.2. Base-Editing Systems
2.3. Prime-Editing Systems
2.4. CRISPR Transcriptional Modulator Systems
2.5. Delivery Systems for CRISPR Machinery
3. Personalized Medicine Applications
4. CRISPR-Based Gene-Editing Therapy Case Studies
4.1. Base Editing for the Treatment of CPS1 Deficiency
4.2. Base Editing for the Treatment of Duchenne Muscular Dystrophy
4.3. Prime Editing for the Treatment of p47phox-Deficient Chronic Granulomatous Disease
4.4. Base-Editing for the Treatment of Familial Hypercholesterolemia
5. Challenges in Platform Development of CRISPR-Based Gene-Editing Therapies
5.1. Delivery Barriers
5.1.1. Viral Vectors
5.1.2. Lipid Nanoparticles
5.2. Off-Target Effects
5.3. Ethical Concerns
5.4. Scalability and Regulatory Frameworks
6. Interventional Genetics
7. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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| Trial ID | Phase | Study Design | Number of Participants | Status | Target Disease and Gene (Mutation, If Applicable) | Delivery System | Brief Description |
|---|---|---|---|---|---|---|---|
| NCT06860672 | Phase 1 | Open-label, single-group assignment | 1 | Recruiting | Snijders Blok–Campeau syndrome Heterozygous mutation (c.3073C>T; p.R1025W) in the CHD3 gene | Dual Vector AAV | In vivo dual-AAV delivery base-editing therapy. Designed to correct the mutant A-T base pair using a TadA-embedded adenine base editor (TeABE). |
| NCT06559176 | Phase 1/2 | Open-label, single-arm, multicenter | 12 | Recruiting by invitation | Autosomal Recessive Chronic Granulomatous Disease Deletion mutation (c.75_76delGT) in the NCF1 gene | Electroporation | Prime editing of autologous CD34+ stem cells for ex vivo therapy. Designed to correct the exon 2 del GT mutation in the NCF1 gene, encoding p47phox protein. |
| NCT06959771 | Phase 1/2 | Open-label, single-group assignment | 1 | Recruiting | X-linked hyper-IgM (HIGM) syndrome Point mutation (c.658C>T; p.Q220X) in CD40L gene | Electroporation | Base editing of autologous hematopoietic stem/progenitor cells (HSPC) and T cells (BE T) as ex vivo therapy. Designed to rescue CD40L expression by correcting the c.658C>T point mutation |
| NCT07176923 & NCT07371767 | Phase 1 | Open-label, single-arm, dose-escalation | 15 | Recruiting | Familial chylomicronemia syndrome (FCS) & Hyperchylomicronemia APOC3 gene. | Lipid nanoparticles | In vivo base-editing therapy delivered by lipid nanoparticles targeting the APOC3 gene. Designed to introduce mutations that reduce APOC3 expression, lower serum triglyceride levels, and reduce pancreatitis risk. |
| NCT06325709 | Phase 1/2 | Open-label, single-group assignment | 10 | Recruiting | Chronic Granulomatous Disease Missense mutation (c.676C>T) in CYBB gene | Electroporation | Base editing of autologous hematopoietic stem and progenitor cells (HSPCs) for ex vivo therapy. Designed to correct the c.676C>T mutation in the CYBB gene in HSPCs and later engraft them into patients. Modified HSPCs can differentiate into functional phagocytes with restored NADPH oxidase activity. |
| NCT06851767 | Phase 1/2 | Non-randomized, open-label, single-group assignment | 18 | Enrolling by invitation | X-linked severe combined immunodeficiency IL2RG gene | Electroporation | Base editing of autologous hematopoietic stem and progenitor cells (HSPCs) for ex vivo therapy. Designed to correct mutations in the IL2RG gene in different patients. |
| NCT06065189, NCT07000318, NCT06565026, NCT06024876, & NCT06479616 | Phase 1 | Open-label, single-arm | 5 | Active or recruiting | Major β—thalassemia and Severe sickle cell disease BCL11A binding site in Hemoglobin Subunit Gamma (HBG) promoter | Electroporation | Base editing of autologous hematopoietic stem cell transplantation (HSPCs) for ex vivo therapy. Designed to edit the HBG promoter in the BCL11A binding site to prevent the BCL11A inhibitory effect in γ-globin chain synthesis. This strategy is intended to increase fetal hemoglobin levels in the blood. |
| NCT06025032 | Phase 1 | Open-label, multiple-cohort, dose-finding | 0 | Withdrawn due to lack of patients in China | Auditory neuropathy (hearing loss) Nonsense mutation c.2485C>T (p. Q829X) in OTOF gene | AAV9 vector | In vivo AAV9-delivered CRISPR/Cas13 RNA base-editing therapy. Designed to correct c.2485C>T in OTOF gene and rescue otoferlin expression in sensory inner hair cells. |
| NCT07489196 | Phase 2 | Open-label, single-arm | 20 | Not yet recruiting | Major β—thalassemia BCL11A binding site in Hemoglobin Subunit Gamma (HBG) promoter | Electroporation | Base editing of autologous hematopoietic stem cell transplantation (HSPCs) for ex vivo therapy. Designed to edit the HBG promoter in the BCL11A binding site to prevent the BCL11A inhibitory effect in γ-globin chain synthesis. This strategy is intended to increase fetal hemoglobin levels in the blood. |
| NCT06594094 | Phase 1 | Open-label, multidose, dose-escalation | 4 | Completed | Duchenne muscular dystrophy Exon 51 splice donor site of DMD gene | AAV vector | In vivo AAV-delivered CRISPR/hfCas12Max base-editing therapy. Designed to edit the DMD exon 51 splice donor site to induce skipping of exon 51. Exon 51 skipping can restore the reading frame and recover dystrophin production in patients carrying different single- and multi-exon deletions. |
| NCT05398029 | Phase 1 | Open-label, single ascending-dose | 13 | Completed | Heterozygous familial hypercholesterolemia PCSK9 gene (Splicing site) | Lipid nanoparticles | In vivo LNP-delivered CRISPR/ABE base-editing therapy. Designed to introduce a point mutation in the PCSK9 splicing site to impair PCSK9 expression levels and reduce LDL-C levels in blood. |
| NCT06735755 | Phase 1 & 2 | Open-label, single-arm, ascending-dose, multicenter | 36 | Recruiting | Glycogen storage disease type-Ia (von Gierke disease) Missense mutation c.247C > T (p.R83C) in the G6PC1 gene | Lipid nanoparticles | In vivo LNP- delivered CRISPR/ABE base-editing therapy. Designed to correct c.247C > T missense mutation in the G6PC1 gene to rescue glucose-6-phosphatase-α production. |
| NCT05456880 | Phase 1 & 2 | Open-label, single-arm, multicenter | 15 | Recruiting | Sickle Cell Disease and Severe Vaso-Occlusive Crises HBG1/2 gene promoters | Electroporation | Base editing of autologous CD34+ hematopoietic stem cells for ex vivo therapy. Designed to introduce mutations in the HBG1/2 gene promoters to disrupt BCL11A binding sites. This strategy is intended to increase fetal hemoglobin levels in the blood. |
| NCT06389877 | Phase 1 & 2 | Open-label, multicenter, dose-exploration and dose expansion | 106 | Recruiting | Alpha-1 antitrypsin deficiency (AATD) Missense mutation (E342K) in the SERPINA1 gene | Lipid nanoparticles | In vivo LNP-delivered CRISPR/ABE base-editing therapy. Designed to correct the E342K point mutation in the SERPINA1 gene to rescue α1-antitrypsin expression. |
| NCT06164730 | Phase 1 | Open-label, single-arm, ascending-dose | 85 | Recruiting | Familial Hypercholesterolemia or Premature Coronary Artery Disease PCSK9 gene (Splicing site) | Lipid nanoparticles conjugated with GalNAc | In vivo LNP delivered CRISPR/ABE base-editing therapy. Designed to introduce a point mutation in the PCSK9 splicing site to impair PCSK9 expression levels and reduce LDL-C levels in blood. |
| NCT06461702, & NCT06458010 | Phase 1 | Open-label, single-arm, single-dose escalation | 13 & 20 | Recruiting | Familial Hypercholesterolemia. Exon 1 splice donor site of PCSK9. | Lipid nanoparticles conjugated with GalNAc | In vivo LNP-delivered CRISPR/ hpABE5 base-editing therapy. Designed to introduce a point mutation in the PCSK9 splicing site to impair PCSK9 expression levels and reduce LDL-C levels in blood. |
| NCT06451770 | Phase 1 | Open-label, single-arm, ascending-dose | 36 | Recruiting | Familial Hypercholesterolemia and Refractory Hyperlipidemia ANGPTL3 gene | Lipid nanoparticles conjugated with GalNAc | In vivo LNP-delivered CRISPR/ABE8.8 base-editing therapy. Designed reduce expression of the ANGPTL3 gene and reduce LDL-C and triglyceride levels in blood. |
| NCT06392724 | Phase 1 | Open-label, single-arm, single-center | 3 | Active, not recruiting | Duchenne muscular dystrophy 5′ splicing site of exon 50 of the DMD gene | Dual ss.AAV9 vector | In vivo AAV-delivered CRISPR/CBE base-editing therapy. Designed to edit the DMD exon 50 5′ splice site to induce skipping of exon 50. Exon 50 skipping can restore the reading frame and recover dystrophin production in patients carrying different single- and multi-exon deletions. |
| N/A | N/A | Single-patient, expanded-access Investigational New Drug application | 1 | N/A | Carbamoyl-phosphate synthetase 1 (CPS1) deficiency Missense mutation c.1003C→T (p.Gln335Ter) in CPS1 gene | Lipid nanoparticles | In vivo personalized lipid nanoparticle-delivered CRISPR/ NGC-ABE8eV106W base-editing therapy. Designed to rescue carbamoyl-phosphate synthetase 1 production by correcting the c.1003C→T point mutation. |
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© 2026 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.
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Rodriguez, S.H.; Yokota, T. Building CRISPR-Based Gene-Editing Platforms for Personalized Medicine: The Next Step in Interventional Genetics. Genes 2026, 17, 631. https://doi.org/10.3390/genes17060631
Rodriguez SH, Yokota T. Building CRISPR-Based Gene-Editing Platforms for Personalized Medicine: The Next Step in Interventional Genetics. Genes. 2026; 17(6):631. https://doi.org/10.3390/genes17060631
Chicago/Turabian StyleRodriguez, Sebastian Hernandez, and Toshifumi Yokota. 2026. "Building CRISPR-Based Gene-Editing Platforms for Personalized Medicine: The Next Step in Interventional Genetics" Genes 17, no. 6: 631. https://doi.org/10.3390/genes17060631
APA StyleRodriguez, S. H., & Yokota, T. (2026). Building CRISPR-Based Gene-Editing Platforms for Personalized Medicine: The Next Step in Interventional Genetics. Genes, 17(6), 631. https://doi.org/10.3390/genes17060631

