Gene editing to raise fetal hemoglobin levels in adults with sickle cell disease

Novel therapeutic gene editing to induce fetal hemoglobin for sickle cell disease

NIH-funded research St. Jude Children's Research Hospital · NIH-11378801

This project edits a patient’s own blood stem cells with CRISPR to turn on fetal hemoglobin and help adults with sickle cell disease have fewer sickled red cells and painful episodes.

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionSt. Jude Children's Research Hospital NIH-funded
Lab location1 site (Memphis, United States)
Project IDNIH-11378801 on NIH RePORTER

What this research studies

If I take part, doctors would collect my blood-forming stem cells, use a CRISPR/Cas9 ribonucleoprotein to disrupt a BCL11A-related switch, and return my edited cells so my red blood cells make more fetal hemoglobin. In lab and mouse-transplant tests, the team achieved high on-target editing in long-term stem cells with no off-target mutations detected at high sensitivity and produced red cells with much higher HbF and far less sickling. The group plans to move this work into clinical use, with careful monitoring of blood counts, HbF levels, and safety after transplant. Treatment will involve specialized procedures and follow-up over months to years to track durability and side effects.

Who could benefit from this research

Good fit: Adults with sickle cell disease (age 21+) who are eligible for autologous stem cell collection and the conditioning/transplant procedures would be the intended candidates.

Not a fit: People under 21, or those who cannot tolerate stem cell collection or transplant conditioning because of other medical issues, would likely not be eligible or benefit.

Why it matters

Potential benefit: If successful, this could produce long-lasting increases in fetal hemoglobin that reduce or eliminate red-cell sickling, leading to fewer pain crises and improved organ health.

How similar studies have performed: Related gene-editing approaches targeting BCL11A or HbF induction have shown promising early clinical results, with some patients achieving major reductions in symptoms and transfusion needs.

Where this research is happening

Memphis, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.