Bluebird Bio's Skysona for CALD Linked to Blood Cancer Risks in Children

Skysona, developed by Bluebird Bio and approved by the FDA, is a personalized gene therapy designed to treat cerebral adrenoleukodystrophy (CALD), a rare degenerative brain disorder in children. However, recent studies have highlighted significant safety concerns, revealing that seven out of 67 boys treated with Skysona developed blood cancers, including six cases of myelodysplastic syndrome (MDS) and one case of acute myeloid leukemia (AML)[1][2]. These occurrences have been linked to clonal vector insertions and somatic mutations, potentially due to the lentiviral vector technology used in the therapy. Despite these risks, many patients achieved stable neurological function, indicating benefits that might outweigh the potential dangers, though this balance remains under scrutiny[1][2].
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What measures is Bluebird Bio considering to mitigate the blood cancer risks associated with Skysona?
How does the lentiviral vector technology in Skysona compare to other gene therapy vectors in terms of safety?
What impact could the reported blood cancers have on the future FDA approval of Bluebird Bio's other treatments?
How will Bluebird Bio address the financial challenges posed by the recent findings about Skysona's risks?
What further studies are being planned to assess the long-term safety of Skysona in children with CALD?