June 15, 2026 · The New England journal of medicine · DOI: 10.1056/NEJMoa2600931

Lonvoguran Ziclumeran - In Vivo CRISPR Gene Editing in Hereditary Angioedema

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The authors aimed to evaluate the efficacy and safety of lonvoguran ziclumeran (lonvo-z), an investigational CRISPR-based gene-editing treatment, in reducing the frequency of attacks in patients with hereditary angioedema due to C1 inhibitor deficiency. In a phase 3 trial, a single intravenous infusion of lonvo-z significantly decreased the monthly attack rate compared to placebo, with a relative reduction of 87%. While adverse events were reported in both groups, no serious complications occurred in the lonvo-z group, indicating a favorable safety profile.

Danny M Cohn, Padmalal Gurugama, Hilary J Longhurst, Emel Aygören-Pürsün, Timothy J Craig, Henriette Farkas, Joshua Jacobs, William R Lumry, Markus Magerl, Jonny Peter, Marc A Riedl, David Maag, Adele Golden, Mrinal Y Shah, Andrea Sutherland, Catherine R Miller, Ahmed M Abdelhady, Yuanxin Xu, James S Butler, David Lebwohl, John Leonard, Aleena Banerji, HAELO Investigators

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