Why Are Sickle Cell Patients Hesitant to Embrace Gene Therapy? 

A view of paintings related to sickle cell on a table as Dominique Goodson, who has sickle cell and advocates for awareness about the disease, takes a phone call in her room at her home in the Brooklyn borough of New York City. Credit | Reuters
A view of paintings related to sickle cell on a table as Dominique Goodson, who has sickle cell and advocates for awareness about the disease, takes a phone call in her room at her home in the Brooklyn borough of New York City. Credit | Reuters

United States: Talking about the Student Zoe Davis, 20, was just weeks into her junior year when she landed back in the hospital with severe sickle cell pain earlier this month. She is trying all she can to avoid the calamitous jabs on her arms, legs, and the tummy, which are frequenting her now. 

She understands that new gene therapies may help offer a lasting treatment to some of the 100,000 Americans like her who live with sickle cell disease. But she’s waiting not to attempt one. 

As reported by the Reuters, “It is so new … Looking at that, I wanted more specific success stories before getting to it,” said Davis, a veterinary student at North Carolina Agricultural and Technical State University in Greensboro. 

Her indecision clearly shows one of the major reasons why take-up for the possibly transformative treatments that cost between USD 2 million and USD 3 million in the United States is even slower than anticipated, said interviews with half a dozen specialists in the United States and six sickle cell patients. 

Kayla Smith Owens, who has sickle cell and advocates for awareness about the disease, holds the prescribed pills in her hands at her home in Chesapeake Beach. Credit | Reuters
Kayla Smith Owens, who has sickle cell and advocates for awareness about the disease, holds the prescribed pills in her hands at her home in Chesapeake Beach. Credit | Reuters

Schools and reluctance of adding more burden to their lives have made young patients less enthusiastic as was expected, according to Dr. Leo Wang, hematologist on oncologist in City of Hope Children’s Cancer Centre near Los Angeles. 

“Some kids just are not interested,” he said, but patients between the ages of 20 and 40 are but some of them have severe disease and thus not suitable candidates. 

The new one-time treatments, which were approved in the U.S. in December, have been deployed to only about 100 people worldwide, including in clinical trials. They demand chemotherapy, and this will enhance their chances of developing cancer besides if they are of reproductive age they will be left childless. 

Some patients complain that the time – up to one year – is a challenge to anyone who does not have a severe illness. 

Worldwide almost 8 million people are estimated to have the sickle cell disease and inherited disorder according to the National Institutes of Health and most of those in the United States are Black.  

Sufferers red blood cells have an abnormal “sickle” shape that can block their flow through the blood vessels which can causing excruciating pain and sometimes leading to strokes organ and damage and premature death and the mutation that can cause the sickle cell is the most prevalent in the places where the malaria in the endemic and a single copy of the gene has been shown to protect against malaria infection. 

By the month of September at least 30 people worldwide had begun a one-time gene therapy outside the trials according to the two manufacturers whose therapies were approved in the United States of America.