Vertex gets more in vivo gene editing Verve

Vertex’s latest tie-up in in vivo gene editing, with Verve Therapeutics, raises plenty of questions. First, the companies are not saying what liver disease they are targeting – although this is not unusual for these types of deals, as shown by the table below. Next, the agreement could spur doubts about Vertex’s other forays into in vivo gene editing including its most recent, a collaboration with Mammoth Biosciences. Mammoth is developing “ultra-small” Crispr systems, while Verve traditionally uses more precise base editing, which avoids the potentially harmful double-stranded DNA breaks seen with Crispr/Cas9. However, yesterday’s press release does not mention base editing – hopefully it will soon become clear whether Vertex and Verve are indeed using this technology, or something else. To complicate matters further, Verve licenses the base editing tech from Beam Therapeutics; that group’s in vivo efforts are largely focused on liver diseases, while Verve, until now, has concentrated on cardiovascular projects, although its agreement with Beam also covers two undisclosed targets. Verve, which took its lead asset, VERVE-101, into the clinic last week, wasted no time in carrying out a $225m fundraising; its stock slumped 13% this morning.

Selected in vivo gene editing deals
Big partner Small partner Setting Terms Date
Vertex Verve A single undisclosed liver disease $25m up front, $35m equity, $406m milestones Jul 2022
Novartis Precision Biosciences Diseases incl SCD & beta-thal $75m up front, $1.4bn milestones Jun 2022
Pfizer Beam Three undisclosed rare genetic diseases of the liver, muscle and CNS $300m up front, $1.05bn milestones Jan 2022
Bayer Mammoth Five indications with an initial focus on liver disease $40m up front, milestones >$1bn Jan 2022
Moderna Metagenomi Undisclosed Undisclosed Nov 2021
Vertex Mammoth Two undisclosed rare diseases $41m up front (includes convertible debt), $650m milestones Oct 2021
Apellis Beam Six programmes focused on complement-driven diseases of the eye, liver & brain $50m up front, $25m milestones, more if Apellis opts into any programme Jun 2021
Vertex Moderna Cystic fibrosis   $75m up front, $380m milestones Sep 2020
Novartis Sangamo 3 neurodevelopmental targets, incl autism $75m up front, $720m milestones Jul 2020
Regeneron Intellia 5 more liver targets, incl haemophilia A & B (expanded collab) $70m up front, $30m equity, milestones undisclosed Jun 2020
Biogen Sangamo Alzheimer's, Parkinson's, a neuromuscular disease and up to 9 CNS targets $125m up front, $2.37bn milestones Feb 2020
Askbio (now Bayer) Editas Neurological diseases Undisclosed Oct 2019
Novo Nordisk Bluebird Bio (now with 2seventy bio) Haemophilia A Undisclosed Oct 2019
Vertex Crispr Therapeutics DMD & DM1 $175m up front, up to $1bn inclusive Jun 2019
Allergan Editas Up to 5 ocular programmes (led to LCA10 project EDIT-101, later handed back by Abbvie) $90m up front, undisclosed milestones Mar 2017
Regeneron Intellia Up to 10 targets, primarily focused on liver (led to ATTR amyloidosis project NTLA-2001) $75m up front, $50m equity, undisclosed milestones Apr 2016
Bayer Casebia JV with Crispr Therapeutics Haemophilia, ophthalmology and autoimmune diseases (Bayer took step back from JV in Oct 2019) $300m to JV plus $35m investment in Crispr Dec 2015 
Vertex Crispr Therapeutics Cystic fibrosis (also led to ex vivo SCD project CTX001) $75m up front, $30m equity, $420m milestones on any project licensed in Oct 2015
 Source: Evaluate Pharma & clinicaltrials.gov.

The table in this story has been updated to include the Moderna/Metagenomi deal.

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