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December 8, 2025BloodOpen Access

Motixafortide (CXCR4 inhibition) alone and in combination with natalizumab (VLA-4 inhibition) to mobilize hematopoietic stem cells for gene therapy in sickle cell disease: A first-in-human, safety and feasibility study

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Authors

PRPeter RuminskiRJReyka G. JayasingheSPStephen P. Persaud

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Overview

First-in-human trial finds motixafortide plus natalizumab improves CD34+ cells in sickle cell disease, suggesting new gene therapy potential.

Key Points

  • Motixafortide and natalizumab safely increased mobilization of CD34+ cells in SCD.
  • Median 312 CD34+ cells/μl mobilized with N+M, compared to 189 cells/μl with M alone.
  • Immunophenotyping revealed enhanced mobilization of specific HSC subsets with the combination therapy.
  • Findings highlight a potential new approach for optimizing HSC mobilization in sickle cell disease.

Cite This Study

Ruminski et al. (2025) studied this question.

synapsesocial.com/papers/69362f5a4fa91c937236db20https://doi.org/10.1182/blood-2025-5956
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