
Gene Therapies for Sickle Cell Disease Face Access Barriers Despite High Efficacy
The FDA approved Casgevy and Lyfgenia in 2023 as the first gene therapies for severe sickle cell disease, offering potential cures with 88% to 94% efficacy. However, uptake remains low, with only 64 patients receiving Casgevy and 115 receiving Lyfgenia by late 2025. Barriers include high costs ranging from $2.2 million to $3.1 million, complex treatment processes causing infertility, and limited provider availability. While the CMS Cell and Gene Therapy Access Model aims to lower costs, uneven coverage and geographic gaps persist, leaving many eligible patients without access.











