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CTX310 (ANGPTL3)CRISPR Therapeutics—CTX310 (ANGPTL3)CRISPR Therapeutics—

CTX310 (ANGPTL3)

by CRISPR TherapeuticsCHUS

ProtoStage 2 of 5

Early trial done; next trial underway in people with very high blood fats or cholesterol.

Updated 28 Aug 2026Checked 25 Sep0 updates this week

Milestones

Next · Next trial in very high blood fats or cholesterol
  1. First people dosed2024Complete.
  2. Early results at AHA and in NEJMNov 2025Complete.
  3. Data on how long it lasts, at ESC28 Aug 2026Complete.
  4. Next trial in very high blood fats or cholesterolNowCurrent milestone.

Most important updates

  • 28 Aug 2026
  • Nov 2025

Upcoming

  1. 2026Phase 1b clinical update for CTX310 (next)

Current obstacles

  • Permanent fix for a common diseaseUnlike statins, the effect can't be stopped, so regulators will want long safety data when other drugs already exist.

Physics limits

  • Fat-bubble delivery mostly reaches the liverIn the blood, lipid nanoparticles pick up a protein (ApoE) that liver cells absorb. That makes the liver easy to edit, but most other organs (brain, muscle, lungs) remain hard to reach with enough dose.
  • Edits in the body are permanent and can't be recalledOnce liver cells are edited, the change lasts for life and is copied as cells renew. Any off-target cut or unexpected long-term effect can't be undone, so safety must be proven over years.
  • Guides can bind near-matching DNA elsewhereA 20-letter guide can tolerate a few mismatches, so the editor may act at similar sites among 3 billion letters. Screening reduces but can't fully rule out rare off-target edits in every cell.

How it works

3 parts
Blood plasma clouded by fats (triglycerides): the blood fats CTX310 aims to lower by switching off ANGPTL3 in the liver
Blood plasma clouded by fats (triglycerides): the blood fats CTX310 aims to lower by switching off ANGPTL3 in the liverPhoto: DiverDave · CC BY-SA 3.0 (opens commons.wikimedia.org)
Deliver

Fat bubbles to the liver

One infusion of lipid nanoparticles carries CRISPR instructions (mRNA for the Cas9 cutter plus a guide RNA) into liver cells.

Cut

Switch off ANGPTL3

Cas9 cuts the ANGPTL3 gene, and the cell's repair usually breaks it. The liver then stops making ANGPTL3 protein.

Effect

Fats cleared faster

ANGPTL3 normally brakes the enzymes that clear fats from blood. Without it, triglycerides and LDL cholesterol fall, as in people born lacking it.

Papers & demos

1 item
  1. Nov 2025paper
    CTX310 Phase 1: CRISPR-Cas9 editing of ANGPTL3 (NEJM) (opens doi.org)One of the first in-body CRISPR trials for a common heart-risk condition.

Update log

2 updates

Fri 28 Aug

  • Minor: PressTest

Nov 2025

  • Major: PaperResearch

About CRISPR Therapeutics

The team behind CTX310 (ANGPTL3)

CRISPR Therapeutics

CRISPR, Casgevy, in vivo liver editing

Swiss-American gene-editing company co-founded by Nobel winner Emmanuelle Charpentier. With Vertex it made Casgevy, the first approved CRISPR medicine, for sickle cell disease and beta thalassemia. Now it edits liver genes to treat heart disease.

  • Casgevy became the world's first approved CRISPR therapy (UK Nov 2023, US Dec 2023), sold with Vertex, which leads it.
  • CTX310, a one-time CRISPR edit in the liver, lowered blood fats and LDL cholesterol in an early trial (NEJM, Nov 2025).
  • Casgevy uptake is slow: each patient needs stem-cell collection, a factory slot and harsh chemotherapy at a special center.
Founded
201313 yrs
Headquarters
SwitzerlandUnited States
Status
Public
Valuation
public
Works in
BiotechGene editing
Coverage
2 programs · 7 updateslatest 28 Aug 2026checked 25 Sep
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