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Cell & Gene Pipeline Outlook: November 2025

Tracking the therapies shaping tomorrow’s care

November 12, 2025

Editor-in-chief's message

Welcome to Prime Therapeutics’ (Prime) inaugural Cell & Gene Pipeline Outlook! This publication tracks what is ahead in the cell and gene therapy (CGT) pipeline over the next few years. The pipeline for cell therapies — including CAR-T—and gene therapies is dynamic and poised for growth as science and technology advance. 

Our team of experts has curated both novel experimental medicines and new uses or formulations for existing therapies, with several pending U.S. Food and Drug Administration (FDA) approvals. While the bulk of the agents profiled are for rare or orphan conditions, therapies for more common conditions are also featured. Each listing includes development status—whether an FDA application has been submitted, or if safety and efficacy are being studied in Phase 2 or 3 clinical trials. 

These regenerative treatments can take different forms and are fluid, but a few principles apply. These products use cells and genetic material to treat or prevent disease. Although a number of them require multiple doses, many hold the promise to cure intractable diseases with just a single dose. These are highly complex, high-cost therapies, and they are not without risk. Moreover, their durability of response remains to be determined. Yet CGT has the potential to alter the trajectory of certain diseases and bring hope to patients and their families living with incurable or debilitating conditions.  

We hope you find this report insightful!  
 

Maryam Tabatabai
Associate Vice President, Clinical Information 

Editorial team

Maryam Tabatabai, PharmD
Editor-In-Chief
Associate Vice President, Clinical Information 


Nicole Kjesbo, PharmD, BCPS
Executive Editor
Clinical Program Development Director Senior, Pipeline


Carole Kerzic, RPh
Executive Editor
Drug Information Pharmacist Principal 

 

Emerging Cell & Gene therapies

Therapeutic class Name Manufacturer Indication Status Administration Earliest anticipated approval Further reading
2025
Gene Icon etuvetidigene autotemcel* Fondazione Telethon Wiskott-Aldrich syndrome Submitted Single dose IV PDUFA: 4Q2025 HCT Profile: etu-cel

Deep Dive: etu-cel
Gene icon onasemnogene abeparvovec-xioi (Zolgensma, OAV101IT)* Novartis Spinal muscular atrophy Submitted Single dose intrathecal PDUFA: 4Q2025 Deep Dive: OAV101IT
Injectable icon lisocatagene maraleucel (Breyanzi)* BMS Marginal zone lymphoma Submitted Single dose IV PDUFA: 12/05/2025
Injectable icon omidubicel-onlv (Omisirge) Gamida Aplastic anemia Submitted Single dose IV PDUFA: 12/10/2025
2026
Injectable Icon tabelecleucel* Pierre Fabre EBV-specific post-transplant lymphoproliferative disease Submitted Multi-dose IV PDUFA: 01/10/2026 HCT Profile: tabelecleucel

Deep Dive: tabelecleucel
Description of image clemidsogene lanparvovec (RGX-121)* Regenxbio, Nippon Shinyaku Mucopolysaccharidosis II (Hunter syndrome) Submitted Single dose intracisternal PDUFA: 02/08/2026 HCT Profile: clemi-vec

Deep Dive: clemi-vec
Description of image marnetegragene autotemcel (Kresladi)* Rocket Severe leukocyte adhesion deficiency type 1 Submitted Single dose IV PDUFA: 03/28/2026 HCT Profile: marne-cel

Deep Dive: marne-cel
Description of image allogeneic T-cell immunotherapy (Orca-T)* Orca Hematological malignancies Submitted Single dose IV PDUFA: 04/06/2026
Description of image vusolimogene odeparepvec (RP1) Replimune Melanoma Submitted Multi-dose intratumoral PDUFA: 04/10/2026 HCT Profile: vuso-vec

Deep Dive: vuso-vec
Description of image anitocabtagene autoleucel* Arcellx Multiple myeloma Phase 3 Single dose IV 2026
Description of image cretostimogene grenadenorepvec CG Oncology Bladder cancer Phase 3 Multi-dose intravesical 2026
Description of image deramiocel (CAP-1002)* Capricor Duchenne muscular dystrophy cardiomyopathy Phase 3 Multi-dose IV 2026 HCT Profile: deramiocel

Deep Dive: deramiocel
Description of image exagamglogene autotemcel (Casgevy) Vertex Sickle cell disease in pediatric patients aged 2-11 Phase 3 Single dose IV 2026
Description of image pariglasgene brecaparvovec (DTX401)* Ultragenyx Glycogen storage disease type Ia Phase 3 Single dose IV 2026
Description of image rebisufligene etisparvovec (UX111)* Ultragenyx Mucopolysaccharidosis IIIA (Sanfilippo A syndrome) Phase 3 Single dose IV 2026 HCT Profile: rebi-vec

Deep Dive: rebi-vec
Description of image rexlemestrocel-L* Mesoblast Ischemic heart failure with reduced ejection fraction and inflammation Phase 3 Single dose transendocardial 2026
Description of image zimislecel Vertex Diabetes mellitus, type I Phase 3 Single dose intrahepatic 2026
Description of image DB-OTO* Regeneron Otoferlin-related hearing loss Phase 2 Single dose intracochlear per ear 2026
Description of image ifezuntirgene inilparvovec (AMT-130)* UniQure Huntington's disease Phase 2 Single dose intracerebral 2026
Description of image isaralgagene civaparvovec (ST-920)* Sangamo Fabry disease Phase 2 Single dose IV 2026
Description of image letetresgene autoleucel* Adaptimmune Synovial sarcoma or liposarcoma Phase 2 Single dose IV 2026
Description of image sonpiretigene isteparvovec (MCO-010)* Nanoscope Retinitis pigmentosa Phase 2 Single dose intravitreal per eye 2026
2027
Description of image aglatimagene besadenovec (CAN-2409) Candel Prostate cancer Phase 3 Multi-dose intratumoral 2027
Description of image avalotcagene ontaparvovec (DTX301)* Ultragenyx Ornithine transcarbamylase deficiency Phase 3 Single dose IV 2027
Description of image baluretgene parvec (OCU400)* Ocugen Retinitis pigmentosa Phase 3 Single dose subretinal per eye 2027
Description of image Descartes-08* Cartesian Myasthenia gravis Phase 3 Single dose IV 2027
Description of image laruparetigene zovaparvovec (AGTC-501)* Beacon Retinitis pigmentosa Phase 3 Single dose subretinal per eye 2027
Description of image lonvoguran ziclumeran (NTLA-2002)* Intellia Hereditary angioedema Phase 3 Single dose IV 2027
Description of image RGX-202* Regenxbio Duchenne muscular dystrophy Phase 3 Single dose IV 2027
Description of image SGT-003* Solid Duchenne muscular dystrophy Phase 3 Single dose IV 2027
Description of image surabgene lomparvovec (ABBV-RGX-314) AbbVie Wet age-related macular degeneration Phase 3 Single dose subretinal per eye 2027
Description of image cetoquagene parvec (AAV2-hAQP1)* MeiraGTx Radiation induced xerostomia Phase 2 Single dose catheter per parotid salivary gland 2027
Description of image cemacabtagene ansegedleucel* Allogene Large B-cell lymphoma Phase 2 Single dose IV 2027
Description of image cevaretigene ritoparvovec (AAV-RPE65)* MeiraGTx Leber congenital amaurosis Phase 2 Single dose subretinal per eye 2027
Description of image detalimogene voraplasmid EnGene Bladder cancer Phase 2 Multi-dose intravesical 2027
Description of image KYV-101* Kyverna Stiff person syndrome Phase 2 Single dose IV 2027
Description of image laromestrocel* Longeveron Hypoplastic left heart syndrome Phase 2 Multi-dose intramyocardial 2027
Description of image lifileucel (Amtagvi) Lovance Non-small cell lung cancer Phase 2 Single dose IV 2027
Description of image RP-A501* Rocket Danon disease Phase 2 Single dose IV 2027
*Orphan drug status
PDUFA= Prescription Drug User Fee Act
IV= intravenous
Gene therapy= Aims to fix a faulty gene or replace it with a healthy gene to try to cure a disease or help the body become better at fighting disease
Cell therapy= Transplantation of healthy cells to replace or repair damaged ones
All brand names are property of their respective owners.

The drug pipeline is fluid; the dates and information within this publication are subject to change. Nothing herein is or shall be construed as a promise or representation regarding past or future events and Prime Therapeutics expressly disclaims any and all liability relating to the use of or reliance on the information contained in this presentation. The information contained in this publication is intended for educational purposes only and should not be considered clinical, financial, or legal advice. By receipt of this publication, each recipient agrees that the information contained herein will be kept confidential and that the information will not be photocopied, reproduced, distributed to, or disclosed to others at any time without the prior written consent of Prime Therapeutics.
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