Cell & Gene Pipeline Outlook: November 2025 - Prime Therapeutics
publications
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!
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-ChiefAssociate 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 | |||||||
| etuvetidigene autotemcel* | Fondazione Telethon | Wiskott-Aldrich syndrome | Submitted | Single dose IV | PDUFA: 4Q2025 | HCT Profile: etu-cel Deep Dive: etu-cel |
|
| onasemnogene abeparvovec-xioi (Zolgensma, OAV101IT)* | Novartis | Spinal muscular atrophy | Submitted | Single dose intrathecal | PDUFA: 4Q2025 | Deep Dive: OAV101IT | |
| lisocatagene maraleucel (Breyanzi)* | BMS | Marginal zone lymphoma | Submitted | Single dose IV | PDUFA: 12/05/2025 | ||
| omidubicel-onlv (Omisirge) | Gamida | Aplastic anemia | Submitted | Single dose IV | PDUFA: 12/10/2025 | ||
| 2026 | |||||||
| tabelecleucel* | Pierre Fabre | EBV-specific post-transplant lymphoproliferative disease | Submitted | Multi-dose IV | PDUFA: 01/10/2026 | HCT Profile: tabelecleucel Deep Dive: tabelecleucel |
|
| 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 |
|
| 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 |
|
| allogeneic T-cell immunotherapy (Orca-T)* | Orca | Hematological malignancies | Submitted | Single dose IV | PDUFA: 04/06/2026 | ||
| vusolimogene odeparepvec (RP1) | Replimune | Melanoma | Submitted | Multi-dose intratumoral | PDUFA: 04/10/2026 | HCT Profile: vuso-vec Deep Dive: vuso-vec |
|
| anitocabtagene autoleucel* | Arcellx | Multiple myeloma | Phase 3 | Single dose IV | 2026 | ||
| cretostimogene grenadenorepvec | CG Oncology | Bladder cancer | Phase 3 | Multi-dose intravesical | 2026 | ||
| deramiocel (CAP-1002)* | Capricor | Duchenne muscular dystrophy cardiomyopathy | Phase 3 | Multi-dose IV | 2026 | HCT Profile: deramiocel Deep Dive: deramiocel |
|
| exagamglogene autotemcel (Casgevy) | Vertex | Sickle cell disease in pediatric patients aged 2-11 | Phase 3 | Single dose IV | 2026 | ||
| pariglasgene brecaparvovec (DTX401)* | Ultragenyx | Glycogen storage disease type Ia | Phase 3 | Single dose IV | 2026 | ||
| rebisufligene etisparvovec (UX111)* | Ultragenyx | Mucopolysaccharidosis IIIA (Sanfilippo A syndrome) | Phase 3 | Single dose IV | 2026 | HCT Profile: rebi-vec Deep Dive: rebi-vec |
|
| rexlemestrocel-L* | Mesoblast | Ischemic heart failure with reduced ejection fraction and inflammation | Phase 3 | Single dose transendocardial | 2026 | ||
| zimislecel | Vertex | Diabetes mellitus, type I | Phase 3 | Single dose intrahepatic | 2026 | ||
| DB-OTO* | Regeneron | Otoferlin-related hearing loss | Phase 2 | Single dose intracochlear per ear | 2026 | ||
| ifezuntirgene inilparvovec (AMT-130)* | UniQure | Huntington's disease | Phase 2 | Single dose intracerebral | 2026 | ||
| isaralgagene civaparvovec (ST-920)* | Sangamo | Fabry disease | Phase 2 | Single dose IV | 2026 | ||
| letetresgene autoleucel* | Adaptimmune | Synovial sarcoma or liposarcoma | Phase 2 | Single dose IV | 2026 | ||
| sonpiretigene isteparvovec (MCO-010)* | Nanoscope | Retinitis pigmentosa | Phase 2 | Single dose intravitreal per eye | 2026 | ||
| 2027 | |||||||
| aglatimagene besadenovec (CAN-2409) | Candel | Prostate cancer | Phase 3 | Multi-dose intratumoral | 2027 | ||
| avalotcagene ontaparvovec (DTX301)* | Ultragenyx | Ornithine transcarbamylase deficiency | Phase 3 | Single dose IV | 2027 | ||
| baluretgene parvec (OCU400)* | Ocugen | Retinitis pigmentosa | Phase 3 | Single dose subretinal per eye | 2027 | ||
| Descartes-08* | Cartesian | Myasthenia gravis | Phase 3 | Single dose IV | 2027 | ||
| laruparetigene zovaparvovec (AGTC-501)* | Beacon | Retinitis pigmentosa | Phase 3 | Single dose subretinal per eye | 2027 | ||
| lonvoguran ziclumeran (NTLA-2002)* | Intellia | Hereditary angioedema | Phase 3 | Single dose IV | 2027 | ||
| RGX-202* | Regenxbio | Duchenne muscular dystrophy | Phase 3 | Single dose IV | 2027 | ||
| SGT-003* | Solid | Duchenne muscular dystrophy | Phase 3 | Single dose IV | 2027 | ||
| surabgene lomparvovec (ABBV-RGX-314) | AbbVie | Wet age-related macular degeneration | Phase 3 | Single dose subretinal per eye | 2027 | ||
| cetoquagene parvec (AAV2-hAQP1)* | MeiraGTx | Radiation induced xerostomia | Phase 2 | Single dose catheter per parotid salivary gland | 2027 | ||
| cemacabtagene ansegedleucel* | Allogene | Large B-cell lymphoma | Phase 2 | Single dose IV | 2027 | ||
| cevaretigene ritoparvovec (AAV-RPE65)* | MeiraGTx | Leber congenital amaurosis | Phase 2 | Single dose subretinal per eye | 2027 | ||
| detalimogene voraplasmid | EnGene | Bladder cancer | Phase 2 | Multi-dose intravesical | 2027 | ||
| KYV-101* | Kyverna | Stiff person syndrome | Phase 2 | Single dose IV | 2027 | ||
| laromestrocel* | Longeveron | Hypoplastic left heart syndrome | Phase 2 | Multi-dose intramyocardial | 2027 | ||
| lifileucel (Amtagvi) | Lovance | Non-small cell lung cancer | Phase 2 | Single dose IV | 2027 | ||
| RP-A501* | Rocket | Danon disease | Phase 2 | Single dose IV | 2027 | ||
*Orphan drug status
PDUFA= Prescription Drug User Fee Act
IV= intravenous
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.
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.