TS-003693 — CD34+ Bone Marrow Stem Cells for the Treatment of Chronic Granulomatous Disease (CGD) Chronic Granulomatous Disease (CGD) is a genetic disorder characterized by defective immune cells unable to produce Reactive Oxygen Species (ROS); this compromises someone’s ability to fight infections. Current treatments, such as antimicrobial prophylaxis, only partially address the condition. This IP proposes a novel approach utilizing CRISPR/AAV technology to genetically edit autologous CD34+ bone marrow stem cells ex-vivo, aiming to restore the normal function of immune cells and improve clinical outcomes for CGD patients. The technology involves off-the-shelf CRISPR guide RNAs (gRNAs) targeting mutated genes in CGD, along with adeno-associated virus (AAV) vectors delivering healthy copies of these genes. This technology offers a promising solution to the limitations of existing CGD treatments by addressing the root cause of the disease at the genetic level. By genetically editing autologous CD34+ stem cells ex-vivo, the technology seeks to produce functional immune cells capable of effectively combating infections in CGD patients. This approach has the potential to significantly improve the quality of life and life expectancy of CGD patients, offering a new avenue for personalized medicine in the treatment of genetic disorders. Compared to conventional treatments (e.g., antimicrobial prophylaxis) this gene therapy approach offers the advantage of directly addressing the underlying genetic defect in CGD. By utilizing CRISPR/AAV technology, the off-the-shelf materials provided can efficiently target and replace mutated genes in CD34+ stem cells, potentially resulting in a higher percentage of ROS production and improved immune function. Further development of this technology involves generating corrected CD34+ stem cells targeting the CYBB, CYBA, NCF1, and NCF2 genes associated with CGD mutations. These corrected cells will be tested in preclinical models to assess their antimicrobial activity and therapeutic efficacy. Ongoing research will focus on optimizing the gene editing process and expanding the application of the technology to other genetic disorders beyond CGD. Pharmaceutical companies specializing in gene therapy, immunology, and rare diseases are likely to be interested in licensing this technology for further development and commercialization.