Key Takeaways CRSP's CTX310 showed up to 86% LDL and 82% TG reductions in early-stage study data.CRSP is developing CTX320 in an early-stage study for lipoprotein(a), tied to heart disease.The company plans to advance CTX340 and CTX450 into clinical studies by the end of 2025.CRISPR Therapeutics (CRSP) is the first and only company in the world to market a CRISPR/Cas9-based therapy. The company tasted major success with the approval of its one-shot gene therapy, Casgevy, in late 2023 and early 2024 across t ...

Core Insights - CRISPR Therapeutics (CRSP) shares have increased by 41.4% over the past three months, driven by positive data from the CTX310 study and strong sales of Casgevy in Q2 2025 [1][9]. In Vivo Pipeline Programs - CRISPR Therapeutics is advancing its in-vivo candidates, CTX310 and CTX320, in separate phase I clinical studies targeting ANGPTL3 and lipoprotein(a) respectively [2]. - Updated data from the CTX310 study showed significant reductions in low-density lipoprotein (LDL) and triglyceride (TG) levels, with peak reductions of up to 86% in LDL and 82% in TG [2][9]. - Data for CTX320 is anticipated in the first half of 2026, raising hopes for its potential in treating heart disease [3]. Casgevy Sales Performance - Casgevy, a one-shot gene therapy developed in partnership with Vertex Pharmaceuticals, was approved for sickle cell disease and transfusion-dependent beta-thalassemia [4]. - After a slow start in 2024 with only $10 million in revenue, Casgevy's sales surged to $30.4 million in Q2 2025, marking a 114.1% sequential increase [5][6]. - Over 75 treatment centers have been activated for Casgevy, with expectations for significant growth in new patient starts throughout 2025 [6]. Other Pipeline Candidates and Collaborations - CRISPR Therapeutics is developing next-generation CAR-T therapy candidates, CTX112 and CTX131, in separate phase I/II studies, with data expected later in 2025 [7]. - The company plans to expand its in-vivo pipeline with two additional programs, CTX340 and CTX450, by the end of the year [8]. - A recent collaboration with Sirius Therapeutics aims to diversify CRSP's pipeline into RNA therapeutics, focusing on the development of SRSD107 for thromboembolic disorders [10][11]. Competitive Landscape - CRISPR Therapeutics faces competition from other companies in the gene-editing space, including Beam Therapeutics and Intellia Therapeutics, which are advancing their own therapies [12]. - Casgevy also competes with chronic therapies like Bristol Myers' Reblozyl and Novartis' Adakveo [13]. Stock Performance and Valuation - CRSP shares have risen 34.8% year-to-date, outperforming the industry and the S&P 500 [14]. - The stock is trading at a price-to-book (P/B) ratio of 2.68, lower than the industry average of 2.95, indicating a potential valuation opportunity [15]. Estimate Movements - Estimates for CRISPR's 2025 loss per share have widened from $5.58 to $6.26, while estimates for 2026 have narrowed from $4.30 to $3.98 [18]. Financial Position - CRISPR Therapeutics has a strong cash balance of approximately $1.7 billion as of June-end, which supports ongoing operations and potential late-stage studies [20].

CASGEVY & Hemoglobinopathies - CASGEVY, a CRISPR-Cas9 therapy for severe sickle cell disease and beta thalassemia, is approved in multiple jurisdictions, with >65 authorized treatment centers activated globally and ~90 patients having initiated cell collection as of May 1st, 2025[9, 23] - The addressable market for CASGEVY is approximately 60,000 severe patients in approved territories[19] - A new CMMI model aims to improve access and health outcomes for sickle cell disease, potentially reducing U S expenditures by $3 billion annually[21] CAR T Programs - CTX112, an allogeneic CAR T therapy, demonstrated an overall response rate (ORR) of 67% and a complete response rate (CR) of 50% in a Phase I/II trial (N=12) for relapsed or refractory B-cell malignancies[40] - Updated CTX112 data (N=25) showed cell expansion comparable to autologous CAR T therapies, with dose-dependent increases in AUC and Cmax[43, 46] - In a subset of patients receiving CTX112 post-T cell engager (TCE) therapy, the overall response rate was 100% (6 patients)[48] In Vivo Programs - Initial results from the CTX310 Phase 1 dose escalation trial (N=10) showed promising efficacy, with one patient at the 0 8 mg/kg dose level experiencing an 82% reduction in triglycerides from a baseline of 1073 mg/dL at day 30[62, 66] - Preclinical data for CTX320 in NHPs demonstrated ~70% editing of LPA and ~95% reduction in plasma Lp(a) sustained at 2 years at 2 mg/kg dose[73] - CTX320 has the potential to benefit >60 million U S patients with elevated Lp(a)[81] Financials & Outlook - The company has a strong balance sheet with approximately $1 86 billion[15]

Core Insights - CRISPR Therapeutics (CRSP) shares have increased by 14% over the past month, primarily due to positive results from its in vivo gene therapy candidates [1][10] Group 1: In Vivo Therapy Developments - CRSP reported promising initial results from its early-stage study on CTX310, a CRISPR-based gene therapy targeting ANGPTL3 for atherosclerotic heart disease, showing peak reductions of up to 82% in triglyceride levels and 81% in low-density lipoprotein levels [2][3] - The success of CTX310 has generated excitement for another in vivo candidate, CTX320, which targets lipoprotein(a) and is expected to release initial data by the end of the month [4] Group 2: Casgevy and Market Position - Casgevy, CRSP's approved ex vivo gene therapy for sickle cell disease and transfusion-dependent beta-thalassemia, has seen a steady uptake post-launch, with $14.2 million in product revenues recorded in Q1, up from $8 million in the previous quarter [6][8] - As of May 1, over 65 authorized treatment centers have been activated globally, with nearly 90 patients undergoing their first cell collection [8] Group 3: Future Pipeline and Competition - CRSP plans to expand its pipeline with two additional in vivo programs, CTX340 and CTX450, by the end of the year, while also advancing two next-generation CAR-T therapy candidates [12][13] - The company faces competition from other firms utilizing CRISPR technology, such as Beam Therapeutics and Intellia Therapeutics, which are developing their own therapies for similar indications [14][15] Group 4: Stock Performance and Valuation - CRSP shares have outperformed the industry and the S&P 500 Index, rising 9% year-to-date compared to a 1% decline in the industry [17] - The stock is currently trading at a price-to-book value (P/B) ratio of 2.03, which is lower than the industry average of 3.14, indicating a discount [20]

Core Viewpoint - CRISPR Therapeutics has faced financial struggles despite clinical advancements, with shares down 24% over the past three years, while the S&P 500 gained 41%. However, potential catalysts could double its stock price by 2030, indicating a compound annual growth rate of about 14.9% [1] Group 1: Clinical Progress and Products - CRISPR Therapeutics has developed Casgevy, a one-time treatment for sickle cell disease and transfusion-dependent beta-thalassemia, showcasing the potential of its gene-editing technology [2] - The complexity of ex vivo gene-editing treatments, which involve collecting, editing, and reinserting patient cells, presents manufacturing and administration challenges [3] - Although Casgevy was approved in late 2023, it has not yet significantly impacted financial results, but it is expected to exceed $1 billion in annual sales at its peak due to limited competition [5][6] Group 2: Market Potential - The addressable market for Casgevy is estimated at 58,000 patients in targeted regions, with a treatment cost of $2.2 million in the U.S., indicating substantial revenue potential [6] - The competitive landscape for CRISPR and Vertex Pharmaceuticals appears favorable, particularly in the Middle East where they have received product approvals [5] Group 3: Future Catalysts - CRISPR Therapeutics has several promising candidates in its pipeline, including CTX112 and CTX131 for cancer, with CTX112 receiving Regenerative Medicine Advanced Therapy designation from the FDA [10] - Data from an ongoing clinical trial for CTX320, aimed at lowering lipoprotein(a) levels, is also anticipated, along with other investigational treatments like a functional cure for type 1 diabetes [11] - A 50% success rate in bringing products to market could significantly benefit the company, and clinical wins may positively impact stock performance [12]

Core Insights - CRISPR Therapeutics reported a first-quarter 2025 loss of $1.58 per share, wider than the Zacks Consensus Estimate of a loss of $1.27 per share, and compared to a loss of $1.43 per share in the same period last year [1] - Total revenues for the quarter were $0.86 million, significantly missing the Zacks Consensus Estimate of $5 million, and up from $0.5 million in the year-ago period [1] - The company's shares fell nearly 12% following the weak quarterly performance, with a year-to-date decline of 15.8%, compared to the industry decline of 2.3% [2] Financial Performance - Research and development expenses decreased by approximately 5% year over year to $72.5 million, attributed to reduced employee-related costs [6] - General and administrative expenses increased by 7.2% year over year to $19.3 million [6] - Collaboration expenses rose to $57.5 million in the first quarter from $47.0 million in the previous year, driven by costs related to the Casgevy therapy [6] - As of March 31, 2025, the company had cash, cash equivalents, and marketable securities totaling $1.86 billion, down from $1.90 billion as of December 31, 2024 [7] Product Development and Pipeline - CRISPR Therapeutics and Vertex Pharmaceuticals' Casgevy therapy received approval for treating sickle cell disease and transfusion-dependent beta thalassemia in several countries [4] - Vertex reported Casgevy sales of $14.2 million in the first quarter, with over 65 authorized treatment centers activated and more than 90 patients initiating cell collection [5] - The company is evaluating two in-vivo candidates, CTX310 and CTX320, in separate phase I clinical studies targeting atherosclerotic heart disease [8] - Initial data from the CTX310 study showed dose-dependent decreases in LDL and TG levels, with peak reductions of up to 82% in TG and 81% in LDL [9] - CTX320 is targeting the LPA gene in patients with elevated Lp(a), with updates expected in the second quarter of 2025 [10] - CRISPR is also conducting phase I/II studies on next-generation allogeneic CAR T product candidates, CTX112 and CTX13, with updates anticipated in mid-2025 [10][11]