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PM647 is an investigational prime editing-based gene therapy developed by Prime Medicine for the treatment of Alpha-1 Antitrypsin Deficiency (AATD). It utilizes precision gene editing technology to correct the underlying mutation in the SERPINA1 gene within hepatocytes, thereby restoring the production of functional alpha-1 antitrypsin protein and potentially addressing both the pulmonary and hepatic manifestations of the disease. The therapy is delivered using a liver-targeted lipid nanoparticle (LNP) system. PM647 was nominated as a development candidate in August 2025, with clinical trials anticipated to begin following IND/CTA filings in mid-2026.
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