Scientific Brief

SeQure DX™ Risk Assessment Services Align with FDA Guidance for Gene-Edited Human Gene Therapy Products

Since the development of CRISPR-Cas9 for targeted gene editing, the number of gene-edited cell therapies in development has significantly increased. With this rise came recognition of the need for industry-specific recommendations from international regulatory bodies. In 2024, the US Food and Drug Administration (FDA) released its first guidance for industry, "Human Gene Therapy Products Incorporating Human Genome Editing." The FDA outlines considerations for product development and non-clinical and clinical studies and provides directions on the information that should be included in any Investigational New Drug (IND) filing.

Design and screening of gene editing components

The FDA recommends that developers “optimize the [genome editing] components to reduce the potential for off-target genome modification,” noting that a “description of, and rationale for, the design and screening processes should be provided in the IND.” Our SeQure DX screening assays offer early insights into on- and off-target editing, providing unmatched precision in guide RNA design and selection. Addressing safety and regulatory expectations during guide design may reduce risks, streamline development and accelerate your path to the clinic.

Screening assays

Guide Profiler offers rapid, in silico screening of gRNA sequences against over 3,500 diverse genomes from the 1000 Genomes and HDGP initiatives, for identification of variants at the on-target site and candidate off-target editing (Figure 1). Guide Select couples in silico and multiplexed biochemical analysis for robust, cost-effective risk assessment (Figure 2). These screening tools support early-stage, variant-aware guide RNA design and selection, aligning with the FDA guidance.

Guide Profiler™ screening process

​I​llustration of the five-step ​Guide Profiler screening process showing a laptop screen progressing from empty to displaying a target, then a hit target, followed by analysis with a magnifying glass, and finally data visualization with charts.

Figure 1: 1) Computational (in silico) search for sequence matches, 2) On-target variant analysis, 3) Off-target library size benchmarking, 4) Analysis of the biological impact of cutting at putative off-target loci and 5) Summary report outlining candidate guide RNA risk profiles.

Guide Select™ screening process

A six-step diagram illustrating the ​Guide Select screening process​, starting ​with a laptop, moving through a circuit board, documents, a magnifying glass examining data, a server, and finally, a laptop displaying analytics.

Figure 2: 1) In silico search for sequence matches with less than or equal to four differences, 2) Target oligos synthesized on DNA chip (~50– 240k), 3) Uniform ONE-seq™ library, 4) In vitro editing with multiplexed gRNAs, 5) Deep NGS sequencing and 6) Report detailing biological impacts and preview of off-target nomination.

Off-target risk assessment

The FDA emphasizes the need for sensitive, comprehensive, orthogonal assessment strategies to evaluate both on- and off-target editing events, genomic integrity, and associated biological impacts. Our suite of nomination and confirmation assays specifically aligns with these expectations, as illustrated in Figure 3.

Nomination assays

ONE-seq, DEUX-seq and GUIDE-seq provide high-sensitivity, orthogonal detection of candidate off-target sites across relevant human cell types. These assays address FDA recommendations for multi-method analysis and genome-wide, donor-inclusive evaluation.

Confirmation assays

Amplicon-seq and SAFER Detection verify editing activity at nominated sites and detect genomic rearrangements, including large deletions, inversions and translocations. Data generated with our confirmation assays answer the FDA’s call for genomic integrity assessments and evaluation of chromosomal abnormalities.

An infographic​ explains the FDA and other regulatory agencies' guidance for assessing off-target risks, detailing requirements for both "Nomination" (illuminating risks) and "Confirmation" (verifying findings) phases, including understanding population genomic heterogeneity, sensitive off-target detection, multiple assessment methods, evaluation of human cell types from multiple donors, and description of off-target biologic impacts.

Figure 3: Enabling regulatory confidence. The SeQure DX assay portfolio aligns with the most recent FDA guidance for "Human Gene Therapy Products Incorporating Human Genome Editing." Our nomination and confirmation assays incorporate GLP principles and deliver data quality, reproducibility and sensitivity appropriate for regulatory submission. Our partners receive comprehensive data packages that include functional annotations of off-target events, supporting the FDA’s expectations for biological relevance and risk stratification.

Related resources

A table for guides that then lists off-target score (by MIT and CFD), Activity (CRISPRater), number of loci (L. Distance, and Risk Profiler number.
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Guide Profiler™: A Genetic Variant-Aware Computational Tool for Improved Guide RNA Selection
A map of the world with different colored dots representing the varying number of samples across different geographic regions.
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ONE-seq™ for Variant-Aware Therapeutic Guide Selection
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