GemmaBio’s James Wilson speaks with STAT reporter Jonathan Wosen at the STAT Breakthrough Summit East in New York City.Brooke Alexander for STAT

Eric Boodman focuses on narrative features, exploring the startling ways that science and medicine affect people’s lives. You can reach Eric on Signal at eboodman.88.

Katie Palmer covers telehealth, clinical artificial intelligence, and the health data economy — with an emphasis on the impacts of digital health care for patients, providers, and businesses. You can reach Katie on Signal at palmer.01.

NEW YORK — To gene therapy pioneer Jim Wilson, the field is currently clouded with “irrational pessimism.” Companies are abandoning ship; approved therapies aren’t being prescribed. Yet both he and University of Pennsylvania researcher Kiran Musunuru are forging ahead, using contrasting approaches, as they explained onstage at STAT’s Breakthrough Summit East. 

Wilson has left academia entirely to become president and CEO of GemmaBio, betting that by partnering with middle-income countries and by making treatments undergirded by the same reusable platform, his company can succeed where others have failed. Musunuru, meanwhile, is using his position within academia to tackle those bespoke, n-of-1 CRISPR-based therapies that industry is now wary of taking on. 

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This darker period for gene therapies, in Wilson’s estimation, is an overcorrection for the irrational exuberance of an earlier time. “While we have enormous experience in the safety profile, there still are concerns about long-term safety,” he said, which he thinks can be overcome by focusing on areas of unmet medical need. But the whole project of gene therapy has been even more difficult than he expected. 

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