The safety and efficacy of the following investigational use of the marketed product motixafortide has not been established. The use has not been approved by the U.S. Food and Drug Administration or other regulatory authorities.


Sickle cell disease is an inherited blood disorder, and one of the most common inherited genetic conditions in the world. In the U.S., the lifelong disease affects approximately 100,000 people.1

Hematopoietic stem cell (HSC)-based gene therapies are a promising field of medicine that focus on treating various diseases by targeting HSCs, which reside in the bone marrow and give rise to all blood cell lineages.2 Effective HSC-based gene therapies depend upon the collection of significant quantities of stem cells to engineer the treatments that enable the potential genetic treatment of various conditions, including but not limited to sickle cell disease. However, currently available mobilization regimens can carry serious risk and side effects for patients with sickle cell disease or may not reliably yield optimal numbers of HSCs for gene therapy.

Phase I Trials of Motixafortide to Mobilize HSCs for Sickle Cell Disease Gene Therapy

To potentially expand mobilization options, BioLineRx – in collaboration with Washington University School of Medicine – is advancing a Phase I clinical trial that is evaluating the safety and feasibility of motixafortide* as monotherapy and in combination with natalizumab (VLA-4 inhibitor) to mobilize HSCs for gene therapies in patients with sickle cell disease.

In a separate Phase 1 clinical trial sponsored by St. Jude Children’s Research Hospital, Inc., the safety, tolerability, and feasibility of single-agent motixafortide is being evaluated for the mobilization and collection of CD34+ HSCs in patients with sickle cell disease.

Learn about active clinical trials:
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How Motixafortide Works

Motixafortide, a CXCR4 antagonist with long receptor occupancy (greater than 72 hours), is a 14-amino-acid synthetic cyclic peptide. It blocks CXCR4 on hematopoietic stem cells (HSC) from binding to its ligand, CXCL12, that retains HSC in the bone marrow and lymph nodes. This blocking releases the HSC to the peripheral blood, where they are available for collection during apheresis.

Stem cell mobilization
Scientific illustration depicting how motixafortide works in stem cell mobilization
Scientific illustration depicting how motixafortide works in stem cell mobilization

Announcements & Studies

    *BioLineRx’s lead asset, motixafortide, is a CXCR4 antagonist with long receptor occupancy (greater than 72 hours). Its safety and efficacy in sickle cell disease have not been established, and its use in sickle cell disease has not been approved by the U.S. Food and Drug Administration or other regulatory authorities.

    References: 1. ASH Center for Sickle Cell Disease Initiatives. https://www.hematology.org/advocacy/center-for-sickle-cell-disease-initiatives. Published 2015. Accessed September 26, 2024. 2. Kingwell K. A step closer to in vivo editing of haematopoietic stem cells. Nat Rev Drug Discov. 2023;22(10):786.

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