Chiesi and Arbor Biotechnologies Forge $2.1B Alliance for Rare Disease Gene Editing Therapies

Italy's Chiesi Group and California-based Arbor Biotechnologies have announced a landmark collaboration worth up to $2.1 billion, focusing on gene editing therapies for rare diseases. The partnership centers on ABO-101, a promising treatment for primary hyperoxaluria type 1 (PH1), and grants Chiesi access to Arbor's proprietary gene editing technologies.
Deal Structure and Financial Terms
Chiesi will provide Arbor with $115 million in upfront and near-term payments, along with the potential for up to $2 billion in development, regulatory, and commercial milestones. The agreement also includes low double-digit tiered royalties on future product sales for Arbor.
In exchange, Chiesi gains exclusive global rights to ABO-101 and the option to license additional liver-targeting gene editing treatments from Arbor's pipeline. The collaboration extends to the ongoing Phase I/II redePHine study of ABO-101, which aims to enroll 23 participants and has a primary completion date of March 2029.
ABO-101: A Novel Approach to PH1 Treatment
Primary hyperoxaluria type 1 is an ultra-rare genetic disorder affecting approximately 1 to 3 individuals per million in the U.S. and Europe. The condition results from a mutation in the AGXT gene, leading to oxalate crystal buildup in the kidneys and other organs, causing severe kidney stones and potential organ damage.
ABO-101 represents a innovative approach to PH1 treatment. Unlike existing therapies that require frequent injections, ABO-101 is designed as a one-time treatment. The gene editing therapy targets the HAO1 gene in the liver, suppressing oxalate production to prevent toxic accumulation.
Competitive Landscape and Market Potential
The PH1 treatment landscape currently includes two approved medicines: Alnylam Pharmaceuticals' Oxlumo and Novo Nordisk's Rivfloza. Both drugs disrupt oxalate production but require regular administration. ABO-101's potential as a single-dose, long-term solution could provide a significant advantage in the market.
Giacomo Chiesi, Executive Vice President of Chiesi Global Rare Diseases, described the partnership as "a transformative moment" for both companies and the rare disease community. The collaboration aims to explore gene editing's potential to offer more comprehensive therapeutic options for patients with rare diseases.
Devyn Smith, CEO of Arbor Biotechnologies, emphasized Chiesi's commitment to rare disease drug development as a key factor in the partnership decision. The alliance aligns with recent regulatory efforts to accelerate gene therapy development for rare conditions, including draft guidance from U.S. regulators outlining accelerated approval pathways and novel clinical trial designs.
References
- Chiesi, Arbor Weave $2.1B Rare Disease Pact
The centerpiece of the collaboration is the gene editor ABO-101, being developed for primary hyperoxaluria type 1, a rare disease that leads to severe kidney stones.
- Chiesi buys into Arbor gene editing drug for rare kidney disease
The Italian drugmaker will pay as much as $115 million in upfront and near-term payments in a deal that gives it rights to a treatment in early-stage testing for primary hyperoxaluria type 1.
- Chiesi fertilizes Arbor's rare disease gene therapy efforts with $2B biobucks deal
A few months after launching its lead gene therapy into the clinic, Arbor Biotechnologies has found a European partner to come along for the ride.
Explore Further
What specifically distinguishes Arbor's proprietary gene editing technology from other gene editing platforms in the market?
What progress has been made so far in the Phase I/II redePHine study of ABO-101, and what are the key endpoints being evaluated?
What is the estimated market size for treatments targeting primary hyperoxaluria type 1, and how does ABO-101's pricing potential compare to existing therapies?
How do the competitive profiles of Oxlumo and Rivfloza compare in terms of efficacy, safety, and patient adherence, and how might this affect ABO-101's market entry?
What are the strategic goals of Chiesi and Arbor Biotechnologies in pursuing additional liver-targeting gene editing treatments through this collaboration?