McKesson's InspiroGene Report Highlights Challenges and Growth in Cell and Gene Therapies

What's Happening?

InspiroGene by McKesson has released its second annual 2025 Cell and Gene Therapy Report, detailing the progress and challenges faced by cell and gene therapies (CGTs) in the U.S. healthcare landscape. The report, based on research with physicians and payers, highlights an increase in oncologists' familiarity with CGTs, with 60% now very familiar compared to 55% in 2024. Despite this growing familiarity, access challenges remain, as two-thirds of oncologists view CGTs as largely unproven, and 66% of patients perceive them as too experimental. Payers acknowledge the safety and effectiveness of CGTs but express concerns over high costs and limited long-term data. The report also notes a slow expansion of CGT treatment centers in community settings, with the number of qualified centers remaining flat from 2024 to 2025. The CGT pipeline is expanding, with 178 oncology-focused drug candidates entering late-stage development, and promising results emerging in lupus, diabetes, and heart failure.

Why It's Important?

The report underscores the transformative potential of cell and gene therapies in treating complex diseases, offering hope for conditions like cancer, lupus, and diabetes. However, the slow adoption and entrenched access challenges highlight the need for strategic collaboration among healthcare providers, payers, and manufacturers. The high upfront costs and demand for more evidence from payers could hinder widespread adoption, affecting patients' access to these innovative treatments. The findings emphasize the importance of developing sustainable payment models and clinically relevant endpoints to facilitate reimbursement and integration into everyday care. As CGTs continue to evolve, their success will depend on overcoming these systemic hurdles, ensuring that groundbreaking treatments reach broader patient populations.

What's Next?

The report suggests that the future of CGTs will rely heavily on collaboration and innovation in payment models to address cost concerns. Stakeholders may need to focus on generating robust long-term data to satisfy payer requirements and facilitate reimbursement. The slow expansion into community settings indicates a need for increased efforts to make CGT care more accessible outside major medical centers. As the pipeline continues to grow, stakeholders will likely prioritize expanding treatment options for a wider range of diseases, potentially leading to new breakthroughs in patient care. The ongoing dialogue between payers, providers, and manufacturers will be crucial in navigating the commercialization landscape and ensuring that no patient is left behind.

Beyond the Headlines

The ethical and cultural dimensions of CGTs are significant, as they challenge traditional perceptions of medical treatment and patient care. The experimental nature of these therapies raises questions about informed consent and patient autonomy, particularly when treatments are perceived as risky. Additionally, the high costs associated with CGTs may exacerbate existing healthcare disparities, limiting access for underserved populations. As the field advances, stakeholders must address these ethical concerns, ensuring equitable access and fostering trust among patients and providers. The long-term impact of CGTs could reshape the healthcare industry, driving innovation and potentially altering the standard of care for complex diseases.