Affiliation(s): Department of Biotechnology , Seth Vishambhar Nath Institute of Engineering & Technology , Safedabad, Barabanki , Lucknow , Uttar Pradesh , 225003 Abstract: The CRISPR-Cas9 system, originally a bacterial defense mechanism, has emerged as a revolutionary tool in genetic engineering, offering unprecedented precision in genome editing. This study presents real-world experimental findings on using CRISPR-Cas9 for drug development targeting specific genetic mutations in cancer and monogenic disorders. Our research focused on creating CRISPR-based therapeutic models for Sickle Cell Anemia and KRAS-mutated cancers. Using patient-derived induced pluripotent stem cells (iPSCs), we performed targeted edits on the HBB gene, correcting the SCD mutation. Post-editing, differentiation into erythroid cells confirmed restored hemoglobin functionality via high-performance liquid chromatography (HPLC). For KRAS-mutated cancers, CRISPR-Cas9-mediated knockouts of the mutant KRAS allele in pancreatic cancer cell lines reduced tumorigenicity. Functional assays, including colony formation and apoptosis detection, demonstrated a 45% decrease in oncogenic activity. Whole-genome sequencing validated minimal off-target effects, while lipid nanoparticles (LNPs) facilitated efficient delivery in vivo. To enhance CRISPR precision, our study employed prime editing for single-base corrections, achieving a 70% editing efficiency in vitro. These approaches underscore the potential of CRISPR in accelerating drug discovery pipelines by directly addressing disease-causing mutations. This research highlights the transformative potential of CRISPR-based therapies in personalized medicine. Challenges such as delivery mechanisms, immune responses, and regulatory hurdles are discussed alongside future prospects of integrating CRISPR with AI-driven drug design. Our findings support CRISPR as a cornerstone technology in shaping the future of targeted therapies and precision healthcare. Keywords: CRISPR, Sickle Cell Anemia, KRAS, Gene Editing, Precision Medicine