Evidence map›Paper›PMID 10918483›Full record

Trial reportGene therapy2000

Repeat administration of DNA/liposomes to the nasal epithelium of patients with cystic fibrosis.

S C Hyde, K W Southern, U Gileadi, E M Fitzjohn, K A Mofford, B E Waddell, H C Gooi, C A Goddard, K Hannavy, S E Smyth and 9 more

Abstract readClinical TrialRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Gene therapy, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
13.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 230 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Molecular and functional correction of a deep intronic splicing mutation inMolecular therapy. Methods & clinical development · 2023
    Article
  6. Lipid-based nucleic acid therapeutics with in vivo efficacy.Wiley interdisciplinary reviews. Nanomedicine and nanobiotechnology · 2023
    Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Review
  16. Review
  17. Barriers to inhaled gene therapy of obstructive lung diseases: A review.Journal of controlled release : official journal of the Controlled Release Society · 2016
    Review
  18. Review
  19. Review
  20. Article

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 10 institutions in 2 countries.

S C HydeNuffield Department of Clinical Laboratory Sciences, University of Oxford, John Radcliffe Hospital, UK.
K W Southern
U Gileadi
E M Fitzjohn
K A Mofford
B E Waddell
H C Gooi
C A Goddard
K Hannavy
S E Smyth
J J Egan
F L Sorgi
L Huang
A W Cuthbert
M J Evans
W H Colledge
C F Higgins
A K Webb
D R Gill
University of Oxford · GBWythenshawe Hospital · GBSt James's University Hospital · GBUniversity of Cambridge · GBUniversity of Pittsburgh · USAddenbrooke's Hospital · GBCardiff University · GBHammersmith Hospital · GBJohn Radcliffe Hospital · GBRoyal Liverpool University Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The major cause of mortality in patients with cystic fibrosis (CF) is lung disease. Expression of the cystic fibrosis transmembrane conductance regulator (CFTR) gene product in the airways is a potential treatment. Clinical studies in which the CFTR cDNA was delivered to the respiratory epithelia of CF patients have resulted in modest, transient gene expression. It seems likely that repeated administration of the gene transfer vector will be required for long-term gene expression. We have undertaken a double-blinded study in which multiple doses of a DNA/liposome formulation were delivered to the nasal epithelium of CF patients. Ten subjects received plasmid DNA expressing the CFTR cDNA complexed with DC-Chol/DOPE cationic liposomes, whilst two subjects received placebo. Each subject received three doses, administered 4 weeks apart. There was no evidence of inflammation, toxicity or an immune response towards the DNA/liposomes or the expressed CFTR. Nasal epithelial cells were collected 4 days after each dose for a series of efficacy assays including quantitation of vector-specific DNA and mRNA, immunohistochemistry of CFTR protein, bacterial adherence, and detection of halide efflux ex vivo. Airway ion transport was also assessed in vivo by repeated nasal potential difference (PD) measurements. On average, six of the treated subjects were positive for CFTR gene transfer after each dose. All subjects positive for CFTR function were also positive for plasmid DNA, plasmid-derived mRNA and CFTR protein. The efficacy measures suggest that unlike high doses of recombinant adenoviral vectors, DNA/liposomes can be successfully re-administered without apparent loss of efficacy.

Indexed as

AdolescentAdultBacterial AdhesionCholesterolCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorDouble-Blind MethodEpitheliumFemaleGene ExpressionGenetic TherapyGenetic VectorsHumansImmunohistochemistryLiposomesMale1,2-dielaidoylphosphatidylethanolamine3-(N-(N',N'-dimethylaminoethane)carbamoyl)cholesterolCFTR protein, humanCholesterolCystic Fibrosis Transmembrane Conductance RegulatorLiposomesPhosphatidylethanolamines

Identifiers

PMID10918483
OpenAlexW2045555378

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.