Evidence map›Paper›PMID 19109232›Full record

ArticleBlood2009

Successful treatment of canine hemophilia by continuous expression of canine FVIIa.

Paris Margaritis, Elise Roy, Majed N Aljamali, Harre D Downey, Urs Giger, Shangzhen Zhou, Elizabeth Merricks, Aaron Dillow, Mirella Ezban, Timothy C Nichols and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

35 citing papers in PubMed, 76 citations in OpenAlex.

  1. One Health: Animal Models of Heritable Human Bleeding Diseases.Animals : an open access journal from MDPI · 2022
    Review
  2. Article
  3. Gene Therapy for Inherited Bleeding Disorders.Seminars in thrombosis and hemostasis · 2021
    Review
  4. Review
  5. Protein-Engineered Coagulation Factors for Hemophilia Gene Therapy.Molecular therapy. Methods & clinical development · 2019
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Lessons Learned from Animal Models of Inherited Bleeding Disorders.Hematology education. European Hematology Association. Congress. Education Program · 2014
    Article
  14. Article
  15. Portal vein delivery of viral vectors for gene therapy for hemophilia.Methods in molecular biology (Clifton, N.J.) · 2014
    Article
  16. Review
  17. Article
  18. Muscle Gene Therapy for Hemophilia.Journal of genetic syndromes & gene therapy · 2012
    Article
  19. Review
  20. Animal models of hemophilia.Progress in molecular biology and translational science · 2012
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Paris MargaritisDivision of Hematology, Children's Hospital of Philadelphia, PA 19104, USA.
Elise Roy
Majed N Aljamali
Harre D Downey
Urs Giger
Shangzhen Zhou
Elizabeth Merricks
Aaron Dillow
Mirella Ezban
Timothy C Nichols
Katherine A High
Children's Hospital of Philadelphia · USUniversity of North Carolina at Chapel Hill · USNovo Nordisk (Denmark) · DKUniversity of Pennsylvania · US

Funding

Safety &Efficacy of Intravas. Del. of AAV-F.IX to Skeletal MuscleP01HL064190 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI ARRUDA, VALDER R. · 2000 to 2015
$27.8M
Structural Correlates of Protease and Cofactor FunctionP01HL074124 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI KRISHNASWAMY, SRIRAM · 2003 to 2013
$17.6M
Vector CoreU01HL066948 · NHLBI · STANFORD UNIVERSITY · PI HIGH, CATHERINE · 2000 to 2005
$15.5M
Maintenance of Models of Human Hemophilia and VWDR24HL063098 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NICHOLS, TIMOTHY CHARLES · 1999 to 2019
$15.1M
X-LINKED SEVERE COMBINED IMMUNODEFICIENCY IN THE DOGP40RR002512 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI HASKINS, MARK E · 1985 to 2011
$7.6M
Howard Hughes Medical InstituteNCRR NIH HHS P40 RR002512NCRR NIH HHS RR02512NHLBI NIH HHS HL063098NHLBI NIH HHS P01 HL064190NHLBI NIH HHS P01 HL074124NHLBI NIH HHS R24 HL063098NHLBI NIH HHS U01 HL066948NHLBI NIH HHS U01 HL66948
6 · The paper itself

Abstract

Continuous expression of activated factor VII (FVIIa) via gene transfer is a potential therapeutic approach for hemophilia patients with or without inhibitory antibodies to human factor VIII (FVIII) or IX (FIX). Here, we investigate whether gene transfer of an engineered canine FVIIa (cFVIIa) transgene can affect hemostasis in a canine model of hemophilia, a good predictor of efficacy of hemophilia treatments. Purified recombinant cFVIIa exhibited 12-fold higher tissue factor-dependent activity than purified recombinant zymogen cFVII. Subsequently, we generated a serotype 8 recombinant adeno-associated viral vector expressing cFVIIa from a liver-specific promoter. Vector delivery via the portal vein in hemophilia A and B dogs was well tolerated, and long-term expression of cFVIIa resulted in a shortening of the prothrombin time, partial correction of the whole blood clotting time and thromboelastography parameters, and a complete absence of spontaneous bleeding episodes. No evidence of hepatotoxicity, thrombotic complications, or inhibitory immune response was found. These data provide the first evidence for in vivo efficacy and safety of continuously expressed FVIIa as a FVIII/FIX-bypassing agent in a large animal model of hemophilia, avoiding the risk of inhibitor formation associated with bolus FVIII or FIX infusion.

Indexed as

DependovirusGene ExpressionGenetic TherapyAnimalsBlood Coagulation Factor InhibitorsDisease Models, AnimalDogsFactor VIIaHemophilia AHemorrhageHumansLiverOrgan SpecificityPromoter Regions, GeneticProthrombin TimeThrombelastographyBlood Coagulation Factor InhibitorsFactor VIIa

Identifiers

PMID19109232
PMCPMC2670787
OpenAlexW2014818093

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.