Evidence map›Paper›PMID 21245849›Full record

ArticleMolecular therapy : the journal of the American Society of Gene Therapy2011

Long-term safety and efficacy following systemic administration of a self-complementary AAV vector encoding human FIX pseudotyped with serotype 5 and 8 capsid proteins.

Amit C Nathwani, Cecilia Rosales, Jenny McIntosh, Ghasem Rastegarlari, Devhrut Nathwani, Deepak Raj, Sushmita Nawathe, Simon N Waddington, Roderick Bronson, Scott Jackson and 14 more

Open access · hybridAbstract read
In one paragraph

Article in Molecular therapy : the journal of the American Society of Gene Therapy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 217 papers.

0numbers the graph read from it
0cells of the map it votes in
217citing papers in PubMed
16.6field-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

217 citing papers in PubMed, 347 citations in OpenAlex.

  1. Trial
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  13. Review
  14. Allele-specific depletion ofMolecular therapy. Oncology · 2025
    Article
  15. Use of CD19-targeted immune modulation to eradicate AAV-neutralizing antibodies.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  16. iPSC-hepatocyte organoids as a novel platform to predict AAV gene therapy efficacy.Molecular therapy. Methods & clinical development · 2025
    Article
  17. Article
  18. Article
  19. AAV vector development, back to the future.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  20. Gene therapy for hemophilia - From basic science to first approvals of "one-and-done" therapies.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 8 institutions in 2 countries.

Amit C NathwaniDepartment of Hematology, University College London Cancer Institute, London, UK. a.nathwani@ucl.ac.uk
Cecilia Rosales
Jenny McIntosh
Ghasem Rastegarlari
Devhrut Nathwani
Deepak Raj
Sushmita Nawathe
Simon N Waddington
Roderick Bronson
Scott Jackson
Robert E Donahue
Katherine A High
Federico Mingozzi
Catherine Y C Ng
Junfang Zhou
Yunyu Spence
M Beth McCarville
Marc Valentine
James Allay
John Coleman
Susan Sleep
John T Gray
Arthur W Nienhuis
Andrew M Davidoff
St. Jude Children's Research Hospital · USLondon Cancer · GBUniversity College London · GBDana-Farber/Harvard Cancer Center · USChildren's Hospital of Philadelphia · USHoward Hughes Medical Institute · USLondon Women's Clinic · GBUniversity of Tennessee Health Science Center · US

Funding

Retroviral Mediated Gene Transfer Into Primate Hematopoietic CellsZICHL002338 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI DONAHUE, ROBERT E · 2010 to 2018
$30.5M
rAAV-Mediated Gene Therapy for Hemophillia BR01HL073838 · NHLBI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI DAVIDOFF, ANDREW M · 2005 to 2015
$4.5M
Clinical trial of self complementary AAV8-mediated gene transfer for hemophilia BR01HL094396 · NHLBI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI DAVIDOFF, ANDREW M · 2009 to 2013
$3.7M
Department of HealthMedical Research Council G0502121NCI NIH HHS CA027165NHLBI NIH HHS HL073838NHLBI NIH HHS R01 HL073838NHLBI NIH HHS R01 HL094396
6 · The paper itself

Abstract

Adeno-associated virus vectors (AAV) show promise for liver-targeted gene therapy. In this study, we examined the long-term consequences of a single intravenous administration of a self-complementary AAV vector (scAAV2/ 8-LP1-hFIXco) encoding a codon optimized human factor IX (hFIX) gene in 24 nonhuman primates (NHPs). A dose-response relationship between vector titer and transgene expression was observed. Peak hFIX expression following the highest dose of vector (2 × 10(12) pcr-vector genomes (vg)/kg) was 21 ± 3 µg/ml (~420% of normal). Fluorescent in-situ hybridization demonstrated scAAV provirus in almost 100% of hepatocytes at that dose. No perturbations of clinical or laboratory parameters were noted and vector genomes were cleared from bodily fluids by 10 days. Macaques transduced with 2 × 10(11) pcr-vg/kg were followed for the longest period (~5 years), during which time expression of hFIX remained >10% of normal level, despite a gradual decline in transgene copy number and the proportion of transduced hepatocytes. All macaques developed serotype-specific antibodies but no capsid-specific cytotoxic T lymphocytes were detected. The liver was preferentially transduced with 300-fold more proviral copies than extrahepatic tissues. Long-term biochemical, ultrasound imaging, and histologic follow-up of this large cohort of NHP revealed no toxicity. These data support further evaluation of this vector in hemophilia B patients.

Indexed as

AnimalsCapsid ProteinsDependovirusFactor IXGene ExpressionGenetic TherapyGenetic VectorsHEK293 CellsHemophilia BHumansIn Situ Hybridization, FluorescenceLiverMacacaMiceCapsid ProteinsFactor IX

Identifiers

PMID21245849
PMCPMC3098629
OpenAlexW2088410491

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.