Evidence map›Paper›PMID 22149959›Full record

Trial reportThe New England journal of medicine2011

Adenovirus-associated virus vector-mediated gene transfer in hemophilia B.

Amit C Nathwani, Edward G D Tuddenham, Savita Rangarajan, Cecilia Rosales, Jenny McIntosh, David C Linch, Pratima Chowdary, Anne Riddell, Arnulfo Jaquilmac Pie, Chris Harrington and 22 more

3 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in The New England journal of medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 1,023 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,023citing papers in PubMed, 3 pooled it
99.2field-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.

NCT00979238 phase1completednot on this map

An Open Label Dose-Escalation Study Of A Self Complementary Adeno-Associated Viral Vector (scAAV 2/8-LP1-hFIXco) For Gene Transfer in Hemophilia B

TypeinterventionalSponsorSt. Jude Children's Research HospitalRan2010 to 2026Enrolled14ConditionsHemophilia BArmsGene Transfer, scAAV2/8-LP1-hFIXco
NCT02240407 phase1completednot on this mapstarted 2017, after this paper: background citation

Evaluation of Re-administration of Recombinant Adeno-Associated Virus Acid Alpha-Glucosidase (rAAV9-DES-hGAA) in Patients With Late-Onset Pompe Disease (LOPD)

TypeinterventionalSponsorUniversity of FloridaRan2017 to 2021Enrolled2ConditionsPompe DiseaseArmsRecombinant Adeno-Associated Virus Acid Alpha-Glucosidase, Rapamycin, saline, Rituxan, Diphenhydramine
NCT05920512 phase1 / phase2unknown statusnot on this mapstarted 2022, after this paper: background citation

PLA General Hospital

TypeinterventionalSponsorXue-chun LuRan2022 to 2025Enrolled10ConditionsHemophiliaArmsSodium valproate extended-release tablets
3 · Its place in the literature

Who cites it

1,023 citing papers in PubMed, 3 syntheses or guidelines pooled it, 1,819 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. A systematic review of immunosuppressive protocols used in AAV gene therapy for monogenic disorders.Molecular therapy : the journal of the American Society of Gene Therapy · 2024
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Review
  11. Article
  12. Article
  13. Preclinical efficacy of a gene therapy forMolecular therapy. Advances · 2026
    Article
  14. Article
  15. Overview of Patient-Reported Outcomes in Haemophilia Gene Therapy.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2026
    Review
  16. Review
  17. Review
  18. Review
  19. Systemic AAV-hInternational journal of molecular sciences · 2026
    Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

32 authors at 10 institutions in 3 countries.

Amit C NathwaniDepartment of Haematology, University College London Cancer Institute, London, United Kingdom. a.nathwani@ucl.ac.uk
Edward G D Tuddenham
Savita Rangarajan
Cecilia Rosales
Jenny McIntosh
David C Linch
Pratima Chowdary
Anne Riddell
Arnulfo Jaquilmac Pie
Chris Harrington
James O'Beirne
Keith Smith
John Pasi
Bertil Glader
Pradip Rustagi
Catherine Y C Ng
Mark A Kay
Junfang Zhou
Yunyu Spence
Christopher L Morton
James Allay
John Coleman
Susan Sleep
John M Cunningham
Deokumar Srivastava
Etiena Basner-Tschakarjan
Federico Mingozzi
Katherine A High
John T Gray
Ulrike M Reiss
Arthur W Nienhuis
Andrew M Davidoff
St. Jude Children's Research Hospital · USChildren's Hospital of Philadelphia · USUniversity College London · GBStanford University · USBasingstoke and North Hampshire Hospital · GBCancer Institute (WIA) · INEducation Trust · USNHS Blood and Transplant · GBQueen Mary University of London · GBUniversity of Chicago · US

Funding

HEPATIC GENE TRANSFER FOR TREATMENT OF HEMOPHILIAS A &BR01HL064274 · NHLBI · STANFORD UNIVERSITY · PI Mark A Kay · 2000 to 2026
$13.6M
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 HealthHoward Hughes Medical InstituteMedical Research Council G0502121NHLBI NIH HHS HL094396NHLBI NIH HHS R01 HL064274NHLBI NIH HHS R01 HL073838NHLBI NIH HHS R01 HL094396
6 · The paper itself

Abstract

backgroundHemophilia B, an X-linked disorder, is ideally suited for gene therapy. We investigated the use of a new gene therapy in patients with the disorder.

methodsWe infused a single dose of a serotype-8-pseudotyped, self-complementary adenovirus-associated virus (AAV) vector expressing a codon-optimized human factor IX (FIX) transgene (scAAV2/8-LP1-hFIXco) in a peripheral vein in six patients with severe hemophilia B (FIX activity, <1% of normal values). Study participants were enrolled sequentially in one of three cohorts (given a high, intermediate, or low dose of vector), with two participants in each group. Vector was administered without immunosuppressive therapy, and participants were followed for 6 to 16 months.

resultsAAV-mediated expression of FIX at 2 to 11% of normal levels was observed in all participants. Four of the six discontinued FIX prophylaxis and remained free of spontaneous hemorrhage; in the other two, the interval between prophylactic injections was increased. Of the two participants who received the high dose of vector, one had a transient, asymptomatic elevation of serum aminotransferase levels, which was associated with the detection of AAV8-capsid-specific T cells in the peripheral blood; the other had a slight increase in liver-enzyme levels, the cause of which was less clear. Each of these two participants received a short course of glucocorticoid therapy, which rapidly normalized aminotransferase levels and maintained FIX levels in the range of 3 to 11% of normal values.

conclusionsPeripheral-vein infusion of scAAV2/8-LP1-hFIXco resulted in FIX transgene expression at levels sufficient to improve the bleeding phenotype, with few side effects. Although immune-mediated clearance of AAV-transduced hepatocytes remains a concern, this process may be controlled with a short course of glucocorticoids without loss of transgene expression. (Funded by the Medical Research Council and others; ClinicalTrials.gov number, NCT00979238.).

Indexed as

DependovirusGenetic TherapyGenetic VectorsAdultFactor IXHemophilia BHumansInfusions, IntravenousMiddle AgedTransgenesFactor IX

Identifiers

PMID22149959
PMCPMC3265081
OpenAlexW2122304523

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.