Evidence map›Paper›PMID 23426947›Full record

ArticleBlood2013

Therapeutic levels of FVIII following a single peripheral vein administration of rAAV vector encoding a novel human factor VIII variant.

Jenny McIntosh, Peter J Lenting, Cecilia Rosales, Doyoung Lee, Samira Rabbanian, Deepak Raj, Nishil Patel, Edward G D Tuddenham, Olivier D Christophe, John H McVey and 13 more

Abstract read
In one paragraph

Article in Blood, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 179 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
179citing papers in PubMed, 1 pooled it
18.3field-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

179 citing papers in PubMed, 1 synthesis or guideline pooled it, 271 citations in OpenAlex.

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  18. Identification of a robust promoter in mouse and human hepatocytes by in vivo biopanning of a barcoded AAV library.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  19. Review
  20. Current clinical applications of AAV-mediated gene therapy.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review

119 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

23 authors at 8 institutions in 3 countries.

Jenny McIntoshUniversity College London Cancer Institute, London, United Kingdom.
Peter J Lenting
Cecilia Rosales
Doyoung Lee
Samira Rabbanian
Deepak Raj
Nishil Patel
Edward G D Tuddenham
Olivier D Christophe
John H McVey
Simon Waddington
Arthur W Nienhuis
John T Gray
Paolo Fagone
Federico Mingozzi
Shang-Zhen Zhou
Katherine A High
Maria Cancio
Catherine Y C Ng
Junfang Zhou
Christopher L Morton
Andrew M Davidoff
Amit C Nathwani
St. Jude Children's Research Hospital · USLondon Cancer · GBUniversity College London · GBInserm · FRCell and Gene Therapy Catapult · GBHoward Hughes Medical Institute · USKing's College London · GBNational Health Service · GB

Funding

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
Medical Research Council G0902219NHLBI NIH HHS HL094396NHLBI NIH HHS R01 HL073838NHLBI NIH HHS R01 HL094396
6 · The paper itself

Abstract

Recombinant adeno-associated virus (rAAV) vectors encoding human factor VIII (hFVIII) were systematically evaluated for hemophilia A (HA) gene therapy. A 5.7-kb rAAV-expression cassette (rAAV-HLP-codop-hFVIII-N6) containing a codon-optimized hFVIII cDNA in which a 226 amino acid (aa) B-domain spacer replaced the entire B domain and a hybrid liver-specific promoter (HLP) mediated 10-fold higher hFVIII levels in mice compared with non-codon-optimized variants. A further twofold improvement in potency was achieved by replacing the 226-aa N6 spacer with a novel 17-aa peptide (V3) in which 6 glycosylation triplets from the B domain were juxtaposed. The resulting 5.2-kb rAAV-HLP-codop-hFVIII-V3 cassette was more efficiently packaged within AAV virions and mediated supraphysiologic hFVIII expression (732 ± 162% of normal) in HA knock-out mice following administration of 2 × 10(12) vector genomes/kg, a vector dose shown to be safe in subjects with hemophilia B. Stable hFVIII expression at 15 ± 4% of normal was observed at this dose in a nonhuman primate. hFVIII expression above 100% was observed in 3 macaques that received a higher dose of either this vector or the N6 variant. These animals developed neutralizing anti-FVIII antibodies that were abrogated with transient immunosuppression. Therefore, rAAV-HLP-codop-hFVIII-V3 substantially improves the prospects of effective HA gene therapy.

Indexed as

Genetic TherapyAnimalsBlotting, WesternDependovirusFactor VIIIGenetic VariationGenetic VectorsGlycosylationHemophilia AHumansImmune ToleranceLiverMacaca mulattaMaleMiceMice, Inbred C57BLF8 protein, humanFactor VIIIPeptide Fragments

Identifiers

PMID23426947
PMCPMC3637010
OpenAlexW1991453997

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.