Evidence map›Paper›PMID 23845948›Full record

Trial reportScience (New York, N.Y.)2013

Lentiviral hematopoietic stem cell gene therapy benefits metachromatic leukodystrophy.

Alessandra Biffi, Eugenio Montini, Laura Lorioli, Martina Cesani, Francesca Fumagalli, Tiziana Plati, Cristina Baldoli, Sabata Martino, Andrea Calabria, Sabrina Canale and 27 more

4 registry-linked trialsOpen access · greenAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Science (New York, N.Y.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 649 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
649citing papers in PubMed, 6 pooled it
103.7field-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.

NCT01560182 phase1 / phase2completednot on this map

A Phase I/II Clinical Trial of Hematopoietic Stem Cell Gene Therapy for the Treatment of Metachromatic Leukodystrophy

TypeinterventionalSponsorOrchard TherapeuticsRan2010 to 2025Enrolled20ConditionsLysosomal Storage Disease, Metachromatic LeukodystrophyArmsOTL-200 Gene Therapy
NCT02453477 phase1 / phase2unknown statusnot on this mapstarted 2015, after this paper: background citation

A Phase I/II Study Evaluating Safety and Efficacy of Autologous Hematopoietic Stem Cells Genetically Modified With GLOBE Lentiviral Vector Encoding for the Human Beta-globin Gene for the Treatment of Patients Affected by Transfusion Dependent Beta-thalassemia

TypeinterventionalSponsorIRCCS San RaffaeleRan2015 to 2019Enrolled10ConditionsBeta-ThalassemiaArmsAutologous hematopoietic stem cells genetically modified with GLOBE lentiviral vector encoding for the human beta-globin gene
NCT02559830 phase1 / phase2unknown statusnot on this mapstarted 2015, after this paper: background citation

A Phase I/II Clinical Trial of Lentiviral Hematopoietic Stem Cell Gene Therapy for Treatment of Developed Metachromatic Leukodystrophy and Adrenoleukodystrophy

TypeinterventionalSponsorShenzhen Second People's HospitalRan2015 to 2025Enrolled50ConditionsMetachromatic Leukodystrophy, AdrenoleukodystrophyArmstransduced CD34+ hematopoietic stem cell
NCT02826798 phase1completednot on this mapstarted 2016, after this paper: background citation

A Phase 1 Randomized, Observer-Blind, Placebo-Controlled, Study to Evaluate the Safety, Tolerability, and Immunogenicity of the Candidate Human Cytomegalovirus Vaccine (VBI-1501) in Healthy Adults

TypeinterventionalSponsorVBI Vaccines Inc.Ran2016 to 2017Enrolled128ConditionsCytomegalovirus InfectionsArmsVBI-1501A 0.5 μg, VBI-1501A 1.0 μg, VBI-1501A 2.0 μg, VBI-1501 1.0 μg, Placebo
3 · Its place in the literature

Who cites it

649 citing papers in PubMed, 6 syntheses or guidelines pooled it, 1,189 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Intravenous arylsulfatase A in metachromatic leukodystrophy: a phase 1/2 study.Annals of clinical and translational neurology · 2021
    Trial
  12. Review
  13. Stem Cell-Based Therapies for Central Nervous System Demyelinating Diseases: Clinical Evidence, Therapeutic Niches, and Translational Boundaries.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  14. Biologic Therapies for Alleviating Neurodegeneration in Lysosomal Storage Diseases.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

37 authors at 6 institutions in 3 countries.

Alessandra BiffiSan Raffaele Telethon Institute for Gene Therapy, San Raffaele Scientific Institute, 20132 Milan, Italy. biffi.alessandra@hsr.it
Eugenio Montini
Laura Lorioli
Martina Cesani
Francesca Fumagalli
Tiziana Plati
Cristina Baldoli
Sabata Martino
Andrea Calabria
Sabrina Canale
Fabrizio Benedicenti
Giuliana Vallanti
Luca Biasco
Simone Leo
Nabil Kabbara
Gianluigi Zanetti
William B Rizzo
Nalini A L Mehta
Maria Pia Cicalese
Miriam Casiraghi
Jaap J Boelens
Ubaldo Del Carro
David J Dow
Manfred Schmidt
Andrea Assanelli
Victor Neduva
Clelia Di Serio
Elia Stupka
Jason Gardner
Christof von Kalle
Claudio Bordignon
Fabio Ciceri
Attilio Rovelli
Maria Grazia Roncarolo
Alessandro Aiuti
Maria Sessa
Luigi Naldini
Vita-Salute San Raffaele University · ITGerman Cancer Research Center · DEHeidelberg University · DEUniversity of Nebraska Medical Center · USUniversity of Perugia · ITUniversity of Rome Tor Vergata · IT

Funding

Telethon TGT11B02Telethon TGT11D02
6 · The paper itself

Abstract

Metachromatic leukodystrophy (MLD) is an inherited lysosomal storage disease caused by arylsulfatase A (ARSA) deficiency. Patients with MLD exhibit progressive motor and cognitive impairment and die within a few years of symptom onset. We used a lentiviral vector to transfer a functional ARSA gene into hematopoietic stem cells (HSCs) from three presymptomatic patients who showed genetic, biochemical, and neurophysiological evidence of late infantile MLD. After reinfusion of the gene-corrected HSCs, the patients showed extensive and stable ARSA gene replacement, which led to high enzyme expression throughout hematopoietic lineages and in cerebrospinal fluid. Analyses of vector integrations revealed no evidence of aberrant clonal behavior. The disease did not manifest or progress in the three patients 7 to 21 months beyond the predicted age of symptom onset. These findings indicate that extensive genetic engineering of human hematopoiesis can be achieved with lentiviral vectors and that this approach may offer therapeutic benefit for MLD patients.

Indexed as

Hematopoietic Stem Cell TransplantationBrainCerebroside-SulfataseDNA DamageFollow-Up StudiesGenetic EngineeringGenetic TherapyGenetic VectorsHematopoietic Stem CellsHumansLentivirusLeukodystrophy, MetachromaticMagnetic Resonance ImagingTransduction, GeneticTreatment OutcomeVirus IntegrationCerebroside-Sulfatase

Identifiers

PMID23845948
OpenAlexW2089319449

What OpenQuestion holds

Textmetadata
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.