Evidence map›Paper›PMID 24356252›Full record

ReviewMolecular therapy : the journal of the American Society of Gene Therapy2014

Parkinson's disease gene therapy: success by design meets failure by efficacy.

Raymond T Bartus, Marc S Weinberg, R Jude Samulski

Open access · bronzeAbstract readReview
In one paragraph

Review in Molecular therapy : the journal of the American Society of Gene Therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 1 pooled it
14.4field-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

73 citing papers in PubMed, 1 synthesis or guideline pooled it, 161 citations in OpenAlex.

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  6. Neurosurgical gene therapy for central nervous system diseases.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2024
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13 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

3 authors at 1 institution in 1 country.

Raymond T BartusCeregene, Inc., San Diego, California, USA; RTBioconsultants, Inc., San Diego, California, USA. Electronic address: bartus@RTBioconsultants.com.
Marc S WeinbergGene Therapy Center, University of North Carolina, Chapel Hill, North Carolina, USA.
R Jude SamulskiGene Therapy Center, University of North Carolina, Chapel Hill, North Carolina, USA; Department of Pharmacology, University of North Carolina, Chapel Hill, North Carolina, USA. Electronic address: rjs@med.unc.edu.
University of North Carolina at Chapel Hill · US

Funding

Rational and Combinatorial Engineering of AAV VectorsR01AI072176 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HIRSCH, MATTHEW LOUIS, SAMULSKI, RICHARD J · 2008 to 2017
$3.7M
CTL response to AAV VectorR01AI080726 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LI, CHENGWEN, SAMULSKI, RICHARD J · 2010 to 2014
$1.8M
Galanin, Seizures, and NeuroinflammationF32NS070356 · NINDS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WEINBERG, MARC SCOTT · 2011 to 2013
$166k
NIAID NIH HHS 2R01AI072176NIAID NIH HHS 5R01AI080726NIAID NIH HHS R01 AI072176NIAID NIH HHS R01 AI080726NINDS NIH HHS F32 NS070356NINDS NIH HHS F32NS070356
6 · The paper itself

Abstract

Over the past decade, nine gene therapy clinical trials for Parkinson's disease (PD) have been initiated and completed. Starting with considerable optimism at the initiation of each trial, none of the programs has yet borne sufficiently robust clinical efficacy or found a clear path toward regulatory approval. Despite the immediately disappointing nature of the efficacy outcomes in these trials, the clinical data garnered from the individual studies nonetheless represent tangible and significant progress for the gene therapy field. Collectively, the clinical trials demonstrate that we have overcome the major safety hurdles previously suppressing central nervous system (CNS) gene therapy, for none produced any evidence of untoward risk or harm after administration of various vector-delivery systems. More importantly, these studies also demonstrated controlled, highly persistent generation of biologically active proteins targeted to structures deep in the human brain. Therefore, a renewed, focused emphasis must be placed on advancing clinical efficacy by improving clinical trial design, patient selection and outcome measures, developing more predictive animal models to support clinical testing, carefully performing retrospective analyses, and most importantly moving forward-beyond our past limits.

Indexed as

AnimalsCentral Nervous SystemClinical Trials as TopicGenetic TherapyGenetic VectorsHumansParkinson DiseaseResearch Design

Identifiers

PMID24356252
PMCPMC3944322
OpenAlexW2008017799

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.