Evidence map›Paper›PMID 25295500›Full record

Trial reportThe New England journal of medicine2014

A modified γ-retrovirus vector for X-linked severe combined immunodeficiency.

Salima Hacein-Bey-Abina, Sung-Yun Pai, H Bobby Gaspar, Myriam Armant, Charles C Berry, Stephane Blanche, Jack Bleesing, Johanna Blondeau, Helen de Boer, Karen F Buckland and 39 more

5 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in The New England journal of medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 187 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
187citing papers in PubMed, 1 pooled it
38.0field-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.

NCT01129544 phase1 / phase2completednot on this map

Multi-site Phase I/II Trial Evaluating the Treatment of SCID-X1 Patients With Retrovirus-mediated Gene Transfer

TypeinterventionalSponsorDavid WilliamsRan2010 to 2023Enrolled8ConditionsSevere Combined ImmunodeficiencyArmsGene transfer
NCT01175239 naunknown statusnot on this map

Gene Therapy for SCID-X1 Using a Self-inactivating (SIN) Gammaretroviral Vector

TypeinterventionalSponsorGreat Ormond Street Hospital for Children NHS Foundation TrustRan2011 to 2018Enrolled1ConditionsX-linked Severe Combined ImmunodeficiencyArmsSingle infusion of autologous CD34+ cells transduced with the self-inactivating (SIN) gammaretroviral vector pSRS11.EFS.IL2RG.pre
NCT01410019 phase1 / phase2completednot on this map

Protocol No. 2 of Gene Therapy for X-linked Severe Combined Immunodeficiency (SCID-X1) Using a Self Retroviral Vector - SCID2

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2010 to 2015Enrolled5ConditionsX-linked Severe Combined ImmunodeficiencyArmsGene transfer
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
NCT03538899 phase1 / phase2recruitingnot on this mapstarted 2018, after this paper: background citation

Phase I/II Safety and Efficacy Study of Gene Transfer for Artemis-Deficient Severe Combined Immunodeficiency (ART-SCID) in Newly Diagnosed Patients Using Self-Inactivating Lentiviral Vector (AProArt) to Transduce Autologous CD34 Hematopoietic Cells

TypeinterventionalSponsorUniversity of California, San FranciscoRan2018 to 2038Enrolled24ConditionsSevere Combined ImmunodeficiencyArmsAProArt-CD34, CliniMACS® CD34 Reagent System cell sorter device, Busulfan
3 · Its place in the literature

Who cites it

187 citing papers in PubMed, 1 synthesis or guideline pooled it, 404 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Restoration of the immune system with base editing and non-genotoxic conditioning in a Rag2 point-mutant mouse model.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  9. Chemical reviews · 2026
    Review
  10. Lymphedema in patients with X-linked severe combined immunodeficiency.The journal of allergy and clinical immunology. Global · 2026
    Article
  11. Review
  12. Ex Vivo Gene and Cell Therapy in Hematopoietic Stem Cells.International journal of molecular sciences · 2025
    Review
  13. Article
  14. Review
  15. Ex vivo modification of hematopoietic stem and progenitor cells for gene therapy.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  16. Are monocytes a preferable option to develop myeloid cell-based therapies for solid tumors?Journal of experimental & clinical cancer research : CR · 2025
    Review
  17. Review
  18. Article
  19. Article
  20. Article

127 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

49 authors at 20 institutions in 7 countries.

Salima Hacein-Bey-AbinaFrom the Departments of Biotherapy (S.H.-B.-A., J. Blondeau, L.C., F.T., M.C.) and Immunology and Pediatric Hematology (S.B., G.C., D.M., B.N., C.P., F.T., A.F.) and the Centre d'Étude des Déficits Immunitaires (C.P.), Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris (AP-HP), the Biotherapy Clinical Investigation Center, Groupe Hospitalier Universitaire Ouest, AP-HP, INSERM (S.H.-B.-A., J. Blondeau, L.C., F.T., M.C.), Unité de Technologies Chimiques et Biologiques pour la Santé, Centre National de la Recherche Scientifique, 8258-INSERM Unité 1022, Faculté des Sciences Pharmaceutiques et Biologiques, Université Paris Descartes (S.H.-B.-A.), Immunology Laboratory, Groupe Hospitalier Universitaire Paris-Sud, AP-HP, Le Kremlin-Bicêtre (S.H.-B.-A.), Imagine Institute, Paris Descartes-Sorbonne Paris Cité University (S.B., J. Blondeau, L.C., D.M., B.N., C.P., E.S., A.F., M.C.), INSERM Unités Mixtes de Recherche 1163, Laboratory of Human Lymphohematopoiesis (J. Blondeau, L.C., E.S., F.T., A.F., M.C.), Groupe Immunoscope, Immunology Department, Institut Pasteur (A.L.), and Collège de France (A.F.) - all in Paris; Division of Hematology-Oncology (S.-Y.P., H.B., D.G., C.E.H., G.H., L.E.L., W.B.L., D.A.W.) and Division of Immunology (L.D.N.), Boston Children's Hospital, Department of Pediatric Oncology, Dana-Farber Cancer Institute (S.-Y.P., D.G., L.E.L., W.B.L., D.A.W.), Harvard Medical School (S.-Y.P., M.A., L.E.L., W.B.L., J.R., L.E.S., A.T., L.D.N., D.A.W.), Center for Human Cell Therapy, Program in Cellular and Molecular Medicine, Boston Children's Hospital (M.A., J.R., L.E.S., A.T.), Division of Hematologic Malignancies, Dana-Farber Cancer Institute (J.R.), and the Manton Center for Orphan Disease Research (L.D.N.) - all in Boston; Great Ormond Street Hospital for Children NHS Foundation Trust (H.B.G., J.X.-B., A.J.T.) and Section of Molecular and Cellular Immunology, University College London Institute of Child Health (H.B.G., K.F.B., A.
Sung-Yun Pai
H Bobby Gaspar
Myriam Armant
Charles C Berry
Stephane Blanche
Jack Bleesing
Johanna Blondeau
Helen de Boer
Karen F Buckland
Laure Caccavelli
Guilhem Cros
Satiro De Oliveira
Karen S Fernández
Dongjing Guo
Chad E Harris
Gregory Hopkins
Leslie E Lehmann
Annick Lim
Wendy B London
Johannes C M van der Loo
Nirav Malani
Frances Male
Punam Malik
M Angélica Marinovic
Anne-Marie McNicol
Despina Moshous
Benedicte Neven
Matías Oleastro
Capucine Picard
Jerome Ritz
Christine Rivat
Axel Schambach
Kit L Shaw
Eric A Sherman
Leslie E Silberstein
Emmanuelle Six
Fabien Touzot
Alla Tsytsykova
Jinhua Xu-Bayford
Christopher Baum
Frederic D Bushman
Alain Fischer
Donald B Kohn
Alexandra H Filipovich
Luigi D Notarangelo
Marina Cavazzana
David A Williams
Adrian J Thrasher
Cincinnati Children's Hospital Medical Center · USUniversity College London · GBDana-Farber Cancer Institute · USInserm · FRUniversity of Pennsylvania · USBoston Children's Hospital · USHarvard University · USPalmetto Hematology Oncology · USSorbonne Paris Cité · FRDélégation Paris 5 · FRMattel Children's Hospital · USMedizinische Hochschule Hannover · DEAssistance Publique – Hôpitaux de Paris · FRClinica Santa Maria · CLGarrahan Hospital · ARGreat Ormond Street Hospital for Children NHS Foundation Trust · GBIllinois College · USInstitut Pasteur · FRUniversité Paris Cité · FRUniversity of California, Los Angeles · US

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI ROBERT GROSS · 1999 to 2026
$78.6M
Transduction of Human Stem and Progenitor CellsP01HL073104 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KOHN, DONALD B · 2003 to 2013
$18.3M
Gene Therapy for SCID-X1 using a self-inactivating (SIN) gammaretroviral vectorU01AI087628 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI WILLIAMS, DAVID A · 2010 to 2014
$4.6M
Massively Parallel Analysis of Integration in Therapeutic Gene TransferR01AI082020 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI BUSHMAN, FREDERIC D · 2009 to 2018
$3.5M
European Research Council 249816European Research Council 269037Medical Research Council G0501969NHLBI NIH HHS HHSN268201000009CNHLBI NIH HHS HL 073104NHLBI NIH HHS P01 HL073104NIAID NIH HHS AI 082020NIAID NIH HHS P30 AI045008NIAID NIH HHS R01 AI082020NIAID NIH HHS U01 AI087628NIAID NIH HHS U01 AI087628-05Wellcome Trust
6 · The paper itself

Abstract

backgroundIn previous clinical trials involving children with X-linked severe combined immunodeficiency (SCID-X1), a Moloney murine leukemia virus-based γ-retrovirus vector expressing interleukin-2 receptor γ-chain (γc) complementary DNA successfully restored immunity in most patients but resulted in vector-induced leukemia through enhancer-mediated mutagenesis in 25% of patients. We assessed the efficacy and safety of a self-inactivating retrovirus for the treatment of SCID-X1.

methodsWe enrolled nine boys with SCID-X1 in parallel trials in Europe and the United States to evaluate treatment with a self-inactivating (SIN) γ-retrovirus vector containing deletions in viral enhancer sequences expressing γc (SIN-γc).

resultsAll patients received bone marrow-derived CD34+ cells transduced with the SIN-γc vector, without preparative conditioning. After 12.1 to 38.7 months of follow-up, eight of the nine children were still alive. One patient died from an overwhelming adenoviral infection before reconstitution with genetically modified T cells. Of the remaining eight patients, seven had recovery of peripheral-blood T cells that were functional and led to resolution of infections. The patients remained healthy thereafter. The kinetics of CD3+ T-cell recovery was not significantly different from that observed in previous trials. Assessment of insertion sites in peripheral blood from patients in the current trial as compared with those in previous trials revealed significantly less clustering of insertion sites within LMO2, MECOM, and other lymphoid proto-oncogenes in our patients.

conclusionsThis modified γ-retrovirus vector was found to retain efficacy in the treatment of SCID-X1. The long-term effect of this therapy on leukemogenesis remains unknown. (Funded by the National Institutes of Health and others; ClinicalTrials.gov numbers, NCT01410019, NCT01175239, and NCT01129544.).

Indexed as

Genetic TherapyGenetic VectorsAnimalsAntigens, CD34DNA, ComplementaryGammaretrovirusGene ExpressionGene SilencingHumansInfantInterleukin Receptor Common gamma SubunitMaleMiceMutationT-LymphocytesTransduction, GeneticAntigens, CD34DNA, ComplementaryInterleukin Receptor Common gamma Subunit

Identifiers

PMID25295500
PMCPMC4274995
OpenAlexW2149628283

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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.