Evidence map›Paper›PMID 25566073›Full record

ReviewFrontiers in pharmacology2014

Hemophilia A: an ideal disease to correct in utero.

Christopher D Porada, Christopher Rodman, Glicerio Ignacio, Anthony Atala, Graça Almeida-Porada

Abstract readReview
In one paragraph

Review in Frontiers in pharmacology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

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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

5 authors.

Christopher D PoradaRegenerative Medicine, Wake Forest Institute for Regenerative Medicine Winston-Salem, NC, USA.
Christopher RodmanRegenerative Medicine, Wake Forest Institute for Regenerative Medicine Winston-Salem, NC, USA.
Glicerio IgnacioRegenerative Medicine, Wake Forest Institute for Regenerative Medicine Winston-Salem, NC, USA.
Anthony AtalaRegenerative Medicine, Wake Forest Institute for Regenerative Medicine Winston-Salem, NC, USA.
Graça Almeida-PoradaRegenerative Medicine, Wake Forest Institute for Regenerative Medicine Winston-Salem, NC, USA.

Funding

Prenatal Cell and Gene Therapy for Hemophilia AR01HL135853 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ALMEIDA-PORADA, GRACA DUARTE, PORADA, CHRISTOPHER D · 2017 to 2020
$2.8M
In Utero Stem Cell Transplantation for Hemophilia AR01HL073737 · NHLBI · UNIVERSITY OF NEVADA RENO · PI ALMEIDA-PORADA, GRACA DUARTE · 2003 to 2006
$1.8M
cGMP Manufacture Of FVIII-Expressing Placental Cells For Hemophilia AU01HL148681 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Graca Duarte Almeida-Porada · 2019 to 2026
$1.6M
In Utero Gene TherapyR01HD043038 · NICHD · UNIVERSITY OF NEVADA RENO · PI PORADA, CHRISTOPHER D · 2002 to 2006
$997k
NHLBI NIH HHS R01 HL073737NHLBI NIH HHS R01 HL135853NHLBI NIH HHS U01 HL148681NICHD NIH HHS R01 HD043038
6 · The paper itself

Abstract

Hemophilia A (HA) is the most frequent inheritable defect of the coagulation proteins. The current standard of care for patients with HA is prophylactic factor infusion, which is comprised of regular (2-3 times per week) intravenous infusions of recombinant or plasma-derived FVIII to maintain hemostasis. While this treatment has greatly increased the quality of life and lengthened the life expectancy for many HA patients, its high cost, the need for lifelong infusions, and the fact that it is unavailable to roughly 75% of the world's HA patients make this type of treatment far from ideal. In addition, this lifesaving therapy suffers from a high risk of treatment failure due to immune response to the infused FVIII. There is thus a need for novel treatments, such as those using stem cells and/or gene therapy, which have the potential to mediate long-term correction or permanent cure following a single intervention. In the present review, we discuss the clinical feasibility and unique advantages that an in utero approach to treating HA could offer, placing special emphasis on a new sheep model of HA we have developed and on the use of mesenchymal stromal cells (MSC) as cellular vehicles for delivering the FVIII gene.

Indexed as

fetal interventionhemophiliaimmune tolerancein utero gene therapyin utero transplantationmesenchymal stromal cellssheep model

Identifiers

PMID25566073
PMCPMC4263089

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Registered trials

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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.