Evidence map›Paper›PMID 27852956›Full record

ArticleThorax2017

Preparation for a first-in-man lentivirus trial in patients with cystic fibrosis.

Eric W F W Alton, Jeffery M Beekman, A Christopher Boyd, June Brand, Marianne S Carlon, Mary M Connolly, Mario Chan, Sinead Conlon, Heather E Davidson, Jane C Davies and 28 more

Open access · hybridAbstract read
In one paragraph

Article in Thorax, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 2 pooled it
14.1field-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

88 citing papers in PubMed, 2 syntheses or guidelines pooled it, 143 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Lentiviral Gene Therapy for Cystic Fibrosis: A Promising Approach and First-in-Human Trial.American journal of respiratory and critical care medicine · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Functional restoration of a CFTR splicing mutation through RNA delivery of CRISPR adenine base editor.Molecular therapy : the journal of the American Society of Gene Therapy · 2023
    Article
  19. Review
  20. Review

28 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

38 authors at 8 institutions in 5 countries.

Eric W F W AltonDepartment of Gene Therapy, National Heart and Lung Institute, Imperial College London, London, UK.
Jeffery M BeekmanDepartment of Pediatric Pulmonology, Laboratory of Translational Immunology, Wilhelmina Children's Hospital, University Medical Centre, Utrecht, The Netherlands.
A Christopher BoydCentre for Genomic and Experimental Medicine, IGMM, University of Edinburgh, Edinburgh, UK.
June BrandCentre for Genomic and Experimental Medicine, IGMM, University of Edinburgh, Edinburgh, UK.
Marianne S CarlonLaboratory for Molecular Virology and Gene Therapy, Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, Brussels, Belgium.
Mary M ConnollyUK Cystic Fibrosis Gene Therapy Consortium, Oxford, UK.
Mario ChanDepartment of Gene Therapy, National Heart and Lung Institute, Imperial College London, London, UK.
Sinead ConlonDepartment of Gene Therapy, National Heart and Lung Institute, Imperial College London, London, UK.
Heather E DavidsonUK Cystic Fibrosis Gene Therapy Consortium, Oxford, UK.
Jane C DaviesDepartment of Gene Therapy, National Heart and Lung Institute, Imperial College London, London, UK.
Lee A DaviesUK Cystic Fibrosis Gene Therapy Consortium, Oxford, UK.
Johanna F DekkersDepartment of Pediatric Pulmonology, Laboratory of Translational Immunology, Wilhelmina Children's Hospital, University Medical Centre, Utrecht, The Netherlands.
Ann DohertyUK Cystic Fibrosis Gene Therapy Consortium, Oxford, UK.
Sabrina Gea-SorliDepartment of Gene Therapy, National Heart and Lung Institute, Imperial College London, London, UK.
Deborah R GillUK Cystic Fibrosis Gene Therapy Consortium, Oxford, UK.
Uta GriesenbachDepartment of Gene Therapy, National Heart and Lung Institute, Imperial College London, London, UK.
Mamoru HasegawaID Pharme Co. Ltd. (DNAVEC Center), Tsukuba, Japan.
Tracy E HigginsDepartment of Gene Therapy, National Heart and Lung Institute, Imperial College London, London, UK.
Takashi HironakaID Pharme Co. Ltd. (DNAVEC Center), Tsukuba, Japan.
Laura HyndmanUK Cystic Fibrosis Gene Therapy Consortium, Oxford, UK.
Gerry McLachlanUK Cystic Fibrosis Gene Therapy Consortium, Oxford, UK.
Makoto InoueID Pharme Co. Ltd. (DNAVEC Center), Tsukuba, Japan.
Stephen C HydeUK Cystic Fibrosis Gene Therapy Consortium, Oxford, UK.
J Alastair InnesUK Cystic Fibrosis Gene Therapy Consortium, Oxford, UK.
Toby M MaherFibrosis Research Group, Inflammation, Repair & Development Section, National Heart and Lung Institute, Sir Alexander Fleming Building, Imperial College, London, UK.
Caroline MoranDepartment of Gene Therapy, National Heart and Lung Institute, Imperial College London, London, UK.
Cuixiang MengDepartment of Gene Therapy, National Heart and Lung Institute, Imperial College London, London, UK.
Michael C Paul-SmithDepartment of Gene Therapy, National Heart and Lung Institute, Imperial College London, London, UK.
Ian A PringleUK Cystic Fibrosis Gene Therapy Consortium, Oxford, UK.
Kamila M PytelDepartment of Gene Therapy, National Heart and Lung Institute, Imperial College London, London, UK.
Andrea Rodriguez-MartinezDepartment of Gene Therapy, National Heart and Lung Institute, Imperial College London, London, UK.
Alexander C SchmidtAve Leopold Wiener, Brussels, Belgium.
Barbara J StevensonUK Cystic Fibrosis Gene Therapy Consortium, Oxford, UK.
Stephanie G Sumner-JonesUK Cystic Fibrosis Gene Therapy Consortium, Oxford, UK.
Richard ToshnerFibrosis Research Group, Inflammation, Repair & Development Section, National Heart and Lung Institute, Sir Alexander Fleming Building, Imperial College, London, UK.
Shu TsugumineID Pharme Co. Ltd. (DNAVEC Center), Tsukuba, Japan.
Marguerite W WasowiczDepartment of Gene Therapy, National Heart and Lung Institute, Imperial College London, London, UK.
Jie ZhuLung Pathology Unit, Department of Airway Disease Infection, NHLI, Imperial College London, London, UK.
Cystic Fibrosis Trust · GBImperial College London · GBLung Institute · USEdinburgh Cancer Research · GBID Pharma (Japan) · JPWilhelmina Children's Hospital · NLKU Leuven · BERoslin Institute · GB

Funding

Medical Research Council MR/J014699/1
6 · The paper itself

Abstract

We have recently shown that non-viral gene therapy can stabilise the decline of lung function in patients with cystic fibrosis (CF). However, the effect was modest, and more potent gene transfer agents are still required. Fuson protein (F)/Hemagglutinin/Neuraminidase protein (HN)-pseudotyped lentiviral vectors are more efficient for lung gene transfer than non-viral vectors in preclinical models. In preparation for a first-in-man CF trial using the lentiviral vector, we have undertaken key translational preclinical studies. Regulatory-compliant vectors carrying a range of promoter/enhancer elements were assessed in mice and human air-liquid interface (ALI) cultures to select the lead candidate; cystic fibrosis transmembrane conductance receptor (CFTR) expression and function were assessed in CF models using this lead candidate vector. Toxicity was assessed and 'benchmarked' against the leading non-viral formulation recently used in a Phase IIb clinical trial. Integration site profiles were mapped and transduction efficiency determined to inform clinical trial dose-ranging. The impact of pre-existing and acquired immunity against the vector and vector stability in several clinically relevant delivery devices was assessed. A hybrid promoter hybrid cytosine guanine dinucleotide (CpG)- free CMV enhancer/elongation factor 1 alpha promoter (hCEF) consisting of the elongation factor 1α promoter and the cytomegalovirus enhancer was most efficacious in both murine lungs and human ALI cultures (both at least 2-log orders above background). The efficacy (at least 14% of airway cells transduced), toxicity and integration site profile supports further progression towards clinical trial and pre-existing and acquired immune responses do not interfere with vector efficacy. The lead rSIV.F/HN candidate expresses functional CFTR and the vector retains 90-100% transduction efficiency in clinically relevant delivery devices. The data support the progression of the F/HN-pseudotyped lentiviral vector into a first-in-man CF trial in 2017.

Indexed as

AnimalsCystic FibrosisGene ExpressionGenetic TherapyGenetic VectorsGene Transfer TechniquesHumansLentivirusMicePeptide Elongation Factor 1Promoter Regions, GeneticPeptide Elongation Factor 1Cystic Fibrosis

Identifiers

PMID27852956
PMCPMC5284333
OpenAlexW2549404374

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.