Evidence map›Paper›PMID 28716862›Full record

ArticleBlood2017

Gene therapy for Wiskott-Aldrich syndrome in a severely affected adult.

Emma C Morris, Thomas Fox, Ronjon Chakraverty, Rita Tendeiro, Katie Snell, Christine Rivat, Sarah Grace, Kimberly Gilmour, Sarita Workman, Karen Buckland and 13 more

Registry-linked trialOpen access · bronzeAbstract readCase Reports
In one paragraph

Article in Blood, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01347242 (Phase I/II Clinical Trial of Haematopoietic Stem Cell Gene Therapy for the Wiskott-Aldrich Syndrome), which is not on this map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 3% 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.

NCT01347242 phase1 / phase2completednot on this map

Phase I/II Clinical Trial of Haematopoietic Stem Cell Gene Therapy for the Wiskott-Aldrich Syndrome

TypeinterventionalSponsorGenethonRan2011 to 2019Enrolled6ConditionsWiskott-Aldrich SyndromeArmsAutologous CD34 positive cells transduced with a lentiviral vector containing human WAS gene
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Evaluation of diversity indices to estimate clonal dominance in gene therapy studies.Molecular therapy. Methods & clinical development · 2023
    Article
  11. Review
  12. Article
  13. Article
  14. Pseudotyped Viruses for Retroviruses.Advances in experimental medicine and biology · 2023
    Article
  15. Review
  16. Review
  17. Review
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  19. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 5 institutions in 3 countries.

Emma C MorrisInstitute of Immunity and Transplantation, University College London, London, United Kingdom.
Thomas FoxInstitute of Immunity and Transplantation, University College London, London, United Kingdom.
Ronjon ChakravertyDepartment of Haematology, Royal Free London NHS Foundation Trust, London, United Kingdom.
Rita TendeiroInstitute of Immunity and Transplantation, University College London, London, United Kingdom.
Katie SnellInstitute of Child Health, University College London, London, United Kingdom.
Christine RivatInstitute of Child Health, University College London, London, United Kingdom.
Sarah GraceDepartment of Haematology, Royal Free London NHS Foundation Trust, London, United Kingdom.
Kimberly GilmourGreat Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
Sarita WorkmanDepartment of Immunology and.
Karen BucklandInstitute of Child Health, University College London, London, United Kingdom.
Katie ButlerInstitute of Child Health, University College London, London, United Kingdom.
Ronnie CheeDepartment of Immunology and.
Alan D SalamaCentre for Nephrology, University College London, London, United Kingdom.
Hazem IbrahimDepartment of Histopathology, Royal Free London NHS Foundation Trust, London, United Kingdom.
Havinder HaraInstitute of Child Health, University College London, London, United Kingdom.
Cecile DuretInstitute of Child Health, University College London, London, United Kingdom.
Fulvio MavilioGenethon, Evry, France; and.
Frances MaleDepartment of Microbiology, University of Pennsylvania School of Medicine, Philadelphia, PA.
Frederick D BushmanDepartment of Microbiology, University of Pennsylvania School of Medicine, Philadelphia, PA.
Anne GalyGenethon, Evry, France; and.
Siobhan O BurnsInstitute of Immunity and Transplantation, University College London, London, United Kingdom.
H Bobby GasparInstitute of Child Health, University College London, London, United Kingdom.
Adrian J ThrasherInstitute of Child Health, University College London, London, United Kingdom.
University College London · GBGenethon (France) · FRGreat Ormond Street Hospital for Children NHS Foundation Trust · GBRoyal Free London NHS Foundation Trust · GBUniversity of Pennsylvania · US

Funding

Massively Parallel Analysis of Integration in Therapeutic Gene TransferR01AI082020 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI BUSHMAN, FREDERIC D · 2009 to 2018
$3.5M
Medical Research Council MR/K015427/1NIAID NIH HHS R01 AI082020Wellcome TrustWellcome Trust 104807/Z/14/Z
6 · The paper itself

Abstract

Until recently, hematopoietic stem cell transplantation was the only curative option for Wiskott-Aldrich syndrome (WAS). The first attempts at gene therapy for WAS using a ϒ-retroviral vector improved immunological parameters substantially but were complicated by acute leukemia as a result of insertional mutagenesis in a high proportion of patients. More recently, treatment of children with a state-of-the-art self-inactivating lentiviral vector (LV-w1.6 WASp) has resulted in significant clinical benefit without inducing selection of clones harboring integrations near oncogenes. Here, we describe a case of a presplenectomized 30-year-old patient with severe WAS manifesting as cutaneous vasculitis, inflammatory arthropathy, intermittent polyclonal lymphoproliferation, and significant chronic kidney disease and requiring long-term immunosuppressive treatment. Following reduced-intensity conditioning, there was rapid engraftment and expansion of a polyclonal pool of transgene-positive functional T cells and sustained gene marking in myeloid and B-cell lineages up to 20 months of observation. The patient was able to discontinue immunosuppression and exogenous immunoglobulin support, with improvement in vasculitic disease and proinflammatory markers. Autologous gene therapy using a lentiviral vector is a viable strategy for adult WAS patients with severe chronic disease complications and for whom an allogeneic procedure could present an unacceptable risk. This trial was registered at www.clinicaltrials.gov as #NCT01347242.

Indexed as

Genetic TherapyAdultCell ProliferationChild, PreschoolClinical Trials as TopicClone CellsCytokinesHumansLymphocyte SubsetsT-LymphocytesVaccinationWiskott-Aldrich SyndromeCytokines

Identifiers

PMID28716862
PMCPMC5813727
OpenAlexW2735267401

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.