Evidence map›Paper›PMID 29160099›Full record

Trial reportHuman gene therapy. Clinical development2017

Safety of Intradiaphragmatic Delivery of Adeno-Associated Virus-Mediated Alpha-Glucosidase (rAAV1-CMV-hGAA) Gene Therapy in Children Affected by Pompe Disease.

Manuela Corti, Cristina Liberati, Barbara K Smith, Lee Ann Lawson, Ibrahim S Tuna, Thomas J Conlon, Kirsten E Coleman, Saleem Islam, Roland W Herzog, David D Fuller and 2 more

Open access · greenAbstract readClinical Trial, Phase IClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Human gene therapy. Clinical development, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 2 pooled it
6.5field-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.

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

79 citing papers in PubMed, 2 syntheses or guidelines pooled it, 113 citations in OpenAlex.

  1. Pooled it
  2. What's new and what's next for gene therapy in Pompe disease?Expert opinion on biological therapy · 2022
    Pooled it
  3. Review
  4. Transient prophylactic immunosuppression with abatacept or dasatinib prevents immune responses in AAV gene transfer.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Neonatal systemic gene therapy restores cardiorespiratory function in a rat model of Pompe disease.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  11. Current clinical applications of AAV-mediated gene therapy.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  12. Gene therapy then and now: A look back at changes in the field over the past 25 years.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  13. Article
  14. Management of Pompe disease alongside and beyond ERT: a narrative review.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2025
    Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. Review

19 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

12 authors at 2 institutions in 1 country.

Manuela Corti1 Department of Pediatrics, College of Medicine, University of Florida , Gainesville, Florida.
Cristina Liberati1 Department of Pediatrics, College of Medicine, University of Florida , Gainesville, Florida.
Barbara K Smith2 Department of Physical Therapy, College of Public Health and Health Profession, University of Florida , Gainesville, Florida.
Lee Ann Lawson3 Department of Endocrinology, College of Medicine, University of Florida , Gainesville, Florida.
Ibrahim S Tuna4 Department of Radiology, College of Medicine, University of Florida , Gainesville, Florida.
Thomas J Conlon1 Department of Pediatrics, College of Medicine, University of Florida , Gainesville, Florida.
Kirsten E Coleman1 Department of Pediatrics, College of Medicine, University of Florida , Gainesville, Florida.
Saleem Islam1 Department of Pediatrics, College of Medicine, University of Florida , Gainesville, Florida.
Roland W Herzog1 Department of Pediatrics, College of Medicine, University of Florida , Gainesville, Florida.
David D Fuller2 Department of Physical Therapy, College of Public Health and Health Profession, University of Florida , Gainesville, Florida.
Shelley W Collins1 Department of Pediatrics, College of Medicine, University of Florida , Gainesville, Florida.
Barry J Byrne1 Department of Pediatrics, College of Medicine, University of Florida , Gainesville, Florida.
University of Florida · USUniversity of Florida Health · US

Funding

Control of Breathing & Glycogen Storage DiseaseR01HD052682 · NICHD · UNIVERSITY OF FLORIDA · PI BYRNE, BARRY J, FULLER, DAVID D · 2007 to 2024
$6.4M
Phase II Study of AAV9-GAA Gene Transfer in Pompe DiseaseU01HL121842 · NHLBI · UNIVERSITY OF FLORIDA · PI BYRNE, BARRY J · 2015 to 2019
$1.6M
NHLBI NIH HHS U01 HL121842NICHD NIH HHS R01 HD052682
6 · The paper itself

Abstract

A first-in-human trial of diaphragmatic gene therapy (AAV1-CMV-GAA) to treat respiratory and neural dysfunction in early-onset Pompe disease was conducted. The primary objective of this study was to assess the safety of rAAV1-CMV-hGAA vector delivered to the diaphragm muscle of Pompe disease subjects with ventilatory insufficiency. Safety was assessed by measurement of change in serum chemistries and hematology, urinalysis, and immune response to GAA and AAV, as well as change in level of health. The data demonstrate that the AAV treatment was safe and there were no adverse events related to the study agent. Adverse events related to the study procedure were observed in subjects with lower baseline neuromuscular function. All adverse events were resolved before the end of the study, except for one severe adverse event determined not to be related to either the study agent or the study procedure. In addition, an anti-capsid and anti-transgene antibody response was observed in all subjects who received rAAV1-CMV-hGAA, except for subjects who received concomitant immunomodulation to manage reaction to enzyme replacement therapy, as per their standard of care. This observation is significant for future gene therapy studies and serves to establish a clinically relevant approach to blocking immune responses to both the AAV capsid protein and transgene product.

Indexed as

Genetic Therapyalpha-GlucosidasesAnimalsChildDependovirusDiaphragmFemaleGenetic VectorsGlycogen Storage Disease Type IIHumansImmunomodulationMaleMiceMuscle, SkeletalThoracic Surgery, Video-AssistedTransgenesalpha-GlucosidasesAAVimmune responsePompe diseasesafety

Identifiers

PMID29160099
PMCPMC5733674
OpenAlexW2770869187

What OpenQuestion holds

Textmetadata
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.