Evidence map›Paper›PMID 31011710›Full record

ArticleResearch and practice in thrombosis and haemostasis2019

Adenovirus-associated antibodies in UK cohort of hemophilia patients: A seroprevalence study of the presence of adenovirus-associated virus vector-serotypes AAV5 and AAV8 neutralizing activity and antibodies in patients with hemophilia A.

Sophia Stanford, Ruth Pink, Desmond Creagh, Amanda Clark, Gillian Lowe, Nicola Curry, John Pasi, David Perry, Sylvia Fong, Gregory Hayes and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05920512 (PLA General Hospital), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
5.6field-weighted citation impact, top 4% 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.

NCT05920512 phase1 / phase2unknown statusnot on this mapstarted 2022, after this paper: background citation

PLA General Hospital

TypeinterventionalSponsorXue-chun LuRan2022 to 2025Enrolled10ConditionsHemophiliaArmsSodium valproate extended-release tablets
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Review
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  12. Binding and neutralizing anti-AAV antibodies: Detection and implications for rAAV-mediated gene therapy.Molecular therapy : the journal of the American Society of Gene Therapy · 2023
    Review
  13. Article
  14. The Arrival of Gene Therapy for Patients with Hemophilia A.International journal of molecular sciences · 2022
    Review
  15. Article
  16. Article
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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

12 authors at 8 institutions in 2 countries.

Sophia StanfordDepartment of Hemophilia, Haemostasis and Thrombosis Hampshire Hospitals NHS Foundation Trust Basingstoke Hampshire UK.
Ruth PinkDepartment of Hemophilia, Haemostasis and Thrombosis Hampshire Hospitals NHS Foundation Trust Basingstoke Hampshire UK.
Desmond CreaghHaematology Department Royal Cornwall Hospital Truro Cornwall UK.
Amanda ClarkBristol Hemophilia Comprehensive Care Centre University Hospitals Bristol NHS Foundation Trust Bristol UK.
Gillian LoweComprehensive Care Hemophilia Centre University Hospitals Birmingham NHS Foundation Trust Birmingham UK.
Nicola CurryOxford Haemophilia and Thrombosis Centre Oxford University Hospitals NHS Foundation Trust and Oxford Comprehensive BRC, Blood Theme Oxford UK.
John PasiRoyal London Haemophilia Centre Barts Health NHS Trust London UK.
David PerryCambridge Haemophilia and Thrombophilia Centre Cambridge University Hospitals NHS Foundation Trust Cambridge UK.
Sylvia FongBioMarin Pharmaceutical Inc Novato California.
Gregory HayesBioMarin Pharmaceutical Inc Novato California.
Kandiah ChandrakumaranPeritoneal Malignancy Institute and Surgery Hampshire Hospitals NHS Foundation Trust Basingstoke Hampshire UK.
Savita RangarajanDepartment of Hemophilia, Haemostasis and Thrombosis Hampshire Hospitals NHS Foundation Trust Basingstoke Hampshire UK.
Hampshire Hospitals NHS Foundation Trust · GBBioMarin (United States) · USBarts Health NHS Trust · GBCambridge University Hospitals NHS Foundation Trust · GBOxford BioMedica (United Kingdom) · GBRoyal Cornwall Hospital · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBUniversity Hospitals Bristol NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent treatment for severe hemophilia A is replacement of deficient factor. Although replacement therapy has improved life expectancy and quality, limitations include frequent infusions and high costs. Gene therapy is a potential alternative that utilizes an adeno-associated virus (AAV) vector containing the human genetic code for factor 8 (FVIII) that transduces the liver, enabling endogenous production of FVIII. Individuals with preexisting immunity to AAV serotypes may be less likely to benefit from this treatment.

objectivesThis study measured seroprevalence of antibodies to AAV5 and 8 in an UK adult hemophilia A cohort. PATIENTS/

methodsPatients were recruited from seven hemophilia centres in the UK. Citrated plasma samples from 100 patients were tested for preexisting activities against AAV5 and 8 using AAV transduction inhibition and total antibodies assays.

resultsTwent-one percent of patients had antibodies against AAV5 and 23% had antibodies against AAV8. Twenty-five percent and 38% of patients exhibited inhibitors of AAV5 or AAV8 cellular transduction respectively. Overall seroprevalence using either assay against AAV5 was 30% and against AAV8 was 40% in this cohort of hemophilia A patients. Seropositivity for both AAV5 and AAV8 was seen in 24% of participants.

conclusionsScreening for preexisting immunity may be important in identifying patients most likely to benefit from gene therapy. Clinical studies may be needed to evaluate the impact of preexisting immunity on the safety and efficacy of AAV mediated gene therapy.

Indexed as

adeno‐associated viral vectorshemophilia Aseroprevalence

Identifiers

PMID31011710
PMCPMC6462753
OpenAlexW2911391034

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.