Evidence map›Paper›PMID 32952980›Full record

ReviewMediterranean journal of hematology and infectious diseases2020

Gene Therapy for Hemophilia: Facts and Quandaries in the 21st Century.

Valder R Arruda, Bhavya S Doshi

Open access · goldAbstract readReview
In one paragraph

Review in Mediterranean journal of hematology and infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.1field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Viral vector-based gene therapies in the clinic: An update.Bioengineering & translational medicine · 2026
    Review
  3. Haemophilia B: an illustrative review of current challenges and opportunities.Research and practice in thrombosis and haemostasis · 2025
    Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Ectopic clotting factor VIII expression and misfolding in hepatocytes as a cause for hepatocellular carcinoma.Molecular therapy : the journal of the American Society of Gene Therapy · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Novel vectors and approaches for gene therapy in liver diseases.JHEP reports : innovation in hepatology · 2021
    Review
  14. Article
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

2 authors at 1 institution in 1 country.

Valder R ArrudaDivsion of Hematology, Children's Hospital of Philadelphia, Philadelphia PA USA.
Bhavya S DoshiDivsion of Hematology, Children's Hospital of Philadelphia, Philadelphia PA USA.
Children's Hospital of Philadelphia · US

Funding

Skills DevelopmentU54HL142012 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI ARRUDA, VALDER R. · 2018 to 2022
$7.0M
Engineering cellular immunotherapy to modulate immune responses in hemophiliaR01HL137335 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI MILONE, MICHAEL C., SAMELSON-JONES, BEN J · 2017 to 2020
$1.7M
NHLBI NIH HHS R01 HL137335NHLBI NIH HHS U54 HL142012
6 · The paper itself

Abstract

Therapy for hemophilia has evolved in the last 40 years from plasma-based concentrates to recombinant proteins and, more recently, to non-factor therapeutics. Along this same timeline, research in adeno-associated viral (AAV) based gene therapy vectors has provided the framework for early phase clinical trials initially for hemophilia B (HB) and now for hemophilia A. Successive lessons learned from early HB trials have paved the way for current advanced phase trials. Nevertheless, questions linger regarding 1) the optimal balance of vector dose to transgene expression, 2) amount and durability of transgene expression required, and 3) long-term safety. Some trials have demonstrated unique findings not seen previously regarding transient elevation of liver enzymes, immunogenicity of the vector capsid, and loss of transgene expression. This review will provide an update on the clinical AAV gene therapy trials in hemophilia and address the questions above. A thoughtful and rationally approached expansion of gene therapy to the clinics would certainly be a welcome addition to the arsenal of options for hemophilia therapy. Further, the global impact of gene therapy could be vastly improved by expanding eligibility to different patient populations and to developing nations. With the advances made to date, it is possible to envision a shift from the early goal of simply increasing life expectancy to a significant improvement in quality of life by reduction in spontaneous bleeding episodes and disease complications.

Indexed as

Adeno-associated virusGene therapyHemophilia

Identifiers

PMID32952980
PMCPMC7485465
OpenAlexW3081956045

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.