Evidence map›Paper›PMID 35075289›Full record

ArticleNature medicine2022

Long-term safety and efficacy of lentiviral hematopoietic stem/progenitor cell gene therapy for Wiskott-Aldrich syndrome.

A Magnani, M Semeraro, F Adam, C Booth, L Dupré, E C Morris, A Gabrion, C Roudaut, D Borgel, A Toubert and 30 more

Erratum issued 3 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Nature medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 3 registered trials, which are not on this map. Cited by 68 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 1 pooled it
20.2field-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.

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
NCT01347346 phase1 / phase2completednot on this map

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

TypeinterventionalSponsorGenethonRan2011 to 2017Enrolled5ConditionsWiskott-Aldrich SyndromeArmsAutologous CD34 positive cells transduced with a lentiviral vector containing human WAS gene
NCT02333760 phase1 / phase2active not recruitingnot on this map

Long Term Safety Follow up of Patients Enrolled in the Phase I/II Clinical Trial of Haematopoietic Stem Cell Gene Therapy for the Wiskott Aldrich Syndrome (GTG002-07 and GTG003-08).

TypeinterventionalSponsorGenethonRan2014 to 2032Enrolled10ConditionsWiskott-Aldrich SyndromeArmsAutologous CD34+ cells transduced with WASP lentiviral vector
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 1 synthesis or guideline pooled it, 113 citations in OpenAlex.

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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

40 authors at 9 institutions in 4 countries.

A Magnani *Department of Biotherapy, Hôpital Universitaire Necker-Enfants Malades, Groupe Hospitalier Paris Centre, Assistance Publique-Hôpitaux de Paris, Paris, France.
M Semeraro *Clinical Investigation Center CIC 1419, Hôpital Universitaire Necker-Enfants Malades, Groupe Hospitalier Paris Centre, Université de Paris, Assistance Publique-Hôpitaux de Paris, Paris, France.
F AdamINSERM, UMR_S1176, Université Paris-Saclay, Le Kremlin-Bicêtre, France.ORCID http://orcid.org/0000-0001-6603-2687
C BoothDepartment of Paediatric Immunology, Great Ormond Street Hospital, London, UK.
L DupréToulouse Institute for Infectious and Inflammatory Diseases (INFINITy), INSERM, CNRS, Toulouse III Paul Sabatier University, Toulouse, France.
E C MorrisInstitute of Immunity and Transplantation, University College London, London, UK.ORCID http://orcid.org/0000-0003-4834-1130
A GabrionDepartment of Biotherapy, Hôpital Universitaire Necker-Enfants Malades, Groupe Hospitalier Paris Centre, Assistance Publique-Hôpitaux de Paris, Paris, France.
C RoudautDepartment of Biotherapy, Hôpital Universitaire Necker-Enfants Malades, Groupe Hospitalier Paris Centre, Assistance Publique-Hôpitaux de Paris, Paris, France.
D BorgelINSERM, UMR_S1176, Université Paris-Saclay, Le Kremlin-Bicêtre, France.
A ToubertEMiLy, INSERM U1160, Institut de Recherche Saint Louis, Université de Paris, Paris, France.ORCID http://orcid.org/0000-0002-7308-7317
E ClaveEMiLy, INSERM U1160, Institut de Recherche Saint Louis, Université de Paris, Paris, France.ORCID http://orcid.org/0000-0001-8217-5039
C AbdoInstitut Necker-Enfants Malades (INEM), INSERM U1151, Université Paris Descartes Sorbonne Cité, Paris, France.
G GorochovDépartement d'Immunologie, Groupement Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France.
R PetermannPlatelet Immunology Department, INTS, Paris, France.
M GuiotDepartment of Biotherapy, Hôpital Universitaire Necker-Enfants Malades, Groupe Hospitalier Paris Centre, Assistance Publique-Hôpitaux de Paris, Paris, France.
M MiyaraDépartement d'Immunologie, Groupement Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France.
D MoshousDepartment of Pediatric Immunology, Hematology and Rheumatology, Assistance Publique-Hôpitaux de Paris, Necker-Enfants Malades University Hospital, Paris, France.
E MagrinDepartment of Biotherapy, Hôpital Universitaire Necker-Enfants Malades, Groupe Hospitalier Paris Centre, Assistance Publique-Hôpitaux de Paris, Paris, France.
A DenisHuman Lymphohematopoiesis Laboratory, Imagine Institute, INSERM UMR 1163, Université de Paris, Paris, France.
F SuarezImagine Institute, Université Paris Centre, Paris, France.
C LagresleHuman Lymphohematopoiesis Laboratory, Imagine Institute, INSERM UMR 1163, Université de Paris, Paris, France.ORCID http://orcid.org/0000-0002-2216-6453
A M RocheDepartment of Microbiology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
J EverettDepartment of Microbiology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
A TrinquandInstitut Necker-Enfants Malades (INEM), INSERM U1151, Université Paris Descartes Sorbonne Cité, Paris, France.
M GuissetToulouse Institute for Infectious and Inflammatory Diseases (INFINITy), INSERM, CNRS, Toulouse III Paul Sabatier University, Toulouse, France.
J Xu BayfordDepartment of Paediatric Immunology, Great Ormond Street Hospital, London, UK.
S Hacein-Bey-AbinaUnité des Technologies Chimiques et Biologiques pour la Santé, CNRS, INSERM, Université de Paris, Paris, France.
A KauskotINSERM, UMR_S1176, Université Paris-Saclay, Le Kremlin-Bicêtre, France.ORCID http://orcid.org/0000-0002-4064-8114
R ElfekyDepartment of Paediatric Immunology, Great Ormond Street Hospital, London, UK.
C RivatDepartment of Paediatric Immunology, Great Ormond Street Hospital, London, UK.
S AbbasGénéthon, Evry, France.
H B GasparDepartment of Paediatric Immunology, Great Ormond Street Hospital, London, UK.
E MacintyreInstitut Necker-Enfants Malades (INEM), INSERM U1151, Université Paris Descartes Sorbonne Cité, Paris, France.ORCID http://orcid.org/0000-0003-0520-0493
C PicardImagine Institute, Université Paris Centre, Paris, France.
F D BushmanDepartment of Microbiology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-4740-4056
A GalyGénéthon, Evry, France.
A Fischer *Department of Pediatric Immunology, Hematology and Rheumatology, Assistance Publique-Hôpitaux de Paris, Necker-Enfants Malades University Hospital, Paris, France.ORCID http://orcid.org/0000-0003-4025-5983
E Six *Human Lymphohematopoiesis Laboratory, Imagine Institute, INSERM UMR 1163, Université de Paris, Paris, France.ORCID http://orcid.org/0000-0001-7806-0968
A J Thrasher *Department of Paediatric Immunology, Great Ormond Street Hospital, London, UK. a.thrasher@ucl.ac.uk.ORCID http://orcid.org/0000-0002-6097-6115
M Cavazzana *Department of Biotherapy, Hôpital Universitaire Necker-Enfants Malades, Groupe Hospitalier Paris Centre, Assistance Publique-Hôpitaux de Paris, Paris, France. m.cavazzana@aphp.fr.ORCID http://orcid.org/0000-0002-0264-0891
Hôpital Necker-Enfants Malades · FRInserm · FRGreat Ormond Street Hospital · GBCentre National de la Recherche Scientifique · FRUniversity of Pennsylvania · USUniversity of London Institute in Paris · FRGenethon (France) · FRInstitut National de la Transfusion Sanguine · FRRoyal Marsden NHS Foundation Trust · GB

Funding

Wellcome TrustWellcome Trust 104807/Z/14/ZWellcome Trust 217112/Z/19/Z
6 · The paper itself

Abstract

Patients with Wiskott-Aldrich syndrome (WAS) lacking a human leukocyte antigen-matched donor may benefit from gene therapy through the provision of gene-corrected, autologous hematopoietic stem/progenitor cells. Here, we present comprehensive, long-term follow-up results (median follow-up, 7.6 years) (phase I/II trial no. NCT02333760 ) for eight patients with WAS having undergone phase I/II lentiviral vector-based gene therapy trials (nos. NCT01347346 and NCT01347242 ), with a focus on thrombocytopenia and autoimmunity. Primary outcomes of the long-term study were to establish clinical and biological safety, efficacy and tolerability by evaluating the incidence and type of serious adverse events and clinical status and biological parameters including lentiviral genomic integration sites in different cell subpopulations from 3 years to 15 years after gene therapy. Secondary outcomes included monitoring the need for additional treatment and T cell repertoire diversity. An interim analysis shows that the study meets the primary outcome criteria tested given that the gene-corrected cells engrafted stably, and no serious treatment-associated adverse events occurred. Overall, severe infections and eczema resolved. Autoimmune disorders and bleeding episodes were significantly less frequent, despite only partial correction of the platelet compartment. The results suggest that lentiviral gene therapy provides sustained clinical benefits for patients with WAS.

Indexed as

Genetic VectorsHematopoietic Stem Cell TransplantationAdolescentAdultChildChild, PreschoolClinical Trials, Phase I as TopicClinical Trials, Phase II as TopicGenetic TherapyHumansInfantLentivirusTreatment OutcomeWiskott-Aldrich SyndromeYoung Adult

Identifiers

PMID35075289
PMCPMC8799465
OpenAlexW4207036299

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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.