Evidence map›Paper›PMID 36490302›Full record

ArticleBlood advances2023

Stable and durable factor IX levels in patients with hemophilia B over 3 years after etranacogene dezaparvovec gene therapy.

Annette von Drygalski, Esteban Gomez, Adam Giermasz, Giancarlo Castaman, Nigel S Key, Susan U Lattimore, Frank W G Leebeek, Wolfgang A Miesbach, Michael Recht, Robert Gut and 4 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Blood advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03489291 (Phase IIb, Open-label, Single-dose, Single-arm, Multi-center Trial to Confirm the Factor IX Activity Level of the Serotype 5 Adeno-associated Viral Vector Containing the Padua Variant of a Codon-optimized Human Factor IX Gene), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
10.1field-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.

NCT03489291 phase2completednot on this map

Phase IIb, Open-label, Single-dose, Single-arm, Multi-center Trial to Confirm the Factor IX Activity Level of the Serotype 5 Adeno-associated Viral Vector Containing the Padua Variant of a Codon-optimized Human Factor IX Gene (AAV5-hFIXco-Padua, AMT-061) Administered to Adult Subjects With Severe or Moderately Severe Hemophilia B

TypeinterventionalSponsorCSL BehringRan2018 to 2023Enrolled3ConditionsHemophilia BArmsAAV5-hFIXco-Padua (AMT-061)
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Viral vector-based gene therapies in the clinic: An update.Bioengineering & translational medicine · 2026
    Review
  8. Article
  9. Review
  10. Normalization in hemophilia: conceptual foundations and clinical implications.Research and practice in thrombosis and haemostasis · 2025
    Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Current clinical applications of AAV-mediated gene therapy.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  16. Gene regulation technologies for gene and cell therapy.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  17. Gene therapy in hemophilia: the dawn of a new era.Research and practice in thrombosis and haemostasis · 2025
    Review
  18. Review
  19. Contemporary approaches to treat people with hemophilia: what's new and what's not?Research and practice in thrombosis and haemostasis · 2025
    Review
  20. 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

14 authors at 12 institutions in 4 countries.

Annette von DrygalskiDivision of Hematology/Oncology, Department of Medicine, University of California San Diego, San Diego, CA.
Esteban GomezCenter for Inherited Blood Disorders, Orange, CA.
Adam GiermaszDivision of Hematology/Oncology, Department of Medicine, Hemophilia Treatment Center, University of California Davis, Sacramento, CA.
Giancarlo CastamanCenter for Bleeding Disorders, Department of Oncology, Careggi University Hospital, Florence, Italy.
Nigel S KeyDivision of Hematology and Blood Research Center, Department of Medicine, University of North Carolina, Chapel Hill, NC.
Susan U LattimoreThe Hemophilia Center, Oregon Health & Science University, Portland, OR.
Frank W G LeebeekDepartment of Hematology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
Wolfgang A MiesbachDepartment of Hemostaseology and Hemophilia Center, Medical Clinic 2, Institute of Transfusion Medicine, University Hospital Frankfurt, Frankfurt, Germany.
Michael RechtAmerican Thrombosis and Hemostasis Network, Rochester, NY.ORCID 0000-0002-2805-1016
Robert GutuniQure Inc, Lexington, MA.
Ricardo DolmetschuniQure Inc, Lexington, MA.
Paul E MonahanCSL Behring, King of Prussia, PA.
Sandra Le QuellecCSL Behring Europe, Hattersheim am Main, Germany.ORCID 0000-0002-6203-3946
Steven W PipeDepartments of Pediatrics and Pathology, University of Michigan, Ann Arbor, MI.
Azienda Ospedaliero-Universitaria Careggi · ITCenter for Inherited Blood Disorders · USCSL (Germany) · DECSL (United States) · USErasmus MC · NLGoethe University Frankfurt · DEOregon Health & Science University · USUniversity of California, Davis · USUniversity of California San Diego · USUniversity of Michigan · USUniversity of North Carolina at Chapel Hill · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Etranacogene dezaparvovec (AMT-061) is a recombinant adeno-associated virus serotype 5 (AAV5) vector containing a codon-optimized Padua variant human factor IX (FIX) transgene with a liver-specific promoter. Here, we report 3-year outcomes from a phase 2b, open-label, single-dose, single-arm, multicenter trial conducted among adults with severe or moderately severe hemophilia B (FIX ≤2%). All participants (n = 3) received a single intravenous dose (2 × 1013 gene copies per kg) and will be followed up for 5 years. The primary end point of FIX activity ≥5% at 6 weeks was met. Secondary end points included bleed frequency, FIX concentrate use, joint health, and adverse events (AEs). All participants required routine FIX prophylaxis and had neutralizing antibodies to AAV5 before etranacogene dezaparvovec treatment. After administration, FIX activity rose to a mean of 40.8% in year 1 and was sustained in year 3 at 36.9%. All participants discontinued FIX prophylaxis. Bleeding was completely eliminated in 2 out of 3 participants. One participant required on-demand FIX replacement therapy per protocol because of elective surgical procedures, for 2 reported bleeding episodes, and twice for a single self-administered infusion because of an unreported reason. One participant experienced 2 mild, self-limiting AEs shortly after dosing. During the 3-year study period, there were no clinically significant elevations in liver enzymes, no requirement for steroids, no FIX inhibitor development, and no late-emergent safety events in any participant. Etranacogene dezaparvovec was safe and effective in adults with hemophilia B over 3 years after administration. This trial was registered at www.clinicaltrials.gov as #NCT03489291.

Indexed as

Hemophilia BAdultDependovirusFactor IXGenetic TherapyHemorrhageHumansFactor IX

Identifiers

PMID36490302
PMCPMC10539871
OpenAlexW4310960730

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.