Evidence map›Paper›PMID 36631545›Full record

ArticleGene therapy2023

Preclinical evaluation of FLT190, a liver-directed AAV gene therapy for Fabry disease.

Jey M Jeyakumar, Azadeh Kia, Lawrence C S Tam, Jenny McIntosh, Justyna Spiewak, Kevin Mills, Wendy Heywood, Elisa Chisari, Noemi Castaldo, Daniël Verhoef and 11 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Gene therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04040049 (A Phase 1/2, Baseline-controlled, Non-randomized, Open-label, Single-ascending Dose Study of a Novel Adeno-associated Viral Vector), which is not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
6.3field-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.

NCT04040049 phase1 / phase2terminatednot on this map

A Phase 1/2, Baseline-controlled, Non-randomized, Open-label, Single-ascending Dose Study of a Novel Adeno-associated Viral Vector (FLT190) in Patients With Fabry Disease

TypeinterventionalSponsorSpur TherapeuticsRan2019 to 2023Enrolled3ConditionsFabry Disease, Lysosomal Storage DiseasesArmsFLT190
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. FLT201, a novel liver-directed AAV gene therapy candidate for Gaucher disease type 1.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  10. Article
  11. Progress and Challenges in the Treatment of Fabry Disease.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  12. Article
  13. Review
  14. Status and frontiers of Fabre disease.Orphanet journal of rare diseases · 2025
    Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. 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

21 authors at 3 institutions in 1 country.

Jey M Jeyakumar *Freeline Therapeutics, Ltd, Stevenage, UK. jey2323@gmail.com.ORCID 0000-0002-6884-8804
Azadeh Kia *Freeline Therapeutics, Ltd, Stevenage, UK.
Lawrence C S TamFreeline Therapeutics, Ltd, Stevenage, UK.
Jenny McIntoshUniversity College London, London, UK.ORCID 0000-0003-4115-7867
Justyna SpiewakUCL Biological Mass Spectrometry Centre, Genetics & Genomic Medicine Unit, Institute of Child Health, UCL, London, UK.
Kevin MillsUCL Biological Mass Spectrometry Centre, Genetics & Genomic Medicine Unit, Institute of Child Health, UCL, London, UK.
Wendy HeywoodUCL Biological Mass Spectrometry Centre, Genetics & Genomic Medicine Unit, Institute of Child Health, UCL, London, UK.
Elisa ChisariFreeline Therapeutics, Ltd, Stevenage, UK.
Noemi CastaldoFreeline Therapeutics, Ltd, Stevenage, UK.
Daniël VerhoefFreeline Therapeutics, Ltd, Stevenage, UK.
Paniz HosseiniFreeline Therapeutics, Ltd, Stevenage, UK.
Petya KalchevaFreeline Therapeutics, Ltd, Stevenage, UK.
Clement CocitaFreeline Therapeutics, Ltd, Stevenage, UK.
Carlos J MirandaFreeline Therapeutics, Ltd, Stevenage, UK.
Miriam CanaveseFreeline Therapeutics, Ltd, Stevenage, UK.
Jaminder KhinderFreeline Therapeutics, Ltd, Stevenage, UK.
Cecilia RosalesUniversity College London, London, UK.
Derralynn HughesUniversity College London, London, UK.
Rose SheridanFreeline Therapeutics, Ltd, Stevenage, UK.
Romuald CorbauFreeline Therapeutics, Ltd, Stevenage, UK.
Amit NathwaniFreeline Therapeutics, Ltd, Stevenage, UK.
University College London · GBRoyal Free London NHS Foundation Trust · GBNeRRe Therapeutics (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fabry disease is an X-linked lysosomal storage disorder caused by loss of alpha-galactosidase A (α-Gal A) activity and is characterized by progressive accumulation of glycosphingolipids in multiple cells and tissues. FLT190, an investigational gene therapy, is currently being evaluated in a Phase 1/2 clinical trial in patients with Fabry disease (NCT04040049). FLT190 consists of a potent, synthetic capsid (AAVS3) containing an expression cassette with a codon-optimized human GLA cDNA under the control of a liver-specific promoter FRE1 (AAV2/S3-FRE1-GLAco). For mouse studies FLT190 genome was pseudotyped with AAV8 for efficient transduction. Preclinical studies in a murine model of Fabry disease (Gla-deficient mice), and non-human primates (NHPs) showed dose-dependent increases in plasma α-Gal A with steady-state observed 2 weeks following a single intravenous dose. In Fabry mice, AAV8-FLT190 treatment resulted in clearance of globotriaosylceramide (Gb3) and globotriaosylsphingosine (lyso-Gb3) in plasma, urine, kidney, and heart; electron microscopy analyses confirmed reductions in storage inclusion bodies in kidney and heart. In NHPs, α-Gal A expression was consistent with the levels of hGLA mRNA in liver, and no FLT190-related toxicities or adverse events were observed. Taken together, these studies demonstrate preclinical proof-of-concept of liver-directed gene therapy with FLT190 for the treatment of Fabry disease.

Indexed as

Fabry DiseaseGenetic Therapyalpha-GalactosidaseAnimalsCells, CulturedFibroblastsGenetic VectorsHumansLiverMicealpha-Galactosidase

Identifiers

PMID36631545
PMCPMC10284695
OpenAlexW4315650261

What OpenQuestion holds

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LicenceCC BY
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.