Evidence map›Paper›PMID 37859645›Full record

ArticleTherapeutic advances in hematology2023

Infrastructural considerations of implementing gene therapy for hemophilia in the Nordic context.

Jan Astermark, Fariba Baghaei, Karin Strandberg, Petra Gabric Toplican, Maj Friberg Birkedal, Emma Engman Grahn, Charlotta Hansson, Peter Kampmann, Anna-Elina Lehtinen, Kinga Täckström and 2 more

Abstract read
In one paragraph

Article in Therapeutic advances in hematology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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.

Jan AstermarkDepartment of Translational Medicine, Lund University, Malmö, Sweden.
Fariba BaghaeiDepartment of Medicine, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden.
Karin StrandbergDivision of Laboratory Medicine, Department of Clinical Chemistry and Pharmacology, Coagulation, University and Regional Laboratories Region Skåne, Malmö, Sweden.
Petra Gabric ToplicanRadiopharmacy Unit, Karolinska University Hospital, Stockholm, Sweden.
Maj Friberg BirkedalDepartment of Pediatric Hematology/Oncology, Rigshospitalet, Copenhagen, Denmark.
Emma Engman GrahnDepartment of Hematology, Oncology and Radiation Physics, Skåne University Hospital, Malmö, Sweden.
Charlotta HanssonBioMarin (Europe) Limited, Dublin, Ireland.
Peter KampmannDepartment of Hematology, Rigshospitalet, Copenhagen, Denmark.
Anna-Elina LehtinenCoagulation Disorders Unit, Department of Hematology, Comprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland.
Kinga TäckströmBioMarin (Europe) Limited, Dublin, Ireland.
Pål Andre HolmeDepartment of Hematology, Oslo University Hospital, Oslo, Norway.
Maria MagnussonCoagulation Unit, Department of Hematology, Karolinska University Hospital, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Despite improvements in hemophilia care, challenges remain, including treatment burden and impaired quality of life. Gene therapy may overcome these. However, its introduction presents a challenge. Objectives: To outline a function-based gene therapy working model describing critical milestones associated with gene therapy handling, administration, and follow-up to facilitate and implement an effective infrastructure for gene therapy introduction. Design: Literature review and consensus discussion among Hemophilia Comprehensive Care centers (HCCCs) in the Nordic region. Methods: Representatives from six HCCCs sought to pinpoint milestones and key stakeholders for site readiness at the pre-, peri-, and post-infusion stages, including authority and genetically modified organism (GMO) product requirements, awareness, medical eligibility, logistics and product handling for infusion, laboratory monitoring, and follow-up. Results: A gene therapy transit map was developed with key stakeholders identified. The approach to prepare the vector will differ between the Nordic centers, but the contracted pharmacy unit will be a key stakeholder. Therefore, a pharmacy checklist for the implementation of gene therapy was developed. For the future, Advanced Therapy Medicinal Product centers will also be implemented. Patients' expectations, commitments, and concerns need to be addressed repeatedly and education of patients and the expanded health-care professionals team will be the key to successful and optimal clinical management. Eligibility testing according to the product's summary of product characteristics and frequent follow-up and monitoring post-infusion according to the World Federation of Hemophilia chart will be crucial. Conclusion: The approach to deliver gene therapy in the Nordic region will differ partly between the hemophilia centers, but the defined road map with checklists for the implementation of this advanced therapy will be applicable to all. The map may also serve as a platform for the use of future GMO product options both within and outside the area of hemophilia.

Indexed as

gene therapyhemophiliaimplementationNordicspharmacystakeholders

Identifiers

PMID37859645
PMCPMC10583513

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.