Evidence map›Paper›PMID 38355967›Full record

ArticleGene therapy2024

Multicenter assessment and longitudinal study of the prevalence of antibodies and related adaptive immune responses to AAV in adult males with hemophilia.

Ingrid Pabinger, Mila Ayash-Rashkovsky, Miguel Escobar, Barbara A Konkle, María Eva Mingot-Castellano, Eric S Mullins, Claude Negrier, Luying Pan, Kavitha Rajavel, Brian Yan and 1 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Gene therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
12.1field-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.

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

18 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Review
  3. Nanomaterials Drive In Vivo CAR Immune Cells Engineering.Advanced materials (Deerfield Beach, Fla.) · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. The curious case of AAV immunology.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  18. 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

11 authors at 7 institutions in 5 countries.

Ingrid PabingerClinical Division of Hematology and Hemostaseology, Department of Medicine I, Medical University of Vienna, Vienna, Austria.
Mila Ayash-RashkovskyTakeda Development Center Americas Inc, Cambridge, MA, USA.
Miguel EscobarUniversity of Texas Health Science Center, McGovern Medical School and Gulf States Hemophilia and Thrombophilia Center, Houston, TX, USA.ORCID 0000-0002-2944-0240
Barbara A KonkleBloodWorks Northwest, Seattle, WA, USA.ORCID 0000-0002-3959-8797
María Eva Mingot-CastellanoHospital Regional Universitario de Málaga, Málaga, Spain.ORCID 0000-0001-9083-855X
Eric S MullinsDivision of Hematology, Cincinnati Children's Hospital Medical Center and University of Cincinnati-College of Medicine, Cincinnati, OH, USA.
Claude NegrierUR4609 Hemostase & Thrombose, University Lyon 1, Lyon, France.ORCID 0000-0002-2905-055X
Luying PanTakeda Development Center Americas Inc, Cambridge, MA, USA.
Kavitha RajavelTakeda Development Center Americas Inc, Cambridge, MA, USA. kavitha.rajavel@takeda.com.
Brian YanTakeda Development Center Americas Inc, Cambridge, MA, USA.
John ChapinTakeda Development Center Americas Inc, Cambridge, MA, USA. jchapin29@gmail.com.ORCID 0000-0003-3365-7757
Takeda (United States) · USCincinnati Children's Hospital Medical Center · USHospital Regional Universitario de Málaga · ESMedical University of Vienna · ATThe University of Texas Health Science Center at Houston · USUniversité Claude Bernard Lyon 1 · FRUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adeno-associated virus (AAV) based gene therapy has demonstrated effective disease control in hemophilia. However, pre-existing immunity from wild-type AAV exposure impacts gene therapy eligibility. The aim of this multicenter epidemiologic study was to determine the prevalence and persistence of preexisting immunity against AAV2, AAV5, and AAV8, in adult participants with hemophilia A or B. Blood samples were collected at baseline and annually for ≤3 years at trial sites in Austria, France, Germany, Italy, Spain, and the United States. At baseline, AAV8, AAV2, and AAV5 neutralizing antibodies (NAbs) were present in 46.9%, 53.1%, and 53.4% of participants, respectively; these values remained stable at Years 1 and 2. Co-prevalence of NAbs to at least two serotypes and all three serotypes was present at baseline for ~40% and 38.2% of participants, respectively. For each serotype, ~10% of participants who tested negative for NAbs at baseline were seropositive at Year 1. At baseline, 38.3% of participants had detectable cell mediated immunity by ELISpot, although no correlations were observed with the humoral response. In conclusion, participants with hemophilia may have significant preexisting immunity to AAV capsids. Insights from this study may assist in understanding capsid-based immunity trends in participants considering AAV vector-based gene therapy.

Indexed as

Antibodies, NeutralizingAntibodies, ViralDependovirusGenetic TherapyHemophilia AAdaptive ImmunityAdultGenetic VectorsHumansLongitudinal StudiesMaleMiddle AgedPrevalenceYoung AdultAntibodies, NeutralizingAntibodies, Viral

Identifiers

PMID38355967
PMCPMC11090810
OpenAlexW4391821506

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.