Evidence map›Paper›PMID 40156189›Full record

ReviewMolecular therapy : the journal of the American Society of Gene Therapy2025

Gene therapy for hemophilia - From basic science to first approvals of "one-and-done" therapies.

Roland W Herzog, Radoslaw Kaczmarek, Katherine A High

Abstract readReview
In one paragraph

Review in Molecular therapy : the journal of the American Society of Gene Therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. The Molecular Pathology of Non-Malignant Haematological Disease.British journal of biomedical science · 2026
    Review
  10. Review
  11. Article
  12. Advancements in CRISPR-basedFrontiers in genome editing · 2026
    Review
  13. Viral vector-based gene therapies in the clinic: An update.Bioengineering & translational medicine · 2026
    Review
  14. Review
  15. Malignancy and gene therapy in hemophilia.Research and practice in thrombosis and haemostasis · 2026
    Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. Considerations for the Use of AAV-based Gene Therapy in HIV-Positive Individuals With Haemophilia.Haemophilia : the official journal of the World Federation of Hemophilia
    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

3 authors.

Roland W HerzogHerman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, IN, USA. Electronic address: rwherzog@iu.edu.
Radoslaw KaczmarekHerman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, IN, USA.
Katherine A HighLaboratory of Blood and Vascular Biology, Rockefeller University, New York, NY, USA. Electronic address: khigh@rockefeller.edu.

Funding

Toward Safer Gene Therapy for Hemophilia AP01HL160472 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI Roland W. Herzog · 2022 to 2026
$15.1M
Enhancing immune regulation in gene therapy for hemophiliaR01HL131093 · NHLBI · UNIVERSITY OF FLORIDA · PI Ype Peter De Jong, Roland W. Herzog · 2016 to 2026
$7.2M
Capsid- and genome-modified AAV3 vectors for hemophilia gene therapy.R01HL177230 · NHLBI · UNIVERSITY OF FLORIDA · PI Roland W. Herzog, Arun Srivastava · 2025 to 2026
$1.4M
NHLBI NIH HHS P01 HL160472NHLBI NIH HHS R01 HL131093NHLBI NIH HHS R01 HL177230
6 · The paper itself

Abstract

Realistic paths to gene therapy for the X-linked bleeding disorder hemophilia started to materialize in the mid 1990s, resulting in disease correction in small and large animal models. Out of a diversity of approaches, in vivo adeno-associated viral (AAV) gene transfer to hepatocytes emerged as the most promising strategy, eventually forming the basis for multiple advanced clinical trials and regulatory approval of two products for the treatment of hemophilia B (coagulation factor IX deficiency) and one for hemophilia A (factor VIII deficiency). Ideally, gene therapy is effective with a single administration, thus providing therapeutic factor levels over a period of years, without the need for frequent injections. Overcoming multiple obstacles, some not predicted by preclinical studies, sustained partial to complete correction of coagulation for several years to an entire decade has now been documented in patients, with observation ongoing. A hyperactive form of FIX improved efficacy in hemophilia B, and superior engineered variants of FVIII are emerging. Nonetheless, challenges remain, including pre-existing immunity to AAV capsids, toxicities, inter-patient variability in response to treatment, and difficulty in obtaining durable therapeutic expression of FVIII. In alternative approaches, in vivo gene editing and ex vivo gene therapies targeting hemopoietic cells are in development.

Indexed as

Genetic TherapyHemophilia AHemophilia BAnimalsDependovirusFactor IXFactor VIIIGenetic VectorsGene Transfer TechniquesHumansFactor IXFactor VIIIAAVadeno-associated virusclinical trialfactor IXfactor VIIIhemophilialentivirus

Identifiers

PMID40156189
PMCPMC12126786

What OpenQuestion holds

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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.