Summary of clinical and recombinant data of FVIII mimetic–rescuable HB FIX variants
| Variant . | Chymotrypsin no. . | FIX domain . | Recombinant FIX . | Clinical data . | |||||
|---|---|---|---|---|---|---|---|---|---|
| Activity (% WT) . | Antigen (% WT) . | Clot time Enh∗ . | TGA Enh∗ . | Activity (%) . | Antigen (%) . | Reported patients . | |||
| N2I | NA | Gla | 3 | 100 | 3 | 4 | 1 | 60 | 1 |
| K5E | NA | Gla | 5 | 190 | 3 | 4 | 4-7 | NR | 2 |
| L6S | NA | Gla | 2 | 140 | 3 | 6 | <1 | NR | 3 |
| F25C | NA | Gla | 6 | 50 | 2 | 2 | 10 | NR | 1 |
| F25S | NA | Gla | 13 | 150 | 3 | 8 | 2-5 | 25-32 | 5 |
| D47E | NA | EGF1 | 9 | 100 | 7 | 4 | 1-14 | 80-90 | 2 |
| D47G | NA | EGF1 | 8 | 30 | 4 | 1 | 10-24 | 100 | 2 |
| N67K | NA | EGF1 | 35 | 60 | 2 | 1 | <1-12 | NR | 2 |
| E78K | NA | EGF1 | 2 | 40 | 2 | 2 | <1 | <1-84 | 5 |
| E83K | NA | EGF1 | <1 | 10 | 11 | 2 | <1 | <10 | 1 |
| N92K | NA | EGF2 | <1 | 30 | 30 | 18 | <1-2 | 86 | 4 |
| N92S | NA | EGF2 | 3 | 50 | 11 | 25 | NR | NR | 2 |
| V182A | 17 | Protease | 6 | 70 | 3 | 1 | 23 | 100 | 1 |
| V182F | 17 | Protease | <1 | 100 | 3 | 2 | <1 | 120 | 2 |
| V182L | 17 | Protease | 2 | 30 | 9 | 3 | 4-15 | 132 | 3 |
| D269E | 102 | Protease | <1 | 5 | 3 | 2 | <1 | 5 | 1 |
| Y295C | 128 | Protease | <1 | 10 | 4 | 4 | <1 | NR | 2 |
| D332Y | 164 | Protease | 3 | 20 | 4 | 1 | 3-4 | NR | 3 |
| R333L | 165 | Protease | <1 | 30 | 87 | 17 | 2 | 150 | 2 |
| R333P | 165 | Protease | 1 | 40 | 49 | 6 | 1.7 | NR | 1 |
| R333Q | 165 | Protease | 1 | 110 | 49 | 8 | <1-16 | 32-148 | 69 |
| R338P | 170 | Protease | 7 | 80 | 6 | 3 | 10-16 | 27 | 3 |
| T340I | 172 | Protease | 1 | 30 | 17 | 4 | NR | NR | 2 |
| T340R | 172 | Protease | <1 | 80 | 9 | 6 | <1 | NR | 1 |
| K341E | 173 | Protease | 5 | 100 | 26 | 2 | <1-12 | NR | 8 |
| K341N | 173 | Protease | <1 | 80 | 64 | 11 | <1 | 55 | 1 |
| I344F | 176 | Protease | 1 | 70 | 13 | 2 | <1-4 | 87 | 4 |
| I344N | 176 | Protease | <1 | 60 | 22 | 13 | NR | NR | 1 |
| I344S | 176 | Protease | <1 | 60 | 13 | 15 | <1-4 | 112-119 | 2 |
| I344T | 176 | Protease | <1 | 60 | 13 | 5 | 1-2 | 28 | 2 |
| M348I | 180 | Protease | <1 | 80 | 4 | 11 | <1 | 40-93 | 4 |
| M348K | 180 | Protease | <1 | 40 | 3 | 1 | <1-2 | 12 | 2 |
| M348R | 180 | Protease | <1 | 50 | 14 | 3 | NR | NR | 1 |
| G356R | 187 | Protease | 1 | 160 | 24 | 2 | <1-4 | 75 | 9 |
| P368H | 198 | Protease | <1 | 50 | 7 | 6 | <1 | 102 | 1 |
| P368R | 198 | Protease | 10 | 60 | 8 | 1 | <1 | NR | 1 |
| P368T | 198 | Protease | 1 | 130 | 7 | 7 | <1-7 | 100-156 | 13 |
| E387A | 217 | Protease | 2 | 170 | 7 | 2 | <1-4 | 90-118 | 6 |
| E387G | 217 | Protease | 2 | 390 | 24 | 16 | 2 | 95 | 2 |
| E387K | 217 | Protease | 1 | 60 | 17 | 4 | <1-2 | 63-74 | 10 |
| I397T | 227 | Protease | 2 | 70 | 6 | 6 | <1-12 | 27-160 | 44 |
| Variant . | Chymotrypsin no. . | FIX domain . | Recombinant FIX . | Clinical data . | |||||
|---|---|---|---|---|---|---|---|---|---|
| Activity (% WT) . | Antigen (% WT) . | Clot time Enh∗ . | TGA Enh∗ . | Activity (%) . | Antigen (%) . | Reported patients . | |||
| N2I | NA | Gla | 3 | 100 | 3 | 4 | 1 | 60 | 1 |
| K5E | NA | Gla | 5 | 190 | 3 | 4 | 4-7 | NR | 2 |
| L6S | NA | Gla | 2 | 140 | 3 | 6 | <1 | NR | 3 |
| F25C | NA | Gla | 6 | 50 | 2 | 2 | 10 | NR | 1 |
| F25S | NA | Gla | 13 | 150 | 3 | 8 | 2-5 | 25-32 | 5 |
| D47E | NA | EGF1 | 9 | 100 | 7 | 4 | 1-14 | 80-90 | 2 |
| D47G | NA | EGF1 | 8 | 30 | 4 | 1 | 10-24 | 100 | 2 |
| N67K | NA | EGF1 | 35 | 60 | 2 | 1 | <1-12 | NR | 2 |
| E78K | NA | EGF1 | 2 | 40 | 2 | 2 | <1 | <1-84 | 5 |
| E83K | NA | EGF1 | <1 | 10 | 11 | 2 | <1 | <10 | 1 |
| N92K | NA | EGF2 | <1 | 30 | 30 | 18 | <1-2 | 86 | 4 |
| N92S | NA | EGF2 | 3 | 50 | 11 | 25 | NR | NR | 2 |
| V182A | 17 | Protease | 6 | 70 | 3 | 1 | 23 | 100 | 1 |
| V182F | 17 | Protease | <1 | 100 | 3 | 2 | <1 | 120 | 2 |
| V182L | 17 | Protease | 2 | 30 | 9 | 3 | 4-15 | 132 | 3 |
| D269E | 102 | Protease | <1 | 5 | 3 | 2 | <1 | 5 | 1 |
| Y295C | 128 | Protease | <1 | 10 | 4 | 4 | <1 | NR | 2 |
| D332Y | 164 | Protease | 3 | 20 | 4 | 1 | 3-4 | NR | 3 |
| R333L | 165 | Protease | <1 | 30 | 87 | 17 | 2 | 150 | 2 |
| R333P | 165 | Protease | 1 | 40 | 49 | 6 | 1.7 | NR | 1 |
| R333Q | 165 | Protease | 1 | 110 | 49 | 8 | <1-16 | 32-148 | 69 |
| R338P | 170 | Protease | 7 | 80 | 6 | 3 | 10-16 | 27 | 3 |
| T340I | 172 | Protease | 1 | 30 | 17 | 4 | NR | NR | 2 |
| T340R | 172 | Protease | <1 | 80 | 9 | 6 | <1 | NR | 1 |
| K341E | 173 | Protease | 5 | 100 | 26 | 2 | <1-12 | NR | 8 |
| K341N | 173 | Protease | <1 | 80 | 64 | 11 | <1 | 55 | 1 |
| I344F | 176 | Protease | 1 | 70 | 13 | 2 | <1-4 | 87 | 4 |
| I344N | 176 | Protease | <1 | 60 | 22 | 13 | NR | NR | 1 |
| I344S | 176 | Protease | <1 | 60 | 13 | 15 | <1-4 | 112-119 | 2 |
| I344T | 176 | Protease | <1 | 60 | 13 | 5 | 1-2 | 28 | 2 |
| M348I | 180 | Protease | <1 | 80 | 4 | 11 | <1 | 40-93 | 4 |
| M348K | 180 | Protease | <1 | 40 | 3 | 1 | <1-2 | 12 | 2 |
| M348R | 180 | Protease | <1 | 50 | 14 | 3 | NR | NR | 1 |
| G356R | 187 | Protease | 1 | 160 | 24 | 2 | <1-4 | 75 | 9 |
| P368H | 198 | Protease | <1 | 50 | 7 | 6 | <1 | 102 | 1 |
| P368R | 198 | Protease | 10 | 60 | 8 | 1 | <1 | NR | 1 |
| P368T | 198 | Protease | 1 | 130 | 7 | 7 | <1-7 | 100-156 | 13 |
| E387A | 217 | Protease | 2 | 170 | 7 | 2 | <1-4 | 90-118 | 6 |
| E387G | 217 | Protease | 2 | 390 | 24 | 16 | 2 | 95 | 2 |
| E387K | 217 | Protease | 1 | 60 | 17 | 4 | <1-2 | 63-74 | 10 |
| I397T | 227 | Protease | 2 | 70 | 6 | 6 | <1-12 | 27-160 | 44 |
Clinical data extracted from FIX-variant database.15
NR, not reported.
Clot time and TGA enhancement (Enh) are the ratios of the parameter with and without emicizumab as detailed in article text.