Table 1.

Gene transfer strategies for hemophilia A and B.

TrialNo. patientsVector doseEndpointsReference
Intravenous infusion of retroviral vector expressing F.VIII 13 Up to 4.4 × 108 TU/kg Vector DNA detected in PBMCs of 8/8 subjects treated at ≥ 9.2 × 107 TU/kg. No patients with consistent detection of F.VIII > 1%. Powell et al3  
Ex vivo plasmid-F.VIII transfection of autologous fibroblasts 12 Up to 400 × 106 transfected autologous cells F.VIII 1% to 2% in higher-dose cohort. Roth et al2  
AAV-F.IX into skeletal muscle Up to 2 × 1012 μg/kg Persistent F.IX expression in muscle biopsy. No patients with consistent F.IX levels > 1%. Manno et al5  
AAV-F.IX into liver Up to 2 × 1012 μg/kg F.IX levels > 5% × 4 weeks in top dose cohort. Manno et al6  
Gutted adenoviral vector expressing F.VIII 4.3 × 1010 particles/kg  Not published 
TrialNo. patientsVector doseEndpointsReference
Intravenous infusion of retroviral vector expressing F.VIII 13 Up to 4.4 × 108 TU/kg Vector DNA detected in PBMCs of 8/8 subjects treated at ≥ 9.2 × 107 TU/kg. No patients with consistent detection of F.VIII > 1%. Powell et al3  
Ex vivo plasmid-F.VIII transfection of autologous fibroblasts 12 Up to 400 × 106 transfected autologous cells F.VIII 1% to 2% in higher-dose cohort. Roth et al2  
AAV-F.IX into skeletal muscle Up to 2 × 1012 μg/kg Persistent F.IX expression in muscle biopsy. No patients with consistent F.IX levels > 1%. Manno et al5  
AAV-F.IX into liver Up to 2 × 1012 μg/kg F.IX levels > 5% × 4 weeks in top dose cohort. Manno et al6  
Gutted adenoviral vector expressing F.VIII 4.3 × 1010 particles/kg  Not published 
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