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. Author manuscript; available in PMC: 2018 Jul 3.
Published in final edited form as: N Engl J Med. 2017 Dec 7;377(23):2215–2227. doi: 10.1056/NEJMoa1708538

Table 1.

Characteristics of the Participants at Baseline and after Gene Transfer.*

Characteristic Participant Number
1 2 3 4 5 6 7 8 9 10
At baseline

Age — yr 23 18 46 43 52 21 45 18 37 53

Weight — kg 81.8 55.6 97.9 101.3 87 70.9 87 68.2 82.8 68.1

Factor IX activity — % of normal <1.0 <1.0 <1.0 1.3 1 <1.0 1.6 <1.0 <1.0 1.7

Factor IX genotype H221R G309V S136Cfs*6 I382F G396A W194Stop C19Y W194Stop S365I fs*15 G367R

Cross-reacting material status + + + + + +

Factor IX treatment

  Use Prophylactic Prophylactic Prophylactic On demand On demand Prophylactic On demand Prophylactic Prophylactic Prophylactic

  Treatment type EHL-FIX rFIX EHL-FIX NA NA rFIX NA rFIX pdFIX EHL-FIX

  Dosing regimen 50 IU/kg weekly 50 IU/kg three times per week 100 IU/kg every 10 days NA NA 30 IU/kg twice per week NA 30 IU/kg twice per week 45 IU/kg weekly 100 IU/kg every 10 days

No. of target joints 0 4 4 2 1 0 2 0 5 0

Infection history

  HIV No No Yes No No No No No No No

  Hepatitis C virus No No Yes No Yes No Yes No Yes Yes

  Hepatitis B virus No No Yes No Yes No Yes No No Yes

Liver fibrosis (FibroScan result) NA NA F2 (8.3 kPa) NA F1 (6.4 kPa) NA F1 (7.1 kPa) NA F1 F1 (7.1 kPa)

AAV neutralizing antibody <1:1 <1:1 <1:1 <1:1 <1:1 1:1 <1:1 <1:1 <1:1 <1:1

At vector administration

Ratio of full to empty capsids 1:5 1:5 1:4 1:4 1:4 1:5 1:4 1:3 1:3 1:3

After gene transfer

Follow-up — wk 78 52 52 52 52 52 52 37 37 28

Mean steady-state factor IX activity — % of normal 30 36 25 41 36 18 14 27 81 29

Factor IX inhibitor — BU NA NA NA NA NA NA NA NA NA NA

Mean factor IX antigen — % of normal NA NA 2.5 NA NA 1.2 NA 2.2 7.0 NA

AAV capsid immune response — wk after vector infusion NA NA NA NA NA NA 6 NA 4 NA

Thrombin-antithrombin at 52 wk§ 2.6 3.6 4.4 2.8 5.9 2.2 3.6 NA NA NA

Annualized bleeding rate

Before gene transfer — no. of events/yr 4 3 12 0 10 2 32 0 48 0

After gene transfer — no. of events/yr (% reduction) 0 (100) 0 (100) 4 (67) 0 (100) 0 (100) 0 (100) 0 (100) 0 (100) 0 (100) 0 (100)

Annualized use of factor IX

At 52 wk before gene transfer

  No. of infusions 98 159 61 0 10 106 47 104 52 38

  Dose — IU/kg 3009 8090 4024 0 911 2990 1761 3050 1884 3362

After gene transfer

  No. of infusions (% reduction) 0 (100) 0 (100) 10 (84) 0 (100) 0 (100) 0 (100) 0 (100) 2 (98) 0 (100) 0 (100)

  Dose — IU/kg (% reduction) 0 (100) 0 (100) 376 (91) 0 (100) 0 (100) 0 (100) 0 (100) 117 (96) 0 (100) 0 (100)
*

A plus sign indicates positive results, and a minus sign negative results. AAV denotes adeno-associated viral, BU Bethesda titer units, EHL-FIX extended half-life factor IX, HIV human immunodeficiency virus, NA not applicable, pdFIX plasma-derived factor IX, and rFIX recombinant factor IX.

Participant 4 was seropositive but did not have history of chronic hepatitis C infection.

Liver fibrosis is assessed on a scale of F0 to F4, with higher stages indicating a greater degree of fibrosis. FibroScan results are on a scale from 2.5 kPa to 75 kPa, with higher values indicating more severe fibrosis.

§

The normal range for thrombin–antithrombin values is 1.0 to 4.1 µg per liter.