Table 1.
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 |
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Weight — kg | 81.8 | 55.6 | 97.9 | 101.3 | 87 | 70.9 | 87 | 68.2 | 82.8 | 68.1 |
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Factor IX activity — % of normal | <1.0 | <1.0 | <1.0 | 1.3 | 1 | <1.0 | 1.6 | <1.0 | <1.0 | 1.7 |
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Factor IX genotype | H221R | G309V | S136Cfs*6 | I382F | G396A | W194Stop | C19Y | W194Stop | S365I fs*15 | G367R |
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Cross-reacting material status | + | + | − | + | + | − | + | − | − | + |
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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 |
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No. of target joints | 0 | 4 | 4 | 2 | 1 | 0 | 2 | 0 | 5 | 0 |
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Infection history | ||||||||||
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HIV | No | No | Yes | No | No | No | No | No | No | No |
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Hepatitis C virus | No | No | Yes | No† | Yes | No | Yes | No | Yes | Yes |
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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) |
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AAV neutralizing antibody | <1:1 | <1:1 | <1:1 | <1:1 | <1:1 | 1:1 | <1:1 | <1:1 | <1:1 | <1:1 |
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At vector administration | ||||||||||
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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 |
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After gene transfer | ||||||||||
| ||||||||||
Follow-up — wk | 78 | 52 | 52 | 52 | 52 | 52 | 52 | 37 | 37 | 28 |
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Mean steady-state factor IX activity — % of normal | 30 | 36 | 25 | 41 | 36 | 18 | 14 | 27 | 81 | 29 |
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Factor IX inhibitor — BU | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA |
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Mean factor IX antigen — % of normal | NA | NA | 2.5 | NA | NA | 1.2 | NA | 2.2 | 7.0 | NA |
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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 |
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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.