Table 1. Characteristics of Patients at Screening and after Gene Transfer.
| Participants | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
|---|---|---|---|---|---|---|---|---|---|---|
| Dose level (vg/kg) | Low (2x1011) | Intermediate (6x1011) | High (2x1012) | |||||||
| Age at study entry (years) | 31 | 64 | 43 | 29 | 32 | 27 | 22 | 38 | 44 | 33 |
| FIX Mutation | 31280 G>A E387K |
2bp del. Frame shift |
30097 G>T W215C |
31290 G>A A309T |
20518 C>T R180W |
-52 del C | 3bp del Frame shift |
1277 C>T T426I |
698 C>A A233D |
385 G>T G129X |
| CRM status | Pos | Neg | Pos | Pos | Pos | Neg | Neg | Pos | Pos | Neg |
| Prophylaxis before gene therapy | 2X/week | 2X/week | 2X/week | 1X/week | 2X/week | 3X/week | 1X/week | On- demand | On- demand | On- demand |
| No of target joints | 4 | 10 | 6 | 3 | 10 | 2 | 2 | 4 | 5 | 3 |
| Infection markers | ||||||||||
| Hepatitis B surface antigen | Neg | Neg | Neg | Neg | Neg | Neg | Neg | Neg | Neg | Neg |
| Hepatitis B surface antibody | Pos | Pos | Pos | Pos | Pos | Pos | Neg | Pos | Pos | Pos |
| HIV antibody | Neg | Neg | Neg | Neg | Neg | Neg | Neg | Neg | Neg | Neg |
| Hepatitis C antibody | Neg | Pos | Pos | Neg | Pos | Neg | Pos | Pos | Pos | Pos |
| Hepatitis C RNA | Neg | Neg | Neg | Neg | Neg | Neg | Neg | Neg | Neg | Neg |
| Anti-AAV8 IgG antibody (Relative units) | 1 | 12 | 37 | 1 | 5 | 8 | 1 | 6 | 6 | 5 |
| Post gene transfer assessment | ||||||||||
|
Steady state FIX activity
IU/dL±SD)d |
1.9±0.7 | 1.5±0.7 | 2.7±1.3 | 1.9±0.8 | 3.0±1.4 | 5.8±2.0 | 4.9±0.7 | 7.0±1.0 | 5.5±1.3 | 2.7±1.9 |
|
Elevation of ALT
between weeks 1 and 12 post infusion) |
No | No | No | No | Yes (week 7) | Yes (week 9) | Yes (week 8) | No | No | Yes (week 9) |
|
Elevation of ALT
between week 13 and 10 years post infusion |
No | No | No | No | No | No | No | No | No | No |
| FIX inhibitor | Neg | Neg | Neg | Neg | Neg | Neg | Neg | Neg | Neg | Neg |
| Follow-up period (years) | 13.75 | 13.42 | 13.25 | 13.17 | 13 | 12.92 | 11.83 | 11.58 | 11.33 | 11.08 |
| Annual usage of FIX concentrate | ||||||||||
| Pre-gene transfer (IU/Kg) | 3608a | 4284 a | 2486 a | 1515 a | 2678 a | 2509 a | 5719 b | 3130 a | 1367 b | 1714b |
| Post gene transfer (IU/Kg) | 798 | 3559 | 2723 | 17 | 1863 | 35 | 497 | 237 | 45 | 106 |
| Annual bleeding rate | ||||||||||
| Prior to gene transfer | 3a | 13a | 12a | 12a | 15c | 3.3 c | 22b | 20b | 36b | 29b |
| Mean ABR post gene transfer | 1.9 | 4.6 | 1.9 | 0.7 | 5.5 | 0.3 | 2.3 | 0.9 | 1.1 | 0.2 |
vg = vector genome copies, kg = kilogram, FIX = factor IX, CRM = cross-reacting material (CRM+ patients have near normal levels (at least 30%) of dysfunctional protein in their plasma. FIX antigen is not detectable in CRM-patients.), HIV = human immunodeficiency virus, AAV8 = adeno-associated viral vector subtype 8, IgG = immunoglobulin G, SD = standard deviation, ALT = alanine aminotransferase, ± = plus or minus.
Average of two years
one year
three years of data.
Steady state FIX activity and antigen levels were defined as the mean of all levels obtained from 4 months after gene transfer through the December 31, 2023, and where, in each case, the most recent dose of recombinant FIX protein was at least ten days prior.