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. Author manuscript; available in PMC: 2025 Jul 4.
Published in final edited form as: N Engl J Med. 2025 Jun 12;392(22):2226–2234. doi: 10.1056/NEJMoa2414783

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.

a

Average of two years

b

one year

c

three years of data.

d

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.