Cited by 684Virus-based gene therapy researchHemoglobinopathies and Related DisordersHematopoietic Stem Cell Transplantation

The DOI matches its Crossref record; 41 of the 41 references it cites were found in a registry or an index; 10 of the 27 sources its claims cite were checked for support.

Gene Therapy in Patients with Transfusion-Dependent β-Thalassemia

Open access

Abstract

Background Donor availability and transplantation-related risks limit the broad use of allogeneic hematopoietic-cell transplantation in patients with transfusion-dependent β-thalassemia. After previously establishing that lentiviral transfer of a marked β-globin (β A-T87Q ) gene could substitute for long-term red-cell transfusions in a patient with β-thalassemia, we wanted to evaluate the safety and efficacy of such gene therapy in patients with transfusion-dependent β-thalassemia. Methods In two phase 1-2 studies, we obtained mobilized autologous CD34+ cells from 22 patients (12 to 35 years of age) with transfusion-dependent β-thalassemia and transduced the cells ex vivo with LentiGlobin BB305 vector, which encodes adult hemoglobin (HbA) with a T87Q amino acid substitution (HbA T87Q ). The cells were then reinfused after the patients had undergone myeloablative busulfan conditioning. We subsequently monitored adverse events, vector integration, and levels of replication-competent lentivirus. Efficacy assessments included levels of total hemoglobin and HbA T87Q , transfusion requirements, and average vector copy number. Results At a median of 26 months (range, 15 to 42) after infusion of the gene-modified cells, all but 1 of the 13 patients who had a non-β 0 /β 0 genotype had stopped receiving red-cell transfusions; the levels of HbA T87Q ranged from 3.4 to 10.0 g per deciliter, and the levels of total hemoglobin ranged from 8.2 to 13.7 g per deciliter. Correction of biologic…

Overview

Integrity signals

Registry

Crossref · 10.1056/nejmoa1705342

Cites

41 of 41 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

10 of 27 cited sources checked · 4 supported · 0 flagged · accuracy not yet measured

Show all 67 claims

  • Probably not a substantial claim. 5
  • It may state two separate claims as one. 30
34 of 34
  • The paper relies on this without support.

    A limited number of vector integration sites may suggest clonal outgrowth, a potential precursor to oncogenesis.

    “The observation of a limited number of integration sites may suggest clonal outgrowth, a potential precursor to oncogenesis.”
  • The paper relies on this without support.

    A histocompatible donor is lacking for allogeneic hematopoietic-cell transplantation.

    “which is a lack of a histocompatible donor.”
  • The paper relies on this without support.

    The theoretical possibility of genotoxicity by semirandom vector integration in the genome remains.

    “Although the theoretical possibility of genotoxicity by semirandom vector integration in the genome remains”
  • The paper relies on this without support.

    The clinical severity of the homozygous IVS1-110 mutation mirrors that of patients with a β0/β0 genotype.

    “the patient with two copies of the IVS1-110 mutation, in whom the clinical severity mirrored that of patients with a β 0 /β 0 genotype”
  • The paper relies on this without support.

    The threshold HbA T87Q level necessary for discontinuation of red-cell transfusion is higher in the absence of endogenous production of β-like globin chains.

    “for whom the threshold HbA T87Q level that was necessary for discontinuation of red-cell transfusion was higher in the absence of endogenous production of β-like globin chains”
  • The paper relies on this without support.

    The BB305 vector is similar to the initial HPV569 vector.

    “a lentiviral vector (BB305) that is similar to our initial HPV569 vector.”
6 of 6

Claims other papers make about this one

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Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • A patient counted as transfusion-free was still receiving transfusions

    Major

    The discussion says all seven patients with HbA T87Q of at least 8 g/dl had been free from transfusion for more than a year. Table 2 lists Patient 1103 at 8.7 g/dl but says the patient was still receiving transfusions.

  • Table 2 footnote gives a range incompatible with listed visit times

    Minor

    The footnote says the listed values were obtained 15 to 42 months after infusion, but Table 2 includes a last study visit at 12 months.

2 of 2

Citations

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Research works printed but not linked: 1

  1. Walters MC, Thompson A, Hongeng S, et al. A phase 3 study to evaluate safety and efficacy of LentiGlobin gene therapy for transfusion-dependent beta-thalassemia in patients with non-beta0/beta0 genotypes: the Northstar-2 (HGB-207) trial. Haematologica 2017;102:335-335. abstract.

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Metadata

Authors
Thompson, A. A., Walters, M. C., Kwiatkowski, J., Rasko, J. E. J., Ribeil, J.-A., Hongeng, S., Magrin, E., Schiller, G. J., Payen, E., Semeraro, M., Moshous, D., Lefrere, F., Puy, H., Bourget, P., Magnani, A., Caccavelli, L., Diana, J.-S., Suarez, F., Monpoux, F., Brousse, V., Poirot, C., Brouzes, C., Meritet, J.-F., Pondarré, C., Beuzard, Y., Chrétien, S., Lefebvre, T., Teachey, D. T., Anurathapan, U., Ho, P. J., von Kalle, C., Kletzel, M., Vichinsky, E., Soni, S., Veres, G., Negre, O., Ross, R. W., Davidson, D., Petrusich, A., Sandler, L., Asmal, M., Hermine, O., De Montalembert, M., Hacein-Bey-Abina, S., Blanche, S., Leboulch, P., & Cavazzana, M.
Affiliations
  • Brigham and Women's Hospital (US)
  • From the Ann and Robert H. Lurie Children’s Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago (A.A.T., M.K.); University of California, San Francisco, Benioff Children’s Hospital, Oakland (M.C.W., E.V.), Lucile Salter Packard Children’s Hospital at Stanford, Palo Alto (S.S.), and David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (G.J.S.) — all in California; Children’s Hospital of Philadelphia and University of Pennsylvania Perelman...
Venue
New England Journal of Medicine
Published
2018-04-19
Volume
378
Issue
16
Pages
1479-1493
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2802087233
Cited by
684
References
41
Citations by year
2026: 44 · 2025: 52 · 2024: 65 · 2023: 78 · 2022: 79 · 2021: 123 · 2020: 88 · 2019: 101 · 2018: 53
FWCI
55.95
Type
journal article
Language
en
Open access
Locations
  • New England Journal of Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • HAL (submittedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • bluebird bio
  • National Center for Advancing Translational Sciences (UL1TR000003 and UL1TR001878)
  • Assistance Publique - Hôpitaux de Paris
  • Institut National de la Santé et de la Recherche Médicale
  • Commissariat à l'Énergie Atomique et aux Énergies Alternatives
  • Agence Nationale de la Recherche
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
  • Health Sciences › Medicine › Genetics (clinical) › Hemoglobinopathies and Related Disorders
  • Health Sciences › Medicine › Hematology › Hematopoietic Stem Cell Transplantation
Keywords
beta-thalassemia, gene therapy, autologous stem cell transplantation, CD34+ cells, transfusion dependence, vector copy number, clonal dominance, beta-globin gene
MeSH terms
Adolescent, Adult, Child, Female, Genetic Vectors, Hemoglobins, Humans, Male, Mutation, Transplantation, Autologous, Genetic Therapy, Lentivirus, beta-Thalassemia, Erythrocyte Transfusion, Gene Transfer Techniques, Antigens, CD34, beta-Globins, Young Adult

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