Table 1 Key demographic and baseline clinical characteristics of adult male participants with severe hemophilia A who underwent liver biopsy in the phase 1/2 clinical trial of valoctocogene roxaparvovec (AAV5-hFVIII-SQ)

From: Interindividual variability in transgene mRNA and protein production following adeno-associated virus gene therapy for hemophilia A

aParticipant

Dose of AAV5-hFVIII-SQ, vg per kg body weight

bAge at first enrollment, years

Biopsy time point (after first enrollment), weeks (years)

Biopsy date

Route of biopsy

No. of hepatic lobules in biopsy sample

ALT at time of biopsy, U l−1

cFVIII activity at time of biopsy, IU dl−1

CS result

OS result

1d

6 × 1012

25

201 (3.86)

Aug 2019

Transjugular

12

29

BLD

BLD

11

4 × 1013

37

140 (2.69)

Aug 2019

Transjugular

23

11

18.6

28.4

15

4 × 1013

37

148 (2.85)

Jan 2020

Percutaneous

15

20

BLD

2.1

3

6 × 1013

32

214 (4.12)

Jan 2020

Percutaneous

23

12

8.2

14

4

6 × 1013

23

213 (4.10)

Mar 2020

Percutaneous

18

11

13.5

23.9

  1. aParticipants were numbered according to the order in which they were enrolled and dosed in the clinical trial4,5.
  2. bAge at enrollment into the valoctocogene roxaparvovec phase 1/2 clinical trial (NCT02576795).
  3. cFVIII levels were measured using both a one-stage (OS) activated partial thromboplastin time-based clotting assay and a chromogenic substrate (CS) assay18.
  4. dParticipants were admitted to hospital on the morning of the procedure and all except participant 1 were discharged on the following day as planned. Participant 1 experienced abdominal pain during the procedure and had post-procedural bleeding. Computed tomography scan revealed a small hepatic hematoma with no evidence of active bleeding or vascular injury. The participant was treated with FVIII replacement and discharged 2 d after the biopsy procedure due to clinical improvement. The participant was readmitted 1 week after discharge with abdominal pain, vomiting and orthostatic hypotension; repeat computed tomography revealed old blood within the liver capsule and a liver laceration but no active bleeding. Although there were complications involving a fever, the participant was managed successfully with supportive treatment and finally discharged 3 weeks after the biopsy procedure.
  5. BLD, below limit of detection.