Table 1

Human clinical trials of arthritis gene therapy

Transgene
Vector Ex vivo/In vivo
Phase
PI, Institution or sponsor
OBA protocol number
Status
Number of subjects in study

IL-1Ra
Retrovirus Ex vivo
I
Christopher H Evans and Paul D Robbins, University of Pittsburgh (PA, USA)
9406-074
Closed
9
IL-1Ra
Retrovirus Ex vivo
I
Peter Wehling, University of Düsseldorf (Germany)
N/A
Closed
2
HSV-tk
Plasmid In vivo
I
Blake Roessler, University of Michigan (Ann Arbor, MI, USA)
9802-237
Closed
1
TNFR:Fc fusion protein (etanercept)
AAV In vivo
I
Philip Mease, Targeted Genetics Corporation (Seattle, WA, USA)
0307-588
Closed
15
TGF-β1
Retrovirus Ex vivo
I
Chal-Won Ha, Kolon Life Science (Gwacheon, Korea)
N/A
Open
12
TGF-β1
Retrovirus Ex vivo
I
Michael Mont, TissueGene Inc. (Gaithersburg, MD, USA)
0307-594
Open
4
TNFR:Fc fusion protein (etanercept)
AAV In vivo
I/II
Philip Mease, Targeted Genetics Corporation
0504-705
Enrolled Clinical hold lifted by FDA in December 2007
127

All of these target rheumatoid arthritis, except for the TissueGene Inc. and Kolon Life Science trials that target osteoarthritis. The Targeted Genetics Corporation trial can also recruit subjects with psoriatic arthritis and ankylosing spondylitis. AAV, adeno-associated virus; FDA, US Food and Drug Administration; HSV-tk, herpes simplex virus thymidine kinase; IL-1Ra, interleukin-1 receptor antagonist; N/A, not applicable; OBA, Office of Biotechnology Activities; PI, principal investigator; TGF-β1, transforming growth factor-beta-1; TNFR, tumor necrosis factor receptor. Reprinted with permission [23].

Evans et al. Arthritis Research & Therapy 2009 11:209   doi:10.1186/ar2563