• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

基因疗法的临床开发:头三十年及未来发展

Clinical Development of Gene Therapies: The First Three Decades and Counting.

作者信息

Lapteva Larissa, Purohit-Sheth Tejashri, Serabian Mercedes, Puri Raj K

机构信息

Division of Clinical Evaluation and Pharmacology/Toxicology, Office of Tissues and Advanced Therapies, Center for Biologics Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, MD 20993, USA.

Division of Cellular and Gene Therapies, Center for Biologics Evaluation and Research, Office of Tissues and Advanced Therapies, U.S. Food and Drug Administration, Silver Spring, MD, USA.

出版信息

Mol Ther Methods Clin Dev. 2020 Oct 10;19:387-397. doi: 10.1016/j.omtm.2020.10.004. eCollection 2020 Dec 11.

DOI:10.1016/j.omtm.2020.10.004
PMID:33209964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7658574/
Abstract

In the past three decades the field of gene therapy has made remarkable progress, surging from mere laboratory experiments to Food and Drug Administration (FDA)-approved products that bring significant reduction in disease burden to patients who previously had no therapeutic options for their serious conditions. Herein, we review the evolution of the gene therapy clinical research landscape and describe the gene therapy product development programs evaluated by the FDA in Investigational New Drug applications received in 1988-2019. We also discuss the clinical development programs of the first six oncolytic and gene therapy products approved in the United States.

摘要

在过去三十年中,基因治疗领域取得了显著进展,从单纯的实验室实验迅速发展到获得美国食品药品监督管理局(FDA)批准的产品,这些产品为那些之前对其严重病症没有治疗选择的患者带来了疾病负担的显著减轻。在此,我们回顾基因治疗临床研究领域的发展历程,并描述FDA在1988 - 2019年收到的研究性新药申请中评估的基因治疗产品开发项目。我们还讨论了美国批准的首批六种溶瘤和基因治疗产品的临床开发项目。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/578e/7658574/8d5cf3d7b8d5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/578e/7658574/5ddc3c556572/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/578e/7658574/11dc0052408b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/578e/7658574/1d498bf35446/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/578e/7658574/dbcabebfefdb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/578e/7658574/8d5cf3d7b8d5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/578e/7658574/5ddc3c556572/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/578e/7658574/11dc0052408b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/578e/7658574/1d498bf35446/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/578e/7658574/dbcabebfefdb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/578e/7658574/8d5cf3d7b8d5/gr4.jpg

相似文献

1
Clinical Development of Gene Therapies: The First Three Decades and Counting.基因疗法的临床开发:头三十年及未来发展
Mol Ther Methods Clin Dev. 2020 Oct 10;19:387-397. doi: 10.1016/j.omtm.2020.10.004. eCollection 2020 Dec 11.
2
Investigational new drugs submitted to the Food and Drug Administration that are placed on clinical hold: the experience of the Office of Cellular, Tissue and Gene Therapy.提交给美国食品药品监督管理局并被置于临床搁置状态的研究性新药:细胞、组织和基因治疗办公室的经验
Cytotherapy. 2008;10(3):312-6. doi: 10.1080/14653240801910905.
3
Regenerative Medicine Therapies for Rare Diseases.罕见病的再生医学疗法
Transl Sci Rare Dis. 2018 Dec 20;3(3-4):121-132. doi: 10.3233/TRD-180030.
4
United States Food and Drug Administration Regulation of Human Cells, Tissues, and Gene Therapies.美国食品和药物管理局对人类细胞、组织和基因治疗的监管。
Adv Exp Med Biol. 2023;1430:71-89. doi: 10.1007/978-3-031-34567-8_5.
5
Regulatory Framework for Academic Investigator-Sponsored Investigational New Drug Development of Cell and Gene Therapies in the USA.美国细胞与基因疗法学术研究者发起的研究性新药开发监管框架
Curr Stem Cell Rep. 2021;7(4):129-139. doi: 10.1007/s40778-021-00196-4. Epub 2021 Sep 30.
6
Availability of Investigational Medicines Through the US Food and Drug Administration's Expanded Access and Compassionate Use Programs.通过美国食品和药物管理局扩大准入和同情用药计划获得研究药物。
JAMA Netw Open. 2018 Jun 1;1(2):e180283. doi: 10.1001/jamanetworkopen.2018.0283.
7
An FDA analysis of clinical hold deficiencies affecting investigational new drug applications for oncology products.FDA 对影响肿瘤学产品新药临床试验申请的临床搁置缺陷的分析。
Regul Toxicol Pharmacol. 2020 Feb;110:104511. doi: 10.1016/j.yrtph.2019.104511. Epub 2019 Oct 31.
8
Clinical Development of Biologics Approved by the US Food and Drug Administration, 2003-2016.2003年至2016年美国食品药品监督管理局批准的生物制品的临床开发
Ther Innov Regul Sci. 2019 Nov;53(6):752-758. doi: 10.1177/2168479018812058. Epub 2018 Dec 3.
9
Graphical Analyses in the Regulatory Evaluation of Gene Therapy Applications.图形分析在基因治疗应用的监管评估中的应用。
Ther Innov Regul Sci. 2021 Mar;55(2):346-359. doi: 10.1007/s43441-020-00219-y. Epub 2020 Sep 21.
10
Regulatory issues in clinical applications of cytokines and growth factors.细胞因子和生长因子临床应用中的监管问题。
Prog Growth Factor Res. 1994;5(2):213-22. doi: 10.1016/0955-2235(94)90006-x.

引用本文的文献

1
Advances in Gene Therapy with Oncolytic Viruses and CAR-T Cells and Therapy-Related Groups.溶瘤病毒和嵌合抗原受体T细胞基因治疗进展及治疗相关分组
Curr Issues Mol Biol. 2025 Apr 10;47(4):268. doi: 10.3390/cimb47040268.
2
Adeno-Associated Virus Gene Therapy Development: Early Planning and Regulatory Considerations to Advance the Platform Vector Gene Therapy Program.腺相关病毒基因治疗的发展:推进平台载体基因治疗项目的早期规划与监管考量
Hum Gene Ther. 2025 Mar;36(5-6):653-662. doi: 10.1089/hum.2024.230. Epub 2025 Feb 20.
3
New epilepsy therapies in development.

本文引用的文献

1
T-Cell Gene Therapy in Cancer Immunotherapy: Why It Is No Longer Just CARs on The Road.T 细胞基因疗法在癌症免疫治疗中的应用:为什么它不再仅仅是 CAR 疗法。
Cells. 2020 Jun 30;9(7):1588. doi: 10.3390/cells9071588.
2
AVXS-101 (Onasemnogene Abeparvovec) for SMA1: Comparative Study with a Prospective Natural History Cohort.脊髓性肌萎缩症 1 型(Onasemnogene Abeparvovec)的 AVXS-101:与前瞻性自然病史队列的比较研究。
J Neuromuscul Dis. 2019;6(3):307-317. doi: 10.3233/JND-190403.
3
The Next Phase of Human Gene-Therapy Oversight.人类基因治疗监管的下一阶段。
正在开发的新癫痫疗法。
Nat Rev Drug Discov. 2024 Sep;23(9):682-708. doi: 10.1038/s41573-024-00981-w. Epub 2024 Jul 22.
4
Codon-Optimized and de novo-Synthesized E-Selectin/AAV2 Dose-Response Study for Vascular Regeneration Gene Therapy.经密码子优化和从头合成的 E-选择素/AAV2 剂量反应研究用于血管再生基因治疗。
Ann Surg. 2024 Oct 1;280(4):570-583. doi: 10.1097/SLA.0000000000006436. Epub 2024 Jul 8.
5
Development of a Safety Surveillance Plan for the Academic Medicine Sponsor Performing First-in-Human Cellular Therapy Clinical Trials: A Report from the Consortium for Pediatric Cellular Immunotherapy.学术医学赞助商进行首次人体细胞治疗临床试验的安全监测计划的制定:儿科细胞免疫治疗联盟的报告。
Transplant Cell Ther. 2024 May;30(5):475-487. doi: 10.1016/j.jtct.2024.02.022. Epub 2024 Mar 4.
6
Gene Therapy in Organ Transplantation: Considerations and Clinical Translation.器官移植中的基因治疗:考虑因素与临床转化。
Hum Gene Ther. 2024 Apr;35(7-8):284-297. doi: 10.1089/hum.2023.193. Epub 2024 Jan 30.
7
knockout-humanized mouse model for pre-clinical safety and efficacy evaluation of Treg-like cell products.用于调节性T细胞样细胞产品临床前安全性和有效性评估的基因敲除人源化小鼠模型。
Mol Ther Methods Clin Dev. 2023 Nov 7;31:101150. doi: 10.1016/j.omtm.2023.101150. eCollection 2023 Dec 14.
8
Scaling genetic resources: New paradigms for diagnosis and treatment of rare genetic disease.遗传资源的规模化:罕见遗传病诊断和治疗的新模式。
Am J Med Genet C Semin Med Genet. 2023 Mar;193(1):77-86. doi: 10.1002/ajmg.c.32016. Epub 2022 Nov 30.
9
Thermostability and in vivo performance of AAV9 in a film matrix.AAV9在薄膜基质中的热稳定性及体内性能
Commun Med (Lond). 2022 Nov 21;2(1):148. doi: 10.1038/s43856-022-00212-6.
10
Combinatorial Polycation Synthesis and Causal Machine Learning Reveal Divergent Polymer Design Rules for Effective pDNA and Ribonucleoprotein Delivery.组合聚阳离子合成与因果机器学习揭示了用于有效递送质粒 DNA 和核糖核蛋白的不同聚合物设计规则。
JACS Au. 2022 Feb 7;2(2):428-442. doi: 10.1021/jacsau.1c00467. eCollection 2022 Feb 28.
N Engl J Med. 2018 Oct 11;379(15):1393-1395. doi: 10.1056/NEJMp1810628. Epub 2018 Aug 15.
4
Small But Increasingly Mighty: Latest Advances in AAV Vector Research, Design, and Evolution.小而强大:AAV 载体研究、设计和进化的最新进展。
Hum Gene Ther. 2017 Nov;28(11):1075-1086. doi: 10.1089/hum.2017.172. Epub 2017 Aug 23.
5
Novel mobility test to assess functional vision in patients with inherited retinal dystrophies.新型活动性测试评估遗传性视网膜营养不良患者的功能性视力。
Clin Exp Ophthalmol. 2018 Apr;46(3):247-259. doi: 10.1111/ceo.13022. Epub 2017 Aug 31.
6
Gene therapy for Wiskott-Aldrich syndrome--long-term efficacy and genotoxicity.Wiskott-Aldrich 综合征的基因治疗——长期疗效和遗传毒性。
Sci Transl Med. 2014 Mar 12;6(227):227ra33. doi: 10.1126/scitranslmed.3007280.
7
Viral vectors: a look back and ahead on gene transfer technology.病毒载体:基因转移技术的回顾与展望
New Microbiol. 2013 Jan;36(1):1-22. Epub 2013 Jan 1.
8
Efficient clinical scale gene modification via zinc finger nuclease-targeted disruption of the HIV co-receptor CCR5.通过锌指核酸酶靶向破坏 HIV 辅助受体 CCR5 实现高效的临床规模基因修饰。
Hum Gene Ther. 2013 Mar;24(3):245-58. doi: 10.1089/hum.2012.172. Epub 2013 Mar 6.
9
Genomic instability and myelodysplasia with monosomy 7 consequent to EVI1 activation after gene therapy for chronic granulomatous disease.基因治疗慢性肉芽肿病后 EVI1 激活导致基因组不稳定和 7 号单体性骨髓增生异常。
Nat Med. 2010 Feb;16(2):198-204. doi: 10.1038/nm.2088. Epub 2010 Jan 24.
10
Lessons learned from the gene therapy trial for ornithine transcarbamylase deficiency.从鸟氨酸转氨甲酰酶缺乏症基因治疗试验中吸取的教训。
Mol Genet Metab. 2009 Apr;96(4):151-7. doi: 10.1016/j.ymgme.2008.12.016. Epub 2009 Feb 10.