Abstract
On April 17, 1993, Crystal and co-workers initiated the first human gene therapy trial for cystic fibrosis (CF). In that study, a replication-deficient recombinant adenovirus encoding cystic fibrosis transmembrane conductance regulator (CFTR) cDNA was administered to the nasal and bronchial epithelia of four cystic fibrosis patients (1). Since then, numerous trials have been conducted to evaluate gene therapy in CF, including both viral and nonviral vectors for the delivery of CFTR cDNA. These have primarily been Phase I and II experiments intended to demonstrate safety and feasibility of gene transfer to the nasal and/or bronchial epithelia of patients by either direct application or nebulization (2).
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References
Crystal, R. G., McElvaney, N. G., Rosenfeld, M. A., Chu C. S., Mastrangeli, A., Hay, J. G., et al. (1994) Administration of an adenovirus containing the human CFTR cDNA to the respiratory tract of individuals with cystic fibrosis. Nat. Genet. 8, 42ā51.
Boucher, R. C. (1999) Status of gene therapy for cystic fibrosis lung disease. J. itClin. Invest. 103, 441ā445.
Knowles, M. R., Hohneker, K. W., Zhou, Z. Olsen, J. C., Noah, T. L., Hu, P. C., et al. (1995) A controlled study of adenoviral-vector-mediated gene transfer in the nasal epithelium of patients with cystic fibrosis. N. Engl. J. Med. 333, 823ā831.
Alton, E. W., Stern, M., Farley, R. Jaffe, A., Chadwick, S. L., Phillips, J., et al. (1999) Cationic lipid-mediated CFTR gene transfer to the lungs and nose of patients with cystic fibrosis: a double-blind placebo-controlled trial. Lancet 353, 947ā954.
Ruiz, F. E., Clancy, J. P., Perricone, M. A., Bebok, Z., Hong, J., Cheng, S. H., et al. Gene transfer of CFTR to lower airways of cystic fibrosis patients and characterization of a clinical syndrome attributable to lipid/DNA administration. (Submitted.)
Zabner, J., Couture, L. A., Gregory, R. J., Graham, S. M., Smith, A. E., and Welsh, M. J. (1993) Adenovirus-mediated gene transfer transiently corrects the chloride transport defect in nasal epithelia of patients with cystic fibrosis. Cell 75, 207ā216.
Caplen, N. J., Alton, E. W., Middleton P. G., Dorin J. R., Stevenson, B. J., Gao, X., et al. (1995) Liposome-mediated CFTR gene transfer to the nasal epithelium of patients with cystic fibrosis. Nat. Med. 1, 39ā46.
Hay, J. G., McElvaney, N. G., Herena, J., and Crystal, R. G. (1995) Modification of nasal epithelial potential differences of individuals with cystic fibrosis consequent to local administration of a normal CFTR cDNA adenovirus gene transfer vector. Hum. Gene Ther. 6, 1487ā1496.
Gill, D. R., Southern, K. W., Mofford, K. A., Seddon, T., Huang, L., Sorgi, F., et al. (1997) A placebo-controlled study of liposome-mediated gene transfer to the nasal epithelium of patients with cystic fibrosis. Gene Ther. 4, 199ā209.
Zabner, J., Cheng, S. H., Meeker, D., Launspach, J., Balfour, R., Perricone, M. A., et al. (1997) Comparison of DNA-lipid complexes and DNA alone for gene transfer to cystic fibrosis airway epithelia in vivo. J. Clin. Invest. 100, 1529ā1537.
Wagner, J. A., Reynolds, T., Moran, M. L., Moss, R. B., Wine, J. J., Flotte, T. R., et al. (1998) Efficient and persistent gene transfer of AAV-CFTR in maxillary sinus. Lancet 351, 1702ā1703.
Dorin, J. R., Farley, R., Webb, S., Smith, S. N., Farini, E., Delaney, S. J., et al. (1996) A demonstration using mouse models that successful gene therapy for cystic fibrosis requires only partial gene correction. Gene Ther. 3, 797ā801.
Johnson, L. G., Olsen, J. C., Sarkadi, B., Moore, K. L., Swanstrom, R., and Boucher, R. C. (1992) Efficiency of gene transfer for restoration of normal airway epithelial function in cystic fibrosis. Nat. Genet. 2, 21ā25.
Bals, R., Weiner, D. J., and Wilson, J. M. (1999) The innate immune system in cystic fibrosis lung disease. J. Clin. Invest. 103, 303ā307.
Crystal, R. G. (1999) Bad for cats, good for humans? Modified feline immunodeficiency virus for gene therapy. J. Clin. Invest. 104, 1491ā1493.
Welsh M. J. (1999) Gene transfer for cystic fibrosis. J. Clin. Invest. 104, 1165ā1166.
Flotte, T. R. and Carter, B. J. (1998) Adeno-associated virus vectors for gene therapy of cystic fibrosis. Meth. Enzymol. 292, 717ā732.
Harvey, B.-G., Leopold, P. L., Hackett, N. R., Grasso, T. M., Williams, P. M., Tucker, A. L., et al. (1999) Airway epithelial CFTR mRNA expression in cystic fibrosis patients after repetitive administration of a recombinant adenovirus. J. tClin. Invest. 104, 1245-1255.
Duan, D., Yue, Y., Yan, Z., Yang, J., and Englehardt, J. (2000) Endosomal processing limits gene transfer to polarized airway epithelia by adeno-associated virus. J. Clin. Invest. 105, 1573ā1587.
Wilson, J. M. (1995) Gene therapy for cystic fibrosis: challenges and future directions. J. Clin. Invest. 96, 2547ā2554.
Grubb, B. R., Pickles, R. J., Ye, H., Yankaskas, J. R. Vick, R. N., Engelhardt, J. F., et al. (1994) Inefficient gene transfer by adenovirus vector to cystic fibrosis air-way epithelia of mice and humans. Nature 371, 802ā806.
Yei, S., Mittereder, N., Tang, K., OāSullivan, C., and Trapnell, B. C. (1994) Adenovirus-mediated gene transfer for cystic fibrosis: quantitative evaluation of repeated in vivo vector administration to the lung. Gene Ther. 1, 192ā200.
Zabner, J., Ramsey, B. W., Meeker, D. P., Aitken, M. L., Balfour, R. P., Gibson, R. L., et al. (1996) Repeat administration of an adenovirus vector encoding cystic fibrosis transmembrane conductance regulator to the nasal epithelium of patients with cystic fibrosis. J. Clin. Invest. 97, 1504ā1511.
Wilson, J. M. (1996) Animal models of human disease for gene therapy. J. Clin. Invest. 97, 1138ā1141.
Chinet, T. C. (1994) Use of in vivo nasal transepithelial potential difference to evaluate efficacy in CF gene therapy phase I trials. Eur. Resp. J. 7, 1917ā1920.
Walker, L. C., Venglarik, C. J., Aubin, G., Weatherly, M. R., McCarty, N. A., Lesnick, B., et al. (1997) Relationship between airway ion transport and a mild pulmonary disease mutation in CFTR. Am. J. Respir. Crit. Care Med. 155, 1684ā1689.
Blair, C., Kacser, E., and Porteous, D. (1998) Gene therapy for cystic fibrosis: a psychosocial study of trial participants. Gene Ther. 5, 218ā222.
Ellenberg, S. S. (1997) Informed consent: protection or obstacle? Some emerging issues. Contr. Clin. Trials. 18, 628ā636.
Morin, K. (1998) The standard of disclosure in human subject experimentation. J. Legal Med. 19, 157ā221.
Tuthill, K. A. (1997) Human experimentation. Protecting patient autonomy through informed consent. J. Legal Med. 18, 221ā250.
Sugarman, J. (2000) Informed consent in special populations. Ethical Issues in Clinical Trials Conference, University of Alabama, Birmingham, February 25ā26.
Wang, G., Slepushkin, V., Zabner, J., Keshavjee, S., Johnston, J. C., Sauter, S. L., Jolly, D. J., et al. (1999) Feline immunodeficiency virus vectors persistently transduce nondividing airway epithelia and correct the cystic fibrosis defect. J. Clin. Invest. 104, R55ā62.
Sverdrup, F., Sheahan, L., and Khan S. (1999) Development of human papillomavirus plasmids capable of episomal replication in human cell lines. Gene Ther. 6, 1317ā1321.
Kalin, N., Claass, A., Sommer, M., Puchelle, E., and Tummler, B. (1999) DeltaF508 CFTR protein expression in tissues from patients with cystic fibrosis. J. Clin. Invest. 103, 1379ā1389.
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V. Curlee, K., J. Sorscher, E. (2002). Design of Gene Therapy Clinical Trials in CF Patients. In: Skach, W.R. (eds) Cystic Fibrosis Methods and Protocols. Methods in Molecular Medicineā¢, vol 70. Humana Press. https://doi.org/10.1385/1-59259-187-6:575
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DOI: https://doi.org/10.1385/1-59259-187-6:575
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