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A28    SCIENCE
              Thursday 7 december 2017


















            Gene therapy shows promise against blood-clotting disease


            By MARILYNN MARCHIONE        might  not  pass  it  on  as  leaders  work  for  or  have  Konduras,  58,  a  machinist  therapy,  neither  brother
             AP Chief Medical Writer     they divide, so the benefits  stock in Spark.             treated in March.            has needed clotting factor
            Gene therapy has freed 10  may  wane  over  time,  but  Dr.  Matthew  Porteus  of  Before, even small amounts  treatment.
            men  from  nearly  all  symp-  they’ve  lasted  eight  years  Stanford  University,  who  of exertion would cause tiny  The  therapy  is  still  experi-
            toms  of  hemophilia  for  a  in other tests in people and  wrote  a  commentary  in  muscle tears and bleeding  mental  and  its  eventual
            year so far, in a study that  up to 12 years so far in dogs.  the  journal,  called  the  re-  problems requiring clotting  cost  is  unknown,  but  clot-
            fuels hopes that a one-time                                                                                         ting factor treatment costs
            treatment  can  give  long-                                                                                         about $200,000 per patient
            lasting  help  and  perhaps                                                                                         per year, Porteus said.
            even  cure  the  blood  dis-                                                                                        Another   gene    therapy,
            ease.                                                                                                               from BioMarin Pharmaceu-
            Hemophilia  almost  always                                                                                          tical for a different form of
            strikes males and is caused                                                                                         hemophilia,  also  showed
            by  lack  of  a  gene  that                                                                                         promise in a different study.
            makes  a  protein  needed                                                                                           Thirteen   patients   have
            for blood to clot. Small cuts                                                                                       been  treated  and  have
            or bruises can be life-threat-                                                                                      had a big drop in bleeding
            ening,  and  many  people                                                                                           episodes  and  clotting  fac-
            need  treatments  once  or                                                                                          tor  treatments,  study  lead-
            more a week to prevent se-                                                                                          ers report. One-year results
            rious bleeding.                                                                                                     will  be  given  at  an  Ameri-
            The  therapy  supplies  the                                                                                         can Society of Hematology
            missing  gene,  using  a  virus                                                                                     conference that starts Sat-
            that’s  been  modified  so  it                                                                                      urday.
            won’t cause illness but fer-                                                                                        Other companies are work-
            ries the DNA instructions to                                                                                        ing  on  hemophilia  treat-
            liver  cells,  which  use  them                                                                                     ments;  Sangamo  Thera-
            to  make  the  clotting  fac-                                                                                       peutics is testing traditional
            tor.  The  treatment  is  given                                                                                     gene  therapy  and  gene
            through an IV.                                                                                                      editing approaches.q
            In   a   study   published
            Wednesday  by  the  New
            England  Journal  of  Medi-
            cine,  all  10  men  given  the   This Saturday, Dec. 2, 2017 photo provided by Jay Konduros, left, shows him and his brother, Bill,
            therapy  now  make  clot-    at Jay’s home in Cambridge, Ontario, Canada.
            ting  factor  in  the  normal                                                                      Associated Press
            range.  Bleeding  episodes  “The hope is that this would  sults  “striking”  and  said,  “I  factor treatment.
            were  reduced  from  about  be  a  one-time  treatment”  think we’re definitely on the  “Even something as innoc-
            one a month before gene  to fix the problem, said the  road” to a cure.                uous as reaching over your
            therapy to less than one a  study  leader,  Dr.  Lindsey  It feels like one to Canadi-  head to get something out
            year. Nine of the 10 no lon-  George  of  Children’s  Hos-  ans  Jay  and  Bill  Konduras,  of  a  closet,  or  reaching
            ger  need  clotting  factor  pital of Philadelphia.       brothers who live an hour’s  down to tie a shoe” could
            treatments,  and  the  10th  Spark  Therapeutics,  the  drive  outside  Toronto  who  trigger trouble, Bill Konduras
            needs  far  fewer  of  them.  Philadelphia-based  com-    were in the study.           said.
            There  were  no  serious  side  pany that makes the treat-  “It’s  pretty  magical,”  said  Six years ago, he nearly lost
            effects.                     ment,  and  Pfizer,  which  Jay Konduras, 53, who runs  his  leg  after  a  motorcycle
            Follow-up  is  still  short  —  a  now  is  working  with  Spark  a bakery and was treated  crash tore open an artery;
            year  on  average.  Some  on  it,  paid  for  the  study,  in June 2016.               he spent nearly a month in
            cells  with  the  new  gene  and  some  of  the  study  “Life-changing,”  said  Bill  the hospital. Since the gene
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