IP Library › Granted Patent US 12,544,459
Granted Patent B2
US 12,544,459 · App. 19/046,845 · Granted Feb 10, 2026

Methods and means for the prevention and/or treatment of hemophilic arthropathy in hemophilia

Inventor: Ellen Broug-Holub (Amsterdam, NL)
Assignee: UNIQURE BIOPHARMA B.V.
A61K48/005A61K48/0058A61P7/04C12N9/644C12N15/86C12Y304/21022C12N2750/14143
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Quick Facts
Patent No.
US 12,544,459
App. No.
19/046,845
Granted
Feb 10, 2026
Kind
B2
Abstract

The invention relates to a gene therapy vehicle for use in preventing, arresting and/or treating hemophilic arthropathy of a joint in a patient having hemophilia B, where the gene therapy vehicle comprises a nucleic acid that encodes a coagulation factor having Factor IX activity.

Claims (24)

1 . A method of preventing, arresting and/or treating an effect of hemophilic arthropathy of a joint in a patient having hemophilia B, comprising:

measuring a pre-treatment baseline HJHS 2.1 score;

administering to the patient an effective amount of a gene therapy vehicle;

measuring a post-treatment HJHS 2.1 score at least 1 year after the administering; and

comparing the pre-treatment baseline HJHS 2.1 score to the post-treatment baseline HJHS 2.1 score;

wherein the gene therapy vehicle comprises a promoter and a nucleic acid that encodes a coagulation Factor IX or a hyperactive variant thereof;

wherein the effect of hemophilic arthropathy is at least one of pain, loss of range of motion, loss of activities, restrictions in participation in society, joint bleeds, synovitis, chronic arthropathy, or combinations thereof; and

wherein the post-treatment HJHS 2.1 score is no higher than pre-treatment baseline HJHS 2.1 score.

2 . The method of claim 1 , wherein the gene therapy vehicle is administered via intravenous infusion.

3 . The method of claim 1 , wherein the post-treatment HJHS 2.1 score is lower than the pre-treatment baseline HJHS 2.1 score.

4 . The method of claim 1 , wherein the patient having hemophilia B has a level of Factor IX activity of less than 1 IU/dL.

5 . The method of claim 1 , wherein the vehicle is a viral vector.

6 . The method of claim 5 , wherein the viral vector is an AAV particle.

7 . The method of claim 6 , wherein the viral vector is an AAV5 particle.

8 . The method of claim 1 , wherein the nucleic acid encodes a wildtype Factor IX.

9 . The method of claim 1 , wherein the gene therapy vehicle is administered at a dose of from 8×10 10 vg/kg to 2×10 13 vg/kg.

10 . The method of claim 1 , wherein the gene therapy vehicle is administered in a single dose.

11 . The method of claim 1 , wherein the joint is selected from the group consisting of one or both elbows, one or both knees, one or both ankles, and combinations thereof.

12 . The method of claim 1 , wherein the patient is a human.

13 . The method of claim 1 , wherein after administering the gene therapy vehicle to the patient, Factor IX activity level peaks and troughs are no more than about 25% above or below the average activity levels.

14 . The method of claim 1 , wherein after administering the gene therapy vehicle to the patient, Factor IX activity level peaks and troughs are no more than about 10% above or below the average activity levels.

15 . The method of claim 1 , wherein the nucleic acid encodes a hyperactive variant of Factor IX.

16 . The method of claim 15 , wherein the hyperactive variant of Factor IX is Factor IX-R-338L.

17 . The method of claim 6 , wherein the AAV particle is an AAV1 particle, an AAV2 particle, an AAV3 particle, an AAV4 particle, an AAV5 particle, an AAV6 particle, an AAV7 particle, an AAV8 particle, an AAV9 particle, an AAVrh10 particle, or an AAV11 particle.

Assignments (1)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 11, 2025
From: BROUG-HOLUB, ELLEN
To: UNIQURE BIOPHARMA B.V.
Reel/Frame 070185/0217 →
Priority Claims (1)
EP 21170264 · Apr 23, 2021 · regional
Continuity (3)
Division 18508998 · Nov 14, 2023
Continuation 18556163
Related Publication 20250170275A1 · May 29, 2025
References Cited (42)
US 10799566B2 · High et al. · 2020 [cited by applicant]
US 20100137211A1 · Monahan et al. · 2010 [cited by applicant]
US 20200129598A1 · High et al. · 2020 [cited by applicant]
JP 2018522529A · 2018 [cited by applicant]
WO 2020104480A1 · 2020 [cited by applicant]
Valentino (2010) “Blood-induced joint disease: the pathophysiology of hemophilic arthropathy”, Journal of Thrombosis and haemostasis, 8(9): 1895-1902. (Year: 2010). [cited by examiner]
Monahan, et al. (2015) “Employing a Gain-of-Function Factor IX Variant R338L to Advance the Efficacy and Safety of Hemophilia B Human Gene Therapy: Preclinical Evaluation Supporting an Ongoing Adeno-Associated Virus Cli… [cited by examiner]
U.S. Appl. No. 18/508,998, Final Office Action, Mailed on Feb. 24, 2025, 19 pages. [cited by applicant]
Lavie et al., “The Human L1 Promoter: Variable Transcription Initiation Sites and a Major Impact of Upstream Flanking Sequence on Promoter Activity”, Genome Research, vol. 14, No. 11, Nov. 2004, pp. 2253-2260. [cited by applicant]
U.S. Appl. No. 18/508,998, Non-Final Office Action, Mailed on Nov. 6, 2024, 16 pages. [cited by applicant]
Chang et al., “Changing Residue 338 in Human Factor IX From Arginine to Alanine Causes an Increase in Catalytic Activity”, The Journal of Biological Chemistry, vol. 273, No. 20, May 1998, pp. 12089-12094. [cited by applicant]
EP22724758.2, “Communication Pursuant to Article 94(3) EPC”, Mailed on Jan. 28, 2025, 4 pages. [cited by applicant]
Gao et al., “Chapter 16: Introducing Genes into Mammalian Cells: Viral Vectors”, Molecular Cloning: a Laboratory Manual, Cold Spring Harbor Laboratory Press, Fourth Edition, vol. 2, 2012, 26 pages. [cited by applicant]
Graf , “Extended Half-Life Factor VIII and Factor IX Preparations”, Transfusion Medicine and Hemotherapy, vol. 45, No. 2 Available online at: https://zlmsg.ch/wp-content/uploads/2019/04/2018_EHL_factors_Graf.pdf, Mar. 2… [cited by applicant]
Kafri et al., “Sustained Expression of Genes Delivered Directly into Liver and Muscle by Lentiviral Vectors”, Nature Genetics, vol. 17, No. 3, Nov. 1997, pp. 314-317. [cited by applicant]
Knobe et al., “Haemophilia and Joint Disease: Pathophysiology, Evaluation, and Management”, Journal of Comorbidity, vol. 1, No. 1, Dec. 2011, pp. 51-59. [cited by applicant]
Kuijlaars et al., “Monitoring Joint Health in Haemophilia: Factors Associated with Deterioration”, Haemophilia, vol. 23, No. 6, Nov. 2017, pp. 934-940. [cited by applicant]
Lin et al., “Generation of a Novel Factor IX with Augmented Clotting Activities in Vitro and in Vivo”, Journal of Thrombosis and Haemostasis, vol. 8, No. 8, Aug. 2010, pp. 1773-1783. [cited by applicant]
Madsbad , “Insulin Analogues: Have They Changed Insulin Treatment and Improved Glycaemic Control?”, Diabetes/Metabolism Research and Reviews, vol. 18, Supplement 1, Jan. 2002, pp. S21-S28. [cited by applicant]
Miesbach et al., “Gene Therapy With Adeno-associated Virus Vector 5-human Factor IX in Adults With Hemophilia B”, Blood, The Journal of the American Society of Hematology, vol. 131, No. 9, Mar. 1, 2018, pp. 1022-1031. [cited by applicant]
Monahan et al., “Employing a Gain-of-Function Factor IX Variant R338L to Advance the Efficacy and Safety of Hemophilia B Human Gene Therapy: Preclinical Evaluation Supporting an Ongoing Adeno-Associated Virus Clinical T… [cited by applicant]
Nair et al., “Gene Therapy for Hemophilia B Using CB 2679d-GT: A Novel Factor IX Variant with Higher Potency than Factor IX Padua”, Blood, The Journal of the American Society of Hematology, vol. 37, No. 21, May 27, 2021… [cited by applicant]
Nathwani et al., “Self-Complementary Adeno-Associated Virus Vectors Containing a Novel Liver-Specific Human Factor IX Expression Cassette Enable Highly Efficient Transduction of Murine and Nonhuman Primate Liver”, Blood… [cited by applicant]
Nichols et al., “Preclinical Evaluation of a Next-generation, Subcutaneously Administered, Coagulation Factor IX Variant, Dalcinonacog Alfa”, Public Library of Science One, vol. 15, No. 10, Oct. 28, 2020, pp. 1-12. [cited by applicant]
Application No. PCT/EP2022/060774 , International Search Report and Written Opinion, Mailed on Sep. 27, 2022, 13 pages. [cited by applicant]
Samelson-Jones et al., “Evolutionary Insights into Coagulation Factor IX Padua and other High-Specific-Activity Variants”, Blood Advance, vol. 5, No. 5, Mar. 9, 2021, pp. 1324-1332. [cited by applicant]
Santagostino et al., “Long-Acting Recombinant Coagulation Factor IX Albumin Fusion Protein (rIX-FP) in Hemophilia B: Results of a Phase 3 Trial”, Blood, The Journal of the American Society of Hematology, vol. 127, No. 1… [cited by applicant]
Schmidt et al., “Structure-Function Relationships in Factor IX and Factor IXa”, Trends in Cardiovascular Medicine, vol. 13, No. 1, Jan. 2003, pp. 39-45. [cited by applicant]
Simioni et al., “X-Linked Thrombophilia with a Mutant Factor IX (Factor IX Padua)”, The New England Journal of Medicine, vol. 361, No. 17, Oct. 22, 2009, pp. 1671-1675. [cited by applicant]
Spronck et al., “Enhanced Factor IX Activity Following Administration of AAV5-R338L “Padua” Factor IX Versus AAV5 WT Human Factor IX in NHPs”, Molecular Therapy-Methods & Clinical Development, vol. 15, Dec. 2019, pp. 22… [cited by applicant]
Srivastava et al., “WFH Guidelines for the Management of Hemophilia”, Haemophilia, vol. 19, 2013, pp. e1-e47. [cited by applicant]
Sun et al., “Intraarticular Factor IX Protein or Gene Replacement Protects Against Development of Hemophilic Synovitis in the Absence of Circulating Factor IX”, Blood, vol. 112, No. 12, Dec. 1, 2008, pp. 4532-4541. [cited by applicant]
Urabe et al., “Scalable Generation of High-Titer Recombinant Adeno-Associated Virus Type 5 in Insect Cells”, Journal of Virology, vol. 80, No. 4, Feb. 2006, pp. 1874-1885. [cited by applicant]
Wang et al., “Adeno-Associated Virus Vector as a Platform for Gene Therapy Delivery”, Nature Reviews Drug Discovery, vol. 18, May 2019, pp. 358-378. [cited by applicant]
Wright , “Codon Modification and PAMPs in Clinical AAV Vectors: The Tortoise or the Hare?”, Molecular Therapy, vol. 28, No. 3, Mar. 2020, pp. 701-703. [cited by applicant]
Wu et al., “Factor IX Alteration p.Arg338GIn (FIX Shanghai) Potentiates FIX Clotting Activity and Causes Thrombosis”, Haematologica, vol. 106, No. 1, Jan. 2021, pp. 264-268. [cited by applicant]
Young et al., “Nonacog Beta Pegol (N9-GP) in Haemophilia B: A Multinational Phase III Safety and Efficacy Extension Trial (Paradigm™ 4)”, Thrombosis Research, vol. 141, May 2016, pp. 69-76. [cited by applicant]
Nathwani et al., “Long-term safety and efficacy of factor IX gene therapy in hemophilia B.”, New England Journal of Medicine 371.21 (2014), Nov. 20, 2014, 17 pages. [cited by applicant]
Doshi et al., “Gene Therapy for Hemophilia: What Does the Future Hold?”, Therapeutic Advances in Hematology, vol. 9, No. 9, Aug. 27, 2018, pp. 273-293. [cited by applicant]
Nair et al., “Computationally Designed Liver-Specific Transcriptional Modules and Hyperactive Factor IX Improve Hepatic Gene Therapy”, Blood, vol. 123, No. 20, May 15, 2014, pp. 3195-3199. [cited by applicant]
JP 2023-564521, “Office Action”, Mar. 19, 2024, 6 pages. [cited by applicant]
Sun et al., “Chinese hemophilia joint health score 2.1 reliability study”, Haemophilia 20.3, 2014, 435-440. [cited by applicant]