1st Edition

Development of Gene Therapies Strategic, Scientific, Regulatory, and Access Considerations

Edited By Avery McIntosh, Oleksandr Sverdlov Copyright 2024
490 Pages 36 Color & 1 B/W Illustrations
by Chapman & Hall

490 Pages 36 Color & 1 B/W Illustrations
by Chapman & Hall

One of the recent advances in 21st century medicine is the emergence of gene therapies, drugs that affect the basic biology of genetic disease. The field has seen some notable setbacks in the past, but in recent years has exploded as decades of basic science have been successfully translated into the most complex biologics ever constructed, leading to regulatory approval of several gene therapy... Read more

1. Introduction: The Road to Gene Therapy

Avery McIntosh and Oleksandr Sverdlov

2. Driving AAV Drug Design to the Right Place, Right Amount, and Right Time

Nick Marze, Bin Li, Anton Pritchard, Sagar Nisraiyya, and Suryanarayan Somanathan

3. A Practical Guide to the Nonclinical Development of In Vivo Gene Therapies

Page Bouchard, Deepa H. Chand, Francis Fonyuy Tukov, Mark Milton, Kelley Penraat, and Oleksandr Sverdlov

4. Quantitative Systems Pharmacology Modeling of Adeno-Associated Virus Gene Therapies: Mechanistic Identification of Species-Translation Using Preclinical and Clinical Data

Satyajit Rao, Jatin Narula, Glen Ko, Haobin Luo, Zhiwei Zhang, Cynthia J. Musante, and Nessy Tania

5. Bringing Gene Therapy to Patients: A Clinical Development Perspective Based on Brain and Neuromuscular Diseases

Petra Kaufmann and Amanda Haidet-Phillips

6. The Ethics of Gene Therapy

Avery McIntosh, Oleksandr Sverdlov, and Mimi Lee

7. AAV Vector Immunogenicity in Gene Therapy: Mechanisms, Assessment, and Immunomodulation Strategies

Matthew N. Meriggioli

8. Prenatal Somatic Cell Gene Therapy

Akos Herzeg, Antonia Varthaliti, Maria Clarke, and Tippi C. MacKenzie

9. Development of Gene Therapies for Ultra-Rare Disease

Amanda Haidet-Phillips, Avery McIntosh, Oleksandr Sverdlov, and Scott Galasinski

10. Statistical Innovation for Gene Therapy Development: Clinical Trial Design and Analysis Considerations

Oleksandr Sverdlov, Avery McIntosh, Sergey Aksenov, and Jessica LeClair

11. Biomarkers in Gene Therapy Development for Rare Diseases

Mohamed Hassanein, Kelly A. Fader, and David Beidler

12. Manufacturing, Analytical, and Process Comparability Challenges for Recombinant Adeno-Associated Virus (rAAV) Gene Therapy

Hannah K. Bare, Erik S. Barton, Aili Cheng, Brad Evans, Henry Gregory, Dan Griffin, William Kish, Rudra Mukherjee, Thomas Powers, Herbert A. Runnels, Daniel Ryan, Courtney D.K. Sloan, Austin Tritt, Ke Wang and Shun Zheng

13. Regulatory Considerations in the Development of Gene Therapy Products

Seoan Huh, Vanessa D’Souza, Arun Balaji, and Hans-Jürgen Fülle

14. Gene Therapy Clinical Safety Considerations: Short- and Long-Term

Deepa H. Chand, Rui Sun, and Susan Mitchell

15. Development of Gene Therapies from an Academic Perspective

Reena V. Kartha and Paul J. Orchard

16. Commercial Models, Access Hurdles, and Health Economics of Gene Therapies

Kasem S. Akhras and Anish Patel

17. The Zolgensma Journey: A Groundbreaking Therapy for SMA

Iulian Alecu and Nayla Mumneh

18. History and Development Story of Luxturna: Scientific and Regulatory Challenges

Jean Bennett

19. The Future of in vivo rAAV Gene Therapies for Rare Neurological Diseases

John Shoffner

Biography

Avery McIntosh, Ph.D. is a drug developer working in rare diseases at Pfizer. He received his M.Sc. and Ph.D. in biostatistics from Boston University with a dissertation on Bayesian methods to model household tuberculosis transmission. He has managed teams of statisticians across study phases and in a variety of drug types and disease areas, including neurology, ophthalmology, infectious disease/ global health, hematology, and oncology. He has published peer-reviewed articles on various topics in drug development and biostatistics, including development of cell and gene therapies and qualification of digital endpoints in neurological diseases.

Oleksandr Sverdlov, Ph.D. is a Neuroscience Disease Area Statistical Lead at Novartis. He received B.Sc. in Applied Mathematics from V.N. Karazin Kharkiv National University, Ukraine, M.Sc. in Statistics from University of Maryland, Baltimore County (UMBC), and Ph.D. in Information Technology with Concentration in Statistical Science from George Mason University. He has been actively involved in methodological research and applications of innovative statistical approaches in drug development. He has co-authored over forty refereed articles, edited two monographs, and co-authored a book Mathematical and Statistical Skills in the Biopharmaceutical Industry: A Pragmatic Approach (CRC Press/Chapman & Hall, 2019). His most recent work involves design and analysis of clinical trials evaluating novel digital technologies

"Development of Gene Therapies excels in demystifying intricate gene therapy and delineating its unique challenges and opportunities. I recommend it without reservation and believe drug developers will immensely benefit from this book. It should be on the bookshelf of any researcher and drug developer interested in gene therapy."

-Ying Yuan, Development of gene therapies: strategic, scientific, regulatory, and access considerations by Avery McIntosh and Oleksandr Sverdlov, Chapman and Hall/CRC, 2024, ISBN: 9781032136554, Biometrics, 2025