Fixing Factor VIII misfolding to make hemophilia A gene therapy safer

Overcoming FVIII protein misfolding and cell toxicity

NIH-funded research Indiana University Indianapolis · NIH-11325359

This project aims to help Factor VIII fold and leave liver cells properly so AAV gene therapy for people with hemophilia A works longer and with less liver damage.

Quick facts

Grant typeP01 program project
Study typeNIH-funded research
Funding institutionIndiana University Indianapolis NIH-funded
Lab location1 site (Indianapolis, United States)
Project IDNIH-11325359 on NIH RePORTER

What this research studies

Researchers are working to improve AAV gene therapy that delivers Factor VIII to liver cells for people with hemophilia A. They study why Factor VIII misfolds, forms toxic aggregates in the endoplasmic reticulum, and triggers liver stress and inflammation. The team tests modified FVIII designs and cellular helper strategies in the lab and preclinical models to boost secretion, reduce aggregation, and lower the vector dose needed. Their goal is steadier clotting factor levels and less liver injury after gene therapy.

Who could benefit from this research

Good fit: People with moderate-to-severe hemophilia A, including men and affected women/carriers with low FVIII levels who are considering or eligible for gene therapy, would be the main candidates.

Not a fit: People with other bleeding disorders, those ineligible for AAV-based approaches (for example due to pre-existing anti-AAV antibodies or advanced liver disease), or those not considering gene therapy may not benefit from this work.

Why it matters

Potential benefit: If successful, this could enable safer, lower-dose AAV gene therapy that provides longer-lasting clotting factor levels for people with hemophilia A.

How similar studies have performed: Previous AAV-FVIII gene therapy trials have reduced bleeding for many patients but sometimes required very high doses and showed waning expression or liver inflammation, so this work builds on those results to solve protein-level problems.

Where this research is happening

Indianapolis, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.