Liver-directed gene delivery to restore clotting factor in hemophilia B and other inherited liver diseases

Hepatic gene transfer for the treatment of hemophilia B and other genetic diseases

NIH-funded research Stanford University · NIH-11257294

This research uses a liver-targeted viral gene delivery approach to help adults with hemophilia B produce the missing clotting protein and could be applied to other inherited liver disorders.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionStanford University NIH-funded
Lab location1 site (Stanford, United States)
Project IDNIH-11257294 on NIH RePORTER

What this research studies

Researchers are working with adeno-associated viral (AAV) vectors to insert a therapeutic gene next to the liver's albumin gene so that the liver can make both albumin and the therapeutic protein, such as factor IX. The team is improving a non-cutting (non-nuclease) AAV-homologous recombination method that previously corrected hemophilia B in mice but has low efficiency. They will use cell studies, animal models, and high-throughput sequencing to trace where therapeutic products come from and identify factors that increase correct insertion and reduce off-target integration. The work aims to boost durable protein production early in life and reduce loss of the therapeutic gene during liver growth.

Who could benefit from this research

Good fit: Adults with hemophilia B or other inherited liver metabolic disorders who meet clinical trial eligibility and are interested in gene-based approaches would be the most relevant candidates.

Not a fit: People with strong pre-existing immunity to AAV, severe liver damage, or very young children whose livers are still growing may not receive benefit from this approach.

Why it matters

Potential benefit: If successful, this approach could provide longer-lasting production of clotting factor IX from a single liver-directed treatment, reducing bleeding episodes and treatment burden.

How similar studies have performed: AAV liver gene therapies have produced durable factor IX expression in some adult hemophilia B trials and the AAV-homologous recombination approach corrected disease in mouse models, though human efficiency remains limited.

Where this research is happening

Stanford, 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.