Clinical practice guidelines for gene therapy to treat hereditary hearing loss

Jieyu Qi, Fangzhi Tan, Liyan Zhang, Ling Lu, Hongyang Wang, Wenyan Li, Wenwen Liu, Xiaolong Fu, Zuhong He, Xiaoqiong Ding, Shan Sun, Qiaojun Fang, Yaodong Dong, Xuewei Zhu, Busheng Tong, Xianbao Cao, Min Guo, Xinmiao Fan, Qin Wang, Lu Ma, Tianhong Zhang, Yafeng Yu, Yongxin Li, Jiangang Fan, Yong Cui, Peina Wu, Hongzheng Zhang, Jie Tang, Weiwei Guo, Dingjun Zha, Fanglei Ye, Shuangba He, Wei Cao, Jianming Yang, Xiaoyun Qian, Yu Zhao, Jingwu Sun, Xiaowei Chen, Yu Sun, Ming Xia, Qiuju Wang, Huijun Yuan, Yong Feng, Weijia Kong, Shiming Yang, Haibo Wang, Maoli Duan, Xia Gao, Huawei Li, Lei Xu, Renjie Chai
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Abstract

Hereditary deafness is a common neurosensory disorder, and 148 non-syndromic deafness genes have been identified to date. Gene therapy has been used to treat a variety of genetic diseases, but no gene therapy drug for hereditary deafness has been approved for clinical use. At present, several clinical trials of gene therapy for hereditary deafness are underway. However, few normative documents have been issued to guide the standardization of gene therapy for hearing loss, and this document is the first global gene therapy guideline for hereditary hearing loss. The guidelines were jointly developed and drafted by experienced audiologists, virologists and biologists who are vigorously involved in inner ear gene therapy research in the Hearing, Speech and Communication Subsociety of Biophysical Society of China, Audiology Development Foundation Of China and Audiology Subsociety of Jiangsu Medical Association. These guidelines cover preclinical research and clinical practice of gene therapy for hereditary deafness, including indications, key points of pre-clinical research, patient selection criteria, pre-clinical preparation, drug efficacy, drug safety evaluation criteria, ethical review, etc. We hope that the guidelines will promote the standardization of clinical practice related to gene therapy for hereditary deafness in China and around the world.

Abstract Image

基因疗法治疗遗传性听力损失的临床实践指南
遗传性耳聋是一种常见的神经感官疾病,迄今已发现 148 个非综合征耳聋基因。基因疗法已被用于治疗多种遗传性疾病,但尚未有治疗遗传性耳聋的基因治疗药物被批准用于临床。目前,几项遗传性耳聋基因治疗临床试验正在进行中。然而,指导听力损失基因治疗规范化的规范性文件却寥寥无几,本文件是全球首份遗传性听力损失基因治疗指南。该指南由中国生物物理学会听力、言语与交流分会、中国听力医学发展基金会和江苏省医学会听力医学分会中从事内耳基因治疗研究的资深听力学家、病毒学家和生物学家共同制定和起草。本指南涵盖了遗传性耳聋基因治疗的临床前研究和临床实践,包括适应症、临床前研究要点、患者选择标准、临床前准备、药物疗效、药物安全性评价标准、伦理审查等。我们希望该指南能促进中国乃至全球遗传性耳聋基因治疗相关临床实践的规范化。
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