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66-Country Survey Exposes Barriers to Hemophilia Gene Therapy
Wolfgang Miesbach/LinkedIn
Nov 3, 2025, 08:45

66-Country Survey Exposes Barriers to Hemophilia Gene Therapy

 

Wolfgang Miesbach, Professor of Medicine at Frankfurt University Hospital, posted on LinkedIn:

”Haemophilia Gene Therapy: New ISTH survey reveals a critical disconnect between clinical innovation and healthcare readiness.
Global survey assessing knowledge, perceptions, and clinical preparedness for gene therapy among haemophilia professionals. Over eight months (August 2023–January 2024), 327 healthcare professionals from 66 countries responded via an anonymous online questionnaire distributed through four major professional organizations.

Current Therapy Limitations 
– burden of dosing schedules and prophylaxis
– of inhibitor development
– with injections and venous access
– and reimbursement pressures
– with treatment adherence
– impact on quality of life and joint disease
– breakthrough bleeding and pain

What Was Found Related to Gene Therapy
– 7.5% feel extremely familiar with gene therapy
– 35.6% uncomfortable answering patient questions about trials
– 60% of patients have never discussed gene therapy with their care team

Major Barriers to Implementation of Gene Therapy
– Durability uncertainty
– Variability in patient response
– Cost and reimbursement challenges
– Restrictive eligibility criteria
– Insufficient healthcare system preparedness

Gene therapy is clinically available. What’s missing is confidence, system readiness, and equitable global access. Closing this gap requires targeted professional education, healthcare pathways, and solutions that ensure all eligible patients – ideally, regardless of geography – can access this transformative treatment.

Published in Therapeutic Advances in Hematology, open access link ”

Title: Gene therapy for hemophilia: results of ISTH global survey on current knowledge, attitudes, and preparedness of the hemophilia care team

Authors: Melissa F. Glasner, Wolfgang Miesbach

Haemophilia

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66-Country Survey Exposes Barriers to Hemophilia Frankfurt University Hospital Gene therapy haemophilia Headlines Health Hematology Hemostasis Hemostasis Today International Society on Thrombosis and Haemostasis ISTH Medicine Melissa F. Glasner thrombosis
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