Gene therapy strategies designed to combat haemophilia B, caused by de
fects in clotting factor IX, have so far concentrated on ex vivo appro
aches. We have now evaluated adenoviral vector-mediated expression of
human factor IX in vivo. Injection of the vector Av1H9B, which encodes
human factor IX cDNA, into the tail veins of mice resulted in efficie
nt liver transduction and plasma levels of human factor IX that would
be therapeutic for haemophilia B patients. However, levels slowly decl
ined to baseline by nine weeks and were not re-established by a second
vector injection. These results address both the advantages and obsta
cles to the use of adenoviral vectors for treatment of haemophilia B.