cFIX-R338L antigen and activity levels over time in HB dogs treated with AAV6-cFIX-R338L. Three adult male HB dogs (M55 [A], M59 [B], and N07 [C]) were administered 2.5-3 × 1012 vg/kg of AAV6-cFIX-R338L by peripheral transvenular delivery to the skeletal muscle. cFIX antigen levels were measured over time by ELISA (□), and cFIX activity levels were measured by activated partial thromboplastin time (●). Black arrows indicate weekly challenges with pooled normal canine plasma (100 mL). (D) PBMCs collected from M59 and N07 after the fourth challenge were subjected to IFN-γ ELISpot analysis after stimulation with AAV6 capsid, cFIX protein, or overlapping peptides spanning the 338 region (RATCLR/LSTKFTIYNM, LKVPVDRATCLR/LST).