smart medication Gene
Collaboration platform and electronic patient record for gene therapy

  • Digital treatment process

    Guidance through the entire gene therapy treatment process (manufacturer-independent for hemophilia A/B)

  • Electronic patient record

    Structured documentation of the entire gene therapy and follow-up care

  • Cross-center collaboration

    Collaboration based on the hub-and-spoke model

Gene therapy for hemophilia

Gene therapy aims to actively treat a genetic defect in body cells. A single infusion replaces regular factor administration while still enabling long-term expression of the missing clotting factor. Even a small increase in factor activity leads to a marked improvement in symptoms – and thus in quality of life – for many patients.

The gene therapy from BioMarin for hemophilia A, medicine information from the EMA, opens in a new tab has held conditional approval in Europe since August 2022 (announcement by the Paul-Ehrlich-Institut, in German, opens in a new tab), the gene therapy from CSL Behring for hemophilia B, medicine information from the EMA, opens in a new tab since February 2023. In the U.S., the FDA had already approved the latter in November 2022, FDA press release, opens in a new tab.

The hub-and-spoke model

Because the new gene therapies for hemophilia bring challenges for the treatment process, EAHAD and EHC introduced the so-called hub-and-spoke model, joint statement by EAHAD and EHC, opens in a new tab. The concept aims at effective communication and collaboration between the hemophilia centers involved in a patient’s gene therapy, to support shared treatment decisions for long-term benefit.

Large hemophilia centers that hold a high level of specialist knowledge about gene therapy and offer gene therapy to patients are called “hubs”. The hub center is responsible for the practical delivery of the gene therapy and thus for all tasks related to the infusion.

The “spokes” are the patients’ home centers, where they receive regular care. The spokes are responsible for advising patients as part of an informed decision-making process. Follow-up care after the infusion, including regular check-ups, is meant to take place locally at the home center.

Implementation of the hub-and-spoke model in the software

Diagram: at the center, a ring of six icons – DNA, calendar, stethoscope, chart, group of people, and syringe – around the text “Collaboration tool to support shared treatment decisions for long-term benefit”. To its left and right, five text boxes each with features of the software. At the bottom left, a large hospital building labeled HUB; at the bottom right, a small one labeled SPOKE.
All content of the diagram as text

Collaboration tool to support shared treatment decisions for long-term benefit

  • Guidance through the entire gene therapy process
  • Encrypted transfer of patient data between networked centers
  • Structured documentation of the entire gene therapy
  • Cross-center collaboration to optimize the GT over time
  • Implementation of the requirements of the G-BA (Federal Joint Committee), EMA, GTH (Society of Thrombosis and Haemostasis Research), and clinical registries
  • Interface to electronic diaries for the course of treatment
  • Secure in-app communication between centers
  • Documentation of laboratory results / follow-up data in the patient record
  • Checklists for eligibility criteria and tasks in the GT process
  • Provision of relevant information such as brochures, checklists, or videos

So the focus can be entirely on the patient.

With Gene, we have developed a collaboration platform that supports physicians throughout the entire gene therapy treatment process for hemophilia.

Contracts with partner hospitals, consent forms, physician letters, and laboratory reports are shared within Gene and filed in a structured way in center and patient records. Fax machines and paper binders are a thing of the past.

Documentation made easy.

Together with hemostaseologists, pharmaceutical manufacturers, and pharmacists, a standardized treatment process was developed in sections, covering all legal and medical requirements of gene therapy.

Thanks to its structured, straightforward data capture, the patient record is particularly well suited to long-term observation in the sense of a clinical registry and provides the basis for the long-term observational studies required by legislators.

Screen showing the Gene dashboard: on the left, the navigation with dashboard, patients, centers, and gene therapy; in the middle, the upcoming tasks of a gene therapy in sections A to C with a progress bar at 21 percent; on the right, new patients, self-defined tasks, and a notes area.

Everything about gene therapy in one place

smart medication Gene makes documentation around gene therapy for hemophilia A/B simple and intuitive. Focus entirely on your patient and connect with other specialized treatment centers.

Sponsored by BioMarin and CSL Behring

smart medication Gene is the digital solution for the hub-and-spoke model in gene therapy. Beyond hemophilia, Gene can also be used for other gene therapies.


For further information, feel free to contact us.