GLOBAL RESEARCH ARCHIVE
LXEO: Highlights from the RBC Healthcare Conference
Research evidence excerpt
LXEO: Highlights from the RBC Healthcare Conference
tes less focus on tissue expression levels with recent administration, and LVMI >10% has
always been the endpoint that the study is powered on. High-sensitivity troponin remains a strikingly consistent endpoint (~50-60%
reductions across all patients) and could serve as prognostic biomarker in earlier-stage cardiac patients who do not yet meet the
abnormal LVMI inclusion threshold. On the confirmatory trial, formal discussions with regulators have not yet commenced, and
management noted that such discussions are not required to initiate the pivotal; the confirmatory trial could be built around
outcome endpoints correlated with LVMI, and whether randomized placebo controlled or not depends on the endpoint ultimately
chosen. On manufacturing/CMC, comparability protocol had met FDA standard, been fully cleared and no additional questions
had emerged. Manufacturing is generating compelling yields, and batches have already been manufactured and are ready to dose
patients.
PKP2 Continues to Make Progress Following Promising Early Signal And Next Update Is 4Q26 - On the regulatory path, company
is planning an FDA meeting in 2026 to discuss a potential accelerated approval pathway; NSVT is emerging as the preferred primary
endpoint for a potential accelerated approval pathway, given that NSVT shows the strongest correlation with the clinical outcomes.
No liver enzyme-related SAE had been reported (some observed, non-SAE elevations are reasonably acceptable given a gene
therapy dosed 100x higher vs FA) and study recruitment has been strong. We look forward to the 12-month all-high-dose data
in 4Q.
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