A WORLD LEADER IN RIBOSOME TARGETED GENETIC THERAPIES

CLASS 1 CYSTIC FIBROSIS (CF) WITH NONSENSE MUTATIONS

CF is caused by a mutation in the cystic fibrosis transmembrane conductance (CFTR) gene, which codes for the protein that regulates salt and water balance. It is characterized by the buildup of mucus in the respiratory and digestive track leading to progressive damage to these organs. There are five classes of CF representing more than 1,700 different mutations in the CFTR gene.

Pipeline

Class 1 nonsense mutations result in no production of CFTR protein
12% of mutations are class 1, affecting between 7,000 and 9,000 people globally1

Pipeline

There are no approved treatments for Class 1 CF; management is palliative

We have 2 programs to
address class 1 cf:
inhaled elx-02 and oral
turbo-zm™ based rma
s.
Pipeline

Cystic Fibrosis Foundation

ELX-02: Potential for Transformative
Efficacy in Patients with Class 1 CF

Granted orphan drug and Fast Track designation by the FDA

  • Patients with Class 1 CF treated with the aminoglycoside, gentamicin, had a 22% decrease in sweat chloride level vs patients treated with placebo
  • ELX-02 Class 1 organoid swelling response similar to Class 2 response for Symdeko (tezacaftor/ivacaftor and ivacaftor)
    • Organoid swelling is a surrogate marker for clinical results, predicting decreased sweat chloride level and increased FEV1
  • Promising preclinical results as monotherapy and in combination with Kalydeco
  • Potential as an inhaled therapy with improved therapeutic index
    • LX-02 has >100 fold lung to plasma exposure when inhaled versus given subcutaneously
    • IND for nebulizer based (inhaled) delivery of ELX-02 initiated
  • Patients with Class 1 CF treated with the aminoglycoside, gentamicin, had a 22% decrease in sweat chloride level vs patients treated with placebo
  • ELX-02 Class 1 organoid swelling response similar to Class 2 response for Symdeko (tezacaftor/ivacaftor and ivacaftor)
    • Organoid swelling is a surrogate marker for clinical results, predicting decreased sweat chloride level and increased FEV1
  • Promising preclinical results as monotherapy and in combination with Kalydeco
  • Potential as an inhaled therapy with improved therapeutic index
    • LX-02 has >100 fold lung to plasma exposure when inhaled versus given subcutaneously
    • IND for nebulizer based (inhaled) delivery of ELX-02 initiated

RMAs have the potential to become
oral therapies to restore functional CFTR protein
in Class 1 CF patients

Promising Preclinical RESULTS Paved the Way for our phase 2 trial

Organoid Swelling Charts

Preclinical Results

Promising preclinical results
paved the way for our Phase 2 Trial