Lexeo announces
Reports frataxin protein expression data from a subset of the second dose cohort of SUNRISE-FA, a Phase 1/2 clinical trial of LX2006 for the treatment of Friedreich’s ataxia (FA) cardiomyopathy, showing positive change in post-treatment frataxin levels
Additional interim data readout from SUNRISE-FA expected in mid-2024, with follow-up out to one year from the low-dose and multiple time points of follow-up expected from at least three patients treated at the mid-dose
Initiated SNAPSHOT-PKP2, a natural history study designed to evaluate PKP2-ACM disease progression up to two years retrospectively and over twelve months prospectively, in up to 20 patients in the
“The past year has been transformative for Lexeo as we successfully completed our initial public offering and continued to advance our pipeline of genetic medicines,” stated
SUNRISE-FA Liquid Chromatography Mass Spectrometry (LCMS) Assay Protein Expression Data
Subject | Pre-Treatment FXN Levels (ng/mg protein) | Post-Treatment FXN Levels (ng/mg protein) | Change from Baseline (ng/mg protein) |
Cohort 1 Subject 1 (1.8x1011 vg/kg) | 0.75 | 0.97 | 0.22 |
Cohort 2 Subject 1 (5.6x1011 vg/kg) | 0.97 | 2.77 | 1.81 |
Cohort 2 Subject 2 (5.6x1011 vg/kg) | 1.83 | 2.23 | 0.40 |
Note: Only one patient in Cohort 1 underwent pre and post treatment cardiac biopsy.
- Average pre-treatment FXN level across three subjects was 1.18ng/mg. Compared to FXN levels observed in 29 cadaver tissue samples from 16 individuals without heart disease, we believe the average pre-treatment FXN level represents approximately two percent of healthy individual frataxin levels in the heart.
- To our knowledge, SUNRISE-FA is the first clinical trial to evaluate frataxin levels in the target organ of FA cardiomyopathy patients via cardiac biopsy. Data to date suggest that FA patients may have lower FXN levels in the heart versus peripheral tissues.
- Across all three cardiac biopsies, we observed an increase in FXN levels as measured by liquid chromatography mass spectrometry relative to pre-treatment baseline levels.
- We observed an approximately five-fold increase in protein on average in the second cohort (5.6x1011 vg/kg) to date, relative to the first cohort (1.8x1011 vg/kg). A dose-dependent response was also seen in our IND-enabling preclinical studies, where a non-linear relationship was observed between dose delivered and frataxin protein expression.
Lexeo expects to present additional interim data from SUNRISE-FA Cohorts 1 and 2 in mid-2024, including measures of hypertrophy and other cardiac biomarkers at multiple timepoints(1). Ahead of this interim readout, Lexeo expects to provide an analysis of baseline characteristics from LX2006-treated patients to characterize the cardiovascular disease phenotype seen in FA as well as baseline levels of hypertrophy and other cardiac biomarkers that will be reported at mid-year.
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(1) Trial participants receive immune suppression with prednisone beginning on the day prior to treatment/infusion through 14 weeks following LX2006 administration. Given the potential impact of corticosteroids on systemic status and cardiac biomarkers, efficacy data in the mid-2024 data readout will be presented for timepoints following cessation of corticosteroid administration.
Business and Program Updates
- LX2006 for the Treatment of FA Cardiomyopathy: Announced preliminary frataxin protein expression data from the second dose cohort of SUNRISE-FA showing positive change in post-treatment frataxin levels three months following administration of LX2006. Lexeo expects to report additional interim data from the SUNRISE-FA Phase 1/2 clinical trial in mid-2024 with follow-up out to one year from the low-dose and multiple timepoints of follow-up expected from at least three patients treated at the mid-dose.
- LX2020 for the Treatment of PKP2-ACM: In
December 2023 , the FDA granted Fast Track designation (FTD) and Orphan Drug designation (ODD) to LX2020, which allows more frequent interactions with FDA to facilitate development and expedite review processes. The ODD also provides additional benefits to Lexeo, such as market exclusivity upon regulatory approval. Clinical trial start-up activities are underway and Lexeo expects to dose the first patient in the HEROIC-PKP2 Phase 1/2 clinical trial of LX2020 in 1H 2024, with an interim data readout from Cohort 1 expected in 2H 2024. Lexeo has also initiated SNAPSHOT-PKP2, a natural history study designed to evaluate PKP2-ACM disease progression up to two years retrospectively and over twelve months prospectively in up to 20 patients inthe United States . - APOE4-associated Alzheimer’s Disease Programs: Lexeo completed enrollment of all four cohorts in the LEAD Phase 1/2 clinical trial of LX1001 for the treatment of APOE4-associated Alzheimer’s disease in Q4 2023. The Company expects to provide an interim data readout of all cohorts in 2H 2024.
- Pricing of
$95 Million Equity Financing: Lexeo today announced that it has entered into a common stock purchase agreement with certain new and existing investors to issue and sell an aggregate of 6,278,905 shares of its common stock at a price of$15.13 per share, through a private placement. Lexeo anticipates the gross proceeds from the private placement to be approximately$95.0 million , before deducting any offering related expenses. The financing is expected to close on or aboutMarch 13, 2024 , subject to customary closing conditions. The proceeds from this financing, combined with current cash, cash equivalents and marketable securities, are expected to fund operating and capital expenditures into 2027. - Completed Initial Public Offering: In
November 2023 , Lexeo completed its underwritten initial public offering of 10,139,656 shares of its common stock, including the exercise of the underwriter’s option to purchase 1,048,746 additional shares of its common stock. The aggregate gross proceeds from the offering were$111.5 million , before deducting underwriting discounts and commissions and offering expenses payable by Lexeo.
Expected Upcoming Milestones
- LX2006 for the treatment of Friedreich’s ataxia cardiomyopathy
- Interim data readout in mid-2024
- LX2020 for the treatment of PKP2-ACM
- First patient dosed in 1H 2024
- Interim data readout (Cohort 1) in 2H 2024
- LX1001 for the treatment of APOE4-associated Alzheimer’s disease
- Interim Phase 1/2 data readout (all cohorts) in 2H 2024
- LX2021 for the treatment of DSP cardiomyopathy
- Initiate IND-enabling studies in 2024
Fourth Quarter and Full Year Financial Results
- Cash Position: As of
December 31, 2023 , cash and cash equivalents were$121.5 million , excluding the$95.0 million gross proceeds expected to be raised in the private placement announced today. Lexeo expects the additional funds raised in the financing to extend its runway into 2027. - R&D Expenses: R&D expenses were
$8.2 million for the three months endedDecember 31, 2023 , compared to$11.4 million for the three months endedDecember 31, 2022 . Research and Development expenses were$53.1 million for the year endedDecember 31, 2023 , compared to$49.2 million for the same period in 2022. - G&A Expenses: G&A expenses were
$6.8 million for the three months endedDecember 31, 2023 , compared to$3.8 million for the three months endedDecember 31, 2022 . G&A expenses were$15.4 million for the year endedDecember 31, 2023 , compared to$12.0 million for the same period in 2022. - Net Loss: Net loss was
$14.2 million or$0.86 per share (basic and diluted) for the three months endedDecember 31, 2023 , compared to$14.6 million or$8.86 per share (basic and diluted) for the three months endedDecember 31, 2022 . Net loss was$66.4 million or$12.40 per share (basic and diluted) for the year endedDecember 31, 2023 , compared to$59.3 million or$36.36 per share (basic and diluted) for the year endedDecember 31, 2022 .
About Lexeo Therapeutics
Lexeo Therapeutics is a
Forward looking Statements
Certain statements in this press release may constitute “forward-looking statements” within the meaning of the federal securities laws, including, but not limited to, our expectations and plans regarding our current product candidates and programs, including the anticipated timing of the initiation of and results from our clinical trials, expectations regarding the time period over which our capital resources will be sufficient to fund our anticipated operations and estimates regarding Lexeo’s financial condition. Words such as “may,” “might,” “will,” “objective,” “intend,” “should,” “could,” “can,” “would,” “expect,” “believe,” “design,” “estimate,” “predict,” “potential,” “develop,” “plan” or the negative of these terms, and similar expressions, or statements regarding intent, belief, or current expectations, are forward-looking statements. While Lexeo believes these forward-looking statements are reasonable, undue reliance should not be placed on any such forward-looking statements. These forward-looking statements are based upon current information available to the company as well as certain estimates and assumptions and are subject to various risks and uncertainties (including, without limitation, those set forth in Lexeo’s filings with the
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Selected Condensed Financial Information (unaudited, in thousands, except share and per share amounts) | ||||||||||||||||
Condensed Consolidated Statements of Operations | ||||||||||||||||
Three Months Ended | Year Ended | |||||||||||||||
2023 | 2022 | 2023 | 2022 | |||||||||||||
Revenue | ||||||||||||||||
Grant revenue | $ | - | $ | - | $ | - | $ | 654 | ||||||||
Total revenue | - | - | - | 654 | ||||||||||||
Operating expenses | ||||||||||||||||
Research and development | 8,210 | 11,437 | 53,130 | 49,162 | ||||||||||||
General and administrative | 6,764 | 3,760 | 15,383 | 12,001 | ||||||||||||
Total operating expenses | 14,974 | 15,197 | 68,513 | 61,163 | ||||||||||||
Operating loss | (14,974 | ) | (15,197 | ) | (68,513 | ) | (60,509 | ) | ||||||||
Other income and expense | ||||||||||||||||
Loss on fair value adjustment to convertible SAFE Note | (258 | ) | - | (530 | ) | - | ||||||||||
Other income (expense), net | (8 | ) | (1 | ) | (13 | ) | (2 | ) | ||||||||
Interest expense | (51 | ) | (54 | ) | (205 | ) | (91 | ) | ||||||||
Interest income | 1,103 | 675 | 2,867 | 1,325 | ||||||||||||
Total other income and expense | 786 | 620 | 2,119 | 1,232 | ||||||||||||
Loss from operations before income taxes | (14,188 | ) | (14,577 | ) | (66,394 | ) | (59,277 | ) | ||||||||
Income taxes | - | - | - | - | ||||||||||||
Net loss and comprehensive loss | $ | (14,188 | ) | $ | (14,577 | ) | $ | (66,394 | ) | $ | (59,277 | ) | ||||
Net loss per common share, basic and diluted | $ | (0.86 | ) | $ | (8.86 | ) | $ | (12.40 | ) | $ | (36.36 | ) | ||||
Weighted average number of shares outstanding used in computation of net loss per common share, basic and diluted | 16,438,237 | 1,644,403 | 5,354,368 | 1,630,348 |
Condensed Consolidated Balance Sheet Data | ||||||||
2023 | 2022 | |||||||
Cash, cash equivalents, and investments | $ | 121,466 | $ | 77,335 | ||||
Total assets | 139,807 | 97,076 | ||||||
Total liabilities | 26,272 | 24,997 | ||||||
Total convertible preferred stock | - | 185,033 | ||||||
Total stockholders' equity (deficit) | 113,535 | (112,954 | ) |
Source: Lexeo Therapeutics
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