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In vivo base editing gene therapy for heterozygous familial hypercholesterolemia: a phase 1 trial - PubMed

3 hours ago
  • #gene therapy
  • #familial hypercholesterolemia
  • #base editing
  • Phase 1 trial evaluates YOLT-101, an in vivo base-editing gene therapy for heterozygous familial hypercholesterolemia.
  • YOLT-101 uses adenine base-editing technology delivered via GalNAc-modified lipid nanoparticles to target PCSK9.
  • Six participants received escalating doses (0.2, 0.4, or 0.6 mg/kg) with no grade ≥3 adverse events reported.
  • Most common adverse events were transient infusion-related reactions and liver enzyme elevations.
  • Dose-dependent reductions in PCSK9 (74.4%) and LDL-C (52.3%) were sustained at 24 weeks in the highest dose cohort.
  • Study demonstrates potential for durable LDL-C reduction with a single infusion of YOLT-101.