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LX1001

Phase 1

Alzheimer Disease | Monoclonal antibody | Neurology |Lexeo Therapeutics, Inc.|Trials Updated: Oct 20, 2025

LX1001 development status

Highest phase Phase 1
Registered trials 2 across 1 sponsor since Aug 2018

LX1001 target and mechanism

Molecular targetAPOE4
Target classGene
ModalityMonoclonal antibody

Also known as AAVrh.10hAPOE2

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment25

FDA Designations

No designations recorded

LX1001 clinical trials

LX1001 · 2 trials · 2 indications

Phase 1 2
NCT05400330Long-Term Follow-up of Gene Therapy for APOE4 Homozygote Alzheimer's DiseaseAlzheimer Disease
ACTIVE NOT_RECRUITING10 Analytics
NCT03634007Gene Therapy for APOE4 Homozygote of Alzheimer's DiseaseAlzheimer Disease
COMPLETED15 Analytics
PHASE1ACTIVE NOT_RECRUITING
Long-Term Follow-up of Gene Therapy for APOE4 Homozygote Alzheimer's Disease
Alzheimer DiseaseUnlock trial analytics
PHASE1COMPLETED
Gene Therapy for APOE4 Homozygote of Alzheimer's Disease
Alzheimer DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of treatment emergent adverse events
260 weeks

All emergent adverse events will be collected

Incidence of serious adverse events
260 weeks

All incidents of serious adverse events will be collected

Proportion of participants with treatment-emergent adverse events and serious adverse events
1 year

Adverse events categorized and graded

The proportion of participants with treatment-emergent adverse events and serious adverse events at each dosage
1 year

Adverse events categorized and graded per study drug dose

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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Previously administered LX1001EXPERIMENTALThis is a long-term follow-up study to evaluate the safety following LX1001, a gene therapy, for participants who are APOE4 homozygotes with clinical diagnoses varying from MCI or dementia due to AD who have previously received LX1001. Study LX1001-01 was designed to assess the safety of LX1001 at 4 ascending doses (1.4 × 1010, 4.4 × 1010, 1.4 × 1011 gene copy \[gc\]/mL CSF and 1.4 x 1014 \[fixed dose\]) as per droplet digital polymerase chain reaction methodology, with each group consisting of approximately n=3-5 individuals for a total of approximately 15 participants for the entire study. In this study, participants who have received LX1001 in the parent protocol (LX1001-01) will be followed for up to 260 weeks post gene therapy administration
Cohort 1: 1.4 x 10^10 gc/mL CSFEXPERIMENTALParticipants will receive 1.4 x 10\^10 gc/mL CSF of LX1001.
Cohort 2: 4.4 x 10^10 gc/mL CSFEXPERIMENTALParticipants will receive 4.4 x 10\^10 gc/mL CSF of LX1001.
Cohort 3: 1.4 x 10^11 gc/mL CSFEXPERIMENTALParticipants will receive 1.4 x 10\^11 gc/mL CSF of LX1001.
Cohort 4: 1.4 x 10^14 gc (fixed dose)EXPERIMENTALParticipants will receive 1.4 x 10\^14 gc (fixed dose; approximately 3.4 × 10\^11 gc/mL CSF based on an average CSF volume of 409 mL) of LX1001.

Interventions

NameTypeDescription
LX1001BIOLOGICALGene therapy
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Eligibility Criteria

Age Range50 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Participants who received LX1001 in study LX1001-01 Exclusion Criteria: * Participants with any clinically significant medical condition that, in the opinion of the investigator, would pose a risk to participant safety * Participants who agree not to post their personal medi...

Countries:United States
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Frequently asked questions about LX1001

What is LX1001 used for?

LX1001 is an investigational gene therapy being developed for Alzheimer disease, specifically in patients who are homozygous for the APOE4 allele. It is designed to deliver the APOE2 gene to the central nervous system. It is not approved for any indication and remains in clinical development.

What does LX1001 target?

LX1001 targets APOE4, the genetic variant that is the strongest risk factor for late-onset Alzheimer disease. The therapy delivers the APOE2 gene to the central nervous system, aiming to provide the protective APOE2 protein in APOE4 homozygotes. It is a gene therapy, not a monoclonal antibody.

Who is developing LX1001?

LX1001 is being developed by Lexeo Therapeutics, Inc., a clinical-stage gene therapy company. Lexeo Therapeutics trades on the Nasdaq under the ticker symbol LXEO. The company is focused on developing gene therapies for cardiovascular and neurological diseases, including Alzheimer disease.

What phase is LX1001 in?

LX1001 is in Phase 1 clinical development. It is an investigational gene therapy and has not been approved by the FDA or any regulatory authority. Two Phase 1 trials have been conducted, one completed and one active but not recruiting, with a total enrollment of 25 patients.

What clinical trials is LX1001 in?

LX1001 has been studied in two Phase 1 trials. NCT03634007, titled Gene Therapy for APOE4 Homozygote of Alzheimer's Disease, is completed with 15 patients. NCT05400330, a long-term follow-up study, is active but not recruiting with 10 patients. Both trials enrolled patients aged 50 and older in the United States.

Is LX1001 a monoclonal antibody?

No, LX1001 is a gene therapy, not a monoclonal antibody. It uses a viral vector to deliver the APOE2 gene to the central nervous system. The therapy is being studied in APOE4 homozygote Alzheimer disease patients, a biomarker-selected population.