Problem 01
The balance between toxicity and efficacy.
More than 98% of delivered RNA is trapped in endosomes and degraded. The classic fix is a more disruptive lipid or a higher dose, and both buy efficacy at the cost of tolerability — liver, cardiac and cytokine markers rise, and the dose ceiling comes down. Extrahepatic targeting is harder still, because ApoE coats the particle and sends it to the liver.
How ELITE (CX Ionizable Lipid) solves it →
Problem 02
PEG-lipids provoke antibodies, so the second, third and fifth dose stop working.
Pre-existing and treatment-induced anti-PEG antibodies bind the PEGylated component, trigger complement activation and drive accelerated blood clearance and pseudoallergic reactions. For any chronic indication that needs repeat dosing, this is a ceiling on the whole modality.
How ENDURE (CX Stabilizing Lipid) solves it →