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In the FACTS trial (5 patients, Canada, NCT02800070): a 48% reduction in plasma lyso-Gb3 vs. no-ERT baseline (p<0.0001) at 5-year follow-up; 4 of 5 patients below the lyso-Gb3 threshold at year 5; all 5 maintained durable enzyme expression; zero product-attributable serious adverse events; polyclonal integration with no clonal dominance.

This shows the approach can produce a durable biomarker response over five real years of follow-up, in the specific population and endpoints measured.

It's five patients, not five hundred, and lyso-Gb3 reduction is a biomarker, not a direct measure of decades-long organ outcomes. The U.S. Phase 1/2 trial is designed to test the approach in a larger, FDA-aligned framework.

Read the underlying publication (PMID 36816757) if you want the full data.

Follow the whole series: https://bit.ly/Glafabra-TTW

@Brian Christie  @Neva West  @Brian Christie  @Tetsu Yung

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